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LIMITED</SupplierName></Supplier><Supplier><SupplierCode>XF</SupplierCode><SupplierName>REVOLUTION SURGICAL PTY. 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>XG</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>SN</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>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>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>XK</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>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>WC</SupplierCode><SupplierName>WILLIAM A. COOK AUSTRALIA PTY. LTD.</SupplierName></Supplier><Supplier><SupplierCode>YA</SupplierCode><SupplierName>YPSOMED AUSTRALIA PTY LIMITED</SupplierName></Supplier><Supplier><SupplierCode>ZI</SupplierCode><SupplierName>ZIMMER BIOMET PTY LTD</SupplierName></Supplier><Supplier><SupplierCode>NW</SupplierCode><SupplierName>ZIMVIE AUSTRALIA 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>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>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>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>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>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>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>2025-03-01</CycleEndDate></ProsthesisItem><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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>NCC03</BillingCode><Name>Femoral Ring Super Critical Fluid CO2 Treated (Frozen) - various sizes</Name><SupplierCode>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>2025-03-01</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>NCC40</BillingCode><Name>Cervical Spacers - Parallel Super Critical Fluid CO2Treated (Frozen)  5mm – 9mm</Name><SupplierCode>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>2025-03-01</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>NAA42</BillingCode><Name>Cancellous Cube – Super Critical Fluid CO2 Treated (Frozen) 3cm3 cubes</Name><SupplierCode>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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>CAA52</BillingCode><Name>Demineralized 80%Cortical/20%Cancellous Granules, Freeze dried, Non-Irradiated</Name><SupplierCode>CAA</SupplierCode><CategoryID>3</CategoryID><MinimumBenefit>0</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>1500</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-02-01</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>AAA27</BillingCode><Name>Achilles Tendon with Pre-Shaped Bone Block Super Critical Fluid CO2 Treated</Name><SupplierCode>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>2025-03-01</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>2025-03-01</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>NCC41</BillingCode><Name>Morsellised Bone Super Critical Fluid CO2 Treated  (Freeze Dried) Packs of 15 – 30cc</Name><SupplierCode>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>2025-03-01</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>MVS05</BillingCode><Name>Femoral Head</Name><SupplierCode>MVS</SupplierCode><CategoryID>3</CategoryID><MinimumBenefit>0</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>2370</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>NCC02</BillingCode><Name>Cortical Cancellous Block Super Critical Fluid CO2Treated (Freeze Dried) - various sizes</Name><SupplierCode>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>2025-03-01</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>NAA65</BillingCode><Name>Bone Dowel / Plug Super Critical Fluid CO2 Treated (Frozen) various sizes</Name><SupplierCode>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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>CAA43</BillingCode><Name>Quadriceps Tendon, without Bone Block, Frozen, Non-Irradiated</Name><SupplierCode>CAA</SupplierCode><CategoryID>3</CategoryID><MinimumBenefit>0</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>3172</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-02-01</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>CAA08</BillingCode><Name>Gracilis Tendon, Frozen, Non-Irradiated</Name><Size>Various</Size><SupplierCode>CAA</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>NCC35</BillingCode><Name>Cortical Segment Super Critical Fluid CO2 Treated (Freeze Dried) - various sizes</Name><SupplierCode>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>2025-03-01</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>NCC18</BillingCode><Name>Cortical Strut Super Critical Fluid CO2 Treated (Frozen) - various sizes</Name><SupplierCode>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>2025-03-01</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>CAA55</BillingCode><Name>Fascia Lata,  ≥ 120cm² ≤ 180cm², Freeze-Dried, Non-Irradiated</Name><SupplierCode>CAA</SupplierCode><CategoryID>3</CategoryID><MinimumBenefit>0</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>2259</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-02-01</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>NCC17</BillingCode><Name>Cortical Ring Super Critical Fluid CO2 Treated  (Frozen)  5mm – 9mm</Name><SupplierCode>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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>CAA16</BillingCode><Name>Demineralized Cancellous Chips, Freeze dried, Non-Irradiated</Name><SupplierCode>CAA</SupplierCode><CategoryID>3</CategoryID><ChangeExplanation>Change to Benefit</ChangeExplanation><MinimumBenefit>0</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>2357</HumanTissueAmount><ActionFlag>Update</ActionFlag><CycleStartDate>2018-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>DHR01</BillingCode><Name>Femoral Head</Name><SupplierCode>DHR</SupplierCode><CategoryID>3</CategoryID><ARTGs><ARTG>260540</ARTG></ARTGs><MinimumBenefit>0</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>4616</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>CAA04</BillingCode><Name>Peroneus Longus Tendon, Freeze Dried, Non-Irradiated</Name><SupplierCode>CAA</SupplierCode><CategoryID>3</CategoryID><MinimumBenefit>0</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>2420</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-02-01</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>CAA29</BillingCode><Name>AlloPatchHD Acellular Human Dermis, ≥ 25cm² ≤ 1.7mm, Hydrated, Non-Irradiated</Name><SupplierCode>CAA</SupplierCode><CategoryID>3</CategoryID><MinimumBenefit>0</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>2591</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>NAA55</BillingCode><Name>Femoral Shaft Super Critical Fluid CO2 Treated (Freeze Dried) - various sizes</Name><SupplierCode>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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>NAA77</BillingCode><Name>Femoral Condyle Whole Super Critical Fluid CO2 Treated (Freeze Dried)</Name><SupplierCode>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>2025-03-01</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>2025-03-01</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>NAA92</BillingCode><Name>HTO Wedge – Super Critical Fluid CO2  Treated (Freeze Dried) - various sizes</Name><SupplierCode>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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>ABB45</BillingCode><Name>Patella Tendon with Pre-Shaped Bone Block Super Critical Fluid CO2 Treated</Name><SupplierCode>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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>NAA71</BillingCode><Name>Patella Tendon with Bone Block – Whole Super Critical Fluid CO2 Treated (Frozen)</Name><SupplierCode>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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>ABB97</BillingCode><Name>Achilles Tendon with Bone Block Super Critical Fluid CO2 Treated</Name><SupplierCode>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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>AAA40</BillingCode><Name>Patella Tendon with Bone Block – Whole Super Critical Fluid CO2 Treated</Name><SupplierCode>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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>NCC63</BillingCode><Name>Cortical Strut Super Critical Fluid CO2 Treated (Freeze Dried) - various sizes</Name><SupplierCode>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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>NAA87</BillingCode><Name>Cancellous Block Super Critical Fluid CO2 Treated (Freeze Dried) - various sizes</Name><SupplierCode>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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>NAA31</BillingCode><Name>Humerus – Distal Segment Super Critical Fluid CO2 Treated (Freeze Dried)</Name><SupplierCode>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>2025-03-01</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>NCC12</BillingCode><Name>Patella Tendon with Pre-Shaped Bone Block Super Critical Fluid CO2 Treated  (Frozen)</Name><SupplierCode>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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>NAA48</BillingCode><Name>Tricortical Cancellous Wedge – Super Critical Fluid CO2 Treated  (Frozen) - various sizes</Name><SupplierCode>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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>CAA32</BillingCode><Name>AlloPatchHD Acellular Human Dermis, ≤ 25cm² ≤1.7mm thick, Hydrated, Non- Irradiated</Name><SupplierCode>CAA</SupplierCode><CategoryID>3</CategoryID><ChangeExplanation>Change to Benefit</ChangeExplanation><MinimumBenefit>0</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>3208</HumanTissueAmount><ActionFlag>Update</ActionFlag><CycleStartDate>2018-02-01</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>RNB01</BillingCode><Name>Femoral Head</Name><SupplierCode>HAA</SupplierCode><CategoryID>3</CategoryID><ARTGs><ARTG>229914</ARTG></ARTGs><MinimumBenefit>0</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>3000</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>CAA21</BillingCode><Name>Patella Bone-Tendon-Bone, Whole with Quadriceps, Frozen, Non-Irradiated</Name><SupplierCode>CAA</SupplierCode><CategoryID>3</CategoryID><MinimumBenefit>0</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>5917</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>CAA18</BillingCode><Name>Achilles Tendon, with Calcaneus, Frozen, Non-Irradiated</Name><Size>Various</Size><SupplierCode>CAA</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>NCC26</BillingCode><Name>Humeral Head – Whole Super Critical Fluid CO2 Treated, (Freeze Dried)</Name><SupplierCode>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>2025-03-01</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>NCC06</BillingCode><Name>Cervical Spacers – Lordotic Super Critical Fluid CO2Treated (Freeze Dried) 5mm – 9mm</Name><SupplierCode>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>2025-03-01</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>CAA20</BillingCode><Name>Patella Bone-Tendon-Bone, Hemi with Quadriceps, Frozen, Non-Irradiated</Name><SupplierCode>CAA</SupplierCode><CategoryID>3</CategoryID><MinimumBenefit>0</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>3540</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>CAA42</BillingCode><Name>Quadriceps Tendon, with Bone Block, Frozen, Non-Irradiated</Name><Size>various</Size><SupplierCode>CAA</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>CAA26</BillingCode><Name>Proximal Metatarsal Lengthening Graft Segment, Freeze Dried, Non-Irradiated</Name><SupplierCode>CAA</SupplierCode><CategoryID>3</CategoryID><MinimumBenefit>0</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>2374</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-02-01</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>CAA38</BillingCode><Name>Quadriceps Tendon, with 10.0mm Shaped Bone Blocks, Frozen, Non-Irradiated</Name><SupplierCode>CAA</SupplierCode><CategoryID>3</CategoryID><MinimumBenefit>0</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>2900</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-02-01</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>AAA81</BillingCode><Name>Tricortical Cancellous Wedge Super Critical Fluid CO2 Treated (Freeze Dried)</Name><SupplierCode>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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>NCC08</BillingCode><Name>Femoral Head – Whole Super Critical Fluid CO2 Treated  (Frozen) - various sizes</Name><SupplierCode>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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>NAA83</BillingCode><Name>Cortical Sheet Super Critical Fluid CO2 Treated (Frozen) - various sizes</Name><SupplierCode>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>2025-03-01</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>CAA</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>NAA27</BillingCode><Name>Cancellous Block Super Critical Fluid CO2 Treated (Frozen) - various sizes</Name><SupplierCode>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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>PBT64</BillingCode><Name>Bone - Milled 10-19 gr (20-38cc equivalent)</Name><SupplierCode>PBT</SupplierCode><CategoryID>3</CategoryID><ARTGs><ARTG>229915</ARTG></ARTGs><MinimumBenefit>0</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>5853</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2014-02-01</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>SYN01</BillingCode><Name>Bone - Demineralised Bone Matrix, DBX Putty, 5cc</Name><SupplierCode>JAA</SupplierCode><CategoryID>3</CategoryID><MinimumBenefit>0</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>2650</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2013-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>PBT46</BillingCode><Name>Tendon - Single (ant and post tibilias, FDL, EDL, hamstring, gracilis)</Name><SupplierCode>PBT</SupplierCode><CategoryID>3</CategoryID><ARTGs><ARTG>229915</ARTG></ARTGs><MinimumBenefit>0</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>4692</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>NBB47</BillingCode><Name>Radius - Shaft</Name><SupplierCode>NBB</SupplierCode><CategoryID>3</CategoryID><MinimumBenefit>0</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>3850</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2006-11-30</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>NCC37</BillingCode><Name>Cervical Spacers - Parallel Super Critical Fluid CO2 Treated (Freeze Dried) 5mm – 9mm</Name><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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>AAA24</BillingCode><Name>Unicortical Cancellous Block Super Critical Fluid CO2 Treated (Freeze Dried)</Name><SupplierCode>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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>ADD20</BillingCode><Name>Bone allograft kit (Demineralized and Mineralized Bone Matrix) 5-10g / 5-10cc</Name><SupplierCode>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>2025-03-01</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>PBT44</BillingCode><Name>Tibia - Proximal with Patella &amp; Tendon</Name><SupplierCode>PBT</SupplierCode><CategoryID>3</CategoryID><ARTGs><ARTG>229915</ARTG></ARTGs><MinimumBenefit>0</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>6173</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>NBB67</BillingCode><Name>Tendon - Tibialis Anterior</Name><SupplierCode>NBB</SupplierCode><CategoryID>3</CategoryID><ARTGs><ARTG>277310</ARTG></ARTGs><MinimumBenefit>0</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>2911</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2007-12-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>NBB72</BillingCode><Name>Tendon - Patellar with Quads</Name><SupplierCode>NBB</SupplierCode><CategoryID>3</CategoryID><ARTGs><ARTG>277310</ARTG></ARTGs><MinimumBenefit>0</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>2911</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2010-08-01</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>NBB64</BillingCode><Name>Bone - Cortico-Cancellous Crunch (40/60) 30cc</Name><SupplierCode>NBB</SupplierCode><CategoryID>3</CategoryID><MinimumBenefit>0</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>2131</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2006-11-30</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>PBT01</BillingCode><Name>Tendon - Achilles with bone block</Name><SupplierCode>PBT</SupplierCode><CategoryID>3</CategoryID><ARTGs><ARTG>229915</ARTG></ARTGs><MinimumBenefit>0</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>4692</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>NBB26</BillingCode><Name>Humeral Head Addition</Name><SupplierCode>NBB</SupplierCode><CategoryID>3</CategoryID><ARTGs><ARTG>277310</ARTG></ARTGs><MinimumBenefit>0</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>2059</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>NBB13</BillingCode><Name>Femoral Shaft - Middle Third</Name><SupplierCode>NBB</SupplierCode><CategoryID>3</CategoryID><MinimumBenefit>0</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>3244</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>PBT35</BillingCode><Name>Humerus - Proximal</Name><SupplierCode>PBT</SupplierCode><CategoryID>3</CategoryID><MinimumBenefit>0</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>2968</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>NBB02</BillingCode><Name>Tendon - Achilles with bone block</Name><SupplierCode>NBB</SupplierCode><CategoryID>3</CategoryID><ARTGs><ARTG>277310</ARTG></ARTGs><MinimumBenefit>0</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>2969</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>NBB35</BillingCode><Name>Tibia - Plateau (prox 1/3)</Name><SupplierCode>NBB</SupplierCode><CategoryID>3</CategoryID><MinimumBenefit>0</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>3258</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>PBT22</BillingCode><Name>Femoral Head</Name><SupplierCode>PBT</SupplierCode><CategoryID>3</CategoryID><ARTGs><ARTG>229915</ARTG></ARTGs><MinimumBenefit>0</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>8000</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>NBB71</BillingCode><Name>Tendon - Tibialis Posterior</Name><SupplierCode>NBB</SupplierCode><CategoryID>3</CategoryID><ARTGs><ARTG>277310</ARTG></ARTGs><MinimumBenefit>0</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>2911</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2010-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>PBT07</BillingCode><Name>Cortical Strut &gt;15 - 20cm</Name><SupplierCode>PBT</SupplierCode><CategoryID>3</CategoryID><ARTGs><ARTG>229915</ARTG></ARTGs><MinimumBenefit>0</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>4322</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>NBB22</BillingCode><Name>Hemipelvis - iliac crest</Name><SupplierCode>NBB</SupplierCode><CategoryID>3</CategoryID><MinimumBenefit>0</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>3500</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>NBB41</BillingCode><Name>Tibial Shaft</Name><SupplierCode>NBB</SupplierCode><CategoryID>3</CategoryID><ARTGs><ARTG>277310</ARTG></ARTGs><MinimumBenefit>0</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>4994</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2006-11-30</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>NAA13</BillingCode><Name>Achilles Tendon with Bone Block Super Critical Fluid CO2 Treated (Frozen)</Name><SupplierCode>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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>CAA57</BillingCode><Name>Meniscus for Interpositional Arthroplasty, Frozen, Non-Irradiated</Name><SupplierCode>CAA</SupplierCode><CategoryID>3</CategoryID><MinimumBenefit>0</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>3067</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>NAA35</BillingCode><Name>Tricortical Cancellous Wedge Super Critical Fluid CO2 Treated (Freeze Dried) - various sizes</Name><SupplierCode>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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>NAA91</BillingCode><Name>Hemi Patella Tendon with Bone Block Super Critical Fluid CO2 Treated  (Frozen)</Name><SupplierCode>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>2025-03-01</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>NAA47</BillingCode><Name>Femoral Head Whole Super Critical Fluid CO2 Treated (Freeze Dried) - various sizes</Name><SupplierCode>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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>CAA45</BillingCode><Name>Fascia Lata, ≤ 60cm², Frozen, Non-Irradiated</Name><SupplierCode>CAA</SupplierCode><CategoryID>3</CategoryID><MinimumBenefit>0</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>2110</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-02-01</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>NBB50</BillingCode><Name>Humeral Shaft</Name><SupplierCode>NBB</SupplierCode><CategoryID>3</CategoryID><ARTGs><ARTG>277310</ARTG></ARTGs><MinimumBenefit>0</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>4118</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2006-11-30</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>NBB14</BillingCode><Name>Femur - Proximal third</Name><SupplierCode>NBB</SupplierCode><CategoryID>3</CategoryID><MinimumBenefit>0</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>1690</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>NBB31</BillingCode><Name>Ligament - Medial</Name><SupplierCode>NBB</SupplierCode><CategoryID>3</CategoryID><MinimumBenefit>0</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>2305</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>PBT08</BillingCode><Name>Bone - Milled 20-29gr (40-58cc equivalent)</Name><SupplierCode>PBT</SupplierCode><CategoryID>3</CategoryID><ARTGs><ARTG>229915</ARTG></ARTGs><MinimumBenefit>0</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>9756</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>NBB10</BillingCode><Name>Femur - Distal Half</Name><SupplierCode>NBB</SupplierCode><CategoryID>3</CategoryID><ARTGs><ARTG>277310</ARTG></ARTGs><MinimumBenefit>0</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>3703</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>CAA31</BillingCode><Name>AlloPatchHD Acellular Human Dermis, ≤ 25cm² ≤ 1.7mm, Dehydrated, Non-Irradiated</Name><SupplierCode>CAA</SupplierCode><CategoryID>3</CategoryID><MinimumBenefit>0</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>2391</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>NAA04</BillingCode><Name>Cortical Ring Super Critical Fluid CO2 Treated (Freeze Dried) 5mm – 9mm</Name><SupplierCode>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>2025-03-01</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>2025-03-01</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>CAA</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>SYN13</BillingCode><Name>Bone, Cancellous Granules - 30cc</Name><SupplierCode>JAA</SupplierCode><CategoryID>3</CategoryID><MinimumBenefit>0</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>1700</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2015-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>PBT62</BillingCode><Name>Bone - Milled &lt;5 gr (&lt;10cc equivalent)</Name><SupplierCode>PBT</SupplierCode><CategoryID>3</CategoryID><ARTGs><ARTG>229915</ARTG></ARTGs><MinimumBenefit>0</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>1561</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2014-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>NBB33</BillingCode><Name>Tendon - Patellar with bone plugs</Name><SupplierCode>NBB</SupplierCode><CategoryID>3</CategoryID><ARTGs><ARTG>277310</ARTG></ARTGs><MinimumBenefit>0</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>2861</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>PBT17</BillingCode><Name>Femur - Distal (Shaft &amp; Condyles)</Name><SupplierCode>PBT</SupplierCode><CategoryID>3</CategoryID><ARTGs><ARTG>229915</ARTG></ARTGs><MinimumBenefit>0</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>5210</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>NBB46</BillingCode><Name>Tibia - Proximal with Patellar Tendon</Name><SupplierCode>NBB</SupplierCode><CategoryID>3</CategoryID><MinimumBenefit>0</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>5158</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2006-11-30</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>PBT40</BillingCode><Name>Patellar unit whole with or without tibial block</Name><SupplierCode>PBT</SupplierCode><CategoryID>3</CategoryID><ARTGs><ARTG>229915</ARTG></ARTGs><MinimumBenefit>0</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>4013</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>NBB30</BillingCode><Name>Humerus - Entire with rotator cuff</Name><SupplierCode>NBB</SupplierCode><CategoryID>3</CategoryID><MinimumBenefit>0</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>4118</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>MAA02</BillingCode><Name>Grafton Plus Demineralized Bone Matrix: Paste, 1-5cc</Name><SupplierCode>MAA</SupplierCode><CategoryID>3</CategoryID><ARTGs><ARTG>229635</ARTG></ARTGs><MinimumBenefit>0</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>581</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2016-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>NBB49</BillingCode><Name>Radius - Ring</Name><SupplierCode>NBB</SupplierCode><CategoryID>3</CategoryID><MinimumBenefit>0</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>2399</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2006-11-30</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>PBT13</BillingCode><Name>Radius</Name><SupplierCode>PBT</SupplierCode><CategoryID>3</CategoryID><MinimumBenefit>0</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>1908</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>NBB12</BillingCode><Name>Femur - Entire</Name><SupplierCode>NBB</SupplierCode><CategoryID>3</CategoryID><ARTGs><ARTG>277310</ARTG></ARTGs><MinimumBenefit>0</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>8264</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>PBT31</BillingCode><Name>Hemipelvis - iliac crest</Name><SupplierCode>PBT</SupplierCode><CategoryID>3</CategoryID><ARTGs><ARTG>229915</ARTG></ARTGs><MinimumBenefit>0</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>4013</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>NAA70</BillingCode><Name>Tibial Shaft Super Critical Fluid CO2 Treated (Freeze Dried) - various sizes</Name><SupplierCode>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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>ABB63</BillingCode><Name>Patella Tendon with Pre-Shaped Bone Block Super Critical Fluid CO2 Treated</Name><SupplierCode>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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>CAA09</BillingCode><Name>Gracilis Tendon, Freeze Dried, Non-Irradiated</Name><SupplierCode>CAA</SupplierCode><CategoryID>3</CategoryID><MinimumBenefit>0</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>2222</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-02-01</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>QQ320</BillingCode><Name>Grafton DBF</Name><SupplierCode>MAA</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>2025-03-01</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>SYN12</BillingCode><Name>Bone, Cancellous Chips - 30cc</Name><SupplierCode>JAA</SupplierCode><CategoryID>3</CategoryID><MinimumBenefit>0</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>1700</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2015-08-01</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>QQ321</BillingCode><Name>Grafton DBF</Name><SupplierCode>MAA</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>QQ322</BillingCode><Name>Grafton DBF Inject</Name><SupplierCode>MAA</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>QQ323</BillingCode><Name>Grafton DBF Inject</Name><SupplierCode>MAA</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>2025-03-01</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>CAA</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>2025-03-01</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>NAA85</BillingCode><Name>Unicortical Cancellous Wedge Super Critical Fluid CO2 Treated (Freeze Dried) - various sizes</Name><SupplierCode>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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>NAA88</BillingCode><Name>Humerus – Shaft Super Critical Fluid CO2 Treated  (Freeze Dried) - various sizes</Name><SupplierCode>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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>CAA41</BillingCode><Name>Posterior Tibialis Tendon, Frozen, Non-Irradiated</Name><Size>Various</Size><SupplierCode>CAA</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>2025-03-01</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>2025-03-01</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>CAA02</BillingCode><Name>Semitendinosus Tendon, Freeze Dried, Non-Irradiated</Name><SupplierCode>CAA</SupplierCode><CategoryID>3</CategoryID><MinimumBenefit>0</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>2910</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-02-01</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>NAA07</BillingCode><Name>Cancellous Dowel Plug Super Critical Fluid CO2 Treated (Freeze Dried) - various sizes</Name><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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>CAA25</BillingCode><Name>Arch Wedge, Freeze dried, Non-Irradiated</Name><SupplierCode>CAA</SupplierCode><CategoryID>3</CategoryID><MinimumBenefit>0</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>2089</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-02-01</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>NAA78</BillingCode><Name>Morsellised Bone Super Critical Fluid CO2 Treated  (Frozen) Packs of 7.5gm – 15gm</Name><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>2025-03-01</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>CAA40</BillingCode><Name>Patella Bone-Tendon-Bone, Whole (Special) with Quadriceps, Frozen, Non-Irradiated</Name><SupplierCode>CAA</SupplierCode><CategoryID>3</CategoryID><MinimumBenefit>0</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>6150</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-02-01</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>AUB08</BillingCode><Name>Bone – Cortico-Cancellous Crunch &lt;20g Sterile</Name><SupplierCode>AUB</SupplierCode><CategoryID>3</CategoryID><MinimumBenefit>0</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>2215</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2010-08-01</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>NCC97</BillingCode><Name>Bone allograft kit (Demineralized and Mineralized Bone Matrix) 5-10g / 5-10cc </Name><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>2025-03-01</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>NAA68</BillingCode><Name>Cancellous Plug Super Critical Fluid CO2 Treated (Frozen) - various sizes</Name><SupplierCode>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>2025-03-01</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>2025-03-01</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>CAA53</BillingCode><Name>Meniscus with Hemi Plateau, Medial, Frozen, Non-Irradiated</Name><SupplierCode>CAA</SupplierCode><CategoryID>3</CategoryID><MinimumBenefit>0</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>5680</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-02-01</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>CAA10</BillingCode><Name>Achillies Tendon, Frozen, Non-Irradiated</Name><SupplierCode>CAA</SupplierCode><CategoryID>3</CategoryID><MinimumBenefit>0</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>2971</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-02-01</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>NCC22</BillingCode><Name>Patella Tendon with Bone Block – Whole with Quads – Super Critical Fluid CO2 Treated  (Frozen)</Name><SupplierCode>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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>NCC15</BillingCode><Name>Cancellous Cube – Super Critical Fluid CO2 Treated (Freeze Dried) 3cm3 cubes</Name><SupplierCode>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>2025-03-01</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>CAA07</BillingCode><Name>Anterior Tibialis Tendon, Freeze Dried, Non-Irradiated</Name><SupplierCode>CAA</SupplierCode><CategoryID>3</CategoryID><MinimumBenefit>0</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>3029</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>MVS23</BillingCode><Name>Autologous Skull Flap</Name><SupplierCode>MVS</SupplierCode><CategoryID>3</CategoryID><MinimumBenefit>0</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>1396</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2006-03-24</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>NAA80</BillingCode><Name>Femoral Condyle Half – Super Critical Fluid CO2 Treated (Freeze Dried)</Name><SupplierCode>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>2025-03-01</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>CAA46</BillingCode><Name>MPJ Arthrodesis Lengthening Graft Segment, Frozen, Non-Irradiated</Name><SupplierCode>CAA</SupplierCode><CategoryID>3</CategoryID><MinimumBenefit>0</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>2721</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-02-01</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>NAA99</BillingCode><Name>Unicortical Cancellous Wedge Super Critical Fluid CO2 Treated (Frozen) - various sizes</Name><SupplierCode>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>2025-03-01</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>NCC24</BillingCode><Name>Achilles Tendon with Pre-Shaped Bone Block Super Critical Fluid CO2 Treated  (Frozen)</Name><SupplierCode>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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>NCC62</BillingCode><Name>Femoral Head – Hemi Super Critical Fluid CO2 Treated  (Frozen) - various sizes</Name><SupplierCode>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>2025-03-01</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>NCC01</BillingCode><Name>Femoral Ring Super Critical CO2 Treated (Freeze Dried) - various sizes</Name><SupplierCode>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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>CAA28</BillingCode><Name>AlloPatchHD Acellular Human Dermis, ≥ 25cm² ≤1.7mm, Dehydrated, Non-Irradiated</Name><SupplierCode>CAA</SupplierCode><CategoryID>3</CategoryID><MinimumBenefit>0</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>2777</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-02-01</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>CAA14</BillingCode><Name>Brachymetatarsal Lengthening Graft Segment, Freeze Dried, Non-Irradiated</Name><SupplierCode>CAA</SupplierCode><CategoryID>3</CategoryID><MinimumBenefit>0</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>2404</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-02-01</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>CAA22</BillingCode><Name>ENHANCE® Demineralized Cortical Fiber, 5cc, Dehydrated, Non-Irradiated</Name><Size>5cc</Size><SupplierCode>CAA</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>2025-03-01</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>CAA</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>CAA</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>2025-03-01</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>NAA57</BillingCode><Name>Cortical Plate Super Critical Fluid CO2 Treated (Frozen) various sizes</Name><SupplierCode>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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>NAA53</BillingCode><Name>Morsellised Bone Super Critical Fluid CO2 Treated  (Freeze Dried) Packs of 5 – 10cc</Name><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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>CAA01</BillingCode><Name>Semitendinosis, Tendon, Frozen, Non-Irradiated</Name><Size>Various</Size><SupplierCode>CAA</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>2025-03-01</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>NAA84</BillingCode><Name>Cortical Plate Super Critical Fluid CO2 Treated (Freeze Dried) - various sizes</Name><SupplierCode>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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>NAA06</BillingCode><Name>Bone Dowel / Plug Super Critical Fluid CO2 Treated (Freeze Dried) various sizes</Name><SupplierCode>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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>NCC09</BillingCode><Name>HTO Wedge Super Critical Fluid CO2 Treated  (Frozen) - various sizes</Name><SupplierCode>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>2025-03-01</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>CAA51</BillingCode><Name>Posterior Tibialis Tendon, Freeze Dried, Non-Irradiated</Name><Size>Various</Size><SupplierCode>CAA</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>2025-03-01</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>NCC28</BillingCode><Name>Cortical Segment Super Critical Fluid CO2 Treated (Frozen) - various sizes</Name><SupplierCode>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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>NBB07</BillingCode><Name>Ulna</Name><SupplierCode>NBB</SupplierCode><CategoryID>3</CategoryID><ARTGs><ARTG>277310</ARTG></ARTGs><MinimumBenefit>0</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>3714</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>PBT28</BillingCode><Name>Fibula - Segment</Name><SupplierCode>PBT</SupplierCode><CategoryID>3</CategoryID><ARTGs><ARTG>229915</ARTG></ARTGs><MinimumBenefit>0</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>4013</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>PBT29</BillingCode><Name>Hemipelvis - Acetabulum</Name><SupplierCode>PBT</SupplierCode><CategoryID>3</CategoryID><ARTGs><ARTG>229915</ARTG></ARTGs><MinimumBenefit>0</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>3339</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>NBB09</BillingCode><Name>Fascia Lata</Name><SupplierCode>NBB</SupplierCode><CategoryID>3</CategoryID><ARTGs><ARTG>277310</ARTG></ARTGs><MinimumBenefit>0</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>1229</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>PBT06</BillingCode><Name>Cortical Struts 10-15cm</Name><SupplierCode>PBT</SupplierCode><CategoryID>3</CategoryID><ARTGs><ARTG>229915</ARTG></ARTGs><MinimumBenefit>0</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>4075</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>NBB45</BillingCode><Name>Tibia - Ring</Name><SupplierCode>NBB</SupplierCode><CategoryID>3</CategoryID><MinimumBenefit>0</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>1874</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2006-11-30</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>NBB66</BillingCode><Name>Tri Cortical Osteotomy</Name><SupplierCode>NBB</SupplierCode><CategoryID>3</CategoryID><MinimumBenefit>0</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>1563</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2007-12-01</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>PBT32</BillingCode><Name>Hemipelvis - Tricortical iliac wedge</Name><SupplierCode>PBT</SupplierCode><CategoryID>3</CategoryID><MinimumBenefit>0</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>1590</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>PBT15</BillingCode><Name>Fascia Lata - Large (15cm x 10cm)</Name><SupplierCode>PBT</SupplierCode><CategoryID>3</CategoryID><MinimumBenefit>0</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>1685</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>AUB07</BillingCode><Name>Spinal Ring</Name><SupplierCode>AUB</SupplierCode><CategoryID>3</CategoryID><MinimumBenefit>0</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>1854</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2010-08-01</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>NAA23</BillingCode><Name>Cortical Sheet Super Critical Fluid CO2 Treated (Freeze Dried) - various sizes</Name><SupplierCode>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>2025-03-01</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>2025-03-01</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>CAA03</BillingCode><Name>Peroneus Longus Tendon, Frozen, Non-Irradiated</Name><Size>Various</Size><SupplierCode>CAA</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>2025-03-01</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>CAA15</BillingCode><Name>Milled Cancellous Chips, Freeze dried, Non-Irradiated</Name><SupplierCode>CAA</SupplierCode><CategoryID>3</CategoryID><MinimumBenefit>0</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>1455</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-02-01</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>MAA11</BillingCode><Name>Grafton Demineralized Bone Matrix: Matrix Strips, 1cm x 10cm x 0.8cm (2)</Name><SupplierCode>MAA</SupplierCode><CategoryID>3</CategoryID><ARTGs><ARTG>229636</ARTG></ARTGs><MinimumBenefit>0</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>1539</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2016-02-01</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>CAA39</BillingCode><Name>Menisci with Tibial Plateau, Frozen, Non-irradiated</Name><SupplierCode>CAA</SupplierCode><CategoryID>3</CategoryID><MinimumBenefit>0</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>5807</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>AUB06</BillingCode><Name>Tibia – Proximal third</Name><SupplierCode>AUB</SupplierCode><CategoryID>3</CategoryID><MinimumBenefit>0</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>2562</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2010-08-01</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>RNB02</BillingCode><Name>Autologous Skull Flap</Name><SupplierCode>HAA</SupplierCode><CategoryID>3</CategoryID><MinimumBenefit>0</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>1470</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2008-07-01</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>CAA06</BillingCode><Name>Anterior Tibialis Tendon, Frozen, Non-Irradiated</Name><Size>Various</Size><SupplierCode>CAA</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>2025-03-01</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>CAA</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>NBB36</BillingCode><Name>Tibia - Proximal</Name><SupplierCode>NBB</SupplierCode><CategoryID>3</CategoryID><ARTGs><ARTG>277310</ARTG></ARTGs><MinimumBenefit>0</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>3400</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>PBT45</BillingCode><Name>Tibia - Proximal</Name><SupplierCode>PBT</SupplierCode><CategoryID>3</CategoryID><ARTGs><ARTG>229915</ARTG></ARTGs><MinimumBenefit>0</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>3445</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>NBB63</BillingCode><Name>Bone - Cortico-Cancellous Crunch (40/60) 60cc</Name><SupplierCode>NBB</SupplierCode><CategoryID>3</CategoryID><MinimumBenefit>0</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>3232</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2006-11-30</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>NBB44</BillingCode><Name>Tibia - Whole with Patellar Tendon</Name><SupplierCode>NBB</SupplierCode><CategoryID>3</CategoryID><MinimumBenefit>0</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>7059</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2006-11-30</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>NBB70</BillingCode><Name>Tendon - Semi tendinosis</Name><SupplierCode>NBB</SupplierCode><CategoryID>3</CategoryID><ARTGs><ARTG>277310</ARTG></ARTGs><MinimumBenefit>0</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>2912</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2007-12-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>NBB24</BillingCode><Name>Hemipelvis - Complete</Name><SupplierCode>NBB</SupplierCode><CategoryID>3</CategoryID><ARTGs><ARTG>277310</ARTG></ARTGs><MinimumBenefit>0</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>8663</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>PBT18</BillingCode><Name>Femur - Entire head removed</Name><SupplierCode>PBT</SupplierCode><CategoryID>3</CategoryID><MinimumBenefit>0</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>8480</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>NBB01</BillingCode><Name>Tendon - Achilles</Name><SupplierCode>NBB</SupplierCode><CategoryID>3</CategoryID><ARTGs><ARTG>277310</ARTG></ARTGs><MinimumBenefit>0</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>2562</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>PBT47</BillingCode><Name>Meniscal Graft</Name><SupplierCode>PBT</SupplierCode><CategoryID>3</CategoryID><MinimumBenefit>0</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>2036</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>PBT19</BillingCode><Name>Femoral Shaft/Tibial Shaft - Middle third</Name><SupplierCode>PBT</SupplierCode><CategoryID>3</CategoryID><ARTGs><ARTG>229915</ARTG></ARTGs><MinimumBenefit>0</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>4013</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>NBB28</BillingCode><Name>Humerus - Proximal half with rotator cuff</Name><SupplierCode>NBB</SupplierCode><CategoryID>3</CategoryID><MinimumBenefit>0</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>3595</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>CAA12</BillingCode><Name>Evans Wedge, Freeze dried, Non-Irradiated</Name><SupplierCode>CAA</SupplierCode><CategoryID>3</CategoryID><MinimumBenefit>0</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>2339</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>CAA47</BillingCode><Name>Bone-Tendon-Bone, Hemi with Quadriceps, Freeze Dried, Non-Irradiated</Name><SupplierCode>CAA</SupplierCode><CategoryID>3</CategoryID><MinimumBenefit>0</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>3832</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>NCC39</BillingCode><Name>Femoral Strut Super Critical Fluid CO2 Treated (Freeze Dried) - various sizes</Name><SupplierCode>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>2025-03-01</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>2025-03-01</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>CAA37</BillingCode><Name>Patella Bone-Tendon-Bone, Hemi with 10.0mm Shaped Bone Blocks, Frozen, Non-Irradiated</Name><SupplierCode>CAA</SupplierCode><CategoryID>3</CategoryID><MinimumBenefit>0</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>4237</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-02-01</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>AUB09</BillingCode><Name>Tendon - Achilles with bone plug</Name><SupplierCode>AUB</SupplierCode><CategoryID>3</CategoryID><MinimumBenefit>0</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>2228</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2010-08-01</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>AAA59</BillingCode><Name>Patella Tendon with Bone Block – Whole with Quads – Super Critical Fluid CO2 Treated</Name><SupplierCode>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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>CAA49</BillingCode><Name>Achilles Tendon, with Calcaneus, Freeze Dried, Non-Irradiated</Name><SupplierCode>CAA</SupplierCode><CategoryID>3</CategoryID><MinimumBenefit>0</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>3121</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-02-01</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>CAA23</BillingCode><Name>ENHANCE® Demineralized Cortical Fiber, 10cc, Dehydrated, Non-Irradiated</Name><Size>10cc</Size><SupplierCode>CAA</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>CAA27</BillingCode><Name>AlloPatchHD Acellular Human Dermis, ≤ 25cm²  ≥ 1.8mm, Dehydrated, Non-Irradiated</Name><SupplierCode>CAA</SupplierCode><CategoryID>3</CategoryID><MinimumBenefit>0</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>2733</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>NAA96</BillingCode><Name>Femoral Head – Hemi Super Critical Fluid CO2 Treated (Freeze Dried) - various sizes</Name><SupplierCode>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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>NBB56</BillingCode><Name>Femoral Shaft - Segment</Name><SupplierCode>NBB</SupplierCode><CategoryID>3</CategoryID><ARTGs><ARTG>277310</ARTG></ARTGs><MinimumBenefit>0</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>2248</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2006-11-30</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>NBB11</BillingCode><Name>Femur - Distal third</Name><SupplierCode>NBB</SupplierCode><CategoryID>3</CategoryID><MinimumBenefit>0</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>3372</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>NBB15</BillingCode><Name>Femur - Proximal half</Name><SupplierCode>NBB</SupplierCode><CategoryID>3</CategoryID><ARTGs><ARTG>277310</ARTG></ARTGs><MinimumBenefit>0</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>3893</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>CAA05</BillingCode><Name>Fascia Lata, ≥ 120cm²  ≤ 180cm², Frozen, Non-Irradiated</Name><SupplierCode>CAA</SupplierCode><CategoryID>3</CategoryID><MinimumBenefit>0</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>2400</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-02-01</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>AUB02</BillingCode><Name>Bone - Milled Femoral Head</Name><SupplierCode>AUB</SupplierCode><CategoryID>3</CategoryID><MinimumBenefit>0</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>2457</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2008-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>MAA13</BillingCode><Name>Grafton Demineralized Bone Matrix: Flex, 2.5cm x 5cm</Name><SupplierCode>MAA</SupplierCode><CategoryID>3</CategoryID><ARTGs><ARTG>229634</ARTG></ARTGs><MinimumBenefit>0</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>1099</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>SYN02</BillingCode><Name>Bone - Demineralised Bone Matrix, DBX Putty, 10cc</Name><SupplierCode>JAA</SupplierCode><CategoryID>3</CategoryID><MinimumBenefit>0</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>3400</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2013-08-01</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>NAA22</BillingCode><Name>Morsellised Bone Super Critical Fluid CO2 Treated  (Frozen) Packs of 15mg – 30mg</Name><SupplierCode>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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>MAA01</BillingCode><Name>Grafton Plus Demineralized Bone Matrix: Paste, 10cc</Name><SupplierCode>MAA</SupplierCode><CategoryID>3</CategoryID><ARTGs><ARTG>229635</ARTG></ARTGs><MinimumBenefit>0</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>1539</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2016-02-01</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>NBB59</BillingCode><Name>Femoral Hemi-condyle</Name><SupplierCode>NBB</SupplierCode><CategoryID>3</CategoryID><ARTGs><ARTG>277310</ARTG></ARTGs><MinimumBenefit>0</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>3027</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2006-11-30</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>PBT03</BillingCode><Name>Bone Plug/Dowel - Cancellous</Name><SupplierCode>PBT</SupplierCode><CategoryID>3</CategoryID><ARTGs><ARTG>229915</ARTG></ARTGs><MinimumBenefit>0</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>4646</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>AUB10</BillingCode><Name>Tendon</Name><SupplierCode>AUB</SupplierCode><CategoryID>3</CategoryID><MinimumBenefit>0</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>2184</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2010-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>PBT65</BillingCode><Name>Proximal Femur with Femoral Head</Name><SupplierCode>PBT</SupplierCode><CategoryID>3</CategoryID><ARTGs><ARTG>229915</ARTG></ARTGs><MinimumBenefit>0</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>7778</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2014-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>PBT34</BillingCode><Name>Humerus - Proximal with rotator cuff</Name><SupplierCode>PBT</SupplierCode><CategoryID>3</CategoryID><MinimumBenefit>0</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>4452</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>NBB16</BillingCode><Name>Femoral Head</Name><SupplierCode>NBB</SupplierCode><CategoryID>3</CategoryID><ARTGs><ARTG>277310</ARTG></ARTGs><MinimumBenefit>0</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>3499</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>NBB73</BillingCode><Name>Tendon - Peroneus Longus</Name><SupplierCode>NBB</SupplierCode><CategoryID>3</CategoryID><ARTGs><ARTG>277310</ARTG></ARTGs><MinimumBenefit>0</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>2911</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2010-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>NBB21</BillingCode><Name>Hemipelvis - Acetabulum</Name><SupplierCode>NBB</SupplierCode><CategoryID>3</CategoryID><MinimumBenefit>0</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>3759</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>NBB27</BillingCode><Name>Humerus - Proximal</Name><SupplierCode>NBB</SupplierCode><CategoryID>3</CategoryID><ARTGs><ARTG>277310</ARTG></ARTGs><MinimumBenefit>0</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>3690</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>PBT11</BillingCode><Name>Cartilage - costal segments</Name><SupplierCode>PBT</SupplierCode><CategoryID>3</CategoryID><MinimumBenefit>0</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>318</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>MAA07</BillingCode><Name>Grafton Demineralized Bone Matrix: Flex, 1.5cm x 1.5cm x 0.25cm</Name><SupplierCode>MAA</SupplierCode><CategoryID>3</CategoryID><ARTGs><ARTG>229634</ARTG></ARTGs><MinimumBenefit>0</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>581</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2016-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>MAA05</BillingCode><Name>Grafton Demineralized Bone Matrix: Orthoblend, 5cc</Name><SupplierCode>MAA</SupplierCode><CategoryID>3</CategoryID><ARTGs><ARTG>229633</ARTG></ARTGs><MinimumBenefit>0</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>581</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2016-02-01</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>MAA03</BillingCode><Name>Grafton Demineralized Bone Matrix: Orthoblend, 15cc</Name><SupplierCode>MAA</SupplierCode><CategoryID>3</CategoryID><ARTGs><ARTG>229633</ARTG></ARTGs><MinimumBenefit>0</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>1978</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2016-02-01</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>SYN08</BillingCode><Name>DBX Putty - 1.00cc</Name><SupplierCode>JAA</SupplierCode><CategoryID>3</CategoryID><MinimumBenefit>0</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>1450</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2014-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>MAA09</BillingCode><Name>Grafton Demineralized Bone Matrix: Matrix PLF, 2.5cm x 5cm x 0.8cm (2)</Name><SupplierCode>MAA</SupplierCode><CategoryID>3</CategoryID><ARTGs><ARTG>229636</ARTG></ARTGs><MinimumBenefit>0</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>1539</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2016-02-01</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>MAA06</BillingCode><Name>Grafton Demineralized Bone Matrix: Orthoblend, 10cc</Name><SupplierCode>MAA</SupplierCode><CategoryID>3</CategoryID><ARTGs><ARTG>229633</ARTG></ARTGs><MinimumBenefit>0</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>1539</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2016-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>SYN09</BillingCode><Name>DBX Putty - 2.5cc</Name><SupplierCode>JAA</SupplierCode><CategoryID>3</CategoryID><MinimumBenefit>0</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>1800</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2014-08-01</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>CAA13</BillingCode><Name>High Tibial Osteotomy Wedge Cortical Bone Wedges, (2-Piece), Freeze Dried, Non-Irradiated</Name><Size>Various diameters and lengths:  6-8mm x 3-6cm Length  10-18 x 5.5cm Length</Size><SupplierCode>CAA</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>2025-03-01</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>2025-03-01</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>NAA32</BillingCode><Name>Morsellised Bone – Super Critical Fluid CO2 Treated  Packs of 2.5gm – 5gm</Name><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>2025-03-01</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>NAA38</BillingCode><Name>Cortical Cancellous Block Super Critical Fluid CO2Treated (Frozen) - various sizes</Name><SupplierCode>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>2025-03-01</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>2025-03-01</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>AAA70</BillingCode><Name>Hemi Patella Tendon with Bone Block Super Critical Fluid CO2 Treated</Name><SupplierCode>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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>ADD32</BillingCode><Name>Bone allograft kit (Demineralized and Mineralized Bone Matrix) 1-4g / 1-4cc</Name><SupplierCode>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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>NBB55</BillingCode><Name>Femoral Shaft - Third</Name><SupplierCode>NBB</SupplierCode><CategoryID>3</CategoryID><MinimumBenefit>0</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>2183</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2006-11-30</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>NBB68</BillingCode><Name>Tendon - Patellar with machined conical bone plug</Name><SupplierCode>NBB</SupplierCode><CategoryID>3</CategoryID><ARTGs><ARTG>277310</ARTG></ARTGs><MinimumBenefit>0</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>3528</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2007-12-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>NBB05</BillingCode><Name>Bone Plug/Dowel - Cancellous</Name><SupplierCode>NBB</SupplierCode><CategoryID>3</CategoryID><ARTGs><ARTG>277310</ARTG></ARTGs><MinimumBenefit>0</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>1632</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>NBB37</BillingCode><Name>Tibia - Whole</Name><SupplierCode>NBB</SupplierCode><CategoryID>3</CategoryID><ARTGs><ARTG>277310</ARTG></ARTGs><MinimumBenefit>0</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>5418</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>NBB51</BillingCode><Name>Humeral Shaft - Half</Name><SupplierCode>NBB</SupplierCode><CategoryID>3</CategoryID><MinimumBenefit>0</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>2162</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2006-11-30</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>PBT20</BillingCode><Name>Femur - Proximal (shaft, trochanter, neck)</Name><SupplierCode>PBT</SupplierCode><CategoryID>3</CategoryID><ARTGs><ARTG>229915</ARTG></ARTGs><MinimumBenefit>0</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>5210</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>NBB40</BillingCode><Name>Ulna - Ring</Name><SupplierCode>NBB</SupplierCode><CategoryID>3</CategoryID><MinimumBenefit>0</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>2399</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2006-11-30</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>AUB05</BillingCode><Name>Cortical Strut</Name><SupplierCode>AUB</SupplierCode><CategoryID>3</CategoryID><MinimumBenefit>0</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>2451</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2010-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>MAA04</BillingCode><Name>Grafton Demineralized Bone Matrix: Matrix PLF, 2.5cm x 10cm x 0.8cm (2)</Name><SupplierCode>MAA</SupplierCode><CategoryID>3</CategoryID><ARTGs><ARTG>229633</ARTG></ARTGs><MinimumBenefit>0</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>1978</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2016-02-01</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>CAA50</BillingCode><Name>Achilles Tendon, without Calcaneus, Freeze Dried, Non-Irradiated</Name><SupplierCode>CAA</SupplierCode><CategoryID>3</CategoryID><MinimumBenefit>0</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>2992</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-02-01</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>NCC21</BillingCode><Name>Tibial Strut Super Critical Fluid CO2 Treated (Freeze Dried) - various sizes</Name><SupplierCode>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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>MAA08</BillingCode><Name>Grafton Demineralized Bone Matrix: Flex, &gt;5cc to 10cc</Name><SupplierCode>MAA</SupplierCode><CategoryID>3</CategoryID><ARTGs><ARTG>229634</ARTG></ARTGs><MinimumBenefit>0</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>1539</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2016-02-01</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>CAA48</BillingCode><Name>Bone-Tendon-Bone, Hemi with 10.0mm Shaped Bone Blocks, Freeze Dried, Non-Irradiated</Name><SupplierCode>CAA</SupplierCode><CategoryID>3</CategoryID><MinimumBenefit>0</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>3680</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>NCC96</BillingCode><Name>Bone allograft kit (Demineralized and Mineralized Bone Matrix) 1-4g / 1-4cc </Name><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>2025-03-01</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>2025-03-01</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>CAA</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>2025-03-01</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>2025-03-01</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>CAA54</BillingCode><Name>Fascia Lata, ≤ 60cm², Freeze Dried, Non-Irradiated</Name><SupplierCode>CAA</SupplierCode><CategoryID>3</CategoryID><MinimumBenefit>0</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>1821</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>CAA56</BillingCode><Name>Meniscus with Hemi Plateau, Lateral, Frozen, Non-Irradiated</Name><SupplierCode>CAA</SupplierCode><CategoryID>3</CategoryID><MinimumBenefit>0</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>6047</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>CAA24</BillingCode><Name>Cotton Wedge, Freeze dried, Non-Irradiated</Name><SupplierCode>CAA</SupplierCode><CategoryID>3</CategoryID><MinimumBenefit>0</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>2326</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>PBT24</BillingCode><Name>Femoral Rings</Name><SupplierCode>PBT</SupplierCode><CategoryID>3</CategoryID><MinimumBenefit>0</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>1908</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>SYN10</BillingCode><Name>Bone, Cancellous Chips - 15cc</Name><SupplierCode>JAA</SupplierCode><CategoryID>3</CategoryID><MinimumBenefit>0</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>1250</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2015-08-01</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>NBB62</BillingCode><Name>Bone - Cancellous Crunch 15cc</Name><SupplierCode>NBB</SupplierCode><CategoryID>3</CategoryID><MinimumBenefit>0</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>1169</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2006-11-30</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>AUB04</BillingCode><Name>Bone – Cortico-Cancellous Crunch &lt;30g</Name><SupplierCode>AUB</SupplierCode><CategoryID>3</CategoryID><MinimumBenefit>0</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>2070</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2010-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>NBB69</BillingCode><Name>Tendon - Achilles with machined conical bone block</Name><SupplierCode>NBB</SupplierCode><CategoryID>3</CategoryID><ARTGs><ARTG>277310</ARTG></ARTGs><MinimumBenefit>0</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>3636</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2007-12-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>PBT66</BillingCode><Name>Milled Bone Pellets (x3)</Name><SupplierCode>PBT</SupplierCode><CategoryID>3</CategoryID><ARTGs><ARTG>229915</ARTG></ARTGs><MinimumBenefit>0</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>4692</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2016-08-01</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>PBT33</BillingCode><Name>Humerus - Entire with rotator cuff</Name><SupplierCode>PBT</SupplierCode><CategoryID>3</CategoryID><ARTGs><ARTG>229915</ARTG></ARTGs><MinimumBenefit>0</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>6173</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>NBB60</BillingCode><Name>Bone - Cancellous Crunch 60cc</Name><SupplierCode>NBB</SupplierCode><CategoryID>3</CategoryID><MinimumBenefit>0</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>3232</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2006-11-30</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>PBT48</BillingCode><Name>Cortical Strut &gt;20cm</Name><SupplierCode>PBT</SupplierCode><CategoryID>3</CategoryID><ARTGs><ARTG>229915</ARTG></ARTGs><MinimumBenefit>0</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>4569</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>PBT63</BillingCode><Name>Bone - Milled 5-9 gr (10-18cc equivalent)</Name><SupplierCode>PBT</SupplierCode><CategoryID>3</CategoryID><ARTGs><ARTG>229915</ARTG></ARTGs><MinimumBenefit>0</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>3512</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2014-02-01</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>AUB03</BillingCode><Name>Femoral Head</Name><SupplierCode>AUB</SupplierCode><CategoryID>3</CategoryID><MinimumBenefit>0</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>2354</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2008-07-01</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>NBB29</BillingCode><Name>Humerus - Entire</Name><SupplierCode>NBB</SupplierCode><CategoryID>3</CategoryID><ARTGs><ARTG>277310</ARTG></ARTGs><MinimumBenefit>0</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>4188</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>NBB38</BillingCode><Name>Ulna - Shaft</Name><SupplierCode>NBB</SupplierCode><CategoryID>3</CategoryID><MinimumBenefit>0</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>3170</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2006-11-30</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>NBB42</BillingCode><Name>Tibial Shaft - third</Name><SupplierCode>NBB</SupplierCode><CategoryID>3</CategoryID><MinimumBenefit>0</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>3423</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2006-11-30</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>NBB53</BillingCode><Name>Humerus - Ring</Name><SupplierCode>NBB</SupplierCode><CategoryID>3</CategoryID><MinimumBenefit>0</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>1874</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2006-11-30</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>PBT60</BillingCode><Name>Osteotomy Wedge</Name><SupplierCode>PBT</SupplierCode><CategoryID>3</CategoryID><ARTGs><ARTG>229915</ARTG></ARTGs><MinimumBenefit>0</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>4013</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2010-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>NBB25</BillingCode><Name>Humerus - Distal</Name><SupplierCode>NBB</SupplierCode><CategoryID>3</CategoryID><ARTGs><ARTG>277310</ARTG></ARTGs><MinimumBenefit>0</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>3145</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>PBT16</BillingCode><Name>Fascia Lata - Small (10cm x 5cm)</Name><SupplierCode>PBT</SupplierCode><CategoryID>3</CategoryID><MinimumBenefit>0</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>905</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>NBB43</BillingCode><Name>Tibial Shaft - half</Name><SupplierCode>NBB</SupplierCode><CategoryID>3</CategoryID><MinimumBenefit>0</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>3170</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2006-11-30</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>NBB57</BillingCode><Name>Femoral Shaft - Half</Name><SupplierCode>NBB</SupplierCode><CategoryID>3</CategoryID><MinimumBenefit>0</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>3595</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2006-11-30</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>PBT02</BillingCode><Name>Tendon - Patellar split with bone plugs</Name><SupplierCode>PBT</SupplierCode><CategoryID>3</CategoryID><ARTGs><ARTG>229915</ARTG></ARTGs><MinimumBenefit>0</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>3445</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>NBB18</BillingCode><Name>Fibula - Entire</Name><SupplierCode>NBB</SupplierCode><CategoryID>3</CategoryID><ARTGs><ARTG>277310</ARTG></ARTGs><MinimumBenefit>0</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>8052</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>NBB61</BillingCode><Name>Bone - Cancellous Crunch 30cc</Name><SupplierCode>NBB</SupplierCode><CategoryID>3</CategoryID><MinimumBenefit>0</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>2131</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2006-11-30</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>NBB65</BillingCode><Name>Bone - Cortico-Cancellous Crunch (40/60) 15cc</Name><SupplierCode>NBB</SupplierCode><CategoryID>3</CategoryID><MinimumBenefit>0</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>1169</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2006-11-30</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>MAA10</BillingCode><Name>Grafton Demineralized Bone Matrix: Matrix Strips, 1cm x 20cm x 0.8cm (2)</Name><SupplierCode>MAA</SupplierCode><CategoryID>3</CategoryID><ARTGs><ARTG>229636</ARTG></ARTGs><MinimumBenefit>0</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>1978</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2016-02-01</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>NBB17</BillingCode><Name>Femoral Rings</Name><SupplierCode>NBB</SupplierCode><CategoryID>3</CategoryID><ARTGs><ARTG>277310</ARTG></ARTGs><MinimumBenefit>0</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>2140</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>NBB23</BillingCode><Name>Hemipelvis - Tricortical iliac wedge</Name><SupplierCode>NBB</SupplierCode><CategoryID>3</CategoryID><ARTGs><ARTG>277310</ARTG></ARTGs><MinimumBenefit>0</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>1592</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>NBB54</BillingCode><Name>Fibula - Segment</Name><SupplierCode>NBB</SupplierCode><CategoryID>3</CategoryID><MinimumBenefit>0</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>3053</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2006-11-30</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>NBB06</BillingCode><Name>Radius</Name><SupplierCode>NBB</SupplierCode><CategoryID>3</CategoryID><ARTGs><ARTG>277310</ARTG></ARTGs><MinimumBenefit>0</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>4030</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>SYN11</BillingCode><Name>Bone, Cancellous Granules - 15cc</Name><SupplierCode>JAA</SupplierCode><CategoryID>3</CategoryID><MinimumBenefit>0</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>1250</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2015-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>PBT61</BillingCode><Name>Tendon - Achilles</Name><SupplierCode>PBT</SupplierCode><CategoryID>3</CategoryID><ARTGs><ARTG>229915</ARTG></ARTGs><MinimumBenefit>0</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>3392</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2010-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>LEW01</BillingCode><Name>Cornea</Name><SupplierCode>LEW</SupplierCode><CategoryID>41</CategoryID><ARTGs><ARTG>239107</ARTG></ARTGs><MinimumBenefit>0</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>2950</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>LEW03</BillingCode><Name>Cornea for Endothelial Keratoplasty</Name><SupplierCode>LEW</SupplierCode><CategoryID>41</CategoryID><ARTGs><ARTG>239107</ARTG></ARTGs><MinimumBenefit>0</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>3525</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-08-01</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>LEW02</BillingCode><Name>Sclera</Name><SupplierCode>LEW</SupplierCode><CategoryID>41</CategoryID><ARTGs><ARTG>239107</ARTG></ARTGs><MinimumBenefit>0</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>295</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>LEM04</BillingCode><Name>Cornea for Endothelial Lamellar Keratoplasty</Name><SupplierCode>LEM</SupplierCode><CategoryID>41</CategoryID><ARTGs><ARTG>234997</ARTG></ARTGs><MinimumBenefit>0</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>4000</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2010-02-01</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>SYN07</BillingCode><Name>Skin &gt; 300cm² - acellular dermal matrix allograft from human origin</Name><SupplierCode>JAA</SupplierCode><CategoryID>28</CategoryID><MinimumBenefit>0</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>27000</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2013-08-01</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>SYN04</BillingCode><Name>Skin 26 to 60cm² - acellular dermal matrix allograft from human origin</Name><SupplierCode>JAA</SupplierCode><CategoryID>28</CategoryID><MinimumBenefit>0</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>3500</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2013-08-01</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>SYN14</BillingCode><Name>Skin 121 to 180cm² - acellular dermal matrix allograft from human origin</Name><SupplierCode>JAA</SupplierCode><CategoryID>28</CategoryID><ARTGs><ARTG>211608</ARTG></ARTGs><MinimumBenefit>0</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>9900</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>SYN05</BillingCode><Name>Skin 61 to 120cm² - acellular dermal matrix allograft from human origin</Name><SupplierCode>JAA</SupplierCode><CategoryID>28</CategoryID><MinimumBenefit>0</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>5700</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2013-08-01</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>SYN06</BillingCode><Name>Skin 181 to 300cm² - acellular dermal matrix allograft from human origin</Name><SupplierCode>JAA</SupplierCode><CategoryID>28</CategoryID><ARTGs><ARTG>211608</ARTG></ARTGs><MinimumBenefit>0</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>14000</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2013-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>SYN03</BillingCode><Name>Skin &lt; 25cm² - acellular dermal matrix allograft from human origin</Name><SupplierCode>JAA</SupplierCode><CategoryID>28</CategoryID><MinimumBenefit>0</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>2200</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2013-08-01</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>396571</ARTG><ARTG>399973</ARTG><ARTG>410058</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>449265</ARTG><ARTG>410058</ARTG><ARTG>396571</ARTG></ARTGs><MinimumBenefit>22932</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2024-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BS432</BillingCode><Name>LUX-Dx II, LUX-Dx II+</Name><Description>Insertable Cardiac Monitor with mobile remote monitoring </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><Suffix>Remote Monitoring Service for ICM</Suffix><ARTGs><ARTG>466927</ARTG><ARTG>466928</ARTG></ARTGs><Note>The benefit payable for the billing code includes a component for remote monitoring services provided via a remote monitoring system or a smart device application. When the benefit is claimable in respect to this billing code, no additional or separate claims are allowed in respect to any billing codes listed in Part C group 08.16.02 –Remote Monitoring System - Implantable Cardiac Event Recorders.</Note><ChangeExplanation>New listing</ChangeExplanation><MinimumBenefit>3388</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2025-03-01</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BT247</BillingCode><Name>BIOMONITOR III m  </Name><Description>Injectable cardiac monitor for continuous remote monitoring of patients with extended AF Detection</Description><Size>77.5 mm x 8.6 mm x 4.6 mm; 4 g; 1.9 cm3</Size><SupplierCode>BT</SupplierCode><CategoryID>27</CategoryID><SubCategoryID>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>2025-03-01</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>2025-03-01</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>2025-03-01</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><MinimumBenefit>2886</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2024-11-01</CycleStartDate><CycleEndDate>2025-03-01</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><MinimumBenefit>2886</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2024-11-01</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SJ369</BillingCode><Name>Merlin@Home wireless</Name><Description>Home cardiac monitor (RF) with landline, cellular and broadband connectivity</Description><Size>one size</Size><SupplierCode>SJ</SupplierCode><CategoryID>27</CategoryID><SubCategoryID>266</SubCategoryID><GroupID>1832</GroupID><ARTGs><ARTG>161670</ARTG></ARTGs><MinimumBenefit>1450</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2016-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MI196</BillingCode><Name>MyCareLink Smart Patient Reader</Name><Description>Electronic cellular patient reader which gathers and transmits cardiac information from an implanted cardiac device (CIED) to your health care professional for assessment.</Description><Size>One size only</Size><SupplierCode>MI</SupplierCode><CategoryID>27</CategoryID><SubCategoryID>266</SubCategoryID><GroupID>1832</GroupID><ARTGs><ARTG>235570</ARTG></ARTGs><MinimumBenefit>1450</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2016-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SJ370</BillingCode><Name>Merlin@Home Inductive</Name><Description>Home cardiac monitor (inductive) with landline, cellular and broadband connectivity</Description><Size>one size </Size><SupplierCode>SJ</SupplierCode><CategoryID>27</CategoryID><SubCategoryID>266</SubCategoryID><GroupID>1832</GroupID><ARTGs><ARTG>163472</ARTG></ARTGs><MinimumBenefit>1450</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2016-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MI180</BillingCode><Name>MyCareLink Patient Monitor</Name><Description>Electronic cellular patient monitor which gathers and transmits cardiac information from an implanted cardiac device (CIED) to your health care professional for assessment.</Description><Size>One size</Size><SupplierCode>MI</SupplierCode><CategoryID>27</CategoryID><SubCategoryID>266</SubCategoryID><GroupID>1832</GroupID><ARTGs><ARTG>297224</ARTG></ARTGs><MinimumBenefit>1450</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2015-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MI296</BillingCode><Name>MyCareLink Relay Home Communicator</Name><Description>Electronic cellular (optional wifi) patient monitor which gathers and transmits cardiac information from an implanted cardiac device (CIED) to your health care professional for assessment</Description><Size>One size</Size><SupplierCode>MI</SupplierCode><CategoryID>27</CategoryID><SubCategoryID>266</SubCategoryID><GroupID>1832</GroupID><ARTGs><ARTG>313825</ARTG></ARTGs><MinimumBenefit>1450</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2019-03-01</CycleStartDate><CycleEndDate>2025-03-01</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>217760</ARTG><ARTG>217759</ARTG></ARTGs><MinimumBenefit>1450</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2019-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>RF038</BillingCode><Name>SmartView Connect™</Name><Description>Bluetooth Remote Monitoring Device</Description><Size>Monitor: 65 X118 X 15mm  Docking Station: 84 X46 X 115mm</Size><SupplierCode>RF</SupplierCode><CategoryID>27</CategoryID><SubCategoryID>266</SubCategoryID><GroupID>1832</GroupID><ARTGs><ARTG>379251</ARTG></ARTGs><MinimumBenefit>1450</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-03-01</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>RF036</BillingCode><Name>Smart Spot</Name><Description>Remote Monitoring System</Description><Size>One size only</Size><SupplierCode>RF</SupplierCode><CategoryID>27</CategoryID><SubCategoryID>266</SubCategoryID><GroupID>1832</GroupID><ARTGs><ARTG>355435</ARTG></ARTGs><MinimumBenefit>1450</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BS294</BillingCode><Name>Latitude Communicator</Name><Description>Remote patient management system for implanted cardiac devices </Description><Size>One size only</Size><SupplierCode>BS</SupplierCode><CategoryID>27</CategoryID><SubCategoryID>266</SubCategoryID><GroupID>1832</GroupID><ARTGs><ARTG>201875</ARTG><ARTG>230414</ARTG></ARTGs><MinimumBenefit>1450</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2015-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BT246</BillingCode><Name>CardioMessenger Smart 4G</Name><Description>Bedside/Remote transmitter w/ pacemaker/ICD device life network access to Biotronik standard home monitoring data management service.</Description><Size>Length - 130mm, Width - 65mm,  Height - 13mm        Weight - 75g</Size><SupplierCode>BT</SupplierCode><CategoryID>27</CategoryID><SubCategoryID>266</SubCategoryID><GroupID>1832</GroupID><ARTGs><ARTG>352258</ARTG></ARTGs><MinimumBenefit>1450</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-03-01</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SJ485</BillingCode><Name>myMerlin Mobile Monitor</Name><Description>myMerlin mobile application is designed for smartphone devices, facilitates remote monitoring of patients and conveys updates in device programming from Merlin.net Patient care network (PCN) to the patient's Implantable Cardiac Monitor (ICM). It employs Bluetooth Low Energy (BLE) technology to enable the patient's smartphone to interface with the ICM, ensuring the seamless collection and transmission of patient data, as well as permitting updates to the device's monitoring parameters remotely.</Description><Size>One size</Size><SupplierCode>SJ</SupplierCode><CategoryID>27</CategoryID><SubCategoryID>266</SubCategoryID><GroupID>20001</GroupID><ARTGs><ARTG>401858</ARTG><ARTG>401859</ARTG></ARTGs><ChangeExplanation>New listing</ChangeExplanation><MinimumBenefit>502</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2025-03-01</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>400123</ARTG><ARTG>400437</ARTG></ARTGs><MinimumBenefit>23920</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2014-08-01</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</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>2025-03-01</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><MinimumBenefit>24367</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2024-11-01</CycleStartDate><CycleEndDate>2025-03-01</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>207183</ARTG><ARTG>207181</ARTG></ARTGs><MinimumBenefit>23920</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2013-08-01</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</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>392334</ARTG><ARTG>393381</ARTG></ARTGs><MinimumBenefit>23920</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2013-08-01</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>207184</ARTG><ARTG>401132</ARTG></ARTGs><MinimumBenefit>24367</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2013-08-01</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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><MinimumBenefit>23920</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2024-11-01</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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><MinimumBenefit>28398</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-08-01</CycleStartDate><CycleEndDate>2025-03-01</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><MinimumBenefit>26162</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2024-11-01</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>207185</ARTG><ARTG>207187</ARTG></ARTGs><MinimumBenefit>26619</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2013-08-01</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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><MinimumBenefit>26619</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2024-11-01</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>401133</ARTG><ARTG>207193</ARTG></ARTGs><MinimumBenefit>26162</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2013-08-01</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</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>207189</ARTG><ARTG>207186</ARTG></ARTGs><MinimumBenefit>26162</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2013-08-01</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>395512</ARTG><ARTG>341252</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>207156</ARTG><ARTG>207158</ARTG></ARTGs><MinimumBenefit>30346</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2013-08-01</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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><MinimumBenefit>29923</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2024-11-01</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>399060</ARTG><ARTG>399061</ARTG></ARTGs><MinimumBenefit>29923</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-02-01</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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><MinimumBenefit>30346</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2024-11-01</CycleStartDate><CycleEndDate>2025-03-01</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><MinimumBenefit>30346</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2024-11-01</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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><MinimumBenefit>10083</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2024-11-01</CycleStartDate><CycleEndDate>2025-03-01</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><MinimumBenefit>10083</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2024-11-01</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>396558</ARTG><ARTG>396557</ARTG><ARTG>396556</ARTG></ARTGs><MinimumBenefit>3662</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2006-11-30</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>396559</ARTG><ARTG>396551</ARTG><ARTG>396550</ARTG></ARTGs><MinimumBenefit>5980</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2006-11-30</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>217435</ARTG><ARTG>217434</ARTG><ARTG>217433</ARTG><ARTG>303417</ARTG></ARTGs><MinimumBenefit>3000</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2014-02-01</CycleStartDate><CycleEndDate>2025-03-01</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>170593</ARTG><ARTG>170592</ARTG></ARTGs><MinimumBenefit>3000</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2011-02-01</CycleStartDate><CycleEndDate>2025-03-01</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>221037</ARTG><ARTG>221013</ARTG></ARTGs><MinimumBenefit>3000</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2014-08-01</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</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>217430</ARTG><ARTG>217431</ARTG><ARTG>303416</ARTG><ARTG>217432</ARTG></ARTGs><MinimumBenefit>3276</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2014-02-01</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BT212</BillingCode><Name>Plexa ProMRI S</Name><Description>Tripolar MR conditional ICD lead  with active fixation</Description><Size>Diameter 7.8F ; Length 61cm, 65cm , 75cm</Size><SupplierCode>BT</SupplierCode><CategoryID>27</CategoryID><SubCategoryID>242</SubCategoryID><GroupID>1743</GroupID><Suffix>e</Suffix><ARTGs><ARTG>298187</ARTG></ARTGs><MinimumBenefit>3276</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-02-01</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</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>165644</ARTG><ARTG>165639</ARTG></ARTGs><MinimumBenefit>3276</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2010-08-01</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>159846</ARTG><ARTG>159845</ARTG><ARTG>159843</ARTG></ARTGs><MinimumBenefit>3276</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2009-08-01</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>212486</ARTG><ARTG>236885</ARTG></ARTGs><MinimumBenefit>3276</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2013-08-01</CycleStartDate><CycleEndDate>2025-03-01</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>191093</ARTG><ARTG>191092</ARTG><ARTG>236884</ARTG></ARTGs><MinimumBenefit>3276</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-02-01</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BT213</BillingCode><Name>Plexa ProMRI SD</Name><Description>Quadripolar MR conditional ICD lead  with active fixation</Description><Size>Diamter 7.8F , Length/Dist prox. shock coil to tip  61/16cm, 65/16cm, 65/18cm, 75/18cm</Size><SupplierCode>BT</SupplierCode><CategoryID>27</CategoryID><SubCategoryID>242</SubCategoryID><GroupID>1743</GroupID><Suffix>e</Suffix><ARTGs><ARTG>298343</ARTG></ARTGs><MinimumBenefit>3276</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-02-01</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>263512</ARTG><ARTG>263513</ARTG></ARTGs><MinimumBenefit>520</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2016-02-01</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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><MinimumBenefit>536</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2024-11-01</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>400444</ARTG><ARTG>275553</ARTG></ARTGs><MinimumBenefit>536</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2019-03-01</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</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>2025-03-01</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>301080</ARTG><ARTG>131307</ARTG></ARTGs><MinimumBenefit>1284</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SJ484</BillingCode><Name>UltiPace LPA1231 Pacing Leads with accesories</Name><Description>Steroid eluting, bipolar, implantable, nonretractable screw-in, atrial/ventricular, catheter delivered, transvenous pacemaker lead including accessories.</Description><Size>Length (cm) 46, 52, 58, 65cm</Size><SupplierCode>SJ</SupplierCode><CategoryID>27</CategoryID><SubCategoryID>243</SubCategoryID><GroupID>1756</GroupID><Suffix>j</Suffix><ARTGs><ARTG>411892</ARTG><ARTG>456406</ARTG><ARTG>445794</ARTG><ARTG>432292</ARTG></ARTGs><ChangeExplanation>New listing</ChangeExplanation><MinimumBenefit>1284</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2025-03-01</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>284517</ARTG><ARTG>284519</ARTG></ARTGs><MinimumBenefit>2554</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2014-02-01</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>272574</ARTG><ARTG>312683</ARTG><ARTG>312682</ARTG><ARTG>272573</ARTG></ARTGs><MinimumBenefit>2554</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2016-08-01</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</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>2025-03-01</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>137315</ARTG><ARTG>129420</ARTG></ARTGs><MinimumBenefit>229</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-02-01</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</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>218790</ARTG><ARTG>189952</ARTG></ARTGs><MinimumBenefit>229</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-02-01</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>124950</ARTG><ARTG>200956</ARTG></ARTGs><MinimumBenefit>54</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-08-01</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>134069</ARTG><ARTG>345213</ARTG></ARTGs><MinimumBenefit>7436</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2011-08-01</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</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>2025-03-01</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>345211</ARTG><ARTG>134070</ARTG></ARTGs><MinimumBenefit>7436</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2011-08-01</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>WC128</BillingCode><Name>Bander Ureteral Diversion Stent Set</Name><Description>Left and Right Stents</Description><Size>Multiple French Sizes and Lengths</Size><SupplierCode>WC</SupplierCode><CategoryID>26</CategoryID><SubCategoryID>227</SubCategoryID><GroupID>1703</GroupID><Suffix>D</Suffix><ARTGs><ARTG>216072</ARTG></ARTGs><MinimumBenefit>201</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BS095</BillingCode><Name>Urinary Diversion Stents</Name><Description>Percuflex urinary diversion stent</Description><Size>Diameters up to 14Fr &amp; lengths up to 95cm</Size><SupplierCode>BS</SupplierCode><CategoryID>26</CategoryID><SubCategoryID>227</SubCategoryID><GroupID>1703</GroupID><ARTGs><ARTG>129379</ARTG><ARTG>104324</ARTG></ARTGs><MinimumBenefit>125</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2006-11-30</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>WC031</BillingCode><Name>Bander Ureteral Diversion Stent Set</Name><Description>Left or right stent</Description><Size>Multiple French Sizes and Lengths</Size><SupplierCode>WC</SupplierCode><CategoryID>26</CategoryID><SubCategoryID>227</SubCategoryID><GroupID>1703</GroupID><ARTGs><ARTG>216072</ARTG></ARTGs><MinimumBenefit>125</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BS367</BillingCode><Name>Tactra</Name><Description>Malleable Penile Prosthesis</Description><Size>9.5mm - 13mm</Size><SupplierCode>BS</SupplierCode><CategoryID>26</CategoryID><SubCategoryID>230</SubCategoryID><GroupID>1721</GroupID><ARTGs><ARTG>165751</ARTG></ARTGs><MinimumBenefit>776</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2020-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>VO004</BillingCode><Name>Rigi10 - Hydrophilic Malleable Penile Prosthesis  </Name><Description>Hydrophilic Malleable Penile Prosthesis</Description><Size>9mm x 23cm, 10mm x 23cm, 11mm x 25cm, 12mm x 25cm, 13mm x 25cm, 14mm x 25cm.</Size><SupplierCode>VO</SupplierCode><CategoryID>26</CategoryID><SubCategoryID>230</SubCategoryID><GroupID>1721</GroupID><Suffix>A</Suffix><ARTGs><ARTG>337610</ARTG></ARTGs><MinimumBenefit>828</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>CT007</BillingCode><Name>Genesis Penile Prosthesis (Resist Coated)</Name><Description>Malleable Penile Prosthesis (Resist Coated)</Description><Size>Dia: 9.5 mm (14 - 23cm lengths), Dia: 11mm (16 - 25cm lengths), Dia: 13mm (18 - 27cm lengths)</Size><SupplierCode>CT</SupplierCode><CategoryID>26</CategoryID><SubCategoryID>230</SubCategoryID><GroupID>1721</GroupID><Suffix>A</Suffix><ARTGs><ARTG>140302</ARTG></ARTGs><MinimumBenefit>828</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2007-12-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>EG026</BillingCode><Name>Testicular Implant</Name><Description>Gel Filled Testicular Implant</Description><Size>Height : 25 , 34, 40, 50, 53mm</Size><SupplierCode>EG</SupplierCode><CategoryID>26</CategoryID><SubCategoryID>231</SubCategoryID><GroupID>1711</GroupID><ARTGs><ARTG>343218</ARTG></ARTGs><MinimumBenefit>620</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>VO002</BillingCode><Name>Testi10 Saline Filled Testicular Prosthesis</Name><Description>Saline filled testicular prosthesis</Description><Size>XS, S, M, L, XL</Size><SupplierCode>VO</SupplierCode><CategoryID>26</CategoryID><SubCategoryID>231</SubCategoryID><GroupID>1711</GroupID><ARTGs><ARTG>345571</ARTG></ARTGs><MinimumBenefit>620</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ET028</BillingCode><Name>Promedon Testicular Prosthesis</Name><Description>Silicone Elastomer</Description><Size>Small - 31 x 23 mm,  Medium - 37 x 28 mm,  Large - 42 x 32 mm,  Xlarge</Size><SupplierCode>ET</SupplierCode><CategoryID>26</CategoryID><SubCategoryID>231</SubCategoryID><GroupID>1711</GroupID><ARTGs><ARTG>136709</ARTG></ARTGs><MinimumBenefit>620</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>VO001</BillingCode><Name>Testi10 Firm Testicular Prosthesis</Name><Description>Firm Silicon Testicular Prosthesis.</Description><Size>XS, S, M, L, XL</Size><SupplierCode>VO</SupplierCode><CategoryID>26</CategoryID><SubCategoryID>231</SubCategoryID><GroupID>1711</GroupID><ARTGs><ARTG>345571</ARTG></ARTGs><MinimumBenefit>620</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>JT008</BillingCode><Name>Testicular Implants</Name><Description>Testicular Implants with needle guide or reinforced cap for fixation</Description><Size>The Testicular Implants with needle guide or reinforced cap are available in 5 different sizes ranging from 5, 12, 21, 27 and 36 grams.</Size><SupplierCode>JT</SupplierCode><CategoryID>26</CategoryID><SubCategoryID>231</SubCategoryID><GroupID>1711</GroupID><ARTGs><ARTG>168141</ARTG></ARTGs><MinimumBenefit>620</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2015-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>CT003</BillingCode><Name>Saline Filled Testicular Prosthesis</Name><Description> Testicular Prosthesis</Description><Size>Extra Small, Small, Medium, Large</Size><SupplierCode>CT</SupplierCode><CategoryID>26</CategoryID><SubCategoryID>231</SubCategoryID><GroupID>1711</GroupID><ARTGs><ARTG>140205</ARTG></ARTGs><MinimumBenefit>620</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2007-12-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>JK001</BillingCode><PriorBillingCodes><PriorBillingCode>UQ001</PriorBillingCode></PriorBillingCodes><Name>Testicular Implant</Name><Description>Silicone Elastomer</Description><Size>Small / Medium / Large</Size><SupplierCode>JK</SupplierCode><CategoryID>26</CategoryID><SubCategoryID>231</SubCategoryID><GroupID>1711</GroupID><ARTGs><ARTG>137352</ARTG></ARTGs><MinimumBenefit>620</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-03-01</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>XP003</BillingCode><PriorBillingCodes><PriorBillingCode>UW003</PriorBillingCode></PriorBillingCodes><Name>Axonics Neurostimulator</Name><Description>Rechargeable neurostimulator for sacral nerve stimulation</Description><Size>One size only</Size><SupplierCode>XP</SupplierCode><CategoryID>26</CategoryID><SubCategoryID>232</SubCategoryID><GroupID>2950</GroupID><ARTGs><ARTG>390437</ARTG></ARTGs><ChangeExplanation>
Billing code transferred from UW003
Sponsor transferred from PLEXUS RA PTY LTD</ChangeExplanation><MinimumBenefit>9606</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2022-11-01</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ME216</BillingCode><Name>NEPHRO-CATH Nephrostomy Drainage Catheter</Name><Description>Nephrostomy Drainage Catheter</Description><Size>Diameters: 8fr to 14fr sizes; Lengths 27cm through to 29cm</Size><SupplierCode>ME</SupplierCode><CategoryID>26</CategoryID><SubCategoryID>234</SubCategoryID><GroupID>1718</GroupID><ARTGs><ARTG>98030</ARTG></ARTGs><MinimumBenefit>91</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BA250</BillingCode><Name>Navarre Drainage Catheter</Name><Description>A drainage catheter intended for use for Nephrostomy applications either by direct stick or modified seldinger technique.</Description><Size>6-12 French, Length: 15-40cm</Size><SupplierCode>BA</SupplierCode><CategoryID>26</CategoryID><SubCategoryID>234</SubCategoryID><GroupID>1718</GroupID><ARTGs><ARTG>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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>WC291</BillingCode><Name>Dawson-Mueller Drainage Catheter</Name><Description>A drainage catheter intended for use for Nephrostomy applications either by direct stick or modified seldinger technique.</Description><Size>5-14 Fr, Length: 15-25cm</Size><SupplierCode>WC</SupplierCode><CategoryID>26</CategoryID><SubCategoryID>234</SubCategoryID><GroupID>1718</GroupID><ARTGs><ARTG>139357</ARTG></ARTGs><MinimumBenefit>91</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BS228</BillingCode><Name>Flexima Nephrostomy Catheter</Name><Description>Urinary drainage catheters for internal and external drainage of the urinary tract.</Description><Size>Length up to 25cm</Size><SupplierCode>BS</SupplierCode><CategoryID>26</CategoryID><SubCategoryID>234</SubCategoryID><GroupID>1718</GroupID><ARTGs><ARTG>132027</ARTG></ARTGs><MinimumBenefit>91</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2013-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LH790</BillingCode><PriorBillingCodes><PriorBillingCode>CB018</PriorBillingCode></PriorBillingCodes><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>LH</SupplierCode><CategoryID>26</CategoryID><SubCategoryID>234</SubCategoryID><GroupID>1718</GroupID><ARTGs><ARTG>223260</ARTG></ARTGs><ChangeExplanation>
Billing code transferred from CB018
Sponsor transferred from Culpan Medical Pty Ltd</ChangeExplanation><MinimumBenefit>91</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2015-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>TX063</BillingCode><PriorBillingCodes><PriorBillingCode>RW001</PriorBillingCode><PriorBillingCode>LD002</PriorBillingCode><PriorBillingCode>GD001</PriorBillingCode></PriorBillingCodes><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>TX</SupplierCode><CategoryID>26</CategoryID><SubCategoryID>235</SubCategoryID><GroupID>1719</GroupID><ARTGs><ARTG>345790</ARTG></ARTGs><ChangeExplanation>
Billing code transferred from RW001
Sponsor transferred from PALETTE LIFE SCIENCES AUSTRALIA PTY LTD</ChangeExplanation><MinimumBenefit>950</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2019-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>TX055</BillingCode><Name>UroLift® System</Name><Description>Prostatic urethral tissue-retaining retractor with adjustable retraction.</Description><Size>One system</Size><SupplierCode>TX</SupplierCode><CategoryID>26</CategoryID><SubCategoryID>256</SubCategoryID><GroupID>1801</GroupID><ARTGs><ARTG>200361</ARTG></ARTGs><MinimumBenefit>712</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-02-01</CycleStartDate><CycleEndDate>2025-03-01</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><ChangeExplanation>Change to Condition</ChangeExplanation><MinimumBenefit>1950</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Update</ActionFlag><CycleStartDate>2023-11-01</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>IG181</BillingCode><PriorBillingCodes><PriorBillingCode>JJ906</PriorBillingCode></PriorBillingCodes><Name>MicroSensor Monitoring System</Name><Description>Ventricular catheter with transducer</Description><Size>Catheter length 38cm</Size><SupplierCode>IG</SupplierCode><CategoryID>25</CategoryID><SubCategoryID>253</SubCategoryID><GroupID>1794</GroupID><Suffix>Catheter</Suffix><ARTGs><ARTG>363814</ARTG><ARTG>363819</ARTG></ARTGs><ChangeExplanation>Change to ARTG</ChangeExplanation><MinimumBenefit>1173</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Update</ActionFlag><CycleStartDate>2018-08-01</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>IG189</BillingCode><PriorBillingCodes><PriorBillingCode>MN158</PriorBillingCode></PriorBillingCodes><Name>MicroSensor Monitoring System</Name><Description>Skull bolt with ICP transducer</Description><Size>0.7mm sensor lead diameter</Size><SupplierCode>IG</SupplierCode><CategoryID>25</CategoryID><SubCategoryID>253</SubCategoryID><GroupID>1794</GroupID><Suffix>Skull Bolt</Suffix><ARTGs><ARTG>363812</ARTG><ARTG>363817</ARTG><ARTG>363813</ARTG><ARTG>363816</ARTG></ARTGs><ChangeExplanation>Change to ARTG</ChangeExplanation><MinimumBenefit>948</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Update</ActionFlag><CycleStartDate>2018-08-01</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>IG183</BillingCode><Name>Codman Bactiseal External Ventricular Drain (EVD) Catheter</Name><Description>Antibiotic impregated External Ventricular Drain</Description><Size>1.5mm &amp; 1.9mm lumen diameter</Size><SupplierCode>IG</SupplierCode><CategoryID>25</CategoryID><SubCategoryID>255</SubCategoryID><GroupID>1796</GroupID><Suffix>Antibiotics</Suffix><ARTGs><ARTG>343681</ARTG><ARTG>343680</ARTG></ARTGs><MinimumBenefit>424</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>IG182</BillingCode><PriorBillingCodes><PriorBillingCode>JJ907</PriorBillingCode></PriorBillingCodes><Name>Codman External Ventricular Drain (EVD) Catheter</Name><Description>External Ventricular Drain</Description><Size>1.5mm &amp; 1.9mm diameter</Size><SupplierCode>IG</SupplierCode><CategoryID>25</CategoryID><SubCategoryID>255</SubCategoryID><GroupID>1796</GroupID><ARTGs><ARTG>123031</ARTG></ARTGs><MinimumBenefit>167</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MI123</BillingCode><Name>EDM Ventricular Catheter</Name><Description>External drainage ventricular catheter, non metallic latex free. Barium impregnated, includes stainless steel stylet.</Description><Size>35cm</Size><SupplierCode>MI</SupplierCode><CategoryID>25</CategoryID><SubCategoryID>255</SubCategoryID><GroupID>1796</GroupID><ARTGs><ARTG>141103</ARTG></ARTGs><MinimumBenefit>167</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2013-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LH119</BillingCode><Name>Aneurism Clip - T2</Name><Description>Sugita Clips, Titanium2. Slim, mini, curved and L-shape.</Description><Size>One Size Each</Size><SupplierCode>LH</SupplierCode><CategoryID>25</CategoryID><SubCategoryID>218</SubCategoryID><GroupID>1655</GroupID><ARTGs><ARTG>100108</ARTG></ARTGs><MinimumBenefit>233</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2009-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BB108</BillingCode><Name>Aneurysm Clip</Name><Description>Aneurysm clip</Description><Size>All sizes</Size><SupplierCode>BB</SupplierCode><CategoryID>25</CategoryID><SubCategoryID>218</SubCategoryID><GroupID>1655</GroupID><ARTGs><ARTG>138333</ARTG></ARTGs><MinimumBenefit>233</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BB290</BillingCode><Name>T-Bar Yasargil Aneurysm Clip</Name><Description>T-Bar Yarsargil Aneurysm Clip, Titanium, Permanent Standard Fenestrated</Description><Size>5mm-9mm, 45 Deg</Size><SupplierCode>BB</SupplierCode><CategoryID>25</CategoryID><SubCategoryID>218</SubCategoryID><GroupID>1655</GroupID><Suffix>Complex</Suffix><ARTGs><ARTG>123979</ARTG></ARTGs><MinimumBenefit>341</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2007-06-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BB293</BillingCode><Name>T-Bar Yasargil Aneurysm Clip</Name><Description>T-Bar Yarsargil Aneurysm Clip, Pyhnox Cobalt Alloy, Permanent Standard Fenestrated</Description><Size>5mm-13mm, 90 Deg</Size><SupplierCode>BB</SupplierCode><CategoryID>25</CategoryID><SubCategoryID>218</SubCategoryID><GroupID>1655</GroupID><Suffix>Complex</Suffix><ARTGs><ARTG>123979</ARTG></ARTGs><MinimumBenefit>341</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2007-06-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BB292</BillingCode><Name>T-Bar Yasargil Aneurysm Clip</Name><Description>T-Bar Yarsargil Aneurysm Clip, Pyhnox Cobalt Alloy, Permanent Standard Fenestrated</Description><Size>5mm-9mm, 45 Deg</Size><SupplierCode>BB</SupplierCode><CategoryID>25</CategoryID><SubCategoryID>218</SubCategoryID><GroupID>1655</GroupID><Suffix>Complex</Suffix><ARTGs><ARTG>123979</ARTG></ARTGs><MinimumBenefit>341</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2007-06-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LH294</BillingCode><Name>Aneurism Clip - T2</Name><Description>Sugita Clips, Titanium 2, Fenestrated and Crankshaft.</Description><Size>One size each</Size><SupplierCode>LH</SupplierCode><CategoryID>25</CategoryID><SubCategoryID>218</SubCategoryID><GroupID>1655</GroupID><Suffix>Complex</Suffix><ARTGs><ARTG>100120</ARTG></ARTGs><MinimumBenefit>341</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2009-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LH147</BillingCode><Name>Aneurism Clip - T2</Name><Description>Sugita Clips, Titanium 2. L-shape, bayoneted, slightly curved, curved.</Description><Size>One Size Each</Size><SupplierCode>LH</SupplierCode><CategoryID>25</CategoryID><SubCategoryID>218</SubCategoryID><GroupID>1655</GroupID><ARTGs><ARTG>100108</ARTG></ARTGs><MinimumBenefit>233</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2009-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BB291</BillingCode><Name>T-Bar Yasargil Aneurysm Clip</Name><Description>T-Bar Yarsargil Aneurysm Clip, Titanium, Permanent Standard Fenestrated</Description><Size>5mm-13mm, 90 Deg</Size><SupplierCode>BB</SupplierCode><CategoryID>25</CategoryID><SubCategoryID>218</SubCategoryID><GroupID>1655</GroupID><Suffix>Complex</Suffix><ARTGs><ARTG>123979</ARTG></ARTGs><MinimumBenefit>341</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2007-06-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LH148</BillingCode><Name>Aneurism Clip - T2</Name><Description>Sugita Clips, Titanium 2. Mini, temp, straight.</Description><Size>One Size Each</Size><SupplierCode>LH</SupplierCode><CategoryID>25</CategoryID><SubCategoryID>218</SubCategoryID><GroupID>1655</GroupID><ARTGs><ARTG>100108</ARTG></ARTGs><MinimumBenefit>233</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2009-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LH494</BillingCode><Name>Aneurism Clip - Elgiloy</Name><Description>Sugita Clips, Elgiloy. Cobalt Chrome alloy.</Description><Size>One size each</Size><SupplierCode>LH</SupplierCode><CategoryID>25</CategoryID><SubCategoryID>218</SubCategoryID><GroupID>1655</GroupID><ARTGs><ARTG>100108</ARTG></ARTGs><MinimumBenefit>233</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2013-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LH170</BillingCode><Name>Aneurism Clip - T1</Name><Description>Sugita Clips, Titanium 1. Titanium alloy (Ti-6AI-4V)</Description><Size>One Size Each</Size><SupplierCode>LH</SupplierCode><CategoryID>25</CategoryID><SubCategoryID>218</SubCategoryID><GroupID>1655</GroupID><ARTGs><ARTG>100108</ARTG></ARTGs><MinimumBenefit>233</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2009-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LH155</BillingCode><Name>Sugita Microneurosurgical AVM Clips</Name><Description>Composition: Cobalt-Chromium-molybdenum based alloy</Description><Size>One Size Each</Size><SupplierCode>LH</SupplierCode><CategoryID>25</CategoryID><SubCategoryID>218</SubCategoryID><GroupID>1656</GroupID><ARTGs><ARTG>100108</ARTG></ARTGs><MinimumBenefit>244</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2009-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SK492</BillingCode><Name>DuraMatrix</Name><Description>Resorbable Collagen Dura Substitute Membrane</Description><Size>1" x 1" (2.5cm x 2.5cm)</Size><SupplierCode>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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>IG039</BillingCode><Name>DuraGen Plus</Name><Description>Collagen dural graft matrix</Description><Size>2.5cm x 2.5cm</Size><SupplierCode>IG</SupplierCode><CategoryID>25</CategoryID><SubCategoryID>219</SubCategoryID><GroupID>1657</GroupID><Suffix>Biological</Suffix><ARTGs><ARTG>158825</ARTG></ARTGs><MinimumBenefit>320</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2010-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BB356</BillingCode><Name>Lyoplant Onlay</Name><Description>Biological Onlay &amp; Suturable Dura Substitute</Description><Size>2.5 x 2.5cm</Size><SupplierCode>BB</SupplierCode><CategoryID>25</CategoryID><SubCategoryID>219</SubCategoryID><GroupID>1657</GroupID><Suffix>Biological</Suffix><ARTGs><ARTG>264832</ARTG></ARTGs><MinimumBenefit>320</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2016-08-01</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>IG038</BillingCode><Name>DuraGen</Name><Description>Collagen dural graft matrix</Description><Size>2.5cm x 2.5cm</Size><SupplierCode>IG</SupplierCode><CategoryID>25</CategoryID><SubCategoryID>219</SubCategoryID><GroupID>1657</GroupID><Suffix>Biological</Suffix><ARTGs><ARTG>158829</ARTG></ARTGs><MinimumBenefit>320</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2010-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BB118</BillingCode><Name>Neuropatch Dura Substitute</Name><Description>Polyurethane</Description><Size>1.5 x 3cm</Size><SupplierCode>BB</SupplierCode><CategoryID>25</CategoryID><SubCategoryID>219</SubCategoryID><GroupID>1657</GroupID><ARTGs><ARTG>138310</ARTG></ARTGs><MinimumBenefit>64</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>IJ022</BillingCode><Name>Regenerative Dural Repair Patch (ReDuraTM)</Name><Description>Absorbable synthetic patch with biomimetic design.</Description><Size>Small</Size><SupplierCode>IJ</SupplierCode><CategoryID>25</CategoryID><SubCategoryID>219</SubCategoryID><GroupID>1657</GroupID><ARTGs><ARTG>363114</ARTG></ARTGs><Note>The Prescribed List reimbursement for the billing code is restricted to use of the device for procedures related to dura defect repair in spinal and neurosurgical procedures only.</Note><ChangeExplanation>Change to Condition</ChangeExplanation><MinimumBenefit>64</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Update</ActionFlag><CycleStartDate>2021-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LH722</BillingCode><Name>TissuePatchDural 100*100</Name><Description>Self adhesive dural sealant</Description><Size>100*100mm</Size><SupplierCode>LH</SupplierCode><CategoryID>25</CategoryID><SubCategoryID>219</SubCategoryID><GroupID>1695</GroupID><ARTGs><ARTG>377573</ARTG></ARTGs><Note>The PL benefit is limited to use of the device for procedures related to dura defect repair in spinal and neurosurgical procedures only.</Note><MinimumBenefit>921</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>IG042</BillingCode><Name>DuraGen Suturable</Name><Description>Collagen dural graft matrix</Description><Size>2.5cm x 7.5cm</Size><SupplierCode>IG</SupplierCode><CategoryID>25</CategoryID><SubCategoryID>219</SubCategoryID><GroupID>1658</GroupID><Suffix>Biological</Suffix><ARTGs><ARTG>158826</ARTG></ARTGs><MinimumBenefit>477</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2010-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>IJ023</BillingCode><Name>Regenerative Dural Repair Patch (ReDuraTM)</Name><Description>Absorbable synthetic patch with biomimetic design.</Description><Size>Medium</Size><SupplierCode>IJ</SupplierCode><CategoryID>25</CategoryID><SubCategoryID>219</SubCategoryID><GroupID>1658</GroupID><ARTGs><ARTG>363114</ARTG></ARTGs><Note>The Prescribed List reimbursement for the billing code is restricted to use of the device for procedures related to dura defect repair in spinal and neurosurgical procedures only.</Note><ChangeExplanation>Change to Condition</ChangeExplanation><MinimumBenefit>426</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Update</ActionFlag><CycleStartDate>2021-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BB357</BillingCode><Name>Lyoplant Onlay</Name><Description>Biological Onlay &amp; Suturable Dura Substitute</Description><Size>5 x 5cm and 2.5 x 7.5cm</Size><SupplierCode>BB</SupplierCode><CategoryID>25</CategoryID><SubCategoryID>219</SubCategoryID><GroupID>1658</GroupID><Suffix>Biological</Suffix><ARTGs><ARTG>264832</ARTG></ARTGs><MinimumBenefit>477</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2016-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>IG044</BillingCode><Name>DuraGen Plus</Name><Description>Collagen dural graft matrix</Description><Size>5cm x 5cm</Size><SupplierCode>IG</SupplierCode><CategoryID>25</CategoryID><SubCategoryID>219</SubCategoryID><GroupID>1658</GroupID><Suffix>Biological</Suffix><ARTGs><ARTG>158825</ARTG></ARTGs><MinimumBenefit>477</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2010-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BB363</BillingCode><Name>Neuropatch Dura Substitute</Name><Description>Polyurethane</Description><Size>Medium</Size><SupplierCode>BB</SupplierCode><CategoryID>25</CategoryID><SubCategoryID>219</SubCategoryID><GroupID>1658</GroupID><ARTGs><ARTG>138310</ARTG></ARTGs><MinimumBenefit>426</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>IG045</BillingCode><Name>DuraGen Suturable</Name><Description>Collagen dural graft matrix</Description><Size>5cm x 5cm</Size><SupplierCode>IG</SupplierCode><CategoryID>25</CategoryID><SubCategoryID>219</SubCategoryID><GroupID>1658</GroupID><Suffix>Biological</Suffix><ARTGs><ARTG>158826</ARTG></ARTGs><MinimumBenefit>477</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2010-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>IG041</BillingCode><Name>DuraGen Plus</Name><Description>Collagen dural graft matrix</Description><Size>2.5cm x 7.5cm</Size><SupplierCode>IG</SupplierCode><CategoryID>25</CategoryID><SubCategoryID>219</SubCategoryID><GroupID>1658</GroupID><Suffix>Biological</Suffix><ARTGs><ARTG>158825</ARTG></ARTGs><MinimumBenefit>477</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2010-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>IG043</BillingCode><Name>DuraGen</Name><Description>Collagen dural graft matrix</Description><Size>5cm x 5cm</Size><SupplierCode>IG</SupplierCode><CategoryID>25</CategoryID><SubCategoryID>219</SubCategoryID><GroupID>1658</GroupID><Suffix>Biological</Suffix><ARTGs><ARTG>158829</ARTG></ARTGs><MinimumBenefit>477</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2010-02-01</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>IG040</BillingCode><Name>DuraGen</Name><Description>Collagen dural graft matrix</Description><Size>2.5cm x 7.5cm</Size><SupplierCode>IG</SupplierCode><CategoryID>25</CategoryID><SubCategoryID>219</SubCategoryID><GroupID>1658</GroupID><Suffix>Biological</Suffix><ARTGs><ARTG>158829</ARTG></ARTGs><MinimumBenefit>477</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2010-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SK493</BillingCode><Name>DuraMatrix</Name><Description>Resorbable Collagen Dura Substitute Membrane</Description><Size>1" x 3" (2.5cm x 7.5cm)</Size><SupplierCode>JV</SupplierCode><CategoryID>25</CategoryID><SubCategoryID>219</SubCategoryID><GroupID>1658</GroupID><Suffix>Biological</Suffix><ARTGs><ARTG>367947</ARTG><ARTG>367948</ARTG><ARTG>154606</ARTG></ARTGs><MinimumBenefit>477</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2009-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SK496</BillingCode><Name>DuraMatrix</Name><Description>Resorbable Collagen Dura Substitute Membrane</Description><Size>2" x 2" (5cm x 5cm)</Size><SupplierCode>JV</SupplierCode><CategoryID>25</CategoryID><SubCategoryID>219</SubCategoryID><GroupID>1658</GroupID><Suffix>Biological</Suffix><ARTGs><ARTG>367947</ARTG><ARTG>367948</ARTG><ARTG>154606</ARTG></ARTGs><MinimumBenefit>477</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2009-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>IG047</BillingCode><Name>DuraGen Plus</Name><Description>Collagen dural graft matrix</Description><Size>7.5cm x 7.5cm</Size><SupplierCode>IG</SupplierCode><CategoryID>25</CategoryID><SubCategoryID>219</SubCategoryID><GroupID>1659</GroupID><Suffix>Biological</Suffix><ARTGs><ARTG>158825</ARTG></ARTGs><MinimumBenefit>944</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2010-02-01</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>IG046</BillingCode><Name>DuraGen</Name><Description>Collagen dural graft matrix</Description><Size>7.5cm x 7.5cm</Size><SupplierCode>IG</SupplierCode><CategoryID>25</CategoryID><SubCategoryID>219</SubCategoryID><GroupID>1659</GroupID><Suffix>Biological</Suffix><ARTGs><ARTG>158829</ARTG></ARTGs><MinimumBenefit>944</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2010-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>IG048</BillingCode><Name>DuraGen Suturable</Name><Description>Collagen dural graft matrix</Description><Size>7.5cm x 7.5cm</Size><SupplierCode>IG</SupplierCode><CategoryID>25</CategoryID><SubCategoryID>219</SubCategoryID><GroupID>1659</GroupID><Suffix>Biological</Suffix><ARTGs><ARTG>158826</ARTG></ARTGs><MinimumBenefit>944</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2010-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SK495</BillingCode><Name>Dura Matrix</Name><Description>Resorbable Collagen Dura Substitute Membrane</Description><Size>3" x 3" (7.5cm x 7.5cm)</Size><SupplierCode>JV</SupplierCode><CategoryID>25</CategoryID><SubCategoryID>219</SubCategoryID><GroupID>1659</GroupID><Suffix>Biological</Suffix><ARTGs><ARTG>367947</ARTG><ARTG>367948</ARTG><ARTG>154606</ARTG></ARTGs><MinimumBenefit>944</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2009-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BB358</BillingCode><Name>Lyoplant Onlay</Name><Description>Biological Onlay &amp; Suturable Dura Substitute</Description><Size>7.5 x 7.5cm</Size><SupplierCode>BB</SupplierCode><CategoryID>25</CategoryID><SubCategoryID>219</SubCategoryID><GroupID>1659</GroupID><Suffix>Biological</Suffix><ARTGs><ARTG>264832</ARTG></ARTGs><MinimumBenefit>944</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2016-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>IJ024</BillingCode><Name>Regenerative Dural Repair Patch (ReDuraTM)</Name><Description>Absorbable synthetic patch with biomimetic design</Description><Size>Large</Size><SupplierCode>IJ</SupplierCode><CategoryID>25</CategoryID><SubCategoryID>219</SubCategoryID><GroupID>1659</GroupID><ARTGs><ARTG>363114</ARTG></ARTGs><Note>The Prescribed List reimbursement for the billing code is restricted to use of the device for procedures related to dura defect repair in spinal and neurosurgical procedures only.</Note><ChangeExplanation>Change to Condition</ChangeExplanation><MinimumBenefit>709</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Update</ActionFlag><CycleStartDate>2021-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BB113</BillingCode><Name>Neuropatch Dura Substitute</Name><Description>Polyurethane</Description><Size>Large</Size><SupplierCode>BB</SupplierCode><CategoryID>25</CategoryID><SubCategoryID>219</SubCategoryID><GroupID>1659</GroupID><ARTGs><ARTG>138310</ARTG></ARTGs><MinimumBenefit>709</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>IG059</BillingCode><Name>DURAGEN PLUS</Name><Description>Collagen Dural Graft Matrix</Description><Size>10cm x 12.5cm</Size><SupplierCode>IG</SupplierCode><CategoryID>25</CategoryID><SubCategoryID>219</SubCategoryID><GroupID>1660</GroupID><Suffix>Biological</Suffix><ARTGs><ARTG>158825</ARTG></ARTGs><MinimumBenefit>1592</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2010-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>IG051</BillingCode><Name>DuraGen Suturable</Name><Description>Collagen dural graft matrix</Description><Size>10cm x 12.5cm</Size><SupplierCode>IG</SupplierCode><CategoryID>25</CategoryID><SubCategoryID>219</SubCategoryID><GroupID>1660</GroupID><Suffix>Biological</Suffix><ARTGs><ARTG>158826</ARTG></ARTGs><MinimumBenefit>1592</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2010-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BB359</BillingCode><Name>Lyoplant Onlay</Name><Description>Biological Onlay &amp; Suturable Dura Substitute</Description><Size>10 x 12.5cm</Size><SupplierCode>BB</SupplierCode><CategoryID>25</CategoryID><SubCategoryID>219</SubCategoryID><GroupID>1660</GroupID><Suffix>Biological</Suffix><ARTGs><ARTG>264832</ARTG></ARTGs><MinimumBenefit>1592</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2016-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SK494</BillingCode><Name>DuraMatrix</Name><Description>Resorbable Collagen Dura Substitute Membrane</Description><Size>4" x 5" (10cm x 12.5cm), 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>154606</ARTG><ARTG>367947</ARTG><ARTG>367948</ARTG><ARTG>159826</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>IG049</BillingCode><Name>DuraGen</Name><Description>Collagen Dural graft matrix</Description><Size>10cm x 12.5cm</Size><SupplierCode>IG</SupplierCode><CategoryID>25</CategoryID><SubCategoryID>219</SubCategoryID><GroupID>1660</GroupID><Suffix>Biological</Suffix><ARTGs><ARTG>158829</ARTG></ARTGs><MinimumBenefit>1592</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2010-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>IG060</BillingCode><Name>DURAGEN PLUS</Name><Description>Collagen Dural Graft Matrix</Description><Size>12.5cm x 17.5cm</Size><SupplierCode>IG</SupplierCode><CategoryID>25</CategoryID><SubCategoryID>219</SubCategoryID><GroupID>1660</GroupID><Suffix>Biological</Suffix><ARTGs><ARTG>158825</ARTG></ARTGs><MinimumBenefit>1592</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2010-02-01</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>IJ025</BillingCode><Name>Regenerative Dural Repair Patch (ReDuraTM)</Name><Description>Absorbable synthetic patch with biomimetic design.</Description><Size>Extra Large</Size><SupplierCode>IJ</SupplierCode><CategoryID>25</CategoryID><SubCategoryID>219</SubCategoryID><GroupID>1660</GroupID><ARTGs><ARTG>363114</ARTG></ARTGs><Note>The Prescribed List reimbursement for the billing code is restricted to use of the device for procedures related to dura defect repair in spinal and neurosurgical procedures only.</Note><ChangeExplanation>Change to Condition</ChangeExplanation><MinimumBenefit>591</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Update</ActionFlag><CycleStartDate>2021-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BB015</BillingCode><Name>Neuro-Patch</Name><Description>Polyesterurethane</Description><Size>12 x 14cm</Size><SupplierCode>BB</SupplierCode><CategoryID>25</CategoryID><SubCategoryID>219</SubCategoryID><GroupID>1660</GroupID><ARTGs><ARTG>138310</ARTG></ARTGs><MinimumBenefit>591</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>IG142</BillingCode><Name>DuraSeal Xact Spinal Dural Sealant</Name><Description>Xact Dural Sealant for spine.  Packaged in sterile single use disposable tray.</Description><Size>3ml</Size><SupplierCode>IG</SupplierCode><CategoryID>25</CategoryID><SubCategoryID>219</SubCategoryID><GroupID>1661</GroupID><ARTGs><ARTG>233759</ARTG></ARTGs><MinimumBenefit>629</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2014-08-01</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HW660</BillingCode><Name>Adherus AutoSpray</Name><Description>Hydrogel sealant with automatic applicator.</Description><Size>6mL</Size><SupplierCode>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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>IG141</BillingCode><Name>Duraseal Dural Sealant</Name><Description>DuraSeal is a Synthetic, absorbable, Polyethylene Glycon, hydrogel sealant used as an adjunct to sutured dural repair to achieve watertight closure.</Description><Size>5ml of hydrogel sealant</Size><SupplierCode>IG</SupplierCode><CategoryID>25</CategoryID><SubCategoryID>219</SubCategoryID><GroupID>1662</GroupID><ARTGs><ARTG>233618</ARTG></ARTGs><MinimumBenefit>580</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2014-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BA310</BillingCode><PriorBillingCodes><PriorBillingCode>QQ767</PriorBillingCode></PriorBillingCodes><Name>TissuePatchDural</Name><Description>Self adhesive dural sealant</Description><Size>50 x 25-100mm</Size><SupplierCode>BA</SupplierCode><CategoryID>25</CategoryID><SubCategoryID>219</SubCategoryID><GroupID>1664</GroupID><ARTGs><ARTG>404630</ARTG></ARTGs><ChangeExplanation>
Billing code transferred from QQ767
Sponsor transferred from LIFEHEALTHCARE PTY LIMITED</ChangeExplanation><MinimumBenefit>446</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2024-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BB322</BillingCode><Name>Aesculap-Miethke gravitational shunt (with catheter)</Name><Description>Single valve, (anti-siphon) gravitational shunt, titanium construction (MRI safe to 3 tesla), with incorporated distal catheter, supplied sterile</Description><Size>23mm long , 4.6mm diameter, 5cmH2O - 40cmH2O, Catheter - di=1.2mm, do=2.5mm, 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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>IG172</BillingCode><PriorBillingCodes><PriorBillingCode>JJ855</PriorBillingCode></PriorBillingCodes><Name>Codman-Medos Non-programmable Valve System</Name><Description>Lumbar/peritoneal catheter, James and Holter designs</Description><Size>25-80cm</Size><SupplierCode>IG</SupplierCode><CategoryID>25</CategoryID><SubCategoryID>220</SubCategoryID><GroupID>1667</GroupID><ARTGs><ARTG>149300</ARTG><ARTG>150123</ARTG></ARTGs><MinimumBenefit>407</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>IG023</BillingCode><Name>Cordis Omnishunt System</Name><Description>Silicone and Synthetic ruby</Description><Size>Very low to very high pressures</Size><SupplierCode>IG</SupplierCode><CategoryID>25</CategoryID><SubCategoryID>220</SubCategoryID><GroupID>1667</GroupID><ARTGs><ARTG>151644</ARTG></ARTGs><MinimumBenefit>407</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2010-02-01</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>IG030</BillingCode><Name>Cardiac/Peritoneal Catheters</Name><Description>SiliconDistal Catheter, ID 1.3mm, OD 2.5mm</Description><Size>90cm, barium impregnated silicone catheter, closed or open ended, with or without slits</Size><SupplierCode>IG</SupplierCode><CategoryID>25</CategoryID><SubCategoryID>220</SubCategoryID><GroupID>1668</GroupID><Suffix>Distal</Suffix><ARTGs><ARTG>150579</ARTG></ARTGs><MinimumBenefit>167</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2010-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>IG020</BillingCode><Name>Atrial Catheter </Name><Description>Components - catheter: Atrial Atrial Catheters  Hydrocephalux Valve Accessories</Description><Size>Length: 46cm, F7.  OD: 2.1mm; ID:1.1mm</Size><SupplierCode>IG</SupplierCode><CategoryID>25</CategoryID><SubCategoryID>220</SubCategoryID><GroupID>1668</GroupID><Suffix>Distal</Suffix><ARTGs><ARTG>151659</ARTG></ARTGs><MinimumBenefit>167</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2010-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>IG174</BillingCode><PriorBillingCodes><PriorBillingCode>JJ857</PriorBillingCode></PriorBillingCodes><Name>HOLTER Intracranial Pressure Shunt</Name><Description>HOLTER distal peritoneal catheter/Salmon, packaged sterile, silicone</Description><Size>90cm</Size><SupplierCode>IG</SupplierCode><CategoryID>25</CategoryID><SubCategoryID>220</SubCategoryID><GroupID>1668</GroupID><Suffix>Distal</Suffix><ARTGs><ARTG>384998</ARTG></ARTGs><ChangeExplanation>Change to ARTG</ChangeExplanation><MinimumBenefit>167</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Update</ActionFlag><CycleStartDate>2018-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>IG163</BillingCode><PriorBillingCodes><PriorBillingCode>JJ261</PriorBillingCode></PriorBillingCodes><Name>ACCU-FLO Intracranial Pressure shunt</Name><Description>ACCU-FLO catheter, packaged sterile, silicone rubber</Description><Size>91cm in length</Size><SupplierCode>IG</SupplierCode><CategoryID>25</CategoryID><SubCategoryID>220</SubCategoryID><GroupID>1668</GroupID><Suffix>Distal</Suffix><ARTGs><ARTG>150089</ARTG></ARTGs><MinimumBenefit>167</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>IG162</BillingCode><PriorBillingCodes><PriorBillingCode>JJ229</PriorBillingCode></PriorBillingCodes><Name>Codman Medos Peritoneal Catheter</Name><Description>Peritoneal catheter for use in the treatment of hydrocephalus as a component of a shunt system.</Description><Size>120cm</Size><SupplierCode>IG</SupplierCode><CategoryID>25</CategoryID><SubCategoryID>220</SubCategoryID><GroupID>1668</GroupID><Suffix>Distal</Suffix><ARTGs><ARTG>384994</ARTG></ARTGs><ChangeExplanation>Change to ARTG, Description, Size</ChangeExplanation><MinimumBenefit>167</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Update</ActionFlag><CycleStartDate>2018-08-01</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>IG021</BillingCode><Name>Peritoneal Catheter</Name><Description>Peritoneal Catheters</Description><Size>Length: 91cm, F7.  OD: 2.1mm; ID:1.1mm</Size><SupplierCode>IG</SupplierCode><CategoryID>25</CategoryID><SubCategoryID>220</SubCategoryID><GroupID>1668</GroupID><Suffix>Distal</Suffix><ARTGs><ARTG>151659</ARTG></ARTGs><MinimumBenefit>167</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2010-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>IG011</BillingCode><Name>Shunt</Name><Description>Peritoneal</Description><Size>90 - 120cm</Size><SupplierCode>IG</SupplierCode><CategoryID>25</CategoryID><SubCategoryID>220</SubCategoryID><GroupID>1668</GroupID><Suffix>Distal</Suffix><ARTGs><ARTG>151659</ARTG></ARTGs><MinimumBenefit>167</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2010-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MI122</BillingCode><Name>CSF Ventricular Catheter PSM range</Name><Description>Ventricular catheter, non metallic latex free. Barium impregnated, include stainless steel stylet.</Description><Size>1.3 - 35cm</Size><SupplierCode>MI</SupplierCode><CategoryID>25</CategoryID><SubCategoryID>220</SubCategoryID><GroupID>1668</GroupID><Suffix>Proximal</Suffix><ARTGs><ARTG>141100</ARTG></ARTGs><MinimumBenefit>167</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2013-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MI165</BillingCode><Name>ARES Antibiotic-Impregnated Catheter</Name><Description>ARES antibiotic-impregnated ventricular catheter</Description><Size>23cm</Size><SupplierCode>MI</SupplierCode><CategoryID>25</CategoryID><SubCategoryID>220</SubCategoryID><GroupID>1668</GroupID><Suffix>Antibiotics</Suffix><ARTGs><ARTG>245273</ARTG></ARTGs><MinimumBenefit>424</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2015-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MI166</BillingCode><Name>ARES antibiotic -impregnated catheter</Name><Description>ARES antibiotic-impregnated peritoneal catheter</Description><Size>120cm</Size><SupplierCode>MI</SupplierCode><CategoryID>25</CategoryID><SubCategoryID>220</SubCategoryID><GroupID>1668</GroupID><Suffix>Antibiotics</Suffix><ARTGs><ARTG>245274</ARTG></ARTGs><MinimumBenefit>424</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2015-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>IG179</BillingCode><Name>Codman Ventricular Catheter with Bactiseal Silicone </Name><Description>Silicone ventricular catheter, antibiotic impregnated</Description><Size>14cm</Size><SupplierCode>IG</SupplierCode><CategoryID>25</CategoryID><SubCategoryID>220</SubCategoryID><GroupID>1668</GroupID><Suffix>Antibiotics</Suffix><ARTGs><ARTG>343683</ARTG></ARTGs><MinimumBenefit>424</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>IG180</BillingCode><Name>Codman Peritoneal Catheter with Bactiseal Silicone</Name><Description>Silicone peritoneal catheter, antibiotic impregnated</Description><Size>120cm</Size><SupplierCode>IG</SupplierCode><CategoryID>25</CategoryID><SubCategoryID>220</SubCategoryID><GroupID>1668</GroupID><Suffix>Antibiotics</Suffix><ARTGs><ARTG>343684</ARTG></ARTGs><MinimumBenefit>424</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MC584</BillingCode><Name>CSF - Distal Catheters</Name><Description>Non metallic and latex free, Models 43418,43103,43111,43209,43522,43551,25024</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>130410</ARTG><ARTG>140360</ARTG><ARTG>140357</ARTG></ARTGs><MinimumBenefit>167</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2006-03-24</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>IG031</BillingCode><Name>Ventricular Catheters</Name><Description>Silicon Ventricular Catheter</Description><Size>15cm - 25cm, optional flanges or right angle or endoscopic tip. ID 1.3mm, OD 2.5mm</Size><SupplierCode>IG</SupplierCode><CategoryID>25</CategoryID><SubCategoryID>220</SubCategoryID><GroupID>1668</GroupID><Suffix>Proximal</Suffix><ARTGs><ARTG>150579</ARTG></ARTGs><MinimumBenefit>167</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2010-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>IG161</BillingCode><PriorBillingCodes><PriorBillingCode>JJ227</PriorBillingCode></PriorBillingCodes><Name>Codman Medos Straight Ventricular Catheter</Name><Description>14cm, packaged sterile, silicone rubber</Description><Size>14cm</Size><SupplierCode>IG</SupplierCode><CategoryID>25</CategoryID><SubCategoryID>220</SubCategoryID><GroupID>1668</GroupID><Suffix>Proximal</Suffix><ARTGs><ARTG>384993</ARTG></ARTGs><ChangeExplanation>Change to ARTG</ChangeExplanation><MinimumBenefit>167</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Update</ActionFlag><CycleStartDate>2018-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BB331</BillingCode><Name>Miethke Ventricular catheter with deflector</Name><Description>Ventricular catheters (with deflector) are used to drain CSF out of the ventricle. All catheters are made of radiopaque silicone. The deflectors allow 90 degree deflection of the ventricular catheter in the burrhole without kinking the catheter. All deflectors are made of titanium. The deflectors are adjustable on the catheter, have suture fixation holes and are radiopaque.</Description><Size>Ventricular catheter with deflector:
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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>IG010</BillingCode><Name>Shunt</Name><Description>Components - catheter: Atrial</Description><Size>55cm - 60cm, Low - High pressure range</Size><SupplierCode>IG</SupplierCode><CategoryID>25</CategoryID><SubCategoryID>220</SubCategoryID><GroupID>1668</GroupID><Suffix>Distal</Suffix><ARTGs><ARTG>151659</ARTG></ARTGs><MinimumBenefit>167</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2010-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MI167</BillingCode><Name>ARES antibiotic-impregnated catheter kit</Name><Description>ARES antibiotic catheter kit includes ventricular and peritoneal catheter</Description><Size>23 - 120cm</Size><SupplierCode>MI</SupplierCode><CategoryID>25</CategoryID><SubCategoryID>220</SubCategoryID><GroupID>1668</GroupID><Suffix>Antibiotics, Distal, Proximal</Suffix><ARTGs><ARTG>245275</ARTG></ARTGs><MinimumBenefit>609</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2015-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MC639</BillingCode><Name>Ventricular Catheter PSM range with Bioglide</Name><Description>Translucent silicone elastomer with Barium impregnated stripe. Catheter surface bonded with Hydrogel.</Description><Size>15-23cm</Size><SupplierCode>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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MC638</BillingCode><Name>Peritoneal Catheter PSM range with Bioglide</Name><Description>Translucent silicone elastomer with Barium impregnated stripe.  Catheter surface bonded with Hydrogel.</Description><Size>60-90cm</Size><SupplierCode>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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>IG014</BillingCode><Name>Heyer Schulte Portnoy Flanged Ventricular Catheter</Name><Description>Composition - silicone with tantalum markings</Description><Size>Length 18cm, outer diameter 8mm</Size><SupplierCode>IG</SupplierCode><CategoryID>25</CategoryID><SubCategoryID>220</SubCategoryID><GroupID>1668</GroupID><Suffix>Proximal</Suffix><ARTGs><ARTG>163262</ARTG></ARTGs><MinimumBenefit>167</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2010-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>IG025</BillingCode><Name>Right Angle Ventricular Catheter</Name><Description>Silicone, integral right angle</Description><Size>3-11cm</Size><SupplierCode>IG</SupplierCode><CategoryID>25</CategoryID><SubCategoryID>220</SubCategoryID><GroupID>1668</GroupID><Suffix>Proximal</Suffix><ARTGs><ARTG>151660</ARTG></ARTGs><MinimumBenefit>167</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2010-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>IG164</BillingCode><PriorBillingCodes><PriorBillingCode>JJ263</PriorBillingCode></PriorBillingCodes><Name>ACCU-FLO Intracranial Pressure shunt</Name><Description>ACCU-FLO barium ventricular catheter, packaged sterile, silicone rubber</Description><Size>One size only</Size><SupplierCode>IG</SupplierCode><CategoryID>25</CategoryID><SubCategoryID>220</SubCategoryID><GroupID>1668</GroupID><Suffix>Proximal</Suffix><ARTGs><ARTG>150088</ARTG></ARTGs><MinimumBenefit>167</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>IG157</BillingCode><PriorBillingCodes><PriorBillingCode>JJ218</PriorBillingCode></PriorBillingCodes><Name>HOLTER Intracranial Pressure Shunt</Name><Description>HOLTER Ventricular Catheter, packaged sterile, silicone rubber</Description><Size>3 - 7cm and 15cm</Size><SupplierCode>IG</SupplierCode><CategoryID>25</CategoryID><SubCategoryID>220</SubCategoryID><GroupID>1668</GroupID><Suffix>Proximal</Suffix><ARTGs><ARTG>384997</ARTG></ARTGs><ChangeExplanation>Change to ARTG</ChangeExplanation><MinimumBenefit>167</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Update</ActionFlag><CycleStartDate>2018-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BB336</BillingCode><Name>Miethke Ventricular Catheter with stylet</Name><Description>Ventricluar catheters (with stylet) are used to drain CSF out of the ventricle. All catheters are made of radiopaque silicone.</Description><Size>Inside diameter 1.2mm, Outside diameter 2.5mm.
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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>IG012</BillingCode><Name>Shunt</Name><Description>Ventricular</Description><Size>14.5cm - 23cm</Size><SupplierCode>IG</SupplierCode><CategoryID>25</CategoryID><SubCategoryID>220</SubCategoryID><GroupID>1668</GroupID><Suffix>Proximal</Suffix><ARTGs><ARTG>163262</ARTG></ARTGs><MinimumBenefit>167</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2010-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>IG155</BillingCode><Name>Codman Ventricular Catheter and Codman Peritoneal Catheter with Bactiseal Silicone</Name><Description>Silicone antibiotic impregnated catheter kit</Description><Size>Kit</Size><SupplierCode>IG</SupplierCode><CategoryID>25</CategoryID><SubCategoryID>220</SubCategoryID><GroupID>1668</GroupID><Suffix>Antibiotics, Distal, Proximal</Suffix><ARTGs><ARTG>343682</ARTG></ARTGs><MinimumBenefit>609</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MC857</BillingCode><Name>Small Lumen Peritoneal Catheter</Name><Description>CSF Distal Catheter</Description><Size>ID - 0.7mm OD - 2.5mm Length - 120cm</Size><SupplierCode>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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>IG173</BillingCode><PriorBillingCodes><PriorBillingCode>JJ856</PriorBillingCode></PriorBillingCodes><Name>Holter - Rickman - Salmon Rickman and Selker Ventriculostomy Reservoirs</Name><Description>Various ventriculostomy reservoirs</Description><Size>Standard/Large and Low Profile - Size 6-18mm</Size><SupplierCode>IG</SupplierCode><CategoryID>25</CategoryID><SubCategoryID>220</SubCategoryID><GroupID>1670</GroupID><ARTGs><ARTG>379452</ARTG><ARTG>379451</ARTG><ARTG>379450</ARTG></ARTGs><ChangeExplanation>Change to Product name, ARTG, Size</ChangeExplanation><MinimumBenefit>338</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Update</ActionFlag><CycleStartDate>2018-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>IG033</BillingCode><Name>Reservoirs</Name><Description>Shunt component</Description><Size>9mm to 25mm, with or without convertible outlet port, burr hole or flat bottom style</Size><SupplierCode>IG</SupplierCode><CategoryID>25</CategoryID><SubCategoryID>220</SubCategoryID><GroupID>1670</GroupID><ARTGs><ARTG>163539</ARTG></ARTGs><MinimumBenefit>338</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2010-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>IG013</BillingCode><Name>Shunt</Name><Description>Reservoir</Description><Size>Standard, Large</Size><SupplierCode>IG</SupplierCode><CategoryID>25</CategoryID><SubCategoryID>220</SubCategoryID><GroupID>1670</GroupID><ARTGs><ARTG>151646</ARTG></ARTGs><MinimumBenefit>338</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2010-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BB333</BillingCode><Name>Miethke Port / Reservoir</Name><Description>The ports / reservoirs are all made of titanium and are radiopaque. They have a low overall height for easy and safe positioning and fixation of the ventricular catheter. They allow CSF extraction and drug injection by inserting a syringe through the silicone dome. The solid titanium base prevents penetration with a syringe needle. There are 6 different types: Burrhole port, CSF port, Burrhole reservoir, Sprung reservoir, Flushing reservoir, Control reservoir.</Description><Size>Burrhole port: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. FV063T: Diameter 14mm, Height 4.8mm (Paediatric Sprung Reservoir)</Size><SupplierCode>BB</SupplierCode><CategoryID>25</CategoryID><SubCategoryID>220</SubCategoryID><GroupID>1670</GroupID><ARTGs><ARTG>181719</ARTG></ARTGs><ChangeExplanation>Change to Size</ChangeExplanation><MinimumBenefit>338</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Update</ActionFlag><CycleStartDate>2013-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BB327</BillingCode><Name>Aesculap-Miethke Shunt Burr hole port</Name><Description>Titanium, (MRI safe 3 tesla), radio-opaque with low overall height for easy and safe positioning of ventricular catheter. Allows CSF extraction and drug injection by syringe through silicone dome. Solid Titanium base ensures syringes will not penetrate, supplied sterile.</Description><Size>Radio- opaque titanium. 14mm diameter, 4.8mm height; 20/9.5mm diameter, 5.65mm height. For catheters - id =1.2mm, od =2.5mm</Size><SupplierCode>BB</SupplierCode><CategoryID>25</CategoryID><SubCategoryID>220</SubCategoryID><GroupID>1670</GroupID><ARTGs><ARTG>181719</ARTG></ARTGs><MinimumBenefit>338</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>IG008</BillingCode><Name>Heyer-Schulte Ommaya CSF Reservoir</Name><Description>Standard, side-inlet, convertible, mini</Description><Size>1.5 - 2.5cm and mini</Size><SupplierCode>IG</SupplierCode><CategoryID>25</CategoryID><SubCategoryID>220</SubCategoryID><GroupID>1670</GroupID><ARTGs><ARTG>161176</ARTG></ARTGs><MinimumBenefit>338</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2010-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BB330</BillingCode><Name>Miethke Reservoir with integrated catheter</Name><Description>The reservoirs are all made of titanium and are radiopaque. They have a low overall height for easy and safe positioning and fixation of the ventricular catheter. They allow CSF extraction and drug injection by inserting a syringe through the silicone dome. The solid titanium base prevents penetration with a syringe needle.
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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BB326</BillingCode><Name>Aesculap-Miethke Shunt inline Flushing reservoir</Name><Description>Titanium, (MRI safe 3 tesla), radio- opaque with low overall height for easy and safe positioning of ventricular catheter. Allows CSF extraction and drug injection by syringe through silicone dome. Solid Titanium base ensures syringes will not penetrate.</Description><Size>Radio-opaque titanium. 14mm diameter,4.8mmheight; 20mm diameter, 5.65mm height. For catheters - id = 1.2mm,od = 2.5mm</Size><SupplierCode>BB</SupplierCode><CategoryID>25</CategoryID><SubCategoryID>220</SubCategoryID><GroupID>1670</GroupID><ARTGs><ARTG>181719</ARTG></ARTGs><MinimumBenefit>338</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MI018</BillingCode><Name>Reservoir</Name><Description>CSF Reservoir, Port, Neonatal, Snap assembly</Description><Size>Various</Size><SupplierCode>MI</SupplierCode><CategoryID>25</CategoryID><SubCategoryID>220</SubCategoryID><GroupID>1670</GroupID><ARTGs><ARTG>145332</ARTG><ARTG>129650</ARTG><ARTG>145336</ARTG></ARTGs><MinimumBenefit>338</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2011-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MC534</BillingCode><Name>Pressure valve (anti-siphon device or  flushing valve or flush pump)</Name><Description>Neonatal Reservior, CSF Lumbo Peritoneal</Description><Size>2 - 90cm</Size><SupplierCode>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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>IG156</BillingCode><PriorBillingCodes><PriorBillingCode>JJ164</PriorBillingCode></PriorBillingCodes><Name>Siphonguard CSF Control Device</Name><Description>PET shell anti-siphon device for shunt</Description><Size>One size only</Size><SupplierCode>IG</SupplierCode><CategoryID>25</CategoryID><SubCategoryID>220</SubCategoryID><GroupID>2961</GroupID><ARTGs><ARTG>384996</ARTG></ARTGs><ChangeExplanation>Change to ARTG</ChangeExplanation><MinimumBenefit>794</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Update</ActionFlag><CycleStartDate>2018-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BB323</BillingCode><Name>Aesculap-Miethke SHUNTASSISTANT</Name><Description>Anti-siphon gravitational unit to treat standing pressure over drainage in conjunction with existing shunts in children and adults, titanium construction (MRI safe to 3 tesla).</Description><Size>19.5mm long and 23.7mm long , 4.0mm diameter and 4.6mm diameter, 10cmH2O and 15-35cmH2O. Straight and u-shaped.</Size><SupplierCode>BB</SupplierCode><CategoryID>25</CategoryID><SubCategoryID>220</SubCategoryID><GroupID>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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ER647</BillingCode><PriorBillingCodes><PriorBillingCode>SJ198</PriorBillingCode></PriorBillingCodes><Name>MicroTargeting Electrodes</Name><Description>Microtargeting mono- and bipolar- electrodes</Description><Size>100-300mm</Size><SupplierCode>ER</SupplierCode><CategoryID>25</CategoryID><SubCategoryID>221</SubCategoryID><GroupID>1675</GroupID><ARTGs><ARTG>161735</ARTG></ARTGs><MinimumBenefit>1145</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ER612</BillingCode><Name>Alpha Omega NeuroProbe Microelectrodes</Name><Description>Alpha Omega Neuroprobe family of microtargeting electrodes; shielded, Sonus  shielded or unshielded, various configurations, sterile</Description><Size>Length: 240-300 mm  Microtip length: 2.5-27 mm</Size><SupplierCode>ER</SupplierCode><CategoryID>25</CategoryID><SubCategoryID>221</SubCategoryID><GroupID>1675</GroupID><ARTGs><ARTG>346530</ARTG></ARTGs><MinimumBenefit>1145</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MI073</BillingCode><Name>Medtronic MicroTargeting Electrodes</Name><Description>Microelectrodes used for intra-operative recording of neuronal activity for DBS</Description><Size>Various</Size><SupplierCode>MI</SupplierCode><CategoryID>25</CategoryID><SubCategoryID>221</SubCategoryID><GroupID>1675</GroupID><ARTGs><ARTG>133619</ARTG></ARTGs><MinimumBenefit>1145</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2013-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BS158</BillingCode><Name>Precision Connector M1</Name><Description>Lead extension for Precision SCS System</Description><Size>35. 55. 70 cm length</Size><SupplierCode>BS</SupplierCode><CategoryID>25</CategoryID><SubCategoryID>222</SubCategoryID><GroupID>1680</GroupID><ARTGs><ARTG>162422</ARTG></ARTGs><MinimumBenefit>1362</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2010-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BS323</BillingCode><Name>Precision M8 Adaptor</Name><Description>Designed to connect a Precision IPG or Precision Spectra IPG to another manufacturer's previously implanted compatible lead or lead extension</Description><Size>15cm - 55cm</Size><SupplierCode>BS</SupplierCode><CategoryID>25</CategoryID><SubCategoryID>222</SubCategoryID><GroupID>1680</GroupID><ARTGs><ARTG>281250</ARTG></ARTGs><MinimumBenefit>1362</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MC733</BillingCode><Name>Quadripolar Stretch-Coil Extensions</Name><Description>Model 37083 Single, Silver and Silicone Rubber</Description><Size>20cm - 60cm</Size><SupplierCode>MI</SupplierCode><CategoryID>25</CategoryID><SubCategoryID>222</SubCategoryID><GroupID>1680</GroupID><ARTGs><ARTG>239412</ARTG></ARTGs><MinimumBenefit>1362</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2007-06-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ER007</BillingCode><Name>Nevro Spinal Cord Stimulation System (SCSS) - Lead Extension Kit</Name><Description>The lead extender is intended to be used when the implant site for the Implantable Pulse Generator is too far from the stimulation site to directly connect the stimulation lead.</Description><Size>Length: 15cm-60cm, in increments of 5cm</Size><SupplierCode>ER</SupplierCode><CategoryID>25</CategoryID><SubCategoryID>222</SubCategoryID><GroupID>1680</GroupID><ARTGs><ARTG>185993</ARTG></ARTGs><MinimumBenefit>1362</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2011-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BS169</BillingCode><Name>Precision SCS Splitter</Name><Description>Lead extension for connection of multiple leads</Description><Size>Multiple Configurations</Size><SupplierCode>BS</SupplierCode><CategoryID>25</CategoryID><SubCategoryID>222</SubCategoryID><GroupID>1680</GroupID><ARTGs><ARTG>167102</ARTG><ARTG>197908</ARTG><ARTG>167101</ARTG></ARTGs><MinimumBenefit>1362</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2010-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SJ358</BillingCode><Name>Axium Neurostimulator System - Lead Extension Kit</Name><Description>Lead extension kit.</Description><Size>1 size (1 presentation)</Size><SupplierCode>SJ</SupplierCode><CategoryID>25</CategoryID><SubCategoryID>222</SubCategoryID><GroupID>1680</GroupID><ARTGs><ARTG>333448</ARTG><ARTG>203096</ARTG><ARTG>301410</ARTG></ARTGs><MinimumBenefit>1362</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2015-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MC734</BillingCode><Name>Quadripolar Stretch-Coil Extensions</Name><Description>Model 37082 Bifurcated, Silver and Silicone Rubber</Description><Size>20cm - 60cm</Size><SupplierCode>MI</SupplierCode><CategoryID>25</CategoryID><SubCategoryID>222</SubCategoryID><GroupID>1680</GroupID><ARTGs><ARTG>239412</ARTG></ARTGs><MinimumBenefit>1362</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2007-06-01</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>UY004</BillingCode><Name>Evoke 12C Lead Extension Kit - 55cm</Name><Description> A 12 contact lead extension.</Description><Size>55cm</Size><SupplierCode>UY</SupplierCode><CategoryID>25</CategoryID><SubCategoryID>222</SubCategoryID><GroupID>1680</GroupID><ARTGs><ARTG>336571</ARTG></ARTGs><MinimumBenefit>1362</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2020-07-01</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SJ160</BillingCode><Name>ANS Spinal Cord Stimulation System (SCS)</Name><Description>Lead Extensions - in addition to 3341, 3342, 3343, 3382 and 3383, additional model 3346 - Dual Quad Extension and 3386 - single octrode extension</Description><Size>60cm length</Size><SupplierCode>SJ</SupplierCode><CategoryID>25</CategoryID><SubCategoryID>222</SubCategoryID><GroupID>1680</GroupID><ARTGs><ARTG>126078</ARTG><ARTG>126001</ARTG></ARTGs><MinimumBenefit>1362</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2009-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MI445</BillingCode><Name>Neurostimulation System - Extensions</Name><Description>1 x 8 Extension Kit Model 37081</Description><Size>20, 40 &amp; 60cm</Size><SupplierCode>MI</SupplierCode><CategoryID>25</CategoryID><SubCategoryID>222</SubCategoryID><GroupID>1680</GroupID><ARTGs><ARTG>426912</ARTG></ARTGs><MinimumBenefit>1362</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BS111</BillingCode><Name>Precision SCS Lead Extensions</Name><Description>Lead Extensions</Description><Size>25cm to 55cm</Size><SupplierCode>BS</SupplierCode><CategoryID>25</CategoryID><SubCategoryID>222</SubCategoryID><GroupID>1680</GroupID><ARTGs><ARTG>128679</ARTG></ARTGs><MinimumBenefit>1362</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2007-06-01</CycleStartDate><CycleEndDate>2025-03-01</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><MinimumBenefit>14666</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2024-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MC313</BillingCode><Name>Synchro Med II Pump</Name><Description>Model No's 8637-20 &amp; 8637-40, Composition - Titanium</Description><Size>20 ml &amp; 40 ml</Size><SupplierCode>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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MI450</BillingCode><Name>Medtronic myPTM™ Patient Programmer</Name><Description>Patient Programmer for SynchroMed™ II</Description><Size>One size</Size><SupplierCode>MI</SupplierCode><CategoryID>25</CategoryID><SubCategoryID>223</SubCategoryID><GroupID>1682</GroupID><ARTGs><ARTG>358310</ARTG></ARTGs><MinimumBenefit>1354</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MC944</BillingCode><Name>8835 Personal Therapy Manager for Synchromed Pumps</Name><Description>Personal Therapy Manager for SynchroMed II implantable infusion pumps</Description><Size>One size only</Size><SupplierCode>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>2025-03-01</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><MinimumBenefit>1354</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2024-11-01</CycleStartDate><CycleEndDate>2025-03-01</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><MinimumBenefit>147</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-02-01</CycleStartDate><CycleEndDate>2025-03-01</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><MinimumBenefit>147</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HW470</BillingCode><Name>Wingspan Stent System</Name><Description>Wingspan Self Expanding Nitonol Stent and delivery catheter</Description><Size>Stent diameters: 2.5mm to 4.5mm; Stent lengths: 9.0mm to 20.0mm</Size><SupplierCode>JV</SupplierCode><CategoryID>25</CategoryID><SubCategoryID>225</SubCategoryID><GroupID>1687</GroupID><ARTGs><ARTG>128926</ARTG><ARTG>130061</ARTG></ARTGs><MinimumBenefit>6769</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ME209</BillingCode><Name>Leo+</Name><Description>Leo+ Stent</Description><Size>D 2.0mm L 12mm, 18mm, 25mm.
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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>AS196</BillingCode><Name>Solitaire</Name><Description>Solitaire Neurovascular Remodelling Device is a self-expanding, fully retrievable device which can be delivered and deployed by a single operator.</Description><Size>Diameter: 3-6mm
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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ZZ109</BillingCode><PriorBillingCodes><PriorBillingCode>PN022</PriorBillingCode></PriorBillingCodes><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>ZZ</SupplierCode><CategoryID>25</CategoryID><SubCategoryID>225</SubCategoryID><GroupID>1687</GroupID><ARTGs><ARTG>312950</ARTG></ARTGs><ChangeExplanation>
Billing code transferred from PN022
Sponsor transferred from PENUMBRA NEURO AUSTRALIA PTY LTD</ChangeExplanation><MinimumBenefit>6769</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2020-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ZZ110</BillingCode><PriorBillingCodes><PriorBillingCode>PN023</PriorBillingCode></PriorBillingCodes><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>ZZ</SupplierCode><CategoryID>25</CategoryID><SubCategoryID>225</SubCategoryID><GroupID>1687</GroupID><ARTGs><ARTG>321603</ARTG></ARTGs><ChangeExplanation>
Billing code transferred from PN023
Sponsor transferred from PENUMBRA NEURO AUSTRALIA PTY LTD</ChangeExplanation><MinimumBenefit>6769</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2021-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HW567</BillingCode><Name>Neuroform ATLAS Stent System</Name><Description>The Neuroform Atlas (Atlas) Stent System is intended to be used for stent assisted embolization for intracranial aneurysm therapy. The purpose of the stent is to retain the occlusive devices within the aneurysm. Occlusive devices can be delivered prior to stent placement or after stent placement. The Atlas Stent System consists of a self-expanding, sterile, nitinol stent preloaded over a delivery wire inside an introducer sheath.  The sheath and delivery wire are used to transfer the stent into a 0.0165 to 0.017 inch internal diameter microcatheter.  After transferring the stent, the sheath is removed from the proximal end of the delivery wire. The delivery wire is then used to advance the stent to the distal end of the microcatheter. The microcatheter and stent system are repositioned as a unit to ensure the stent is located across the aneurysm. The stent is deployed by stabilizing the delivery wire and withdrawing the microcatheter. The Neuroform Atlas stent cannot be repositioned or captured once deployed.</Description><Size>Stent Diameter (mm): 3.0, 4.0, 4.5
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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LH785</BillingCode><PriorBillingCodes><PriorBillingCode>CB012</PriorBillingCode></PriorBillingCodes><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>LH</SupplierCode><CategoryID>25</CategoryID><SubCategoryID>225</SubCategoryID><GroupID>1687</GroupID><ARTGs><ARTG>194409</ARTG></ARTGs><ChangeExplanation>
Billing code transferred from CB012
Sponsor transferred from Culpan Medical Pty Ltd</ChangeExplanation><MinimumBenefit>6769</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2013-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LH783</BillingCode><PriorBillingCodes><PriorBillingCode>CB010</PriorBillingCode></PriorBillingCodes><Name>Hydrocoils</Name><Description>Framing and filling coils with Hydrogel.</Description><Size>Diam: 1-24mm  Length: 1-50cm</Size><SupplierCode>LH</SupplierCode><CategoryID>25</CategoryID><SubCategoryID>225</SubCategoryID><GroupID>1688</GroupID><ARTGs><ARTG>137933</ARTG></ARTGs><ChangeExplanation>
Billing code transferred from CB010
Sponsor transferred from Culpan Medical Pty Ltd</ChangeExplanation><MinimumBenefit>1043</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2012-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LH784</BillingCode><PriorBillingCodes><PriorBillingCode>CB011</PriorBillingCode></PriorBillingCodes><Name>Microplex Coils</Name><Description>Framing and filling coils</Description><Size>Diam: 1-24mm
Length: 1-68cm</Size><SupplierCode>LH</SupplierCode><CategoryID>25</CategoryID><SubCategoryID>225</SubCategoryID><GroupID>1688</GroupID><ARTGs><ARTG>137934</ARTG></ARTGs><ChangeExplanation>
Billing code transferred from CB011
Sponsor transferred from Culpan Medical Pty Ltd</ChangeExplanation><MinimumBenefit>1043</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2012-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>AS193</BillingCode><Name>Axium Detachable Coil System</Name><Description>Platinum alloy coils (including coils enlaced with PGLA filaments and Nylon Fibers)  attached to a composite implant delivery pusher with a radiopaque positioning marker.  The proximal end of the pusher is loaded into the Actuator which detaches the coil.</Description><Size>Diameter: 1.5 - 25mm; Length: 1 - 50cm</Size><SupplierCode>MI</SupplierCode><CategoryID>25</CategoryID><SubCategoryID>225</SubCategoryID><GroupID>1688</GroupID><ARTGs><ARTG>388356</ARTG><ARTG>149398</ARTG><ARTG>194132</ARTG><ARTG>162494</ARTG><ARTG>162495</ARTG></ARTGs><MinimumBenefit>1043</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2013-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ME226</BillingCode><Name>Optima Coil System</Name><Description>Implantable embolization Coil comprised of platinum-tungsten alloy attached to a proximal stainless steel hypo-tube and distal body coil delivery pusher with a radiopaque distal positioning marker and a proximal fluorosafe marker.</Description><Size>Various sizes as attached.</Size><SupplierCode>ME</SupplierCode><CategoryID>25</CategoryID><SubCategoryID>225</SubCategoryID><GroupID>1688</GroupID><ARTGs><ARTG>302253</ARTG></ARTGs><MinimumBenefit>1043</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>PN014</BillingCode><Name>Penumbra Smart Coil</Name><Description>The Penumbra Smart Coil System is comprised of the The Penumbra Smart Coil, a platinum embolization coil attached to a composite delivery pusher with a radiopaque positioning marker and the Penumbra Smart Coil Detachment Handle.</Description><Size>Standard: Diameter 3-18mm, Length 3-60cm;
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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>PN004</BillingCode><Name>Penumbra Coil System / Penumbra Complex Soft Coil 400</Name><Description>Fill configuration coil is used to fill empty space within the frame coil. The stiffness allows for a traumatic interaction with the aneurysm wall and primary packing of the occlusion site (aneurysm).</Description><Size>Diameters: 3-24mm
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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>PN003</BillingCode><Name>Penumbra Coil System / Penumbra Complex Standard Coil 400</Name><Description>Frame configuration coil, three-dimensional complex shape, stiffest coil within the system, first coil to be placed, frames area of embolisation and holds subsequent coils within this zone.</Description><Size>Diameters: 3-24mm
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>2025-03-01</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><MinimumBenefit>1043</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2023-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HW467</BillingCode><Name>Target Detachable Coils</Name><Description>Detachable Platinum coils</Description><Size>Coil Diameter: 1mm to 24mm  Coil Length: 1cm to 50cm</Size><SupplierCode>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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>PN009</BillingCode><Name>Penumbra Complex Extra Soft Coil 400</Name><Description>The Soft Finish Coil Implants (Complex Extra Soft) are used for final packing of the aneurysm. The coil combines the shape of the complex standard coil, with the lowest stiffness of the Curve Extra Soft coil. The Soft Finish Coil Implants are available in varying diameters and lengths to accommodate physician need.</Description><Size>Secondary diameters: 2-4mm; Lengths: 2-10mm</Size><SupplierCode>PN</SupplierCode><CategoryID>25</CategoryID><SubCategoryID>225</SubCategoryID><GroupID>1688</GroupID><ARTGs><ARTG>182354</ARTG></ARTGs><MinimumBenefit>1043</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2013-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>PN006</BillingCode><Name>Penumbra Coil System / Penumbra Curve Extra Soft 400</Name><Description>The Soft Finish Coil Implant (Curve Extra Soft) is used for final packing of the aneurysm. The serpentine shape and the lowest stiffness allow the coils to manoeuvre and fill any remaining pockets after use of the other coil types.</Description><Size>Diameters: 2-4mm
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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>PN005</BillingCode><Name>Penumbra Coil System / Penumbra J Soft Coil 400</Name><Description>Finish Coil Implant (J Soft) fills small empty pockets remaining within the occlusion site. The J shaped tip and stiffness allows the coils to manoeuvre and fill the remaining pockets after use of the primary Fill Coils.</Description><Size>Lengths: 1-15cm</Size><SupplierCode>PN</SupplierCode><CategoryID>25</CategoryID><SubCategoryID>225</SubCategoryID><GroupID>1688</GroupID><ARTGs><ARTG>182354</ARTG></ARTGs><MinimumBenefit>1043</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2011-08-01</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MI240</BillingCode><Name>Axium Prime Detachable Coil - Extra Soft</Name><Description>Platinum alloy embolization coil attached to a composite implant delivery pusher with a radiopaque positioning marker and hand-held Instant Detacher, which when activated, mechanically detaches the coil from the delivery pusher tip.</Description><Size>3D Shape: diameter 1 to 3.5 mm;  length 2 to 10 cm; Volume 1.34 to 6.70 mm3
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>2025-03-01</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>WC</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>WC</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>2025-03-01</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>WC</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>173321</ARTG><ARTG>172404</ARTG></ARTGs><MinimumBenefit>2986</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</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>172404</ARTG><ARTG>173321</ARTG></ARTGs><MinimumBenefit>2986</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2007-06-01</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>WC</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>2025-03-01</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>2025-03-01</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>WC</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>2025-03-01</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>143264</ARTG><ARTG>11169</ARTG></ARTGs><MinimumBenefit>655</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BS430</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><ChangeExplanation>Expanded from BS424</ChangeExplanation><MinimumBenefit>1245</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2025-03-01</CycleStartDate><CycleEndDate>2025-03-01</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><MinimumBenefit>1245</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2024-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BS429</BillingCode><Name>Ranger OVER THE WIRE Paclitaxel Coated PTA 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>453745</ARTG></ARTGs><ChangeExplanation>Expanded from BS424</ChangeExplanation><MinimumBenefit>1245</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2025-03-01</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LH791</BillingCode><PriorBillingCodes><PriorBillingCode>CB019</PriorBillingCode></PriorBillingCodes><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>LH</SupplierCode><CategoryID>24</CategoryID><SubCategoryID>211</SubCategoryID><GroupID>1642</GroupID><ARTGs><ARTG>283794</ARTG><ARTG>284696</ARTG></ARTGs><ChangeExplanation>
Billing code transferred from CB019
Sponsor transferred from Culpan Medical Pty Ltd</ChangeExplanation><MinimumBenefit>2059</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2016-02-01</CycleStartDate><CycleEndDate>2025-03-01</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>WC</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>2025-03-01</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>184695</ARTG><ARTG>184700</ARTG><ARTG>185255</ARTG><ARTG>184696</ARTG><ARTG>184697</ARTG><ARTG>184698</ARTG><ARTG>184699</ARTG></ARTGs><MinimumBenefit>2059</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2013-08-01</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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><MinimumBenefit>608</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2024-11-01</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>XS001</BillingCode><Name>VASCADE</Name><Description>Vascular closure system</Description><Size>5F and 6/7 F</Size><SupplierCode>XS</SupplierCode><CategoryID>24</CategoryID><SubCategoryID>212</SubCategoryID><GroupID>1644</GroupID><ARTGs><ARTG>427854</ARTG></ARTGs><ChangeExplanation>New listing</ChangeExplanation><MinimumBenefit>290</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2025-03-01</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</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>263892</ARTG><ARTG>304029</ARTG></ARTGs><MinimumBenefit>290</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-02-01</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>128525</ARTG><ARTG>306829</ARTG></ARTGs><MinimumBenefit>290</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-02-01</CycleStartDate><CycleEndDate>2025-03-01</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><MinimumBenefit>166</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2019-03-01</CycleStartDate><CycleEndDate>2025-03-01</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>WC</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>CB023</BillingCode><Name>PHIL</Name><Description>Precipitating Hydrophobic injectable liquid</Description><Size>1ml PHIL liquid embolic, 1 sterile pre-filled syringe of DMSO and 1 Universal Adaptor</Size><SupplierCode>CB</SupplierCode><CategoryID>24</CategoryID><SubCategoryID>213</SubCategoryID><GroupID>1692</GroupID><ARTGs><ARTG>375425</ARTG></ARTGs><ChangeExplanation>New listing</ChangeExplanation><MinimumBenefit>2076</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2025-03-01</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>175080</ARTG><ARTG>178780</ARTG><ARTG>179150</ARTG><ARTG>203831</ARTG></ARTGs><MinimumBenefit>130</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2020-03-01</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>203832</ARTG><ARTG>215418</ARTG><ARTG>215419</ARTG></ARTGs><MinimumBenefit>130</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-11-01</CycleStartDate><CycleEndDate>2025-03-01</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>215412</ARTG><ARTG>215411</ARTG><ARTG>203832</ARTG><ARTG>215418</ARTG><ARTG>215419</ARTG><ARTG>203831</ARTG></ARTGs><MinimumBenefit>130</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-03-01</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</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>2025-03-01</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><MinimumBenefit>130</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2024-11-01</CycleStartDate><CycleEndDate>2025-03-01</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><MinimumBenefit>130</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2024-11-01</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</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>155226</ARTG><ARTG>286034</ARTG><ARTG>286036</ARTG><ARTG>286035</ARTG></ARTGs><MinimumBenefit>130</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2009-02-01</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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><MinimumBenefit>131</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2024-11-01</CycleStartDate><CycleEndDate>2025-03-01</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>180279</ARTG><ARTG>148784</ARTG><ARTG>278735</ARTG></ARTGs><MinimumBenefit>131</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2015-08-01</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</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>215418</ARTG><ARTG>215419</ARTG><ARTG>203832</ARTG><ARTG>215412</ARTG><ARTG>215411</ARTG></ARTGs><MinimumBenefit>131</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-03-01</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</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>203832</ARTG><ARTG>215419</ARTG><ARTG>215418</ARTG></ARTGs><MinimumBenefit>131</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-11-01</CycleStartDate><CycleEndDate>2025-03-01</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>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>2025-03-01</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>2025-03-01</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>286038</ARTG><ARTG>286034</ARTG><ARTG>286036</ARTG><ARTG>286037</ARTG><ARTG>286039</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>309585</ARTG><ARTG>309584</ARTG></ARTGs><MinimumBenefit>293</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2020-07-01</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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><MinimumBenefit>131</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2024-11-01</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>203831</ARTG><ARTG>203830</ARTG><ARTG>175080</ARTG><ARTG>178780</ARTG></ARTGs><MinimumBenefit>131</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-03-01</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>XK002</BillingCode><Name>GamCath High Flow Triple Lumen Catheter Kit</Name><Description>GamCath High Flow  Catheter is a polyurethane, kidney elliptical triple 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>XK</SupplierCode><CategoryID>24</CategoryID><SubCategoryID>214</SubCategoryID><GroupID>1651</GroupID><ARTGs><ARTG>445892</ARTG></ARTGs><ChangeExplanation>Expanded from QQ124</ChangeExplanation><MinimumBenefit>103</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2025-03-01</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</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>2025-03-01</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>145482</ARTG><ARTG>170529</ARTG><ARTG>156250</ARTG><ARTG>107195</ARTG><ARTG>117986</ARTG><ARTG>277925</ARTG></ARTGs><MinimumBenefit>267</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</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>289730</ARTG><ARTG>289583</ARTG></ARTGs><MinimumBenefit>267</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-08-01</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>XK001</BillingCode><Name>GamCath High Flow Catheter Kit Double Lumen Kit</Name><Description>GamCath High Flow Catheter is a polyurethane, kidney elliptical double 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>XK</SupplierCode><CategoryID>24</CategoryID><SubCategoryID>214</SubCategoryID><GroupID>1651</GroupID><ARTGs><ARTG>445891</ARTG></ARTGs><ChangeExplanation>Expanded from QQ124</ChangeExplanation><MinimumBenefit>103</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2025-03-01</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>283677</ARTG><ARTG>283678</ARTG><ARTG>283679</ARTG><ARTG>283680</ARTG></ARTGs><MinimumBenefit>267</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2019-11-01</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</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>2025-03-01</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>XK</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>DE819</BillingCode><Name>Vygon Polysite Echo</Name><Description>Polysite Echo is a Power injectable single chamber implantable hybrid Titanium and Polyoxymethylene port.  </Description><Size>7Fr - 9Fr</Size><SupplierCode>DE</SupplierCode><CategoryID>24</CategoryID><SubCategoryID>214</SubCategoryID><GroupID>1652</GroupID><Suffix>pi (power injection)</Suffix><ARTGs><ARTG>444198</ARTG><ARTG>444199</ARTG></ARTGs><ChangeExplanation>New listing</ChangeExplanation><MinimumBenefit>510</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2025-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>DE820</BillingCode><Name>Vygon Seesite</Name><Description>SEESITE is a high-pressure implantable port with accessories dedicated to percutaneous echo guided placement. The maximum injection rate claimed is written on the device in the form of the radiopaque marking (marking RX) affixed to the back of the case.</Description><Size>7Fr - 8Fr</Size><SupplierCode>DE</SupplierCode><CategoryID>24</CategoryID><SubCategoryID>214</SubCategoryID><GroupID>1652</GroupID><Suffix>pi (power injection)</Suffix><ARTGs><ARTG>444200</ARTG><ARTG>444201</ARTG></ARTGs><ChangeExplanation>New listing</ChangeExplanation><MinimumBenefit>510</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2025-03-01</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</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>2025-03-01</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>157391</ARTG><ARTG>157399</ARTG><ARTG>157396</ARTG><ARTG>156248</ARTG><ARTG>157393</ARTG></ARTGs><MinimumBenefit>399</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</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>161540</ARTG><ARTG>161541</ARTG><ARTG>175619</ARTG></ARTGs><MinimumBenefit>510</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2019-11-01</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>235097</ARTG><ARTG>235099</ARTG><ARTG>169838</ARTG><ARTG>235098</ARTG></ARTGs><MinimumBenefit>510</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</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>222676</ARTG><ARTG>222677</ARTG></ARTGs><MinimumBenefit>510</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2015-02-01</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</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>170345</ARTG><ARTG>170346</ARTG></ARTGs><MinimumBenefit>510</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2010-08-01</CycleStartDate><CycleEndDate>2025-03-01</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>154982</ARTG><ARTG>154988</ARTG><ARTG>175621</ARTG><ARTG>169403</ARTG><ARTG>154989</ARTG></ARTGs><MinimumBenefit>399</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2019-11-01</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</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>157400</ARTG><ARTG>156249</ARTG><ARTG>157392</ARTG><ARTG>157401</ARTG><ARTG>157403</ARTG><ARTG>157398</ARTG><ARTG>157395</ARTG><ARTG>157402</ARTG><ARTG>157394</ARTG><ARTG>157397</ARTG></ARTGs><MinimumBenefit>399</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2013-02-01</CycleStartDate><CycleEndDate>2025-03-01</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>149028</ARTG><ARTG>170347</ARTG></ARTGs><MinimumBenefit>510</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2008-07-01</CycleStartDate><CycleEndDate>2025-03-01</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>175620</ARTG><ARTG>175618</ARTG></ARTGs><MinimumBenefit>636</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2019-11-01</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</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>156247</ARTG><ARTG>157389</ARTG><ARTG>157390</ARTG></ARTGs><MinimumBenefit>636</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</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>179006</ARTG><ARTG>178936</ARTG></ARTGs><MinimumBenefit>158</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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 dental 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.</Note><ChangeExplanation>Change to Condition</ChangeExplanation><MinimumBenefit>1762</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Update</ActionFlag><CycleStartDate>2018-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>UI004</BillingCode><Name>OMF Model</Name><Description>Custom made biomodel for use with the JD Implant System (GZ001), (GZ002)</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 dental 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.</Note><ChangeExplanation>Change to Condition, Description</ChangeExplanation><MinimumBenefit>1762</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Update</ActionFlag><CycleStartDate>2020-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MV025</BillingCode><Name>MGuide </Name><Description>Anatomic model for use with MGuide (MV007) and MIS Implants (MV004, MV015, MV018)</Description><Size>Patient Specific </Size><SupplierCode>MV</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>200</SubCategoryID><GroupID>1807</GroupID><ARTGs><ARTG>348196</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 dental 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.</Note><ChangeExplanation>New listing</ChangeExplanation><MinimumBenefit>1762</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2025-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>JN004</BillingCode><Name>ARDS Anatomic Biomodel</Name><Description>Anatomic patient specific model for use with ARDS Implants JN001</Description><Size>Patient Specific</Size><SupplierCode>JN</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>200</SubCategoryID><GroupID>1807</GroupID><ARTGs><ARTG>443915</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 dental 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.</Note><ChangeExplanation>New listing</ChangeExplanation><MinimumBenefit>1762</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2025-03-01</CycleStartDate><CycleEndDate>2025-03-01</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 dental 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.</Note><ChangeExplanation>Change to Condition</ChangeExplanation><MinimumBenefit>1762</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Update</ActionFlag><CycleStartDate>2023-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ001</BillingCode><PriorBillingCodes><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>KU</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 dental 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.</Note><ChangeExplanation>Change to Condition</ChangeExplanation><MinimumBenefit>1762</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Update</ActionFlag><CycleStartDate>2017-08-01</CycleStartDate><CycleEndDate>2025-03-01</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 dental 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.</Note><ChangeExplanation>Change to Condition</ChangeExplanation><MinimumBenefit>1762</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Update</ActionFlag><CycleStartDate>2016-08-01</CycleStartDate><CycleEndDate>2025-03-01</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 dental 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.</Note><ChangeExplanation>Change to Condition</ChangeExplanation><MinimumBenefit>1762</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Update</ActionFlag><CycleStartDate>2015-02-01</CycleStartDate><CycleEndDate>2025-03-01</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 dental 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.</Note><ChangeExplanation>Change to Condition</ChangeExplanation><MinimumBenefit>1762</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Update</ActionFlag><CycleStartDate>2015-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SY779</BillingCode><Name>ProPlan</Name><Description>Patient Specific Craniofacial Anatomical Biomodel</Description><Size>Custom</Size><SupplierCode>JJ</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 dental 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.</Note><ChangeExplanation>Change to Condition</ChangeExplanation><MinimumBenefit>1762</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Update</ActionFlag><CycleStartDate>2013-08-01</CycleStartDate><CycleEndDate>2025-03-01</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 dental 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.</Note><ChangeExplanation>Change to Condition</ChangeExplanation><MinimumBenefit>1762</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Update</ActionFlag><CycleStartDate>2018-08-01</CycleStartDate><CycleEndDate>2025-03-01</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><ARTGs><ARTG>463471</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 dental 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.</Note><ChangeExplanation>Change to ARTG, Condition</ChangeExplanation><MinimumBenefit>1762</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Update</ActionFlag><CycleStartDate>2015-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>XU019</BillingCode><PriorBillingCodes><PriorBillingCode>ZZ046</PriorBillingCode></PriorBillingCodes><Name>OrthoTin Anatomic Biomodel</Name><Description>Anatomic Biomodel</Description><Size>The device is custom so the size will vary</Size><SupplierCode>XU</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 dental 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.</Note><ChangeExplanation>Change to Condition
Billing code transferred from ZZ046
Sponsor transferred from AA-Med Pty Ltd</ChangeExplanation><MinimumBenefit>1762</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2018-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>XU023</BillingCode><PriorBillingCodes><PriorBillingCode>ZZ050</PriorBillingCode></PriorBillingCodes><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>XU</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 dental 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.</Note><ChangeExplanation>Change to Condition
Billing code transferred from ZZ050
Sponsor transferred from AA-Med Pty Ltd</ChangeExplanation><MinimumBenefit>1762</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2018-02-01</CycleStartDate><CycleEndDate>2025-03-01</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 dental 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.</Note><ChangeExplanation>Change to Condition</ChangeExplanation><MinimumBenefit>1762</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Update</ActionFlag><CycleStartDate>2024-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>UI002</BillingCode><PriorBillingCodes><PriorBillingCode>RQ083</PriorBillingCode></PriorBillingCodes><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 dental 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.</Note><ChangeExplanation>Change to Condition</ChangeExplanation><MinimumBenefit>1762</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Update</ActionFlag><CycleStartDate>2019-11-01</CycleStartDate><CycleEndDate>2025-03-01</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 dental 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.</Note><ChangeExplanation>Change to Condition</ChangeExplanation><MinimumBenefit>1762</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Update</ActionFlag><CycleStartDate>2021-07-01</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SY782</BillingCode><Name>SynPOR</Name><Description>Porous Polyethylene Chin Implant</Description><Size>4-9mm</Size><SupplierCode>JJ</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>2025-03-01</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>2025-03-01</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>IC002</BillingCode><PriorBillingCodes><PriorBillingCode>HD015</PriorBillingCode><PriorBillingCode>HD006</PriorBillingCode></PriorBillingCodes><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>225923</ARTG></ARTGs><ChangeExplanation>Change to ARTG</ChangeExplanation><MinimumBenefit>780</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Update</ActionFlag><CycleStartDate>2016-02-01</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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><MinimumBenefit>990</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2016-02-01</CycleStartDate><CycleEndDate>2025-03-01</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><MinimumBenefit>609</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ET076</BillingCode><Name>Triune Vent Tube</Name><Description>A tympanostomy (myringotomy) tube</Description><Size>Lumen size 0.76mm - 1.35mm</Size><SupplierCode>ET</SupplierCode><CategoryID>22</CategoryID><SubCategoryID>196</SubCategoryID><GroupID>1566</GroupID><ARTGs><ARTG>170820</ARTG></ARTGs><MinimumBenefit>18</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2015-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MI077</BillingCode><Name>Medtronic  Ventilation Tube</Name><Description>Medium to long term, antimicrobial vent tube</Description><Size>1.02 - 1.52mm x 1.3-12.0mm</Size><SupplierCode>MI</SupplierCode><CategoryID>22</CategoryID><SubCategoryID>196</SubCategoryID><GroupID>1566</GroupID><Suffix>Antibiotic</Suffix><ARTGs><ARTG>126695</ARTG></ARTGs><MinimumBenefit>18</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2013-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MC269</BillingCode><Name>Medtronic Vent Tubes</Name><Description>Activent Antimicrobial Ventilation Tube</Description><Size>1.02 - 1.27mm x 0.9 - 2.4mm</Size><SupplierCode>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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>OL086</BillingCode><Name>Ventilation Tube</Name><Description>Ultrasil Silicon Ventilation tube</Description><Size>Various sizes</Size><SupplierCode>OL</SupplierCode><CategoryID>22</CategoryID><SubCategoryID>196</SubCategoryID><GroupID>1566</GroupID><Suffix>Antibiotic</Suffix><ARTGs><ARTG>146612</ARTG></ARTGs><MinimumBenefit>18</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>OL090</BillingCode><Name>Ventilation tube</Name><Description>HydroxylVent tube</Description><Size>Various sizes</Size><SupplierCode>OL</SupplierCode><CategoryID>22</CategoryID><SubCategoryID>196</SubCategoryID><GroupID>1566</GroupID><Suffix>Antibiotic</Suffix><ARTGs><ARTG>146612</ARTG></ARTGs><MinimumBenefit>18</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>OL087</BillingCode><Name>Ventilation tube</Name><Description>PacifiC Ventilation tube</Description><Size>Various sizes</Size><SupplierCode>OL</SupplierCode><CategoryID>22</CategoryID><SubCategoryID>196</SubCategoryID><GroupID>1566</GroupID><Suffix>Antibiotic</Suffix><ARTGs><ARTG>146612</ARTG></ARTGs><MinimumBenefit>18</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MC268</BillingCode><Name>Medtronic Vent Tubes</Name><Description>Fluoroplastic</Description><Size>0.76 - 1.52mm x 2.1 - 9.5mm x 1.0 - 12.0mm</Size><SupplierCode>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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>CK009</BillingCode><Name>Exmoor Plastics Ear Vent Drains - Collar Button </Name><Description>Teflon </Description><Size>1.75 mm lumen dia x 2.85 mm inner flange dia x 2.85 mm outer flange dia x 0.95 inter flange. 1.46 mm total length</Size><SupplierCode>CK</SupplierCode><CategoryID>22</CategoryID><SubCategoryID>196</SubCategoryID><GroupID>1566</GroupID><ARTGs><ARTG>133977</ARTG></ARTGs><MinimumBenefit>18</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-08-01</CycleStartDate><CycleEndDate>2025-03-01</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>LX</SupplierCode><CategoryID>22</CategoryID><SubCategoryID>196</SubCategoryID><GroupID>1566</GroupID><ARTGs><ARTG>182921</ARTG></ARTGs><MinimumBenefit>18</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2011-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>CK005</BillingCode><Name>Exmoor Plastics Ear Vent Drains -  Reuter Bobbin </Name><Description>Without hole, teflon</Description><Size>1.14 mm lumen dia x 2.54 mm inner flange dia x 2.54 mm outer flange dia x 0.76 inter flange. 1.52mm total length</Size><SupplierCode>CK</SupplierCode><CategoryID>22</CategoryID><SubCategoryID>196</SubCategoryID><GroupID>1566</GroupID><ARTGs><ARTG>133977</ARTG></ARTGs><MinimumBenefit>18</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>CK012</BillingCode><Name>Exmoor Plastics Ear Vent Drains - Donaldson Grommet</Name><Description>With tab, silicone rubber</Description><Size>1.1 mm lumen dia x 2.25 mm inner flange dia x 2.25 mm outer flange dia x 0.76 inter flange. 2.25 mm total length</Size><SupplierCode>CK</SupplierCode><CategoryID>22</CategoryID><SubCategoryID>196</SubCategoryID><GroupID>1566</GroupID><ARTGs><ARTG>133977</ARTG></ARTGs><MinimumBenefit>18</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>CK008</BillingCode><Name>Exmoor Plastics Ear Vent Drains  -  Collar Button</Name><Description>Teflon </Description><Size>1.4 mm lumen dia x 2.55 mm inner flange dia x 2.55 mm outer flange dia x 0.85 inter flange. 1.35 mm total length</Size><SupplierCode>CK</SupplierCode><CategoryID>22</CategoryID><SubCategoryID>196</SubCategoryID><GroupID>1566</GroupID><ARTGs><ARTG>133977</ARTG></ARTGs><MinimumBenefit>18</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MC927</BillingCode><Name>Medtronic Vent Tube</Name><Description>.</Description><Size>1.02 - 1.52mm x 1.3 - 12.0mm</Size><SupplierCode>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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>OL084</BillingCode><Name>Ventilation Tube</Name><Description>Stainless Steel Ventilation tube</Description><Size>Various sizes</Size><SupplierCode>OL</SupplierCode><CategoryID>22</CategoryID><SubCategoryID>196</SubCategoryID><GroupID>1566</GroupID><ARTGs><ARTG>146612</ARTG></ARTGs><MinimumBenefit>18</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>CK007</BillingCode><Name>Exmoor Plastics Ear Vent Drains  -  Collar Button</Name><Description>Teflon </Description><Size>1.14 mm lumen dia x 3.0 mm inner flange dia x 3.0 mm outer flange dia x 1.27 inter flange. 1.78 mm total length</Size><SupplierCode>CK</SupplierCode><CategoryID>22</CategoryID><SubCategoryID>196</SubCategoryID><GroupID>1566</GroupID><ARTGs><ARTG>133977</ARTG></ARTGs><MinimumBenefit>18</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-08-01</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>CK010</BillingCode><Name>Exmoor Plastics Ear Vent Drains - Shepards Drain</Name><Description>Teflon Shephards Drain</Description><Size>1.14 mm lumen dia x 2.36 mm inner flange dia x 2.36 mm outer flange dia x 1.42 inter flange. 2.41 mm total length</Size><SupplierCode>CK</SupplierCode><CategoryID>22</CategoryID><SubCategoryID>196</SubCategoryID><GroupID>1566</GroupID><ARTGs><ARTG>133977</ARTG></ARTGs><MinimumBenefit>18</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-08-01</CycleStartDate><CycleEndDate>2025-03-01</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>LX</SupplierCode><CategoryID>22</CategoryID><SubCategoryID>196</SubCategoryID><GroupID>1566</GroupID><ARTGs><ARTG>182921</ARTG></ARTGs><MinimumBenefit>18</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2011-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>CK006</BillingCode><Name>Exmoor Plastics Ear Vent Drains -  Collar Button</Name><Description>Teflon </Description><Size>1.14 mm lumen dia x 2.24 mm inner flange dia x 2.24 mm outer flange dia x 1.27 inter flange. 1.78 mm total length</Size><SupplierCode>CK</SupplierCode><CategoryID>22</CategoryID><SubCategoryID>196</SubCategoryID><GroupID>1566</GroupID><ARTGs><ARTG>133977</ARTG></ARTGs><MinimumBenefit>18</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-08-01</CycleStartDate><CycleEndDate>2025-03-01</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>LX</SupplierCode><CategoryID>22</CategoryID><SubCategoryID>196</SubCategoryID><GroupID>1566</GroupID><ARTGs><ARTG>182921</ARTG></ARTGs><MinimumBenefit>18</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2011-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>CK011</BillingCode><Name>Exmoor Plastics Ear Vent Drains - Teflon Shephards Drain with wire grasping feature</Name><Description>Teflon Shephards Drain with wire</Description><Size>0.97 mm lumen dia x 2.08 mm inner flange dia x 2.08 mm outer flange dia x 1.42 inter flange. 2.41 mm total length</Size><SupplierCode>CK</SupplierCode><CategoryID>22</CategoryID><SubCategoryID>196</SubCategoryID><GroupID>1566</GroupID><ARTGs><ARTG>133977</ARTG></ARTGs><MinimumBenefit>18</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MI078</BillingCode><Name>Medtronic Ventilation Tubes</Name><Description>Medium to Long term vent tube</Description><Size>0.76-1.52mm x0.9-12.0mm</Size><SupplierCode>MI</SupplierCode><CategoryID>22</CategoryID><SubCategoryID>196</SubCategoryID><GroupID>1566</GroupID><ARTGs><ARTG>126695</ARTG></ARTGs><MinimumBenefit>18</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2013-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>OL085</BillingCode><Name>Ventilation tubes</Name><Description>Silicon Ventilation tubes</Description><Size>Various sizes</Size><SupplierCode>OL</SupplierCode><CategoryID>22</CategoryID><SubCategoryID>196</SubCategoryID><GroupID>1566</GroupID><ARTGs><ARTG>146612</ARTG></ARTGs><MinimumBenefit>18</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>OL083</BillingCode><Name>Ventilation tubes</Name><Description>Titanium ventilation tubes</Description><Size>Various sizes</Size><SupplierCode>OL</SupplierCode><CategoryID>22</CategoryID><SubCategoryID>196</SubCategoryID><GroupID>1566</GroupID><ARTGs><ARTG>146612</ARTG></ARTGs><MinimumBenefit>18</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-02-01</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>OL082</BillingCode><Name>Ventilation tubes</Name><Description>Fluoroplastics Ventilation tubes</Description><Size>Various sizes</Size><SupplierCode>OL</SupplierCode><CategoryID>22</CategoryID><SubCategoryID>196</SubCategoryID><GroupID>1566</GroupID><ARTGs><ARTG>146612</ARTG></ARTGs><MinimumBenefit>18</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-02-01</CycleStartDate><CycleEndDate>2025-03-01</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>LX</SupplierCode><CategoryID>22</CategoryID><SubCategoryID>196</SubCategoryID><GroupID>1566</GroupID><ARTGs><ARTG>182921</ARTG></ARTGs><MinimumBenefit>18</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2011-08-01</CycleStartDate><CycleEndDate>2025-03-01</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>LX</SupplierCode><CategoryID>22</CategoryID><SubCategoryID>196</SubCategoryID><GroupID>1566</GroupID><ARTGs><ARTG>182921</ARTG></ARTGs><MinimumBenefit>18</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2011-08-01</CycleStartDate><CycleEndDate>2025-03-01</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>LX</SupplierCode><CategoryID>22</CategoryID><SubCategoryID>196</SubCategoryID><GroupID>1566</GroupID><ARTGs><ARTG>182921</ARTG></ARTGs><MinimumBenefit>18</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2011-08-01</CycleStartDate><CycleEndDate>2025-03-01</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>305024</ARTG><ARTG>304387</ARTG><ARTG>358293</ARTG><ARTG>375450</ARTG><ARTG>355711</ARTG><ARTG>124177</ARTG><ARTG>389472</ARTG><ARTG>123984</ARTG><ARTG>305019</ARTG><ARTG>375451</ARTG></ARTGs><MinimumBenefit>14369</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-07-01</CycleStartDate><CycleEndDate>2025-03-01</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><MinimumBenefit>6808</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2024-11-01</CycleStartDate><CycleEndDate>2025-03-01</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>124177</ARTG><ARTG>292265</ARTG><ARTG>123984</ARTG><ARTG>375452</ARTG><ARTG>444958</ARTG><ARTG>305024</ARTG><ARTG>358293</ARTG><ARTG>304387</ARTG><ARTG>355711</ARTG><ARTG>444959</ARTG><ARTG>305019</ARTG><ARTG>375451</ARTG></ARTGs><MinimumBenefit>14369</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2024-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BD029</BillingCode><PriorBillingCodes><PriorBillingCode>BD024</PriorBillingCode><PriorBillingCode>BD026</PriorBillingCode></PriorBillingCodes><Name>HiRes Ultra Cochlear Implant</Name><Description>The HiRes Ultra Cochlear Implant  with HiFocus is the implanted component of the HiResolution Bionic Ear System. It receives information through an RF transmission coil, processes the information and then sends the resulting signal to an electrode array implanted in the cochlear. It consists of receiving/transmitting coil, Stimulator electrodes and either HiFocus Mid-Scala Electrode array or HiFocus SlimJ electrode array</Description><Size>Implant Size: 56.2mm (L) x 28.5mm (w) x 4.5mm (thickness).     HiFocus Mid-Scala Electrode: Active length 15mm, Tip diameter 0.5mm, Basal diameter 0.7mm. Total length of electrode array 23.7mm.  HiFocus SlimJ Electrode: Electrode size: Active length 20mm, Tip diameter 0.26mm, Basal electrode diameter 0.56mm. Total length of electrode array 23.7mm</Size><SupplierCode>BD</SupplierCode><CategoryID>22</CategoryID><SubCategoryID>196</SubCategoryID><GroupID>1526</GroupID><ARTGs><ARTG>295250</ARTG><ARTG>301320</ARTG></ARTGs><MinimumBenefit>12892</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>CO085</BillingCode><Name>Cochlear™ Nucleus® Profile Plus Series (CI622) Cochlear Implant with Slim Straight Electrode</Name><Description>Profile Plus Series CI622, 6th generation cochlear implant with Slim Straight electrode array. Titanium casing, removable magnet, 22 half-banded platinum electrodes, moulded in a durable tapered silicone seal, compatible with 1.5T and 3T static magnetic field.</Description><Size>One size</Size><SupplierCode>CO</SupplierCode><CategoryID>22</CategoryID><SubCategoryID>196</SubCategoryID><GroupID>1526</GroupID><ARTGs><ARTG>389668</ARTG></ARTGs><MinimumBenefit>12892</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2019-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>US012</BillingCode><Name>Mi1200 SYNCHRONY Cochlear Implant / Mi1200 SYNCHRONY PIN Cochlear Implant</Name><Description>Ultra small titanium implant with flexible atraumatic electrode arrays provide complete cochlea coverage. Removable and self-aligning magnet is MRI safe at 3.0 Tesla (without magnet removal)</Description><Size>Stimulator Housing: L 17.3mm, W 25.4mm, Thin 4.5mm, Weight 7.6g.  Electrode: Standard (26.4mm), Compressed (12.1mm), Medium (20.9mm), FLEX24 (20.9mm), FLEX26 (20.9mm), FLEXsoft (26.4mm), FLEX28 (23.1mm), FORM19 (14.3mm), FORM24 (18.7mm), FLEX20 (15.4mm)</Size><SupplierCode>US</SupplierCode><CategoryID>22</CategoryID><SubCategoryID>196</SubCategoryID><GroupID>1526</GroupID><ARTGs><ARTG>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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>CO083</BillingCode><Name>Cochlear™ Nucleus® Profile Plus Series (CI632) Cochlear Implant with Slim Modiolar Electrode</Name><Description>Profile Plus Series CI632, 6th generation cochlear implant with Slim Modiolar electrode array. Sheath, titanium casing, removable magnet, 22 half-banded platinum electrodes, moulded in a durable tapered silicone seal, compatible with 1.5T and 3T static magnetic field.</Description><Size>One size</Size><SupplierCode>CO</SupplierCode><CategoryID>22</CategoryID><SubCategoryID>196</SubCategoryID><GroupID>1526</GroupID><ARTGs><ARTG>389693</ARTG></ARTGs><MinimumBenefit>12892</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2019-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>CO024</BillingCode><Name>Nucleus Freedom Implant with Straight Electrode</Name><Description>Model CI24RE (ST), Generation 4 Cochlear Implant with straight array electrode</Description><Size>One size only</Size><SupplierCode>CO</SupplierCode><CategoryID>22</CategoryID><SubCategoryID>196</SubCategoryID><GroupID>1526</GroupID><ARTGs><ARTG>389475</ARTG></ARTGs><MinimumBenefit>12892</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BD020</BillingCode><Name>HiRes90K Advantage Cochlear Implant with HiFocus 1j Electrode</Name><Description>The HiRes90K Advantage Cochlear Implant  with HiFocus 1j Electrode is the implanted component of the HiResolution Bionic Ear System. It receives information through an RF transmission coil, processes the information and then sends the resulting signal to an electrode array implanted in the cochlear. It consists of receiving/transmitting coil, Stimulator electrodes and HiFocus 1j Electrode array</Description><Size>Implant Size: 56mm (L) x 28mm (w x5.7mm (thickness). Electrode size: Active length 17mm, Tip diameter 0.4mm, Basal diameter 0.8mm. Total length of electrode array 25mm</Size><SupplierCode>BD</SupplierCode><CategoryID>22</CategoryID><SubCategoryID>196</SubCategoryID><GroupID>1526</GroupID><ARTGs><ARTG>220306</ARTG></ARTGs><MinimumBenefit>12892</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2014-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BD022</BillingCode><Name>HiRes90K Advantage Cochlear Implant with the HiFocus Mid-Scala Electrode</Name><Description>The HiRES90K Advantage Cochlear Implant with HiFocus Mid-Scala electrode is the implanted component of the HiResolution Bionic Ear System. It receives information through an RF transmission coil, processes the information and then sends the resulting signal to an electrode array implanted in the cochlea. It consists of receiving/transmitting coil, Stimulator electrodes and HiFocus Mid-Scala Electrode array</Description><Size>Implant Size: 56mm (L) x 28mm (w) x 5.7mm (thickness. Electrode size: Active length 15mm, Tip diameter 0.5mm, Basal diameter 0.7mm. Total length of electrode array 23.7mm</Size><SupplierCode>BD</SupplierCode><CategoryID>22</CategoryID><SubCategoryID>196</SubCategoryID><GroupID>1526</GroupID><ARTGs><ARTG>220306</ARTG></ARTGs><MinimumBenefit>12892</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2014-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>US028</BillingCode><Name>Mi1250 SYNCHRONY 2 Cochlear Implant /   Mi1250 SYNCHRONY 2 PIN Cochlear Implant</Name><Description>Ultra small titanium implant with symmetrical central and flexible atraumatic electrode arrays provide complete cochlea coverage.  Removable and self-aligning magnet is conditionally MRI  safe for 3.0 Tesla MRI scans (without magnet removal).</Description><Size>Stimulator Housing: L 47.3 mm, W 24 mm, Thin 4.5 mm, Weight 7.7g    Electrode: Standard (26.4mm), Medium (20.9mm), Compressed (12.1mm), FLEXsoft (26.4mm), FLEX28 (23.1mm),  FLEX26 (20.9mm), FLEX24 (20.9mm), FLEX20 (15.4mm), FORM24 (18.7mm), FORM19 (14.3mm)</Size><SupplierCode>US</SupplierCode><CategoryID>22</CategoryID><SubCategoryID>196</SubCategoryID><GroupID>1526</GroupID><ARTGs><ARTG>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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>CO078</BillingCode><Name>Cochlear™ Nucleus® CI532 Cochlear Implant with Slim Modiolar Electrode</Name><Description>Model CI532, 5th generation cochlear implant with slim modiolar electrode array. Sheath, titanium casing, removable magnet, 22 half-banded platinum electrodes, moulded in a durable tapered silicone seal. Compatible with 1.5T static magnetic field.</Description><Size>One size</Size><SupplierCode>CO</SupplierCode><CategoryID>22</CategoryID><SubCategoryID>196</SubCategoryID><GroupID>1526</GroupID><ARTGs><ARTG>389476</ARTG></ARTGs><MinimumBenefit>12892</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>CO046</BillingCode><Name>Cochlear™ Nucleus® CI512 Cochlear Implants with Contour Advance Electrode</Name><Description>Model CI512, 5th generation cochlear implant with perimodiloar electrode array. Titanium casing, removable magnet, 22 half-banded platinum electrodes, moulded in a durable silicone seal.</Description><Size>One Size</Size><SupplierCode>CO</SupplierCode><CategoryID>22</CategoryID><SubCategoryID>196</SubCategoryID><GroupID>1526</GroupID><ARTGs><ARTG>389667</ARTG></ARTGs><MinimumBenefit>12892</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2010-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>CO084</BillingCode><Name>Cochlear™ Nucleus® Plus Series (CI612) Cochlear Implant with Contour Advance Electrode</Name><Description>Profile Plus Series CI612, 6th generation cochlear implant with Contour Advance electrode array. Titanium casing, removable magnet, 22 half-banded platinum electrodes, moulded in a durable tapered silicone seal, compatible with 1.5T and 3T static magnetic field.</Description><Size>One size</Size><SupplierCode>CO</SupplierCode><CategoryID>22</CategoryID><SubCategoryID>196</SubCategoryID><GroupID>1526</GroupID><ARTGs><ARTG>389471</ARTG></ARTGs><MinimumBenefit>12892</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2019-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BD030</BillingCode><Name>HiRes Ultra 3D Cochlear Implant</Name><Description>The HiRes Ultra 3D Cochlear Implant is the implanted component of the HiResolution Bionic Ear System. It receives information through an RF transmission coil, processes the information and then sends the resulting signal to an electrode array implanted in the cochlear. It consists of receiving/transmitting coil, Stimulator electrodes and two electrode variations HiFocus MidScala or HiFocus SlimJ Electrode array</Description><Size>Implant Size: 56.2mm (L) x 28.5mm (w) x 4.5mm (thickness).   HiFocus MidScala Electrode: Active length 15mm, Tip diameter 0.5mm, Basal diameter 0.7mm. Total length of electrode array 23.7mm  HiFocus SlimJ Electrode: Electrode size: Active length 20mm, Tip diameter 0.26mm, Basal electrode diameter 0.56mm. Total length of electrode array 23.7mm</Size><SupplierCode>BD</SupplierCode><CategoryID>22</CategoryID><SubCategoryID>196</SubCategoryID><GroupID>1526</GroupID><ARTGs><ARTG>375483</ARTG></ARTGs><MinimumBenefit>12892</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>CO074</BillingCode><Name>Cochlear Nucleus CI522 Cochlear Implant with Slim Straight Electrode</Name><Description>Model CI522, 5th generation cochlear implant with straight electrode array. Titanium casing, removable magnet, 22 half-banded platinum electrodes, moulded in a durable tapered silicone seal.</Description><Size>One size</Size><SupplierCode>CO</SupplierCode><CategoryID>22</CategoryID><SubCategoryID>196</SubCategoryID><GroupID>1526</GroupID><ARTGs><ARTG>389477</ARTG></ARTGs><MinimumBenefit>12892</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2015-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>OI035</BillingCode><Name>Neuro Zti Cochlear Implant</Name><Description>The Neuro Zti is a multi-channel cochlear implant. It is designed to be surgically implanted and consists of the receiver/stimulator implanted under the skin on the temporal aspect of the skull and a multichannel electrode designed to be inserted within the Scala Tympani of the cochlea. These electrodes will provide electrical stimulation to the auditory nerve, leading to activation of user’s auditory pathway, and perception of sound percept.</Description><Size>Two variants exist for the Neuro Zti:
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>284148</ARTG><ARTG>284150</ARTG></ARTGs><MinimumBenefit>12892</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>CO097</BillingCode><Name>Cochlear Nucleus Nexa (CI1022) Cochlear Implant with Slim Straight Electrode</Name><Description>Nucleus Nexa series (CI1022) cochlear implant with Slim Straight electrode array. Titanium casing, removable magnet, 22 half banded platinum electrodes, moulded in a durable tapered silicone seal, and compatible with 1.5T and 3T static magnetic field. The CI1022 implant is designed to function in a similar manner to the Profile Plus Series (CI622) implant.</Description><Size>One size</Size><SupplierCode>CO</SupplierCode><CategoryID>22</CategoryID><SubCategoryID>196</SubCategoryID><GroupID>1526</GroupID><ARTGs><ARTG>475907</ARTG></ARTGs><ChangeExplanation>New listing</ChangeExplanation><MinimumBenefit>12892</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2025-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>CO096</BillingCode><Name>Cochlear Nucleus Nexa (CI1012) Cochlear Implant with Contour Advance Electrode</Name><Description>Nucleus Nexa series (CI1012) cochlear implant with Contour Advance electrode array. Titanium casing, removable magnet, 22 half banded platinum electrodes, moulded in a durable tapered silicone seal, and compatible with 1.5T and 3T static magnetic field. The CI1012 implant is designed to function in a similar manner to the Profile Plus Series (CI612) implant.</Description><Size>One size</Size><SupplierCode>CO</SupplierCode><CategoryID>22</CategoryID><SubCategoryID>196</SubCategoryID><GroupID>1526</GroupID><ARTGs><ARTG>475906</ARTG></ARTGs><ChangeExplanation>New listing</ChangeExplanation><MinimumBenefit>12892</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2025-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>CO092</BillingCode><Name>Cochlear Nucleus Nexa (CI1032) Cochlear Implant with Slim Modiolar Electrode</Name><Description>Nucleus Nexa series (CI1032), cochlear implant with Slim Modiolar electrode array. Sheath, titanium casing, removable magnet, 22 half banded platinum-iridium electrodes, moulded in a durable tapered silicone seal, and compatible with 1.5T and 3T static magnetic field. The CI1032 implant is designed to function in a similar manner to the Profile Plus Series (CI632) implant.</Description><Size>One size</Size><SupplierCode>CO</SupplierCode><CategoryID>22</CategoryID><SubCategoryID>196</SubCategoryID><GroupID>1526</GroupID><ARTGs><ARTG>475908</ARTG></ARTGs><ChangeExplanation>New listing</ChangeExplanation><MinimumBenefit>12892</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2025-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MI151</BillingCode><Name>ALAR Nasal Valve Stent</Name><Description>Nasal valve stent for repair of nasal vestibular stenosis and nasal valve collapse.</Description><Size>20mm long x 16mm wide</Size><SupplierCode>MI</SupplierCode><CategoryID>22</CategoryID><SubCategoryID>197</SubCategoryID><GroupID>1817</GroupID><ARTGs><ARTG>218121</ARTG></ARTGs><MinimumBenefit>172</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2014-08-01</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>OL026</BillingCode><Name>Septal Button</Name><Description>Plastipore</Description><Size>One size only</Size><SupplierCode>OL</SupplierCode><CategoryID>22</CategoryID><SubCategoryID>197</SubCategoryID><GroupID>1568</GroupID><ARTGs><ARTG>143266</ARTG></ARTGs><MinimumBenefit>135</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2010-02-01</CycleStartDate><CycleEndDate>2025-03-01</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>LX</SupplierCode><CategoryID>22</CategoryID><SubCategoryID>197</SubCategoryID><GroupID>1568</GroupID><ARTGs><ARTG>338464</ARTG></ARTGs><MinimumBenefit>135</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BQ007</BillingCode><Name>ProTrach DualCare Set</Name><Description>ProTrach DualCare is attached to a tracheostomy tube and is designed to eliminate the necessity of finger occlusion, enabling the tracheostomised patient to speak easily and more clearly. It combines a speaking valve with an HME, and this way both enabling hands-free speech and helping to keep the lungs healthy by providing the important humidification of the inhaled air. The Set includes: 180pc HME Regular, 1pc Speaking Valve, 1pc ProTrach HME DigiTop, 1 Removal Aid and 1 connection strap.</Description><Size>15mm  22mm</Size><SupplierCode>BQ</SupplierCode><CategoryID>22</CategoryID><SubCategoryID>198</SubCategoryID><GroupID>1569</GroupID><ARTGs><ARTG>275618</ARTG></ARTGs><MinimumBenefit>628</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BQ008</BillingCode><Name>ProTrach DualCare Speaking Valve</Name><Description>ProTrach DualCare System is attached to a tracheostomy tube and is designed to eliminate the necessity of finger occlusion, enabling the tracheostomised patient to speak easily and more clearly. It combines a speaking valve with a HME and in this way enabling speaking and supporing your lungs with important heating and moisturising. The Set includes: 1pc Speaking Valve, 1pc ProTrach HME DigiTop, 1 Removal Aid and 1 connection strap.ProTrach DualCare Speaking Valve, 1 HME DigiTop, 1 removal aid and 1pc Connection Strap</Description><Size>15mm
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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BQ010</BillingCode><Name>Tracheal Speaking Valve</Name><Description>Provox a) Two b) Vega c) Vega Puncture Set</Description><Size>a) 4.5, 6, 8, 10, 12.5, 15mm
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>236026</ARTG><ARTG>120197</ARTG></ARTGs><MinimumBenefit>92</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>PT002</BillingCode><Name>Blom-Singer® Classic, Rapid Response Indwelling Voice Prostheses</Name><Description>A range of valved silicone voice prostheses that are placed into a tracheoesophageal puncture at the time of surgery. The Prosthesis resides between the back wall of the trachea into the esophageal wall to enable tracheosophageal speech.

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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>PT001</BillingCode><Name>Blom-Singer® Dual Valve and Advantage Voice Prosthesis</Name><Description>A range of valved silicone voice prostheses with specific anti-fungal and anti-leakage attributes, that are placed into a tracheoesophageal puncture at the time of surgery. The Prosthesis resides between the back wall of the trachea into the esophageal wall to enable tracheosophageal speech.</Description><Size>Dual Valve: 16 French and 20 French diameters 4-14mm length 
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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>PT003</BillingCode><PriorBillingCodes><PriorBillingCode>BQ009</PriorBillingCode></PriorBillingCodes><Name>Tracheal Speaking Valve</Name><Description>Passy Muir Tracheal Speaking Valve</Description><Size>one size</Size><SupplierCode>PT</SupplierCode><CategoryID>22</CategoryID><SubCategoryID>198</SubCategoryID><GroupID>1569</GroupID><ARTGs><ARTG>279056</ARTG></ARTGs><MinimumBenefit>92</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>OL071</BillingCode><Name>Vocal Cord Medialisation Implant</Name><Description>Vocom Larynx Medial Implant - Hydroxylapatite</Description><Size>3 - 7mm Head</Size><SupplierCode>OL</SupplierCode><CategoryID>22</CategoryID><SubCategoryID>198</SubCategoryID><GroupID>1570</GroupID><ARTGs><ARTG>143279</ARTG></ARTGs><MinimumBenefit>248</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2010-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>OL072</BillingCode><Name>Vocal Cord Medialisation Implant</Name><Description>Vocom Shim for Medial Implant - Hydroxylapatite</Description><Size>1mm - 3mm Offset</Size><SupplierCode>OL</SupplierCode><CategoryID>22</CategoryID><SubCategoryID>198</SubCategoryID><GroupID>1570</GroupID><ARTGs><ARTG>143279</ARTG></ARTGs><MinimumBenefit>248</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2010-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>PT004</BillingCode><PriorBillingCodes><PriorBillingCode>BQ001</PriorBillingCode></PriorBillingCodes><Name>Vocal Chord Medialisation Implant</Name><Description>Montgomery Laryngeal Keel</Description><Size>12, 14, 16 - Clear and Radiopaque</Size><SupplierCode>PT</SupplierCode><CategoryID>22</CategoryID><SubCategoryID>198</SubCategoryID><GroupID>1570</GroupID><ARTGs><ARTG>119029</ARTG></ARTGs><MinimumBenefit>248</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-03-01</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>PT007</BillingCode><PriorBillingCodes><PriorBillingCode>BQ005</PriorBillingCode></PriorBillingCodes><Name>Thyroplasty</Name><Description>Montgomery Thyroplasty Implant System</Description><Size>male - 8,9,10,11,12,13  female - 6,7,8,9,10</Size><SupplierCode>PT</SupplierCode><CategoryID>22</CategoryID><SubCategoryID>198</SubCategoryID><GroupID>1573</GroupID><ARTGs><ARTG>117683</ARTG></ARTGs><MinimumBenefit>1057</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>PT006</BillingCode><PriorBillingCodes><PriorBillingCode>BQ006</PriorBillingCode></PriorBillingCodes><Name>Extra-tracheal Cannula</Name><Description>a) Montgomery Short-Term Cannula   b) Montgomery Long-Term Cannula</Description><Size>a) 4, 6, 8, 10 b) 4, 6, 8, 10 for Stoma Sizes 17-25, 25-33, 33-41, 41-49, 49-57, 57-65mm</Size><SupplierCode>PT</SupplierCode><CategoryID>22</CategoryID><SubCategoryID>198</SubCategoryID><GroupID>1574</GroupID><Suffix>Extra-tracheal</Suffix><ARTGs><ARTG>119737</ARTG></ARTGs><MinimumBenefit>269</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>PT005</BillingCode><PriorBillingCodes><PriorBillingCode>BQ003</PriorBillingCode></PriorBillingCodes><Name>Intra-tracheal Cannula</Name><Description>Montgomery Safe-T-Tubes Clear and Radiopaque except c)   a) Paediatric   b) Standard   c) Hebeler    d) Thoracic    e) Extra-Long    f) Tapered   g) Montgomery Salivary Bypass Tube   h) Har-el Pharyngeal Tube   i) Montgomery Esophageal Tube  j) Trachael Fenestrator  k) Moore Trache</Description><Size>a) 6, 7, 8, 9   b) 10, 11, 12, 13, 14. 15, 16  c) 12, 15, 18   d) 10, 11, 12, 13, 14, 15, 16   e) 10, 11, 12, 13, 14, 15, 16   f) 8/10, 10/13   g) 8, 10, 12, 14, 16, 18, 20   h) one size only   i) one size only  j) size 6, 8 and 10  k) size 6 and 8</Size><SupplierCode>PT</SupplierCode><CategoryID>22</CategoryID><SubCategoryID>198</SubCategoryID><GroupID>1574</GroupID><Suffix>Intra-tracheal</Suffix><ARTGs><ARTG>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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ET040</BillingCode><Name>Vox Implants</Name><Description>Vox Implants are solid, irregularly textured, medical grade Polydimethylsiloxane Elastomer implants suspended in a hydrogel carrier</Description><Size>One size only</Size><SupplierCode>ET</SupplierCode><CategoryID>22</CategoryID><SubCategoryID>198</SubCategoryID><GroupID>1576</GroupID><ARTGs><ARTG>146733</ARTG></ARTGs><MinimumBenefit>7401</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>VX001</BillingCode><PriorBillingCodes><PriorBillingCode>SE001</PriorBillingCode></PriorBillingCodes><Name>SIR-Spheres including Delivery Apparatus</Name><Description>Biocompatible microspheres 20-60mm (microns) in diameter containing yttrium-90. Delivery apparatus is PVC tubing, ABS stopcocks, acrylic holders and stainless steel needles with PE hubs</Description><Size>One size only</Size><SupplierCode>VX</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>187</SubCategoryID><GroupID>1520</GroupID><ARTGs><ARTG>149332</ARTG><ARTG>149343</ARTG></ARTGs><MinimumBenefit>8090</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>KI010</BillingCode><Name>Corflo Max 20fg PEG Kit "Pull Type"</Name><Description>Sterile enteral feeding tube with  accessories</Description><Size>20fg</Size><SupplierCode>KI</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>189</SubCategoryID><GroupID>1544</GroupID><ARTGs><ARTG>196774</ARTG></ARTGs><MinimumBenefit>161</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>KI016</BillingCode><PriorBillingCodes><PriorBillingCode>KI006</PriorBillingCode><PriorBillingCode>KI015</PriorBillingCode></PriorBillingCodes><Name>MIC* &amp; MIC-KEY* Gastric-Jejunal Feeding Tubes, ENFit</Name><Description>MIC* Standard Gastric-Jejunal Feeding Tube: Medical Grade Silicone Construction, Inflatable Internal Retention Balloon, Gastric Decompression/Drainage Port, Multiple Gastric &amp; Jejunal Exit Ports, Tungsten Weighted Jejunal Portion, SECUR-LOK* External Retention Ring.    MIC-KEY* Low-Profile Gastric-Jejunal Feeding Tube: Low-profile Design, Medical Grade Silicone Construction, Inflatable Internal Retention Balloon, Gastric Decompression/Drainage Port, Multiple Gastric &amp; Jejunal Exit Ports, Tungsten Weighted Jejunal Portion, SECUR-LOK* Connection Mechanism for Extension Sets</Description><Size>MIC*: 16 - 22 French, 15cm - 45cm Jejunal Length  MIC-KEY*: 14 - 22 French, 15cm - 45cm Jejunal Length, 1cm - 7cm Stoma Length</Size><SupplierCode>KI</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>189</SubCategoryID><GroupID>1546</GroupID><Suffix>Port</Suffix><ARTGs><ARTG>248294</ARTG></ARTGs><MinimumBenefit>451</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2020-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>KI014</BillingCode><Name>MIC* Jejunostomy Feeding Tube</Name><Description>Sterile Jejunal Enteral Feeding Tube with Suture Wings (2 eaches per case)</Description><Size>14fg / 9fg</Size><SupplierCode>KI</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>189</SubCategoryID><GroupID>1546</GroupID><Suffix>Port</Suffix><ARTGs><ARTG>248294</ARTG></ARTGs><MinimumBenefit>451</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2019-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>FK016</BillingCode><Name>Freka Trelumina, ENFit</Name><Description>Transanasal, 3-lumen polyurethane tube for early jejunal feeding and gastric decompression in ICU patients</Description><Size>Intestinal feeding lumen: 9 Fr, length 150 cm   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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>FK009</BillingCode><Name>Freka Intestinal Tube, ENFit</Name><Description>Intestinal extension tube for the gastric Freka PEG FR 15 or FR 20. Made with integrated Teflon-coated wire with fitted Y-Connector and blue fixation screw, radio-opaque strip, interval markings every 10 cm, distal pigtail bend tip, 4 lateral outlet ports, straight open flexible tube with small antenna end</Description><Size>9 Fr x 120 cm 
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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>WC099</BillingCode><Name>Cook Jejunostomy Catheters</Name><Description>Composition - Catheter Radiopaque Stripe, includes Wireguide, Airplug, Fixation Device</Description><Size>9fr, Length 60cm</Size><SupplierCode>WC</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>189</SubCategoryID><GroupID>1546</GroupID><ARTGs><ARTG>139342</ARTG></ARTGs><MinimumBenefit>154</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>WC098</BillingCode><Name>Cook Jejunostomy Catheters</Name><Description>Composition - Catheter Radiopaque Stripe, includes Wireguide, Airplug, Fixation Device</Description><Size>12fr, length 66cm</Size><SupplierCode>WC</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>189</SubCategoryID><GroupID>1546</GroupID><ARTGs><ARTG>139342</ARTG></ARTGs><MinimumBenefit>154</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>FK010</BillingCode><Name>Freka FCJ Set FR 9, ENFit</Name><Description>System consisting of Freka polyurethrane tube, Freka ENfit Connector, Freka fixation plate, Freka tube clamp, long cannula with blunt steel mandrin for catheterisation of the jejenum, and short cannula for puncturing the abdominal wall</Description><Size>9 Fr, length 75 cm</Size><SupplierCode>FK</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>189</SubCategoryID><GroupID>1546</GroupID><Suffix>Port</Suffix><ARTGs><ARTG>126461</ARTG></ARTGs><MinimumBenefit>451</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2019-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>FK015</BillingCode><Name>Freka EasyIn, ENFit</Name><Description>Double lumen feeding and decompression tube for the early jejunal feeding and gastric decompression for ICU patients</Description><Size>Intestinal tube: 8 Fr, 270 cm  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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>FK014</BillingCode><Name>Freka Endolumina, ENFit</Name><Description>Single lumen feeding tube for the early jejunal feeding for ICU patients</Description><Size>8 Fr, length 270 cm</Size><SupplierCode>FK</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>189</SubCategoryID><GroupID>1546</GroupID><Suffix>Port</Suffix><ARTGs><ARTG>125846</ARTG></ARTGs><MinimumBenefit>451</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2019-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>KI017</BillingCode><PriorBillingCodes><PriorBillingCode>KI009</PriorBillingCode><PriorBillingCode>KI008</PriorBillingCode></PriorBillingCodes><Name>MIC* &amp; MIC-KEY* Balloon Jejunal Feeding Tubes</Name><Description>MIC* Standard Balloon Jejunal Feeding Tube and MIC-KEY* Low-Profile Balloon Feeding Tube are designed for the delivery of enteral nutrition and medication into the distal duodenum or proximal jejunum. They have a medical grade silicone construction with a single access port labeled 'Jejunal'. Wide range of sizes available.</Description><Size>MIC*: 12 - 24 French, 2-3ml Balloon (12Fr) 7-10ml Balloon volume (14-24Fr)  MIC-KEY*: 14 &amp; 18 French, 0.8cm - 4.5cm stoma length, 5ml balloon (max fill volume 10ml)</Size><SupplierCode>KI</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>189</SubCategoryID><GroupID>1546</GroupID><Suffix>Port</Suffix><ARTGs><ARTG>248294</ARTG></ARTGs><MinimumBenefit>451</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2020-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>WC197</BillingCode><Name>Cook Irrigation Catheter</Name><Description>Chait Percutaneous Cecostomy Catheter</Description><Size>10fr, Standard or Extra Long</Size><SupplierCode>WC</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>189</SubCategoryID><GroupID>1547</GroupID><ARTGs><ARTG>138361</ARTG></ARTGs><MinimumBenefit>320</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ET056</BillingCode><Name>Soft Basket Band. INFUSION PORT.</Name><Description>TITANIUM PORT</Description><Size>9.8CMS/13.3CMS</Size><SupplierCode>ET</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>190</SubCategoryID><GroupID>1779</GroupID><ARTGs><ARTG>148776</ARTG></ARTGs><MinimumBenefit>524</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2009-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>GQ002</BillingCode><PriorBillingCodes><PriorBillingCode>RS003</PriorBillingCode></PriorBillingCodes><Name>MiniMizer gastric band (injection port)</Name><Description>Adjustable Silicone band which is placed around the upper part of the stomach to reduce the volume and speed of intake of food. The injection port is used to inflate or deflate the gastric band therefore adjusting the diameter of the band.</Description><Size>Small or medium sized port.</Size><SupplierCode>GQ</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>190</SubCategoryID><GroupID>1779</GroupID><ARTGs><ARTG>205914</ARTG></ARTGs><MinimumBenefit>524</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2020-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LH413</BillingCode><Name>Miband Access Port (replacement)</Name><Description>A device, metallic or non- metallic, implanted in a patient for a short or long-term delivery of fluid or medications to the vascular system  or other anatomical region. The device consists of a housing, self-sealing septum and a catheter connection mechanism. The device may be implanted in a variety of anatomical locations.</Description><Size>Port Size - 10.6mm High, 24.7mm Base width- One Size only</Size><SupplierCode>LH</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>190</SubCategoryID><GroupID>1779</GroupID><ARTGs><ARTG>153863</ARTG></ARTGs><MinimumBenefit>524</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2009-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>AA008</BillingCode><Name>Bioring Gastric Band Replacement Port</Name><Description>Bioring gastric band access port with catheter and connector</Description><Size>Diameter 34mm; height 10.4mm</Size><SupplierCode>AA</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>190</SubCategoryID><GroupID>1779</GroupID><ARTGs><ARTG>163167</ARTG></ARTGs><MinimumBenefit>524</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2010-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LH527</BillingCode><Name>MIDCAL Ring</Name><Description>Adjustable Gastric Ring</Description><Size>65-80 mm circumference</Size><SupplierCode>LH</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>190</SubCategoryID><GroupID>1781</GroupID><ARTGs><ARTG>229709</ARTG></ARTGs><MinimumBenefit>2073</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2015-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>GQ001</BillingCode><PriorBillingCodes><PriorBillingCode>RS001</PriorBillingCode></PriorBillingCodes><Name>Minimizer Ring</Name><Description>Adjustable Gastric Ring</Description><Size>One size ranging from 6.5cm to a 8.0cm diameter</Size><SupplierCode>GQ</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>190</SubCategoryID><GroupID>1781</GroupID><ARTGs><ARTG>203396</ARTG></ARTGs><MinimumBenefit>2073</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2020-03-01</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LH003</BillingCode><Name>Adjustable Peri Gastric Belt-Midband</Name><Description>Silicon moulded peri gastric band and implantable chamber</Description><Size>Peri gastric band - 2.2 x 17.5 x 0.8cm, Implantable chamber - one size only</Size><SupplierCode>LH</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>190</SubCategoryID><GroupID>1548</GroupID><ARTGs><ARTG>145372</ARTG></ARTGs><MinimumBenefit>2791</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2008-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>AA010</BillingCode><Name>Adhesix Bioring Gastric Band</Name><Description>Adjustable gastric band system with mesh fixation of port</Description><Size>Small, Large and Extra Large</Size><SupplierCode>AA</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>190</SubCategoryID><GroupID>1548</GroupID><ARTGs><ARTG>181215</ARTG></ARTGs><MinimumBenefit>2791</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-02-01</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>GQ003</BillingCode><PriorBillingCodes><PriorBillingCode>RS002</PriorBillingCode></PriorBillingCodes><Name>MiniMizer gastric band.</Name><Description>Adjustable Silicone band which is placed around the upper part of the stomach to reduce the volume and speed of intake of food.</Description><Size>The gastric band comes in two sizes: Regular and Large</Size><SupplierCode>GQ</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>190</SubCategoryID><GroupID>1548</GroupID><ARTGs><ARTG>203396</ARTG></ARTGs><MinimumBenefit>2791</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2020-03-01</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>JJ831</BillingCode><Name>Ethicon Endo-Surgery curved adjustable gastric band with sutureless port and applier</Name><Description>Silicone</Description><Size>One size only</Size><SupplierCode>JJ</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>190</SubCategoryID><GroupID>1548</GroupID><ARTGs><ARTG>94766</ARTG></ARTGs><MinimumBenefit>2791</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2011-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>PV001</BillingCode><PriorBillingCodes><PriorBillingCode>DV024</PriorBillingCode></PriorBillingCodes><Name>Haemorrhage Occluder Pin with applicator</Name><Description>Designed to control severe presacral bleeding during pelvic surgery.</Description><Size>Two sizes: 10mm and 14mm</Size><SupplierCode>PV</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>191</SubCategoryID><GroupID>1551</GroupID><ARTGs><ARTG>133897</ARTG></ARTGs><MinimumBenefit>286</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BA260</BillingCode><Name>Arista AH</Name><Description>Arista Absorbable Haemostatic Particles</Description><Size>1g</Size><SupplierCode>BA</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>191</SubCategoryID><GroupID>1552</GroupID><ARTGs><ARTG>233611</ARTG></ARTGs><MinimumBenefit>45</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2015-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BA261</BillingCode><Name>Arista AH</Name><Description>Arista Absorbable Haemostatic Particles</Description><Size>3g</Size><SupplierCode>BA</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>191</SubCategoryID><GroupID>1552</GroupID><ARTGs><ARTG>233611</ARTG></ARTGs><MinimumBenefit>132</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2015-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BA262</BillingCode><Name>Arista AH</Name><Description>Arista Absorbable Haemostatic Particles</Description><Size>5g</Size><SupplierCode>BA</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>191</SubCategoryID><GroupID>1552</GroupID><ARTGs><ARTG>276133</ARTG></ARTGs><ChangeExplanation>Change to ARTG</ChangeExplanation><MinimumBenefit>217</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Update</ActionFlag><CycleStartDate>2015-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BX337</BillingCode><Name>Ostene 3.5g Bone Haemostasis material</Name><Description>OSTENE is a water soluble polymer which provides immediate bone haemostasis, ie a bone haemostasis material, in surgical procedures</Description><Size>3.5g</Size><SupplierCode>BX</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>191</SubCategoryID><GroupID>1552</GroupID><ARTGs><ARTG>229426</ARTG></ARTGs><MinimumBenefit>158</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2015-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SV055</BillingCode><Name>Starsil Haemostat</Name><Description>Plant based haemostatic powder</Description><Size>5g</Size><SupplierCode>SV</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>191</SubCategoryID><GroupID>1552</GroupID><ARTGs><ARTG>230577</ARTG></ARTGs><MinimumBenefit>217</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2015-08-01</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SV053</BillingCode><Name>Starsil Haemostat</Name><Description>Plant based haemostatic powder</Description><Size>1g</Size><SupplierCode>SV</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>191</SubCategoryID><GroupID>1552</GroupID><ARTGs><ARTG>230577</ARTG></ARTGs><MinimumBenefit>45</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2015-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BX347</BillingCode><PriorBillingCodes><PriorBillingCode>AB081</PriorBillingCode></PriorBillingCodes><Name>PerClot Standard &amp; XL - 3 grams</Name><Description>PerClot Polysaccharide Hemostatic System</Description><Size>3 grams</Size><SupplierCode>BX</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>191</SubCategoryID><GroupID>1552</GroupID><ARTGs><ARTG>162991</ARTG><ARTG>275318</ARTG></ARTGs><MinimumBenefit>132</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LH408</BillingCode><Name>Geli Putty(Powder, 1g)</Name><Description>Geli Putty is a single- use, water insoluble, fully bioabsorbable gelatin powder comprising milled sponges (Gelita-Spon) made from 100% pharmaceutical grade porcine gelatin mixed with sterile liquid (e.g. saline or antibiotic solution) prior to use.</Description><Size>1 gram</Size><SupplierCode>LH</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>191</SubCategoryID><GroupID>1552</GroupID><ARTGs><ARTG>155091</ARTG></ARTGs><MinimumBenefit>45</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2009-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BF024</BillingCode><Name>NexStat</Name><Description>The Topical Hemostatic powder consists of purified potato starch polysaccharide. These products are sterile packed and intended for single use.</Description><Size>3grams</Size><SupplierCode>BF</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>191</SubCategoryID><GroupID>1552</GroupID><ARTGs><ARTG>280607</ARTG></ARTGs><MinimumBenefit>132</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BX336</BillingCode><Name>OSTENE Bone Haemostasis material 2.5g</Name><Description>OSTENE is a water soluble polymer which provides immediate bone haemostasis, ie a bone haemostasis material, in surgical procedures</Description><Size>2.5g per stick</Size><SupplierCode>BX</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>191</SubCategoryID><GroupID>1552</GroupID><ARTGs><ARTG>229426</ARTG></ARTGs><MinimumBenefit>107</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2015-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BX345</BillingCode><PriorBillingCodes><PriorBillingCode>AB079</PriorBillingCode></PriorBillingCodes><Name>PerClot Laparascopic</Name><Description>PerClot Polysaccharide Hemostatic System</Description><Size>3 grams</Size><SupplierCode>BX</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>191</SubCategoryID><GroupID>1552</GroupID><ARTGs><ARTG>164507</ARTG></ARTGs><MinimumBenefit>132</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SV054</BillingCode><Name>Starsil Haemostat</Name><Description>Plant based haemostatic powder</Description><Size>2g</Size><SupplierCode>SV</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>191</SubCategoryID><GroupID>1552</GroupID><ARTGs><ARTG>230577</ARTG></ARTGs><MinimumBenefit>90</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2015-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BA301</BillingCode><Name>Avitene MCH</Name><Description>Avitene MCH Flour is a Microfibrillar 100% bovine collagen, topical haemostat which does not contain Thrombin. Flour is defined as a loose fibrous which can be manipulated to conform to any shape or surface. Avitene™ (MCH), in contact with a bleeding surface, attracts platelets which adhere to the fibrils  and undergo the release phenomenon to trigger aggregation of platelets into thrombi in the interstices of the fibrous mass.</Description><Size>0.5 gram  1.0 gram  5.0 gram</Size><SupplierCode>BA</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>191</SubCategoryID><GroupID>1552</GroupID><ARTGs><ARTG>332522</ARTG></ARTGs><MinimumBenefit>45</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MN234</BillingCode><Name>Surgicel Powder</Name><Description>Absorbable Haemostatic Powder</Description><Size>3.0grams</Size><SupplierCode>JJ</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>191</SubCategoryID><GroupID>1552</GroupID><ARTGs><ARTG>296463</ARTG></ARTGs><MinimumBenefit>132</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>XQ001</BillingCode><PriorBillingCodes><PriorBillingCode>AB083</PriorBillingCode><PriorBillingCode>DE604</PriorBillingCode><PriorBillingCode>RH027</PriorBillingCode></PriorBillingCodes><Name>HaemoCer Haemostatic Powder</Name><Description>Absorbable Polysaccharide Haemostat</Description><Size>5gms</Size><SupplierCode>XQ</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>191</SubCategoryID><GroupID>1552</GroupID><ARTGs><ARTG>205062</ARTG></ARTGs><ChangeExplanation>
Billing code transferred from AB083
Sponsor transferred from Advanced Biomedical Pty Ltd</ChangeExplanation><MinimumBenefit>217</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2022-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>JJ636</BillingCode><Name>Spongostan Absorbable Haemostatic Gelatin Powder</Name><Description>1 g Porcine Absorbable Haemostatic Gelatin Powder</Description><Size>1 gram</Size><SupplierCode>JJ</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>191</SubCategoryID><GroupID>1552</GroupID><ARTGs><ARTG>144853</ARTG></ARTGs><MinimumBenefit>45</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2008-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>XQ002</BillingCode><PriorBillingCodes><PriorBillingCode>AB084</PriorBillingCode><PriorBillingCode>DE605</PriorBillingCode><PriorBillingCode>RH026</PriorBillingCode></PriorBillingCodes><Name>HaemoCer Haemostatic Powder</Name><Description>Absorbable Polysaccharide Haemostat</Description><Size>2gms</Size><SupplierCode>XQ</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>191</SubCategoryID><GroupID>1552</GroupID><ARTGs><ARTG>205062</ARTG></ARTGs><ChangeExplanation>
Billing code transferred from AB084
Sponsor transferred from Advanced Biomedical Pty Ltd</ChangeExplanation><MinimumBenefit>90</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2022-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BF021</BillingCode><Name>SealFoam, High Density</Name><Description>SealFoam is an absorbable Polysaccharide Haemostat</Description><Size>60mm x 40mm x 2mm
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>2025-03-01</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SL083</BillingCode><Name>Nasastent</Name><Description>Dissolvable intranasal splint made from CMC that absorbs nasal fluids, it turns into a hydrocolloidal gel that naturally drains from the nasal cavity</Description><Size>5cm</Size><SupplierCode>SN</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SL081</BillingCode><Name>STAMMBERGER SINU-FOAM</Name><Description>Viscous CMC-based dissolvable foam for the nasal cavity</Description><Size>One size</Size><SupplierCode>SN</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ME230</BillingCode><Name>NexPak X</Name><Description>Intranasal splint</Description><Size>8cms</Size><SupplierCode>ME</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>191</SubCategoryID><GroupID>1797</GroupID><ARTGs><ARTG>328036</ARTG></ARTGs><MinimumBenefit>93</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-07-01</CycleStartDate><CycleEndDate>2025-03-01</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>335506</ARTG><ARTG>335505</ARTG></ARTGs><MinimumBenefit>1500</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2023-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BS071</BillingCode><Name>Ultraflex Precision Colonic Stent</Name><Description>Nitinol, self expanding stent</Description><Size>Diameters up to 30mm &amp; lengths up to 150mm</Size><SupplierCode>BS</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>192</SubCategoryID><GroupID>1557</GroupID><Suffix>Self Expanding</Suffix><ARTGs><ARTG>119517</ARTG></ARTGs><MinimumBenefit>2762</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>UK008</BillingCode><PriorBillingCodes><PriorBillingCode>BS300</PriorBillingCode></PriorBillingCodes><Name>HANAROSTENT and CHOOSTENT</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>447272</ARTG><ARTG>447290</ARTG></ARTGs><ChangeExplanation>Change to Product name, ARTG</ChangeExplanation><MinimumBenefit>2762</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Update</ActionFlag><CycleStartDate>2019-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>DE692</BillingCode><PriorBillingCodes><PriorBillingCode>PY023</PriorBillingCode></PriorBillingCodes><Name>Niti-S Colorectal D-Type Stent</Name><Description>Niti-S Colorectal D-Type self-expanding Stent</Description><Size>Diameters: 18 to 30mm   Lengths: 60 to 150mm</Size><SupplierCode>DE</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>192</SubCategoryID><GroupID>1557</GroupID><Suffix>Self Expanding</Suffix><ARTGs><ARTG>130747</ARTG></ARTGs><MinimumBenefit>2762</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2019-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>DE693</BillingCode><PriorBillingCodes><PriorBillingCode>PY024</PriorBillingCode></PriorBillingCodes><Name>Niti-S Colorectal Stent</Name><Description>Niti-S Colorectal self-expanding metal stent made from Nitinol.  Stent PTFE covered and uncovered OTW or TTS with string for ease of removal.</Description><Size>Diameter:  18mm to 30mm  Length: 30mm to 160mm</Size><SupplierCode>DE</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>192</SubCategoryID><GroupID>1557</GroupID><Suffix>Self Expanding</Suffix><ARTGs><ARTG>130747</ARTG></ARTGs><MinimumBenefit>2762</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2019-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BS289</BillingCode><Name>Advanix Plastic Stent</Name><Description>Plastic stent manufactured individually, indicated for the treatment of pancreatic strictures.</Description><Size>2 - 18cm length / 3 - 10 FR diameter</Size><SupplierCode>BS</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>192</SubCategoryID><GroupID>1561</GroupID><ARTGs><ARTG>226891</ARTG></ARTGs><MinimumBenefit>77</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2015-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>WC123</BillingCode><Name>Geenen Pancreatic Stent</Name><Description>Straight plastic pancreatic stent with or without ductal flaps</Description><Size>Diameter 3 - 11.5 FR, length 2 - 20cm</Size><SupplierCode>WC</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>192</SubCategoryID><GroupID>1561</GroupID><ARTGs><ARTG>142998</ARTG></ARTGs><MinimumBenefit>77</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>WC079</BillingCode><Name>Zimmon Pancreatic Stent</Name><Description>Single pigtail with radio-opaque band</Description><Size>Diameter 4 - 10FR, Length 2 - 18cm</Size><SupplierCode>WC</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>192</SubCategoryID><GroupID>1561</GroupID><ARTGs><ARTG>142998</ARTG></ARTGs><MinimumBenefit>77</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>WC212</BillingCode><Name>Zimmom Pancreatic Stent</Name><Description>Single pigtail radio-opaque Polyethylene Stent with or without ductal flaps</Description><Size>Diameter 3 - 7 FR, Length 3 - 18cm</Size><SupplierCode>WC</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>192</SubCategoryID><GroupID>1561</GroupID><ARTGs><ARTG>142998</ARTG></ARTGs><MinimumBenefit>77</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>WC271</BillingCode><Name>Geenen Sof-Flex Pancreatic Stent</Name><Description>Straight plastic pancreatic stent with or without ductal flaps</Description><Size>Diameter 3 - 10 Fr; length 2 - 15cm</Size><SupplierCode>WC</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>192</SubCategoryID><GroupID>1561</GroupID><ARTGs><ARTG>142998</ARTG></ARTGs><MinimumBenefit>77</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2009-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BS290</BillingCode><Name>Advanix Plastic Stent and Pusher Kit</Name><Description>Plastic stent manufactured, indicated for the treatment of pancreatic strictures.
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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>DE689</BillingCode><PriorBillingCodes><PriorBillingCode>PY017</PriorBillingCode></PriorBillingCodes><Name>Niti-S Pyloric/Duodenal Stent</Name><Description>Niti-S Pyloric self-expanding stent, covered and uncovered, OTW or TTS</Description><Size>Diameter:  16 to 28mm   Length: 40 to 160mm</Size><SupplierCode>DE</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>192</SubCategoryID><GroupID>1562</GroupID><ARTGs><ARTG>130746</ARTG></ARTGs><MinimumBenefit>3159</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2019-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>WC268</BillingCode><Name>Evolution Enteral Metal Stent</Name><Description>Enteral Metal Stent</Description><Size>Diameter 22 to 25mm body; 27 to 30mm flanges. Length: 6 to 12cm</Size><SupplierCode>WC</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>192</SubCategoryID><GroupID>1562</GroupID><ARTGs><ARTG>157191</ARTG><ARTG>157192</ARTG></ARTGs><MinimumBenefit>3159</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2009-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BS337</BillingCode><Name>WallFlex Soft Enteral Stent (Duodenal/Colonic)</Name><Description>Nitinol, self expanding stent with Anchor Lock Delivery System</Description><Size>Diameters up to 27mm &amp; lengths up to 120mm</Size><SupplierCode>BS</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>192</SubCategoryID><GroupID>1562</GroupID><ARTGs><ARTG>119517</ARTG></ARTGs><MinimumBenefit>3159</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BS090</BillingCode><Name>WallFlex Enteral Stent (Duodenal/Colonic)</Name><Description>Nitinol, self expanding stent</Description><Size>Diameters up to 30mm &amp; lengths up to 150mm</Size><SupplierCode>BS</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>192</SubCategoryID><GroupID>1562</GroupID><ARTGs><ARTG>119517</ARTG></ARTGs><MinimumBenefit>3159</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2006-03-24</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>UK010</BillingCode><PriorBillingCodes><PriorBillingCode>BS304</PriorBillingCode></PriorBillingCodes><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>447251</ARTG><ARTG>447273</ARTG></ARTGs><ChangeExplanation>Change to ARTG</ChangeExplanation><MinimumBenefit>3159</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Update</ActionFlag><CycleStartDate>2019-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>AK010</BillingCode><Name>Oesophageal Tracheal Stents</Name><Description>self expanding nitinol stent, covered and uncovered, straight and J shape</Description><Size>multiple sizes</Size><SupplierCode>AK</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>192</SubCategoryID><GroupID>1563</GroupID><ARTGs><ARTG>173875</ARTG></ARTGs><MinimumBenefit>1805</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>AK009</BillingCode><Name>Oesophageal Tracheal Stents</Name><Description>Nitinol wire expandable stents, covered and non covered, Y shaped</Description><Size>multiple sizes</Size><SupplierCode>AK</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>192</SubCategoryID><GroupID>1563</GroupID><ARTGs><ARTG>173875</ARTG></ARTGs><MinimumBenefit>1805</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>UK019</BillingCode><PriorBillingCodes><PriorBillingCode>BS311</PriorBillingCode></PriorBillingCodes><Name>HANAROSTENT</Name><Description>HANAROSTENT Trachea/Bronchial.  Covered trachea/bronchium stent, self-expanding nitinol</Description><Size>Length 30-80mm, Diameter 12-20mm</Size><SupplierCode>UK</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>192</SubCategoryID><GroupID>1563</GroupID><ARTGs><ARTG>272686</ARTG></ARTGs><MinimumBenefit>2708</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2019-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>DE695</BillingCode><PriorBillingCodes><PriorBillingCode>PY048</PriorBillingCode></PriorBillingCodes><Name>Niti-S Tracheal and Bronchial Stents</Name><Description>Niti-S Tracheal and Bronchial Stents</Description><Size>Diameter:  10mm to 24mm  Length:  30mm to 100mm</Size><SupplierCode>DE</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>192</SubCategoryID><GroupID>1563</GroupID><ARTGs><ARTG>130533</ARTG><ARTG>130534</ARTG></ARTGs><MinimumBenefit>2708</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2019-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>OW004</BillingCode><Name>AERO®, AERO DV® and AEROmini®</Name><Description>Trachobronchial Stent</Description><Size>6-20mm stent diameter, stent length 10-80mm</Size><SupplierCode>OW</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>192</SubCategoryID><GroupID>1563</GroupID><ARTGs><ARTG>177098</ARTG></ARTGs><MinimumBenefit>2708</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BS047</BillingCode><Name>Ultraflex Tracheobronchial Stent</Name><Description>Nitinol, self expanding stent</Description><Size>Diameters up to 25mm &amp; lengths up to 80mm</Size><SupplierCode>BS</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>192</SubCategoryID><GroupID>1563</GroupID><ARTGs><ARTG>149594</ARTG></ARTGs><MinimumBenefit>2708</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>IG002</BillingCode><Name>NeuraGen</Name><Description>NeuraGen is a semi-permeable Type 1 collagen tube for peripheral nerve repair. It provides a protective environment and conduit for axonal regrowth across a nerve gap.  It is biocompatible and completely resorbed. The open collagen structure facilitates suture placement. It has a resilient structure that maintains an open lumen throughout the process of axonal growth.</Description><Size>2mm x 2cm, 3mm x 2cm, 4mm x 2cm, 5mm x 2cm, 6mm x 2cm, 7mm x 2cm, 1.5mm x 3cm, 2mm x 3cm, 3mm x 3cm, 4mm x 3cm, 5mm x 3cm, 6mm x 3cm, 7mm x 3cm</Size><SupplierCode>IG</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>192</SubCategoryID><GroupID>1564</GroupID><ARTGs><ARTG>158870</ARTG></ARTGs><MinimumBenefit>1354</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2010-02-01</CycleStartDate><CycleEndDate>2025-03-01</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><MinimumBenefit>1354</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2008-07-01</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</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><MinimumBenefit>1354</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>IG003</BillingCode><Name>NeuraWrap</Name><Description>NeuraWrap nerve protector is designed to provide an interface between the nerve and the surrounding tissues. NeuraWrap remains in place during the active phase of tissue healing and is completely resorbed after tissue response has resolved. The porous outer layer of NeuraWrap comprises a tubular matrix that mechanically resists compression from surrounding tissue and excludes scar tissue ingrowth. The semi-permeable inner membrane allows passage of small molecules (ie water, ions, metabolites, nutrients) but prevents the escape of endogenous growth factors (Nerve Growth Factor). NeuraWrap provides a new alternative for the treatment of peripheral nerve injuries.</Description><Size>3mm x 2cm, 3mm x 4cm, 5mm x 2cm, 5mm x 4cm, 7mm x 2cm, 7mm x 4cm, 10mm x 2cm, 10mm x 4cm</Size><SupplierCode>IG</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>192</SubCategoryID><GroupID>1564</GroupID><ARTGs><ARTG>158924</ARTG></ARTGs><MinimumBenefit>1354</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2010-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>OL081</BillingCode><Name>IBV Valve in Cartridge</Name><Description>A one-way valve placed in the lung airway intended to treat diseased lung in emphysematous patients or damaged lung resulting in air leaks by limiting airflow to selected areas.</Description><Size>5mm, 6mm, 7mm and 9mm</Size><SupplierCode>OL</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>193</SubCategoryID><GroupID>1578</GroupID><ARTGs><ARTG>188455</ARTG></ARTGs><MinimumBenefit>5686</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2013-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>PX001</BillingCode><Name>Pulmonx</Name><Description>Valve intended to improve lung function in patients with heterogeneous emphysema by controlling air flow with a one-way valve and to treat patients with pulmonary air leak.</Description><Size>4.0 (4 to 7 mm) and 5.5 (5.5 to 8.5mm)</Size><SupplierCode>PX</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>193</SubCategoryID><GroupID>1578</GroupID><ARTGs><ARTG>165980</ARTG></ARTGs><MinimumBenefit>5686</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2013-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>FN004</BillingCode><PriorBillingCodes><PriorBillingCode>ZQ009</PriorBillingCode></PriorBillingCodes><Name>Denver Ascites Shunt, (PAK), Single-valved</Name><Description>Ascites Shunt - Single Valved Percutaneous Access Kit (PAK). A fenestrated peritoneal catheter, a veneous catheter, and a flexible pump chamber containing one miter valve, provided with a Percutaneous Access Kit (PAK).</Description><Size>Single valved, 42-2055</Size><SupplierCode>FN</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>193</SubCategoryID><GroupID>1793</GroupID><ARTGs><ARTG>163266</ARTG></ARTGs><MinimumBenefit>1986</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2019-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>FN003</BillingCode><PriorBillingCodes><PriorBillingCode>ZQ008</PriorBillingCode></PriorBillingCodes><Name>Denver Ascites Shunt, (PAK), Double-valved</Name><Description>Ascite Shunt - Double Valved Percutaneous Access Kit (PAK). A fenestrated peritoneal catheter, a venous catheter, and a flexible pump chamber containing two miter valves, provided with a Percutaneous Access Kit.</Description><Size>Double-valved, 42-2050</Size><SupplierCode>FN</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>193</SubCategoryID><GroupID>1793</GroupID><ARTGs><ARTG>163267</ARTG></ARTGs><MinimumBenefit>1986</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2019-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ER197</BillingCode><Name>Anastoclips</Name><Description>Vessel Closure System (VCS) (8 and 15 cm shaft)</Description><Size>Small, Medium, Large, Extra Large</Size><SupplierCode>ER</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>194</SubCategoryID><GroupID>1771</GroupID><ARTGs><ARTG>120976</ARTG></ARTGs><MinimumBenefit>402</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2014-08-01</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>JJ602</BillingCode><Name>ULTRAPRO Plug</Name><Description>Partially Absorbable Synthetic Surgical Mesh Device</Description><Size>Small- Onlay patch plug: 12cm x 7.5cm, 5cm rim diameter, 3cm anchor diameter; Medium- Onlay patch plug: 12cm x 7.5cm, 5cm rim diameter, 4cm anchor diameter; Large- Onlay patch plug: 12cm x 7.5cm, 5cm rim diameter, 5cm anchor diameter</Size><SupplierCode>JJ</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>194</SubCategoryID><GroupID>1691</GroupID><ARTGs><ARTG>142608</ARTG></ARTGs><MinimumBenefit>238</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2007-12-01</CycleStartDate><CycleEndDate>2025-03-01</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>400494</ARTG><ARTG>394752</ARTG></ARTGs><MinimumBenefit>238</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</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 Prescribed List reimbursement for the billing code is payable no more frequently than once every 4 years.</Note><ChangeExplanation>Change to Condition</ChangeExplanation><MinimumBenefit>8077</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Update</ActionFlag><CycleStartDate>2022-12-01</CycleStartDate><CycleEndDate>2025-03-01</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 Prescribed List reimbursement for the billing code is payable no more frequently than once every 4 years.</Note><ChangeExplanation>Change to Condition</ChangeExplanation><MinimumBenefit>8574</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Update</ActionFlag><CycleStartDate>2024-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SO076</BillingCode><Name>HumanOptics Artificial Iris</Name><Description>One sterile, foldable Artificial Iris made of silicone, with or without fibre and custom made specific to the patient.</Description><Size>Custom made</Size><SupplierCode>SO</SupplierCode><CategoryID>1</CategoryID><SubCategoryID>262</SubCategoryID><GroupID>1822</GroupID><ARTGs><ARTG>225976</ARTG></ARTGs><MinimumBenefit>5607</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2015-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>AL002</BillingCode><Name>Model CZ70BD</Name><Description>Other:PMMA</Description><Size>Range of Powers: +10.0D to +30.0D</Size><SupplierCode>AL</SupplierCode><CategoryID>1</CategoryID><SubCategoryID>141</SubCategoryID><GroupID>1326</GroupID><ARTGs><ARTG>92318</ARTG></ARTGs><MinimumBenefit>126</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>VU030</BillingCode><Name>CrownVisc</Name><Description>CrownVisc is a clear, colorless, odorless, sterile and isotonic sodium hyaluronate based viscoelastic solution for intraocular use.</Description><Size>Syringe: 1.0mL, 1.5mL; Sodium hyaluronate: 1.0%, 1.4%, 1.6%, 1.8%, 3.0%</Size><SupplierCode>VU</SupplierCode><CategoryID>1</CategoryID><SubCategoryID>142</SubCategoryID><GroupID>1329</GroupID><ARTGs><ARTG>413441</ARTG></ARTGs><ChangeExplanation>New listing</ChangeExplanation><MinimumBenefit>52</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2025-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BL015</BillingCode><Name>Amvisc Plus injection</Name><Description>15mg/mL Sodium Hyaluronate for intraocular use</Description><Size>0.5mL and 0.8mL</Size><SupplierCode>LL</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>CZ013</BillingCode><Name>Z-HYALIN Plus Viscoelastic</Name><Description>Cohesive Viscoelastic Solution - sodium hyaluronate 15mg/ml.  (previously called Opthalin Plus)</Description><Size>Volume 1.0ml</Size><SupplierCode>CZ</SupplierCode><CategoryID>1</CategoryID><SubCategoryID>142</SubCategoryID><GroupID>1329</GroupID><ARTGs><ARTG>150017</ARTG></ARTGs><MinimumBenefit>52</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2008-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>CZ012</BillingCode><Name>Z-HYALIN Viscoelastic</Name><Description>Cohesive Viscoelastic Solution - sodium hyaluronate 10mg/ml.  (previously called Ophthalin)</Description><Size>Volume 1.0ml</Size><SupplierCode>CZ</SupplierCode><CategoryID>1</CategoryID><SubCategoryID>142</SubCategoryID><GroupID>1329</GroupID><ARTGs><ARTG>150016</ARTG></ARTGs><MinimumBenefit>52</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2008-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>AO032</BillingCode><Name>Healon Endocoat</Name><Description>Viscoelastic</Description><Size>0.85ml</Size><SupplierCode>AO</SupplierCode><CategoryID>1</CategoryID><SubCategoryID>142</SubCategoryID><GroupID>1329</GroupID><ARTGs><ARTG>198813</ARTG></ARTGs><MinimumBenefit>52</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-08-01</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>VU002</BillingCode><PriorBillingCodes><PriorBillingCode>IS050</PriorBillingCode></PriorBillingCodes><Name>Albomed Visco HPMC 2.0%</Name><Description>A superior viscoelastic solution based on hydroxylpropyl methylcellulose for intraocular use where it serves as a volume substitute for aqueous humor during intraocular surgery.</Description><Size>Supplied in a 2 ml syringe</Size><SupplierCode>VU</SupplierCode><CategoryID>1</CategoryID><SubCategoryID>142</SubCategoryID><GroupID>1329</GroupID><ARTGs><ARTG>353332</ARTG></ARTGs><MinimumBenefit>52</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-03-01</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>DV273</BillingCode><Name>Oasis Visco Shield HPMC Viscoelastic</Name><Description>A sterile,  high molecular weight HPMC solution for use as a surgical aid in maintaining a deep anterior chamber during ophthalmic surgical procedures</Description><Size>2 ml syringe</Size><SupplierCode>DV</SupplierCode><CategoryID>1</CategoryID><SubCategoryID>142</SubCategoryID><GroupID>1329</GroupID><ARTGs><ARTG>373573</ARTG></ARTGs><MinimumBenefit>52</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BL008</BillingCode><Name>Ocucoat Intraocular Fluid</Name><Description>20mg/mL hydroxypropylmethyl cellulose for intraocular use</Description><Size>1ml and 2ml Sterile</Size><SupplierCode>LL</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>2025-03-01</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>AL006</BillingCode><Name>PROVISC VISCOELASTIC SOLUTION</Name><Description>PROVISC contains sodium hyaluronate</Description><Size>0.85mL pack</Size><SupplierCode>AL</SupplierCode><CategoryID>1</CategoryID><SubCategoryID>142</SubCategoryID><GroupID>1329</GroupID><ARTGs><ARTG>310195</ARTG></ARTGs><MinimumBenefit>52</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>AL007</BillingCode><Name>VISCOAT Viscoelastic Fluid</Name><Description>Chondroitin sulfate and sodium hyaluronate</Description><Size>0.75mL</Size><SupplierCode>AL</SupplierCode><CategoryID>1</CategoryID><SubCategoryID>142</SubCategoryID><GroupID>1329</GroupID><ARTGs><ARTG>141142</ARTG></ARTGs><MinimumBenefit>52</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>AL015</BillingCode><Name>Cellugel Ophthalmic Viscosurgical Device</Name><Description>2% Hydroxypropyl Methylcellulose (HPMC)</Description><Size>1ml</Size><SupplierCode>AL</SupplierCode><CategoryID>1</CategoryID><SubCategoryID>142</SubCategoryID><GroupID>1329</GroupID><ARTGs><ARTG>115487</ARTG></ARTGs><MinimumBenefit>52</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>AL029</BillingCode><Name>DisCoVisc Ophthalmic Viscosurgical Device</Name><Description>Sodium hyaluronate 17 mg/mL and chondroitin sulfate 40mg/mL</Description><Size>1.0 mL</Size><SupplierCode>AL</SupplierCode><CategoryID>1</CategoryID><SubCategoryID>142</SubCategoryID><GroupID>1329</GroupID><ARTGs><ARTG>141141</ARTG></ARTGs><MinimumBenefit>52</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2007-12-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>VU031</BillingCode><Name>Pe-Ha-Luron F</Name><Description>Ophthalmic Viscoelastic containing sodium hyaluronate in varying concentrations.</Description><Size>Volume: 1.0mL, Sodium hyaluronate: 1.0%, 1.4%, 1.6%, 1.8%, 2.2%, 3.0%</Size><SupplierCode>VU</SupplierCode><CategoryID>1</CategoryID><SubCategoryID>142</SubCategoryID><GroupID>1329</GroupID><ARTGs><ARTG>462413</ARTG></ARTGs><ChangeExplanation>New listing</ChangeExplanation><MinimumBenefit>52</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2025-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>KG035</BillingCode><Name>Methylvisc 2.0%</Name><Description>Hydroxypropyl Methylcellulose, viscoelastic solution for intraocular application. Pre-loaded in single-use sterile syringe with single-use injection cannula.</Description><Size>2mL</Size><SupplierCode>KG</SupplierCode><CategoryID>1</CategoryID><SubCategoryID>142</SubCategoryID><GroupID>1329</GroupID><ARTGs><ARTG>366798</ARTG></ARTGs><MinimumBenefit>52</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-11-01</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>CZ022</BillingCode><Name>VISTHESIA 1.5%</Name><Description>VISCOANAESTHETIC syringe contains sodium hyaluronate (NaHA, 1.5%) and lidocaine hydrochloride (1%). Also contains two topical ampoules with NaHA (0.3%) and lidocaine (2%)</Description><Size>0.8ml syringe &amp; 2x0.3ml ampoules</Size><SupplierCode>CZ</SupplierCode><CategoryID>1</CategoryID><SubCategoryID>142</SubCategoryID><GroupID>1329</GroupID><ARTGs><ARTG>198088</ARTG></ARTGs><MinimumBenefit>52</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2010-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>IQ002</BillingCode><Name>Ocuvis and Ocumax 2% Hydroxypropylmethylcellulose</Name><Description>20mg/mL hydroxypropylmethyl cellulose for intraocular use. Pre-loaded in a sterile syringe with one cannula for injection, in a sterile Tyvek pouch</Description><Size>2mL sterile</Size><SupplierCode>IQ</SupplierCode><CategoryID>1</CategoryID><SubCategoryID>142</SubCategoryID><GroupID>1329</GroupID><ARTGs><ARTG>104427</ARTG></ARTGs><MinimumBenefit>52</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</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><MinimumBenefit>34</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2024-08-08</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>DE775</BillingCode><Name>CAPSULBlue</Name><Description>Trypan blue solution for use in anterior segment ophthalmic surgery. </Description><Size>0.15ml prefilled glass syringe</Size><SupplierCode>DE</SupplierCode><CategoryID>1</CategoryID><SubCategoryID>142</SubCategoryID><GroupID>1330</GroupID><ARTGs><ARTG>343322</ARTG></ARTGs><MinimumBenefit>34</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-03-01</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</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>2025-03-01</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><MinimumBenefit>34</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2024-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LL006</BillingCode><Name>BLutein DYE200</Name><Description>Phaco Lutein Anterior Capsule Staining Dye (lutein + trypan blue)</Description><Size>0.5mL</Size><SupplierCode>LL</SupplierCode><CategoryID>1</CategoryID><SubCategoryID>142</SubCategoryID><GroupID>1330</GroupID><ARTGs><ARTG>458847</ARTG></ARTGs><ChangeExplanation>New listing</ChangeExplanation><MinimumBenefit>34</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2025-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>DV231</BillingCode><Name>Vision Blue</Name><Description>Trypan blue dye for ophthalmic applications</Description><Size>0.5ml syringe</Size><SupplierCode>DV</SupplierCode><CategoryID>1</CategoryID><SubCategoryID>142</SubCategoryID><GroupID>1330</GroupID><ARTGs><ARTG>193085</ARTG></ARTGs><MinimumBenefit>34</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2008-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>EG024</BillingCode><Name>RS-Blue</Name><Description>Trypan Blue for the reversible staining of human tissue during surgery</Description><Size>0.7ml Syringe</Size><SupplierCode>EG</SupplierCode><CategoryID>1</CategoryID><SubCategoryID>142</SubCategoryID><GroupID>1330</GroupID><ARTGs><ARTG>252154</ARTG></ARTGs><MinimumBenefit>34</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>IQ032</BillingCode><PriorBillingCodes><PriorBillingCode>EG018</PriorBillingCode></PriorBillingCodes><Name>RINGJECT</Name><Description>Preloaded Capsular tension ring</Description><Size>12/10, 13/11</Size><SupplierCode>IQ</SupplierCode><CategoryID>1</CategoryID><SubCategoryID>143</SubCategoryID><GroupID>1331</GroupID><Suffix>pl</Suffix><ARTGs><ARTG>145740</ARTG></ARTGs><ChangeExplanation>
Billing code transferred from EG018
Sponsor transferred from Emagin Pty Ltd</ChangeExplanation><MinimumBenefit>152</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2015-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BL039</BillingCode><Name>Preloaded Capsular Tension Ring</Name><Description>Capsular tension ring preloaded (acrylic)</Description><Size>11mm</Size><SupplierCode>LL</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LN001</BillingCode><Name>Inside CTR</Name><Description>Preloaded PMMA capsular tension ring</Description><Size>Type 14 (12.3mm open, 10.0mm compressed), Type 14C (13.0mm open, 11.0mm compressed), Type 14A ( 14.5mm open, 12.0mm compressed), Type 13 ( 12.3mm open, 10.0mm compressed), Type 13A ( 13.0mm open, 11.0mm compressed), Type 13B ( 14.5mm open, 12.0mm compressed), Type 19D (11.6 mm open, 10.0/9.5/9.0/8.5mm compressed), Type 10C ( 12.1mm open, 11.0mm compressed)Type 15A ( 13.0mm open, 11.0mm compressed), Type 15B ( 14.5mm open, 12.0mm compressed).</Size><SupplierCode>LN</SupplierCode><CategoryID>1</CategoryID><SubCategoryID>143</SubCategoryID><GroupID>1331</GroupID><Suffix>pl</Suffix><ARTGs><ARTG>235092</ARTG></ARTGs><MinimumBenefit>152</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2015-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>DV009</BillingCode><Name>Morcher Capsular Tension Ring</Name><Description>PMMA Implant</Description><Size>sizes 8 -12mm</Size><SupplierCode>DV</SupplierCode><CategoryID>1</CategoryID><SubCategoryID>143</SubCategoryID><GroupID>1331</GroupID><ARTGs><ARTG>132347</ARTG></ARTGs><MinimumBenefit>99</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>VU001</BillingCode><PriorBillingCodes><PriorBillingCode>IS018</PriorBillingCode></PriorBillingCodes><Name>Jetring</Name><Description>Preloaded PMMA (polymethyl methacrylate) capsular tension ring.</Description><Size>JETRING 11ACB Right  Overall diameter:    13.0 mm  ±0.20 mm   Compressed diameter:   11,0 mm  ±0.20 mm   Haptic:     ø0.17 mm  ±0.02 mm   Haptic design:   straight, open modified C-loop    JETRING 12ACB Right  Overall diameter:    14.5 mm  ±0.20 mm   Compressed diameter:   12,0 mm  ±0.20 mm   Haptic:     ø0,20 mm  ±0.02 mm   Haptic design:    straight, open modified C-loop</Size><SupplierCode>VU</SupplierCode><CategoryID>1</CategoryID><SubCategoryID>143</SubCategoryID><GroupID>1331</GroupID><Suffix>pl</Suffix><ARTGs><ARTG>354770</ARTG></ARTGs><MinimumBenefit>152</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>IQ028</BillingCode><PriorBillingCodes><PriorBillingCode>EG001</PriorBillingCode></PriorBillingCodes><Name>Capsular Tension Rings Clear</Name><Description>PMMA Implant</Description><Size>10/08, 12/10, 13/11mm</Size><SupplierCode>IQ</SupplierCode><CategoryID>1</CategoryID><SubCategoryID>143</SubCategoryID><GroupID>1331</GroupID><ARTGs><ARTG>145740</ARTG></ARTGs><ChangeExplanation>
Billing code transferred from EG001
Sponsor transferred from Emagin Pty Ltd</ChangeExplanation><MinimumBenefit>99</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>DV029</BillingCode><Name>Eyejet CTR</Name><Description>Capsular tension ring made of PMMA per-load on disposable injector</Description><Size>10mm, 11mm, 12mm</Size><SupplierCode>DV</SupplierCode><CategoryID>1</CategoryID><SubCategoryID>143</SubCategoryID><GroupID>1331</GroupID><Suffix>pl</Suffix><ARTGs><ARTG>132347</ARTG></ARTGs><MinimumBenefit>152</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2007-06-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>DV010</BillingCode><Name>Morcher Complex Capsular Tension Ring</Name><Description>PMMA Implant</Description><Size>9.5mm, 10mm, 11mm, 12.5mm, 13mm</Size><SupplierCode>DV</SupplierCode><CategoryID>1</CategoryID><SubCategoryID>143</SubCategoryID><GroupID>1332</GroupID><ARTGs><ARTG>132347</ARTG></ARTGs><MinimumBenefit>209</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ZZ067</BillingCode><Name>PAUL® Glaucoma Implant        </Name><Description>Micro-sized tubed aqueous shunt glaucoma drainage device</Description><Size>Length 44.9mm  Width 23mm  Extraocular plate surface area of 342.1mm²</Size><SupplierCode>ZZ</SupplierCode><CategoryID>1</CategoryID><SubCategoryID>144</SubCategoryID><GroupID>1333</GroupID><ARTGs><ARTG>303466</ARTG></ARTGs><MinimumBenefit>384</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LN002</BillingCode><Name>Ahmed Glaucoma Valve Model FP7</Name><Description>A sterile device designed to regulate  the flow of Fluid between the anterior chamber and the space around the conjunctiva of the eye be allowing flow when the pressure in the chamber is above a pre-set value (e.g., 8 to 10 mmHg). Made of medical grade silicone</Description><Size>one size</Size><SupplierCode>LN</SupplierCode><CategoryID>1</CategoryID><SubCategoryID>144</SubCategoryID><GroupID>1333</GroupID><Suffix>v</Suffix><ARTGs><ARTG>242076</ARTG></ARTGs><MinimumBenefit>564</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2016-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>VS001</BillingCode><PriorBillingCodes><PriorBillingCode>DV230</PriorBillingCode></PriorBillingCodes><Name>Molteno 3</Name><Description>Drainage implant for glaucoma, made of silicon</Description><Size>Small &amp; Large size</Size><SupplierCode>VS</SupplierCode><CategoryID>1</CategoryID><SubCategoryID>144</SubCategoryID><GroupID>1333</GroupID><Suffix>v</Suffix><ARTGs><ARTG>128911</ARTG></ARTGs><MinimumBenefit>564</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>AO012</BillingCode><Name>Baerveldt Glaucoma Implant BG 101-350, Baerveldt Glaucoma Implant BG 103-425, Baerveldt Glaucoma Implant BG 103-250</Name><Description>Non-valved artificial drainage device, composition silicone - smooth, tumble-polished finish</Description><Size>Surface area 250, 350, 425mm2</Size><SupplierCode>AO</SupplierCode><CategoryID>1</CategoryID><SubCategoryID>144</SubCategoryID><GroupID>1333</GroupID><ARTGs><ARTG>168768</ARTG></ARTGs><MinimumBenefit>384</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SO017</BillingCode><Name>FCI Ptose-up</Name><Description>Expanded PTFE</Description><Size>15cm long x 2 or 3mm wide x 0.35mm thick</Size><SupplierCode>SO</SupplierCode><CategoryID>1</CategoryID><SubCategoryID>145</SubCategoryID><GroupID>1335</GroupID><ARTGs><ARTG>146261</ARTG></ARTGs><MinimumBenefit>314</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SO050</BillingCode><Name>FCI Nunchaku</Name><Description>Self-retaining bicanalicular nasal intubation WITHOUT nasal retrieval</Description><Size>90mm to 105mm</Size><SupplierCode>SO</SupplierCode><CategoryID>1</CategoryID><SubCategoryID>146</SubCategoryID><GroupID>1337</GroupID><Suffix>sr</Suffix><ARTGs><ARTG>143177</ARTG></ARTGs><MinimumBenefit>176</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2014-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SO049</BillingCode><Name>FCI Masterka</Name><Description>Self-retaining monocanalicular nasal intubation WITHOUT nasal retrieval</Description><Size>30mm to 40mm</Size><SupplierCode>SO</SupplierCode><CategoryID>1</CategoryID><SubCategoryID>146</SubCategoryID><GroupID>1337</GroupID><Suffix>mc/sr</Suffix><ARTGs><ARTG>143177</ARTG></ARTGs><MinimumBenefit>217</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2014-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SO086</BillingCode><Name>Lacrijet</Name><Description>Self retaining mono-canalicular stent without nasal retrieval that is pre-loaded into a handpiece.</Description><Size>15mm to 50mm</Size><SupplierCode>SO</SupplierCode><CategoryID>1</CategoryID><SubCategoryID>146</SubCategoryID><GroupID>1337</GroupID><Suffix>mc/sr</Suffix><ARTGs><ARTG>143177</ARTG></ARTGs><MinimumBenefit>217</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SO044</BillingCode><Name>FCI Mono-Canalicular Lacrimal Intubation Set</Name><Description>Silicone tubing with plug swaged, imbedded into or around malleable or flexible stainless steel probes or guides. PEEK thread. Introducer.</Description><Size>Probes: 40mm to 120mm x 0.7mm to 1.2mm.  Tube: 0.64mm to 1.18mm x 30mm to 350mm.  PEEK Thread: 0.2mm to 0.4mm x 500mm.  Plug Collar: 2mm to 4mm.</Size><SupplierCode>SO</SupplierCode><CategoryID>1</CategoryID><SubCategoryID>146</SubCategoryID><GroupID>1337</GroupID><Suffix>mc</Suffix><ARTGs><ARTG>143177</ARTG></ARTGs><MinimumBenefit>162</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2011-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SO043</BillingCode><Name>FCI Bi-Canalicular Lacrimal Intubation Set</Name><Description>Silicone tubing swaged, imbedded into or around malleable and flexible stainless steel probes. PEEK thread.</Description><Size>Probes: 40mm to 120mm x 0.7mm to 1.2mm.  Tube: 0.64mm to 1.18mm x 25mm to 400mm.  PEEK Thread: 0.2mm to 0.4mm x 500mm.</Size><SupplierCode>SO</SupplierCode><CategoryID>1</CategoryID><SubCategoryID>146</SubCategoryID><GroupID>1337</GroupID><ARTGs><ARTG>143177</ARTG></ARTGs><MinimumBenefit>122</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2011-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>DE191</BillingCode><Name>Canaliculus Intubation Sets </Name><Description>Silicone, SS &amp; Nylon</Description><Size>17.7 x .064 x 29cm, 15.5 x .051 x 33cm</Size><SupplierCode>DE</SupplierCode><CategoryID>1</CategoryID><SubCategoryID>146</SubCategoryID><GroupID>1337</GroupID><ARTGs><ARTG>182623</ARTG></ARTGs><MinimumBenefit>122</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SO021</BillingCode><Name>FCI Lacrimal Intubation Set</Name><Description>PVP Coated Silicone Tubing/PVP Coated Silicone Plug/Metal Probes/Polypropylene Thread</Description><Size>PVP Bika: 0.64mm O.D. Tube/80 x 0.8mm probes, PVP Differential Bika: 0.64 &amp; 1.18mm O.D. Tube/40 x 1.2mm probes, PVP Bika for DCR: 0.94mm O.D. Tube/50 x 0.8mm probes, PVP Infant Bika 0.64mm O.D. Tube/55 x 0.7mm probes, PVP Infant Bika II: 0.64mm O.D. Tube/</Size><SupplierCode>SO</SupplierCode><CategoryID>1</CategoryID><SubCategoryID>146</SubCategoryID><GroupID>1337</GroupID><ARTGs><ARTG>143177</ARTG></ARTGs><MinimumBenefit>122</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SO070</BillingCode><Name>Ophtacath Lacrimal Duct Balloon Catheter – Unilateral system</Name><Description>Unilateral balloon catheter kit containing balloon catheter &amp; inflation device</Description><Size>2mm and 3mm</Size><SupplierCode>SO</SupplierCode><CategoryID>1</CategoryID><SubCategoryID>146</SubCategoryID><GroupID>1803</GroupID><ARTGs><ARTG>212425</ARTG></ARTGs><MinimumBenefit>438</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2015-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SO069</BillingCode><Name>Ophtacath Lacrimal Duct Balloon Catheter – Bilateral system</Name><Description>Bilateral balloon catheter kit containing balloon catheter &amp; inflation device</Description><Size>2mm and 3mm</Size><SupplierCode>SO</SupplierCode><CategoryID>1</CategoryID><SubCategoryID>146</SubCategoryID><GroupID>1803</GroupID><Suffix>bilateral</Suffix><ARTGs><ARTG>212425</ARTG></ARTGs><MinimumBenefit>793</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2015-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SO040</BillingCode><Name>FCI Orbital Implants</Name><Description>Silicone - Sterile</Description><Size>12mm to 22mm</Size><SupplierCode>SO</SupplierCode><CategoryID>1</CategoryID><SubCategoryID>147</SubCategoryID><GroupID>1339</GroupID><ARTGs><ARTG>143210</ARTG></ARTGs><MinimumBenefit>49</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2011-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>DE277</BillingCode><Name>Frontalis Suspension Set</Name><Description>Stainless steel needles with solid silicone rods and silicone tubing - packaged sterile</Description><Size>needles 0.90mm x 6.5cm, rod 40cm - 0.80mm, sleeve 10 x 2mm</Size><SupplierCode>DE</SupplierCode><CategoryID>1</CategoryID><SubCategoryID>147</SubCategoryID><GroupID>1341</GroupID><ARTGs><ARTG>125073</ARTG></ARTGs><MinimumBenefit>284</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2007-12-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SO045</BillingCode><Name>FCI Ptosis Probes</Name><Description>Stainless steel needle probes swaged with silicone tubing.</Description><Size>80mm x 0.8mm needle probes, 280mm 0.64mm tubing.</Size><SupplierCode>SO</SupplierCode><CategoryID>1</CategoryID><SubCategoryID>147</SubCategoryID><GroupID>1341</GroupID><ARTGs><ARTG>146261</ARTG></ARTGs><MinimumBenefit>284</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2011-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>KG028</BillingCode><Name>Labtician - Retinal Implants</Name><Description>Solid Silicone- Tire/Meridional/ Wedge/Pad. Retinal Implant used in Scleral Buckling (Dimethylmethylvinyl Siloxane Copolymer)</Description><Size>S 2965 Silicone Strip , S 2967 Silicone Strip , S 2968 Silicone Strip, S 2970 Silicone Strip , S 2971 Silicone Strip , S 2976 Silicone Button , S 2977 Silicone Tire 10mm , S 2986 Silicone Tire 7mm, S 2991 Silicone Tire 9mm, S 2994 Silicone Tire 6.0mm , S 2995 Silicone Tire 8.5mm , S 2996 Silicone Tire 10mm , S 2996 L Silicone Tire 10mm LG , S 2997 Silicone Tire 12.5mm, S 2999 Silicone Tire 7.0mm , S 2999 L Silicone Tire Wide Groove , S 3004 Silicone Tire 9mm , S 3010 Silicone Tire 6mm, S 3014 Silicone Tire 7mm , S 3014 L Silicone Tire 7mm WG , S 3016 Silicone Tire 10mm , S 3017 Silicone Tire , S 3018 Silicone Sleeve , S 3019 Silicone Sleeve, S 3025 Wong Meridional Implant , S 3071 Silicone Sleeve, S 5020 Silicone Lace™ 2mm , S 5025 Silicone Lace™ 2.5mm.</Size><SupplierCode>KG</SupplierCode><CategoryID>1</CategoryID><SubCategoryID>148</SubCategoryID><GroupID>1342</GroupID><ARTGs><ARTG>337137</ARTG></ARTGs><MinimumBenefit>41</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2020-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>AP004</BillingCode><Name>Mira: Scleral Implants</Name><Description>Solid Silicone-Sleeve. Retinal Implant used in Scleral Buckling (Dimethylmethylvinyl Siloxane Copolymer)</Description><Size>Sleeves-Mira 70 Sleeve 1mm I.D., Mira 71 Sleeve 1mm I.D., Mira 72 McNutt Sleeve 1.57mm I.D., Mira 270 Sleeve 0.76mm I.D.</Size><SupplierCode>AP</SupplierCode><CategoryID>1</CategoryID><SubCategoryID>148</SubCategoryID><GroupID>1342</GroupID><ARTGs><ARTG>143682</ARTG></ARTGs><MinimumBenefit>41</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>AP006</BillingCode><Name>Mira: Scleral Implants</Name><Description>Solid Silicone-Band/Strip/Boat/Clip. Retinal Implant used in Scleral Buckling (Dimethylmethylvinyl Siloxane Copolymer)</Description><Size>Bands-Mira 40 Circling Band 2mm, Mira 240 Circling Band 2.5mm. Strips-Mira 41 Strip 3.5mm, Mira 42 Strip 4mm, Mira 20 Strip 4mm, Mira 219 Strip 4.5mm, Mira 31 Strip 4.5mm, Mira 32 Strip 5mm, Mira 225 Oval Strip 5mm, Mira 220 Strip 6mm. Boats-Mira 60 Boat 2mm, Mira 260 Boat 2.5mm. Clips-Mira 50 Double Tantalum Clip 2mm, Mira 250 Double Tantalum Clip 2.5mm, Mira 51 Singla Tantalum Clip 3.5mm, Mira 52 Joondeph Single Tantalum Clip 4mm</Size><SupplierCode>AP</SupplierCode><CategoryID>1</CategoryID><SubCategoryID>148</SubCategoryID><GroupID>1342</GroupID><ARTGs><ARTG>143682</ARTG></ARTGs><MinimumBenefit>41</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SO013</BillingCode><Name>FCI Scleral Buckling Devices</Name><Description>Strip: Solid Silicone</Description><Size>Strip: 1.4 x 4.4 x 100mm, Morin Strip: 7mm wide x 100mm long, Caputo Zip Strip: 7 to 9mm wide x 120mm long, Korobelnik Oval Strip: 2 x 5mm</Size><SupplierCode>SO</SupplierCode><CategoryID>1</CategoryID><SubCategoryID>148</SubCategoryID><GroupID>1342</GroupID><ARTGs><ARTG>143211</ARTG></ARTGs><MinimumBenefit>41</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SO009</BillingCode><Name>FCI Scleral Buckling Devices</Name><Description>Band/strip: solid silicone</Description><Size>Band - 2.0 x 0.75mm Type 40, 3.5 x 0.75mm Type 41, 4.0 x 1.25mm Type 42, 2.5 x 0.6mm Type 240, Morin 3.5 x 0.6mm
Strip - 5.7mm Type 20, 7.2mm Type 31, 9.2mm Type 32, 6mm Type 219, 7.5mm Type 220, 8mm Type 225</Size><SupplierCode>SO</SupplierCode><CategoryID>1</CategoryID><SubCategoryID>148</SubCategoryID><GroupID>1342</GroupID><ARTGs><ARTG>143211</ARTG></ARTGs><MinimumBenefit>41</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>AP003</BillingCode><Name>Mira: Scleral Implants</Name><Description>Solid Silicone-Tire/Meridional/Wedge/Pad. Retinal Implant used in Scleral Buckling (Dimethylmethylvinyl Siloxane Copolymer)</Description><Size>Tires-Mira 286 Wendel Symmetrical Oval Tire 6mm, Mira Symmetrical Oval Tire 7mm, Mira 287WG Murray wide (3.5mm) grooved symmetrical tire, 10mm wide, Mira 288 ross symmetrical grooved tire, low profile 10mm wide by 2.5mm, Mira 289 Symmetrical oval tire 10mm, Mira 277Symmetrical tire 7mm, Mira 279 Symmetrical tire 9mm, Mira 78G Grooved symmetrical tire 10mm, Mira 281 Symmetrical tire 12.5mm, Mira 275 Munsen Asymmetrical tire 6mm, Mira 276 Asymmetrical tire 7mm, Mira 278 Brockhurst asymmetrical tire 8.5mm, Mira 280LG Large grooved asymmetrical tire 10mm, Mira 77G Grooved hemisphere 26mm. Meridional- Mira 106 Meridional Implant 6mm by 10.5mm, Mira 112 Curved Meridional implant 12mm by 12mm, Mira 103 Meridional implant 4mm by 15mm. Wedge- Mira 135 Pruett maxi wedge 14mm, Mira Pruett midi wedge 12mm, Mira 190 Spencer sub-implant 5mm by 10mm. Pad- Mira 80 Pad 4mm by 8mm, Mira 22 Button 5mm by 5mm</Size><SupplierCode>AP</SupplierCode><CategoryID>1</CategoryID><SubCategoryID>148</SubCategoryID><GroupID>1342</GroupID><ARTGs><ARTG>143682</ARTG></ARTGs><MinimumBenefit>41</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>KG029</BillingCode><Name>Labtician Retinal Implants</Name><Description>Band/Strip: solid silicone</Description><Size>S 2950 Circling Band, S 2969 Circling Band, S 2978 Meridional Implant - Flat, S 2987 Circling Band, S 2988 Meridional Implant, S 2989 Boat, S 2992 Silicone Strip, S 2993 Pad, S 2998 Silicone Strip, S 3012 Boat, S 3013 Silicone Strip, S 3020 Meridional Implant, S 3021 Wedge, S 3022 Wedge, S 3083 Labtician Oval Sleeve, S 3084 Labtician Oval Sleeve, S 3093 Labtician Buckling Sleeve, S 3094 Labtician Buckling Sleeve, S 4050 Silicone Strip, S 4055 Silicone Strip, S 4060 Silicone Strip, S 4065 Silicone Strip</Size><SupplierCode>KG</SupplierCode><CategoryID>1</CategoryID><SubCategoryID>148</SubCategoryID><GroupID>1342</GroupID><ARTGs><ARTG>337137</ARTG></ARTGs><MinimumBenefit>41</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2020-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SO011</BillingCode><Name>FCI Scleral Buckling Devices</Name><Description>Tire: Solid Silicone</Description><Size>Symmetrical: (2.5 mm Groove, 7 to 9mm wide), Biconvex: (2.5mm Groove, 7 to 10mm wide), Asymetrical: (2.5mm Groove, 7 to 10mm wide)</Size><SupplierCode>SO</SupplierCode><CategoryID>1</CategoryID><SubCategoryID>148</SubCategoryID><GroupID>1342</GroupID><ARTGs><ARTG>143211</ARTG></ARTGs><MinimumBenefit>41</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SO010</BillingCode><Name>FCI Scleral Buckling Devices</Name><Description>Fixation Sleeve: Solid silicone</Description><Size>O.D: 1.65 to 2.41mm, Length 30mm</Size><SupplierCode>SO</SupplierCode><CategoryID>1</CategoryID><SubCategoryID>148</SubCategoryID><GroupID>1344</GroupID><ARTGs><ARTG>143211</ARTG></ARTGs><MinimumBenefit>23</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>DV270</BillingCode><Name>OcuGas </Name><Description>Tamponade gas for retinal surgery</Description><Size>OCUGAS SF6 (15 ml)  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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>AL036</BillingCode><Name>ISPAN retinal gases</Name><Description>Tamponade gases for retinal surgery C3F8 and SF6</Description><Size>125 g cylinder, dispensed in single dose syringe</Size><SupplierCode>AL</SupplierCode><CategoryID>1</CategoryID><SubCategoryID>148</SubCategoryID><GroupID>1345</GroupID><ARTGs><ARTG>115487</ARTG></ARTGs><MinimumBenefit>67</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2011-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>EG021</BillingCode><Name>GOT Multi</Name><Description>Tamponade gas for retinal surgery</Description><Size>75ml</Size><SupplierCode>EG</SupplierCode><CategoryID>1</CategoryID><SubCategoryID>148</SubCategoryID><GroupID>1345</GroupID><ARTGs><ARTG>297730</ARTG></ARTGs><MinimumBenefit>67</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>AL035</BillingCode><Name>ISPAN Retinal Gases for Constellation® Vision System</Name><Description>Tamponade gases for retinal surgery C3F8 and SF6</Description><Size>125g cylinder, dispensed in single dose syringe</Size><SupplierCode>AL</SupplierCode><CategoryID>1</CategoryID><SubCategoryID>148</SubCategoryID><GroupID>1345</GroupID><ARTGs><ARTG>115487</ARTG></ARTGs><MinimumBenefit>67</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2011-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>IQ012</BillingCode><Name>EasyGas</Name><Description>Endotamponade Gases for Retinal Surgery, EasyGas SF6, C2F6 or C3F8, each supplied in a 60ml syringe, sterile</Description><Size>60ml dispensed in a single dose, sterile syringe</Size><SupplierCode>IQ</SupplierCode><CategoryID>1</CategoryID><SubCategoryID>148</SubCategoryID><GroupID>1345</GroupID><ARTGs><ARTG>197089</ARTG></ARTGs><MinimumBenefit>67</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2013-02-01</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>IQ008</BillingCode><Name>Octane &amp; Decalin</Name><Description>Perfluorocarbon retinal tamponade medium, intraoperative</Description><Size>5ml &amp; 7ml, Sterile</Size><SupplierCode>IQ</SupplierCode><CategoryID>1</CategoryID><SubCategoryID>148</SubCategoryID><GroupID>1346</GroupID><ARTGs><ARTG>152235</ARTG></ARTGs><MinimumBenefit>217</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2009-02-01</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BL018</BillingCode><Name>DK Line 100% purified perfluorodecalin</Name><Description>Perfluorodecalin</Description><Size>7ml</Size><SupplierCode>LL</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BL017</BillingCode><Name>Perfluo-octane (Oktaline) Okta-Line</Name><Description>Perfluorocarbon Liquid  for use as a retinal surgery additive</Description><Size>5mL</Size><SupplierCode>LL</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>2025-03-01</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>AL014</BillingCode><Name>Perfluoron Kits</Name><Description>Perfluoro-n-octane for use as a retinal surgery additive</Description><Size>7mL</Size><SupplierCode>AL</SupplierCode><CategoryID>1</CategoryID><SubCategoryID>148</SubCategoryID><GroupID>1346</GroupID><ARTGs><ARTG>327862</ARTG></ARTGs><MinimumBenefit>217</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>EG022</BillingCode><Name>Perfluorocarbons</Name><Description>HPF8 Perfluoro-n-octane and HPF10 Perfluorodecalin</Description><Size>5ml and 7ml</Size><SupplierCode>EG</SupplierCode><CategoryID>1</CategoryID><SubCategoryID>148</SubCategoryID><GroupID>1346</GroupID><ARTGs><ARTG>252153</ARTG></ARTGs><MinimumBenefit>217</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SO054</BillingCode><Name>FCI - DECA, FCI - OCTA</Name><Description>FCI - DECA: Purified perflurodecalin, FCI - OCTA: Purified perfluoro-N-Octane</Description><Size>5ml / 7ml</Size><SupplierCode>SO</SupplierCode><CategoryID>1</CategoryID><SubCategoryID>148</SubCategoryID><GroupID>1346</GroupID><ARTGs><ARTG>143212</ARTG></ARTGs><MinimumBenefit>217</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2014-08-01</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>AL013</BillingCode><Name>Perfluoron Kits</Name><Description>Perfluoro-n-octane for use as a retinal surgery additive</Description><Size>5mL</Size><SupplierCode>AL</SupplierCode><CategoryID>1</CategoryID><SubCategoryID>148</SubCategoryID><GroupID>1346</GroupID><ARTGs><ARTG>327862</ARTG></ARTGs><MinimumBenefit>217</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>IQ006</BillingCode><Name>Siluron 1000 &amp; Siluron 5000</Name><Description>Silicone Oils</Description><Size>10 ml, Sterile</Size><SupplierCode>IQ</SupplierCode><CategoryID>1</CategoryID><SubCategoryID>148</SubCategoryID><GroupID>1347</GroupID><ARTGs><ARTG>152234</ARTG></ARTGs><MinimumBenefit>176</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2009-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>KG030</BillingCode><Name>LSO Silicone Oil</Name><Description>Highly purified, sterile, transparent, silicone oil available in both a 1,000 cP and a 5,000 cP viscosity.</Description><Size>10mL vial, 10mL syringe</Size><SupplierCode>KG</SupplierCode><CategoryID>1</CategoryID><SubCategoryID>148</SubCategoryID><GroupID>1347</GroupID><ARTGs><ARTG>337138</ARTG></ARTGs><MinimumBenefit>176</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2020-11-01</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>IQ005</BillingCode><Name>Densiron</Name><Description>Heavy Tamponade Liquid Medium, Postoperative</Description><Size>10 ml, Sterile</Size><SupplierCode>IQ</SupplierCode><CategoryID>1</CategoryID><SubCategoryID>148</SubCategoryID><GroupID>1347</GroupID><Suffix>HO</Suffix><ARTGs><ARTG>152234</ARTG></ARTGs><MinimumBenefit>217</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2009-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SO022</BillingCode><Name>FCI Purified Silicone Oil (Solvent Free)</Name><Description>Viscosity: 1000 cst/5000 cst: solvent free purified silicone oil</Description><Size>10ml</Size><SupplierCode>SO</SupplierCode><CategoryID>1</CategoryID><SubCategoryID>148</SubCategoryID><GroupID>1347</GroupID><ARTGs><ARTG>143212</ARTG></ARTGs><MinimumBenefit>176</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>EG023</BillingCode><Name>RS-OIL</Name><Description>Highly purified Silicone Oil</Description><Size>10ml</Size><SupplierCode>EG</SupplierCode><CategoryID>1</CategoryID><SubCategoryID>148</SubCategoryID><GroupID>1347</GroupID><ARTGs><ARTG>297730</ARTG></ARTGs><MinimumBenefit>176</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>DV243</BillingCode><Name>D.O.R.C. Silicon Oil</Name><Description>D.O.R.C. Silicon Oil 1000/2000/5000-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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BL016</BillingCode><Name>Oxane LMWC Fractioned Silicone Oil</Name><Description>Purified fractioned silicone oil</Description><Size>10mL</Size><SupplierCode>LL</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BL024</BillingCode><Name>Oxane HD</Name><Description>Silicone oil - RMN3 mixture</Description><Size>10ml</Size><SupplierCode>LL</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>2025-03-01</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>2025-03-01</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>ZI</SupplierCode><CategoryID>20</CategoryID><SubCategoryID>264</SubCategoryID><GroupID>1824</GroupID><ARTGs><ARTG>149413</ARTG></ARTGs><MinimumBenefit>1193</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>DE622</BillingCode><PriorBillingCodes><PriorBillingCode>RH018</PriorBillingCode></PriorBillingCodes><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>317581</ARTG><ARTG>224584</ARTG></ARTGs><ChangeExplanation>Change to ARTG</ChangeExplanation><MinimumBenefit>480</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Update</ActionFlag><CycleStartDate>2018-02-01</CycleStartDate><CycleEndDate>2025-03-01</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>ZI</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>DE623</BillingCode><PriorBillingCodes><PriorBillingCode>RH019</PriorBillingCode></PriorBillingCodes><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><ARTG>317581</ARTG></ARTGs><ChangeExplanation>Change to ARTG, Size</ChangeExplanation><MinimumBenefit>480</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Update</ActionFlag><CycleStartDate>2018-02-01</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</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>300895</ARTG><ARTG>443219</ARTG></ARTGs><MinimumBenefit>95000</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-08-01</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</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>JJ</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>XQ004</BillingCode><PriorBillingCodes><PriorBillingCode>JS004</PriorBillingCode></PriorBillingCodes><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>XQ</SupplierCode><CategoryID>20</CategoryID><SubCategoryID>178</SubCategoryID><GroupID>1497</GroupID><ARTGs><ARTG>147290</ARTG></ARTGs><ChangeExplanation>
Billing code transferred from JS004
Sponsor transferred from CORCYM AUSTRALIA PTY LTD</ChangeExplanation><MinimumBenefit>4962</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2023-03-01</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>443171</ARTG><ARTG>443172</ARTG><ARTG>443170</ARTG><ARTG>129926</ARTG><ARTG>129879</ARTG><ARTG>129925</ARTG></ARTGs><MinimumBenefit>4962</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</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>123502</ARTG><ARTG>123500</ARTG><ARTG>123501</ARTG><ARTG>123503</ARTG></ARTGs><MinimumBenefit>4962</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-02-01</CycleStartDate><CycleEndDate>2025-03-01</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><MinimumBenefit>4750</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2024-11-01</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</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>2025-03-01</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>155282</ARTG><ARTG>155281</ARTG></ARTGs><MinimumBenefit>4750</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2009-02-01</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</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>145762</ARTG><ARTG>145761</ARTG></ARTGs><MinimumBenefit>4750</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2006-03-24</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</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>2025-03-01</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><MinimumBenefit>4750</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-08-01</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>XQ005</BillingCode><PriorBillingCodes><PriorBillingCode>QQ290</PriorBillingCode></PriorBillingCodes><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>XQ</SupplierCode><CategoryID>20</CategoryID><SubCategoryID>179</SubCategoryID><GroupID>1815</GroupID><Suffix>b (bovine)</Suffix><ARTGs><ARTG>427401</ARTG></ARTGs><ChangeExplanation>
Billing code transferred from QQ290
Sponsor transferred from CORCYM AUSTRALIA PTY LTD</ChangeExplanation><MinimumBenefit>8978</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2024-07-01</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>158662</ARTG><ARTG>158660</ARTG><ARTG>158663</ARTG><ARTG>158661</ARTG></ARTGs><MinimumBenefit>2090</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>XQ003</BillingCode><PriorBillingCodes><PriorBillingCode>JS003</PriorBillingCode><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>XQ</SupplierCode><CategoryID>20</CategoryID><SubCategoryID>181</SubCategoryID><GroupID>1842</GroupID><ARTGs><ARTG>176450</ARTG></ARTGs><ChangeExplanation>
Billing code transferred from JS003
Sponsor transferred from CORCYM AUSTRALIA PTY LTD</ChangeExplanation><MinimumBenefit>2280</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2022-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>XQ006</BillingCode><PriorBillingCodes><PriorBillingCode>JS002</PriorBillingCode><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>XQ</SupplierCode><CategoryID>20</CategoryID><SubCategoryID>181</SubCategoryID><GroupID>1842</GroupID><ARTGs><ARTG>332851</ARTG></ARTGs><ChangeExplanation>
Billing code transferred from JS002
Sponsor transferred from CORCYM AUSTRALIA PTY LTD</ChangeExplanation><MinimumBenefit>2280</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2022-07-01</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>307357</ARTG><ARTG>307356</ARTG></ARTGs><MinimumBenefit>19430</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-08-01</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>JJ</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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, 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>1462</GroupID><Suffix>Cannulated</Suffix><ARTGs><ARTG>279706</ARTG><ARTG>442550</ARTG></ARTGs><ChangeExplanation>Change to ARTG, Description</ChangeExplanation><MinimumBenefit>889</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Update</ActionFlag><CycleStartDate>2017-02-01</CycleStartDate><CycleEndDate>2025-03-01</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><MinimumBenefit>889</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2024-11-01</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</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>279150</ARTG><ARTG>279159</ARTG><ARTG>279160</ARTG></ARTGs><MinimumBenefit>728</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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 Suffix,Change to Group benefit</ChangeExplanation><MinimumBenefit>728</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Update</ActionFlag><CycleStartDate>2024-07-01</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>JJ</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>458188</ARTG><ARTG>458187</ARTG></ARTGs><MinimumBenefit>889</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2024-11-01</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</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>473725</ARTG></ARTGs><ChangeExplanation>Change to ARTG</ChangeExplanation><MinimumBenefit>728</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Update</ActionFlag><CycleStartDate>2019-03-01</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>EY047</BillingCode><Name>VERTICALE Screws - Monoaxial</Name><Description>Monoaxial pedicle screws made of titanium alloy</Description><Size>4.5 to 10.2mm</Size><SupplierCode>EY</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>165</SubCategoryID><GroupID>1462</GroupID><ARTGs><ARTG>462979</ARTG></ARTGs><ChangeExplanation>New listing</ChangeExplanation><MinimumBenefit>728</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2025-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>IY121</BillingCode><PriorBillingCodes><PriorBillingCode>LH752</PriorBillingCode><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>IY</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>165</SubCategoryID><GroupID>1462</GroupID><ARTGs><ARTG>362890</ARTG></ARTGs><ChangeExplanation>
Billing code transferred from LH752
Sponsor transferred from LIFEHEALTHCARE PTY LIMITED</ChangeExplanation><MinimumBenefit>728</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2023-07-01</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>JJ</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>JJ</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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><MinimumBenefit>728</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2024-07-01</CycleStartDate><CycleEndDate>2025-03-01</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 Prescribed 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><ChangeExplanation>Change to Condition</ChangeExplanation><MinimumBenefit>728</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Update</ActionFlag><CycleStartDate>2014-08-01</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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><MinimumBenefit>728</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-02-01</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</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>286122</ARTG><ARTG>384816</ARTG></ARTGs><MinimumBenefit>996</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-08-01</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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><MinimumBenefit>996</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2020-11-01</CycleStartDate><CycleEndDate>2025-03-01</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>160750</ARTG><ARTG>159605</ARTG><ARTG>170220</ARTG></ARTGs><MinimumBenefit>996</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2020-11-01</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>JJ</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HW726</BillingCode><PriorBillingCodes><PriorBillingCode>ER017</PriorBillingCode><PriorBillingCode>AJ025</PriorBillingCode></PriorBillingCodes><Name>Mesa Spinal System / Polyaxial Pedicle Screw</Name><Description>Polyaxial Pedicle Screw, Titanium</Description><Size>4.0-9.5mm, Length 20-110mm</Size><SupplierCode>JV</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>165</SubCategoryID><GroupID>1463</GroupID><Suffix>Integrated Locking Mechanism</Suffix><ARTGs><ARTG>154442</ARTG><ARTG>159828</ARTG></ARTGs><ChangeExplanation>Change to Size</ChangeExplanation><MinimumBenefit>1257</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Update</ActionFlag><CycleStartDate>2021-07-01</CycleStartDate><CycleEndDate>2025-03-01</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><MinimumBenefit>1257</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-11-01</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>JJ</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>165</SubCategoryID><GroupID>1463</GroupID><ARTGs><ARTG>97391</ARTG><ARTG>128257</ARTG></ARTGs><MinimumBenefit>996</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2013-08-01</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</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>JJ</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>JJ</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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><MinimumBenefit>1085</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2024-11-01</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</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>2025-03-01</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>JJ</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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><MinimumBenefit>524</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2023-03-01</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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><MinimumBenefit>1085</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2023-11-01</CycleStartDate><CycleEndDate>2025-03-01</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>Prescribed List reimbursement is only payable for the billing code when the device is 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><ChangeExplanation>Change to Condition</ChangeExplanation><MinimumBenefit>1085</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Update</ActionFlag><CycleStartDate>2018-08-01</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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><MinimumBenefit>996</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-02-01</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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><MinimumBenefit>1085</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2023-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MU106</BillingCode><Name>M.U.S.T Polyaxial Pedicle Screws</Name><Description>Polyaxial Screws</Description><Size>4.5-10mm; Length 25 -120mm</Size><SupplierCode>MU</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>165</SubCategoryID><GroupID>1463</GroupID><ARTGs><ARTG>196964</ARTG></ARTGs><ChangeExplanation>Change to Product name, Suffix, Description, Size,Change to Group benefit</ChangeExplanation><MinimumBenefit>996</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Update</ActionFlag><CycleStartDate>2013-02-01</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>EY046</BillingCode><Name>VERTICALE Screw Rod and Occipito-cervical Fusion System - Screws</Name><Description>Polyaxial pedicle screws made of titanium alloy</Description><Size>3.5 to 10.2mm</Size><SupplierCode>EY</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>165</SubCategoryID><GroupID>1463</GroupID><ARTGs><ARTG>462979</ARTG></ARTGs><ChangeExplanation>New listing</ChangeExplanation><MinimumBenefit>996</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2025-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ER713</BillingCode><Name>SIGNUS COSY Cervicothoracic Occipital Rod-Screw System - Pedicle Screws</Name><Description>SIGNUS COSY Cervicothoracic Occipital Rod-Screw System - Pedicle Screws, cannulated; non-sterile or sterile (packed together with set screw)</Description><Size>dia (3.5 - 4.5mm) x length (8 - 50mm)</Size><SupplierCode>ER</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>165</SubCategoryID><GroupID>1463</GroupID><Suffix>Cannulated</Suffix><ARTGs><ARTG>464686</ARTG><ARTG>464685</ARTG></ARTGs><ChangeExplanation>New listing</ChangeExplanation><MinimumBenefit>1085</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2025-03-01</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>JJ</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>2025-03-01</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>KH101</BillingCode><Name>Zeus Modular Screw Shaft </Name><Description>Zeus Modular Screw Shaft (offset / Cannulated )</Description><Size>30-55mm</Size><SupplierCode>KH</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>165</SubCategoryID><GroupID>1463</GroupID><Suffix>Shank</Suffix><ARTGs><ARTG>473725</ARTG></ARTGs><ChangeExplanation>New listing</ChangeExplanation><MinimumBenefit>524</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2025-03-01</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>JJ</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>165</SubCategoryID><GroupID>1463</GroupID><Suffix>Shank</Suffix><ARTGs><ARTG>293276</ARTG><ARTG>133401</ARTG><ARTG>293275</ARTG></ARTGs><MinimumBenefit>524</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-02-01</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>458188</ARTG><ARTG>458187</ARTG></ARTGs><MinimumBenefit>524</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2024-11-01</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>KH046</BillingCode><Name>Cannulated Polyaxial Screws</Name><Description>Cannulated</Description><Size>20-110mm Length</Size><SupplierCode>KH</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>165</SubCategoryID><GroupID>1463</GroupID><Suffix>Cannulated</Suffix><ARTGs><ARTG>473725</ARTG></ARTGs><ChangeExplanation>Change to Product name, ARTG, Size</ChangeExplanation><MinimumBenefit>1085</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Update</ActionFlag><CycleStartDate>2019-03-01</CycleStartDate><CycleEndDate>2025-03-01</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>LR</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>JJ</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>KH045</BillingCode><Name>Polyaxial Screws</Name><Description>Polyaxial &amp; Reduction Polyaxial Screws
Favored angle Screws &amp; Dual Head &amp; Iliac (S2Ai) screws</Description><Size>20-100mm Length</Size><SupplierCode>KH</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>165</SubCategoryID><GroupID>1463</GroupID><ARTGs><ARTG>473725</ARTG></ARTGs><ChangeExplanation>Change to ARTG, Description, Size</ChangeExplanation><MinimumBenefit>996</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Update</ActionFlag><CycleStartDate>2019-03-01</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</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>2025-03-01</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>WY</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>165</SubCategoryID><GroupID>1463</GroupID><Suffix>Cannulated</Suffix><ARTGs><ARTG>455157</ARTG></ARTGs><MinimumBenefit>1085</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2024-11-01</CycleStartDate><CycleEndDate>2025-03-01</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>WY</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>165</SubCategoryID><GroupID>1463</GroupID><Suffix>Cannulated</Suffix><ARTGs><ARTG>455157</ARTG></ARTGs><MinimumBenefit>1085</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2024-11-01</CycleStartDate><CycleEndDate>2025-03-01</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>WY</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>165</SubCategoryID><GroupID>1463</GroupID><ARTGs><ARTG>455157</ARTG></ARTGs><MinimumBenefit>996</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2024-11-01</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>458187</ARTG><ARTG>458188</ARTG></ARTGs><MinimumBenefit>524</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2024-11-01</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BF025</BillingCode><PriorBillingCodes><PriorBillingCode>LH590</PriorBillingCode></PriorBillingCodes><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>Prescribed List reimbursement is only payable for the billing code when the device is 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><ChangeExplanation>Change to Condition</ChangeExplanation><MinimumBenefit>996</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Update</ActionFlag><CycleStartDate>2020-11-01</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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><MinimumBenefit>996</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2023-03-01</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</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>JJ</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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><MinimumBenefit>996</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2020-11-01</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BF026</BillingCode><PriorBillingCodes><PriorBillingCode>LH591</PriorBillingCode></PriorBillingCodes><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>Prescribed List reimbursement is only payable for the billing code when the device is 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><ChangeExplanation>Change to Condition</ChangeExplanation><MinimumBenefit>1085</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Update</ActionFlag><CycleStartDate>2020-11-01</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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, 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><Suffix>Cannulated</Suffix><ARTGs><ARTG>279706</ARTG><ARTG>442550</ARTG></ARTGs><ChangeExplanation>Change to ARTG, Description</ChangeExplanation><MinimumBenefit>1085</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Update</ActionFlag><CycleStartDate>2017-02-01</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</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>159828</ARTG><ARTG>154442</ARTG></ARTGs><MinimumBenefit>996</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-07-01</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</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>2025-03-01</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><MinimumBenefit>1085</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2023-03-01</CycleStartDate><CycleEndDate>2025-03-01</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><MinimumBenefit>1085</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2023-11-01</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</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>2025-03-01</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>JJ</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>2025-03-01</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>2025-03-01</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>JJ</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>2025-03-01</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><MinimumBenefit>1085</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-03-01</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>170220</ARTG><ARTG>160750</ARTG></ARTGs><MinimumBenefit>186</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2020-11-01</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</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>2025-03-01</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><MinimumBenefit>186</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2023-03-01</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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><MinimumBenefit>186</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2023-03-01</CycleStartDate><CycleEndDate>2025-03-01</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><MinimumBenefit>186</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2020-11-01</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</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>2025-03-01</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>XB</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>2025-03-01</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><MinimumBenefit>186</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-03-01</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>DY478</BillingCode><Name>Uniplate ACP System</Name><Description>Rescue Screw</Description><Size>12-18mm</Size><SupplierCode>JJ</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>DY479</BillingCode><Name>Uniplate ACP System</Name><Description>Primary Screw</Description><Size>12-18mm</Size><SupplierCode>JJ</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>165</SubCategoryID><GroupID>1464</GroupID><ARTGs><ARTG>128257</ARTG><ARTG>97391</ARTG></ARTGs><MinimumBenefit>186</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>JJ</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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><MinimumBenefit>171</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2020-11-01</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>JJ</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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><MinimumBenefit>186</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2024-11-01</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>Prescribed List reimbursement is only payable for the billing code when the device is 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><ChangeExplanation>Change to Condition</ChangeExplanation><MinimumBenefit>401</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Update</ActionFlag><CycleStartDate>2019-03-01</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ER711</BillingCode><Name>SIGNUS COSY Cervicothoracic Occipital Rod-Screw System - Occipital Screws</Name><Description>COSY Cervicothoracic Occipital Rod-Screw System - Occipital Screws, self-tapping; non-sterile or sterile</Description><Size>dia (4.5 - 5.0 mm) x length  (6 -16 mm) </Size><SupplierCode>ER</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>165</SubCategoryID><GroupID>1464</GroupID><ARTGs><ARTG>464685</ARTG><ARTG>464686</ARTG></ARTGs><ChangeExplanation>New listing</ChangeExplanation><MinimumBenefit>186</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2025-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>EY041</BillingCode><Name>VERTICALE Cervical Occiput – Occiput screw</Name><Description>Bone screws made of titanium alloy</Description><Size>4mm - 30mm</Size><SupplierCode>EY</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>165</SubCategoryID><GroupID>1464</GroupID><ARTGs><ARTG>462979</ARTG></ARTGs><ChangeExplanation>New listing</ChangeExplanation><MinimumBenefit>186</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2025-03-01</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</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>2025-03-01</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><MinimumBenefit>186</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2023-03-01</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>IY116</BillingCode><PriorBillingCodes><PriorBillingCode>LH747</PriorBillingCode><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>IY</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>165</SubCategoryID><GroupID>1464</GroupID><ARTGs><ARTG>362890</ARTG></ARTGs><ChangeExplanation>
Billing code transferred from LH747
Sponsor transferred from LIFEHEALTHCARE PTY LIMITED</ChangeExplanation><MinimumBenefit>186</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2023-07-01</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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><MinimumBenefit>186</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2024-11-01</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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><MinimumBenefit>401</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2020-11-01</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>JJ</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>2025-03-01</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>2025-03-01</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>JJ</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>XG</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>2022-03-01</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>JJ</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>2025-03-01</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>XG</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>2022-03-01</CycleStartDate><CycleEndDate>2025-03-01</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>458187</ARTG><ARTG>458188</ARTG></ARTGs><MinimumBenefit>186</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2024-11-01</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>JJ</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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><MinimumBenefit>186</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2024-11-01</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>JJ</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>JJ</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SY186</BillingCode><Name>Posterior Cervical System</Name><Description>Nut</Description><Size>One size only</Size><SupplierCode>JJ</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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><MinimumBenefit>143</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2024-11-01</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>EY048</BillingCode><Name>VERTICALE Set Screws</Name><Description>Set screws made of titanium alloy</Description><Size>One size only</Size><SupplierCode>EY</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>166</SubCategoryID><GroupID>1465</GroupID><ARTGs><ARTG>462979</ARTG></ARTGs><ChangeExplanation>New listing</ChangeExplanation><MinimumBenefit>143</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2025-03-01</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</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>384816</ARTG><ARTG>286122</ARTG></ARTGs><MinimumBenefit>143</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>IY118</BillingCode><PriorBillingCodes><PriorBillingCode>LH749</PriorBillingCode><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>IY</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>166</SubCategoryID><GroupID>1465</GroupID><ARTGs><ARTG>362890</ARTG></ARTGs><ChangeExplanation>
Billing code transferred from LH749
Sponsor transferred from LIFEHEALTHCARE PTY LIMITED</ChangeExplanation><MinimumBenefit>143</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2023-07-01</CycleStartDate><CycleEndDate>2025-03-01</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><MinimumBenefit>143</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2020-11-01</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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><MinimumBenefit>143</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2024-11-01</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</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><MinimumBenefit>143</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-11-01</CycleStartDate><CycleEndDate>2025-03-01</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>JJ</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>166</SubCategoryID><GroupID>1465</GroupID><ARTGs><ARTG>128257</ARTG><ARTG>98094</ARTG><ARTG>128255</ARTG></ARTGs><MinimumBenefit>143</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</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>JJ</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>2025-03-01</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>JJ</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>2025-03-01</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>2025-03-01</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>278581</ARTG><ARTG>279160</ARTG><ARTG>279159</ARTG><ARTG>279144</ARTG></ARTGs><MinimumBenefit>143</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SY440</BillingCode><Name>Synapse</Name><Description>Locking Screw</Description><Size>One size</Size><SupplierCode>JJ</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>2025-03-01</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>JJ</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>JJ</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>2025-03-01</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ER707</BillingCode><Name>COSY Cervicothoracic Occipital Rod-Screw System  - Set Screw for use with pedicle screws</Name><Description>SIGNUS COSY cervical occipital screw System - Set Screw; non-sterile or sterile.</Description><Size>dia 6.1 mm x 2.8 mm</Size><SupplierCode>ER</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>166</SubCategoryID><GroupID>1465</GroupID><ARTGs><ARTG>464686</ARTG><ARTG>464685</ARTG></ARTGs><ChangeExplanation>New listing</ChangeExplanation><MinimumBenefit>143</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2025-03-01</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</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>2025-03-01</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><MinimumBenefit>143</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2023-03-01</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>LR</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>2025-03-01</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>JJ</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SY796</BillingCode><Name>Vertebral Body Replacement System</Name><Description>Endplate Screw</Description><Size>One Size</Size><SupplierCode>JJ</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>JJ</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SY152</BillingCode><Name>Universal Spine System (USS)</Name><Description>Set Screw</Description><Size>Standard</Size><SupplierCode>JJ</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>JJ</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>JJ</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>2025-03-01</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>JJ</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>2025-03-01</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>2025-03-01</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>JJ</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SY174</BillingCode><Name>Universal Spine System (USS)</Name><Description>Nut</Description><Size>Standard</Size><SupplierCode>JJ</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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><MinimumBenefit>143</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-02-01</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</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><MinimumBenefit>143</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2020-11-01</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>283853</ARTG><ARTG>283854</ARTG></ARTGs><Note>Prescribed List reimbursement is only payable for the billing code when the device is 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><ChangeExplanation>Change to Condition</ChangeExplanation><MinimumBenefit>143</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Update</ActionFlag><CycleStartDate>2018-08-01</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</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>WY</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>166</SubCategoryID><GroupID>1465</GroupID><ARTGs><ARTG>455157</ARTG></ARTGs><MinimumBenefit>143</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2024-11-01</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BF027</BillingCode><PriorBillingCodes><PriorBillingCode>LH592</PriorBillingCode></PriorBillingCodes><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>Prescribed List reimbursement is only payable for the billing code when the device is 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><ChangeExplanation>Change to Condition</ChangeExplanation><MinimumBenefit>143</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Update</ActionFlag><CycleStartDate>2020-11-01</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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><MinimumBenefit>143</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-11-01</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>293862</ARTG><ARTG>154442</ARTG><ARTG>159828</ARTG></ARTGs><MinimumBenefit>143</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-07-01</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SY151</BillingCode><Name>Universal Spine System (USS)</Name><Description>Sleeve</Description><Size>5 – 6 mm</Size><SupplierCode>JJ</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>2025-03-01</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>JJ</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SY701</BillingCode><Name>Spinal Fixation System</Name><Description>Cap</Description><Size>One size</Size><SupplierCode>JJ</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>166</SubCategoryID><GroupID>1467</GroupID><ARTGs><ARTG>293276</ARTG><ARTG>293275</ARTG></ARTGs><MinimumBenefit>391</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-08-01</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</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>2025-03-01</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><MinimumBenefit>391</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2023-03-01</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</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 Prescribed 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><ChangeExplanation>Change to Condition</ChangeExplanation><MinimumBenefit>560</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Update</ActionFlag><CycleStartDate>2014-08-01</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SY448</BillingCode><Name>Spinal Fixation System</Name><Description>Locking Cap</Description><Size>One Size</Size><SupplierCode>JJ</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>166</SubCategoryID><GroupID>1468</GroupID><ARTGs><ARTG>293276</ARTG><ARTG>293275</ARTG><ARTG>133401</ARTG></ARTGs><MinimumBenefit>560</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2009-08-01</CycleStartDate><CycleEndDate>2025-03-01</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>JJ</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>JJ</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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><MinimumBenefit>686</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2024-11-01</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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><MinimumBenefit>686</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2023-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>KH100</BillingCode><Name>Zeus Modular Assembling screw seat</Name><Description>Zeus Modular Assembling screw seat ( Normal &amp; Reduction )</Description><Size>one size </Size><SupplierCode>KH</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>166</SubCategoryID><GroupID>1469</GroupID><ARTGs><ARTG>473725</ARTG></ARTGs><ChangeExplanation>New listing</ChangeExplanation><MinimumBenefit>686</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2025-03-01</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SY178</BillingCode><Name>Spinal Fixation System</Name><Description>Pedicle screw head</Description><Size>5 - 6mm</Size><SupplierCode>JJ</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>JJ</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>JJ</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>2025-03-01</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>2025-03-01</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>2025-03-01</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><MinimumBenefit>349</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2024-11-01</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>458187</ARTG><ARTG>458188</ARTG></ARTGs><MinimumBenefit>655</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2024-11-01</CycleStartDate><CycleEndDate>2025-03-01</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><MinimumBenefit>655</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2024-11-01</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>LR</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>2025-03-01</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>JJ</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>167</SubCategoryID><GroupID>1472</GroupID><ARTGs><ARTG>145010</ARTG><ARTG>97391</ARTG></ARTGs><MinimumBenefit>655</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</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>JJ</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>2025-03-01</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>JJ</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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><MinimumBenefit>655</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2023-03-01</CycleStartDate><CycleEndDate>2025-03-01</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><MinimumBenefit>655</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2024-11-01</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>473725</ARTG></ARTGs><ChangeExplanation>Change to ARTG</ChangeExplanation><MinimumBenefit>655</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Update</ActionFlag><CycleStartDate>2019-03-01</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>EY045</BillingCode><Name>Verticale In-Line Connectors</Name><Description>Connectors made of titanium alloy</Description><Size>5.5 * 35/45mm</Size><SupplierCode>EY</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>167</SubCategoryID><GroupID>1472</GroupID><ARTGs><ARTG>462979</ARTG></ARTGs><ChangeExplanation>New listing</ChangeExplanation><MinimumBenefit>655</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2025-03-01</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</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>286122</ARTG><ARTG>384816</ARTG></ARTGs><MinimumBenefit>655</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2019-07-01</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>159828</ARTG><ARTG>154442</ARTG></ARTGs><MinimumBenefit>655</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-07-01</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>JJ</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>167</SubCategoryID><GroupID>1472</GroupID><ARTGs><ARTG>145010</ARTG><ARTG>97391</ARTG></ARTGs><MinimumBenefit>655</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2013-08-01</CycleStartDate><CycleEndDate>2025-03-01</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>JJ</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>2025-03-01</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>279160</ARTG><ARTG>279150</ARTG><ARTG>279159</ARTG></ARTGs><MinimumBenefit>655</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ER708</BillingCode><Name>SIGNUS COSY Cervicothoracic Occipital Rod-Screw System  - Connector in-line</Name><Description> SIGNUS COSY Cervicothoracic Occipital Rod-Screw System- Connector in-line, parallel, sterile, incl. set screws.</Description><Size>to accomodate 3.5-6.0 mm dia rods</Size><SupplierCode>ER</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>167</SubCategoryID><GroupID>1472</GroupID><ARTGs><ARTG>464685</ARTG></ARTGs><ChangeExplanation>New listing</ChangeExplanation><MinimumBenefit>655</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2025-03-01</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>279150</ARTG><ARTG>279151</ARTG><ARTG>279159</ARTG><ARTG>279160</ARTG></ARTGs><MinimumBenefit>705</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>KH047</BillingCode><Name>Connector</Name><Description>Lateral Connector / Dual Head Lateral Connector </Description><Size>10-60mm Length</Size><SupplierCode>KH</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>167</SubCategoryID><GroupID>1473</GroupID><ARTGs><ARTG>473725</ARTG></ARTGs><ChangeExplanation>Change to ARTG, Description</ChangeExplanation><MinimumBenefit>705</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Update</ActionFlag><CycleStartDate>2019-03-01</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>JJ</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>IY114</BillingCode><PriorBillingCodes><PriorBillingCode>LH745</PriorBillingCode><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>IY</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>167</SubCategoryID><GroupID>1473</GroupID><ARTGs><ARTG>362890</ARTG></ARTGs><ChangeExplanation>
Billing code transferred from LH745
Sponsor transferred from LIFEHEALTHCARE PTY LIMITED</ChangeExplanation><MinimumBenefit>705</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2023-07-01</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>IY117</BillingCode><PriorBillingCodes><PriorBillingCode>LH748</PriorBillingCode><PriorBillingCode>LM497</PriorBillingCode></PriorBillingCodes><Name>Sacral Plates</Name><Description>Sacral Plates</Description><Size>Left and Right 60° and 90°</Size><SupplierCode>IY</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>167</SubCategoryID><GroupID>1473</GroupID><ARTGs><ARTG>362890</ARTG></ARTGs><ChangeExplanation>
Billing code transferred from LH748
Sponsor transferred from LIFEHEALTHCARE PTY LIMITED</ChangeExplanation><MinimumBenefit>705</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2023-07-01</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</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><MinimumBenefit>705</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2020-11-01</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ER712</BillingCode><Name>SIGNUS COSY Cervicothoracic Occipital Rod-Screw System - Offset Connector</Name><Description>SIGNUS COSY Cervicothoracic Occipital Rod-Screw System - Offset Connector, sterile, incl. set screws (sterile or non-sterile).</Description><Size>dia 3.5 x 12-15 mm</Size><SupplierCode>ER</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>167</SubCategoryID><GroupID>1473</GroupID><ARTGs><ARTG>464686</ARTG><ARTG>464685</ARTG></ARTGs><ChangeExplanation>New listing</ChangeExplanation><MinimumBenefit>705</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2025-03-01</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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><MinimumBenefit>705</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2023-03-01</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>JJ</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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><MinimumBenefit>705</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2024-11-01</CycleStartDate><CycleEndDate>2025-03-01</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>458188</ARTG><ARTG>458187</ARTG></ARTGs><MinimumBenefit>705</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2024-11-01</CycleStartDate><CycleEndDate>2025-03-01</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>JJ</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>2025-03-01</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>2025-03-01</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>JJ</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>2025-03-01</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>JJ</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>2025-03-01</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>2025-03-01</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>JJ</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SY310</BillingCode><Name>Axon Spinal System</Name><Description>transverse bar</Description><Size>one size only</Size><SupplierCode>JJ</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>279706</ARTG><ARTG>442550</ARTG></ARTGs><MinimumBenefit>705</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-02-01</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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><MinimumBenefit>755</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2020-11-01</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ER716</BillingCode><Name>SIGNUS COSY Cervicothoracic Occipital Rod-Screw System- Hooks</Name><Description>SIGNUS COSY Cervicothoracic Occipital Rod-Screw System- Hooks, various, left and right, sterile, incl. set screws (sterile or non-sterile).</Description><Size>short or long </Size><SupplierCode>ER</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>168</SubCategoryID><GroupID>1475</GroupID><ARTGs><ARTG>464686</ARTG><ARTG>464685</ARTG></ARTGs><ChangeExplanation>New listing</ChangeExplanation><MinimumBenefit>755</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2025-03-01</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>159828</ARTG><ARTG>154442</ARTG></ARTGs><MinimumBenefit>755</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-07-01</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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><MinimumBenefit>755</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2024-11-01</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>JJ</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>2025-03-01</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>EY040</BillingCode><Name>Hooks</Name><Description>Hooks made of titanium alloy</Description><Size>Small - Large</Size><SupplierCode>EY</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>168</SubCategoryID><GroupID>1475</GroupID><ARTGs><ARTG>462979</ARTG></ARTGs><ChangeExplanation>New listing</ChangeExplanation><MinimumBenefit>755</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2025-03-01</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</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>2025-03-01</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>JJ</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>2025-03-01</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><MinimumBenefit>755</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2023-03-01</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</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><MinimumBenefit>755</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-02-01</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>JJ761</BillingCode><Name>Moss Miami (Titanium)</Name><Description>Slotted Hook</Description><Size>One Size</Size><SupplierCode>JJ</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>166153</ARTG><ARTG>203838</ARTG></ARTGs><MinimumBenefit>755</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-02-01</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>JJ</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>KH044</BillingCode><Name>Rod</Name><Description>Rod</Description><Size>4.5 / 5.5 x 30-500mm Length</Size><SupplierCode>KH</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>170</SubCategoryID><GroupID>1478</GroupID><ARTGs><ARTG>473725</ARTG></ARTGs><ChangeExplanation>Change to ARTG, Size</ChangeExplanation><MinimumBenefit>340</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Update</ActionFlag><CycleStartDate>2019-03-01</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>JJ</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>JJ</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>2025-03-01</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>IY119</BillingCode><PriorBillingCodes><PriorBillingCode>LH750</PriorBillingCode><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>IY</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>170</SubCategoryID><GroupID>1478</GroupID><Suffix>Shaped</Suffix><ARTGs><ARTG>362890</ARTG></ARTGs><ChangeExplanation>
Billing code transferred from LH750
Sponsor transferred from LIFEHEALTHCARE PTY LIMITED</ChangeExplanation><MinimumBenefit>555</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2023-07-01</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>IY120</BillingCode><PriorBillingCodes><PriorBillingCode>LH751</PriorBillingCode><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>IY</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>170</SubCategoryID><GroupID>1478</GroupID><ARTGs><ARTG>362890</ARTG></ARTGs><ChangeExplanation>
Billing code transferred from LH751
Sponsor transferred from LIFEHEALTHCARE PTY LIMITED</ChangeExplanation><MinimumBenefit>340</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2023-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ER714</BillingCode><Name>SIGNUS COSY Cervicothoracic Occipital Rod-Screw System - Transition Rod</Name><Description>SIGNUS COSY Cervicothoracic Occipital Rod-Screw System - Transition Rod-straight; non-sterile or sterile</Description><Size>dia (3.5 - 6.0mm) x length (420 - 600mm)</Size><SupplierCode>ER</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>170</SubCategoryID><GroupID>1478</GroupID><Suffix>Dual Diameter</Suffix><ARTGs><ARTG>464686</ARTG><ARTG>464685</ARTG></ARTGs><ChangeExplanation>New listing</ChangeExplanation><MinimumBenefit>432</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2025-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>EY043</BillingCode><Name>VERTICALE Cervical Screw Rod and Occipito-Cervical Fusion system - Rods</Name><Description>Rods made of titanium alloy </Description><Size>3.5 to 5.5mm Diameter</Size><SupplierCode>EY</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>170</SubCategoryID><GroupID>1478</GroupID><ARTGs><ARTG>462979</ARTG></ARTGs><ChangeExplanation>New listing</ChangeExplanation><MinimumBenefit>340</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2025-03-01</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</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><MinimumBenefit>340</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2020-11-01</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>WY</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>170</SubCategoryID><GroupID>1478</GroupID><ARTGs><ARTG>455157</ARTG></ARTGs><MinimumBenefit>340</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2024-11-01</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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><MinimumBenefit>432</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2023-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>JJ760</BillingCode><Name>Moss Miami (Titanium)</Name><Description>Swedge Rod</Description><Size>One Size</Size><SupplierCode>JJ</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>2025-03-01</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>2025-03-01</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>458187</ARTG><ARTG>458188</ARTG></ARTGs><MinimumBenefit>340</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2024-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ER706</BillingCode><Name>SIGNUS COSY Cervicothoracic Occipital Rod-Screw System - Rod, shaped</Name><Description>Occiput rod, shaped, sterile and non-sterile</Description><Size>dia3.5x300mm</Size><SupplierCode>ER</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>170</SubCategoryID><GroupID>1478</GroupID><Suffix>Shaped</Suffix><ARTGs><ARTG>464685</ARTG><ARTG>464686</ARTG></ARTGs><ChangeExplanation>New listing</ChangeExplanation><MinimumBenefit>555</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2025-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>IY122</BillingCode><PriorBillingCodes><PriorBillingCode>QQ249</PriorBillingCode></PriorBillingCodes><Name>KHEIRON Spinal Fixation System</Name><Description>K-ROD patient specific shaped rods</Description><Size>5.5 and 6mm diameter</Size><SupplierCode>IY</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>170</SubCategoryID><GroupID>1478</GroupID><Suffix>Shaped</Suffix><ARTGs><ARTG>362890</ARTG></ARTGs><ChangeExplanation>
Billing code transferred from QQ249
Sponsor transferred from LIFEHEALTHCARE PTY LIMITED</ChangeExplanation><MinimumBenefit>555</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2024-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ER717</BillingCode><Name>SIGNUS COSY Cervicothoracic Occipital Rod-Screw System-Rods</Name><Description>SIGNUS COSY Cervicothoracic Occipital Rod-Screw System-Rods, straight or curved, Titanium or CoCr; non-sterile or sterile</Description><Size>dia 3.5 mm; length 30-360 mm</Size><SupplierCode>ER</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>170</SubCategoryID><GroupID>1478</GroupID><ARTGs><ARTG>464685</ARTG><ARTG>464686</ARTG></ARTGs><ChangeExplanation>New listing</ChangeExplanation><MinimumBenefit>340</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2025-03-01</CycleStartDate><CycleEndDate>2025-03-01</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>Prescribed List reimbursement is only payable for the billing code when the device is 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><ChangeExplanation>Change to Condition</ChangeExplanation><MinimumBenefit>340</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Update</ActionFlag><CycleStartDate>2018-08-01</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>159605</ARTG><ARTG>160750</ARTG><ARTG>170220</ARTG></ARTGs><MinimumBenefit>340</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2020-11-01</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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><MinimumBenefit>340</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-03-01</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>KH099</BillingCode><Name>Cervical Thoracic Tapered Transition Rod 3.5 - 5.5 mm</Name><Description>Cervical Thoracic Tapered Transition Rod 3.5 - 5.5 mm</Description><Size>3.5 - 5.5 mm</Size><SupplierCode>KH</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>170</SubCategoryID><GroupID>1478</GroupID><Suffix>Dual Diameter</Suffix><ARTGs><ARTG>473725</ARTG></ARTGs><ChangeExplanation>New listing</ChangeExplanation><MinimumBenefit>432</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2025-03-01</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BF029</BillingCode><PriorBillingCodes><PriorBillingCode>LH594</PriorBillingCode></PriorBillingCodes><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>Prescribed List reimbursement is only payable for the billing code when the device is 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><ChangeExplanation>Change to Condition</ChangeExplanation><MinimumBenefit>340</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Update</ActionFlag><CycleStartDate>2020-11-01</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>286122</ARTG><ARTG>384816</ARTG></ARTGs><MinimumBenefit>432</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2019-03-01</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</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>2025-03-01</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><MinimumBenefit>432</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2020-11-01</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</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><MinimumBenefit>555</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2023-03-01</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>JJ</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>JJ</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>JJ</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>170</SubCategoryID><GroupID>1478</GroupID><Suffix>Shaped</Suffix><ARTGs><ARTG>128257</ARTG><ARTG>205380</ARTG><ARTG>178040</ARTG><ARTG>97391</ARTG></ARTGs><MinimumBenefit>555</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-02-01</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</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>JJ</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>2025-03-01</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>JJ</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>170</SubCategoryID><GroupID>1478</GroupID><Suffix>Shaped</Suffix><ARTGs><ARTG>293276</ARTG><ARTG>293275</ARTG><ARTG>133401</ARTG></ARTGs><MinimumBenefit>555</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2007-06-01</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</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>2025-03-01</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>Prescribed List reimbursement is only payable for the billing code when the device is 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><ChangeExplanation>Change to Condition</ChangeExplanation><MinimumBenefit>555</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Update</ActionFlag><CycleStartDate>2023-11-01</CycleStartDate><CycleEndDate>2025-03-01</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>154442</ARTG><ARTG>159828</ARTG></ARTGs><MinimumBenefit>340</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-07-01</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</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>2025-03-01</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><MinimumBenefit>340</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-02-01</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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><MinimumBenefit>340</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2024-11-01</CycleStartDate><CycleEndDate>2025-03-01</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><MinimumBenefit>555</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2024-11-01</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BF028</BillingCode><PriorBillingCodes><PriorBillingCode>LH593</PriorBillingCode></PriorBillingCodes><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>Prescribed List reimbursement is only payable for the billing code when the device is 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><ChangeExplanation>Change to Condition</ChangeExplanation><MinimumBenefit>555</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Update</ActionFlag><CycleStartDate>2020-11-01</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>LR</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>2025-03-01</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>458187</ARTG><ARTG>458188</ARTG></ARTGs><MinimumBenefit>340</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2024-11-01</CycleStartDate><CycleEndDate>2025-03-01</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><MinimumBenefit>340</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2023-03-01</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</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>2025-03-01</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>JJ</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>2025-03-01</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>DY578</BillingCode><Name>Expedium Spine System</Name><Description>Rods</Description><Size>Length 30–600 mm</Size><SupplierCode>JJ</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MN113</BillingCode><Name>Mountaineer Spine System</Name><Description>OC Adjustable Rod</Description><Size>3.5mm</Size><SupplierCode>JJ</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MN169</BillingCode><Name>VIPER Spinal System</Name><Description>Spinal Rods</Description><Size>30-480mm</Size><SupplierCode>JJ</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>170</SubCategoryID><GroupID>1478</GroupID><ARTGs><ARTG>128257</ARTG><ARTG>97391</ARTG></ARTGs><MinimumBenefit>340</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2013-02-01</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SY143</BillingCode><Name>Universal Spine System (USS)</Name><Description>Rods</Description><Size>Length 40 - 500mm</Size><SupplierCode>JJ</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>2025-03-01</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>2025-03-01</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SY564</BillingCode><Name>Spinal Fixation System</Name><Description>Matrix Rods</Description><Size>20mm - 500mm length</Size><SupplierCode>JJ</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>170</SubCategoryID><GroupID>1478</GroupID><ARTGs><ARTG>293275</ARTG><ARTG>293276</ARTG></ARTGs><MinimumBenefit>340</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2011-02-01</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>LR</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>2025-03-01</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>2025-03-01</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>Rod 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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>JJ</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>JJ</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>2025-03-01</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>JJ</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>295277</ARTG><ARTG>316001</ARTG></ARTGs><MinimumBenefit>218</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-11-01</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>JJ770</BillingCode><Name>Expedium Spine System</Name><Description>Washer</Description><Size>Various</Size><SupplierCode>JJ</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>JJ771</BillingCode><Name>Expedium Spine System</Name><Description>Staple</Description><Size>Various</Size><SupplierCode>JJ</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>JJ</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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 Prescribed 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><ChangeExplanation>Change to Condition</ChangeExplanation><MinimumBenefit>380</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Update</ActionFlag><CycleStartDate>2019-03-01</CycleStartDate><CycleEndDate>2025-03-01</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>JJ</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>JJ</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>JJ</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>2025-03-01</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>WY</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>176</SubCategoryID><GroupID>1493</GroupID><ARTGs><ARTG>462207</ARTG></ARTGs><MinimumBenefit>3529</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2024-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>PZ066</BillingCode><Name>VerteLoc (Nova-C) Spinal System - Middle and End Body Components</Name><Description>Middle and End Body (includes titanium pins) stackable cages fixed together using a snap fit feature</Description><Size>5-40mm</Size><SupplierCode>PZ</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>176</SubCategoryID><GroupID>1493</GroupID><ARTGs><ARTG>217031</ARTG></ARTGs><ChangeExplanation>New listing</ChangeExplanation><MinimumBenefit>3529</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2025-03-01</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SY294</BillingCode><Name>Synmesh</Name><Description>Mesh, Round</Description><Size>6mm - 88mm</Size><SupplierCode>JJ</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SY293</BillingCode><Name>Synmesh</Name><Description>Mesh, Oblong</Description><Size>6mm - 88mm</Size><SupplierCode>JJ</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SY295</BillingCode><Name>Synmesh</Name><Description>End rings</Description><Size>round/oblong</Size><SupplierCode>JJ</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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><MinimumBenefit>1853</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-02-01</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</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>405334</ARTG><ARTG>405333</ARTG></ARTGs><MinimumBenefit>1853</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2023-07-01</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>ZI</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>2025-03-01</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>238834</ARTG><ARTG>284587</ARTG></ARTGs><MinimumBenefit>1449</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-08-01</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>ZI</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>2025-03-01</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>JJ</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>2025-03-01</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>SN</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>2025-03-01</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>2025-03-01</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><MinimumBenefit>2769</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2024-11-01</CycleStartDate><CycleEndDate>2025-03-01</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><MinimumBenefit>2769</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2024-11-01</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</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>ZI</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>2025-03-01</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>JJ</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>ZI</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>2025-03-01</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>2025-03-01</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><MinimumBenefit>111</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2024-11-01</CycleStartDate><CycleEndDate>2025-03-01</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>SN</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>2025-03-01</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>2025-03-01</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>JJ</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>164</SubCategoryID><GroupID>1435</GroupID><ARTGs><ARTG>99196</ARTG><ARTG>150913</ARTG><ARTG>171784</ARTG><ARTG>98086</ARTG></ARTGs><MinimumBenefit>111</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</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>2025-03-01</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>SN</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ZI036</BillingCode><Name>Acetabular Cup</Name><Description>Trilogy Bone Screw - Titanium</Description><Size>15 - 60</Size><SupplierCode>ZI</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>ZI</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>ZI</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>2025-03-01</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SN263</BillingCode><Name>Buck</Name><Description>Cement Restrictor</Description><Size>13 - 35mm</Size><SupplierCode>SN</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>JJ</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>2025-03-01</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>JJ</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>2025-03-01</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>ZI</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ZI226</BillingCode><Name>Zimmer Bone Plug</Name><Description>Allen Medullary Plug</Description><Size>8 - 23mm</Size><SupplierCode>ZI</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>ZI</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>ZI</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>2025-03-01</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>ZI</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>2025-03-01</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>JJ</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>2025-03-01</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>2025-03-01</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SN269</BillingCode><Name>CPCS</Name><Description>Polished Cemented Stem Distal Centraliser</Description><Size>8 - 18</Size><SupplierCode>SN</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>2025-03-01</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>SN</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>2025-03-01</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>ZI</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>2025-03-01</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>2025-03-01</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>ZI</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>2025-03-01</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>ZI</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>164</SubCategoryID><GroupID>1440</GroupID><ARTGs><ARTG>246835</ARTG><ARTG>145218</ARTG></ARTGs><MinimumBenefit>387</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SN295</BillingCode><Name>Reflection</Name><Description>Threaded hole cover (Reflection)</Description><Size>One size only</Size><SupplierCode>SN</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>2025-03-01</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>2025-03-01</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>SN</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>2024-11-01</CycleStartDate><CycleEndDate>2025-03-01</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>JJ</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>2025-03-01</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>2025-03-01</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>ZI</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>2025-03-01</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>SN</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>2025-03-01</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>2025-03-01</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>JJ</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>ZI</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>2025-03-01</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>2025-03-01</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ZI902</BillingCode><Name>ZMR Compression Nut</Name><Description>Compression Nut</Description><Size>One Size</Size><SupplierCode>ZI</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>2025-03-01</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SN292</BillingCode><Name>Reflection</Name><Description>Fixation peg Titanium Alloy</Description><Size>15mm, 25mm, 35mm</Size><SupplierCode>SN</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>ZI</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>2025-03-01</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>2025-03-01</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><MinimumBenefit>135</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2024-11-01</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SN701</BillingCode><Name>Reflection</Name><Description>Constrained acetabular liner - adaptor ring</Description><Size>42 - 76mm</Size><SupplierCode>SN</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>2025-03-01</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>ZI</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>2025-03-01</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>JJ</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>ZI</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>2025-03-01</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>ZI</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>SN</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>2025-03-01</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>ZI</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>164</SubCategoryID><GroupID>1451</GroupID><ARTGs><ARTG>224160</ARTG></ARTGs><ChangeExplanation>Change to Product Group, ARTG,Change to Group benefit</ChangeExplanation><MinimumBenefit>218</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Update</ActionFlag><CycleStartDate>2010-02-01</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</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>SN</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>ZI</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>ZI</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>2025-03-01</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><MinimumBenefit>484</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2024-11-01</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</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>JJ</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>ZI</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>150</SubCategoryID><GroupID>1353</GroupID><ARTGs><ARTG>206172</ARTG><ARTG>206918</ARTG></ARTGs><MinimumBenefit>2007</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</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>ZI</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>2025-03-01</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>JJ</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>SN</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>2025-03-01</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>ZI</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>151</SubCategoryID><GroupID>1356</GroupID><ARTGs><ARTG>226648</ARTG><ARTG>222316</ARTG></ARTGs><MinimumBenefit>1090</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</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>SN</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>151</SubCategoryID><GroupID>1356</GroupID><ARTGs><ARTG>242033</ARTG><ARTG>242853</ARTG></ARTGs><MinimumBenefit>1090</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2008-07-01</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</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>2025-03-01</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>JJ</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>2025-03-01</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>JJ</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>2025-03-01</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>SN</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>225001</ARTG><ARTG>221853</ARTG><ARTG>225784</ARTG><ARTG>226252</ARTG></ARTGs><MinimumBenefit>3619</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2011-08-01</CycleStartDate><CycleEndDate>2025-03-01</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>ZI</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>ZI</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>2025-03-01</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>2025-03-01</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>SN</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>2025-03-01</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><MinimumBenefit>1836</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2006-03-24</CycleStartDate><CycleEndDate>2025-03-01</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>SN</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>2025-03-01</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>ZI</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>151</SubCategoryID><GroupID>1357</GroupID><ARTGs><ARTG>227159</ARTG></ARTGs><MinimumBenefit>1836</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-08-01</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HT036</BillingCode><Name>Genus Fixed Bearing Tray Cemented</Name><Description>Cemented Tray for Genus Fixed Bearing Inserts</Description><Size>1-7-Plus</Size><SupplierCode>HT</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>151</SubCategoryID><GroupID>1357</GroupID><ARTGs><ARTG>291770</ARTG></ARTGs><ChangeExplanation>New listing</ChangeExplanation><MinimumBenefit>1836</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2025-03-01</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>JJ</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>ZI</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>2025-03-01</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>2025-03-01</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><MinimumBenefit>2647</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-11-01</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</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>2025-03-01</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>298186</ARTG><ARTG>298272</ARTG></ARTGs><MinimumBenefit>1836</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2020-03-01</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>ZI</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>2025-03-01</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>2025-03-01</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>ZI</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>2025-03-01</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>2025-03-01</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>2025-03-01</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><MinimumBenefit>1836</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2007-12-01</CycleStartDate><CycleEndDate>2025-03-01</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><MinimumBenefit>1836</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2019-03-01</CycleStartDate><CycleEndDate>2025-03-01</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><MinimumBenefit>2647</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-08-01</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</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>2025-03-01</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>ZI</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>2025-03-01</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>2025-03-01</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>JJ</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>2025-03-01</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>JJ</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>2025-03-01</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>2025-03-01</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>SN</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>2025-03-01</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>JJ</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>2025-03-01</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>JJ</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>2025-03-01</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><MinimumBenefit>2005</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2013-08-01</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>JJ</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>2025-03-01</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>2025-03-01</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>265622</ARTG><ARTG>265672</ARTG></ARTGs><MinimumBenefit>2005</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-08-01</CycleStartDate><CycleEndDate>2025-03-01</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>293935</ARTG><ARTG>296715</ARTG></ARTGs><MinimumBenefit>2005</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HT043</BillingCode><Name>Genus Pantheon Mobile Tibial Tray</Name><Description>Tibial Tray for use with Pantheon Limb Salvage System</Description><Size>1-6</Size><SupplierCode>HT</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>151</SubCategoryID><GroupID>1359</GroupID><Suffix>Revision, Hinged</Suffix><ARTGs><ARTG>462827</ARTG></ARTGs><ChangeExplanation>New listing</ChangeExplanation><MinimumBenefit>3838</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2025-03-01</CycleStartDate><CycleEndDate>2025-03-01</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><MinimumBenefit>2007</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2007-12-01</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</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>ZI</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>2025-03-01</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><MinimumBenefit>3314</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-08-01</CycleStartDate><CycleEndDate>2025-03-01</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>265617</ARTG><ARTG>265623</ARTG></ARTGs><MinimumBenefit>2493</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-08-01</CycleStartDate><CycleEndDate>2025-03-01</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>JJ</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>2025-03-01</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>JJ</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>2025-03-01</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>2025-03-01</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>SN</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>ZI</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>2025-03-01</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>SN</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>2025-03-01</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>JJ</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>2025-03-01</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>2025-03-01</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ZA078</BillingCode><Name>Persona Partial Knee System</Name><Description>Tibial baseplate</Description><Size>C-J</Size><SupplierCode>ZI</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>ZI</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>152</SubCategoryID><GroupID>1366</GroupID><ARTGs><ARTG>206061</ARTG><ARTG>206976</ARTG><ARTG>205937</ARTG></ARTGs><MinimumBenefit>1527</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2020-11-01</CycleStartDate><CycleEndDate>2025-03-01</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>JJ</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>284907</ARTG><ARTG>285442</ARTG></ARTGs><MinimumBenefit>992</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-08-01</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</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>SN</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>153</SubCategoryID><GroupID>1369</GroupID><ARTGs><ARTG>280113</ARTG><ARTG>208014</ARTG></ARTGs><MinimumBenefit>992</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2010-02-01</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</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>388574</ARTG><ARTG>388575</ARTG><ARTG>278615</ARTG><ARTG>271614</ARTG></ARTGs><MinimumBenefit>992</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-11-01</CycleStartDate><CycleEndDate>2025-03-01</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>JJ</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>153</SubCategoryID><GroupID>1369</GroupID><ARTGs><ARTG>224759</ARTG><ARTG>219401</ARTG></ARTGs><MinimumBenefit>992</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2006-03-24</CycleStartDate><CycleEndDate>2025-03-01</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>JJ</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>FL012</BillingCode><Name>iTotal Cruciate-Retaining (CR) Total Knee Replacement System – Tibial Insert iPoly XE - medial + lateral</Name><Description>UHMWPE Vitmain E infused polyethylene (iPoly XE) minimally stabilised tibial insert - medial and lateral parts used together.</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><ChangeExplanation>Change to Product name, Description</ChangeExplanation><MinimumBenefit>992</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Update</ActionFlag><CycleStartDate>2022-03-01</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</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>2025-03-01</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>211087</ARTG><ARTG>211081</ARTG></ARTGs><MinimumBenefit>992</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2011-08-01</CycleStartDate><CycleEndDate>2025-03-01</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>ZI</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>2025-03-01</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>312507</ARTG><ARTG>312503</ARTG><ARTG>312504</ARTG><ARTG>312505</ARTG><ARTG>312506</ARTG></ARTGs><MinimumBenefit>992</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2019-03-01</CycleStartDate><CycleEndDate>2025-03-01</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>ZI</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>2025-03-01</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>2025-03-01</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>ZI</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SN995</BillingCode><Name>JOURNEY II XLPE Insert</Name><Description>CR XLPE Articular Inserts and Deep Dished XLPE Articular Inserts</Description><Size>1-8 Left and Right</Size><SupplierCode>SN</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>153</SubCategoryID><GroupID>1369</GroupID><ARTGs><ARTG>476345</ARTG><ARTG>476348</ARTG></ARTGs><ChangeExplanation>New listing</ChangeExplanation><MinimumBenefit>992</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2025-03-01</CycleStartDate><CycleEndDate>2025-03-01</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>232062</ARTG><ARTG>232063</ARTG><ARTG>232064</ARTG></ARTGs><MinimumBenefit>992</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-07-01</CycleStartDate><CycleEndDate>2025-03-01</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>276960</ARTG><ARTG>276964</ARTG><ARTG>276961</ARTG></ARTGs><MinimumBenefit>992</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2016-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>JJ955</BillingCode><Name>Attune Knee System</Name><Description>Cruciate Retaining Insert</Description><Size>1-10</Size><SupplierCode>JJ</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>153</SubCategoryID><GroupID>1369</GroupID><ARTGs><ARTG>226662</ARTG><ARTG>220506</ARTG></ARTGs><MinimumBenefit>992</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2014-08-01</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</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>2025-03-01</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>ZI</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>153</SubCategoryID><GroupID>1369</GroupID><ARTGs><ARTG>297463</ARTG></ARTGs><MinimumBenefit>992</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</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>2025-03-01</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>ZI</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>2025-03-01</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>2025-03-01</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>279900</ARTG><ARTG>298115</ARTG></ARTGs><MinimumBenefit>992</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</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>265624</ARTG><ARTG>265641</ARTG><ARTG>265643</ARTG><ARTG>265640</ARTG><ARTG>265632</ARTG></ARTGs><MinimumBenefit>992</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-08-01</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</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>2025-03-01</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>JJ</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>2025-03-01</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>SN</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>SN</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>153</SubCategoryID><GroupID>1369</GroupID><ARTGs><ARTG>207346</ARTG><ARTG>207043</ARTG><ARTG>207045</ARTG></ARTGs><MinimumBenefit>992</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2011-08-01</CycleStartDate><CycleEndDate>2025-03-01</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>SN</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>204596</ARTG><ARTG>205623</ARTG></ARTGs><MinimumBenefit>992</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2007-12-01</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</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>132459</ARTG><ARTG>211413</ARTG></ARTGs><MinimumBenefit>992</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2008-07-01</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</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>ZI</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>153</SubCategoryID><GroupID>1369</GroupID><Suffix>SCP</Suffix><ARTGs><ARTG>220172</ARTG><ARTG>228017</ARTG><ARTG>222216</ARTG></ARTGs><MinimumBenefit>992</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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><MinimumBenefit>992</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2024-11-01</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</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>2025-03-01</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>ZI</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>2025-03-01</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>2025-03-01</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>ZI</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>153</SubCategoryID><GroupID>1369</GroupID><ARTGs><ARTG>223027</ARTG><ARTG>219841</ARTG><ARTG>246654</ARTG></ARTGs><MinimumBenefit>992</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ZI135</BillingCode><Name>NexGen Tibial Insert </Name><Description>Ant. Constr. - UHMWPE</Description><Size>9 - 23mm</Size><SupplierCode>ZI</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>CR318</BillingCode><PriorBillingCodes><PriorBillingCode>GO257</PriorBillingCode></PriorBillingCodes><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>CR</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>153</SubCategoryID><GroupID>1370</GroupID><ARTGs><ARTG>282762</ARTG><ARTG>282757</ARTG><ARTG>388576</ARTG><ARTG>311062</ARTG></ARTGs><ChangeExplanation>
Billing code transferred from GO257
Sponsor transferred from GLOBAL ORTHOPAEDIC TECHNOLOGY PTY LTD</ChangeExplanation><MinimumBenefit>1020</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2013-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HT035</BillingCode><Name>Genus Fixed Bearing PS Insert</Name><Description>Genus PS inserts for Fixed Bearing Trays</Description><Size>1-7</Size><SupplierCode>HT</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>153</SubCategoryID><GroupID>1370</GroupID><ARTGs><ARTG>291765</ARTG></ARTGs><ChangeExplanation>New listing</ChangeExplanation><MinimumBenefit>1020</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2025-03-01</CycleStartDate><CycleEndDate>2025-03-01</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>ZI</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>153</SubCategoryID><GroupID>1370</GroupID><ARTGs><ARTG>221507</ARTG><ARTG>225307</ARTG></ARTGs><MinimumBenefit>1020</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2024-07-01</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>JJ956</BillingCode><Name>Attune Knee System</Name><Description>Posterior Stabilised Insert</Description><Size>1-10</Size><SupplierCode>JJ</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>2025-03-01</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>SN</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>2025-03-01</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>SN</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>287509</ARTG><ARTG>287510</ARTG><ARTG>287504</ARTG><ARTG>287511</ARTG></ARTGs><MinimumBenefit>1020</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-08-01</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>ZI</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>153</SubCategoryID><GroupID>1370</GroupID><ARTGs><ARTG>223747</ARTG><ARTG>222990</ARTG></ARTGs><MinimumBenefit>1020</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2008-07-01</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</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>2025-03-01</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>ZI</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>2025-03-01</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>2025-03-01</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>JJ</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>2025-03-01</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>SN</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>2025-03-01</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>SN</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>2025-03-01</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>JJ</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>2025-03-01</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>JJ</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>2025-03-01</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>JJ</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>2025-03-01</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>SN</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>ZI</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>153</SubCategoryID><GroupID>1370</GroupID><ARTGs><ARTG>222148</ARTG><ARTG>230873</ARTG></ARTGs><MinimumBenefit>1020</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2008-07-01</CycleStartDate><CycleEndDate>2025-03-01</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>ZI</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>153</SubCategoryID><GroupID>1370</GroupID><ARTGs><ARTG>230874</ARTG><ARTG>230875</ARTG></ARTGs><MinimumBenefit>1020</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</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>ZI</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>153</SubCategoryID><GroupID>1370</GroupID><ARTGs><ARTG>230874</ARTG><ARTG>222625</ARTG><ARTG>222233</ARTG></ARTGs><MinimumBenefit>1020</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>ZI</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>2025-03-01</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>2025-03-01</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>285503</ARTG><ARTG>285502</ARTG></ARTGs><MinimumBenefit>1020</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-08-01</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</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>2025-03-01</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>312507</ARTG><ARTG>312503</ARTG><ARTG>312504</ARTG><ARTG>312505</ARTG><ARTG>312506</ARTG></ARTGs><MinimumBenefit>1020</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2019-03-01</CycleStartDate><CycleEndDate>2025-03-01</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>ZI</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>ZI</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>153</SubCategoryID><GroupID>1371</GroupID><ARTGs><ARTG>226020</ARTG><ARTG>271192</ARTG></ARTGs><MinimumBenefit>1090</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2006-11-30</CycleStartDate><CycleEndDate>2025-03-01</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>ZI</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>2025-03-01</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>ZI</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>2025-03-01</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>ZI</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>2025-03-01</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>JJ</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>2025-03-01</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>SN</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>2025-03-01</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>SN</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>2025-03-01</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>JJ</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>2025-03-01</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>JJ</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>2025-03-01</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>JJ</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>2025-03-01</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>SN</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>312502</ARTG><ARTG>303702</ARTG></ARTGs><MinimumBenefit>1726</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2023-07-01</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</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>ZI</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>2025-03-01</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>2025-03-01</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>238794</ARTG><ARTG>250453</ARTG></ARTGs><MinimumBenefit>1090</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-08-01</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</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>JJ</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>2025-03-01</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>JJ</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>2025-03-01</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>2025-03-01</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>SN</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>2025-03-01</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>2025-03-01</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>ZI</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>ZI</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ZA076</BillingCode><Name>Persona Partial Knee System</Name><Description>Tibial insert</Description><Size>8-14mm</Size><SupplierCode>ZI</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>ZI</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>2025-03-01</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>2025-03-01</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>SN</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>212700</ARTG><ARTG>212699</ARTG></ARTGs><MinimumBenefit>337</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</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>309143</ARTG><ARTG>211463</ARTG><ARTG>211481</ARTG></ARTGs><MinimumBenefit>337</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2006-11-30</CycleStartDate><CycleEndDate>2025-03-01</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>JJ</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>2025-03-01</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>SN</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>156</SubCategoryID><GroupID>1376</GroupID><ARTGs><ARTG>220595</ARTG><ARTG>242034</ARTG></ARTGs><MinimumBenefit>337</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-07-01</CycleStartDate><CycleEndDate>2025-03-01</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>SN</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>2025-03-01</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>JJ</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>2025-03-01</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>2025-03-01</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>JJ</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>2025-03-01</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>2025-03-01</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>SN</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>156</SubCategoryID><GroupID>1376</GroupID><ARTGs><ARTG>206505</ARTG><ARTG>278111</ARTG></ARTGs><MinimumBenefit>337</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-07-01</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</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>204598</ARTG><ARTG>205561</ARTG></ARTGs><MinimumBenefit>337</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2007-12-01</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</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>ZI</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>388573</ARTG><ARTG>278529</ARTG></ARTGs><MinimumBenefit>337</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-11-01</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</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>223374</ARTG><ARTG>231794</ARTG></ARTGs><MinimumBenefit>337</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>JJ</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>2025-03-01</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>ZI</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>156</SubCategoryID><GroupID>1376</GroupID><ARTGs><ARTG>225311</ARTG><ARTG>261283</ARTG><ARTG>261274</ARTG></ARTGs><MinimumBenefit>337</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</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>ZI</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>156</SubCategoryID><GroupID>1376</GroupID><ARTGs><ARTG>219858</ARTG><ARTG>219842</ARTG></ARTGs><MinimumBenefit>337</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</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>210604</ARTG><ARTG>216375</ARTG></ARTGs><MinimumBenefit>337</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2013-08-01</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>ZI</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>ZI</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>2025-03-01</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>ZI</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>ZI</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>2025-03-01</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>2025-03-01</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>221737</ARTG><ARTG>284267</ARTG><ARTG>284269</ARTG></ARTGs><MinimumBenefit>1864</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-08-01</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</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>2025-03-01</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>ZI</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>157545</ARTG><ARTG>222182</ARTG><ARTG>245852</ARTG><ARTG>245853</ARTG></ARTGs><MinimumBenefit>2648</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2011-08-01</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</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>2025-03-01</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>277396</ARTG><ARTG>276914</ARTG></ARTGs><MinimumBenefit>2648</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-02-01</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</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>2025-03-01</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>244314</ARTG><ARTG>236017</ARTG><ARTG>244315</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>ZI</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>157</SubCategoryID><GroupID>1386</GroupID><ARTGs><ARTG>462046</ARTG></ARTGs><MinimumBenefit>2648</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2008-07-01</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</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>JJ</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>2025-03-01</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>ZI</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>157</SubCategoryID><GroupID>1386</GroupID><ARTGs><ARTG>250657</ARTG><ARTG>251373</ARTG><ARTG>250652</ARTG><ARTG>273724</ARTG><ARTG>250653</ARTG><ARTG>250654</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>2025-03-01</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>JJ</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>2025-03-01</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>JJ</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>2025-03-01</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>JJ</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HT047</BillingCode><Name>Pantheon Augments</Name><Description>Augments for use with Genus Pantheon Tibia, Pantheon Salvage Tibia</Description><Size>RL/LM, LL/RM, 1-6, 5mm-10mm</Size><SupplierCode>HT</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>159</SubCategoryID><GroupID>1390</GroupID><ARTGs><ARTG>428891</ARTG></ARTGs><ChangeExplanation>New listing</ChangeExplanation><MinimumBenefit>1119</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2025-03-01</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>SN</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>SN</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>2025-03-01</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>JJ</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>ZI</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>2025-03-01</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>ZI</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>2025-03-01</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>2025-03-01</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>ZI</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>2025-03-01</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>2025-03-01</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>ZI</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>2025-03-01</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>ZI</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>2025-03-01</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>2025-03-01</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>221737</ARTG><ARTG>284266</ARTG><ARTG>284264</ARTG><ARTG>284265</ARTG></ARTGs><MinimumBenefit>1119</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-08-01</CycleStartDate><CycleEndDate>2025-03-01</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>JJ</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>SN</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>2025-03-01</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>JJ</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>2025-03-01</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>SN</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>JJ</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>2025-03-01</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>SN</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>2025-03-01</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>JJ</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>226253</ARTG><ARTG>223279</ARTG></ARTGs><MinimumBenefit>2454</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2011-08-01</CycleStartDate><CycleEndDate>2025-03-01</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>JJ</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>2025-03-01</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>SN</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>2025-03-01</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>JJ</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>2025-03-01</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>ZI</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>2025-03-01</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>2025-03-01</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>ZI</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>159</SubCategoryID><GroupID>1393</GroupID><ARTGs><ARTG>251392</ARTG><ARTG>250658</ARTG><ARTG>250659</ARTG><ARTG>249554</ARTG></ARTGs><MinimumBenefit>2454</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2011-08-01</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</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>242298</ARTG><ARTG>247554</ARTG></ARTGs><MinimumBenefit>2454</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</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>2025-03-01</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>ZI</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>ZI</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>221738</ARTG><ARTG>284235</ARTG></ARTGs><MinimumBenefit>633</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-08-01</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>265635</ARTG><ARTG>265644</ARTG></ARTGs><MinimumBenefit>1178</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-08-01</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</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>287512</ARTG><ARTG>287513</ARTG></ARTGs><MinimumBenefit>1178</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-08-01</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</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>2025-03-01</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>JJ</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>2025-03-01</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>2025-03-01</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>ZI</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MN228</BillingCode><Name>Attune Knee System</Name><Description>Offset adaptor</Description><Size>2 to 6mm</Size><SupplierCode>JJ</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>2025-03-01</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>SN</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HT045</BillingCode><Name>Genus Pantheon Offset Adaptor</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>HT</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>159</SubCategoryID><GroupID>1396</GroupID><ARTGs><ARTG>202374</ARTG></ARTGs><ChangeExplanation>New listing</ChangeExplanation><MinimumBenefit>1178</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2025-03-01</CycleStartDate><CycleEndDate>2025-03-01</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>ZI</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>2025-03-01</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>2025-03-01</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>ZI</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>2025-03-01</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>ZI</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>2025-03-01</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>JJ</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>159</SubCategoryID><GroupID>1397</GroupID><ARTGs><ARTG>132151</ARTG><ARTG>97981</ARTG><ARTG>97698</ARTG><ARTG>98092</ARTG><ARTG>131657</ARTG><ARTG>98088</ARTG></ARTGs><MinimumBenefit>123</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SN318</BillingCode><Name>Genesis II</Name><Description>Lugs</Description><Size>Various sizes</Size><SupplierCode>SN</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>2025-03-01</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SN342</BillingCode><Name>Genesis</Name><Description>Custom Flex Lock Peg</Description><Size>Left &amp; right</Size><SupplierCode>SN</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SN329</BillingCode><Name>Genesis II</Name><Description>Tibial screws</Description><Size>15-50mm</Size><SupplierCode>SN</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>ZI</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>2025-03-01</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>ZI</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HT046</BillingCode><Name>Genus Pantheon Stem</Name><Description>Cemented and Cementless Stems for use with Genus Pantheon Femur &amp; Tibia and Pantheon Salvage Tibia</Description><Size>Diameter 10 - 24mm, Lengths - 55 to 145mm</Size><SupplierCode>HT</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>159</SubCategoryID><GroupID>1399</GroupID><ARTGs><ARTG>202374</ARTG></ARTGs><ChangeExplanation>New listing</ChangeExplanation><MinimumBenefit>1098</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2025-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SN319</BillingCode><Name>Genesis II</Name><Description>Metaphyseal Stem</Description><Size>1-8</Size><SupplierCode>SN</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>277359</ARTG><ARTG>277356</ARTG></ARTGs><MinimumBenefit>1098</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2016-02-01</CycleStartDate><CycleEndDate>2025-03-01</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>ZI</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>159</SubCategoryID><GroupID>1399</GroupID><ARTGs><ARTG>242181</ARTG><ARTG>242180</ARTG><ARTG>242182</ARTG></ARTGs><MinimumBenefit>1098</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>277357</ARTG><ARTG>277359</ARTG><ARTG>277356</ARTG></ARTGs><MinimumBenefit>1098</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ZI936</BillingCode><Name>Persona Knee System</Name><Description>Stem Extension</Description><Size>14mm x 30mm</Size><SupplierCode>ZI</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>159</SubCategoryID><GroupID>1399</GroupID><ARTGs><ARTG>265432</ARTG></ARTGs><ChangeExplanation>Change to ARTG</ChangeExplanation><MinimumBenefit>1098</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Update</ActionFlag><CycleStartDate>2016-08-01</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</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>2025-03-01</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>JJ</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>2025-03-01</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>SN</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>2025-03-01</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>SN</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MN226</BillingCode><Name>Attune Knee System</Name><Description>Revision stems</Description><Size>10 to 24mm</Size><SupplierCode>JJ</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MN208</BillingCode><Name>Attune Knee System</Name><Description>Revision Stems</Description><Size>14mm</Size><SupplierCode>JJ</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>2025-03-01</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>JJ</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SN377</BillingCode><Name>Profix</Name><Description>Metaphyseal Tibial Stem</Description><Size>14-20mm</Size><SupplierCode>SN</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>2025-03-01</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>2025-03-01</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>2025-03-01</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><MinimumBenefit>1098</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-11-01</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>ZI</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>2025-03-01</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>2025-03-01</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>ZI</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>SN</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>JJ</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>2025-03-01</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>JJ</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>2025-03-01</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>JJ</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>2025-03-01</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>JJ</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>ZI</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>159</SubCategoryID><GroupID>1400</GroupID><Suffix>Metaphyseal</Suffix><ARTGs><ARTG>242592</ARTG><ARTG>357912</ARTG></ARTGs><MinimumBenefit>2356</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>SN</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>2025-03-01</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>AL037</BillingCode><Name>Ex-Press Glaucoma Filtration Device</Name><Description>Miniature glaucoma shunt</Description><Size>50 microns; 200 microns</Size><SupplierCode>AL</SupplierCode><CategoryID>1</CategoryID><SubCategoryID>144</SubCategoryID><GroupID>1334</GroupID><SubGroupID>3898</SubGroupID><ARTGs><ARTG>319620</ARTG></ARTGs><MinimumBenefit>645</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2011-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>DE641</BillingCode><Name>ESNOPER Glaucoma Implant</Name><Description>Glaucoma Drainage Implant</Description><Size>3.00mm x 1.40mm x 2.85mm</Size><SupplierCode>DE</SupplierCode><CategoryID>1</CategoryID><SubCategoryID>144</SubCategoryID><GroupID>1334</GroupID><SubGroupID>3899</SubGroupID><ARTGs><ARTG>290207</ARTG></ARTGs><MinimumBenefit>384</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MU027</BillingCode><Name>Evolis Knee System Femoral Component </Name><Description>Femoral Component, cemented, CoCr, with TiNi (TiNibN) surface coating</Description><Size>1 - 6, left and right</Size><SupplierCode>MU</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>149</SubCategoryID><GroupID>1348</GroupID><SubGroupID>3906</SubGroupID><Suffix>Ceramic Surface</Suffix><ARTGs><ARTG>205141</ARTG></ARTGs><MinimumBenefit>3009</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2007-12-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BB360</BillingCode><Name>AS Columbus Knee System Femur CR cemented</Name><Description>Columbus cemented AS coated CR Fixed bearing femoral component for total knee arthroplasty</Description><Size>1-8 Left and Right</Size><SupplierCode>BB</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>149</SubCategoryID><GroupID>1348</GroupID><SubGroupID>3906</SubGroupID><Suffix>Ceramic Surface</Suffix><ARTGs><ARTG>279466</ARTG></ARTGs><MinimumBenefit>3009</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LH609</BillingCode><PriorBillingCodes><PriorBillingCode>OO017</PriorBillingCode></PriorBillingCodes><Name>ACS Knee System - ACS LS Revision Femoral component, Cemented</Name><Description>Cemented femoral component, revision, for use with stems</Description><Size>Left/Right Sizes 2/3/4/5/6</Size><SupplierCode>LH</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>149</SubCategoryID><GroupID>1348</GroupID><SubGroupID>3906</SubGroupID><Suffix>Revision</Suffix><ARTGs><ARTG>265605</ARTG></ARTGs><MinimumBenefit>5276</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MU081</BillingCode><Name>GMK Revision cemented standard femur</Name><Description>Cemented minimally stabilised femoral component</Description><Size>Sizes 1 to 6, Left and Right</Size><SupplierCode>MU</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>149</SubCategoryID><GroupID>1348</GroupID><SubGroupID>3906</SubGroupID><Suffix>Revision</Suffix><ARTGs><ARTG>211444</ARTG></ARTGs><MinimumBenefit>5276</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2010-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BV057</BillingCode><Name>Evolution Medial Pivot Knee System</Name><Description>Stemmed Femoral CS</Description><Size>3-8  Left, Right</Size><SupplierCode>BV</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>149</SubCategoryID><GroupID>1348</GroupID><SubGroupID>3906</SubGroupID><Suffix>Revision</Suffix><ARTGs><ARTG>392216</ARTG></ARTGs><MinimumBenefit>5276</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SN991</BillingCode><Name>Genesis II Knee System Femoral Component</Name><Description>Femoral Component, cemented, CoCr</Description><Size>1-8
Left &amp; Right</Size><SupplierCode>SN</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>149</SubCategoryID><GroupID>1348</GroupID><SubGroupID>3906</SubGroupID><Suffix>SCP</Suffix><ARTGs><ARTG>207041</ARTG></ARTGs><MinimumBenefit>2793</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2015-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SN993</BillingCode><Name>JOURNEY II CR Femoral CoCr</Name><Description>Femoral component, cemented, CoCr</Description><Size>1-9, Left/Right</Size><SupplierCode>SN</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>149</SubCategoryID><GroupID>1348</GroupID><SubGroupID>3906</SubGroupID><ARTGs><ARTG>476347</ARTG></ARTGs><ChangeExplanation>New listing</ChangeExplanation><MinimumBenefit>2793</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2025-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HW671</BillingCode><PriorBillingCodes><PriorBillingCode>SR063</PriorBillingCode><PriorBillingCode>SK332</PriorBillingCode></PriorBillingCodes><Name>Scorpio Knee System - Femoral Component</Name><Description>Minimally stabilised, cemented, alloy.</Description><Size>Sizes 3 - 13</Size><SupplierCode>JV</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>149</SubCategoryID><GroupID>1348</GroupID><SubGroupID>3906</SubGroupID><ARTGs><ARTG>211461</ARTG><ARTG>211480</ARTG><ARTG>211484</ARTG></ARTGs><MinimumBenefit>2793</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2020-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>FA008</BillingCode><Name>Optetrak Logic Total Knee System, Femoral Component, CR, Cemented</Name><Description>Femoral Component, cemented, CoCr</Description><Size>Size 0 - 6, Left and Right</Size><SupplierCode>FA</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>149</SubCategoryID><GroupID>1348</GroupID><SubGroupID>3906</SubGroupID><ARTGs><ARTG>285439</ARTG></ARTGs><MinimumBenefit>2793</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MA490</BillingCode><Name>balanSys Knee System / Femoral Component, CR, cemented, TiNbN coated</Name><Description>Balansys Femoral Component/ CR cemented, TiNbN coated</Description><Size>XS to F, left and right</Size><SupplierCode>MA</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>149</SubCategoryID><GroupID>1348</GroupID><SubGroupID>3906</SubGroupID><ARTGs><ARTG>206173</ARTG></ARTGs><MinimumBenefit>2793</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2009-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>AE039</BillingCode><Name>Active Knee Femoral Component </Name><Description>Femoral Component, Cemented, CoCr </Description><Size>Sizes 00 - 5 Left &amp; Right</Size><SupplierCode>AE</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>149</SubCategoryID><GroupID>1348</GroupID><SubGroupID>3906</SubGroupID><ARTGs><ARTG>164032</ARTG></ARTGs><MinimumBenefit>2793</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ZI961</BillingCode><Name>Persona Knee System</Name><Description>Persona CR Femoral Component, Cemented</Description><Size>Sizes 1-12</Size><SupplierCode>ZI</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>149</SubCategoryID><GroupID>1348</GroupID><SubGroupID>3906</SubGroupID><ARTGs><ARTG>261278</ARTG></ARTGs><MinimumBenefit>2793</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>CR288</BillingCode><PriorBillingCodes><PriorBillingCode>GO196</PriorBillingCode></PriorBillingCodes><Name>Apex Knee - Cemented Femoral Component</Name><Description>CR Cemented Femoral Component, Non-Porous, Size 1 to 6</Description><Size>Size 1-6, 1+, 2+, 3+, 4+, 5+, 6+ in Left &amp; Right</Size><SupplierCode>CR</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>149</SubCategoryID><GroupID>1348</GroupID><SubGroupID>3906</SubGroupID><ARTGs><ARTG>273814</ARTG></ARTGs><MinimumBenefit>2793</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MU145</BillingCode><Name>GMK Sphere Femoral Component</Name><Description>Cemented femoral component</Description><Size>1 to 7 Left
1 to 7 Right</Size><SupplierCode>MU</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>149</SubCategoryID><GroupID>1348</GroupID><SubGroupID>3906</SubGroupID><ARTGs><ARTG>211411</ARTG></ARTGs><MinimumBenefit>2793</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2016-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>CR249</BillingCode><Name>Unity Knee - Cruciate Retaining Femur Cemented</Name><Description>Femoral Component Cemented - Cruciate Retaining</Description><Size>Size 1 – 9, Left and Right</Size><SupplierCode>CR</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>149</SubCategoryID><GroupID>1348</GroupID><SubGroupID>3906</SubGroupID><ARTGs><ARTG>223554</ARTG></ARTGs><MinimumBenefit>2793</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MA108</BillingCode><Name>balanSys Femoral Component</Name><Description>Femoral component, cemented, CoCr</Description><Size>XS TO F Left and Right</Size><SupplierCode>MA</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>149</SubCategoryID><GroupID>1348</GroupID><SubGroupID>3906</SubGroupID><ARTGs><ARTG>206062</ARTG></ARTGs><MinimumBenefit>2793</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MJ005</BillingCode><Name>Saiph Knee System Femoral Component Cemented</Name><Description>CoCr Polished Cemented Femoral Component</Description><Size>1 - 8 Left &amp; Right</Size><SupplierCode>MJ</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>149</SubCategoryID><GroupID>1348</GroupID><SubGroupID>3906</SubGroupID><ARTGs><ARTG>117768</ARTG><ARTG>192370</ARTG></ARTGs><MinimumBenefit>2793</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2013-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>JJ953</BillingCode><Name>Attune Knee System</Name><Description>Cruciate Retaining Cemented Femur</Description><Size>1-10 including narrow</Size><SupplierCode>JJ</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>149</SubCategoryID><GroupID>1348</GroupID><SubGroupID>3906</SubGroupID><ARTGs><ARTG>220502</ARTG></ARTGs><MinimumBenefit>2793</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2014-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SF139</BillingCode><Name>Active Knee Femoral Component </Name><Description>Femoral Component, Cemented, CoCr </Description><Size>Sizes 00 - 5 Left &amp; Right</Size><SupplierCode>SF</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>149</SubCategoryID><GroupID>1348</GroupID><SubGroupID>3906</SubGroupID><ARTGs><ARTG>276959</ARTG></ARTGs><MinimumBenefit>2793</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2016-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HT010</BillingCode><PriorBillingCodes><PriorBillingCode>TZ009</PriorBillingCode></PriorBillingCodes><Name>Genus Knee System - Genus Cemented Femoral Component</Name><Description>Femoral Component for Total Knee Arthroplasty</Description><Size>1-7 right, 1-7 left, Minus</Size><SupplierCode>HT</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>149</SubCategoryID><GroupID>1348</GroupID><SubGroupID>3906</SubGroupID><ARTGs><ARTG>232056</ARTG></ARTGs><MinimumBenefit>2793</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>FL007</BillingCode><Name>iTotal Cruciate-Retaining (CR) Total Knee Replacement System – iTotal Femoral Component</Name><Description>Minimally stabilised femoral component, cemented, CoCrMo</Description><Size>Left Knee, Right Knee, patient-specific</Size><SupplierCode>FL</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>149</SubCategoryID><GroupID>1348</GroupID><SubGroupID>3906</SubGroupID><ARTGs><ARTG>377130</ARTG></ARTGs><MinimumBenefit>2793</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SK324</BillingCode><Name>Triathlon Knee System Femoral Component</Name><Description>Minimally stabilised, cemented, CoCr</Description><Size>Sizes 1 to 8</Size><SupplierCode>JV</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>149</SubCategoryID><GroupID>1348</GroupID><SubGroupID>3906</SubGroupID><Suffix>SCP</Suffix><ARTGs><ARTG>212698</ARTG></ARTGs><MinimumBenefit>2793</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BI898</BillingCode><Name>Vanguard Total Knee System</Name><Description>Femoral Component, CR, Cemented, anatomic, CoCr.</Description><Size>55, 57.5, 60, 62.5, 65, 67.5, 70, 75, 80 Left and Right</Size><SupplierCode>ZI</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>149</SubCategoryID><GroupID>1348</GroupID><SubGroupID>3906</SubGroupID><Suffix>SCP</Suffix><ARTGs><ARTG>218494</ARTG></ARTGs><MinimumBenefit>2793</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SN992</BillingCode><Name>Legion Knee System Femoral Component</Name><Description>Legion Femoral, cemented, CoCr</Description><Size>2-8
Left &amp; Right</Size><SupplierCode>SN</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>149</SubCategoryID><GroupID>1348</GroupID><SubGroupID>3906</SubGroupID><ARTGs><ARTG>212548</ARTG></ARTGs><MinimumBenefit>2793</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2015-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MU063</BillingCode><Name>GMK Primary Cemented Standard Femoral Component</Name><Description>Cemented standard femoral component</Description><Size>0 to 7, left to right</Size><SupplierCode>MU</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>149</SubCategoryID><GroupID>1348</GroupID><SubGroupID>3906</SubGroupID><ARTGs><ARTG>211426</ARTG></ARTGs><MinimumBenefit>2793</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2008-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MU026</BillingCode><Name>Evolis Knee System Femoral Component </Name><Description>Femoral component, cemented, CoCr </Description><Size>1- 6, left and right</Size><SupplierCode>MU</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>149</SubCategoryID><GroupID>1348</GroupID><SubGroupID>3906</SubGroupID><ARTGs><ARTG>204213</ARTG></ARTGs><MinimumBenefit>2793</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2007-12-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MU112</BillingCode><Name>GMK Cemented Standard Femur - TiNbN coated</Name><Description>Cemented standard femoral component, with TiNbN surface coating</Description><Size>sizes 0 to 7, left to right</Size><SupplierCode>MU</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>149</SubCategoryID><GroupID>1348</GroupID><SubGroupID>3906</SubGroupID><ARTGs><ARTG>254612</ARTG></ARTGs><MinimumBenefit>2793</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2013-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BV003</BillingCode><Name>Evolution Medial Pivot Knee System</Name><Description>Cemented, grit blasted, minimally stabilised, femoral component</Description><Size>1-8
Left, Right</Size><SupplierCode>BV</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>149</SubCategoryID><GroupID>1348</GroupID><SubGroupID>3906</SubGroupID><ARTGs><ARTG>225086</ARTG></ARTGs><MinimumBenefit>2793</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2016-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>OH553</BillingCode><Name>Trekking Knee System, Femoral Component - CR</Name><Description>Femoral Component - CR</Description><Size>Shape: Left and Right
Width (mm): 59 - 79
Width (mm): Depth 53-73
Size: T1L - T5L
Size: T1R - T5R</Size><SupplierCode>OH</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>149</SubCategoryID><GroupID>1348</GroupID><SubGroupID>3906</SubGroupID><ARTGs><ARTG>287516</ARTG></ARTGs><MinimumBenefit>2793</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BB205</BillingCode><Name>Columbus Total Knee System (TKS) Femoral Component</Name><Description>Femoral component, cemented, CR, CoCr</Description><Size>F1 - F8, Left and Right</Size><SupplierCode>BB</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>149</SubCategoryID><GroupID>1348</GroupID><SubGroupID>3906</SubGroupID><ARTGs><ARTG>279465</ARTG></ARTGs><MinimumBenefit>2793</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BB348</BillingCode><Name>e.motion Total Knee System FP/UC Femoral Component cemented</Name><Description>e.motion mobile bearing FP/UC Femoral Component cemented</Description><Size>2-8, Left and right</Size><SupplierCode>BB</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>149</SubCategoryID><GroupID>1348</GroupID><SubGroupID>3906</SubGroupID><ARTGs><ARTG>293930</ARTG></ARTGs><MinimumBenefit>2793</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2015-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LH600</BillingCode><PriorBillingCodes><PriorBillingCode>OO001</PriorBillingCode></PriorBillingCodes><Name>ACS Knee System - Femoral component cemented</Name><Description>Cemented resurfacing femoral component for use in knee athroplasty</Description><Size>Left/Right 1-7</Size><SupplierCode>LH</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>149</SubCategoryID><GroupID>1348</GroupID><SubGroupID>3906</SubGroupID><ARTGs><ARTG>265601</ARTG></ARTGs><MinimumBenefit>2793</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LI062</BillingCode><Name>Score Knee System Femoral Component</Name><Description>Femoral component, Cemented, CoCr, with extended patellar groove </Description><Size>7 sizes</Size><SupplierCode>LI</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>149</SubCategoryID><GroupID>1348</GroupID><SubGroupID>3906</SubGroupID><ARTGs><ARTG>210577</ARTG></ARTGs><MinimumBenefit>2793</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2013-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HT037</BillingCode><Name>Genus PS Femur Cemented</Name><Description>Cemented PS Femur </Description><Size>1-7 </Size><SupplierCode>HT</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>149</SubCategoryID><GroupID>1348</GroupID><SubGroupID>3907</SubGroupID><ARTGs><ARTG>291768</ARTG></ARTGs><ChangeExplanation>New listing</ChangeExplanation><MinimumBenefit>2855</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2025-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BB206</BillingCode><Name>Columbus Total Knee System (TKS) Femoral Component</Name><Description>Femoral component, cemented, CoCr, posterior stabilised</Description><Size>F1 - F8, Left and Right</Size><SupplierCode>BB</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>149</SubCategoryID><GroupID>1348</GroupID><SubGroupID>3907</SubGroupID><ARTGs><ARTG>279467</ARTG></ARTGs><MinimumBenefit>2855</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LI111</BillingCode><Name>Anatomic Cemented Femur</Name><Description>Cemented Posterior Stabilised Femoral Component</Description><Size>0 to 8</Size><SupplierCode>LI</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>149</SubCategoryID><GroupID>1348</GroupID><SubGroupID>3907</SubGroupID><ARTGs><ARTG>222529</ARTG></ARTGs><MinimumBenefit>2855</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LH610</BillingCode><Name>ACS Knee System - PS Femoral component, cemented</Name><Description>ACS posterior stabilised femoral component, cemented</Description><Size>Size 1,2,2.5,3,4,5,6,7 left/right slim</Size><SupplierCode>LH</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>149</SubCategoryID><GroupID>1348</GroupID><SubGroupID>3907</SubGroupID><ARTGs><ARTG>265603</ARTG></ARTGs><MinimumBenefit>2855</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BB196</BillingCode><Name>E.motion Total Knee System</Name><Description>Posterior Stabilised Knee Component cemented</Description><Size>F2 - F8 Right Left</Size><SupplierCode>BB</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>149</SubCategoryID><GroupID>1348</GroupID><SubGroupID>3907</SubGroupID><ARTGs><ARTG>293934</ARTG><ARTG>296713</ARTG><ARTG>293932</ARTG><ARTG>296714</ARTG></ARTGs><MinimumBenefit>2855</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BI897</BillingCode><Name>Vanguard Total Knee System</Name><Description>Femoral Component, Posterior Stabilised, Cemented, anatomic, CoCr.</Description><Size>55, 57.5, 60, 62.5, 65, 67.5, 70, 75, 80 Left and Right</Size><SupplierCode>ZI</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>149</SubCategoryID><GroupID>1348</GroupID><SubGroupID>3907</SubGroupID><ARTGs><ARTG>98449</ARTG></ARTGs><MinimumBenefit>2855</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ZI933</BillingCode><Name>Persona Knee System</Name><Description>Persona PS Femoral Component, Cemented</Description><Size>1-12, including narrow</Size><SupplierCode>ZI</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>149</SubCategoryID><GroupID>1348</GroupID><SubGroupID>3907</SubGroupID><ARTGs><ARTG>261279</ARTG></ARTGs><MinimumBenefit>2855</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2016-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>FA011</BillingCode><Name>Optetrak Logic Total Knee System, Femoral Component, PS, Cemented</Name><Description>Femoral Component, PS, Cemented</Description><Size>Size 0 - 6, Left and Right</Size><SupplierCode>FA</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>149</SubCategoryID><GroupID>1348</GroupID><SubGroupID>3907</SubGroupID><ARTGs><ARTG>285440</ARTG></ARTGs><MinimumBenefit>2855</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>CR296</BillingCode><PriorBillingCodes><PriorBillingCode>GO287</PriorBillingCode></PriorBillingCodes><Name>Apex PS Cemented Femoral Component</Name><Description>The femoral component of a total knee system that incorporates a proportionally sized box.</Description><Size>Sizes 1-6, plus Sizes 1+ to 6+ Left and Right</Size><SupplierCode>CR</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>149</SubCategoryID><GroupID>1348</GroupID><SubGroupID>3907</SubGroupID><ARTGs><ARTG>278616</ARTG></ARTGs><MinimumBenefit>2855</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HW670</BillingCode><PriorBillingCodes><PriorBillingCode>ST984</PriorBillingCode><PriorBillingCode>SR003</PriorBillingCode></PriorBillingCodes><Name>Scorpio Knee System - Femoral Component</Name><Description>Posterior stabilised, cemented, alloy.</Description><Size>Sizes 3 - 13</Size><SupplierCode>JV</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>149</SubCategoryID><GroupID>1348</GroupID><SubGroupID>3907</SubGroupID><ARTGs><ARTG>211480</ARTG><ARTG>211857</ARTG><ARTG>211477</ARTG></ARTGs><MinimumBenefit>2855</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2020-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>OH552</BillingCode><Name>Trekking Knee System, Femoral Component - PS</Name><Description>Femoral Component - PS</Description><Size>Size: T1R - T5R
Size: T1L - T5L
Width (mm): 59 - 79
Width (mm) Depth 53-73
Shape: Left and Right</Size><SupplierCode>OH</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>149</SubCategoryID><GroupID>1348</GroupID><SubGroupID>3907</SubGroupID><ARTGs><ARTG>287517</ARTG></ARTGs><MinimumBenefit>2855</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MU029</BillingCode><Name>Evolis Knee System Femoral Component </Name><Description>Femoral Component, cemented, CoCr, posterior stabilised with TiNi (TiNibN) surface coating</Description><Size>1 - 6, left and right</Size><SupplierCode>MU</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>149</SubCategoryID><GroupID>1348</GroupID><SubGroupID>3907</SubGroupID><ARTGs><ARTG>205777</ARTG></ARTGs><MinimumBenefit>2855</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2007-12-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SN989</BillingCode><Name>Genesis II Knee System Femoral Component</Name><Description>Femoral component, cemented posterior stabilised, CoCr</Description><Size>1-8
Left &amp; Right</Size><SupplierCode>SN</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>149</SubCategoryID><GroupID>1348</GroupID><SubGroupID>3907</SubGroupID><Suffix>SCP</Suffix><ARTGs><ARTG>207012</ARTG></ARTGs><MinimumBenefit>2855</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2015-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LI063</BillingCode><Name>Score Knee System Femoral Component</Name><Description>Femoral Component, CoCr, cemented, Posterior Stabilised</Description><Size>4 sizes in left and right</Size><SupplierCode>LI</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>149</SubCategoryID><GroupID>1348</GroupID><SubGroupID>3907</SubGroupID><Suffix>Revision</Suffix><ARTGs><ARTG>210579</ARTG></ARTGs><MinimumBenefit>5363</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2013-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>JJ954</BillingCode><Name>Attune Knee System</Name><Description>Posterior Stabilised Cemented Femur</Description><Size>1-10 including narrow</Size><SupplierCode>JJ</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>149</SubCategoryID><GroupID>1348</GroupID><SubGroupID>3907</SubGroupID><ARTGs><ARTG>220504</ARTG></ARTGs><MinimumBenefit>2855</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2014-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>CR295</BillingCode><PriorBillingCodes><PriorBillingCode>GO286</PriorBillingCode></PriorBillingCodes><Name>Apex PS Cemented Revision Femoral Component</Name><Description>The femoral component of a total knee revision system that incorporates a proportionally sized box.</Description><Size>Sizes 1-6, plus Sizes 1+ to 5+ Left and Right</Size><SupplierCode>CR</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>149</SubCategoryID><GroupID>1348</GroupID><SubGroupID>3907</SubGroupID><Suffix>Revision</Suffix><ARTGs><ARTG>311060</ARTG></ARTGs><MinimumBenefit>5363</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MA506</BillingCode><Name>Balansys Revision Knee</Name><Description>Femoral component, contrained</Description><Size>A to E, right to left</Size><SupplierCode>MA</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>149</SubCategoryID><GroupID>1348</GroupID><SubGroupID>3907</SubGroupID><Suffix>Revision</Suffix><ARTGs><ARTG>209536</ARTG></ARTGs><MinimumBenefit>5363</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2011-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MU089</BillingCode><Name>GMK Revision cemented posterior-stabilised femur</Name><Description>Cemented posterior stabilised femoral component</Description><Size>Sizes 1 to 6, Left and Right</Size><SupplierCode>MU</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>149</SubCategoryID><GroupID>1348</GroupID><SubGroupID>3907</SubGroupID><Suffix>Revision</Suffix><ARTGs><ARTG>211486</ARTG></ARTGs><MinimumBenefit>5363</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2010-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MA493</BillingCode><Name>Balansys Knee System / Femoral Component, PS, cemented, TiNbN coated</Name><Description>Balansys Femoral Component/PS cemented, TiNbN coated, CoCrMo, TiNbN</Description><Size>XS to F, Left and Right</Size><SupplierCode>MA</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>149</SubCategoryID><GroupID>1348</GroupID><SubGroupID>3907</SubGroupID><ARTGs><ARTG>206174</ARTG></ARTGs><MinimumBenefit>2855</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2009-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MU064</BillingCode><Name>GMK posterior stabilised cemented femur</Name><Description>Cemented posterior stabilised femoral component</Description><Size>0 to 7, left to right</Size><SupplierCode>MU</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>149</SubCategoryID><GroupID>1348</GroupID><SubGroupID>3907</SubGroupID><ARTGs><ARTG>223521</ARTG></ARTGs><MinimumBenefit>2855</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2008-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>WQ005</BillingCode><Name>Origin PS Femur Cemented</Name><Description>Patient-Matched posterior stabilised cemented femoral component  </Description><Size>Patient Specific - Left and Right Knee</Size><SupplierCode>WQ</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>149</SubCategoryID><GroupID>1348</GroupID><SubGroupID>3907</SubGroupID><ARTGs><ARTG>382626</ARTG></ARTGs><MinimumBenefit>2855</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2023-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MU028</BillingCode><Name>Evolis Knee System Femoral Component </Name><Description>Femoral Component, cemented, CoCr, posterior stabilised </Description><Size>1 - 6, left and right</Size><SupplierCode>MU</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>149</SubCategoryID><GroupID>1348</GroupID><SubGroupID>3907</SubGroupID><ARTGs><ARTG>205428</ARTG></ARTGs><MinimumBenefit>2855</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2007-12-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MU113</BillingCode><Name>GMK Posterior Stabilised Cemented Femur -TiNbN coated</Name><Description>Cemented posterior stabilised femoral component, with TiNbN surface coating</Description><Size>sizes 0 to 7, left and right</Size><SupplierCode>MU</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>149</SubCategoryID><GroupID>1348</GroupID><SubGroupID>3907</SubGroupID><ARTGs><ARTG>254613</ARTG></ARTGs><MinimumBenefit>2855</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2013-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SL172</BillingCode><Name>Journey II BCS Femoral CoCr</Name><Description>Femoral component, CoCr, cemented</Description><Size>1 - 9; Left/Right</Size><SupplierCode>SN</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>149</SubCategoryID><GroupID>1348</GroupID><SubGroupID>3907</SubGroupID><ARTGs><ARTG>375295</ARTG></ARTGs><MinimumBenefit>2855</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SN990</BillingCode><Name>Legion Knee System Femoral Component</Name><Description>Femoral Component, cemented posterier stabilised, CoCr</Description><Size>2-8
Left &amp; Right</Size><SupplierCode>SN</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>149</SubCategoryID><GroupID>1348</GroupID><SubGroupID>3907</SubGroupID><ARTGs><ARTG>212549</ARTG></ARTGs><MinimumBenefit>2855</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2015-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>OH419</BillingCode><Name>Trekking Knee System: TCK Revision Femoral Component PS</Name><Description>Femoral Component Revision - PS</Description><Size>Size: T1R - T5R
Size: T1L - T5L
Shape: Left and Right
Width (mm): 59 - 79
Width (mm): Depth 53-73</Size><SupplierCode>OH</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>149</SubCategoryID><GroupID>1348</GroupID><SubGroupID>3907</SubGroupID><ARTGs><ARTG>287507</ARTG></ARTGs><MinimumBenefit>2855</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MA487</BillingCode><Name>balanSys Femoral Component</Name><Description>Femoral component, cemented, CoCr, posterior stabilised </Description><Size>XS to F, Left and Right</Size><SupplierCode>MA</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>149</SubCategoryID><GroupID>1348</GroupID><SubGroupID>3907</SubGroupID><ARTGs><ARTG>206047</ARTG></ARTGs><MinimumBenefit>2855</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2007-12-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SR009</BillingCode><Name>Triathlon Knee System Femoral Component </Name><Description>Posterior stabilised, cemented, CoCr, with ability to add lugs or augments </Description><Size>Sizes 1 to 8</Size><SupplierCode>JV</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>149</SubCategoryID><GroupID>1348</GroupID><SubGroupID>3907</SubGroupID><ARTGs><ARTG>213155</ARTG></ARTGs><MinimumBenefit>2855</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>CR259</BillingCode><Name>Unity Knee – Posterior Stabilised Femur Cemented</Name><Description>Femoral Component Cemented - Posterior Stabilised</Description><Size>Size 1 – 9, Left and Right</Size><SupplierCode>CR</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>149</SubCategoryID><GroupID>1348</GroupID><SubGroupID>3907</SubGroupID><ARTGs><ARTG>223555</ARTG></ARTGs><MinimumBenefit>2855</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ZI736</BillingCode><Name>NexGen LPS-Flex Tivanium Femoral Component</Name><Description>LPS-Flex Tivanium Femoral Component, Size C Left
LPS-Flex Tivanium Femoral Component, Size C Right
LPS-Flex Tivanium Femoral Component, Size D Left
LPS-Flex Tivanium Femoral Component, Size D Right
LPS-Flex Tivanium Femoral Component, Size E Left
LPS</Description><Size>00-5968-013-51 LPS-Flex Tivanium Femoral Component, Size C Left
00-5968-013-52 LPS-Flex Tivanium Femoral Component, Size C Right
00-5968-014-51 LPS-Flex Tivanium Femoral Component, Size D Left
00-5968-014-52 LPS-Flex Tivanium Femoral Component, Size D </Size><SupplierCode>ZI</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>149</SubCategoryID><GroupID>1348</GroupID><SubGroupID>3907</SubGroupID><ARTGs><ARTG>231632</ARTG></ARTGs><MinimumBenefit>2855</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2011-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BB390</BillingCode><Name>AS Columbus Revision Femoral Component Cemented</Name><Description>Revision Femoral Component AS (Advanced Surface)</Description><Size>1 - 7</Size><SupplierCode>BB</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>149</SubCategoryID><GroupID>1348</GroupID><SubGroupID>3908</SubGroupID><Suffix>Revision</Suffix><ARTGs><ARTG>312584</ARTG></ARTGs><MinimumBenefit>5450</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2019-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LH608</BillingCode><PriorBillingCodes><PriorBillingCode>OO016</PriorBillingCode></PriorBillingCodes><Name>ACS Knee System - ACS SC Revision Femoral component, Cemented</Name><Description>Cemented femoral component, Cemented</Description><Size>Left/Right Sizes 2/2.5/3/4/5/6</Size><SupplierCode>LH</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>149</SubCategoryID><GroupID>1348</GroupID><SubGroupID>3908</SubGroupID><Suffix>Revision</Suffix><ARTGs><ARTG>265609</ARTG></ARTGs><MinimumBenefit>5450</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BI933</BillingCode><Name>Vanguard 360 Knee System</Name><Description>Femoral Component, CoCr, Ti</Description><Size>55 to 80mm</Size><SupplierCode>ZI</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>149</SubCategoryID><GroupID>1348</GroupID><SubGroupID>3908</SubGroupID><Suffix>Revision</Suffix><ARTGs><ARTG>275615</ARTG></ARTGs><MinimumBenefit>5450</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2006-11-30</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ZI119</BillingCode><Name>NexGen LCCK (Legacy Constrained Condylar Knee)  Femoral Component</Name><Description>Femoral component, totally constrained, CoCr</Description><Size>A - H (L&amp;R)</Size><SupplierCode>ZI</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>149</SubCategoryID><GroupID>1348</GroupID><SubGroupID>3908</SubGroupID><Suffix>Revision</Suffix><ARTGs><ARTG>214729</ARTG></ARTGs><MinimumBenefit>5450</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ZA091</BillingCode><Name>Persona Revision Femur Cemented</Name><Description>Femoral component, CoCr, for cemented use</Description><Size>1, 1+, 3, 3+, 5, 5+, 7, 7+, 9, 9+, 11, 11+, 13 in right and left configurations</Size><SupplierCode>ZI</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>149</SubCategoryID><GroupID>1348</GroupID><SubGroupID>3908</SubGroupID><Suffix>Revision</Suffix><ARTGs><ARTG>374550</ARTG></ARTGs><MinimumBenefit>5450</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>EX066</BillingCode><Name>Optetrak Total Knee System CCK (Constrained Condylar Knee) Femoral Component</Name><Description>Femoral Component, cemented, CoCr, totally stabilised</Description><Size>Size 1 - 6</Size><SupplierCode>FA</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>149</SubCategoryID><GroupID>1348</GroupID><SubGroupID>3908</SubGroupID><Suffix>Revision</Suffix><ARTGs><ARTG>277741</ARTG></ARTGs><MinimumBenefit>5450</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2015-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SK440</BillingCode><Name>Triathlon TS Knee System Femoral Component </Name><Description>Totally constrained, cemented, CoCr</Description><Size>Left &amp; Right Size 1-8</Size><SupplierCode>JV</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>149</SubCategoryID><GroupID>1348</GroupID><SubGroupID>3908</SubGroupID><Suffix>Revision</Suffix><ARTGs><ARTG>217421</ARTG></ARTGs><MinimumBenefit>5450</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2007-06-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>DP150</BillingCode><Name>PFC Sigma Knee System TC3 femoral component</Name><Description>Femoral component, cemented, CoCr, totally constrained</Description><Size>Size 1.5-5</Size><SupplierCode>JJ</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>149</SubCategoryID><GroupID>1348</GroupID><SubGroupID>3908</SubGroupID><Suffix>Revision</Suffix><ARTGs><ARTG>227177</ARTG></ARTGs><MinimumBenefit>5450</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MN222</BillingCode><Name>Attune Knee System</Name><Description>Cemented Revision Femur</Description><Size>Sizes 1 to 10</Size><SupplierCode>JJ</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>149</SubCategoryID><GroupID>1348</GroupID><SubGroupID>3908</SubGroupID><Suffix>Revision</Suffix><ARTGs><ARTG>298538</ARTG></ARTGs><MinimumBenefit>5450</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BV055</BillingCode><Name>Evolution Medial Pivot Knee System</Name><Description>Revision CCK Femoral Component</Description><Size>Sizes 3-8  Left, Right</Size><SupplierCode>BV</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>149</SubCategoryID><GroupID>1348</GroupID><SubGroupID>3908</SubGroupID><Suffix>Revision</Suffix><ARTGs><ARTG>317408</ARTG></ARTGs><MinimumBenefit>5450</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2019-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SN851</BillingCode><Name>Legion Knee System Femoral Component</Name><Description>Femoral Component, CoCr, Cemented, totally constrained</Description><Size>Sizes 1-10, Left and Right</Size><SupplierCode>SN</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>149</SubCategoryID><GroupID>1348</GroupID><SubGroupID>3908</SubGroupID><Suffix>Revision</Suffix><ARTGs><ARTG>208088</ARTG></ARTGs><MinimumBenefit>5450</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2007-12-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LO170</BillingCode><Name>LINK Endo Model Rotational and Hinge Knee Prostheses</Name><Description>Femoral Components</Description><Size>Extra Small - Extra Large</Size><SupplierCode>LO</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>149</SubCategoryID><GroupID>1348</GroupID><SubGroupID>3908</SubGroupID><ARTGs><ARTG>157545</ARTG></ARTGs><MinimumBenefit>3053</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2011-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>DP254</BillingCode><Name>SROM Noiles Knee System femoral component </Name><Description>Rotating Hinge, cemented, CoCr femoral component.</Description><Size>Sizes X-Small - Medium (M/L – 66-71mm; A/P – 58-66mm). </Size><SupplierCode>JJ</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>149</SubCategoryID><GroupID>1348</GroupID><SubGroupID>3908</SubGroupID><Suffix>Hinged</Suffix><ARTGs><ARTG>219088</ARTG></ARTGs><MinimumBenefit>5887</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ZI305</BillingCode><Name>Nexgen Rotating Hinged Knee Femoral Component</Name><Description>Femoral Component, with a fixed rotating hinge on UHMWPE bearings, cemented, CoCr </Description><Size>B-F</Size><SupplierCode>ZI</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>149</SubCategoryID><GroupID>1348</GroupID><SubGroupID>3908</SubGroupID><Suffix>Hinged</Suffix><ARTGs><ARTG>220388</ARTG></ARTGs><MinimumBenefit>5887</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LH702</BillingCode><PriorBillingCodes><PriorBillingCode>OO159</PriorBillingCode></PriorBillingCodes><Name>MUTARS GenuX MK Femoral Component Cemented</Name><Description>MUTARS GenuX MK Femoral Component Cemented</Description><Size>Left/Right
2,3,4,5,6</Size><SupplierCode>LH</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>149</SubCategoryID><GroupID>1348</GroupID><SubGroupID>3908</SubGroupID><Suffix>Hinged</Suffix><ARTGs><ARTG>238795</ARTG></ARTGs><MinimumBenefit>5887</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BB350</BillingCode><Name>EnduRo Rotating Hinge Knee Femoral Component</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>1-3 Right  1-3 Left</Size><SupplierCode>BB</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>149</SubCategoryID><GroupID>1348</GroupID><SubGroupID>3908</SubGroupID><Suffix>Revision, Hinged</Suffix><ARTGs><ARTG>303701</ARTG></ARTGs><MinimumBenefit>5887</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2016-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LH639</BillingCode><PriorBillingCodes><PriorBillingCode>OO097</PriorBillingCode></PriorBillingCodes><Name>MUTARS - Genux Hinged knee femoral component</Name><Description>Cemented Hinge Knee</Description><Size>Size 3,4,5 left and right</Size><SupplierCode>LH</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>149</SubCategoryID><GroupID>1348</GroupID><SubGroupID>3908</SubGroupID><Suffix>Revision, Hinged</Suffix><ARTGs><ARTG>223514</ARTG></ARTGs><MinimumBenefit>5887</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BB387</BillingCode><Name>AS EnduRo Femoral Component Cemented</Name><Description>EnduRo Rotating Hinge Knee Femoral Component AS (Advanced Surface)</Description><Size>1 - 3 R
1 - 3 L</Size><SupplierCode>BB</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>149</SubCategoryID><GroupID>1348</GroupID><SubGroupID>3908</SubGroupID><Suffix>Revision, Hinged</Suffix><ARTGs><ARTG>312500</ARTG></ARTGs><MinimumBenefit>5887</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2019-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HW143</BillingCode><Name>MRH (Modular Rotating Hinge) (Modular Rotating Hinge) Femoral Component</Name><Description>MRH Rotating Hinge Femoral component, CoCr (Vitallium), cemented, w/attachable stem, Fixed</Description><Size>Left, Right</Size><SupplierCode>JV</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>149</SubCategoryID><GroupID>1348</GroupID><SubGroupID>3908</SubGroupID><Suffix>Revision, Hinged</Suffix><ARTGs><ARTG>223914</ARTG></ARTGs><MinimumBenefit>5887</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SF134</BillingCode><Name>SHiVA Modular Knee Hinge Prosthesis - Femoral Component</Name><Description>Hinge Knee Femoral Component</Description><Size>Sizes 2,3 and 4 Left and right</Size><SupplierCode>SF</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>149</SubCategoryID><GroupID>1348</GroupID><SubGroupID>3908</SubGroupID><Suffix>Revision, Hinged</Suffix><ARTGs><ARTG>192962</ARTG></ARTGs><MinimumBenefit>5887</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2016-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SM158</BillingCode><Name>Legion Hinge Femur CoCr</Name><Description>The femoral component of the Legion Hinge system.</Description><Size>Size 2 to 7</Size><SupplierCode>SN</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>149</SubCategoryID><GroupID>1348</GroupID><SubGroupID>3908</SubGroupID><Suffix>Revision, Hinged</Suffix><ARTGs><ARTG>232073</ARTG></ARTGs><MinimumBenefit>5887</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2009-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LO157</BillingCode><Name>Link Modular Knee Prosthesis
System</Name><Description>Femoral Components</Description><Size>Extra Small - Extra Large</Size><SupplierCode>LO</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>149</SubCategoryID><GroupID>1348</GroupID><SubGroupID>3908</SubGroupID><Suffix>Revision, Hinged</Suffix><ARTGs><ARTG>224956</ARTG><ARTG>221853</ARTG></ARTGs><MinimumBenefit>5887</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2011-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MU099</BillingCode><Name>GMK Hinge femur</Name><Description>Rotating hinge femoral component</Description><Size>1 to 6 Left and Right</Size><SupplierCode>MU</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>149</SubCategoryID><GroupID>1348</GroupID><SubGroupID>3908</SubGroupID><Suffix>Revision, Hinged</Suffix><ARTGs><ARTG>211408</ARTG></ARTGs><MinimumBenefit>5887</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HT042</BillingCode><Name>Genus Pantheon Femur</Name><Description>Cemented Femoral Component for use with Pantheon Proximal Tibia, Pantheon Salvage Tibia</Description><Size>1-6, Left, Right </Size><SupplierCode>HT</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>149</SubCategoryID><GroupID>1348</GroupID><SubGroupID>3908</SubGroupID><Suffix>Hinged</Suffix><ARTGs><ARTG>462829</ARTG></ARTGs><ChangeExplanation>New listing</ChangeExplanation><MinimumBenefit>5887</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2025-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ET091</BillingCode><PriorBillingCodes><PriorBillingCode>WC242</PriorBillingCode></PriorBillingCodes><Name>Biodesign Surgisis Hernia Graft</Name><Description>Biodesign Hernia Graft is 8-layer perforated and quilted porcine sis collagen matrix, non cross-linked, remodelable and resorbable tissue graft</Description><Size>13cm x 15cm, 10cm x 10cm</Size><SupplierCode>ET</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>194</SubCategoryID><GroupID>1798</GroupID><SubGroupID>5491</SubGroupID><Suffix>Coated</Suffix><ARTGs><ARTG>153052</ARTG></ARTGs><MinimumBenefit>710</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ET098</BillingCode><PriorBillingCodes><PriorBillingCode>WC255</PriorBillingCode></PriorBillingCodes><Name>Surgisis Biodesign 4-layer Tissue Graft</Name><Description>Surgisis Soft Tissue Graft</Description><Size>Length 20cm, Width 7cm</Size><SupplierCode>ET</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>194</SubCategoryID><GroupID>1798</GroupID><SubGroupID>5491</SubGroupID><Suffix>Coated</Suffix><ARTGs><ARTG>153047</ARTG></ARTGs><MinimumBenefit>710</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ET100</BillingCode><PriorBillingCodes><PriorBillingCode>WA010</PriorBillingCode></PriorBillingCodes><Name>Biodesign Rectopexy Graft</Name><Description>The Biodesign Rectopexy Graft is a dried multi-layered small intestinal submucosa (SIS) sheet. The graft is used to reinforce soft tissue for the repair of rectal prolapse and rectal intussusception.</Description><Size>7cm x 20cm</Size><SupplierCode>ET</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>194</SubCategoryID><GroupID>1798</GroupID><SubGroupID>5491</SubGroupID><Suffix>Coated</Suffix><ARTGs><ARTG>317940</ARTG></ARTGs><MinimumBenefit>710</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>AS182</BillingCode><Name>Permacol  Biological Implant</Name><Description>Flat sheet of acellular porcine three-dimensional, crosslinked, dermal collagen.</Description><Size>3 x 3cm, 5 x 5cm, 2 x 20cm, 5 x 10cm, 4 x 18cm, 10 x 10cm, 10 x 15cm, 6 x 3cm, 10 x 15cm</Size><SupplierCode>MI</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>194</SubCategoryID><GroupID>1798</GroupID><SubGroupID>5491</SubGroupID><Suffix>Coated</Suffix><ARTGs><ARTG>269662</ARTG></ARTGs><MinimumBenefit>710</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ET099</BillingCode><PriorBillingCodes><PriorBillingCode>WC284</PriorBillingCode></PriorBillingCodes><Name>Surgisis Biodesign Hiatal Hernia Graft</Name><Description>Surgisis Biodesign Hiatal Hernia Graft is an extracellular collagen matrix, non cross-linked sterile graft material, that provides support for damaged tissues and assists in host tissue regeneration and remodelling of the diaphragmatic wall following surgical repair for paraoesophageal and hiatal hernia.</Description><Size>7 x 10cm rectangular and U-shaped</Size><SupplierCode>ET</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>194</SubCategoryID><GroupID>1798</GroupID><SubGroupID>5491</SubGroupID><Suffix>Coated</Suffix><ARTGs><ARTG>153051</ARTG></ARTGs><MinimumBenefit>710</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-07-01</CycleStartDate><CycleEndDate>2025-03-01</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><MinimumBenefit>710</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2024-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>GT300</BillingCode><Name>GORE SYNECOR Preperitoneal Biomaterial</Name><Description>The GORE SYNECOR Preperitoneal Biomaterial is a composite device with a unique tri-layer hybrid solution constructed of three distinct functional layers comprised of a macroporous PTFE knit mesh between two porous synthetic web layers. The bioabsorbable material for the web layers is comprised of poly(glycolide:trimethylene carbonate) copolymer (PGA:TMC).</Description><Size>9 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>454187</ARTG></ARTGs><ChangeExplanation>New listing</ChangeExplanation><MinimumBenefit>710</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2025-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ET090</BillingCode><PriorBillingCodes><PriorBillingCode>WC177</PriorBillingCode></PriorBillingCodes><Name>Biodesign Tissue Graft</Name><Description>Surgical Mesh composed of Sub-Intestinal Submucosa (SIS)</Description><Size>Length - 10cm, Width - 7cm; Length - 7cm, Width - 4cm; Length - 3cm, Width - 2cm.</Size><SupplierCode>ET</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>194</SubCategoryID><GroupID>1798</GroupID><SubGroupID>5491</SubGroupID><Suffix>Coated</Suffix><ARTGs><ARTG>153047</ARTG></ARTGs><MinimumBenefit>710</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>GT257</BillingCode><Name>BIO-A Tissue Reinforcement</Name><Description>BIO-A Tissue Reinforcement</Description><Size>9cm x 15cm</Size><SupplierCode>GT</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>194</SubCategoryID><GroupID>1798</GroupID><SubGroupID>5491</SubGroupID><Suffix>Contoured</Suffix><ARTGs><ARTG>175834</ARTG></ARTGs><MinimumBenefit>722</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2011-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>GT256</BillingCode><Name>BIO-A Tissue Reinforcement</Name><Description>BIO-A Tissue Reinforcement</Description><Size>8cm x 8cm</Size><SupplierCode>GT</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>194</SubCategoryID><GroupID>1798</GroupID><SubGroupID>5491</SubGroupID><Suffix>Contoured</Suffix><ARTGs><ARTG>175834</ARTG></ARTGs><MinimumBenefit>722</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2011-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BA281</BillingCode><Name>Phasix ST</Name><Description>Fully resorbable mesh with a resorbable hydrogel coating (adhesion barrier)</Description><Size>PHASIX ST 7.6CM ROUND   PHASIX ST 7CMX10CM   PHASIX ST 11CM ROUND   PHASIX ST 10CMX10CM   PHASIX ST 10X15CM   PHASIX ST 15CM ROUND   PHASIX ST 10CMX20CM</Size><SupplierCode>BA</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>194</SubCategoryID><GroupID>1798</GroupID><SubGroupID>5491</SubGroupID><Suffix>Coated</Suffix><ARTGs><ARTG>318512</ARTG></ARTGs><MinimumBenefit>710</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2019-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BA275</BillingCode><Name>Phasix</Name><Description>Fully resorbable synthetic mesh</Description><Size>Phasix™ Mesh – 3 in. Diameter Circle (7.6 cm.)  Phasix™ Mesh – 4.5 in. Diameter Circle (11 cm.)  Phasix™ Mesh – 2.4 x 6.3 in. Rectangle (6 x 16 cm)  Phasix™ Mesh – 3 x 3 in. Square (8 x 8 cm.)  Phasix™ Mesh – 3 x 6.3 in. Rectangle (8 x 16 cm.)  Phasix™ Mesh – 4 x 4 in. Square (10 x 10 cm.)  Phasix™ Mesh – 4 x 6 in. Rectangle (10.2 x 15.2 cm.)  Phasix™ Mesh – 3 x 8 in. Rectangle (8 x 20 cm.)  Phasix™ Mesh – 4 x 8 in. Rectangle (10 x 20 cm.)</Size><SupplierCode>BA</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>194</SubCategoryID><GroupID>1798</GroupID><SubGroupID>5491</SubGroupID><Suffix>Contoured</Suffix><ARTGs><ARTG>318473</ARTG></ARTGs><MinimumBenefit>722</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2019-07-01</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>GT258</BillingCode><Name>BIO-A Tissue Reinforcement</Name><Description>BIO-A Tissue Reinforcement - Configured for Hiatal Hernia</Description><Size>7cm x 10cm</Size><SupplierCode>GT</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>194</SubCategoryID><GroupID>1798</GroupID><SubGroupID>5491</SubGroupID><Suffix>Contoured</Suffix><ARTGs><ARTG>175834</ARTG></ARTGs><MinimumBenefit>722</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2011-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BA288</BillingCode><Name>Phasix Mesh</Name><Description>Synthetic Bioresorbable Mesh</Description><Size>15.2 cm x 20.3 cm rectangle  10 cm x 25 cm rectangle  15 cm x 25 cm rectangle</Size><SupplierCode>BA</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>194</SubCategoryID><GroupID>1798</GroupID><SubGroupID>5492</SubGroupID><Suffix>Contoured</Suffix><ARTGs><ARTG>318473</ARTG></ARTGs><MinimumBenefit>1399</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2020-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>GT267</BillingCode><Name>Bio A Tissue Reinforcement</Name><Description>Bio A Tissue Reinforcement</Description><Size>10cm x 30cm</Size><SupplierCode>GT</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>194</SubCategoryID><GroupID>1798</GroupID><SubGroupID>5492</SubGroupID><Suffix>Contoured</Suffix><ARTGs><ARTG>175834</ARTG></ARTGs><MinimumBenefit>1399</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>GT299</BillingCode><Name>GORE SYNECOR Preperitoneal Biomaterial</Name><Description>The GORE SYNECOR Preperitoneal Biomaterial is a composite device with a unique tri-layer hybrid solution constructed of three distinct functional layers comprised of a macroporous PTFE knit mesh between two porous synthetic web layers. The bioabsorbable material for the web layers is comprised of poly(glycolide:trimethylene carbonate) copolymer (PGA:TMC).</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>454187</ARTG></ARTGs><ChangeExplanation>New listing</ChangeExplanation><MinimumBenefit>1341</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2025-03-01</CycleStartDate><CycleEndDate>2025-03-01</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><MinimumBenefit>1341</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2024-11-01</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ET095</BillingCode><PriorBillingCodes><PriorBillingCode>WC249</PriorBillingCode></PriorBillingCodes><Name>Biodesign Surgisis Hernia Graft</Name><Description>Biodesign Hernia Graft is 8-layer perforated and quilted porcine sis collagen matrix, non cross-linked, remodelable and resorbable tissue graft</Description><Size>13cm x 22cm</Size><SupplierCode>ET</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>194</SubCategoryID><GroupID>1798</GroupID><SubGroupID>5492</SubGroupID><Suffix>Coated</Suffix><ARTGs><ARTG>153052</ARTG></ARTGs><MinimumBenefit>1341</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ET096</BillingCode><PriorBillingCodes><PriorBillingCode>WC250</PriorBillingCode></PriorBillingCodes><Name>Biodesign Surgisis Hernia Graft</Name><Description>Biodesign Hernia Graft is 8-layer perforated and quilted porcine sis collagen matrix, non cross-linked, remodelable and resorbable tissue graft</Description><Size>20cm x 20cm</Size><SupplierCode>ET</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>194</SubCategoryID><GroupID>1798</GroupID><SubGroupID>5492</SubGroupID><Suffix>Coated</Suffix><ARTGs><ARTG>153052</ARTG></ARTGs><MinimumBenefit>1341</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BA286</BillingCode><Name>Phasix ST</Name><Description>Fully resorbable, synthetically derived biologic hernia mesh with added barrier to assist adhesion prevention</Description><Size>13 cm x 25 cm  15 cm x 20 cm</Size><SupplierCode>BA</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>194</SubCategoryID><GroupID>1798</GroupID><SubGroupID>5492</SubGroupID><Suffix>Contoured</Suffix><ARTGs><ARTG>318512</ARTG></ARTGs><MinimumBenefit>1399</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2020-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>AS183</BillingCode><Name>Permacol  Biological Implant</Name><Description>Flat sheet of acellular porcine three-dimensional, crosslinked, dermal collagen.</Description><Size>15 x 20cm</Size><SupplierCode>MI</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>194</SubCategoryID><GroupID>1798</GroupID><SubGroupID>5492</SubGroupID><Suffix>Coated</Suffix><ARTGs><ARTG>269662</ARTG></ARTGs><MinimumBenefit>1341</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-08-01</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>GT268</BillingCode><Name>Bio A Tissue Reinforcement</Name><Description>Bio A Tissue Reinforcement</Description><Size>20cm x 30cm</Size><SupplierCode>GT</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>194</SubCategoryID><GroupID>1798</GroupID><SubGroupID>5493</SubGroupID><Suffix>Contoured</Suffix><ARTGs><ARTG>175834</ARTG></ARTGs><MinimumBenefit>3204</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>GT298</BillingCode><Name>GORE SYNECOR Preperitoneal Biomaterial</Name><Description>The GORE SYNECOR Preperitoneal Biomaterial is a composite device with a unique tri-layer hybrid solution constructed of three distinct functional layers comprised of a macroporous PTFE knit mesh between two porous synthetic web layers. The bioabsorbable material for the web layers is comprised of poly(glycolide:trimethylene carbonate) copolymer (PGA:TMC).</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>454187</ARTG></ARTGs><ChangeExplanation>New listing</ChangeExplanation><MinimumBenefit>3114</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2025-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>AS184</BillingCode><Name>Permacol  Biological Implant</Name><Description>Flat sheet of acellular porcine three-dimensional, crosslinked, dermal collagen.</Description><Size>18 x 28cm and 20 x 30cm</Size><SupplierCode>MI</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>194</SubCategoryID><GroupID>1798</GroupID><SubGroupID>5493</SubGroupID><Suffix>Coated</Suffix><ARTGs><ARTG>269662</ARTG></ARTGs><MinimumBenefit>3114</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ET097</BillingCode><PriorBillingCodes><PriorBillingCode>WC251</PriorBillingCode></PriorBillingCodes><Name>Biodesign Surgisis  Hernia Graft</Name><Description>Biodesign Hernia Graft is 8-layer perforated and quilted porcine sis collagen matrix, non cross-linked, remodelable and resorbable tissue graft</Description><Size>20cm x 30cm</Size><SupplierCode>ET</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>194</SubCategoryID><GroupID>1798</GroupID><SubGroupID>5493</SubGroupID><Suffix>Coated</Suffix><ARTGs><ARTG>153052</ARTG></ARTGs><MinimumBenefit>3114</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-07-01</CycleStartDate><CycleEndDate>2025-03-01</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><MinimumBenefit>3114</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2024-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BA278</BillingCode><Name>Phasix ST</Name><Description>Fully resorbable mesh with a resorbable hydrogel coating (adhesion barrier)</Description><Size>PHASIX ST 20X25CM</Size><SupplierCode>BA</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>194</SubCategoryID><GroupID>1798</GroupID><SubGroupID>5493</SubGroupID><Suffix>Coated</Suffix><ARTGs><ARTG>318512</ARTG></ARTGs><MinimumBenefit>3114</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2019-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BA276</BillingCode><Name>Phasix</Name><Description>Fully resorbable synthetic mesh</Description><Size>Phasix™ Mesh – 6 x 12 in. Rectangle (15 x 30 cm.)  Phasix™ Mesh – 8 x 10 in. Rectangle (20.3 x 25.4 cm.)  Phasix™ Mesh – 8 x 12 in. Rectangle (20 x 30 cm.)</Size><SupplierCode>BA</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>194</SubCategoryID><GroupID>1798</GroupID><SubGroupID>5493</SubGroupID><Suffix>Contoured</Suffix><ARTGs><ARTG>318473</ARTG></ARTGs><MinimumBenefit>3204</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2019-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BA279</BillingCode><Name>Phasix ST</Name><Description>Fully resorbable mesh with a resorbable hydrogel coating (adhesion barrier)</Description><Size>PHASIX ST 25X30CM</Size><SupplierCode>BA</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>194</SubCategoryID><GroupID>1798</GroupID><SubGroupID>5494</SubGroupID><Suffix>Coated</Suffix><ARTGs><ARTG>318512</ARTG></ARTGs><MinimumBenefit>4061</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2019-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BA287</BillingCode><Name>Phasix Mesh</Name><Description>Synthesised biologic, resorbable Hernia mesh</Description><Size>25.4 cm x 30.5 cm rectangle</Size><SupplierCode>BA</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>194</SubCategoryID><GroupID>1798</GroupID><SubGroupID>5494</SubGroupID><Suffix>Coated</Suffix><ARTGs><ARTG>318473</ARTG></ARTGs><MinimumBenefit>4061</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2020-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>AS187</BillingCode><Name>Permacol  Biological Implant</Name><Description>Flat sheet of acellular porcine three-dimensional, crosslinked, dermal collagen.</Description><Size>20 x 40cm</Size><SupplierCode>MI</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>194</SubCategoryID><GroupID>1798</GroupID><SubGroupID>5494</SubGroupID><Suffix>Coated</Suffix><ARTGs><ARTG>269662</ARTG></ARTGs><MinimumBenefit>4061</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2013-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BA277</BillingCode><Name>Phasix</Name><Description>Fully resorbable synthetic mesh</Description><Size>Phasix™ Mesh – 12 x 12 in. Square (30 x 30 cm.)  Phasix™ Mesh – 10 x 16 in. Rectangle (10 x 16 cm.)  Phasix™ Mesh – 14 x 14 in. Square (35 x 35 cm.)  Phasix™ Mesh – 12 x 18 in. Rectangle (30 x 45 cm.)  Phasix™ Mesh – 16 x 16 in. Square (40 x 40 cm.)  Phasix™ Mesh – 18 x 18 in. Square (45 x 45 cm.)  Phasix™ Mesh – 19.5 x 19.5 in. Square (50 x 50 cm.)</Size><SupplierCode>BA</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>194</SubCategoryID><GroupID>1798</GroupID><SubGroupID>5495</SubGroupID><Suffix>Coated</Suffix><ARTGs><ARTG>318473</ARTG></ARTGs><MinimumBenefit>4964</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2019-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>AS188</BillingCode><Name>Permacol  Biological Implant</Name><Description>Flat sheet of acellular porcine three-dimensional, crosslinked, dermal collagen.</Description><Size>20 x 50cm</Size><SupplierCode>MI</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>194</SubCategoryID><GroupID>1798</GroupID><SubGroupID>5495</SubGroupID><Suffix>Coated</Suffix><ARTGs><ARTG>269662</ARTG></ARTGs><MinimumBenefit>4964</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2013-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>GT297</BillingCode><Name>GORE SYNECOR Preperitoneal Biomaterial</Name><Description>The GORE SYNECOR Preperitoneal Biomaterial is a composite device with a unique tri-layer hybrid solution constructed of three distinct functional layers comprised of a macroporous PTFE knit mesh between two porous synthetic web layers. The bioabsorbable material for the web layers is comprised of poly(glycolide:trimethylene carbonate) copolymer (PGA:TMC).</Description><Size>30 cm x 30 cm rectangle, 30 cm x 40 cm rectangle</Size><SupplierCode>GT</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>194</SubCategoryID><GroupID>1798</GroupID><SubGroupID>5495</SubGroupID><Suffix>Coated</Suffix><ARTGs><ARTG>454187</ARTG></ARTGs><ChangeExplanation>New listing</ChangeExplanation><MinimumBenefit>4964</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2025-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BA280</BillingCode><Name>Phasix ST</Name><Description>Fully resorbable mesh with a resorbable hydrogel coating (adhesion barrier)</Description><Size>PHASIX ST 30X35CM</Size><SupplierCode>BA</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>194</SubCategoryID><GroupID>1798</GroupID><SubGroupID>5495</SubGroupID><Suffix>Coated</Suffix><ARTGs><ARTG>318512</ARTG></ARTGs><MinimumBenefit>4964</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2019-07-01</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>TU048</BillingCode><Name>Gelweave Graft</Name><Description>Straight Polyester Woven</Description><Size>6-38mm x 15-20cm</Size><SupplierCode>TU</SupplierCode><CategoryID>20</CategoryID><SubCategoryID>186</SubCategoryID><GroupID>2957</GroupID><SubGroupID>7369</SubGroupID><ARTGs><ARTG>125606</ARTG></ARTGs><MinimumBenefit>463</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>TU047</BillingCode><Name>Gelweave Graft</Name><Description>Straight Polyester Woven</Description><Size>6-38mm x 25-40cm</Size><SupplierCode>TU</SupplierCode><CategoryID>20</CategoryID><SubCategoryID>186</SubCategoryID><GroupID>2957</GroupID><SubGroupID>7370</SubGroupID><ARTGs><ARTG>125606</ARTG></ARTGs><MinimumBenefit>481</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>TU023</BillingCode><Name>Gelweave Graft</Name><Description>Straight, Polyester, Woven</Description><Size>6-38mm x 50-60cm</Size><SupplierCode>TU</SupplierCode><CategoryID>20</CategoryID><SubCategoryID>186</SubCategoryID><GroupID>2957</GroupID><SubGroupID>7371</SubGroupID><ARTGs><ARTG>125606</ARTG></ARTGs><MinimumBenefit>627</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>GG012</BillingCode><Name>SMR Femoral Stem</Name><Description>SMR Distal Component 200mm and greater.</Description><Size>SMR distal component 14 x 240mm, SMR distal component 15 x 240mm, SMR distal component 16 x 240mm, SMR distal component 17 x 240mm, SMR distal component 18 x 240mm, SMR distal component 19 x 240mm, SMR distal component 20 x 240mm,  SMR distal component 21 x 240mm, SMR distal component 22 x 240mm, SMR distal component 24 x 240mm  SMR distal component 14 x 200mm, SMR distal component 15 x 200mm, SMR distal component 16 x 200mm, SMR distal component 17 x200mm, SMR distal component 18 x 200mm, SMR distal component 19 x 200mm, SMR distal component 20 x 200mm, SMR distal component 21 x 200mm, SMR distal component 22 x 200mm, SMR distal component 24 x 200mm.</Size><SupplierCode>GG</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>161</SubCategoryID><GroupID>1412</GroupID><SubGroupID>3971</SubGroupID><Suffix>Stem</Suffix><ARTGs><ARTG>277980</ARTG></ARTGs><MinimumBenefit>3877</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2019-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LO185</BillingCode><Name>Link MP Reconstruction Prosthesis Stem, cementless</Name><Description>Link MP Reconstruction Prosthesis Stem, with Microporous surface, cementless</Description><Size>180 mm - 330 mm;   12 mm - 25 mm</Size><SupplierCode>LO</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>161</SubCategoryID><GroupID>1412</GroupID><SubGroupID>3971</SubGroupID><Suffix>Stem</Suffix><ARTGs><ARTG>234224</ARTG></ARTGs><MinimumBenefit>3877</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2019-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>JJ842</BillingCode><Name>Reclaim Revision Hip System - Long Distal Stem</Name><Description>Long distal stem</Description><Size>16-31mm x 240-290mm</Size><SupplierCode>JJ</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>161</SubCategoryID><GroupID>1412</GroupID><SubGroupID>3971</SubGroupID><Suffix>Stem</Suffix><ARTGs><ARTG>219278</ARTG></ARTGs><MinimumBenefit>3877</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LC161</BillingCode><Name>Revision Modular Stem</Name><Description>Revision Modular Stem Ti6AI4V</Description><Size>14 - 26mm Diameter x 200mm Length</Size><SupplierCode>LC</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>161</SubCategoryID><GroupID>1412</GroupID><SubGroupID>3971</SubGroupID><Suffix>Stem</Suffix><ARTGs><ARTG>210670</ARTG></ARTGs><MinimumBenefit>3877</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2013-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MA501</BillingCode><Name>Modular Revision Stem - Long</Name><Description>Titanium, grit blast, non HA</Description><Size>14mm x 200mm - 24 x 200mm</Size><SupplierCode>MA</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>161</SubCategoryID><GroupID>1412</GroupID><SubGroupID>3971</SubGroupID><Suffix>Stem</Suffix><ARTGs><ARTG>274204</ARTG></ARTGs><MinimumBenefit>3877</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2009-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ST011</BillingCode><Name>Stryker Modular Hip System</Name><Description>Conical distal stems titanium, grit blasted</Description><Size>Length 155mm, Diameter 14 - 28mm</Size><SupplierCode>JV</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>161</SubCategoryID><GroupID>1412</GroupID><SubGroupID>3971</SubGroupID><Suffix>Stem</Suffix><ARTGs><ARTG>217729</ARTG></ARTGs><MinimumBenefit>3877</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QG009</BillingCode><Name>MRP Long Stems</Name><Description>Femoral stem component of modular revision hips system</Description><Size>Ø11mm - Ø34mm  200mm - 340mm long</Size><SupplierCode>QG</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>161</SubCategoryID><GroupID>1412</GroupID><SubGroupID>3971</SubGroupID><Suffix>Stem</Suffix><ARTGs><ARTG>327850</ARTG></ARTGs><MinimumBenefit>3877</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2020-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MA525</BillingCode><Name>Modular Revision Stem</Name><Description>Proximal Body, Long, Grit Blasted Titanium</Description><Size>80mm-110mm</Size><SupplierCode>MA</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>161</SubCategoryID><GroupID>1412</GroupID><SubGroupID>3971</SubGroupID><Suffix>Body</Suffix><ARTGs><ARTG>274207</ARTG></ARTGs><MinimumBenefit>3239</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2011-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>JJ843</BillingCode><Name>reclaim Revision Hip System - Proximal Body</Name><Description>Proximal Body</Description><Size>20-28 x 75-105mm</Size><SupplierCode>JJ</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>161</SubCategoryID><GroupID>1412</GroupID><SubGroupID>3971</SubGroupID><Suffix>Body</Suffix><ARTGs><ARTG>219085</ARTG></ARTGs><MinimumBenefit>3239</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ZI049</BillingCode><Name>'ZMR Taper System Modular Revision Hip </Name><Description>Titanium body, plasma coating, non HA</Description><Size>A - F</Size><SupplierCode>ZI</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>161</SubCategoryID><GroupID>1412</GroupID><SubGroupID>3974</SubGroupID><Suffix>Body</Suffix><ARTGs><ARTG>208275</ARTG><ARTG>208654</ARTG><ARTG>208295</ARTG><ARTG>216777</ARTG></ARTGs><MinimumBenefit>3793</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BH133</BillingCode><Name>ARCOS Modular Revision Hip System Distal Stems</Name><Description>Distal Stems</Description><Size>Stems ≥200mm</Size><SupplierCode>ZI</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>161</SubCategoryID><GroupID>1412</GroupID><SubGroupID>3974</SubGroupID><Suffix>Stem</Suffix><ARTGs><ARTG>274608</ARTG><ARTG>274605</ARTG><ARTG>274396</ARTG><ARTG>274397</ARTG><ARTG>274398</ARTG></ARTGs><MinimumBenefit>4633</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2011-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SR046</BillingCode><Name>Stryker Modular Revision Hip System</Name><Description>Modular Long Bowed Titanium Polished Fluted Stem</Description><Size>Length 217mm, 267mm and 317mm. Diamter 11mm-26mm</Size><SupplierCode>JV</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>161</SubCategoryID><GroupID>1412</GroupID><SubGroupID>3975</SubGroupID><Suffix>Stem</Suffix><ARTGs><ARTG>217755</ARTG></ARTGs><MinimumBenefit>4633</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2006-03-24</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>DY511</BillingCode><Name>SROM Femoral Stem Long</Name><Description>Titanium, fluted, distal polished femoral long stem &amp; neck, bowed and straight</Description><Size>9 -21mm diameter, greater than 200mm length</Size><SupplierCode>JJ</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>161</SubCategoryID><GroupID>1412</GroupID><SubGroupID>3975</SubGroupID><Suffix>Stem, SCP</Suffix><ARTGs><ARTG>226914</ARTG><ARTG>225291</ARTG></ARTGs><MinimumBenefit>4633</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2009-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>DY510</BillingCode><Name>SROM  Femoral  Calcar Replacement Stem, long</Name><Description>Titanium, fluted, distal polished femoral long stem &amp; neck, bowed and straight with Calcar Replacement</Description><Size>9 -21mm diameter, greater than 200mm length</Size><SupplierCode>JJ</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>161</SubCategoryID><GroupID>1412</GroupID><SubGroupID>3975</SubGroupID><Suffix>Stem, SCP</Suffix><ARTGs><ARTG>226914</ARTG></ARTGs><MinimumBenefit>4633</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2009-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HT025</BillingCode><PriorBillingCodes><PriorBillingCode>TZ029</PriorBillingCode></PriorBillingCodes><Name>Pantheon Shaft</Name><Description>Ti6Al4V Smooth Shaft Extension Pieces</Description><Size>35 - 140mm</Size><SupplierCode>HT</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>161</SubCategoryID><GroupID>1412</GroupID><SubGroupID>3975</SubGroupID><Suffix>Spacer, Tumour</Suffix><ARTGs><ARTG>340801</ARTG></ARTGs><MinimumBenefit>3054</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MZ021</BillingCode><Name>Strasbourg Costal Osteosynthesis System (StraCos/StraTos) - Titanium Connecting Bar,
(partially &amp; completely serrated)</Name><Description>Titanium Connecting Bar for Straight and Angled 3D Rip Clips
partially serrated
completely serrated</Description><Size>Three Sizes of Partially Serrated :
150, 190 &amp; 230mm;
Two sizes of Completely Serrated:
190 &amp; 230mm.</Size><SupplierCode>MZ</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1772</GroupID><SubGroupID>6181</SubGroupID><ARTGs><ARTG>235762</ARTG></ARTGs><MinimumBenefit>1190</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2016-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MZ020</BillingCode><Name>Strasbourg Costal Osteosynthesis System (StraCos/StraTos) - Titanium 3D Rib Clips, Bar
Mounting</Name><Description>Titanium 3D Rib Clip, Bar Mounting, Straight and Angled 22.5 &amp; 45 degrees, Standard &amp; XL</Description><Size>Two widths: Standard (19mm) &amp; XL (27.5mm)
Three Angles: 0 (Straight), 22.5 &amp; 45 degrees</Size><SupplierCode>MZ</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1772</GroupID><SubGroupID>5938</SubGroupID><Suffix>Modified</Suffix><ARTGs><ARTG>235762</ARTG></ARTGs><MinimumBenefit>1183</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2016-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ZI928</BillingCode><Name>RibFix Blu</Name><Description>Rib Osteosynthesis Plates</Description><Size>8-24 hole</Size><SupplierCode>ZI</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1772</GroupID><SubGroupID>5938</SubGroupID><ARTGs><ARTG>128458</ARTG></ARTGs><MinimumBenefit>1010</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2016-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MO438</BillingCode><Name>RibLoc U+ Chest Wall Plate</Name><Description>RibLoc U+ Chest Wall Plate</Description><Size>4 Hole</Size><SupplierCode>MO</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1772</GroupID><SubGroupID>5938</SubGroupID><ARTGs><ARTG>158695</ARTG></ARTGs><MinimumBenefit>1010</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MO439</BillingCode><Name>RibLOc U+ Chest Wall Plate</Name><Description>RibLoc U+ Chest Wall Plate</Description><Size>16 Hole, 22 Hole</Size><SupplierCode>MO</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1772</GroupID><SubGroupID>5938</SubGroupID><ARTGs><ARTG>158695</ARTG></ARTGs><MinimumBenefit>1010</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MZ019</BillingCode><Name>Strasbourg Costal Osteosynthesis System (StraCos/StraTos)</Name><Description>Titanium 3D Rib Clip, 6, 9 &amp; 13 Segments, Standard width and XL</Description><Size>6 segments (46 mm)
9 segments (70 mm)
13 segments XL (25.5 mm width)</Size><SupplierCode>MZ</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1772</GroupID><SubGroupID>5938</SubGroupID><ARTGs><ARTG>235762</ARTG></ARTGs><MinimumBenefit>1010</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2016-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MO440</BillingCode><Name>RibLoc U+ Chest Wall Plate</Name><Description>RibLoc U+ Chest Wall Plate</Description><Size>8 Hole,12 Hole</Size><SupplierCode>MO</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1772</GroupID><SubGroupID>5938</SubGroupID><ARTGs><ARTG>158695</ARTG></ARTGs><MinimumBenefit>1010</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MN326</BillingCode><Name>MatrixRIB Fixation System</Name><Description>Pre-Contoured Plates; Straight Plates; Universal Plates</Description><Size>7 - 30 holes </Size><SupplierCode>JJ</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1772</GroupID><SubGroupID>5938</SubGroupID><ARTGs><ARTG>157069</ARTG></ARTGs><MinimumBenefit>1010</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>KT103</BillingCode><Name>L1® Rib Plates</Name><Description>Rib Osteosynthesis Plates</Description><Size>10-32 hole </Size><SupplierCode>KT</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1772</GroupID><SubGroupID>5938</SubGroupID><ARTGs><ARTG>236206</ARTG></ARTGs><MinimumBenefit>1010</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2023-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>PF031</BillingCode><Name>Embrace Rib Fixation Plate</Name><Description>Rib plate for fixation of thoracic cage fractures, osteotomies, and reconstructions</Description><Size>35mm to 65mm  </Size><SupplierCode>PF</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1772</GroupID><SubGroupID>5938</SubGroupID><ARTGs><ARTG>353890</ARTG></ARTGs><MinimumBenefit>1010</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2023-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>EO100</BillingCode><Name>APTUS K-wires</Name><Description>Olive K-wires</Description><Size>1.6mm</Size><SupplierCode>EO</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1772</GroupID><SubGroupID>5364</SubGroupID><ARTGs><ARTG>200263</ARTG></ARTGs><ChangeExplanation>Change to Suffix,Change to Group benefit</ChangeExplanation><MinimumBenefit>11</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Update</ActionFlag><CycleStartDate>2017-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ102</BillingCode><PriorBillingCodes><PriorBillingCode>SQ141</PriorBillingCode><PriorBillingCode>SQ141</PriorBillingCode></PriorBillingCodes><Name>NEO Pedicle Screw System - K-wire</Name><Description>Stainless steel</Description><Size>1.5mm</Size><SupplierCode>LR</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1772</GroupID><SubGroupID>5364</SubGroupID><ARTGs><ARTG>289290</ARTG></ARTGs><MinimumBenefit>11</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>DP045</BillingCode><Name>Isola System (Stainless Steel)</Name><Description>Double Wire</Description><Size>One size only</Size><SupplierCode>JJ</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1772</GroupID><SubGroupID>5364</SubGroupID><ARTGs><ARTG>97391</ARTG></ARTGs><MinimumBenefit>11</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>DZ106</BillingCode><Name>Austofix K-Wires</Name><Description>K-Wires</Description><Size>0.8 - 1.6 mm diameter ; 100-150 mm length</Size><SupplierCode>DZ</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1772</GroupID><SubGroupID>5364</SubGroupID><ARTGs><ARTG>303322</ARTG></ARTGs><ChangeExplanation>New listing</ChangeExplanation><MinimumBenefit>11</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2025-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MC506</BillingCode><Name>Orfil</Name><Description>Double Pearl-Tipped Wires</Description><Size>1 - 350mm</Size><SupplierCode>MI</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1772</GroupID><SubGroupID>5364</SubGroupID><ARTGs><ARTG>169514</ARTG></ARTGs><MinimumBenefit>11</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2006-03-24</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SN460</BillingCode><Name>Wire</Name><Description>Cerclage</Description><Size>0.6mmx175mm - 0.8mmx200mm</Size><SupplierCode>SN</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1772</GroupID><SubGroupID>5364</SubGroupID><ARTGs><ARTG>108396</ARTG></ARTGs><MinimumBenefit>11</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BH335</BillingCode><Name>Small / Large Fragment Set S/S</Name><Description>K/Wire Stainless Steel </Description><Size>0.8 to 3.0 mm x 6-9" or 150-500mm</Size><SupplierCode>ZI</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1772</GroupID><SubGroupID>5364</SubGroupID><ARTGs><ARTG>202248</ARTG><ARTG>200700</ARTG><ARTG>202246</ARTG><ARTG>203768</ARTG></ARTGs><MinimumBenefit>11</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2013-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ142</BillingCode><Name>AO/ASIF Wires</Name><Description>Smooth and reduction wires</Description><Size>1.5 mm</Size><SupplierCode>JJ</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1772</GroupID><SubGroupID>5364</SubGroupID><ARTGs><ARTG>133927</ARTG></ARTGs><MinimumBenefit>11</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2024-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HU253</BillingCode><Name>Trim-IT Spin Pin</Name><Description>Trim-IT  Pin Fixation</Description><Size>1.5 - 2.0mm x 100mm</Size><SupplierCode>HU</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1772</GroupID><SubGroupID>5365</SubGroupID><Suffix>AB</Suffix><ARTGs><ARTG>360375</ARTG></ARTGs><MinimumBenefit>257</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>RV018</BillingCode><Name>PS Threaded K-Wire</Name><Description>Threaded K-Wire</Description><Size>2-3.0mm, Length 200 mm</Size><SupplierCode>RV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1772</GroupID><SubGroupID>5365</SubGroupID><Suffix>TH</Suffix><ARTGs><ARTG>202035</ARTG></ARTGs><MinimumBenefit>21</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MO209</BillingCode><Name>Acumed Congruent Plate System</Name><Description>Threaded K-Wire - Titanium</Description><Size>WT-1606STT: Length 15cm x Diameter 0.62"; WT-0906STT: Length 15cm x Diameter 0.35"; WS-2408STT length 20.32cm x Diameter 0.24cm</Size><SupplierCode>MO</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1772</GroupID><SubGroupID>5365</SubGroupID><Suffix>TH</Suffix><ARTGs><ARTG>99820</ARTG></ARTGs><MinimumBenefit>21</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SQ076</BillingCode><Name>K wires</Name><Description>K wire threaded</Description><Size>1.25mm - 4.5mm</Size><SupplierCode>SQ</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1772</GroupID><SubGroupID>5365</SubGroupID><Suffix>TH</Suffix><ARTGs><ARTG>191530</ARTG></ARTGs><MinimumBenefit>21</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2013-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ127</BillingCode><PriorBillingCodes><PriorBillingCode>AE069</PriorBillingCode><PriorBillingCode>AE069</PriorBillingCode></PriorBillingCodes><Name>Threaded wires &amp; pins</Name><Description>Threaded wires &amp; pins</Description><Size>1.0-5.0mm diameters
various threaded lengths</Size><SupplierCode>KR</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1772</GroupID><SubGroupID>5365</SubGroupID><Suffix>TH</Suffix><ARTGs><ARTG>164927</ARTG></ARTGs><MinimumBenefit>21</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2006-11-30</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SK230</BillingCode><Name>Hansson Pin</Name><Description>Cephalic Implants</Description><Size>Hansson Pin 70-140mm</Size><SupplierCode>JV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1772</GroupID><SubGroupID>5365</SubGroupID><Suffix>COM</Suffix><ARTGs><ARTG>94876</ARTG></ARTGs><MinimumBenefit>263</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ST890</BillingCode><Name>Steinmann Pins</Name><Description>Stainless Steel</Description><Size>7,9"</Size><SupplierCode>JV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1772</GroupID><SubGroupID>5365</SubGroupID><Suffix>TH</Suffix><ARTGs><ARTG>142054</ARTG></ARTGs><MinimumBenefit>21</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>TS002</BillingCode><Name>Trewavis Surgical Steinmann Pins</Name><Description>Composition:  Stainless Steel, Model Nos: 200-950-L to 200-970-Q</Description><Size>Dia 3.0 - 5.0mm</Size><SupplierCode>TS</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1772</GroupID><SubGroupID>5365</SubGroupID><ARTGs><ARTG>123771</ARTG></ARTGs><MinimumBenefit>21</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BI271</BillingCode><Name>EBI XFIX Dynafix System</Name><Description>Wire Straight or Olive with Washer, Chrome Cobalt</Description><Size>0.9-3.2mm, &lt;400mm</Size><SupplierCode>ZI</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1772</GroupID><SubGroupID>5365</SubGroupID><Suffix>TH</Suffix><ARTGs><ARTG>217978</ARTG><ARTG>210294</ARTG><ARTG>227787</ARTG></ARTGs><MinimumBenefit>21</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SQ190</BillingCode><Name>Wires</Name><Description>Wire, Bayonet, HA Coated, Pear Wire, Cone Shape, Drill Tip</Description><Size>Diameter 1.2-2.0mm, Length 200-400mm</Size><SupplierCode>SQ</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1772</GroupID><SubGroupID>5365</SubGroupID><ARTGs><ARTG>345470</ARTG></ARTGs><MinimumBenefit>21</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>IT006</BillingCode><Name>Hawk 3.0mm Cannulated Screw System - guide pin</Name><Description>Threaded, stainless steel</Description><Size>1.0mm in diameter with a length of 200mm</Size><SupplierCode>IT</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1772</GroupID><SubGroupID>5365</SubGroupID><ARTGs><ARTG>230955</ARTG></ARTGs><MinimumBenefit>21</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2015-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>IT004</BillingCode><Name>Hawk 6.5mm Cannulated Screw System - Guide Pin</Name><Description>Threaded, Stainless steel</Description><Size>2.5mm in diameter and 200 in length</Size><SupplierCode>IT</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1772</GroupID><SubGroupID>5365</SubGroupID><ARTGs><ARTG>230955</ARTG></ARTGs><MinimumBenefit>21</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2015-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>RV019</BillingCode><Name>PS K-Wire</Name><Description>K-Wires</Description><Size>Dia 1-3.0 mm, Length 150 mm</Size><SupplierCode>RV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1772</GroupID><SubGroupID>5365</SubGroupID><Suffix>TH</Suffix><ARTGs><ARTG>202035</ARTG></ARTGs><MinimumBenefit>21</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SY787</BillingCode><Name>AO/ASIF K-Wires</Name><Description>K-Wires</Description><Size>0.6 - 3.2mm, Length 70-500mm</Size><SupplierCode>JJ</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1772</GroupID><SubGroupID>5365</SubGroupID><ARTGs><ARTG>203637</ARTG><ARTG>203638</ARTG><ARTG>153667</ARTG></ARTGs><MinimumBenefit>21</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2013-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>RV010</BillingCode><Name>PS K-Wires</Name><Description>K-Wires</Description><Size>Dia 1-3.0 mm, Length 150 mm</Size><SupplierCode>RV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1772</GroupID><SubGroupID>5365</SubGroupID><ARTGs><ARTG>330187</ARTG></ARTGs><MinimumBenefit>21</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2020-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SN451</BillingCode><Name>Wire</Name><Description>Kirschner</Description><Size>Various 1.3 - 304.8mm</Size><SupplierCode>SN</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1772</GroupID><SubGroupID>5365</SubGroupID><ARTGs><ARTG>110986</ARTG><ARTG>131082</ARTG><ARTG>118355</ARTG><ARTG>157918</ARTG><ARTG>108396</ARTG></ARTGs><MinimumBenefit>21</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>IT005</BillingCode><Name>Hawk 4.0mm Cannulated Screw system - Guide Pin</Name><Description>Threaded, Stainless steel</Description><Size>1.5mm in diameter and length of 200mm</Size><SupplierCode>IT</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1772</GroupID><SubGroupID>5365</SubGroupID><ARTGs><ARTG>230955</ARTG></ARTGs><MinimumBenefit>21</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2015-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MO162</BillingCode><Name>Tension Band Pin</Name><Description>Stainless Steel</Description><Size>50 to 90mm</Size><SupplierCode>MO</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1772</GroupID><SubGroupID>5365</SubGroupID><Suffix>OL</Suffix><ARTGs><ARTG>99821</ARTG></ARTGs><MinimumBenefit>117</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MO177</BillingCode><Name>Acumed Wires and Pins</Name><Description>Wire Kirschner Stainless Steel</Description><Size>0.70mm to 2.4mm diameter, 4 to 9.25in (10 to 24cm) length</Size><SupplierCode>MO</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1772</GroupID><SubGroupID>5365</SubGroupID><ARTGs><ARTG>99820</ARTG></ARTGs><MinimumBenefit>21</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>IT030</BillingCode><Name>Frame It Wires - Olives</Name><Description>Wires with stopper</Description><Size>Diameter 1mm-3mm
Length 120mm-250mm</Size><SupplierCode>IT</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1772</GroupID><SubGroupID>5365</SubGroupID><Suffix>OL</Suffix><ARTGs><ARTG>282764</ARTG></ARTGs><MinimumBenefit>117</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SQ191</BillingCode><Name>Wires Olive</Name><Description>Wire Olive, Bayonet, Drill Tip</Description><Size>Diameter 1.5-1.8mm, Length 300-400mm</Size><SupplierCode>SQ</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1772</GroupID><SubGroupID>5365</SubGroupID><Suffix>OL</Suffix><ARTGs><ARTG>345470</ARTG></ARTGs><MinimumBenefit>117</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>RV017</BillingCode><Name>PS Olive Wires</Name><Description>Olive Wires</Description><Size>2-3.2mm diameter</Size><SupplierCode>RV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1772</GroupID><SubGroupID>5365</SubGroupID><Suffix>OL</Suffix><ARTGs><ARTG>202035</ARTG></ARTGs><MinimumBenefit>117</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ZI323</BillingCode><Name>Zimmer Wires</Name><Description>Stainless Steel Rushpins</Description><Size>Diameter 2.4 - 6.4mm; Length 2.5 - 52.7cm</Size><SupplierCode>ZI</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1772</GroupID><SubGroupID>5365</SubGroupID><ARTGs><ARTG>112735</ARTG></ARTGs><MinimumBenefit>21</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>TS001</BillingCode><Name>Trewavis Surgical Kirschner Wires</Name><Description>Composition: Stainless Steel, Model Nos: 200-000-A to 200-930-T, 200-1110-A to 200-1210-Z, 200-370-X to 200-370-Y and TSS200 to TSS241</Description><Size>Dia 0.7-2.8mm, Length 100-370mm</Size><SupplierCode>TS</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1772</GroupID><SubGroupID>5365</SubGroupID><ARTGs><ARTG>123770</ARTG></ARTGs><MinimumBenefit>21</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>RV012</BillingCode><Name>PS Threaded K-Wire </Name><Description>Threaded K-Wire</Description><Size>2-3.0mm, Length 200 mm</Size><SupplierCode>RV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1772</GroupID><SubGroupID>5365</SubGroupID><Suffix>TH</Suffix><ARTGs><ARTG>330187</ARTG></ARTGs><MinimumBenefit>21</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2020-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SK117</BillingCode><Name>Stryker Kirschner Wires</Name><Description>Olive Wires</Description><Size>1.0- 2.0mm Diameter</Size><SupplierCode>JV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1772</GroupID><SubGroupID>5365</SubGroupID><Suffix>OL</Suffix><ARTGs><ARTG>139635</ARTG><ARTG>197935</ARTG><ARTG>143230</ARTG></ARTGs><MinimumBenefit>117</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LV051</BillingCode><Name>Bionx Implants - Rods </Name><Description>PGA, PLA or PLLA</Description><Size>2.0mm</Size><SupplierCode>LV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1772</GroupID><SubGroupID>5365</SubGroupID><Suffix>AB</Suffix><ARTGs><ARTG>139657</ARTG></ARTGs><MinimumBenefit>257</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>RV011</BillingCode><Name>PS Olive Wires</Name><Description>Olive Wires</Description><Size>2-3.2mm diameter</Size><SupplierCode>RV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1772</GroupID><SubGroupID>5365</SubGroupID><Suffix>OL</Suffix><ARTGs><ARTG>330187</ARTG></ARTGs><MinimumBenefit>117</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2020-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LV063</BillingCode><Name>SmartNail</Name><Description>Self-Reinforced 96L/4D PLA Bone Fixation Nail</Description><Size>1.5mm O.D x 16, 20 &amp; 25mm L</Size><SupplierCode>LV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1772</GroupID><SubGroupID>5365</SubGroupID><Suffix>AB</Suffix><ARTGs><ARTG>139690</ARTG></ARTGs><MinimumBenefit>257</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LV050</BillingCode><Name>Bionx Implants - Rods </Name><Description>PGA, PLA or PLLA</Description><Size>1.5mm x 10-70mm</Size><SupplierCode>LV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1772</GroupID><SubGroupID>5365</SubGroupID><Suffix>AB</Suffix><ARTGs><ARTG>139657</ARTG></ARTGs><MinimumBenefit>257</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LV088</BillingCode><Name>SmartPin Resorbable Bone Fixation Pin, 1.1mm</Name><Description>Self-Reinforced PLLA</Description><Size>10, 20, 30 &amp; 40mm</Size><SupplierCode>LV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1772</GroupID><SubGroupID>5365</SubGroupID><Suffix>AB</Suffix><ARTGs><ARTG>139657</ARTG></ARTGs><MinimumBenefit>257</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ528</BillingCode><PriorBillingCodes><PriorBillingCode>ER478</PriorBillingCode></PriorBillingCodes><Name>Paragon 28 Olive Wires</Name><Description>Paragon 28 Olive wire (Gorilla Plating System), smooth or threaded, standard or short tip</Description><Size>dia 1.3-1.8 mm</Size><SupplierCode>KQ</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1772</GroupID><SubGroupID>5365</SubGroupID><Suffix>OL</Suffix><ARTGs><ARTG>289488</ARTG></ARTGs><MinimumBenefit>117</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SN459</BillingCode><Name>Wire</Name><Description>Suture</Description><Size>18Ga - 28Ga</Size><SupplierCode>SN</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1772</GroupID><SubGroupID>5365</SubGroupID><Suffix>OL</Suffix><ARTGs><ARTG>108396</ARTG></ARTGs><MinimumBenefit>117</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SN441</BillingCode><Name>Ilizarov</Name><Description>Wires with stopper</Description><Size>300-400 length x 1-1.8mm diameter</Size><SupplierCode>SN</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1772</GroupID><SubGroupID>5365</SubGroupID><Suffix>OL</Suffix><ARTGs><ARTG>99767</ARTG><ARTG>157918</ARTG><ARTG>108396</ARTG></ARTGs><MinimumBenefit>117</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>WU001</BillingCode><PriorBillingCodes><PriorBillingCode>VK021</PriorBillingCode></PriorBillingCodes><Name>CPS Bioabsorbable Fixation System</Name><Description>OTPS fixation system: PLGA/TMC copolymer</Description><Size>Pin 1.5 &amp; 2 mm dia x 20-50 mm long</Size><SupplierCode>WU</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1772</GroupID><SubGroupID>5365</SubGroupID><Suffix>AB</Suffix><ARTGs><ARTG>154545</ARTG></ARTGs><MinimumBenefit>257</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2023-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SL195</BillingCode><PriorBillingCodes><PriorBillingCode>IG073</PriorBillingCode></PriorBillingCodes><Name>K-Wire (Kirschner)</Name><Description>Stainless steel</Description><Size>70mm, 100mm, 200mm length</Size><SupplierCode>SN</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1772</GroupID><SubGroupID>5365</SubGroupID><ARTGs><ARTG>173964</ARTG></ARTGs><MinimumBenefit>21</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>FB002</BillingCode><Name>K-Wire</Name><Description>K-Wire, threaded, stainless steel, sterile</Description><Size>1.2mm – 2.8mm   x   100mm – 230mm</Size><SupplierCode>FB</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1772</GroupID><SubGroupID>5365</SubGroupID><ARTGs><ARTG>226653</ARTG></ARTGs><MinimumBenefit>21</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>TN055</BillingCode><Name>Xpert Wrist 2.4</Name><Description>Stainless steel pins</Description><Size>1.6mm to 2.5 mm varying lengths</Size><SupplierCode>TN</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1772</GroupID><SubGroupID>5365</SubGroupID><ARTGs><ARTG>309175</ARTG></ARTGs><MinimumBenefit>21</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2019-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>AE052</BillingCode><Name>ASDM K-wire</Name><Description>Stainless steel - sterile</Description><Size>Dia 0.7 - 2.5mm, length 100 - 230mm</Size><SupplierCode>AE</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1772</GroupID><SubGroupID>5365</SubGroupID><ARTGs><ARTG>296136</ARTG></ARTGs><MinimumBenefit>21</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>FB001</BillingCode><Name>K-Wire</Name><Description>K-Wire, stainless steel, sterile</Description><Size>0.6mm – 2.8mm   x   75mm – 230mm</Size><SupplierCode>FB</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1772</GroupID><SubGroupID>5365</SubGroupID><ARTGs><ARTG>226653</ARTG></ARTGs><MinimumBenefit>21</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SK622</BillingCode><Name>SBi K-Wire</Name><Description>K-Wire</Description><Size>1.6mm</Size><SupplierCode>JV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1772</GroupID><SubGroupID>5365</SubGroupID><ARTGs><ARTG>155633</ARTG></ARTGs><MinimumBenefit>21</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2015-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ616</BillingCode><Name>Austofix K-Wires</Name><Description>K-Wires</Description><Size>2.0 - 2.5 mm diameter ; 150-300 mm length</Size><SupplierCode>DZ</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1772</GroupID><SubGroupID>5365</SubGroupID><ARTGs><ARTG>298332</ARTG></ARTGs><MinimumBenefit>21</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2024-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LV084</BillingCode><Name>SmartNail</Name><Description>Self-reinforced 96L / 4D PLA Bone Fixation Nail</Description><Size>2.4mm O.D x 16, 25, 35 &amp; 45mm L</Size><SupplierCode>LV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1772</GroupID><SubGroupID>5365</SubGroupID><Suffix>AB</Suffix><ARTGs><ARTG>139690</ARTG></ARTGs><MinimumBenefit>257</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>EO089</BillingCode><Name>Aptus K-wires</Name><Description>K-wires</Description><Size>0.8mm - 2.2mm Diameter, various lengths</Size><SupplierCode>EO</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1772</GroupID><SubGroupID>5365</SubGroupID><ARTGs><ARTG>200263</ARTG></ARTGs><MinimumBenefit>21</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2013-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>PB069</BillingCode><Name>BFix Bone Pins</Name><Description>Bone Pins </Description><Size>0.6mm - 5.0mm</Size><SupplierCode>PB</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1772</GroupID><SubGroupID>5365</SubGroupID><ARTGs><ARTG>322423</ARTG></ARTGs><MinimumBenefit>21</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2020-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ER545</BillingCode><Name>Osteomed ExtremiLock K-Wire</Name><Description>K-Wire</Description><Size>0.9-1.6 mm</Size><SupplierCode>ER</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1772</GroupID><SubGroupID>5365</SubGroupID><ARTGs><ARTG>337153</ARTG></ARTGs><MinimumBenefit>21</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2020-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ519</BillingCode><PriorBillingCodes><PriorBillingCode>ER477</PriorBillingCode></PriorBillingCodes><Name>Paragon 28 K wires</Name><Description>Paragon 28, K wire (for Phantom, Gorilla and Monster systems), smooth, grooved  or threaded, trocar/double trocar</Description><Size>dia 0.9-3.0 mm, length (100-250 mm)</Size><SupplierCode>KQ</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1772</GroupID><SubGroupID>5365</SubGroupID><ARTGs><ARTG>290442</ARTG></ARTGs><MinimumBenefit>21</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>AE070</BillingCode><Name>ASDM Steinmann Pin</Name><Description>Steinmann Pin</Description><Size>2.8-5.0mm diameter</Size><SupplierCode>AE</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1772</GroupID><SubGroupID>5365</SubGroupID><ARTGs><ARTG>296136</ARTG></ARTGs><MinimumBenefit>21</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2006-11-30</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HG001</BillingCode><Name>HSP K - Wire</Name><Description>Stainless Steel Wire with Trocar point, single, double.</Description><Size>Diameter - 0.7mm - 2.0mm  Length - 80mm - 250mm</Size><SupplierCode>HG</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1772</GroupID><SubGroupID>5365</SubGroupID><ARTGs><ARTG>295191</ARTG></ARTGs><MinimumBenefit>21</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2019-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HW368</BillingCode><Name>Osteo Kirschner Wire</Name><Description>K wire -  Stainless Steel</Description><Size>Diameter 1.0 - 2.0mm</Size><SupplierCode>JV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1772</GroupID><SubGroupID>5365</SubGroupID><ARTGs><ARTG>143230</ARTG></ARTGs><MinimumBenefit>21</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ395</BillingCode><PriorBillingCodes><PriorBillingCode>LM383</PriorBillingCode></PriorBillingCodes><Name>K-Wire</Name><Description>K-Wire</Description><Size>Multiple sizes to suit patient and surgeon requirements</Size><SupplierCode>LH</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1772</GroupID><SubGroupID>5365</SubGroupID><ARTGs><ARTG>317003</ARTG></ARTGs><MinimumBenefit>21</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2019-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SK213</BillingCode><Name>Hoffmann II Micro</Name><Description>K-wire, Steinmann Pins</Description><Size>Diameter: 1.2-2.0mm</Size><SupplierCode>JV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1772</GroupID><SubGroupID>5365</SubGroupID><ARTGs><ARTG>143230</ARTG></ARTGs><MinimumBenefit>21</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ST038</BillingCode><Name>Stryker Plating System -  Reduction Pin</Name><Description>4.5mm Diameter, Stainless Steel</Description><Size>One size only</Size><SupplierCode>JV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1772</GroupID><SubGroupID>5365</SubGroupID><ARTGs><ARTG>139635</ARTG></ARTGs><MinimumBenefit>21</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ST007</BillingCode><Name>Stryker Plating System - K Wires</Name><Description>Stainless Steel or Titanium</Description><Size>150mm length in 1.25, 1.6, 2.0mm diameter</Size><SupplierCode>JV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1772</GroupID><SubGroupID>5365</SubGroupID><ARTGs><ARTG>139635</ARTG><ARTG>143230</ARTG></ARTGs><MinimumBenefit>21</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LM014</BillingCode><Name>Trimed Marked K-Wire</Name><Description>Stainless Steel</Description><Size>Diameter 0.9 - 1.1mm</Size><SupplierCode>LM</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1772</GroupID><SubGroupID>5365</SubGroupID><ARTGs><ARTG>182677</ARTG></ARTGs><MinimumBenefit>21</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ZI895</BillingCode><Name>Zimmer Pins</Name><Description>Stainless steel, Threaded</Description><Size>Length 230mm, Diameter 2.0mm - 4.8mm</Size><SupplierCode>ZI</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1772</GroupID><SubGroupID>5365</SubGroupID><ARTGs><ARTG>112735</ARTG></ARTGs><MinimumBenefit>21</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2014-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ141</BillingCode><Name>AO/ASIF Pins</Name><Description>Hybrid Pins – Spade Point, trocar point; Kirschner, smooth, compression and reduction wires.</Description><Size>1.6 - 3.2mm</Size><SupplierCode>JJ</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1772</GroupID><SubGroupID>5365</SubGroupID><ARTGs><ARTG>370937</ARTG><ARTG>203638</ARTG></ARTGs><MinimumBenefit>21</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2024-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ZI293</BillingCode><Name>Zimmer Wires</Name><Description>Stainless Steel</Description><Size>Length 23cm, Thickness 2mm, 0-4mm, 8mm</Size><SupplierCode>ZI</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1772</GroupID><SubGroupID>5365</SubGroupID><ARTGs><ARTG>112735</ARTG></ARTGs><MinimumBenefit>21</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HW975</BillingCode><PriorBillingCodes><PriorBillingCode>WR063</PriorBillingCode></PriorBillingCodes><Name>K Wire</Name><Description>Titanium or stainless steel, single or double trocar</Description><Size>0.9 - 2.0mm</Size><SupplierCode>JV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1772</GroupID><SubGroupID>5365</SubGroupID><ARTGs><ARTG>196920</ARTG><ARTG>113920</ARTG><ARTG>217014</ARTG><ARTG>112287</ARTG></ARTGs><MinimumBenefit>21</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ZI163</BillingCode><Name>Zimmer Internal Fixation Systems: Cable System</Name><Description>Cable-Ready Plate Cable Stainless Steel</Description><Size>610 mm long</Size><SupplierCode>ZI</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1772</GroupID><SubGroupID>5366</SubGroupID><ARTGs><ARTG>108377</ARTG></ARTGs><MinimumBenefit>331</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>PF026</BillingCode><Name>TLS Tape</Name><Description>TLS Suspension Tape for use with TLS ACL reconstruction system</Description><Size>6mm</Size><SupplierCode>PF</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1772</GroupID><SubGroupID>5366</SubGroupID><ARTGs><ARTG>181401</ARTG></ARTGs><MinimumBenefit>331</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2019-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HW309</BillingCode><Name>Dall Miles Cable Grip System - Vitallium</Name><Description>Vitallium: Cable -  Vitallium</Description><Size>1.6 and 2mm</Size><SupplierCode>JV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1772</GroupID><SubGroupID>5366</SubGroupID><ARTGs><ARTG>16234</ARTG><ARTG>141273</ARTG></ARTGs><MinimumBenefit>331</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ZI164</BillingCode><Name>Zimmer Internal Fixation Systems: Cable System</Name><Description>Cable-Ready GTR Distal end Cable - Cobalt Chrome</Description><Size>635 mm long</Size><SupplierCode>ZI</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1772</GroupID><SubGroupID>5367</SubGroupID><ARTGs><ARTG>108377</ARTG></ARTGs><MinimumBenefit>470</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MI146</BillingCode><Name>Atlas Cable System</Name><Description>Single</Description><Size>One size only</Size><SupplierCode>MI</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1772</GroupID><SubGroupID>5367</SubGroupID><ARTGs><ARTG>126313</ARTG></ARTGs><MinimumBenefit>470</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2014-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SL181</BillingCode><Name>EVOS Cabling System</Name><Description>Orthopaedic Cable System, Cable w/Crimp</Description><Size>2.0mm</Size><SupplierCode>SN</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1772</GroupID><SubGroupID>5367</SubGroupID><ARTGs><ARTG>140705</ARTG></ARTGs><MinimumBenefit>470</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SN732</BillingCode><Name>Accord</Name><Description>Orthopaedic Cable System, Cable w/clamp</Description><Size>2.0mm</Size><SupplierCode>SN</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1772</GroupID><SubGroupID>5367</SubGroupID><ARTGs><ARTG>140705</ARTG></ARTGs><MinimumBenefit>470</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ZI173</BillingCode><Name>Zimmer Internal Fixation Systems: Cable System</Name><Description>Cable-Ready GTR Cable - Proximal </Description><Size>635mm long</Size><SupplierCode>ZI</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1772</GroupID><SubGroupID>5367</SubGroupID><ARTGs><ARTG>108377</ARTG></ARTGs><MinimumBenefit>470</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HW524</BillingCode><Name>Dall Miles Cable Grip System</Name><Description>Cable and sleeve</Description><Size>1.6mm and 2.0mm</Size><SupplierCode>JV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1772</GroupID><SubGroupID>5367</SubGroupID><ARTGs><ARTG>312160</ARTG></ARTGs><MinimumBenefit>470</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2013-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HU267</BillingCode><PriorBillingCodes><PriorBillingCode>DE649</PriorBillingCode></PriorBillingCodes><Name> Cerclage System</Name><Description>Pre-tied Cerclage System (FiberTape/TigerTape)</Description><Size>One Size Only</Size><SupplierCode>HU</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1772</GroupID><SubGroupID>5367</SubGroupID><ARTGs><ARTG>354057</ARTG></ARTGs><Note>The Prescribed List reimbursement for the billing code is restricted for use of the devices in surgical procedures described in Medicare Benefits Schedule (MBS) item 47450 or 47528 or 47565 in Group T8 of the Regulations.</Note><ChangeExplanation>Change to Condition</ChangeExplanation><MinimumBenefit>470</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Update</ActionFlag><CycleStartDate>2021-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SQ115</BillingCode><Name>Iso-Elastic™ Cerclage System</Name><Description>Iso-Elastic™ Cerclage Cable Assembly</Description><Size>One Size Only</Size><SupplierCode>SQ</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1772</GroupID><SubGroupID>5367</SubGroupID><ARTGs><ARTG>133719</ARTG></ARTGs><MinimumBenefit>470</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2016-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SY377</BillingCode><Name>Orthopaedic Cable System</Name><Description>Cable with Crimp</Description><Size>1.0mm - 1.7mm</Size><SupplierCode>JJ</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1772</GroupID><SubGroupID>5367</SubGroupID><ARTGs><ARTG>332244</ARTG><ARTG>332243</ARTG></ARTGs><MinimumBenefit>470</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2007-06-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ZI174</BillingCode><Name>Zimmer Internal Fixation Systems: Cable System</Name><Description>Cable-Ready Stainless Steel Cable</Description><Size>1.8mm</Size><SupplierCode>ZI</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1772</GroupID><SubGroupID>5367</SubGroupID><ARTGs><ARTG>108377</ARTG></ARTGs><MinimumBenefit>470</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HU209</BillingCode><PriorBillingCodes><PriorBillingCode>DE345</PriorBillingCode></PriorBillingCodes><Name>iBalance HTO System</Name><Description>Medial High Tibial Osteotomy Implant Device System</Description><Size>Small (6mm, 7mm, 8mm, 9mm, 10mm, 11mm, 12mm, 13mm, 14mm, 15mm)  Medium (5mm, 6mm, 7mm, 8mm, 9mm, 10mm, 11mm, 12mm, 13mm, 14mm, 15mm)  Large (5mm, 6mm, 7mm, 8mm, 9mm, 10mm, 11mm, 12mm, 13mm, 14mm, 15mm)</Size><SupplierCode>HU</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1772</GroupID><SubGroupID>5457</SubGroupID><ARTGs><ARTG>350871</ARTG></ARTGs><MinimumBenefit>1468</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ530</BillingCode><PriorBillingCodes><PriorBillingCode>ER454</PriorBillingCode></PriorBillingCodes><Name>Paragon 28 Titan 3-D Wedge</Name><Description>Paragon 28 Titan 3-D Cotton or Evans Wedge, Anatomical,  Titanium metal scaffold for angular correction,  Sterile</Description><Size>5-8 mm (Cotton); 6-12 mm (Evans)</Size><SupplierCode>KQ</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1772</GroupID><SubGroupID>5457</SubGroupID><ARTGs><ARTG>290444</ARTG></ARTGs><MinimumBenefit>1468</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MI147</BillingCode><Name>Atlas Cable System</Name><Description>Double w/2 crimps</Description><Size>One size only</Size><SupplierCode>MI</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1772</GroupID><SubGroupID>5368</SubGroupID><ARTGs><ARTG>264077</ARTG></ARTGs><MinimumBenefit>407</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2014-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ZA098</BillingCode><Name>Pioneer Cable System</Name><Description>Pioneer Stainless Steel Sternal Orthopaedic cable and crimp - Single</Description><Size>One diameter size (1.10mm) There are 4 needle types on the cables. Cutting Edge, Blunt Tip, Tapered Tip, Reverse Cutting.</Size><SupplierCode>ZI</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1772</GroupID><SubGroupID>5368</SubGroupID><ARTGs><ARTG>193369</ARTG></ARTGs><MinimumBenefit>394</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ZA099</BillingCode><Name>Pioneer Cable System</Name><Description>Pioneer Stainless Steel Sternal Orthopeadic Cable and Crimp - 4 Pack</Description><Size>One diameter size (1.10mm)  There are four needle types on the cables. Cutting edge, Blunt Tip, Tapered Tip, reverse Cutting.</Size><SupplierCode>ZI</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1772</GroupID><SubGroupID>5368</SubGroupID><ARTGs><ARTG>193369</ARTG></ARTGs><MinimumBenefit>394</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SK401</BillingCode><Name>Trochanteric Grip</Name><Description>Dall-Miles Trochanteric Grip with 2 Chrome Cobalt Cables</Description><Size>Small, Medium and Large</Size><SupplierCode>JV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1772</GroupID><SubGroupID>5368</SubGroupID><ARTGs><ARTG>145550</ARTG><ARTG>16232</ARTG></ARTGs><MinimumBenefit>407</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2006-11-30</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ZA097</BillingCode><Name>Pioneer Cable System</Name><Description>Pioneer Titanium Sternal Orthopaedic Cable and Crimp - Single</Description><Size>One diameter size (1.10mm) Reverse cutting needle</Size><SupplierCode>ZI</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1772</GroupID><SubGroupID>5368</SubGroupID><ARTGs><ARTG>193369</ARTG></ARTGs><MinimumBenefit>394</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>DE620</BillingCode><Name>Park Modified Pectus Bar</Name><Description>Park Modified Pectus bar available in titanium alloy and stainless steel</Description><Size>6" - 152mm, 7" - 178mm, 8" - 203mm, 9" - 228mm, 10" - 254mm, 11" - 279mm, 12" - 305mm, 13" - 330mm, 14" - 356mm, 15" = 381mm, 16" - 406mm, 17" - 432mm</Size><SupplierCode>DE</SupplierCode><CategoryID>20</CategoryID><SubCategoryID>264</SubCategoryID><GroupID>1824</GroupID><SubGroupID>6012</SubGroupID><ARTGs><ARTG>317581</ARTG></ARTGs><MinimumBenefit>1193</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-02-01</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</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>2025-03-01</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><MinimumBenefit>1312</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-08-01</CycleStartDate><CycleEndDate>2025-03-01</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>SN</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>2025-03-01</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>SN</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>SN</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>2025-03-01</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>JJ</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>ZI</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>2025-03-01</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>ZI</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>JJ</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SL156</BillingCode><Name>Polarstem Cemented</Name><Description>Cemented femoral stems</Description><Size>0 to 8</Size><SupplierCode>SN</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>OW011</BillingCode><Name>Embospheres</Name><Description>-</Description><Size>2ml per implant</Size><SupplierCode>OW</SupplierCode><CategoryID>24</CategoryID><SubCategoryID>213</SubCategoryID><GroupID>1647</GroupID><SubGroupID>4467</SubGroupID><ARTGs><ARTG>144426</ARTG></ARTGs><MinimumBenefit>295</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>TU065</BillingCode><Name>Embolization Microsphere</Name><Description>HydroPearl™ microspheres are part of a family of embolic materials based on MicroVention’s
proprietary microsphere technology. These spheres are designed to offer controlled,
targeted embolisation. HydroPearl™ is made using Poly-Ethylene Glycol and comprises
of a range of microspheres that are pre-formed, compressible, calibrated, spherical and
biocompatible.</Description><Size>75-1100 micron</Size><SupplierCode>TU</SupplierCode><CategoryID>24</CategoryID><SubCategoryID>213</SubCategoryID><GroupID>1647</GroupID><SubGroupID>4467</SubGroupID><ARTGs><ARTG>292403</ARTG></ARTGs><MinimumBenefit>295</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>VN003</BillingCode><PriorBillingCodes><PriorBillingCode>BS314</PriorBillingCode></PriorBillingCodes><Name>Embozene Microspheres</Name><Description>Uniquely colour-coded microspheres used in the embolization of hypervascular tumours and arteriovenous malformations</Description><Size>In between the range of 40 - 1130 micron -  2ml</Size><SupplierCode>VN</SupplierCode><CategoryID>24</CategoryID><SubCategoryID>213</SubCategoryID><GroupID>1647</GroupID><SubGroupID>4467</SubGroupID><ARTGs><ARTG>289243</ARTG></ARTGs><MinimumBenefit>295</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MJ027</BillingCode><Name>ReCerf Ceramic Resurfacing Head</Name><Description>Biolox Delta Resurfacing Head Cemented</Description><Size>Diameter 40mm to 64mm</Size><SupplierCode>MJ</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>162</SubCategoryID><GroupID>1422</GroupID><SubGroupID>4000</SubGroupID><ARTGs><ARTG>470548</ARTG></ARTGs><ChangeExplanation>New listing</ChangeExplanation><MinimumBenefit>2812</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2025-03-01</CycleStartDate><CycleEndDate>2025-03-01</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>192534</ARTG><ARTG>192533</ARTG></ARTGs><MinimumBenefit>2812</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2013-02-01</CycleStartDate><CycleEndDate>2025-03-01</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>SN</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BX292</BillingCode><Name>Supple Peri-Guard (4 x 4cm)</Name><Description>Model No SPC0404CE  - 4 x 4cm Bovine pericardium patch</Description><Size>4 x 4cm</Size><SupplierCode>BX</SupplierCode><CategoryID>20</CategoryID><SubCategoryID>182</SubCategoryID><GroupID>1507</GroupID><SubGroupID>5452</SubGroupID><ARTGs><ARTG>385632</ARTG></ARTGs><MinimumBenefit>333</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2013-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ER507</BillingCode><Name>LeMaitre Xenosure Biologic Patch-Small, &lt; 25cm²</Name><Description>The XenoSure Biologic Patch is a high-quality bovine pericardium
patch used for vascular and cardiovascular reconstructions.</Description><Size>0.8 x 8 cm Tapered Patch
  1 x 6 cm   Rounded Patch
  1 x 10 cm Tapered Patch
  1.5 x 10 cm Tapered Patch
  1 x 14 cm Tapered Patch
  2 x 9 cm Rounded Patch
  4 x 4 cm Square Patch
  4 x 6 cm Rectangular Patch</Size><SupplierCode>ER</SupplierCode><CategoryID>20</CategoryID><SubCategoryID>182</SubCategoryID><GroupID>1507</GroupID><SubGroupID>5452</SubGroupID><ARTGs><ARTG>310096</ARTG></ARTGs><MinimumBenefit>333</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2019-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ER508</BillingCode><Name>LeMaitre Xenosure Biologic Patch-Medium, 25-75cm²</Name><Description>The XenoSure Biologic Patch is a high-quality bovine pericardium patch used for vascular and cardiovascular reconstructions.</Description><Size>6 x 8 cm Rectangular Patch
  5 x 10 cm Rectangular Patch</Size><SupplierCode>ER</SupplierCode><CategoryID>20</CategoryID><SubCategoryID>182</SubCategoryID><GroupID>1507</GroupID><SubGroupID>5453</SubGroupID><ARTGs><ARTG>310096</ARTG></ARTGs><MinimumBenefit>523</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2019-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BX293</BillingCode><Name>Supple Peri-Guard (6 x 8cm)</Name><Description>Model No SPG0608CE  -6 x 8cm Bovine pericardium patch</Description><Size>6 x 8cm</Size><SupplierCode>BX</SupplierCode><CategoryID>20</CategoryID><SubCategoryID>182</SubCategoryID><GroupID>1507</GroupID><SubGroupID>5453</SubGroupID><ARTGs><ARTG>385632</ARTG></ARTGs><MinimumBenefit>523</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2013-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>EL033</BillingCode><Name>Baxter Augmentation / Substitution Material, Human or Animal Origin, Sterile Pericardial Patch.</Name><Description>Edwards Pericardial Patch. Bovine Pericardium.</Description><Size>10cm x 15cm</Size><SupplierCode>EL</SupplierCode><CategoryID>20</CategoryID><SubCategoryID>182</SubCategoryID><GroupID>1507</GroupID><SubGroupID>5454</SubGroupID><ARTGs><ARTG>154067</ARTG></ARTGs><MinimumBenefit>722</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ER509</BillingCode><Name>LeMaitre Xenosure Biologic Patch-Large, &gt;75cm²</Name><Description>The XenoSure Biologic Patch is a high-quality bovine pericardium patch used for vascular and cardiovascular reconstructions.</Description><Size>8 x 14 cm Rectangular Patch
10 x 16 cm Rectangular Patch
12 x 25 cm Rectangular Patch</Size><SupplierCode>ER</SupplierCode><CategoryID>20</CategoryID><SubCategoryID>182</SubCategoryID><GroupID>1507</GroupID><SubGroupID>5454</SubGroupID><ARTGs><ARTG>310096</ARTG></ARTGs><MinimumBenefit>722</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2019-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BX295</BillingCode><Name>Supple Peri-Guard (8 x 14cm)</Name><Description>SPG0814CE - 8 x 14 Bovine pericardium patch</Description><Size>8 x 14cm</Size><SupplierCode>BX</SupplierCode><CategoryID>20</CategoryID><SubCategoryID>182</SubCategoryID><GroupID>1507</GroupID><SubGroupID>5454</SubGroupID><ARTGs><ARTG>385632</ARTG></ARTGs><MinimumBenefit>722</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2013-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BX294</BillingCode><Name>Supple Peri-Guard (10 x 16cm)</Name><Description>Model No SPC1016CE - 10 x 16 Bovine pericardium patch</Description><Size>10 x 16cm</Size><SupplierCode>BX</SupplierCode><CategoryID>20</CategoryID><SubCategoryID>182</SubCategoryID><GroupID>1507</GroupID><SubGroupID>5454</SubGroupID><ARTGs><ARTG>385632</ARTG></ARTGs><MinimumBenefit>722</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2013-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>PY045</BillingCode><Name>BeGraft Aortic Stent Graft System</Name><Description>Aortic Stent Graft System</Description><Size>Expanded Diameter: 12mm to 30mm
Stent Length:  19mm to 59mm
Catheter Length: 75cm and 120cm</Size><SupplierCode>PY</SupplierCode><CategoryID>24</CategoryID><SubCategoryID>207</SubCategoryID><GroupID>1634</GroupID><SubGroupID>4450</SubGroupID><ARTGs><ARTG>286040</ARTG></ARTGs><MinimumBenefit>5140</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>GT294</BillingCode><Name>GORE® VIABAHN® VBX Balloon Expandable Endoprosthesis</Name><Description>The GORE® VIABAHN® VBX Balloon Expandable Endoprosthesis consists of a 316L surgical grade stainless steel balloon expandable stent and a fluoropolymer graft. The CBAS® Heparin Surface on the GORE® VIABAHN® VBX Balloon Expandable Endoprosthesis consists of stable, covalent, end-point attached heparin of porcine origin. The endoprosthesis is premounted on a delivery system equipped with a balloon. The delivery system has two radiopaque balloon markers embedded in the shaft (denoting the effective balloon length) to aid in the placement of the endoprosthesis. The delivery system is compatible with 0.035" (0.89 mm) guidewires. The delivery system can be used for initial stent placement and post stent dilatation. The premounted stent system is available in a variety of endoprosthesis lengths from 15 to 79 mm and in a variety of diameters from 5 to 11 mm (See Table 1). The premounted endoprosthesis system balloon catheter is also offered in two shaft lengths. This product is supplied sterile. It should not be resterilized.</Description><Size>8mm expanding to 16mm
29mm, 39mm, 59mm, 79mm lengths</Size><SupplierCode>GT</SupplierCode><CategoryID>24</CategoryID><SubCategoryID>207</SubCategoryID><GroupID>1634</GroupID><SubGroupID>4450</SubGroupID><Suffix>H (heparin)</Suffix><ARTGs><ARTG>311474</ARTG></ARTGs><MinimumBenefit>5230</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2019-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>GX010</BillingCode><PriorBillingCodes><PriorBillingCode>MQ035</PriorBillingCode></PriorBillingCodes><Name>Advanta V12 Stent Graft System</Name><Description>Balloon Expandable PTFE Encapsulated Stainless Steel Vascular Stent</Description><Size>Large Diameter 12 -16mm. 80 and 120cm catheter lengths</Size><SupplierCode>GX</SupplierCode><CategoryID>24</CategoryID><SubCategoryID>207</SubCategoryID><GroupID>1634</GroupID><SubGroupID>4450</SubGroupID><ARTGs><ARTG>156635</ARTG></ARTGs><MinimumBenefit>5140</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2020-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>JT007</BillingCode><Name>Polytech Textured Mammary Expander with integrated or remote magnetic valve</Name><Description>Textured  with integrated or remote magnetic valve. Anatomically shaped with reinforced inner base</Description><Size>The mammary expanders vary in maximum volume from 200 - 960mls</Size><SupplierCode>JT</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>203</SubCategoryID><GroupID>1606</GroupID><SubGroupID>4414</SubGroupID><ARTGs><ARTG>168188</ARTG></ARTGs><MinimumBenefit>653</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2014-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>JT005</BillingCode><Name>Polytech Smooth Tissue Expander with integrated or remote magnetic valve</Name><Description>Smooth with integrated or remote valve</Description><Size>The  tissue expanders vary in maximum volume from 100 - 960mls</Size><SupplierCode>JT</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>203</SubCategoryID><GroupID>1606</GroupID><SubGroupID>4414</SubGroupID><ARTGs><ARTG>168188</ARTG></ARTGs><MinimumBenefit>653</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2014-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MN177</BillingCode><Name>Mentor Siltex Contour Profile Breast Tissue Expander</Name><Description>Siltex Contour Profile Breast Tissue Expander (CPX4) with suture tabs</Description><Size>250-850cc</Size><SupplierCode>JJ</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>203</SubCategoryID><GroupID>1606</GroupID><SubGroupID>4414</SubGroupID><ARTGs><ARTG>226982</ARTG></ARTGs><MinimumBenefit>653</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2015-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MN176</BillingCode><Name>Mentor Siltex Contour Profile Breast Tissue Expander</Name><Description>Siltex Contour Profile Breast Tissue Expander (CPX4)</Description><Size>250-850cc</Size><SupplierCode>JJ</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>203</SubCategoryID><GroupID>1606</GroupID><SubGroupID>4414</SubGroupID><ARTGs><ARTG>226977</ARTG></ARTGs><MinimumBenefit>653</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2015-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MN001</BillingCode><Name>Mentor Radovan Tissue Expander</Name><Description>Tissue Expander</Description><Size>Volume 25cc - 1000cc</Size><SupplierCode>JJ</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>203</SubCategoryID><GroupID>1606</GroupID><SubGroupID>4414</SubGroupID><ARTGs><ARTG>125097</ARTG></ARTGs><MinimumBenefit>653</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>JT006</BillingCode><Name>Polytech Textured Mammary or  Tissue Expander with integrated or remote magnetic valve</Name><Description>Textured with integrated or remote valve.</Description><Size>The tissue expanders vary in maximum volume from 100 - 960mls</Size><SupplierCode>JT</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>203</SubCategoryID><GroupID>1606</GroupID><SubGroupID>4414</SubGroupID><ARTGs><ARTG>168188</ARTG></ARTGs><MinimumBenefit>653</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2014-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>JK045</BillingCode><PriorBillingCodes><PriorBillingCode>UQ048</PriorBillingCode></PriorBillingCodes><Name>PMT Tissue Expander (Integra/Accuspan)</Name><Description>Smooth tissue expander with remote or internal port</Description><Size>Volume 5cc to 1600cc</Size><SupplierCode>JK</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>203</SubCategoryID><GroupID>1606</GroupID><SubGroupID>4414</SubGroupID><ARTGs><ARTG>337350</ARTG></ARTGs><MinimumBenefit>653</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MN013</BillingCode><Name>Mentor Siltex Becker Expander/Mammary Implant</Name><Description>Textured Becker Expander/Mammary Implant</Description><Size>145 to 800cc</Size><SupplierCode>JJ</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>203</SubCategoryID><GroupID>1606</GroupID><SubGroupID>4414</SubGroupID><Suffix>Expander Implant</Suffix><ARTGs><ARTG>119809</ARTG></ARTGs><MinimumBenefit>1989</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</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>SN</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>2025-03-01</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>2025-03-01</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>ZI</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>2025-03-01</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>ZI</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>2025-03-01</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>ZI</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>2025-03-01</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>ZI</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>2025-03-01</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>JJ</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>2025-03-01</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>JJ</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>2025-03-01</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BB417</BillingCode><Name>CoreHip Cementless Femoral Stem</Name><Description>Titanium alloy femoral stem with coating</Description><Size>0-11, Stem Length: 119.5mm - 194.5mm</Size><SupplierCode>BB</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>161</SubCategoryID><GroupID>1406</GroupID><SubGroupID>3948</SubGroupID><ARTGs><ARTG>405251</ARTG></ARTGs><ChangeExplanation>New listing</ChangeExplanation><MinimumBenefit>3100</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2025-03-01</CycleStartDate><CycleEndDate>2025-03-01</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>ZI</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>161</SubCategoryID><GroupID>1406</GroupID><SubGroupID>3948</SubGroupID><Suffix>SCP</Suffix><ARTGs><ARTG>223294</ARTG><ARTG>237028</ARTG><ARTG>257354</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>2025-03-01</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>2025-03-01</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>ZI</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>2025-03-01</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SY699</BillingCode><Name>SynPOR</Name><Description>Anatomical Porous Polyethylene with Titanium</Description><Size>08.mm - 1.5mm thick</Size><SupplierCode>JJ</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>199</SubCategoryID><GroupID>1587</GroupID><SubGroupID>4239</SubGroupID><ARTGs><ARTG>190454</ARTG></ARTGs><MinimumBenefit>775</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HW444</BillingCode><Name>E-POR Biomaterial/ Panel - Porous Polyethlene Titanium Mesh Composite</Name><Description>Panel - Porous Polyethylene Titanium Mesh Composite</Description><Size>0.5mm-0.8mm thick, 76mm x 50mm</Size><SupplierCode>JV</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>199</SubCategoryID><GroupID>1587</GroupID><SubGroupID>4240</SubGroupID><ARTGs><ARTG>144994</ARTG></ARTGs><MinimumBenefit>840</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2011-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SY697</BillingCode><Name>SynPOR</Name><Description>Porous Polyethylene with Titanium</Description><Size>&gt; 08.mm thick</Size><SupplierCode>JJ</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>199</SubCategoryID><GroupID>1587</GroupID><SubGroupID>4241</SubGroupID><ARTGs><ARTG>190454</ARTG></ARTGs><MinimumBenefit>991</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MN118</BillingCode><Name>Mentor Smooth Round Saline Implant</Name><Description>Smooth Round implant with Anterior Diaphragm Valve</Description><Size>&lt;500cc</Size><SupplierCode>JJ</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>204</SubCategoryID><GroupID>1609</GroupID><SubGroupID>4423</SubGroupID><Suffix>Valved</Suffix><ARTGs><ARTG>119646</ARTG></ARTGs><MinimumBenefit>697</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MN119</BillingCode><Name>Mentor Smooth Round Saline Implant</Name><Description>Smooth Round implant with Anterior Diaphragm Valve</Description><Size>≥500cc</Size><SupplierCode>JJ</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>204</SubCategoryID><GroupID>1609</GroupID><SubGroupID>4426</SubGroupID><Suffix>Valved</Suffix><ARTGs><ARTG>119646</ARTG></ARTGs><MinimumBenefit>624</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MN186</BillingCode><Name>PROLENE Soft Polypropylene Mesh</Name><Description>Nonabsorbable Synthetic Surgical Mesh</Description><Size>≥2500cm²</Size><SupplierCode>JJ</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>JJ177</BillingCode><Name>Prolene Mesh</Name><Description>Small keyhole polypropylene monofilament non absorbable mesh</Description><Size>Size (cm) 4.6x10; quantity/pack 1 or 3</Size><SupplierCode>JJ</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>AS174</BillingCode><Name>Parietene™ Flat Sheet Mesh; Parietene™ Lightweight Mesh  </Name><Description>Parietene™ flat sheet mesh is made of non-absorbable monofilament polypropylene 2-dimensional textile. Parietene™ lightweight mesh is made of non-absorbable monofilament polypropylene 2-dimensional textile.</Description><Size>6 cm x 11 cm, 15 cm x 10 cm</Size><SupplierCode>MI</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>194</SubCategoryID><GroupID>1782</GroupID><SubGroupID>5434</SubGroupID><ARTGs><ARTG>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>2025-03-01</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>2025-03-01</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><MinimumBenefit>72</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2024-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>AS243</BillingCode><Name>Parietex™ Hydrophilic Anatomical Mesh; Parietex™ Hydrophilic 2D Mesh; Parietex™ Hydrophilic 3D Mesh</Name><Description>Parietex™ hydrophilic anatomical mesh is made of non-absorbable multifilament polyester (polyethylene terephthalate) an assembly of a 2-dimensional textile and a 3-dimensional textile. Parietex™ hydrophilic anatomical mesh is available in right or left configurations and in different shapes and sizes. Parietex™ hydrophilic 2-dimensional mesh is made of non-absorbable multifilament polyester (polyethylene terephthalate) 2-dimensional textile. This folding mesh is provided with a non-absorbable pre-placed yarn tied to the mesh. Parietex™ hydrophilic 3-dimensional mesh is made of non-absorbable multifilament polyester (polyethylene terephthalate) 3-dimensional textile. This is a pre-cut and slit mesh - the mesh presents a slit for the passage of the cord.</Description><Size>13 cm x 9 cm, 14 cm x 10 cm,  15 cm x 10 cm, 16 cm x 12 cm</Size><SupplierCode>MI</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>194</SubCategoryID><GroupID>1782</GroupID><SubGroupID>5434</SubGroupID><Suffix>Contoured</Suffix><ARTGs><ARTG>399630</ARTG><ARTG>399213</ARTG><ARTG>399214</ARTG></ARTGs><MinimumBenefit>185</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2016-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BA222</BillingCode><Name>Bard 3D Max Mesh</Name><Description>3D Mesh</Description><Size>Medium left, Medium Right, large Left, Large Right</Size><SupplierCode>BA</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>194</SubCategoryID><GroupID>1782</GroupID><SubGroupID>5434</SubGroupID><Suffix>Contoured, Without Fixation</Suffix><ARTGs><ARTG>376471</ARTG></ARTGs><MinimumBenefit>238</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2013-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>AA017</BillingCode><Name>4D - SEMI ABSORBABLE HERNIA MESH</Name><Description>4DMESH semi absorbable bio mesh for abdominal reinforcement inguinal, femoral and incisional hernias</Description><Size>6 x 13.5 cm 
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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>AA016</BillingCode><Name>4D - DOME SEMI ABSORBABLE HERNIA MESH</Name><Description>4D DOME semi absorbable bio mesh for abdominal reinforcement inguinal, femoral and incisional hernias</Description><Size>2.4, 9 x 5 cm 
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>2025-03-01</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>JJ</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>AS164</BillingCode><Name>Parietex™ Hydrophilic 2D Mesh; Parietex™ Hydrophilic 3D Mesh</Name><Description>Parietex™ hydrophilic 2-dimensional mesh is made of non-absorbable multifilament polyester (polyethylene terephthalate) 2-dimensional textile. The mesh is available in two versions: a standard version and a rigid version. Parietex™ hydrophilic 3-dimensional mesh is made of non-absorbable multifilament polyester (polyethylene terephthalate) 3-dimensional textile.</Description><Size>13 cm x 9 cm, 15 cm x 10 cm</Size><SupplierCode>MI</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>194</SubCategoryID><GroupID>1782</GroupID><SubGroupID>5434</SubGroupID><ARTGs><ARTG>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>2025-03-01</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>JJ</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>JJ566</BillingCode><Name>PROLENE Mesh</Name><Description>Polypropylene Mesh</Description><Size>10 x 15cm</Size><SupplierCode>JJ</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>JJ178</BillingCode><Name>Prolene Mesh</Name><Description>Large keyhole polypropylene monofilament non absorbable mesh</Description><Size>Size (cm) 6x13.7; quantity/pack 1 or 3</Size><SupplierCode>JJ</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>2025-03-01</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><MinimumBenefit>77</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2024-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BA157</BillingCode><Name>Bard Mesh</Name><Description>Flat Mesh</Description><Size>15X15cm</Size><SupplierCode>BA</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>194</SubCategoryID><GroupID>1782</GroupID><SubGroupID>5435</SubGroupID><ARTGs><ARTG>122873</ARTG></ARTGs><MinimumBenefit>77</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</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>JJ</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>AA018</BillingCode><Name>4D - Semi Absorbable Hernia Mesh</Name><Description>4DMESH semi absorbable bio mesh for abdominal reinforcement inguinal, femoral and incisional hernias.</Description><Size>12 x 17 cm
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>2025-03-01</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>398770</ARTG><ARTG>376471</ARTG></ARTGs><MinimumBenefit>261</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2013-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>AS165</BillingCode><Name>Parietex™ Hydrophilic 2D Mesh; Parietex™ Hydrophilic 3D Mesh</Name><Description>Parietex™ hydrophilic 2-dimensional mesh is made of non-absorbable multifilament polyester (polyethylene terephthalate) 2-dimensional textile. The mesh is available in two versions: a standard version and a rigid version. Parietex™ hydrophilic 3-dimensional mesh is made of non-absorbable multifilament polyester (polyethylene terephthalate) 3-dimensional textile.</Description><Size>15 cm x 15 cm,</Size><SupplierCode>MI</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>194</SubCategoryID><GroupID>1782</GroupID><SubGroupID>5435</SubGroupID><ARTGs><ARTG>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>2025-03-01</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>JJ</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>AS122</BillingCode><Name>Parietene™ Flat Sheet Mesh; Parietene™ Lightweight Mesh</Name><Description>Parietene™ flat sheet mesh is made of non-absorbable monofilament polypropylene 2-dimensional textile. Parietene™ lightweight mesh is made of non-absorbable monofilament polypropylene 2-dimensional textile.</Description><Size>20 cm x 20 cm</Size><SupplierCode>MI</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>194</SubCategoryID><GroupID>1782</GroupID><SubGroupID>5435</SubGroupID><ARTGs><ARTG>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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>AS176</BillingCode><Name>Parietene™ Flat Sheet Mesh; Parietene™ Lightweight Mesh</Name><Description>Parietene™ flat sheet mesh is made of non-absorbable monofilament polypropylene 2-dimensional textile. Parietene™ lightweight mesh is made of non-absorbable monofilament polypropylene 2-dimensional textile.</Description><Size>15 cm x 15 cm</Size><SupplierCode>MI</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>194</SubCategoryID><GroupID>1782</GroupID><SubGroupID>5435</SubGroupID><ARTGs><ARTG>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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>AS170</BillingCode><Name>Parietex™ Hydrophilic 2D Mesh; Parietex™ Hydrophilic 3D Mesh</Name><Description>Parietex™ hydrophilic 2-dimensional mesh is made of non-absorbable multifilament polyester (polyethylene terephthalate) 2-dimensional textile. Parietex™ hydrophilic 3-dimensional mesh is made of non-absorbable multifilament polyester (polyethylene terephthalate) 3-dimensional textile.</Description><Size>20 cm x 20 cm</Size><SupplierCode>MI</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>194</SubCategoryID><GroupID>1782</GroupID><SubGroupID>5435</SubGroupID><ARTGs><ARTG>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>2025-03-01</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><MinimumBenefit>247</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2024-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BA158</BillingCode><Name>Bard Mesh</Name><Description>Flat Mesh</Description><Size>25x35.5cm</Size><SupplierCode>BA</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>194</SubCategoryID><GroupID>1782</GroupID><SubGroupID>5437</SubGroupID><ARTGs><ARTG>122873</ARTG></ARTGs><MinimumBenefit>247</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MN180</BillingCode><Name>PROLENE™ Soft Polypropylene Mesh</Name><Description>Non-absorbable Synthetic Surgical Mesh</Description><Size>Size (cm) 30.5x35.6, 25x25; quantity/pack 3  </Size><SupplierCode>JJ</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>JJ176</BillingCode><Name>Prolene Mesh</Name><Description>Large polypropylene monofilament non absorbable mesh</Description><Size>30cm x 30cm, quantity/box 3</Size><SupplierCode>JJ</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>AS123</BillingCode><Name>Parietene™ Flat Sheet Mesh; Parietene™ Lightweight Mesh</Name><Description>Parietene™ flat sheet mesh is made of non-absorbable monofilament polypropylene 2-dimensional textile. Parietene™ lightweight mesh is made of non-absorbable monofilament polypropylene 2-dimensional textile.</Description><Size>30 cm x 30 cm</Size><SupplierCode>MI</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>194</SubCategoryID><GroupID>1782</GroupID><SubGroupID>5437</SubGroupID><ARTGs><ARTG>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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>AS171</BillingCode><Name>Parietex™ Hydrophilic 2D Mesh; Parietex™ Hydrophilic 3D Mesh</Name><Description>Parietex™ hydrophilic 2-dimensional mesh is made of non-absorbable multifilament polyester (polyethylene terephthalate) 2-dimensional textile. The mesh is available in two versions: a standard version and a rigid version. Parietex™ hydrophilic 3-dimensional mesh is made of non-absorbable multifilament polyester (polyethylene terephthalate) 3-dimensional textile.</Description><Size>30 cm x 30 cm</Size><SupplierCode>MI</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>194</SubCategoryID><GroupID>1782</GroupID><SubGroupID>5437</SubGroupID><ARTGs><ARTG>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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>KT027</BillingCode><Name>Martin Level One Fixation</Name><Description>Mesh, Titanium</Description><Size>&lt;0.2mm thick, 1 to 10cm² area</Size><SupplierCode>KT</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>199</SubCategoryID><GroupID>1585</GroupID><SubGroupID>4201</SubGroupID><ARTGs><ARTG>109878</ARTG></ARTGs><MinimumBenefit>161</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2015-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HQ003</BillingCode><Name>SURGITIME Titanium Mesh</Name><Description>Titanium Surgitime is a non absorbable titanium mesh made of pure titanium (ASTM F-67). It comes in many different lengths, widths, thicknesses and hole diameters. It assist bone neoformation, acting as a barrier hindering the migration of epithelial cells and of the conjunctive tissues, thus avoiding competition with the bone graft.</Description><Size>34x25mm- Thickness 0.04mm/Round hole 0,15mm  34x25mm- Thickness 0.04mm/Round hole 0,85mm  34x25mm- Thickness 0,08mm/Round hole 0,85mm</Size><SupplierCode>HQ</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>199</SubCategoryID><GroupID>1585</GroupID><SubGroupID>4201</SubGroupID><ARTGs><ARTG>247013</ARTG></ARTGs><MinimumBenefit>161</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>KT026</BillingCode><Name>Martin Level One Fixation</Name><Description>Mesh, Titanium</Description><Size>&lt;0.2mm, 51 to 100cm² area</Size><SupplierCode>KT</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>199</SubCategoryID><GroupID>1585</GroupID><SubGroupID>4202</SubGroupID><ARTGs><ARTG>109878</ARTG></ARTGs><MinimumBenefit>371</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2015-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BB407</BillingCode><Name>Aesculap Neuro Plating System</Name><Description>Cranial Fixation Mesh Plate</Description><Size>28.8 - 48.8 mm x 14.5 - 25.2.2 mm    Thickness 0.3mm to 0.4mm</Size><SupplierCode>BB</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>199</SubCategoryID><GroupID>1585</GroupID><SubGroupID>4203</SubGroupID><ARTGs><ARTG>388668</ARTG></ARTGs><MinimumBenefit>341</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2023-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SY577</BillingCode><Name>AO/ASIF Plate</Name><Description>Titanium contourable mesh; Orbital &amp; Pre-Shaped</Description><Size>&lt;0.5mm</Size><SupplierCode>JJ</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>199</SubCategoryID><GroupID>1585</GroupID><SubGroupID>4203</SubGroupID><Suffix>Complex</Suffix><ARTGs><ARTG>157706</ARTG></ARTGs><MinimumBenefit>707</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>KT034</BillingCode><Name>Martin Level One Fixation</Name><Description>Mesh, Titanium</Description><Size>0.2 to 0.49mm thick, 1 to 10cm² area</Size><SupplierCode>KT</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>199</SubCategoryID><GroupID>1585</GroupID><SubGroupID>4203</SubGroupID><Suffix>Complex</Suffix><ARTGs><ARTG>109878</ARTG></ARTGs><MinimumBenefit>707</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2015-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>UT022</BillingCode><Name>SCS Interlink Plate </Name><Description>Titanium mesh plate - pre-shaped</Description><Size>0.4mm thick, 1 - 10cm2</Size><SupplierCode>UT</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>199</SubCategoryID><GroupID>1585</GroupID><SubGroupID>4203</SubGroupID><Suffix>Complex</Suffix><ARTGs><ARTG>339425</ARTG></ARTGs><MinimumBenefit>707</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>KT031</BillingCode><Name>Martin Level One Fixation</Name><Description>Mesh, Titanium</Description><Size>0.2 to 0.49mm thick, 1 to 10cm² area</Size><SupplierCode>KT</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>199</SubCategoryID><GroupID>1585</GroupID><SubGroupID>4203</SubGroupID><ARTGs><ARTG>109878</ARTG></ARTGs><MinimumBenefit>341</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2015-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SY578</BillingCode><Name>AO/ASIF Plate</Name><Description>Titanium contourable mesh; Mastoid, Cranial &amp; Pre-Shaped</Description><Size>0.2mm-0.49mm</Size><SupplierCode>JJ</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>199</SubCategoryID><GroupID>1585</GroupID><SubGroupID>4204</SubGroupID><Suffix>Complex</Suffix><ARTGs><ARTG>157706</ARTG></ARTGs><MinimumBenefit>725</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>KT060</BillingCode><Name>Martin Level One Fixation</Name><Description>Mesh, Titanium</Description><Size>0.9-0.49mm thick, 11-50cm²</Size><SupplierCode>KT</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>199</SubCategoryID><GroupID>1585</GroupID><SubGroupID>4204</SubGroupID><Suffix>Complex</Suffix><ARTGs><ARTG>109878</ARTG></ARTGs><MinimumBenefit>725</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2015-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>KT112</BillingCode><PriorBillingCodes><PriorBillingCode>LH508</PriorBillingCode></PriorBillingCodes><Name>Martin Osteosynthesis 1.5mm System Mesh thin 50cm2</Name><Description>Mesh, Titanium</Description><Size>0.2-0.49mm thick, 11-50cm2</Size><SupplierCode>KT</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>199</SubCategoryID><GroupID>1585</GroupID><SubGroupID>4204</SubGroupID><ARTGs><ARTG>202851</ARTG></ARTGs><ChangeExplanation>
Billing code transferred from LH508
Sponsor transferred from LIFEHEALTHCARE PTY LIMITED</ChangeExplanation><MinimumBenefit>584</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2014-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HW528</BillingCode><Name>Stryker Neuro Mesh Plates</Name><Description>Titanium malleable mesh plates for cranial reconstruction</Description><Size>0.2-0.49mm</Size><SupplierCode>JV</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>199</SubCategoryID><GroupID>1585</GroupID><SubGroupID>4204</SubGroupID><Suffix>Complex</Suffix><ARTGs><ARTG>295882</ARTG><ARTG>203105</ARTG><ARTG>214471</ARTG><ARTG>214472</ARTG><ARTG>214470</ARTG></ARTGs><MinimumBenefit>725</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2014-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>UT021</BillingCode><Name>SCS Interlink Plate</Name><Description>Titanium mesh plate - pre-shaped</Description><Size>0.4mm thick, 11-50cm2</Size><SupplierCode>UT</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>199</SubCategoryID><GroupID>1585</GroupID><SubGroupID>4204</SubGroupID><Suffix>Complex</Suffix><ARTGs><ARTG>339425</ARTG></ARTGs><MinimumBenefit>725</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>EO129</BillingCode><Name>MODUS Mesh </Name><Description>Pre-shaped, contourable Titanium Mesh, Sterile </Description><Size>0.25-0.44mm thick, 11-50cm²</Size><SupplierCode>EO</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>199</SubCategoryID><GroupID>1585</GroupID><SubGroupID>4204</SubGroupID><Suffix>Complex</Suffix><ARTGs><ARTG>350271</ARTG></ARTGs><MinimumBenefit>725</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MC889</BillingCode><Name>TiMesh</Name><Description>Square-rectangular Gridmesh Panel</Description><Size>11 to 25 cm2 area</Size><SupplierCode>MI</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>199</SubCategoryID><GroupID>1585</GroupID><SubGroupID>4204</SubGroupID><ARTGs><ARTG>128523</ARTG></ARTGs><MinimumBenefit>584</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2009-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MC914</BillingCode><Name>TiMesh Titanium Rigid Fixation Bone Grafting and Plating System</Name><Description>FlexMesh 1.5mm System. Composition: Titanium</Description><Size>26 to 50 cm2 area; 0.3mm thick</Size><SupplierCode>MI</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>199</SubCategoryID><GroupID>1585</GroupID><SubGroupID>4204</SubGroupID><ARTGs><ARTG>128523</ARTG></ARTGs><MinimumBenefit>584</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2009-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BI645</BillingCode><Name>W Lorenz Osteosynthesis System</Name><Description>Mesh panel, 1.5mm System Titanium</Description><Size>(41-83) x (39-54mm) (0.3 or 0.2mm)</Size><SupplierCode>ZI</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>199</SubCategoryID><GroupID>1585</GroupID><SubGroupID>4204</SubGroupID><ARTGs><ARTG>128458</ARTG></ARTGs><MinimumBenefit>584</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>JK008</BillingCode><PriorBillingCodes><PriorBillingCode>UQ009</PriorBillingCode></PriorBillingCodes><Name>OsteoMed Plating &amp; Fixation System</Name><Description>Micro, Mini, Maxi</Description><Size>0.2-0.49mm thick, 11-50cm²</Size><SupplierCode>JK</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>199</SubCategoryID><GroupID>1585</GroupID><SubGroupID>4204</SubGroupID><ARTGs><ARTG>130508</ARTG></ARTGs><MinimumBenefit>584</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BB410</BillingCode><Name>Aesculap Neuro Plating System</Name><Description>Cranial Fixation Mesh Plate</Description><Size>40.2mm x 50.2mm    Thickness 0.3mm</Size><SupplierCode>BB</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>199</SubCategoryID><GroupID>1585</GroupID><SubGroupID>4204</SubGroupID><ARTGs><ARTG>388668</ARTG></ARTGs><MinimumBenefit>584</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2023-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MC524</BillingCode><Name>TiMesh</Name><Description>Isogrid Panel</Description><Size>One size only</Size><SupplierCode>MI</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>199</SubCategoryID><GroupID>1585</GroupID><SubGroupID>4205</SubGroupID><ARTGs><ARTG>128523</ARTG></ARTGs><MinimumBenefit>1229</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2006-03-24</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>KT047</BillingCode><Name>Martin Level One Fixation</Name><Description>Mesh, Titanium &amp; 3D</Description><Size>0.2-0.49mm thick, 51-200cm²</Size><SupplierCode>KT</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>199</SubCategoryID><GroupID>1585</GroupID><SubGroupID>4205</SubGroupID><ARTGs><ARTG>109878</ARTG></ARTGs><MinimumBenefit>1229</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2015-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>EO128</BillingCode><Name>MODUS Mesh </Name><Description>Titanium Mesh, Sterile </Description><Size>0.2-0.49mm thick, 51-200cm²</Size><SupplierCode>EO</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>199</SubCategoryID><GroupID>1585</GroupID><SubGroupID>4205</SubGroupID><ARTGs><ARTG>350271</ARTG></ARTGs><MinimumBenefit>1229</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>JK009</BillingCode><PriorBillingCodes><PriorBillingCode>UQ010</PriorBillingCode></PriorBillingCodes><Name>OsteoMed Plating &amp; Fixation System</Name><Description>Plates</Description><Size>0.2-0.49mm thick, 51-200cm²</Size><SupplierCode>JK</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>199</SubCategoryID><GroupID>1585</GroupID><SubGroupID>4205</SubGroupID><ARTGs><ARTG>130508</ARTG></ARTGs><MinimumBenefit>1229</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LH512</BillingCode><Name>Martin Osteosynthesis 1.5mm System 3D Mesh 200cm2</Name><Description>3D Mesh, Titanium</Description><Size>0.2-0.49mm thick, 51-200cm2</Size><SupplierCode>LH</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>199</SubCategoryID><GroupID>1585</GroupID><SubGroupID>4205</SubGroupID><ARTGs><ARTG>202851</ARTG></ARTGs><MinimumBenefit>1229</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2014-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MC525</BillingCode><Name>TiMesh</Name><Description>Sugar Mesh Panel / Grid</Description><Size>11 x 7.5cm</Size><SupplierCode>MI</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>199</SubCategoryID><GroupID>1585</GroupID><SubGroupID>4205</SubGroupID><ARTGs><ARTG>128523</ARTG></ARTGs><MinimumBenefit>1229</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2006-03-24</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MI084</BillingCode><Name>TiMesh Rigid Fixation Bone Grafting and Plating System</Name><Description>FlexMesh 1.0 - 1.5mm system. Composition: Titanium</Description><Size>51 to 100cm² area, 0.3mm thickness</Size><SupplierCode>MI</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>199</SubCategoryID><GroupID>1585</GroupID><SubGroupID>4205</SubGroupID><ARTGs><ARTG>128523</ARTG></ARTGs><MinimumBenefit>1229</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2013-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BH024</BillingCode><Name>W Lorenz Osteosynthesis System</Name><Description>Pre-contoured Neuro Mesh, titanium</Description><Size>163 x 115 x 0.3mm</Size><SupplierCode>ZI</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>199</SubCategoryID><GroupID>1585</GroupID><SubGroupID>4205</SubGroupID><Suffix>Complex</Suffix><ARTGs><ARTG>211079</ARTG></ARTGs><MinimumBenefit>1300</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2009-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SK582</BillingCode><Name>Stryker Leibinger Plating System</Name><Description>Craniofacial Titanium Mesh System</Description><Size>0.2 - 0.49mm thick, 51 - 200cm²</Size><SupplierCode>JV</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>199</SubCategoryID><GroupID>1585</GroupID><SubGroupID>4205</SubGroupID><ARTGs><ARTG>295882</ARTG></ARTGs><MinimumBenefit>1229</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2013-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MC890</BillingCode><Name>TiMesh</Name><Description>Square-rectangular Gridmesh Panel</Description><Size>51 to 100 cm2 area</Size><SupplierCode>MI</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>199</SubCategoryID><GroupID>1585</GroupID><SubGroupID>4205</SubGroupID><ARTGs><ARTG>128523</ARTG></ARTGs><MinimumBenefit>1229</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2009-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SY488</BillingCode><Name>AO/ASIF Plate</Name><Description>Titanium Contourable mesh plate</Description><Size>&lt;0.5mm</Size><SupplierCode>JJ</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>199</SubCategoryID><GroupID>1585</GroupID><SubGroupID>4205</SubGroupID><ARTGs><ARTG>157706</ARTG></ARTGs><MinimumBenefit>1229</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2009-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SY786</BillingCode><Name>AO/ASIF Plate</Name><Description>Titanium Contourable mesh, Cranial Neuro</Description><Size>&lt;0.5mm</Size><SupplierCode>JJ</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>199</SubCategoryID><GroupID>1585</GroupID><SubGroupID>4206</SubGroupID><ARTGs><ARTG>157706</ARTG></ARTGs><MinimumBenefit>1462</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2013-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MC387</BillingCode><Name>TiMesh Rigid Fixation Bone Grafting and Plating System</Name><Description>Titanium, Square Grid Mesh</Description><Size>Large</Size><SupplierCode>MI</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>199</SubCategoryID><GroupID>1585</GroupID><SubGroupID>4206</SubGroupID><ARTGs><ARTG>128523</ARTG></ARTGs><MinimumBenefit>1462</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2006-03-24</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>JK010</BillingCode><PriorBillingCodes><PriorBillingCode>UQ047</PriorBillingCode></PriorBillingCodes><Name>OsteoMed Plating &amp; Fixation System</Name><Description>Plates</Description><Size>111 x 191mm Mesh Plate, Mesh &gt; 200cm2 area.</Size><SupplierCode>JK</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>199</SubCategoryID><GroupID>1585</GroupID><SubGroupID>4206</SubGroupID><ARTGs><ARTG>130508</ARTG></ARTGs><MinimumBenefit>1462</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MC389</BillingCode><Name>TiMesh Rigid Fixation Bone Grafting and Plating System</Name><Description>Titanium, Square Grid Mesh</Description><Size>Small</Size><SupplierCode>MI</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>199</SubCategoryID><GroupID>1585</GroupID><SubGroupID>4207</SubGroupID><ARTGs><ARTG>128523</ARTG></ARTGs><MinimumBenefit>307</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2006-03-24</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>UT023</BillingCode><Name>SCS Interlink Plate</Name><Description>Titanium mesh plate - pre-shaped</Description><Size>0.6mm thick, 1 - 10cm2</Size><SupplierCode>UT</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>199</SubCategoryID><GroupID>1585</GroupID><SubGroupID>4207</SubGroupID><ARTGs><ARTG>339425</ARTG></ARTGs><MinimumBenefit>307</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>KT039</BillingCode><Name>Martin Level One Fixation</Name><Description>Mesh Titanium</Description><Size>0.5-0.8mm thick, 1-10cm²</Size><SupplierCode>KT</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>199</SubCategoryID><GroupID>1585</GroupID><SubGroupID>4207</SubGroupID><ARTGs><ARTG>109878</ARTG></ARTGs><MinimumBenefit>307</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2015-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>UT024</BillingCode><Name>SCS Interlink Plate</Name><Description>Titanium mesh plate - pre-shaped</Description><Size>0.6mm thick, 11-50cm2</Size><SupplierCode>UT</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>199</SubCategoryID><GroupID>1585</GroupID><SubGroupID>4208</SubGroupID><ARTGs><ARTG>339425</ARTG></ARTGs><MinimumBenefit>388</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>KT062</BillingCode><Name>Martin Level One Fixation</Name><Description>Mesh, Titanium</Description><Size>0.5-0.8mm thick, 11-50cm²</Size><SupplierCode>KT</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>199</SubCategoryID><GroupID>1585</GroupID><SubGroupID>4208</SubGroupID><ARTGs><ARTG>109878</ARTG></ARTGs><MinimumBenefit>388</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2015-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BH023</BillingCode><Name>W Lorenz Osteosynthesis System</Name><Description>Panel, Regular or Small Grid. Titanium</Description><Size>80mm x 53mm x 0.6mm thick and 85mm x 53mm x 0.6mm thick</Size><SupplierCode>ZI</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>199</SubCategoryID><GroupID>1585</GroupID><SubGroupID>4208</SubGroupID><ARTGs><ARTG>211079</ARTG></ARTGs><MinimumBenefit>388</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2009-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>UT031</BillingCode><Name>SCS Titanium Mesh</Name><Description>Titanium mesh</Description><Size>0.6mm thick; 11-50cm2</Size><SupplierCode>UT</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>199</SubCategoryID><GroupID>1585</GroupID><SubGroupID>4208</SubGroupID><ARTGs><ARTG>339425</ARTG></ARTGs><MinimumBenefit>388</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LH509</BillingCode><Name>Martin Osteosynthesis 1.5mm System Mesh 50cm2</Name><Description>Mesh, Titanium</Description><Size>0.5-0.8mm thick, 11-50cm2</Size><SupplierCode>LH</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>199</SubCategoryID><GroupID>1585</GroupID><SubGroupID>4208</SubGroupID><ARTGs><ARTG>202851</ARTG></ARTGs><MinimumBenefit>388</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2014-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>JK011</BillingCode><PriorBillingCodes><PriorBillingCode>UQ013</PriorBillingCode></PriorBillingCodes><Name>OsteoMed Plating &amp; Fixation System</Name><Description>Plates</Description><Size>0.5-0.8mm thick, 11-50cm²</Size><SupplierCode>JK</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>199</SubCategoryID><GroupID>1585</GroupID><SubGroupID>4208</SubGroupID><ARTGs><ARTG>130508</ARTG></ARTGs><MinimumBenefit>388</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>EO131</BillingCode><Name>MODUS Mesh</Name><Description>Titanium Mesh, Sterile </Description><Size>0.5-0.8mm thick, 11-50cm²</Size><SupplierCode>EO</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>199</SubCategoryID><GroupID>1585</GroupID><SubGroupID>4208</SubGroupID><ARTGs><ARTG>350271</ARTG></ARTGs><MinimumBenefit>388</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MC915</BillingCode><Name>TiMesh Titanium Rigid Fixation Bone Grafting and Plating System</Name><Description>FlexMesh 1.5mm System. Composition: Titanium</Description><Size>26 to 50 cm2 area; 0.6mm thick</Size><SupplierCode>MI</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>199</SubCategoryID><GroupID>1585</GroupID><SubGroupID>4208</SubGroupID><ARTGs><ARTG>128523</ARTG></ARTGs><MinimumBenefit>388</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2009-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MC877</BillingCode><Name>TiMesh Rigid Fixation Bone Grafting and Plating System</Name><Description>Titanium, Mesh</Description><Size>51 to 100 cm2 area, 0.6mm thickness</Size><SupplierCode>MI</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>199</SubCategoryID><GroupID>1585</GroupID><SubGroupID>4209</SubGroupID><ARTGs><ARTG>128523</ARTG></ARTGs><MinimumBenefit>1146</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2009-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SY579</BillingCode><Name>AO/ASIF Plate</Name><Description>Titanium mesh</Description><Size>0.5mm-0.8mm</Size><SupplierCode>JJ</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>199</SubCategoryID><GroupID>1585</GroupID><SubGroupID>4209</SubGroupID><ARTGs><ARTG>157706</ARTG></ARTGs><MinimumBenefit>1146</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LH510</BillingCode><Name>Martin Osteosynthesis 1.5mm System Mesh 64cm2</Name><Description>Mesh, Titanium</Description><Size>0.5-0.8mm thick, 51-200cm2</Size><SupplierCode>LH</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>199</SubCategoryID><GroupID>1585</GroupID><SubGroupID>4209</SubGroupID><ARTGs><ARTG>202851</ARTG></ARTGs><MinimumBenefit>1146</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2014-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>EO130</BillingCode><Name>MODUS Mesh </Name><Description>Titanium Mesh, Sterile </Description><Size>0.5-0.8mm thick, 51-200cm²</Size><SupplierCode>EO</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>199</SubCategoryID><GroupID>1585</GroupID><SubGroupID>4209</SubGroupID><ARTGs><ARTG>350271</ARTG></ARTGs><MinimumBenefit>1146</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MN243</BillingCode><Name>MatrixNEURO</Name><Description>Preformed mesh</Description><Size>0.6mm</Size><SupplierCode>JJ</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>199</SubCategoryID><GroupID>1585</GroupID><SubGroupID>4209</SubGroupID><ARTGs><ARTG>313407</ARTG></ARTGs><MinimumBenefit>1146</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2019-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ST250</BillingCode><Name>Leibinger Titanium Implant System</Name><Description>Mesh: Micro, Dumbach, Dynamic</Description><Size>Diameter 1.0mm - 2.3mm; Up to 90 x 90mm</Size><SupplierCode>JV</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>199</SubCategoryID><GroupID>1585</GroupID><SubGroupID>4209</SubGroupID><ARTGs><ARTG>295882</ARTG></ARTGs><MinimumBenefit>1146</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BB408</BillingCode><Name>Aesculap Neuro Plating System</Name><Description>Cranial fixation system, internal fracture, non biodegradable.</Description><Size>50 x 50mm and 100 x 100mm, 0.6mm Mesh</Size><SupplierCode>BB</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>199</SubCategoryID><GroupID>1585</GroupID><SubGroupID>4209</SubGroupID><ARTGs><ARTG>388668</ARTG></ARTGs><MinimumBenefit>1146</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2023-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MI085</BillingCode><Name>TiMesh Rigid Fixation Bone Grafting and Plating System</Name><Description>FlexMesh 1.0 - 2.2mm system. Composition : Titanium</Description><Size>51 to 100cm² area, 0.6mm thickness</Size><SupplierCode>MI</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>199</SubCategoryID><GroupID>1585</GroupID><SubGroupID>4209</SubGroupID><ARTGs><ARTG>128523</ARTG></ARTGs><MinimumBenefit>1146</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2013-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>JK012</BillingCode><PriorBillingCodes><PriorBillingCode>UQ014</PriorBillingCode></PriorBillingCodes><Name>OsteoMed Plating &amp; Fixation System</Name><Description>Plates</Description><Size>90 x 90mm Osteoform Mesh, Mesh 51 to 100cm2 area.</Size><SupplierCode>JK</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>199</SubCategoryID><GroupID>1585</GroupID><SubGroupID>4209</SubGroupID><ARTGs><ARTG>130508</ARTG></ARTGs><MinimumBenefit>1146</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>KT023</BillingCode><Name>Martin Level One Fixation</Name><Description>Mesh, Titanium</Description><Size>0.50 to 0.80mm thick, 51 to 100cm² area</Size><SupplierCode>KT</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>199</SubCategoryID><GroupID>1585</GroupID><SubGroupID>4209</SubGroupID><ARTGs><ARTG>109878</ARTG></ARTGs><MinimumBenefit>1146</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2015-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>UT030</BillingCode><Name>SCS Titanium Mesh </Name><Description>Titanium mesh</Description><Size>0.6mm thick; 51-200cm2</Size><SupplierCode>UT</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>199</SubCategoryID><GroupID>1585</GroupID><SubGroupID>4209</SubGroupID><ARTGs><ARTG>339425</ARTG></ARTGs><MinimumBenefit>1146</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>KT113</BillingCode><PriorBillingCodes><PriorBillingCode>LH511</PriorBillingCode></PriorBillingCodes><Name>Martin Osteosynthesis 1.5mm System Mesh 200cm2</Name><Description>Mesh, Titanium</Description><Size>0.5-0.8mm thick, &gt;200cm2</Size><SupplierCode>KT</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>199</SubCategoryID><GroupID>1585</GroupID><SubGroupID>4210</SubGroupID><ARTGs><ARTG>202851</ARTG></ARTGs><ChangeExplanation>
Billing code transferred from LH511
Sponsor transferred from LIFEHEALTHCARE PTY LIMITED</ChangeExplanation><MinimumBenefit>2072</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2014-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MI083</BillingCode><Name>TiMesh Titanium rigid Fixation Bone Grafting and Plating System</Name><Description>FlexMesh 1.5mm - 2.2mm system. Composition: Titanium</Description><Size>148 - 154mm x 148 - 154mm, 0.6mm</Size><SupplierCode>MI</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>199</SubCategoryID><GroupID>1585</GroupID><SubGroupID>4210</SubGroupID><ARTGs><ARTG>128523</ARTG></ARTGs><MinimumBenefit>2072</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2013-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SY785</BillingCode><Name>AO/ASIF Plate</Name><Description>Titanium Contourable Mesh, Cranial Neuro</Description><Size>0.5mm-0.8mm</Size><SupplierCode>JJ</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>199</SubCategoryID><GroupID>1585</GroupID><SubGroupID>4210</SubGroupID><ARTGs><ARTG>157706</ARTG></ARTGs><MinimumBenefit>2072</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2013-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>KT107</BillingCode><PriorBillingCodes><PriorBillingCode>LH492</PriorBillingCode></PriorBillingCodes><Name>Standard Approach Mesh</Name><Description>Pre-contoured titanium mesh implants for 11 standard approaches.</Description><Size>0.6mm thick</Size><SupplierCode>KT</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>199</SubCategoryID><GroupID>1585</GroupID><SubGroupID>4210</SubGroupID><ARTGs><ARTG>202842</ARTG></ARTGs><ChangeExplanation>
Billing code transferred from LH492
Sponsor transferred from LIFEHEALTHCARE PTY LIMITED</ChangeExplanation><MinimumBenefit>2072</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2013-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>JK013</BillingCode><PriorBillingCodes><PriorBillingCode>UQ015</PriorBillingCode></PriorBillingCodes><Name>OsteoMed Plating &amp; Fixation System</Name><Description>Plates</Description><Size>125 x 180mm Mesh Plate, 150 x 300mm Mesh Plate, Mesh &gt;200cm2 area.</Size><SupplierCode>JK</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>199</SubCategoryID><GroupID>1585</GroupID><SubGroupID>4210</SubGroupID><ARTGs><ARTG>130508</ARTG></ARTGs><MinimumBenefit>2072</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BB416</BillingCode><Name>Aesculap Neuro Plating System</Name><Description>Cranial fixation system, internal fracture, non biodegradable</Description><Size>150x 150 mm, 200 x 200 mm, 0.6mm Mesh</Size><SupplierCode>BB</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>199</SubCategoryID><GroupID>1585</GroupID><SubGroupID>4210</SubGroupID><ARTGs><ARTG>388668</ARTG></ARTGs><MinimumBenefit>2072</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2023-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>UT032</BillingCode><Name>SCS Titanium Mesh </Name><Description>Titanium mesh: 2D, 3D, pre-moulded 2D, pre-moulded 3D</Description><Size>0.6mm thick; &gt;200cm2</Size><SupplierCode>UT</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>199</SubCategoryID><GroupID>1585</GroupID><SubGroupID>4210</SubGroupID><ARTGs><ARTG>339425</ARTG></ARTGs><MinimumBenefit>2072</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SJ376</BillingCode><Name>Infinity IPG</Name><Description>Implantable Pulse Generator</Description><Size>55mm, 68mm</Size><SupplierCode>SJ</SupplierCode><CategoryID>25</CategoryID><SubCategoryID>221</SubCategoryID><GroupID>1672</GroupID><SubGroupID>4472</SubGroupID><Suffix>Dual Channel</Suffix><ARTGs><ARTG>397016</ARTG><ARTG>397015</ARTG></ARTGs><MinimumBenefit>13592</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2016-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SJ206</BillingCode><Name>Libra XP DBS IPG 6644</Name><Description>Implantable pulse generation for deep brain stimulation - Dual 4 Channel</Description><Size>76mm x 58mm x 14mm</Size><SupplierCode>SJ</SupplierCode><CategoryID>25</CategoryID><SubCategoryID>221</SubCategoryID><GroupID>1672</GroupID><SubGroupID>4472</SubGroupID><Suffix>Dual Channel</Suffix><ARTGs><ARTG>161009</ARTG></ARTGs><MinimumBenefit>13592</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2010-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MI401</BillingCode><Name>Medtronic Percept PC Neurostimulator for Deep Brain Stimulation</Name><Description>Percept PC Dual channel primary cell neuro stimulator for Deep Brain Stimulation with Brain Sensing Technology</Description><Size>One size only</Size><SupplierCode>MI</SupplierCode><CategoryID>25</CategoryID><SubCategoryID>221</SubCategoryID><GroupID>1672</GroupID><SubGroupID>4472</SubGroupID><Suffix>Dual Channel</Suffix><ARTGs><ARTG>392263</ARTG></ARTGs><MinimumBenefit>13592</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BS382</BillingCode><Name>Vercise Genus </Name><Description>8, 16 &amp; 32 Contact Dual channel primary cell pulse generator with anodic stimulation</Description><Size>One size only</Size><SupplierCode>BS</SupplierCode><CategoryID>25</CategoryID><SubCategoryID>221</SubCategoryID><GroupID>1672</GroupID><SubGroupID>4472</SubGroupID><Suffix>Dual Channel</Suffix><ARTGs><ARTG>400422</ARTG><ARTG>400380</ARTG><ARTG>400410</ARTG></ARTGs><MinimumBenefit>13592</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LM433</BillingCode><PriorBillingCodes><PriorBillingCode>NK111</PriorBillingCode></PriorBillingCodes><Name>Dual Channel Implantable Pulse generator</Name><Description>Dual Channel Implantable Pulse generator</Description><Size>Sizes as suitable for patient anatomy</Size><SupplierCode>LM</SupplierCode><CategoryID>25</CategoryID><SubCategoryID>221</SubCategoryID><GroupID>1672</GroupID><SubGroupID>4472</SubGroupID><Suffix>Dual Channel</Suffix><ARTGs><ARTG>307525</ARTG></ARTGs><MinimumBenefit>13592</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2020-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MI526</BillingCode><Name>Medtronic Activa SC Neurostimulator for Deep Brain Stimulation</Name><Description>Single channel neurostimulator for Deep Brain stimulation</Description><Size>Height: 55mm  Length: 60mm  Thickness: 11mm  Weight: 45g</Size><SupplierCode>MI</SupplierCode><CategoryID>25</CategoryID><SubCategoryID>221</SubCategoryID><GroupID>1672</GroupID><SubGroupID>4472</SubGroupID><ARTGs><ARTG>392210</ARTG></ARTGs><ChangeExplanation>New listing</ChangeExplanation><MinimumBenefit>8168</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2025-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SJ197</BillingCode><Name>Libra Deep Brain Stimulation System - Libra IPG - 6608</Name><Description>Implantable pulse generator for deep brain stimulation - 8 channel</Description><Size>50mm x 54mm x 14mm</Size><SupplierCode>SJ</SupplierCode><CategoryID>25</CategoryID><SubCategoryID>221</SubCategoryID><GroupID>1672</GroupID><SubGroupID>4472</SubGroupID><ARTGs><ARTG>161008</ARTG></ARTGs><MinimumBenefit>8168</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2010-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LM429</BillingCode><PriorBillingCodes><PriorBillingCode>NK107</PriorBillingCode></PriorBillingCodes><Name>Single Channel Implantable Pulse Generator</Name><Description>Single Channel Implantable Pulse Generator</Description><Size>Suitable for patient anatomy</Size><SupplierCode>LM</SupplierCode><CategoryID>25</CategoryID><SubCategoryID>221</SubCategoryID><GroupID>1672</GroupID><SubGroupID>4472</SubGroupID><ARTGs><ARTG>307524</ARTG></ARTGs><MinimumBenefit>8168</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2020-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MC946</BillingCode><Name>Medtronic ACTIVA RC Neurostimulator for Deep  Brain Stimulation</Name><Description>ACTIVA RC Dual channel rechargeable neurostimulator for Deep Brain Stimulation (37612)</Description><Size>One size only</Size><SupplierCode>MI</SupplierCode><CategoryID>25</CategoryID><SubCategoryID>221</SubCategoryID><GroupID>1672</GroupID><SubGroupID>4473</SubGroupID><Suffix>Dual Channel</Suffix><ARTGs><ARTG>392011</ARTG></ARTGs><MinimumBenefit>17283</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2010-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SJ202</BillingCode><Name>Brio DBS Implantable Pulse Generator 6788</Name><Description>Dual Channel 16 Contact rechargeable IPG</Description><Size>29g, 17cc</Size><SupplierCode>SJ</SupplierCode><CategoryID>25</CategoryID><SubCategoryID>221</SubCategoryID><GroupID>1672</GroupID><SubGroupID>4473</SubGroupID><Suffix>Dual Channel</Suffix><ARTGs><ARTG>397017</ARTG></ARTGs><ChangeExplanation>Change to ARTG</ChangeExplanation><MinimumBenefit>17283</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Update</ActionFlag><CycleStartDate>2010-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LM434</BillingCode><PriorBillingCodes><PriorBillingCode>NK112</PriorBillingCode></PriorBillingCodes><Name>Dual Channel Rechargeable Implantable Pulse Generator</Name><Description>Dual Channel Rechargeable Implantable Pulse Generator</Description><Size>Sized as suitable for patient anatomy</Size><SupplierCode>LM</SupplierCode><CategoryID>25</CategoryID><SubCategoryID>221</SubCategoryID><GroupID>1672</GroupID><SubGroupID>4473</SubGroupID><Suffix>Dual Channel</Suffix><ARTGs><ARTG>307526</ARTG></ARTGs><MinimumBenefit>17283</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2020-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BS387</BillingCode><Name>Vercise Genus</Name><Description>Dual Channel,16 &amp; 32 Contact, Zero Volt Rechargeable Deep Brain Stimulation IPG with anodic stimulation</Description><Size>52 mm x 46 mm x 11 mm</Size><SupplierCode>BS</SupplierCode><CategoryID>25</CategoryID><SubCategoryID>221</SubCategoryID><GroupID>1672</GroupID><SubGroupID>4473</SubGroupID><Suffix>Unlimited Deep Discharge Battery</Suffix><ARTGs><ARTG>400423</ARTG><ARTG>400411</ARTG></ARTGs><MinimumBenefit>19855</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-11-01</CycleStartDate><CycleEndDate>2025-03-01</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>SN</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SN994</BillingCode><Name>JOURNEY II CR Femoral Oxinium</Name><Description>Femoral component, cemented, Oxinium</Description><Size>1-10, Left/Right</Size><SupplierCode>SN</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>149</SubCategoryID><GroupID>1350</GroupID><SubGroupID>3911</SubGroupID><Suffix>Ceramic Surface</Suffix><ARTGs><ARTG>476346</ARTG></ARTGs><ChangeExplanation>New listing</ChangeExplanation><MinimumBenefit>3662</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2025-03-01</CycleStartDate><CycleEndDate>2025-03-01</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>SN</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>2025-03-01</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>SN</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>2025-03-01</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>SN</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>2025-03-01</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>SN</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>2025-03-01</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>SN</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MC984</BillingCode><Name>CD HORIZON Fenestrated Screw Cement</Name><Description>Fenestrated screw cement - High viscosity, radiopaque, PMMA bone cement</Description><Size>20g powder, 9g vial</Size><SupplierCode>MI</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1279</GroupID><SubGroupID>4087</SubGroupID><ARTGs><ARTG>284119</ARTG></ARTGs><MinimumBenefit>152</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2011-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LB164</BillingCode><Name>AFFIRM Vertebral Compression Fracture System - Access Pack</Name><Description>Bone Cement and Delivery System</Description><Size>20g</Size><SupplierCode>LB</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1279</GroupID><SubGroupID>4087</SubGroupID><ARTGs><ARTG>192479</ARTG><ARTG>274306</ARTG></ARTGs><MinimumBenefit>152</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LC202</BillingCode><PriorBillingCodes><PriorBillingCode>OH526</PriorBillingCode></PriorBillingCodes><Name>G21 Bone Cement</Name><Description>Bone Cement - std and low viscosity</Description><Size>20-60g</Size><SupplierCode>LC</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1279</GroupID><SubGroupID>4087</SubGroupID><ARTGs><ARTG>329063</ARTG></ARTGs><MinimumBenefit>152</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2020-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>DP107</BillingCode><Name>CMW Bone Cement</Name><Description>CMW Bone Cement Various  without Antibiotic</Description><Size>20, 40 grams</Size><SupplierCode>JJ</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1279</GroupID><SubGroupID>4087</SubGroupID><ARTGs><ARTG>304906</ARTG></ARTGs><ChangeExplanation>Change to ARTG</ChangeExplanation><MinimumBenefit>152</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Update</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LB165</BillingCode><Name>Fortress and Fortress-Plus Bone Cement</Name><Description>Bone Cement</Description><Size>20g</Size><SupplierCode>LB</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1279</GroupID><SubGroupID>4087</SubGroupID><ARTGs><ARTG>274306</ARTG></ARTGs><MinimumBenefit>152</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>DR043</BillingCode><Name>Osteofix</Name><Description>PMMA Bone Cement (High and Low Viscosity)</Description><Size>One Size (19.2g, 10ml Vial)</Size><SupplierCode>DR</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1279</GroupID><SubGroupID>4087</SubGroupID><ARTGs><ARTG>333240</ARTG></ARTGs><MinimumBenefit>152</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>OH526</BillingCode><Name>G21 Bone Cement</Name><Description>Bone Cement - std and low viscosity</Description><Size>20-60g</Size><SupplierCode>OH</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1279</GroupID><SubGroupID>4087</SubGroupID><ARTGs><ARTG>235604</ARTG></ARTGs><MinimumBenefit>152</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2016-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>JJ932</BillingCode><Name>SmartSet</Name><Description>PMMA bone cement</Description><Size>20 to 40g</Size><SupplierCode>JJ</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1279</GroupID><SubGroupID>4087</SubGroupID><ARTGs><ARTG>96550</ARTG></ARTGs><MinimumBenefit>152</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2013-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HK005</BillingCode><Name>Palacos or Palamed bone cement</Name><Description>Single mix PMMA</Description><Size>40g</Size><SupplierCode>HK</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1279</GroupID><SubGroupID>4087</SubGroupID><ARTGs><ARTG>152109</ARTG></ARTGs><MinimumBenefit>152</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2007-12-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HW322</BillingCode><Name>Surgical Simplex P Radiopaque Bone Cement</Name><Description>Polymethyl Methacrylate, Styrene Copolymer, Barium Sulfate</Description><Size>40 grams</Size><SupplierCode>JV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1279</GroupID><SubGroupID>4087</SubGroupID><ARTGs><ARTG>141277</ARTG><ARTG>141278</ARTG></ARTGs><MinimumBenefit>152</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HW590</BillingCode><Name>VertePlex HV</Name><Description>High Viscosity PMMA Cement</Description><Size>20 gram</Size><SupplierCode>JV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1279</GroupID><SubGroupID>4087</SubGroupID><ARTGs><ARTG>289085</ARTG></ARTGs><MinimumBenefit>152</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HW538</BillingCode><Name>Simplex HV  </Name><Description>Simplex HV is a fast-setting acrylic resin for use in bone surgery. Mixing the two separate sterile components produces a ductile bone cement which, after hardening, fixes the implant and transfers stresses produced during movement evenly to the bone. Simplex HV cement powder also contains insoluble zirconium dioxide as an X-ray contrast medium. Simplex HV does not emit a signal and does not pose a safety risk in a magnetic resonance environment.</Description><Size>There is only one size. Powder Component 40g, Liquid Component 20ml</Size><SupplierCode>JV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1279</GroupID><SubGroupID>4087</SubGroupID><ARTGs><ARTG>220884</ARTG></ARTGs><MinimumBenefit>152</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2015-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HW589</BillingCode><Name>VertePlex</Name><Description>PMMA Cement</Description><Size>20 gram</Size><SupplierCode>JV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1279</GroupID><SubGroupID>4087</SubGroupID><ARTGs><ARTG>289085</ARTG></ARTGs><MinimumBenefit>152</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SK458</BillingCode><Name>Simplex P Speed Set Bone Cement</Name><Description>PMMA Bone Cement</Description><Size>40g pack</Size><SupplierCode>JV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1279</GroupID><SubGroupID>4087</SubGroupID><ARTGs><ARTG>131533</ARTG></ARTGs><MinimumBenefit>152</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2007-06-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ER389</BillingCode><Name>Signus Introx Bone Cement System-Cement, low viscosity</Name><Description>Signus Introx cement is a radiopaque bone cement for Percutaneous Vertebral Augmentation (PVA) procedures</Description><Size>20 grams</Size><SupplierCode>ER</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1279</GroupID><SubGroupID>4087</SubGroupID><ARTGs><ARTG>287169</ARTG></ARTGs><MinimumBenefit>152</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HK008</BillingCode><Name>Copal G+C</Name><Description>High-viscosity, radiopaque bone cement with gentamicin and clindamycin</Description><Size>40g</Size><SupplierCode>HK</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1279</GroupID><SubGroupID>4088</SubGroupID><ARTGs><ARTG>176198</ARTG></ARTGs><MinimumBenefit>161</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2011-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HK013</BillingCode><Name>Palacos or Palmed Bone Cement with Gentamicin</Name><Description>Single mix PMMA with Gentamicin</Description><Size>20,40 gms</Size><SupplierCode>HK</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1279</GroupID><SubGroupID>4088</SubGroupID><ARTGs><ARTG>133411</ARTG></ARTGs><MinimumBenefit>161</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2015-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ZA019</BillingCode><PriorBillingCodes><PriorBillingCode>BI243</PriorBillingCode><PriorBillingCode>BI844</PriorBillingCode><PriorBillingCode>BI845</PriorBillingCode></PriorBillingCodes><Name>Refobacin Plus Bone Cemen</Name><Description>Bone Cement, Methyl methacrylate, Gentamicin</Description><Size>20-80gm</Size><SupplierCode>ZI</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1279</GroupID><SubGroupID>4088</SubGroupID><ARTGs><ARTG>168753</ARTG></ARTGs><MinimumBenefit>161</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HW320</BillingCode><Name>Antibiotic Simplex Bone Cement with Tobramycin</Name><Description>Polymethyl Methacrylate, Styrene Copolymer, Barium Sulfate</Description><Size>40 grams</Size><SupplierCode>JV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1279</GroupID><SubGroupID>4088</SubGroupID><ARTGs><ARTG>158560</ARTG></ARTGs><MinimumBenefit>161</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HK012</BillingCode><Name>PALACOS® fast R+G</Name><Description>Fast setting, high viscosity, radiopaque bone cement with gentamicin</Description><Size>40g</Size><SupplierCode>HK</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1279</GroupID><SubGroupID>4088</SubGroupID><ARTGs><ARTG>248254</ARTG></ARTGs><MinimumBenefit>161</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2015-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>JJ933</BillingCode><Name>SmartSet</Name><Description>Bone cement with antibiotic</Description><Size>40g</Size><SupplierCode>JJ</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1279</GroupID><SubGroupID>4088</SubGroupID><ARTGs><ARTG>329867</ARTG><ARTG>329866</ARTG></ARTGs><ChangeExplanation>Change to ARTG</ChangeExplanation><MinimumBenefit>161</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Update</ActionFlag><CycleStartDate>2013-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SL164</BillingCode><Name>RALLY</Name><Description>Bone Cement, Polymethylmethacrylate, Gentamicin- Med &amp; High viscosity</Description><Size>40g</Size><SupplierCode>SN</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1279</GroupID><SubGroupID>4088</SubGroupID><ARTGs><ARTG>323815</ARTG><ARTG>323860</ARTG></ARTGs><MinimumBenefit>161</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HW569</BillingCode><Name>Simplex HV with Gentamicin</Name><Description>High viscosity bone cement with antibiotic (Gentamicin)</Description><Size>One unit contains: Powder Component 40.8g, Liquid Component 20ml</Size><SupplierCode>JV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1279</GroupID><SubGroupID>4088</SubGroupID><ARTGs><ARTG>276417</ARTG></ARTGs><MinimumBenefit>161</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2016-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ316</BillingCode><Name>Refobacin Bone Cement R</Name><Description>Bone Cement with Gentamicin  </Description><Size>20-40g</Size><SupplierCode>ZI</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1279</GroupID><SubGroupID>4088</SubGroupID><ARTGs><ARTG>450208</ARTG></ARTGs><MinimumBenefit>161</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2024-08-08</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>UK006</BillingCode><PriorBillingCodes><PriorBillingCode>ER302</PriorBillingCode></PriorBillingCodes><Name>Cemex-genta bone cement</Name><Description>1 mix Methylmethacrylate/ Polymethylmethacrylate with gentamiacin</Description><Size>1 mix 40g powder and 13.3g liquid</Size><SupplierCode>UK</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1279</GroupID><SubGroupID>4088</SubGroupID><ARTGs><ARTG>209860</ARTG><ARTG>209861</ARTG></ARTGs><MinimumBenefit>161</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2019-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HK011</BillingCode><Name>Copal G + V</Name><Description>Specialised cement with gentamicin and vancomycin for use in septic revisions</Description><Size>40g</Size><SupplierCode>HK</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1279</GroupID><SubGroupID>4088</SubGroupID><ARTGs><ARTG>228234</ARTG></ARTGs><MinimumBenefit>161</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2015-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>DP108</BillingCode><Name>CMW Antibiotic Bone Cement </Name><Description>CMW Bone Cement Various with Antibiotic</Description><Size>20, 40 grams</Size><SupplierCode>JJ</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1279</GroupID><SubGroupID>4088</SubGroupID><ARTGs><ARTG>329863</ARTG><ARTG>329865</ARTG><ARTG>329864</ARTG></ARTGs><ChangeExplanation>Change to ARTG</ChangeExplanation><MinimumBenefit>161</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Update</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HW785</BillingCode><Name>AutoPlex Mixer and Delivery System with VertaPlex HV</Name><Description>High Viscosity PMMA Cement with Mixer and Delivery System - Intended to be used for pedicle screw augmentation and vertebroplasty only. </Description><Size>20 gram</Size><SupplierCode>JV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1279</GroupID><SubGroupID>4089</SubGroupID><ARTGs><ARTG>288933</ARTG></ARTGs><Note>No Prescribed List benefit is payable for the billing code, if the device is used for kyphoplasty surgery, as there is no evidence presented and no MBS item available for this procedure.</Note><ChangeExplanation>Change to Condition</ChangeExplanation><MinimumBenefit>437</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Update</ActionFlag><CycleStartDate>2021-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ER390</BillingCode><Name>Signus Introx Bone Cement-Cement plus mixer/delivery system</Name><Description>Signus Introx low viscosity bone cement plus preparation/delivery kit for mixing and delivering the bone cement.</Description><Size>20 grams</Size><SupplierCode>ER</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1279</GroupID><SubGroupID>4089</SubGroupID><ARTGs><ARTG>287168</ARTG></ARTGs><MinimumBenefit>437</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LC201</BillingCode><PriorBillingCodes><PriorBillingCode>OH525</PriorBillingCode></PriorBillingCodes><Name>G21 Bone Cement + Delivery System</Name><Description>Bone Cement – low &amp; std viscosity</Description><Size>20-60g</Size><SupplierCode>LC</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1279</GroupID><SubGroupID>4089</SubGroupID><ARTGs><ARTG>329063</ARTG></ARTGs><MinimumBenefit>437</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2020-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>JJ736</BillingCode><Name>Confidence Spinal cement system</Name><Description>Spinal Bone Cement PMMA and Percutaneous Administration Kit</Description><Size>11cc</Size><SupplierCode>JJ</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1279</GroupID><SubGroupID>4089</SubGroupID><ARTGs><ARTG>211565</ARTG></ARTGs><MinimumBenefit>437</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2009-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BF031</BillingCode><Name>MixMax Bone Cement</Name><Description>MIXMAX is a Procedure pack for mixing bone cement. It is possible to connect an external vacuum pump or to mix cement in a vacuum state using a vacuum tube. Contains a methyl methacrylate monomer liquid component and a poly-methymethacrylate powder component that mixed in the system provided. High radiopaque cement includes 60% of ZrO2. Optimized viscosity for Vetebroplasty, short mixing and preparing time allows to inject the cement immediately.</Description><Size>20g</Size><SupplierCode>BF</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1279</GroupID><SubGroupID>4089</SubGroupID><ARTGs><ARTG>404236</ARTG></ARTGs><Note>No Prescribed List benefit is payable for the billing code, if the device is used for kyphoplasty surgery, as there is no evidence presented and no MBS item available for this procedure.</Note><ChangeExplanation>Change to Condition</ChangeExplanation><MinimumBenefit>437</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Update</ActionFlag><CycleStartDate>2023-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SY429</BillingCode><Name>Traumacem</Name><Description>Cement with mixing and delivery system</Description><Size>10-20gm</Size><SupplierCode>JJ</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1279</GroupID><SubGroupID>4089</SubGroupID><ARTGs><ARTG>177835</ARTG></ARTGs><MinimumBenefit>437</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2008-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>DR044</BillingCode><Name>Osteofix + Delivery Systems</Name><Description>Cement + Complex Delivery System</Description><Size>All Sizes (Various Cannula Gauges/Lengths, Syringes and Connectors)</Size><SupplierCode>DR</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1279</GroupID><SubGroupID>4089</SubGroupID><ARTGs><ARTG>333240</ARTG></ARTGs><MinimumBenefit>437</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>OH503</BillingCode><Name>G-21 Radiopaque Bone cement for Vertebral Consolidation + V-Kit 06</Name><Description>Radiopaque Bone Cement for Vertebroplasty – high and low viscosity</Description><Size>10-20g</Size><SupplierCode>OH</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1279</GroupID><SubGroupID>4089</SubGroupID><ARTGs><ARTG>235604</ARTG></ARTGs><MinimumBenefit>437</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2015-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>KN004</BillingCode><Name>Invictus Spinal Cement System </Name><Description>Radio Opaque Bone Cement with Mixing and Injection System.  Poly Methylmethacrylate Styrene Copolymer </Description><Size>25.8gm powder, 9.2 gms monomer</Size><SupplierCode>KN</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1279</GroupID><SubGroupID>4089</SubGroupID><ARTGs><ARTG>409679</ARTG></ARTGs><Note>No Prescribed List benefit is payable for the billing code, if the device is used for kyphoplasty surgery, as there is no evidence presented and no MBS item available for this procedure.</Note><ChangeExplanation>Change to Condition</ChangeExplanation><MinimumBenefit>437</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Update</ActionFlag><CycleStartDate>2023-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HW591</BillingCode><Name>PCD Precision Cement Delivery System with VertePlex HV</Name><Description>High Viscosity PMMA Cement with Mixer and Delivery System</Description><Size>20 gram</Size><SupplierCode>JV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1279</GroupID><SubGroupID>4089</SubGroupID><ARTGs><ARTG>288933</ARTG></ARTGs><MinimumBenefit>437</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ER648</BillingCode><Name>SIGNUS INTROX HighV Cement</Name><Description>The INTROX® HighV cement is a radiopaque bone cement.</Description><Size>Powder 20 g; Liquid 8.6 g</Size><SupplierCode>ER</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1279</GroupID><SubGroupID>4089</SubGroupID><ARTGs><ARTG>354819</ARTG></ARTGs><MinimumBenefit>437</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>OH525</BillingCode><Name>G21 Bone Cement + Delivery System</Name><Description>Bone Cement – low &amp; std viscosity</Description><Size>20-60g</Size><SupplierCode>OH</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1279</GroupID><SubGroupID>4089</SubGroupID><ARTGs><ARTG>235604</ARTG></ARTGs><MinimumBenefit>437</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2016-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LH533</BillingCode><Name>High V+ Cement with Delivery Kit</Name><Description>PMMA Cement including Delivery Kit</Description><Size>20gm</Size><SupplierCode>LH</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1279</GroupID><SubGroupID>4089</SubGroupID><ARTGs><ARTG>239816</ARTG></ARTGs><MinimumBenefit>437</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2015-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SL165</BillingCode><Name>RALLY All-in-One System</Name><Description>Bone cement pre-dosed with PMMA powder with gentamicin</Description><Size>70g</Size><SupplierCode>SN</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1279</GroupID><SubGroupID>4090</SubGroupID><ARTGs><ARTG>323816</ARTG><ARTG>323820</ARTG></ARTGs><MinimumBenefit>437</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HK016</BillingCode><Name>Copal G+C pro</Name><Description>High-viscosity, radiopaque ready to mix bone cement containing gentamicin and clindamycin. The cement is supplied is supplied pre-packaged in a single-use ready to use mixing system with all the required components for mixing and delivery of the cement included.</Description><Size>40g, 80g</Size><SupplierCode>HK</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1279</GroupID><SubGroupID>4090</SubGroupID><ARTGs><ARTG>455545</ARTG></ARTGs><ChangeExplanation>New listing</ChangeExplanation><MinimumBenefit>437</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2025-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ZI937</BillingCode><Name>Optipac</Name><Description>Refobacin Plus, Prefilled Vaccum Mixing System, Gentamicin Sulphate, PMMA Cement</Description><Size>40-80 gram</Size><SupplierCode>ZI</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1279</GroupID><SubGroupID>4090</SubGroupID><ARTGs><ARTG>168753</ARTG></ARTGs><MinimumBenefit>437</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2016-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HK014</BillingCode><PriorBillingCodes><PriorBillingCode>HK010</PriorBillingCode><PriorBillingCode>HK006</PriorBillingCode></PriorBillingCodes><Name>Palacos R+G Pro or Palacos MV+G Pro</Name><Description>Single Mix PMMA with Gentamicin and Complex Delivery System</Description><Size>40g, 55g, 60g, 75g, 80g</Size><SupplierCode>HK</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1279</GroupID><SubGroupID>4090</SubGroupID><ARTGs><ARTG>309121</ARTG><ARTG>220925</ARTG></ARTGs><ChangeExplanation>Change to ARTG, Size</ChangeExplanation><MinimumBenefit>437</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Update</ActionFlag><CycleStartDate>2019-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>UK007</BillingCode><PriorBillingCodes><PriorBillingCode>ER304</PriorBillingCode></PriorBillingCodes><Name>Cemex® System Genta</Name><Description>Bone Cement  with Gentamicin packaged in a complex delivery system</Description><Size>40, 60, 70 and 80 grams</Size><SupplierCode>UK</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1279</GroupID><SubGroupID>4090</SubGroupID><ARTGs><ARTG>201043</ARTG><ARTG>209862</ARTG></ARTGs><MinimumBenefit>437</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2019-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SF082</BillingCode><Name>Bone cement with vacuum mixing system</Name><Description>Bone cement with vacuum mixing system</Description><Size>40 to 100gm</Size><SupplierCode>SF</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1279</GroupID><SubGroupID>4090</SubGroupID><ARTGs><ARTG>242598</ARTG><ARTG>244560</ARTG></ARTGs><MinimumBenefit>437</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2015-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ324</BillingCode><Name>Optipac </Name><Description>Optipac Vacuum Mixing System with Refobacin R</Description><Size>40, 60, 80</Size><SupplierCode>ZI</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1279</GroupID><SubGroupID>4090</SubGroupID><ARTGs><ARTG>450207</ARTG></ARTGs><MinimumBenefit>437</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2024-08-08</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HW006</BillingCode><Name>Stryker Intramedullary/Bone Plugs</Name><Description>Bone Plugs</Description><Size>6 - 24mm
small,medium,large</Size><SupplierCode>JV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1279</GroupID><SubGroupID>4091</SubGroupID><ARTGs><ARTG>289666</ARTG></ARTGs><MinimumBenefit>166</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>UK024</BillingCode><Name>Cement Restrictors + inserter</Name><Description>Restrictors</Description><Size>12-18mm, 18-24mm</Size><SupplierCode>UK</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1279</GroupID><SubGroupID>4091</SubGroupID><ARTGs><ARTG>325020</ARTG></ARTGs><MinimumBenefit>166</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2020-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HW864</BillingCode><PriorBillingCodes><PriorBillingCode>WR333</PriorBillingCode></PriorBillingCodes><Name>Bone Plug</Name><Description>UHMWPE - Cement Plug</Description><Size>13mm and 24mm</Size><SupplierCode>JV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1279</GroupID><SubGroupID>4091</SubGroupID><ARTGs><ARTG>134451</ARTG></ARTGs><MinimumBenefit>166</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ZI494</BillingCode><Name>ZUK (Zimmer Uni-Compartmental High Flex Knee) Femoral Component </Name><Description>Femoral Component, cemented, CoCr, high flex </Description><Size>Sizes A to G</Size><SupplierCode>ZI</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>150</SubCategoryID><GroupID>1353</GroupID><SubGroupID>3919</SubGroupID><ARTGs><ARTG>220167</ARTG></ARTGs><MinimumBenefit>2007</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ZA069</BillingCode><Name>Affixus Humeral Nail System</Name><Description>Cancellous Screws Titanium - Partially Threaded &amp; Fixed Angle</Description><Size>4x34mm - 4x80mm (in 2mm increments)</Size><SupplierCode>ZI</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ZI717</BillingCode><Name>Zimmer Natural Nail System</Name><Description>Cancellous Screws Titanium - Partially Threaded &amp; Fixed Angle</Description><Size>6.0mm x 50 to 145mm at 5mm increments</Size><SupplierCode>ZI</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1229</GroupID><SubGroupID>3712</SubGroupID><ARTGs><ARTG>112735</ARTG></ARTGs><MinimumBenefit>222</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2010-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SK203</BillingCode><Name>Stryker Trauma Locking Nail System</Name><Description>SCN</Description><Size>Condyle Screws 5mm x (40mm-120mm)</Size><SupplierCode>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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SK215</BillingCode><Name>Stryker Trauma Locking Nail System</Name><Description>Reconstruction Nail</Description><Size>Recon Lag Screw</Size><SupplierCode>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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>PF021</BillingCode><Name>Tylos</Name><Description>Tylos trans-calcaneal reconstruction pin</Description><Size>0-35, 0-45, 0-55, 10-35, 10-45, 10-55, 20-35, 20-45, 20-55, 30-35, 30-45, 30-55, 40-35, 40-45, 40-55</Size><SupplierCode>PF</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1229</GroupID><SubGroupID>3712</SubGroupID><ARTGs><ARTG>274577</ARTG></ARTGs><MinimumBenefit>222</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2016-08-01</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>PF023</BillingCode><Name>Calcanail Screw</Name><Description>Cannulated Screw</Description><Size>5mm diameter, 28 - 40mm length</Size><SupplierCode>PF</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1229</GroupID><SubGroupID>3712</SubGroupID><Suffix>CN</Suffix><ARTGs><ARTG>274577</ARTG></ARTGs><MinimumBenefit>253</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2016-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SN519</BillingCode><Name>TriGen</Name><Description>Capture Reconstruction Screws Titanium</Description><Size>6.4mm diameter 65-125mm length</Size><SupplierCode>SN</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1229</GroupID><SubGroupID>3712</SubGroupID><ARTGs><ARTG>104369</ARTG></ARTGs><MinimumBenefit>222</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>VK036</BillingCode><Name>C-Nail Bone Screws</Name><Description>C-Nail is an intramedullary nail for minimally invasive fixation of intraarticular calcaneal fractures. The principle is to stabilise with the nail the four to five main fragments of the fractured calcaneus in conjunction with up to seven interlocking screws and thus creating angular stable fixation. The maximum stability is achieved by fixing the sustentacular fragment towards the nail with two interlocking screws guided by a very precise aiming device. The design of the nail is clearly marked "L" for left foot and "R" for right foot. The nail length is 65mm with a diameter of 8mm. The nail can be extended and closed with an end cap that comes in 0mm, 5mm, 10mm, 15mm and 20mm sizes.</Description><Size>Self-tapping cortical bone screws 3.5mm in diameter with 2.5mm hexagonal head. Lengths 22mm, 24mm, 26mm, 28mm, 30mm, 32mm, 34mm, 36mm, 38mm, 40mm, 42mm, 44mm 46mm, 48mm, 50mm, 52mm, 54mm, 56mm, 58mm, 60mm, 62mm, 64mm, 66mm, 68mm, 70mm.</Size><SupplierCode>VK</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1229</GroupID><SubGroupID>3712</SubGroupID><ARTGs><ARTG>308210</ARTG></ARTGs><MinimumBenefit>222</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SY263</BillingCode><Name>AO/ASIF Intramedullary Nails</Name><Description>Reconstruction Screw, Titanium Alloy</Description><Size>26-200mm Length</Size><SupplierCode>JJ</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SL229</BillingCode><PriorBillingCodes><PriorBillingCode>IG138</PriorBillingCode></PriorBillingCodes><Name>Panta Arthrodesis Nail</Name><Description>Fully threaded lag Screw, Titanium</Description><Size>Diameter 5 mm Length - 20 - 110 mm</Size><SupplierCode>SN</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>DZ065</BillingCode><Name>S2 Nail System</Name><Description>6.2mm condylar screws</Description><Size>6.5mm x 60-85mm</Size><SupplierCode>DZ</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1229</GroupID><SubGroupID>3712</SubGroupID><ARTGs><ARTG>111818</ARTG></ARTGs><MinimumBenefit>222</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>AX021</BillingCode><Name>S2 Nail System</Name><Description>6.2mm condylar screws</Description><Size>6.5mm x 60-85mm</Size><SupplierCode>AX</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1229</GroupID><SubGroupID>3712</SubGroupID><ARTGs><ARTG>119002</ARTG></ARTGs><MinimumBenefit>222</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2006-03-24</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>OY006</BillingCode><Name>Dual Cone Locking Extension (as a component of the Orthodynamics The Integral Leg Prosthesis</Name><Description>Orthodynamics The Integral Leg Prosthesis-Dual Cone Locking Extension</Description><Size>6 sizes</Size><SupplierCode>OY</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1229</GroupID><SubGroupID>3713</SubGroupID><ARTGs><ARTG>109214</ARTG><ARTG>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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SY690</BillingCode><Name>MultiLoc Screw</Name><Description>Conical, Locking "Screw-in-Screw"</Description><Size>4.5mm; 20mm - 60mm Length</Size><SupplierCode>JJ</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LC187</BillingCode><Name>SMR Revision Modular Locking Ring</Name><Description>Modular Locking Collar (Ring) Ti6AI4V</Description><Size>One Size</Size><SupplierCode>LC</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1229</GroupID><SubGroupID>3713</SubGroupID><ARTGs><ARTG>168582</ARTG></ARTGs><MinimumBenefit>139</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2014-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SK216</BillingCode><Name>Stryker Trauma Locking Nail System</Name><Description>Reconstruction Nail</Description><Size>Blocking Screw</Size><SupplierCode>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>2025-03-01</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>KQ</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1229</GroupID><SubGroupID>3713</SubGroupID><ARTGs><ARTG>290443</ARTG></ARTGs><MinimumBenefit>139</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ZI718</BillingCode><Name>Zimmer Natural Nail System</Name><Description>Cortical Screws - Fixed Angle (Fully Threaded) Titanium</Description><Size>4.0mm &amp; 5.0mm x 20 to 60mm (2.5mm increments); 4.0mm &amp; 5.0mm x 65 to 100mm (5mm increments)</Size><SupplierCode>ZI</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1229</GroupID><SubGroupID>3713</SubGroupID><ARTGs><ARTG>112735</ARTG></ARTGs><MinimumBenefit>139</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2010-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>KQ009</BillingCode><PriorBillingCodes><PriorBillingCode>ER687</PriorBillingCode></PriorBillingCodes><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>KQ</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1229</GroupID><SubGroupID>3713</SubGroupID><ARTGs><ARTG>402229</ARTG></ARTGs><ChangeExplanation>
Billing code transferred from ER687
Sponsor transferred from EMERGO ASIA-PACIFIC PTY. LIMITED</ChangeExplanation><MinimumBenefit>139</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2023-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SN762</BillingCode><Name>IMHS CP</Name><Description>Captured locking screw</Description><Size>4.5mm x 22mm to 4.5mm x 64mm</Size><SupplierCode>SN</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1229</GroupID><SubGroupID>3713</SubGroupID><ARTGs><ARTG>104369</ARTG></ARTGs><MinimumBenefit>139</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SN775</BillingCode><Name>IMHS CP</Name><Description>Set Screw, Stainless Steel</Description><Size>Standard</Size><SupplierCode>SN</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1229</GroupID><SubGroupID>3713</SubGroupID><ARTGs><ARTG>104369</ARTG></ARTGs><MinimumBenefit>139</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>DZ024</BillingCode><Name>Austofix Femoral and Tibial Nailing System</Name><Description>4.0/4.8 Screws, Locking, stainless steel or titanium</Description><Size>Diameter 4.0-4.8mm, Lengths 20-90mm</Size><SupplierCode>DZ</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1229</GroupID><SubGroupID>3713</SubGroupID><ARTGs><ARTG>111818</ARTG></ARTGs><MinimumBenefit>139</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-02-01</CycleStartDate><CycleEndDate>2025-03-01</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><MinimumBenefit>139</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SK245</BillingCode><Name>Stryker Intramedullary Nailing System</Name><Description>Locking Screw - Titanium</Description><Size>25mm - 120mm</Size><SupplierCode>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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SN467</BillingCode><Name>Compressing Screw</Name><Description>For Intramedullary and compression Hip Screw Systems</Description><Size>19mm &amp; 28.5mm</Size><SupplierCode>SN</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1229</GroupID><SubGroupID>3713</SubGroupID><ARTGs><ARTG>104369</ARTG></ARTGs><MinimumBenefit>139</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>XT002</BillingCode><PriorBillingCodes><PriorBillingCode>GW003</PriorBillingCode></PriorBillingCodes><Name>WEGO Nailing Systems</Name><Description>Locking Screw for IM Nails</Description><Size>4.0-6.5mm x 18-130mm</Size><SupplierCode>XT</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1229</GroupID><SubGroupID>3713</SubGroupID><ARTGs><ARTG>324374</ARTG><ARTG>324375</ARTG></ARTGs><ChangeExplanation>
Billing code transferred from GW003
Sponsor transferred from EQUINOX MEDICAL PTY LTD</ChangeExplanation><MinimumBenefit>139</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2020-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>PF020</BillingCode><Name>Tylos Screw</Name><Description>Cortical Screw for Tibio Talo Calcaneal fusion</Description><Size>5mm x 25mm, 30mm, 35mm, 40mm, 45mm, 50mm, 55mm</Size><SupplierCode>PF</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1229</GroupID><SubGroupID>3713</SubGroupID><ARTGs><ARTG>274577</ARTG></ARTGs><MinimumBenefit>139</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2016-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>JD011</BillingCode><Name>Screws - Reconstruction</Name><Description>Screws</Description><Size>3.5 - 5 mm diameter</Size><SupplierCode>JD</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1229</GroupID><SubGroupID>3713</SubGroupID><ARTGs><ARTG>222647</ARTG></ARTGs><MinimumBenefit>139</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-02-01</CycleStartDate><CycleEndDate>2025-03-01</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><MinimumBenefit>139</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2024-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>JD018</BillingCode><Name>Nail Set Screw</Name><Description>Nail Set Screw</Description><Size>Static &amp; Dynamic</Size><SupplierCode>JD</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1229</GroupID><SubGroupID>3713</SubGroupID><ARTGs><ARTG>222647</ARTG></ARTGs><MinimumBenefit>139</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SN739</BillingCode><Name>Trigen</Name><Description>Self Tapping Cortical Screw</Description><Size>20mm - 110mm</Size><SupplierCode>SN</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1229</GroupID><SubGroupID>3713</SubGroupID><ARTGs><ARTG>104369</ARTG></ARTGs><MinimumBenefit>139</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ST043</BillingCode><Name>Stryker Intramedullary Nailing System</Name><Description>Locking Screw - Titanium</Description><Size>20-120mm</Size><SupplierCode>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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SK247</BillingCode><Name>Gamma LN</Name><Description>Set Screw - Titanium</Description><Size>8x17.5mm</Size><SupplierCode>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>2025-03-01</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>290819</ARTG><ARTG>244568</ARTG></ARTGs><MinimumBenefit>139</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2023-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>KQ008</BillingCode><PriorBillingCodes><PriorBillingCode>ER686</PriorBillingCode></PriorBillingCodes><Name>Paragon 28 Phantom Hindfoot TTC Nail System-Internal Compression Screw</Name><Description>Compression screw</Description><Size>one size</Size><SupplierCode>KQ</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1229</GroupID><SubGroupID>3713</SubGroupID><ARTGs><ARTG>402229</ARTG></ARTGs><ChangeExplanation>
Billing code transferred from ER686
Sponsor transferred from EMERGO ASIA-PACIFIC PTY. LIMITED</ChangeExplanation><MinimumBenefit>139</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2023-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>PB075</BillingCode><Name>Intramedullary Nailing System Locking Screw </Name><Description>Intramedullary Nailing System Locking Screw </Description><Size>5.0mm - 6.0mm </Size><SupplierCode>PB</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1229</GroupID><SubGroupID>3713</SubGroupID><ARTGs><ARTG>223188</ARTG></ARTGs><MinimumBenefit>139</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-03-01</CycleStartDate><CycleEndDate>2025-03-01</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>290819</ARTG><ARTG>244568</ARTG><ARTG>244569</ARTG></ARTGs><MinimumBenefit>139</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2016-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SY789</BillingCode><Name>AO/ASIF intramedullary Nails</Name><Description>Locking Screws/Bolts/Nuts, Titanium Alloy</Description><Size>4 mm (18-80 mm length), 5 mm (26-120 mm length)</Size><SupplierCode>JJ</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1229</GroupID><SubGroupID>3713</SubGroupID><ARTGs><ARTG>297881</ARTG><ARTG>157068</ARTG><ARTG>133919</ARTG></ARTGs><MinimumBenefit>139</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2013-08-01</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</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><MinimumBenefit>139</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2024-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>KQ007</BillingCode><PriorBillingCodes><PriorBillingCode>ER685</PriorBillingCode></PriorBillingCodes><Name>Paragon 28 Phantom Hindfoot TTC Nail System-End Cap</Name><Description>Shouldered or compression end cap</Description><Size>short or long</Size><SupplierCode>KQ</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1229</GroupID><SubGroupID>5363</SubGroupID><ARTGs><ARTG>402215</ARTG></ARTGs><ChangeExplanation>
Billing code transferred from ER685
Sponsor transferred from EMERGO ASIA-PACIFIC PTY. LIMITED</ChangeExplanation><MinimumBenefit>96</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2023-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>DZ062</BillingCode><Name>F1 Proximal Femoral Nail</Name><Description>Screw End Cap</Description><Size>5mm, 10mm, 15mm</Size><SupplierCode>DZ</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1229</GroupID><SubGroupID>5363</SubGroupID><ARTGs><ARTG>111818</ARTG></ARTGs><MinimumBenefit>96</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>OY007</BillingCode><Name>Orthodynamics The Integral Leg Prostheses-Central Screw (as a component of the Orthodynamics The Integral Leg Prosthesis</Name><Description>Orthodynamics The Integral Leg Prosthesis-Central Screw</Description><Size>1 size</Size><SupplierCode>OY</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1229</GroupID><SubGroupID>5363</SubGroupID><ARTGs><ARTG>195009</ARTG><ARTG>109214</ARTG><ARTG>195008</ARTG></ARTGs><MinimumBenefit>96</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2015-08-01</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MO200</BillingCode><Name>Polarus Humeral Fixation System</Name><Description>End cap screw, titanium</Description><Size>0-6mm</Size><SupplierCode>MO</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1229</GroupID><SubGroupID>5363</SubGroupID><ARTGs><ARTG>99822</ARTG></ARTGs><MinimumBenefit>96</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SL206</BillingCode><PriorBillingCodes><PriorBillingCode>IG102</PriorBillingCode></PriorBillingCodes><Name>Panta Arthrodesis Nail</Name><Description>End Cap, Titanium</Description><Size>One Size</Size><SupplierCode>SN</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ZA064</BillingCode><PriorBillingCodes><PriorBillingCode>ZI710</PriorBillingCode><PriorBillingCode>ZI711</PriorBillingCode><PriorBillingCode>ZI720</PriorBillingCode></PriorBillingCodes><Name>Zimmer Natural Nail System</Name><Description>Nail caps - titanium</Description><Size>0-15mm</Size><SupplierCode>ZI</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>2025-03-01</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>DZ021</BillingCode><Name>Austofix Femoral and Tibial Nailing System</Name><Description>M8 End Cap, Intramedullary Nails, stainless steel or titanium</Description><Size>1mm-20mm</Size><SupplierCode>DZ</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1229</GroupID><SubGroupID>5363</SubGroupID><ARTGs><ARTG>111818</ARTG></ARTGs><MinimumBenefit>96</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SY125</BillingCode><Name>AO/ASIF Intramedullary Nails</Name><Description>End caps - Femoral, Tibial, Nailing Systems - TFNA, TNA, FRNA, RFNA, ETN, PFNA</Description><Size>0 - 40mm</Size><SupplierCode>JJ</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>XT011</BillingCode><PriorBillingCodes><PriorBillingCode>GW012</PriorBillingCode></PriorBillingCodes><Name>WEGO Nailing Systems</Name><Description>End Cap for Nails</Description><Size>0-20mm</Size><SupplierCode>XT</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1229</GroupID><SubGroupID>5363</SubGroupID><ARTGs><ARTG>324375</ARTG><ARTG>324374</ARTG></ARTGs><ChangeExplanation>
Billing code transferred from GW012
Sponsor transferred from EQUINOX MEDICAL PTY LTD</ChangeExplanation><MinimumBenefit>96</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2020-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SK248</BillingCode><Name>Gamma LN</Name><Description>Proximal/Extension Plug - Titanium</Description><Size>0mm, 5mm, 10mm, 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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BH316</BillingCode><Name>Affixus Hip Fracture Nail System</Name><Description>End Caps</Description><Size>5mm, flush or impinging</Size><SupplierCode>ZI</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ST045</BillingCode><Name>Stryker Intramedullary Nailing System</Name><Description>End Caps - Titanium</Description><Size>Standard to +35mm</Size><SupplierCode>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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HW931</BillingCode><PriorBillingCodes><PriorBillingCode>WR413</PriorBillingCode></PriorBillingCodes><Name>611 Ankle Fusion Nail - Component: PLUGS</Name><Description>The 611 ankle arthrodesis nail, 2mm &amp; 7mm plugs are made out of titanium alloy (Ti6AI4V). They are delivered non-sterile</Description><Size>0mm - 7.5mm</Size><SupplierCode>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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>DZ061</BillingCode><Name>F1 Proximal Femoral Nail</Name><Description>F1 Helical End Cap</Description><Size>5mm, 10mm, 15mm</Size><SupplierCode>DZ</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1229</GroupID><SubGroupID>5363</SubGroupID><ARTGs><ARTG>111818</ARTG></ARTGs><MinimumBenefit>96</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-08-01</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SN713</BillingCode><Name>Trigen</Name><Description>Stable-Lok Nut</Description><Size>One Size Only</Size><SupplierCode>SN</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1229</GroupID><SubGroupID>5363</SubGroupID><ARTGs><ARTG>141019</ARTG></ARTGs><MinimumBenefit>96</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SN498</BillingCode><Name>Intramedullary Nailing System</Name><Description>Nail Cap</Description><Size>0 - 30 mm</Size><SupplierCode>SN</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1229</GroupID><SubGroupID>5363</SubGroupID><ARTGs><ARTG>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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SK491</BillingCode><Name>U-Blade End Cap</Name><Description>U-Blade Lag Screw End Cap</Description><Size>One size 9mm x 10.5mm (diameter)</Size><SupplierCode>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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>PB065</BillingCode><Name>End Cap</Name><Description>Nail End Cap</Description><Size>One size</Size><SupplierCode>PB</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1229</GroupID><SubGroupID>5363</SubGroupID><ARTGs><ARTG>229660</ARTG></ARTGs><MinimumBenefit>96</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2020-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ZA070</BillingCode><Name>Affixus Humeral Nail System</Name><Description>End caps for Affixus Humeral Nail System</Description><Size>0mm, 8.5x0mm - 8.5x20mm, 9.5x5mm - 9.5x20mm, 10.5x2.5mm - 10.5x7.5mm, 11x2.5mm - 11x7.5mm</Size><SupplierCode>ZI</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BH045</BillingCode><Name>Biomet Phoenix Arthrodesis Nailing System - End Cap</Name><Description>Offset end cap, Titanium</Description><Size>0mm - 5mm</Size><SupplierCode>ZI</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HW797</BillingCode><PriorBillingCodes><PriorBillingCode>WR207</PriorBillingCode></PriorBillingCodes><Name>Valor Hindfoot Fusion System - Endcap</Name><Description>Valor Endcap</Description><Size>n/a</Size><SupplierCode>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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BR007</BillingCode><Name>OPRA System - Graft Screw</Name><Description>Graft Screw</Description><Size>One size only</Size><SupplierCode>BR</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1229</GroupID><SubGroupID>5363</SubGroupID><ARTGs><ARTG>145488</ARTG></ARTGs><MinimumBenefit>96</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2013-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LH540</BillingCode><Name>Precice Intramedullary Limb Lengthening System</Name><Description>Precice End Cap</Description><Size>0-20mm length</Size><SupplierCode>LH</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1229</GroupID><SubGroupID>5363</SubGroupID><ARTGs><ARTG>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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>VK037</BillingCode><Name>C-Nail End Caps</Name><Description>C-Nail is an intramedullary nail for minimally invasive fixation of intraarticular calcaneal fractures. The principle is to stabilise with the nail the four to five main fragments of the fractured calcaneus in conjunction with up to seven interlocking screws and thus creating angular stable fixation. The maximum stability is achieved by fixing the sustentacular fragment towards the nail with two interlocking screws guided by a very precise aiming device. The design of the nail is clearly marked "L" for left foot and "R" for right foot. The nail length is 65mm with a diameter of 8mm. The nail can be extended and closed with an end cap that comes in 0mm, 5mm, 10mm, 15mm and 20mm sizes.</Description><Size>End Cap: 0mm, 5mm, 10mm, 15mm, 20mm.</Size><SupplierCode>VK</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1229</GroupID><SubGroupID>5363</SubGroupID><ARTGs><ARTG>308209</ARTG></ARTGs><MinimumBenefit>96</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>JD012</BillingCode><Name>Nail Caps</Name><Description>Nail Cap</Description><Size>0, 5, 10 &amp; 11mm diameter</Size><SupplierCode>JD</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1229</GroupID><SubGroupID>5363</SubGroupID><ARTGs><ARTG>222647</ARTG></ARTGs><MinimumBenefit>96</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-02-01</CycleStartDate><CycleEndDate>2025-03-01</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>JJ</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SL066</BillingCode><Name>TriGen</Name><Description>Integrated Lag / Compression Screw Kit</Description><Size>65 mm - 120 mm</Size><SupplierCode>SN</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1229</GroupID><SubGroupID>3341</SubGroupID><Suffix>Comp</Suffix><ARTGs><ARTG>104369</ARTG></ARTGs><MinimumBenefit>243</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2016-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SL067</BillingCode><Name>TriGen</Name><Description>Compression Screw</Description><Size>35 mm</Size><SupplierCode>SN</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1229</GroupID><SubGroupID>3341</SubGroupID><Suffix>Comp</Suffix><ARTGs><ARTG>104369</ARTG></ARTGs><MinimumBenefit>243</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2016-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SN774</BillingCode><Name>IMHS CP</Name><Description>Captured Compression Screw, Stainless Steel</Description><Size>19mm</Size><SupplierCode>SN</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1229</GroupID><SubGroupID>3341</SubGroupID><Suffix>Comp</Suffix><ARTGs><ARTG>104369</ARTG></ARTGs><MinimumBenefit>243</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ST035</BillingCode><Name>Stryker Intramedullary Nailing System</Name><Description>Compression Screw -Titanium</Description><Size>0 – 35mm</Size><SupplierCode>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>2025-03-01</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>2025-03-01</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>DZ060</BillingCode><Name>F1 Proximal Femoral Nail</Name><Description>10.4mm Hip Screw</Description><Size>10.4mm width, 60-120mm length</Size><SupplierCode>DZ</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1229</GroupID><SubGroupID>3341</SubGroupID><ARTGs><ARTG>111818</ARTG></ARTGs><MinimumBenefit>199</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SL228</BillingCode><PriorBillingCodes><PriorBillingCode>IG137</PriorBillingCode></PriorBillingCodes><Name>Panta Arthrodesis Nail</Name><Description>Partially threaded lag Screw, Titanium</Description><Size>Diameter 5 mm Length - 20 - 110 mm</Size><SupplierCode>SN</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>JD017</BillingCode><Name>Proximal Femur Lag Screws</Name><Description>Lag Screws</Description><Size>80-110mm Length</Size><SupplierCode>JD</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1229</GroupID><SubGroupID>3341</SubGroupID><ARTGs><ARTG>222647</ARTG></ARTGs><MinimumBenefit>199</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SY803</BillingCode><Name>AO/ASIF Intramedullary Nails</Name><Description>Femoral Neck Screw Perforated</Description><Size>70mm - 130mm</Size><SupplierCode>JJ</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>2025-03-01</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>JJ</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SL026</BillingCode><Name>Compresion Hip Screw</Name><Description>Lag Screws</Description><Size>55-140mm</Size><SupplierCode>SN</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SN761</BillingCode><Name>IMHS CP</Name><Description>Subtrochanteric lag screw</Description><Size>12.7mm x 70mm to 12.7mm x 140mm</Size><SupplierCode>SN</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1229</GroupID><SubGroupID>3341</SubGroupID><ARTGs><ARTG>104369</ARTG></ARTGs><MinimumBenefit>199</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SK243</BillingCode><Name>Gamma LN</Name><Description>Lag Screw - Titanium</Description><Size>10.5mmx70mm - 10.5mmx130mm</Size><SupplierCode>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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SK490</BillingCode><Name>Gamma</Name><Description>U-Blade Lag Screw Set</Description><Size>Dia. 10.5mm, 70-130mm</Size><SupplierCode>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>2025-03-01</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><MinimumBenefit>442</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2024-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ZI713</BillingCode><Name>Zimmer Natural Nail System</Name><Description>Lag Screws, Titanium</Description><Size>10.5mm x 70 to 130mm in 5mm increments</Size><SupplierCode>ZI</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1229</GroupID><SubGroupID>3341</SubGroupID><ARTGs><ARTG>112735</ARTG></ARTGs><MinimumBenefit>199</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2010-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>DZ011</BillingCode><Name>Austofix Femoral and Tibial Nailing System</Name><Description>6.2/6.5 Hip Screw, stainless steel or titanium</Description><Size>Diameter 6.2-6.5mm, Lengths 70-120mm</Size><SupplierCode>DZ</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1229</GroupID><SubGroupID>3341</SubGroupID><ARTGs><ARTG>111818</ARTG></ARTGs><MinimumBenefit>199</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>DZ059</BillingCode><Name>F1 Proximal Femoral Nail</Name><Description>F1 10.4mm Helical Blade</Description><Size>10.4mm width, 60-120mm length</Size><SupplierCode>DZ</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1229</GroupID><SubGroupID>3341</SubGroupID><ARTGs><ARTG>111818</ARTG></ARTGs><MinimumBenefit>199</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BH315</BillingCode><Name>Affixus Hip Fracture Nail System</Name><Description>Lag Screw</Description><Size>70-130mm</Size><SupplierCode>ZI</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>XT033</BillingCode><PriorBillingCodes><PriorBillingCode>GW046</PriorBillingCode></PriorBillingCodes><Name>WEGO Nailing Systems</Name><Description>Femoral Neck Lag Screw</Description><Size>75 - 120mm</Size><SupplierCode>XT</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1229</GroupID><SubGroupID>3341</SubGroupID><ARTGs><ARTG>324374</ARTG></ARTGs><ChangeExplanation>
Billing code transferred from GW046
Sponsor transferred from EQUINOX MEDICAL PTY LTD</ChangeExplanation><MinimumBenefit>199</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2020-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>JV014</BillingCode><Name>Tornier PerFORM +</Name><Description>Anatomic Keeled Glenoid</Description><Size>Size Small - Medium - Large - Extra Large</Size><SupplierCode>JV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>131</SubCategoryID><GroupID>1277</GroupID><SubGroupID>3701</SubGroupID><ARTGs><ARTG>293660</ARTG></ARTGs><MinimumBenefit>1895</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ST675</BillingCode><Name>Osteonics Solar Shoulder Prostheses </Name><Description>Glenoid component polyethylene</Description><Size>5,7,9,11</Size><SupplierCode>JV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>131</SubCategoryID><GroupID>1277</GroupID><SubGroupID>3701</SubGroupID><ARTGs><ARTG>12875</ARTG><ARTG>128449</ARTG></ARTGs><MinimumBenefit>1895</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HW986</BillingCode><PriorBillingCodes><PriorBillingCode>WR442</PriorBillingCode></PriorBillingCodes><Name>Aequalis PerFORM Keeled Glenoid</Name><Description>UHMWPE keeled glenoid</Description><Size>Small - backside radius: 30mm, 35mm, 40mm  Medium - backside radius: 30mm, 35mm, 40mm  Large - backside radius: 40mm, 50mm, 60mm  Extra large - backside radius: 40mm, 50mm, 60mm</Size><SupplierCode>JV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>131</SubCategoryID><GroupID>1277</GroupID><SubGroupID>3701</SubGroupID><ARTGs><ARTG>206662</ARTG></ARTGs><MinimumBenefit>1895</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>JJ964</BillingCode><Name>Global Shoulder System</Name><Description>Glenoid component</Description><Size>40 to 56mm including XL</Size><SupplierCode>JJ</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>131</SubCategoryID><GroupID>1277</GroupID><SubGroupID>3701</SubGroupID><ARTGs><ARTG>224217</ARTG></ARTGs><MinimumBenefit>1895</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2015-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ792</BillingCode><PriorBillingCodes><PriorBillingCode>DD004</PriorBillingCode></PriorBillingCodes><Name>Turon Shoulder System - All-Poly Glenoid</Name><Description>Turon - All-Poly Glenoid, Keeled and Pegged</Description><Size>38mm, 42mm, 46mm, 50mm, 54mm</Size><SupplierCode>MA</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>131</SubCategoryID><GroupID>1277</GroupID><SubGroupID>3701</SubGroupID><ARTGs><ARTG>210955</ARTG><ARTG>210954</ARTG></ARTGs><MinimumBenefit>1895</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2010-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HW952</BillingCode><PriorBillingCodes><PriorBillingCode>WR441</PriorBillingCode></PriorBillingCodes><Name>Aequalis PerFORM Pegged Glenoid</Name><Description>UHMWPE pegged glenoid</Description><Size>Small - backside radius: 30mm, 35mm, 40mm  Medium - backside radius: 30mm, 35mm, 40mm  Large - backside radius: 40mm, 50mm, 60mm  Extra large - backside radius: 40mm, 50mm, 60mm</Size><SupplierCode>JV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>131</SubCategoryID><GroupID>1277</GroupID><SubGroupID>3701</SubGroupID><ARTGs><ARTG>206662</ARTG></ARTGs><MinimumBenefit>1895</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MA547</BillingCode><Name>Affinis Glenoid cemented vitamys</Name><Description>Cemented glenoid - vitamys UHMWPE</Description><Size>Sizes 1 - 4</Size><SupplierCode>MA</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>131</SubCategoryID><GroupID>1277</GroupID><SubGroupID>3701</SubGroupID><ARTGs><ARTG>238288</ARTG></ARTGs><MinimumBenefit>1895</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>FA028</BillingCode><PriorBillingCodes><PriorBillingCode>EX061</PriorBillingCode></PriorBillingCodes><Name>Equinoxe Glenoid, pegged</Name><Description>UHMWPE component used to replace the Glenoid during total shoulder arthroplasty. This component is to be used with the Equinoxe total shoulder replacement</Description><Size>small, medium, large, X-Large</Size><SupplierCode>FA</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>131</SubCategoryID><GroupID>1277</GroupID><SubGroupID>3701</SubGroupID><ARTGs><ARTG>278648</ARTG><ARTG>264381</ARTG></ARTGs><MinimumBenefit>1895</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2019-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MA450</BillingCode><Name>Affinis Total Shoulder</Name><Description>Glenoid - UHMWPE</Description><Size>Size 1 to 4</Size><SupplierCode>MA</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>131</SubCategoryID><GroupID>1277</GroupID><SubGroupID>3701</SubGroupID><ARTGs><ARTG>219394</ARTG></ARTGs><MinimumBenefit>1895</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BH049</BillingCode><Name>Comprehensive shoulder - glenoid</Name><Description>Modular hybrid glenoid base UHMWPE; Titanium</Description><Size>small, medium, large</Size><SupplierCode>ZI</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>131</SubCategoryID><GroupID>1277</GroupID><SubGroupID>3701</SubGroupID><ARTGs><ARTG>270472</ARTG></ARTGs><MinimumBenefit>1895</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2010-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BH050</BillingCode><Name>Comprehensive Shoulder - Glenoid Stem</Name><Description>Glenoid Post, Ti Regenerx or Polyethylene</Description><Size>1 size</Size><SupplierCode>ZI</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>131</SubCategoryID><GroupID>1277</GroupID><SubGroupID>3701</SubGroupID><ARTGs><ARTG>144584</ARTG></ARTGs><MinimumBenefit>1895</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2010-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HU262</BillingCode><PriorBillingCodes><PriorBillingCode>DE172</PriorBillingCode></PriorBillingCodes><Name>Univers Glenoid Shoulder Prostheses</Name><Description>Cemented glenoid</Description><Size>Small, Medium, Large, Extra-Large</Size><SupplierCode>HU</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>131</SubCategoryID><GroupID>1277</GroupID><SubGroupID>3701</SubGroupID><ARTGs><ARTG>308804</ARTG><ARTG>308803</ARTG></ARTGs><MinimumBenefit>1895</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MN332</BillingCode><Name>StepTech Anchor Peg Glenoid</Name><Description>Glenoid component</Description><Size>40 to 56 mm</Size><SupplierCode>JJ</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>131</SubCategoryID><GroupID>1277</GroupID><SubGroupID>3701</SubGroupID><ARTGs><ARTG>381043</ARTG></ARTGs><MinimumBenefit>1895</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LC172</BillingCode><Name>SMR Cemented Glenoid</Name><Description>All Poly Glenoid Cemented UHMWPE</Description><Size>Small - Large</Size><SupplierCode>LC</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>131</SubCategoryID><GroupID>1277</GroupID><SubGroupID>3701</SubGroupID><ARTGs><ARTG>211974</ARTG></ARTGs><MinimumBenefit>1895</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2014-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LC173</BillingCode><Name>SMR - Glenoid 3 Peg UHMWPE</Name><Description>Glenoid 3 Peg UHMWPE X-Lima</Description><Size>Extra small, Standard, Small, and Large</Size><SupplierCode>LC</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>131</SubCategoryID><GroupID>1277</GroupID><SubGroupID>3701</SubGroupID><ARTGs><ARTG>210963</ARTG></ARTGs><MinimumBenefit>1895</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2014-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LH698</BillingCode><PriorBillingCodes><PriorBillingCode>OO155</PriorBillingCode></PriorBillingCodes><Name>PE Glenoid</Name><Description>PE glenoid</Description><Size>Small and Standard</Size><SupplierCode>LH</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>131</SubCategoryID><GroupID>1277</GroupID><SubGroupID>3701</SubGroupID><ARTGs><ARTG>244654</ARTG></ARTGs><MinimumBenefit>1895</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HW947</BillingCode><PriorBillingCodes><PriorBillingCode>WR436</PriorBillingCode></PriorBillingCodes><Name>Aequalis PerFORM Glenoid - CortiLoc</Name><Description>UHMWPE pegged glenoid with CortiLoc central peg</Description><Size>Small - backside radius of 30mm, 35mm and 40mm  Medium - backside radius of 30mm, 35mm and 40mm  Large - backside radius of 40mm, 50mm and 60mm  Extra large - backside radius of 40mm, 50mm and 60mm</Size><SupplierCode>JV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>131</SubCategoryID><GroupID>1277</GroupID><SubGroupID>3701</SubGroupID><ARTGs><ARTG>206662</ARTG></ARTGs><MinimumBenefit>1895</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ289</BillingCode><Name>Affinis Glenoid vitamys uncemented</Name><Description>RM titanium coated vitamin-E glenoid component </Description><Size>Size 1 to 4</Size><SupplierCode>MA</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>131</SubCategoryID><GroupID>1277</GroupID><SubGroupID>3702</SubGroupID><ARTGs><ARTG>238289</ARTG></ARTGs><MinimumBenefit>2109</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2024-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LC038</BillingCode><Name>SMR Shoulder System</Name><Description>Metal Back Glenoid</Description><Size> Small, Small R, Standard, Large</Size><SupplierCode>LC</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>131</SubCategoryID><GroupID>1277</GroupID><SubGroupID>3702</SubGroupID><ARTGs><ARTG>218703</ARTG></ARTGs><MinimumBenefit>2109</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2009-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SF176</BillingCode><Name>Signature PMGA Glenoid Insert</Name><Description>3D porous glenoid insert</Description><Size>5 Sizes, 15 - 30 degree inclination</Size><SupplierCode>SF</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>131</SubCategoryID><GroupID>1277</GroupID><SubGroupID>3702</SubGroupID><ARTGs><ARTG>313285</ARTG></ARTGs><MinimumBenefit>2109</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2020-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>FA029</BillingCode><PriorBillingCodes><PriorBillingCode>EX061</PriorBillingCode></PriorBillingCodes><Name>Equinoxe Glenoid, Cage Pegged</Name><Description>UHMWPE component with Ti Alloy peripheral pegs and a Ti Alloy &amp; Ti plasma-coated central peg. It is used to replace the Glenoid during total shoulder arthroplasty. This component is to be used with the Equinoxe total shoulder replacement.</Description><Size>small, medium, large, X-Large</Size><SupplierCode>FA</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>131</SubCategoryID><GroupID>1277</GroupID><SubGroupID>3703</SubGroupID><ARTGs><ARTG>293762</ARTG><ARTG>270232</ARTG></ARTGs><MinimumBenefit>2600</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2019-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ZI529</BillingCode><Name>Zimmer Trabecular Metal Reverse Shoulder System</Name><Description>Polyethylene Liner</Description><Size>Standard 7 Deg. &amp; Retentive 65 Deg; 36mm - Neutral, Plus 3mm, Plus 6mm; 40mm - Neutral, Plus 3mm, Plus 6mm</Size><SupplierCode>ZI</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>131</SubCategoryID><GroupID>1277</GroupID><SubGroupID>3704</SubGroupID><ARTGs><ARTG>231818</ARTG></ARTGs><MinimumBenefit>1862</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2006-11-30</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LC174</BillingCode><Name>SMR - Glenoid Component UHMWPE</Name><Description>Glenoid - MB Liner - UHMWPE</Description><Size>3 to 6mm thick x small-R to Large</Size><SupplierCode>LC</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>131</SubCategoryID><GroupID>1277</GroupID><SubGroupID>3704</SubGroupID><ARTGs><ARTG>221714</ARTG></ARTGs><MinimumBenefit>1862</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2014-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SQ120</BillingCode><Name>Verso Shoulder System - Liner</Name><Description>Verso Shoulder Liner</Description><Size>3-12mm Offsets</Size><SupplierCode>SQ</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>131</SubCategoryID><GroupID>1277</GroupID><SubGroupID>3704</SubGroupID><ARTGs><ARTG>284175</ARTG><ARTG>284176</ARTG></ARTGs><MinimumBenefit>1862</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SJ378</BillingCode><Name>Infinity directional lead</Name><Description>Lead with 8 electrode segmented contacts. Steerable and directional current.</Description><Size>30-40cm</Size><SupplierCode>SJ</SupplierCode><CategoryID>25</CategoryID><SubCategoryID>221</SubCategoryID><GroupID>1674</GroupID><SubGroupID>4476</SubGroupID><Suffix>Current steering</Suffix><ARTGs><ARTG>381327</ARTG></ARTGs><MinimumBenefit>4120</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2016-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MI488</BillingCode><Name>SenSight™ Directional Lead Kit</Name><Description>Deep brain stimulation lead with 8 proximal and distal contact electrodes. Distal orientation marker determines positioning of the electrodes under certain imaging modalities.</Description><Size>33cm and 42cm</Size><SupplierCode>MI</SupplierCode><CategoryID>25</CategoryID><SubCategoryID>221</SubCategoryID><GroupID>1674</GroupID><SubGroupID>4476</SubGroupID><Suffix>Current steering</Suffix><ARTGs><ARTG>387432</ARTG></ARTGs><MinimumBenefit>4120</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BS238</BillingCode><Name>Boston Scientific DBS Lead Kit</Name><Description>Deep brain stimulation lead with 8 in-line contact electrodes. Independent 19-filar platinum-core.</Description><Size>30cm - 45cm</Size><SupplierCode>BS</SupplierCode><CategoryID>25</CategoryID><SubCategoryID>221</SubCategoryID><GroupID>1674</GroupID><SubGroupID>4476</SubGroupID><ARTGs><ARTG>202017</ARTG></ARTGs><MinimumBenefit>3746</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2013-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SJ148</BillingCode><Name>Libra Deep Brain Stimulation System  - Leads 6142 - 6149</Name><Description>DBS Leads 6142-6145 1.5mm electrode and space 1.5mm; 6146-6149 1.5mm electrode and 0.5mm space</Description><Size>25-40cm</Size><SupplierCode>SJ</SupplierCode><CategoryID>25</CategoryID><SubCategoryID>221</SubCategoryID><GroupID>1674</GroupID><SubGroupID>4476</SubGroupID><ARTGs><ARTG>377342</ARTG></ARTGs><MinimumBenefit>3746</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2009-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LM430</BillingCode><PriorBillingCodes><PriorBillingCode>NK108</PriorBillingCode></PriorBillingCodes><Name>Implantable Lead Kits</Name><Description>Implantable Lead Kits</Description><Size>Multiple sizes suitable for patient anatomy</Size><SupplierCode>LM</SupplierCode><CategoryID>25</CategoryID><SubCategoryID>221</SubCategoryID><GroupID>1674</GroupID><SubGroupID>4476</SubGroupID><ARTGs><ARTG>313134</ARTG></ARTGs><MinimumBenefit>3746</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2020-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BS319</BillingCode><Name>Cartesia Directional Lead</Name><Description>Deep brain stimulation lead with 8 in-line contact electrodes. Independent 19-filar platinum-core. Contacts are separated circumferentially allowing for both axial and
rotational stimulation selectivity.</Description><Size>30cm - 45cm</Size><SupplierCode>BS</SupplierCode><CategoryID>25</CategoryID><SubCategoryID>221</SubCategoryID><GroupID>1674</GroupID><SubGroupID>4476</SubGroupID><Suffix>Current steering</Suffix><ARTGs><ARTG>279186</ARTG></ARTGs><MinimumBenefit>4120</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BS293</BillingCode><Name>B26 Pocket Adaptor</Name><Description>Pocket Adaptor for Deep Brain Stimulation IPG</Description><Size>15cm</Size><SupplierCode>BS</SupplierCode><CategoryID>25</CategoryID><SubCategoryID>221</SubCategoryID><GroupID>1674</GroupID><SubGroupID>4477</SubGroupID><ARTGs><ARTG>231754</ARTG></ARTGs><MinimumBenefit>1895</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2015-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MI491</BillingCode><Name>SenSight™ Extension Kit</Name><Description>8 contacts on the distal and proximal ends. Directional lead is connected into the distal end of the extension.</Description><Size>40 cm, 60 cm and 95 cm   </Size><SupplierCode>MI</SupplierCode><CategoryID>25</CategoryID><SubCategoryID>221</SubCategoryID><GroupID>1674</GroupID><SubGroupID>4477</SubGroupID><ARTGs><ARTG>387436</ARTG></ARTGs><MinimumBenefit>1895</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SJ350</BillingCode><Name>8-Channel Adapter</Name><Description>8-Channel Adapter</Description><Size>10cm and 60cm</Size><SupplierCode>SJ</SupplierCode><CategoryID>25</CategoryID><SubCategoryID>221</SubCategoryID><GroupID>1674</GroupID><SubGroupID>4477</SubGroupID><ARTGs><ARTG>378144</ARTG></ARTGs><MinimumBenefit>1895</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2015-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BS239</BillingCode><Name>Boston Scientific DBS Extension Kit</Name><Description>Deep brain stimulation extension kit</Description><Size>55 &amp; 95 cm</Size><SupplierCode>BS</SupplierCode><CategoryID>25</CategoryID><SubCategoryID>221</SubCategoryID><GroupID>1674</GroupID><SubGroupID>4477</SubGroupID><ARTGs><ARTG>363575</ARTG><ARTG>202034</ARTG></ARTGs><MinimumBenefit>1895</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2013-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BS324</BillingCode><Name>Vercise M8 and S8 Adapter</Name><Description>1 x 8 in-line connector designed to connect another manufacturer's previously implanted lead extensions to the Vercise Stimulator</Description><Size>15, 55cm</Size><SupplierCode>BS</SupplierCode><CategoryID>25</CategoryID><SubCategoryID>221</SubCategoryID><GroupID>1674</GroupID><SubGroupID>4477</SubGroupID><ARTGs><ARTG>281579</ARTG><ARTG>462220</ARTG></ARTGs><MinimumBenefit>1895</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LM435</BillingCode><PriorBillingCodes><PriorBillingCode>NK113</PriorBillingCode></PriorBillingCodes><Name>Implantable Extension Kit</Name><Description>Implantable Extension Kit</Description><Size>Suitable for patient anatomy</Size><SupplierCode>LM</SupplierCode><CategoryID>25</CategoryID><SubCategoryID>221</SubCategoryID><GroupID>1674</GroupID><SubGroupID>4477</SubGroupID><ARTGs><ARTG>313133</ARTG></ARTGs><MinimumBenefit>1895</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2020-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SJ234</BillingCode><Name>Pocket Adaptor</Name><Description>IS-1 Pocket Adaptor</Description><Size>25cm and 50cm</Size><SupplierCode>SJ</SupplierCode><CategoryID>25</CategoryID><SubCategoryID>221</SubCategoryID><GroupID>1674</GroupID><SubGroupID>4477</SubGroupID><ARTGs><ARTG>383123</ARTG></ARTGs><MinimumBenefit>1895</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2010-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SJ373</BillingCode><Name>St Jude Deep Brain Stimulation System</Name><Description>Extension Lead for DBS</Description><Size>50-90cm</Size><SupplierCode>SJ</SupplierCode><CategoryID>25</CategoryID><SubCategoryID>221</SubCategoryID><GroupID>1674</GroupID><SubGroupID>4477</SubGroupID><ARTGs><ARTG>377341</ARTG><ARTG>381326</ARTG></ARTGs><MinimumBenefit>1895</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2016-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MC940</BillingCode><Name>Pocket Adaptors for Deep Brain Stimulation</Name><Description>Pocket Adaptors for Deep Brain Stimulation (Single and Dual Channel)</Description><Size>25.5cm and 27.4cm</Size><SupplierCode>MI</SupplierCode><CategoryID>25</CategoryID><SubCategoryID>221</SubCategoryID><GroupID>1674</GroupID><SubGroupID>4477</SubGroupID><ARTGs><ARTG>165114</ARTG></ARTGs><MinimumBenefit>1895</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2010-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MC852</BillingCode><Name>Medtronic Extension for Deep Brain Stimulation</Name><Description>Medtronic ACTIVA Stretch Coil Extension for use with ACTIVA RC and PC</Description><Size>40cm, 60cm, 95cm</Size><SupplierCode>MI</SupplierCode><CategoryID>25</CategoryID><SubCategoryID>221</SubCategoryID><GroupID>1674</GroupID><SubGroupID>4477</SubGroupID><ARTGs><ARTG>239412</ARTG></ARTGs><MinimumBenefit>1895</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2009-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>FA040</BillingCode><Name>Equinoxe Small Reverse, Baseplate</Name><Description>Reverse glenoid plate</Description><Size>Standard, 8-degree Posterior Augment, 10-degree Superior Augment, +10mm Extended Cage Peg, 10-degree Superior/8-degree Posterior Augment</Size><SupplierCode>FA</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>131</SubCategoryID><GroupID>1277</GroupID><SubGroupID>4078</SubGroupID><ARTGs><ARTG>479047</ARTG><ARTG>479046</ARTG><ARTG>479049</ARTG><ARTG>479050</ARTG><ARTG>479048</ARTG></ARTGs><ChangeExplanation>New listing</ChangeExplanation><MinimumBenefit>1991</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2025-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>JV012</BillingCode><Name>Perform Reversed Glenoid Baseplate</Name><Description>Reverse glenoid baseplate</Description><Size>25mm, 29mm</Size><SupplierCode>JV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>131</SubCategoryID><GroupID>1277</GroupID><SubGroupID>4078</SubGroupID><ARTGs><ARTG>386959</ARTG><ARTG>386956</ARTG><ARTG>386957</ARTG></ARTGs><MinimumBenefit>1991</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ZI533</BillingCode><Name>Zimmer Trabecular Metal Reverse Shoulder System</Name><Description>Trabecular Metal Reverse Base Plate - Ti Alloy &amp; Tantalum</Description><Size>15mm, 25mm, 30mm</Size><SupplierCode>ZI</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>131</SubCategoryID><GroupID>1277</GroupID><SubGroupID>4078</SubGroupID><ARTGs><ARTG>228451</ARTG></ARTGs><MinimumBenefit>1991</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2006-11-30</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MA534</BillingCode><Name>Affinis Inverse Metaglene, DP</Name><Description>Metaglene, uncemented. Ti plasma plus CaP coating</Description><Size>One size only</Size><SupplierCode>MA</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>131</SubCategoryID><GroupID>1277</GroupID><SubGroupID>4078</SubGroupID><ARTGs><ARTG>215497</ARTG></ARTGs><MinimumBenefit>1991</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SQ117</BillingCode><Name>Verso Shoulder System - Glenoid Baseplate</Name><Description>Verso Shoulder Glenoid Base Plate</Description><Size>Standard, Long (Revision)</Size><SupplierCode>SQ</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>131</SubCategoryID><GroupID>1277</GroupID><SubGroupID>4078</SubGroupID><ARTGs><ARTG>284178</ARTG></ARTGs><MinimumBenefit>1991</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LC186</BillingCode><Name>SMR Reverse Glenoid Base Plate</Name><Description>Reverse Glenoid Base Plate</Description><Size>Small-R or Small/Standard</Size><SupplierCode>LC</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>131</SubCategoryID><GroupID>1277</GroupID><SubGroupID>4078</SubGroupID><ARTGs><ARTG>210956</ARTG></ARTGs><MinimumBenefit>1991</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2014-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>JJ974</BillingCode><Name>Delta Shoulder System</Name><Description>Metaglene</Description><Size>Standard, Revision, +10 to +15mm</Size><SupplierCode>JJ</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>131</SubCategoryID><GroupID>1277</GroupID><SubGroupID>4078</SubGroupID><ARTGs><ARTG>307920</ARTG></ARTGs><MinimumBenefit>1991</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2015-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HW940</BillingCode><PriorBillingCodes><PriorBillingCode>WR427</PriorBillingCode></PriorBillingCodes><Name>Aequalis Reversed Shoulder - Hemi Prosthesis Adaptor</Name><Description>Hemi Prosthesis Adaptor including union screw</Description><Size>36mm and 42mm diameter</Size><SupplierCode>JV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>131</SubCategoryID><GroupID>1277</GroupID><SubGroupID>4078</SubGroupID><ARTGs><ARTG>209724</ARTG></ARTGs><MinimumBenefit>1991</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>EX049</BillingCode><Name>Equinoxe Glenoid Plate</Name><Description>The glenoid plate provides multiple options for screw insertion</Description><Size>0 degree, 8 degree, 10 degree</Size><SupplierCode>FA</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>131</SubCategoryID><GroupID>1277</GroupID><SubGroupID>4078</SubGroupID><ARTGs><ARTG>262854</ARTG><ARTG>284694</ARTG><ARTG>284693</ARTG><ARTG>284695</ARTG></ARTGs><MinimumBenefit>1991</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2010-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MA535</BillingCode><Name>Affinis Inverse revision metaglene</Name><Description>Revision Metaglene, Ti plasma plus CaP Coating</Description><Size>one size only</Size><SupplierCode>MA</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>131</SubCategoryID><GroupID>1277</GroupID><SubGroupID>4078</SubGroupID><ARTGs><ARTG>224964</ARTG></ARTGs><MinimumBenefit>1991</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BH052</BillingCode><Name>Comprehensive Shoulder - Reverse Glenoid Baseplate</Name><Description>Reverse glenoid baseplate, Ti, Porous coating</Description><Size>28mm, 25mm</Size><SupplierCode>ZI</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>131</SubCategoryID><GroupID>1277</GroupID><SubGroupID>4078</SubGroupID><ARTGs><ARTG>144584</ARTG></ARTGs><MinimumBenefit>1991</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2010-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ZA095</BillingCode><Name>Comprehensive Reverse Augmented Baseplate</Name><Description>Augmented Baseplate</Description><Size>25mm</Size><SupplierCode>ZI</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>131</SubCategoryID><GroupID>1277</GroupID><SubGroupID>4078</SubGroupID><ARTGs><ARTG>345190</ARTG></ARTGs><MinimumBenefit>1991</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HW879</BillingCode><PriorBillingCodes><PriorBillingCode>WR349</PriorBillingCode></PriorBillingCodes><Name>Aequalis Reversed Shoulder, Glenoid Base Plate</Name><Description>Glenoid Base Plate (Metaglene) with Long Post option for revision</Description><Size>Standard or Revision (Long Post)  dia 25mm and dia 29mm</Size><SupplierCode>JV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>131</SubCategoryID><GroupID>1277</GroupID><SubGroupID>4078</SubGroupID><ARTGs><ARTG>209243</ARTG></ARTGs><MinimumBenefit>1991</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HW990</BillingCode><Name>Aequalis Reversed II Threaded Post Baseplate</Name><Description>Glenoid Base Plate</Description><Size>Length (mm) Post: 20 - 50  Diameter (mm): 25 - 29</Size><SupplierCode>JV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>131</SubCategoryID><GroupID>1277</GroupID><SubGroupID>4078</SubGroupID><ARTGs><ARTG>230918</ARTG></ARTGs><MinimumBenefit>1991</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ776</BillingCode><PriorBillingCodes><PriorBillingCode>DD057</PriorBillingCode></PriorBillingCodes><Name>Reverse Shoulder - Glenoid Baseplate</Name><Description>Reverse Glenoid Component, Baseplate</Description><Size>6.5mm x 30mm</Size><SupplierCode>MA</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>131</SubCategoryID><GroupID>1277</GroupID><SubGroupID>4078</SubGroupID><ARTGs><ARTG>210932</ARTG></ARTGs><MinimumBenefit>1991</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2015-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MU195</BillingCode><Name>MSS - Medacta Shoulder System Baseplate</Name><Description>Glenoid Baseplate</Description><Size>Diameter 22, 24.5 and 27 mm</Size><SupplierCode>MU</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>131</SubCategoryID><GroupID>1277</GroupID><SubGroupID>4078</SubGroupID><ARTGs><ARTG>400834</ARTG></ARTGs><MinimumBenefit>1991</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2023-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LC184</BillingCode><Name>SMR Reverse Poly Gleonsphere</Name><Description>Reverse Glenophere UHMWPE X-Lima Ti6AI4V</Description><Size>40 - 44 Standard &amp; Exxentric</Size><SupplierCode>LC</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>131</SubCategoryID><GroupID>1277</GroupID><SubGroupID>4079</SubGroupID><ARTGs><ARTG>211987</ARTG></ARTGs><MinimumBenefit>2139</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2014-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SQ118</BillingCode><Name>Verso Shoulder System - Glenoid Head</Name><Description>Verso Shoulder Glenoid Head</Description><Size>36mm, 41mm</Size><SupplierCode>SQ</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>131</SubCategoryID><GroupID>1277</GroupID><SubGroupID>4079</SubGroupID><ARTGs><ARTG>284177</ARTG></ARTGs><MinimumBenefit>2139</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MN358</BillingCode><Name>Delta XTEND Revolution Lateralized Glenoid</Name><Description>Glenosphere</Description><Size>Standard and Eccentric diameter: 38 - 42 mm            Lateralization:  +0 mm  +2 mm      +4 mm       +6 mm      +8 mm</Size><SupplierCode>JJ</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>131</SubCategoryID><GroupID>1277</GroupID><SubGroupID>4079</SubGroupID><ARTGs><ARTG>217442</ARTG></ARTGs><MinimumBenefit>2139</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ777</BillingCode><PriorBillingCodes><PriorBillingCode>DD058</PriorBillingCode></PriorBillingCodes><Name>Reverse Shoulder – Glenosphere Head</Name><Description>Glenosphere</Description><Size>32mm to 44mm, neutral or -4mm offset</Size><SupplierCode>MA</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>131</SubCategoryID><GroupID>1277</GroupID><SubGroupID>4079</SubGroupID><ARTGs><ARTG>210932</ARTG></ARTGs><MinimumBenefit>2139</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2015-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MU196</BillingCode><Name>MSS - Medacta Shoulder System Glenosphere</Name><Description>Glenosphere</Description><Size>Diameter 32, 36, 39 and 42 mm Standard +4mm and lateralized +9mm</Size><SupplierCode>MU</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>131</SubCategoryID><GroupID>1277</GroupID><SubGroupID>4079</SubGroupID><ARTGs><ARTG>400835</ARTG></ARTGs><MinimumBenefit>2139</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2023-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HW880</BillingCode><PriorBillingCodes><PriorBillingCode>WR350</PriorBillingCode></PriorBillingCodes><Name>Aequalis Reversed Shoulder, Glenoid Sphere</Name><Description>Glenoid Sphere, standard, eccentric, wear compensation or   lateralised</Description><Size>Diameter 33, 36, 39 and 42mm  Centre, or Eccentricity +2mm, or Wear Compensations 10deg, or Lateralised +6mm / +8mm</Size><SupplierCode>JV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>131</SubCategoryID><GroupID>1277</GroupID><SubGroupID>4079</SubGroupID><ARTGs><ARTG>209244</ARTG></ARTGs><MinimumBenefit>2139</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LC185</BillingCode><Name>SMR Reverse Glenosphere</Name><Description>Reverse Glenosphere CoCrMo</Description><Size>36mm Standard and Eccentric</Size><SupplierCode>LC</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>131</SubCategoryID><GroupID>1277</GroupID><SubGroupID>4079</SubGroupID><ARTGs><ARTG>211985</ARTG></ARTGs><MinimumBenefit>2139</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2014-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>JJ967</BillingCode><Name>Delta Shoulder System</Name><Description>Glenosphere</Description><Size>38 to 42</Size><SupplierCode>JJ</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>131</SubCategoryID><GroupID>1277</GroupID><SubGroupID>4079</SubGroupID><ARTGs><ARTG>217442</ARTG></ARTGs><MinimumBenefit>2139</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2015-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>EX050</BillingCode><Name>Equinoxe Glenosphere</Name><Description>The glenosphere aids in glenosphere insertion and protects any remaining intact soft tissues.</Description><Size>36mm, 38mm, 42mm &amp; 46mm</Size><SupplierCode>FA</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>131</SubCategoryID><GroupID>1277</GroupID><SubGroupID>4079</SubGroupID><ARTGs><ARTG>279903</ARTG><ARTG>266161</ARTG></ARTGs><MinimumBenefit>2139</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2010-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MA533</BillingCode><Name>Affinis Inverse glenosphere</Name><Description>Glenosphere</Description><Size>36 to 42mm</Size><SupplierCode>MA</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>131</SubCategoryID><GroupID>1277</GroupID><SubGroupID>4079</SubGroupID><ARTGs><ARTG>215499</ARTG></ARTGs><MinimumBenefit>2139</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BH051</BillingCode><Name>Comprehensive Shoulder - Reverse Glenosphere</Name><Description>Reverse glenosphere</Description><Size>36mm to 41mm  (standard, +3, +6)</Size><SupplierCode>ZI</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>131</SubCategoryID><GroupID>1277</GroupID><SubGroupID>4079</SubGroupID><ARTGs><ARTG>324462</ARTG><ARTG>227969</ARTG></ARTGs><MinimumBenefit>2139</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2010-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ZI532</BillingCode><Name>Zimmer Trabecular Metal Reverse Shoulder System</Name><Description>Glenosphere - CoCr - Mo Alloy</Description><Size>36mm, 40mm</Size><SupplierCode>ZI</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>131</SubCategoryID><GroupID>1277</GroupID><SubGroupID>4079</SubGroupID><ARTGs><ARTG>230876</ARTG></ARTGs><MinimumBenefit>2139</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2006-11-30</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>JV010</BillingCode><Name>Perform Reverse Glenosphere</Name><Description>Glenosphere - standard, eccentric, or lateralised</Description><Size>33mm, 36mm, 39mm, 42mm</Size><SupplierCode>JV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>131</SubCategoryID><GroupID>1277</GroupID><SubGroupID>4079</SubGroupID><ARTGs><ARTG>386955</ARTG></ARTGs><MinimumBenefit>2139</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MA551</BillingCode><Name>Affinis Inverse Glenosphere</Name><Description>Glenosphere vitamys</Description><Size>36mm, 39mm, 42mm</Size><SupplierCode>MA</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>131</SubCategoryID><GroupID>1277</GroupID><SubGroupID>4079</SubGroupID><ARTGs><ARTG>238290</ARTG></ARTGs><MinimumBenefit>2139</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>FA039</BillingCode><Name>Equinoxe Small Reverse Glenosphere</Name><Description>Reverse glenosphere</Description><Size>36mm, 40mm</Size><SupplierCode>FA</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>131</SubCategoryID><GroupID>1277</GroupID><SubGroupID>4079</SubGroupID><ARTGs><ARTG>479045</ARTG></ARTGs><ChangeExplanation>New listing</ChangeExplanation><MinimumBenefit>2139</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2025-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>TU064</BillingCode><Name>Ultimaster Sirolimus Eluting Coronary Stent System</Name><Description>The Ultimaster Sirolimus Eluting Coronary Stent System is a device/drug combination comprised of a Co-Cr stent coated with sirolimus in a matrix of poly(D,L-Lactide-co-Caprolactone), mounted on a balloon delivery catheter</Description><Size>length 9-38mm; diameter 2.25-4.0mm</Size><SupplierCode>TU</SupplierCode><CategoryID>27</CategoryID><SubCategoryID>247</SubCategoryID><GroupID>1766</GroupID><SubGroupID>5346</SubGroupID><ARTGs><ARTG>288132</ARTG></ARTGs><MinimumBenefit>1095</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>RF054</BillingCode><Name>Firehawk Liberty­™ </Name><Description>Rapamycin (Sirolimus) Eluting Coronary Stent System</Description><Size>Diameter: 2.25- 4.0mm  Length: 8mm -38mm</Size><SupplierCode>RF</SupplierCode><CategoryID>27</CategoryID><SubCategoryID>247</SubCategoryID><GroupID>1766</GroupID><SubGroupID>5346</SubGroupID><ARTGs><ARTG>410930</ARTG></ARTGs><MinimumBenefit>1095</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2023-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BS397</BillingCode><Name>SYNERGY XD</Name><Description>Everolimus-Eluting Platinum Chromium Coronary Stent System with Bioabsorbable Polymer</Description><Size>8mm to 48mm in length, diameter of 2.25 mm - 5.0 mm</Size><SupplierCode>BS</SupplierCode><CategoryID>27</CategoryID><SubCategoryID>247</SubCategoryID><GroupID>1766</GroupID><SubGroupID>5346</SubGroupID><ARTGs><ARTG>365215</ARTG></ARTGs><MinimumBenefit>1095</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BS395</BillingCode><Name>Synergy Megatron</Name><Description>Everolimus-Eluting Platinum Chromium Coronary Stent System with Bioabsorbable Polymer</Description><Size>8 mm to 32 mm in length, diameter of 3.50 mm - 5.00 mm (over expansion capability to 6.00 mm)</Size><SupplierCode>BS</SupplierCode><CategoryID>27</CategoryID><SubCategoryID>247</SubCategoryID><GroupID>1766</GroupID><SubGroupID>5346</SubGroupID><ARTGs><ARTG>380476</ARTG></ARTGs><MinimumBenefit>1095</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BS366</BillingCode><Name>Promus ELITE</Name><Description>Everolimus-Eluting Platinum Chromium Coronary Stent System</Description><Size>8mm - 38mm in length, diameter of 2.25mm - 4.0mm</Size><SupplierCode>BS</SupplierCode><CategoryID>27</CategoryID><SubCategoryID>247</SubCategoryID><GroupID>1766</GroupID><SubGroupID>5346</SubGroupID><ARTGs><ARTG>327735</ARTG></ARTGs><MinimumBenefit>1095</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2020-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BS272</BillingCode><Name>SYNERGY</Name><Description>Everolimus-Eluting Platinum Chromium Coronary Stent System with Bioabsorbable Polymer</Description><Size>8mm to 48mm in length, diameter of 2.25 mm - 5.0 mm</Size><SupplierCode>BS</SupplierCode><CategoryID>27</CategoryID><SubCategoryID>247</SubCategoryID><GroupID>1766</GroupID><SubGroupID>5346</SubGroupID><ARTGs><ARTG>220361</ARTG></ARTGs><MinimumBenefit>1095</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2014-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MI517</BillingCode><Name>Onyx Frontier Zotarolimus-Eluting Coronary Stent System</Name><Description>Coronary stent system; drug-eluting.</Description><Size>Diameter: 2.00 to 5.00 mm</Size><SupplierCode>MI</SupplierCode><CategoryID>27</CategoryID><SubCategoryID>247</SubCategoryID><GroupID>1766</GroupID><SubGroupID>5346</SubGroupID><ARTGs><ARTG>408805</ARTG></ARTGs><MinimumBenefit>1095</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2023-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SJ435</BillingCode><PriorBillingCodes><PriorBillingCode>AY040</PriorBillingCode></PriorBillingCodes><Name>XIENCE Xpedition Everolimus Eluting Coronary Stent System</Name><Description>Coronary Artery Stent, Drug Eluting</Description><Size>Xience Xpedition DES - 2.25 x (8,12,15,18,23,28) RX CE, 2.50 x (8,12,15,18,23,28,33,38,48) RX CE; 2.75 x (8,12,15,18,23,28,33,38,48) RX CE; 3.00 x (8,12,15,18,23,28,33,38,48) RX CE; 3.25 x (8,12,15,18,23,28,33,38) RX CE; 3.50 x (8,12,15,18,23,28,33,38,48) RX CE; 4.00 x (8,12,15,18,23,28,33,38) RX CE;</Size><SupplierCode>SJ</SupplierCode><CategoryID>27</CategoryID><SubCategoryID>247</SubCategoryID><GroupID>1766</GroupID><SubGroupID>5346</SubGroupID><ARTGs><ARTG>215602</ARTG><ARTG>215603</ARTG><ARTG>215604</ARTG><ARTG>264373</ARTG></ARTGs><MinimumBenefit>1095</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SJ436</BillingCode><PriorBillingCodes><PriorBillingCode>AY044</PriorBillingCode></PriorBillingCodes><Name>XIENCE Alpine Everolimus Eluting Coronary Stent System</Name><Description>Drug eluting coronary artery stent</Description><Size>2.00 mm x (08, 12, 15, 18, 23, 28) mm  2.25 mm x (08, 12, 15, 18, 23, 28) mm  2.50 mm x (08, 12, 15, 18, 23, 28, 33, 38) mm  2.75 mm x (08, 12, 15, 18, 23, 28, 33, 38) mm  3.00 mm x (08, 12, 15, 18, 23, 28, 33, 38) mm  3.25 mm x (08, 12, 15, 18, 23, 28, 33, 38) mm  3.50 mm x (08, 12, 15, 18, 23, 28, 33, 38) mm  4.00 mm x (08, 12, 15, 18, 23, 28, 33, 38) mm</Size><SupplierCode>SJ</SupplierCode><CategoryID>27</CategoryID><SubCategoryID>247</SubCategoryID><GroupID>1766</GroupID><SubGroupID>5346</SubGroupID><ARTGs><ARTG>266175</ARTG></ARTGs><MinimumBenefit>1095</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MI189</BillingCode><Name>Resolute Onyx Zotarolimus-Eluting Coronary Stent System</Name><Description>coronary stent system; drug eluting</Description><Size>diameter: 2mm to 5mm</Size><SupplierCode>MI</SupplierCode><CategoryID>27</CategoryID><SubCategoryID>247</SubCategoryID><GroupID>1766</GroupID><SubGroupID>5346</SubGroupID><ARTGs><ARTG>263413</ARTG></ARTGs><MinimumBenefit>1095</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2016-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ179</BillingCode><Name>SYNERGY SHIELD</Name><Description>Everolimus-Eluting Platinum Chromium Coronary Stent System with Bioabsorbable Polymer
</Description><Size>8mm to 48mm in length, diameter of 2.25 mm - 5.0 mm</Size><SupplierCode>BS</SupplierCode><CategoryID>27</CategoryID><SubCategoryID>247</SubCategoryID><GroupID>1766</GroupID><SubGroupID>5346</SubGroupID><ARTGs><ARTG>424111</ARTG></ARTGs><MinimumBenefit>1095</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2024-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>DO001</BillingCode><Name>BioFreedom Drug Coated Coronary Stent System</Name><Description>Coronary Artery Stent, Drug Coated</Description><Size>Diameter: 2.25mm to 4.0mm
Length: 8mm to 36mm</Size><SupplierCode>DO</SupplierCode><CategoryID>27</CategoryID><SubCategoryID>247</SubCategoryID><GroupID>1766</GroupID><SubGroupID>5346</SubGroupID><ARTGs><ARTG>280282</ARTG></ARTGs><MinimumBenefit>1095</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>RF037</BillingCode><Name>Firehawk™</Name><Description>Sirolimus - Eluting Coronary Stent System</Description><Size>Length - 13mm - 38mm  Diameter -  2.25mm - 4.0mm </Size><SupplierCode>RF</SupplierCode><CategoryID>27</CategoryID><SubCategoryID>247</SubCategoryID><GroupID>1766</GroupID><SubGroupID>5346</SubGroupID><ARTGs><ARTG>381401</ARTG></ARTGs><MinimumBenefit>1095</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BE002</BillingCode><PriorBillingCodes><PriorBillingCode>ER375</PriorBillingCode></PriorBillingCodes><Name>CRE8 Coronary Stent</Name><Description>Coronary Artery Drug Eluting Stent</Description><Size>The stent is available in 7 diameters: 2.25mm; 2.5mm; 2.75mm; 3.0mm; 3.5mm; 4.0mm; 4.5mm and 8 lengths: 8mm; 12mm; 16mm; 20mm; 25mm; 31mm; 38 mm and 46 mm.</Size><SupplierCode>BE</SupplierCode><CategoryID>27</CategoryID><SubCategoryID>247</SubCategoryID><GroupID>1766</GroupID><SubGroupID>5346</SubGroupID><ARTGs><ARTG>230863</ARTG><ARTG>230865</ARTG><ARTG>230864</ARTG></ARTGs><MinimumBenefit>1095</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BE003</BillingCode><Name>CRE8 EVO</Name><Description>Coronary Artery Drug Eluting Stent </Description><Size>Stent Diameter (mm) 2.00, 2.25, 2.50, 2.75, 3.00, 3.50, 4.00, 4.50                           Stent Length(mm): 9, 13, 16, 20, 26, 33, 40, 46</Size><SupplierCode>BE</SupplierCode><CategoryID>27</CategoryID><SubCategoryID>247</SubCategoryID><GroupID>1766</GroupID><SubGroupID>5346</SubGroupID><ARTGs><ARTG>347171</ARTG><ARTG>347172</ARTG></ARTGs><MinimumBenefit>1095</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BT178</BillingCode><Name>Orsiro</Name><Description>Sirolimus Coronary Artery Stent, Drug Eluting Co/Cr Alloy coated in PLLA</Description><Size>Stent diameters ø 2.25 -4.0mm Lengths: 9-40mm</Size><SupplierCode>BT</SupplierCode><CategoryID>27</CategoryID><SubCategoryID>247</SubCategoryID><GroupID>1766</GroupID><SubGroupID>5346</SubGroupID><ARTGs><ARTG>220414</ARTG></ARTGs><MinimumBenefit>1095</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2015-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BT254</BillingCode><Name>ORSIRO Mission</Name><Description>Sirolimus Coronary Artery Stent, Drug Eluting Co/Cr Alloy coated in PLLA</Description><Size>Stent diameters ø 2.25 - 4.0mm Lengths: 9-40mm  </Size><SupplierCode>BT</SupplierCode><CategoryID>27</CategoryID><SubCategoryID>247</SubCategoryID><GroupID>1766</GroupID><SubGroupID>5346</SubGroupID><ARTGs><ARTG>352490</ARTG></ARTGs><MinimumBenefit>1095</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SJ478</BillingCode><Name>XIENCE Skypoint Everolimus Eluting Coronary Stent System</Name><Description>Drug eluting coronary artery stent</Description><Size>Stent diameters 2.0 - 4.0 mm in lengths 8 mm - 38 mm;  Stent diameters 2.5 - 4.0 mm in 48 mm length; Stent diameters 4.5 - 5.0 mm in lengths 12 mm - 33 mm</Size><SupplierCode>SJ</SupplierCode><CategoryID>27</CategoryID><SubCategoryID>247</SubCategoryID><GroupID>1766</GroupID><SubGroupID>5346</SubGroupID><ARTGs><ARTG>393511</ARTG></ARTGs><MinimumBenefit>1095</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SJ434</BillingCode><PriorBillingCodes><PriorBillingCode>AY037</PriorBillingCode></PriorBillingCodes><Name>Xience PRIME LL Everolimus Eluting Coronary Stent; Xience PRIME Everolimus Eluting Coronary Stent;  Xience PRIME SV Everolimus Eluting Coronary Stent</Name><Description>Coronary Artery Stent, Drug Eluting</Description><Size>XIENCE PRIME LL 2.50; 2.75; 3.00; 3.50; 4.0 x 33MM;  XIENCE PRIME LL 2.50; 2.75; 3.00; 3.50; 4.0 x 38MM;  XIENCE PRIME SV 2.25 x 08; 12; 15; 18; 23; 28MM; XIENCE PRIME 2.50 x 08; 12; 15; 18; 23; 28MM;  XIENCE PRIME 2.75 x 08; 12; 15; 18; 23; 28MM;  XIENCE PRIME 3.00 x 08; 12; 15; 18; 23; 28MM;  XIENCE PRIME 3.50 x 08; 12; 15; 18; 23; 28MM;  XIENCE PRIME 4.00 x 08; 12; 15; 18; 23; 28MM</Size><SupplierCode>SJ</SupplierCode><CategoryID>27</CategoryID><SubCategoryID>247</SubCategoryID><GroupID>1766</GroupID><SubGroupID>5346</SubGroupID><ARTGs><ARTG>167859</ARTG><ARTG>167878</ARTG><ARTG>167879</ARTG></ARTGs><MinimumBenefit>1095</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SJ437</BillingCode><PriorBillingCodes><PriorBillingCode>AY047</PriorBillingCode></PriorBillingCodes><Name>XIENCE Sierra Everolimus Eluting Coronary Stent System</Name><Description>Drug eluting coronary artery stent</Description><Size>Diameter: 2.00mm to 4.0mm. Length: 8mm to 38mm</Size><SupplierCode>SJ</SupplierCode><CategoryID>27</CategoryID><SubCategoryID>247</SubCategoryID><GroupID>1766</GroupID><SubGroupID>5346</SubGroupID><ARTGs><ARTG>313811</ARTG></ARTGs><MinimumBenefit>1095</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-03-01</CycleStartDate><CycleEndDate>2025-03-01</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><MinimumBenefit>389</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2024-11-01</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>JJ</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>DY545</BillingCode><Name>Monarch Spinal System</Name><Description>Threaded Connector</Description><Size>One size only</Size><SupplierCode>JJ</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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><MinimumBenefit>389</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2023-03-01</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>154442</ARTG><ARTG>159828</ARTG></ARTGs><MinimumBenefit>389</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-07-01</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</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>160750</ARTG><ARTG>170220</ARTG></ARTGs><MinimumBenefit>389</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2020-11-01</CycleStartDate><CycleEndDate>2025-03-01</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>458188</ARTG><ARTG>458187</ARTG></ARTGs><MinimumBenefit>389</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2024-11-01</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</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, with Nut and Set Screw</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><ChangeExplanation>Change to Description</ChangeExplanation><MinimumBenefit>389</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Update</ActionFlag><CycleStartDate>2021-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ER715</BillingCode><Name>SIGNUS COSY Cervicothoracic Occipital Rod-Screw System- Cross Connector</Name><Description>SIGNUS COSY Cervicothoracic Occipital Rod-Screw System- Cross Connector, adjustable; sterile, incl. set screws (non-sterile or sterile)</Description><Size>dia 3.5 mm; length adjustable from (22-44) mm to (30-52) mm</Size><SupplierCode>ER</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>167</SubCategoryID><GroupID>1474</GroupID><SubGroupID>4123</SubGroupID><ARTGs><ARTG>464686</ARTG><ARTG>464685</ARTG></ARTGs><ChangeExplanation>New listing</ChangeExplanation><MinimumBenefit>389</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2025-03-01</CycleStartDate><CycleEndDate>2025-03-01</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>279150</ARTG><ARTG>279160</ARTG><ARTG>279151</ARTG></ARTGs><MinimumBenefit>389</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>IY115</BillingCode><PriorBillingCodes><PriorBillingCode>LH746</PriorBillingCode><PriorBillingCode>LM499</PriorBillingCode></PriorBillingCodes><Name>Inline Connectors</Name><Description>Inline Connectors</Description><Size>7.5 to 17 mm </Size><SupplierCode>IY</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>167</SubCategoryID><GroupID>1474</GroupID><SubGroupID>4123</SubGroupID><ARTGs><ARTG>362890</ARTG></ARTGs><ChangeExplanation>
Billing code transferred from LH746
Sponsor transferred from LIFEHEALTHCARE PTY LIMITED</ChangeExplanation><MinimumBenefit>389</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2023-07-01</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>JJ</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>4123</SubGroupID><ARTGs><ARTG>473725</ARTG></ARTGs><ChangeExplanation>Change to ARTG,Change to Group benefit</ChangeExplanation><MinimumBenefit>389</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Update</ActionFlag><CycleStartDate>2019-03-01</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>283853</ARTG><ARTG>283854</ARTG></ARTGs><MinimumBenefit>1136</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-08-01</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</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><MinimumBenefit>1136</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>EY044</BillingCode><Name>VERTICALE Cross Connectors</Name><Description>Cross connectors made of titanium alloy</Description><Size>28-90mm</Size><SupplierCode>EY</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>167</SubCategoryID><GroupID>1474</GroupID><SubGroupID>4124</SubGroupID><ARTGs><ARTG>462979</ARTG></ARTGs><ChangeExplanation>New listing</ChangeExplanation><MinimumBenefit>1136</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2025-03-01</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</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>2025-03-01</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>JJ</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>167</SubCategoryID><GroupID>1474</GroupID><SubGroupID>4124</SubGroupID><ARTGs><ARTG>293276</ARTG><ARTG>293275</ARTG></ARTGs><MinimumBenefit>1136</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2011-02-01</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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><MinimumBenefit>1136</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2020-11-01</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>JJ</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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><MinimumBenefit>1136</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-03-01</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>JJ</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SY398</BillingCode><Name>Axon Spinal System - Transconnector</Name><Description>Axon Transconnector</Description><Size>60mm - 75mm</Size><SupplierCode>JJ</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>2025-03-01</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>JJ</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>WY</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>167</SubCategoryID><GroupID>1474</GroupID><SubGroupID>4124</SubGroupID><ARTGs><ARTG>455157</ARTG></ARTGs><MinimumBenefit>1136</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2024-11-01</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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><MinimumBenefit>1136</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2024-11-01</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</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><MinimumBenefit>1136</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2020-11-01</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MU124</BillingCode><Name>M.U.S.T LINK - Cross Connector</Name><Description>Cross Connector</Description><Size>Rod diameter 5.0, 5.5 mm &amp; 6.0 and length 35-98</Size><SupplierCode>MU</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>167</SubCategoryID><GroupID>1474</GroupID><SubGroupID>4124</SubGroupID><ARTGs><ARTG>222457</ARTG></ARTGs><ChangeExplanation>Change to Size</ChangeExplanation><MinimumBenefit>1136</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Update</ActionFlag><CycleStartDate>2014-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>KT064</BillingCode><Name>Martin Level 1 Fixation</Name><Description>Orthodontic Screw</Description><Size>1.5 - 2.0mm</Size><SupplierCode>KT</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>201</SubCategoryID><GroupID>1602</GroupID><SubGroupID>4389</SubGroupID><ARTGs><ARTG>96619</ARTG></ARTGs><MinimumBenefit>76</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2015-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SK422</BillingCode><Name>Orthodontic Skeletal Anchor Screw</Name><Description>Anchor Screw for Mandibular Maxillary Fixation Screw, Self-Drilling</Description><Size>1.7mm</Size><SupplierCode>JV</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>201</SubCategoryID><GroupID>1602</GroupID><SubGroupID>4389</SubGroupID><ARTGs><ARTG>251654</ARTG></ARTGs><MinimumBenefit>76</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2006-11-30</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SK423</BillingCode><Name>Orthodontic Skeletal Anchor Screw</Name><Description>Anchor Screw for Mandibular Maxillary Fixation Screw, Self-Drilling</Description><Size>2.0mm</Size><SupplierCode>JV</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>201</SubCategoryID><GroupID>1602</GroupID><SubGroupID>4389</SubGroupID><ARTGs><ARTG>200615</ARTG><ARTG>251654</ARTG></ARTGs><MinimumBenefit>76</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2006-11-30</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>GI018</BillingCode><Name>Master Pin</Name><Description>Pins used in dental surgery for the fixation of membranes (absorbable, non-absorbable and titanium membranes) in order to avoid micro-mobility of the graft. With sharp tips and the stable construction, the pins can be precisely inserted into cortical bones. The pins have an additional minithread and are a hybrid composed of a screw and pin. The thread makes easy and safe removal possible after a healing period has taken place. This thread enlarges the surface of the shaft at the same time and therefore offers more stability.</Description><Size>3.5mm</Size><SupplierCode>GI</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>201</SubCategoryID><GroupID>1602</GroupID><SubGroupID>4389</SubGroupID><ARTGs><ARTG>280879</ARTG></ARTGs><MinimumBenefit>76</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>KT063</BillingCode><Name>Martin Level One Fixation</Name><Description>Orthodontic skeletal anchorage plate</Description><Size>0.5 to 0.99mm thick, 2 to 7 holes</Size><SupplierCode>KT</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>201</SubCategoryID><GroupID>1602</GroupID><SubGroupID>4390</SubGroupID><ARTGs><ARTG>96619</ARTG></ARTGs><MinimumBenefit>220</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2015-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SK421</BillingCode><Name>Orthodontic Skeletal Anchor Plate</Name><Description>Orthodontic Skeletal Anchor Plate Locking</Description><Size>1.7mm</Size><SupplierCode>JV</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>201</SubCategoryID><GroupID>1602</GroupID><SubGroupID>4390</SubGroupID><Suffix>Locking</Suffix><ARTGs><ARTG>295882</ARTG></ARTGs><MinimumBenefit>312</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2006-11-30</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SK420</BillingCode><Name>Orthodontic Skeletal Anchor Plate</Name><Description>Orthodontic Skeletal Anchor Plate, Standard</Description><Size>1.7mm</Size><SupplierCode>JV</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>201</SubCategoryID><GroupID>1602</GroupID><SubGroupID>4390</SubGroupID><ARTGs><ARTG>295882</ARTG></ARTGs><MinimumBenefit>220</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2006-11-30</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MV018</BillingCode><Name>MIS Implants</Name><Description>Titanium implants (C1)</Description><Size>3.30mm, 3.75mm, 4.2mm, 5mm Diameter. 8mm, 10mm, 11.5mm, 13mm, 16mm Length.</Size><SupplierCode>MV</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>201</SubCategoryID><GroupID>1602</GroupID><SubGroupID>4392</SubGroupID><ARTGs><ARTG>104449</ARTG></ARTGs><MinimumBenefit>351</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2020-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SB023</BillingCode><Name>Neodent Helix GM Acqua Implant</Name><Description>Titanium dental implant, Acqua hydrophilic surface</Description><Size>Diameter: 3.5mm - 7.0mm    Length: 8.0mm - 18.0mm</Size><SupplierCode>SB</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>201</SubCategoryID><GroupID>1602</GroupID><SubGroupID>4392</SubGroupID><Suffix>Hydrophilic Coating</Suffix><ARTGs><ARTG>329014</ARTG></ARTGs><MinimumBenefit>409</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SB015</BillingCode><Name>BLX Roxolid SLActive Implant</Name><Description>Bone level implant with SLActive hydrophilic surface</Description><Size>Diameter: 3.5mm, 3.75mm, 4.0mm, 4.5mm, 5.0mm, 5.5mm, 6.5mm            Length: 6mm - 18mm</Size><SupplierCode>SB</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>201</SubCategoryID><GroupID>1602</GroupID><SubGroupID>4392</SubGroupID><Suffix>Hydrophilic Coating</Suffix><ARTGs><ARTG>119306</ARTG></ARTGs><MinimumBenefit>409</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2020-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>GZ002</BillingCode><Name>JD Evolution Dental Implants</Name><Description>Titanium Dental Implants</Description><Size>2.75mm to 6.0mm (diameter), 6mm to 26mm (height)</Size><SupplierCode>GZ</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>201</SubCategoryID><GroupID>1602</GroupID><SubGroupID>4392</SubGroupID><ARTGs><ARTG>334160</ARTG></ARTGs><MinimumBenefit>351</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2020-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>IC001</BillingCode><PriorBillingCodes><PriorBillingCode>HD016</PriorBillingCode><PriorBillingCode>HD006</PriorBillingCode></PriorBillingCodes><Name>Southern Dental Implants</Name><Description>Titanium dental implants in External-Hex, Tri-Nex or Internal Octagon (IT) connection</Description><Size>3.25 to 6.0mm diameter, 6.0 to 52.5mm length</Size><SupplierCode>IC</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>201</SubCategoryID><GroupID>1602</GroupID><SubGroupID>4392</SubGroupID><ARTGs><ARTG>225923</ARTG></ARTGs><ChangeExplanation>Change to ARTG</ChangeExplanation><MinimumBenefit>351</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Update</ActionFlag><CycleStartDate>2016-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>NR012</BillingCode><Name>Groovy Implants (NobelReplace Tapered Groovy, Branemark System Mk III Groovy, NobelSpeedy Groovy)</Name><Description>Dental Implants, endosseous</Description><Size>Diameter 3.3 - 6.0mm; Length 7.0 - 25.0mm</Size><SupplierCode>NR</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>201</SubCategoryID><GroupID>1602</GroupID><SubGroupID>4392</SubGroupID><ARTGs><ARTG>97382</ARTG></ARTGs><MinimumBenefit>351</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2009-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>NR014</BillingCode><Name>NobelParallel Conical Connection</Name><Description>Dental implants</Description><Size>Diameter: 3.75mm - 5.5mm
Length : 7.0mm - 18mm</Size><SupplierCode>NR</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>201</SubCategoryID><GroupID>1602</GroupID><SubGroupID>4392</SubGroupID><ARTGs><ARTG>97382</ARTG></ARTGs><MinimumBenefit>351</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>JN001</BillingCode><Name>ARDS Implants</Name><Description>Titanium implants (SMART, CIT)  </Description><Size>(3 - 6)mm diameter x (8-13)mm length</Size><SupplierCode>JN</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>201</SubCategoryID><GroupID>1602</GroupID><SubGroupID>4392</SubGroupID><ARTGs><ARTG>375050</ARTG></ARTGs><MinimumBenefit>351</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HQ004</BillingCode><Name>Rex PiezoImplant (Piezoimplant, Retention Screw, Fixture Mount/Temp &amp; cover screw)</Name><Description>The PiezoImplant System is intended for use in Dental Implant applications for oral rehabilitation of edentoulous and partially dentate Patients in the Maxilla and Mandible.The Rex PiezoImplant was designed to manage reduced Crestal Width. Its rectangular section mimics the anatomy of the reduced Crestal bone. This level of bone preservation is not possible with traditional, screw-form implants because their circular section poses a geometrical discrepancy with the anatomy.</Description><Size>1.8mm x 5.0mm (rectangle)in lengths of 9,11,13 &amp; 15mm   2.9mm x 5.0mm (rectangle)in lengths of 9,11,13 &amp; 15mm</Size><SupplierCode>HQ</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>201</SubCategoryID><GroupID>1602</GroupID><SubGroupID>4392</SubGroupID><ARTGs><ARTG>389951</ARTG></ARTGs><MinimumBenefit>351</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2023-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>NR013</BillingCode><Name>NobelActive implants</Name><Description>Dental implants, endosseous</Description><Size>Diameter 3.5 - 5.5mm; Length 7.0 - 18.0mm</Size><SupplierCode>NR</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>201</SubCategoryID><GroupID>1602</GroupID><SubGroupID>4392</SubGroupID><ARTGs><ARTG>97382</ARTG></ARTGs><MinimumBenefit>351</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2009-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>NR010</BillingCode><Name>Replace Implant (NobelReplace Conical Connection, NobelReplace Conical Connection PMC)</Name><Description>Dental Implant Endosseous, Titanium</Description><Size>Diameter: 3.5mm- 5.0mm
Length : 8.0mm - 16.00mm</Size><SupplierCode>NR</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>201</SubCategoryID><GroupID>1602</GroupID><SubGroupID>4392</SubGroupID><ARTGs><ARTG>97382</ARTG></ARTGs><MinimumBenefit>351</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>FV005</BillingCode><PriorBillingCodes><PriorBillingCode>DH005</PriorBillingCode></PriorBillingCodes><Name>Ankylos C/X Implants</Name><Description>Screw implant with cover screw (included) and pre-mounted placement head</Description><Size>Diameter range 3.5 - 7.0 mm, Length 8-17mm</Size><SupplierCode>FV</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>201</SubCategoryID><GroupID>1602</GroupID><SubGroupID>4392</SubGroupID><ARTGs><ARTG>212688</ARTG></ARTGs><MinimumBenefit>351</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2019-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SB030</BillingCode><Name>TLX Roxolid SLA Implant</Name><Description>Tissue Level Implant </Description><Size>Diameter: 3.75 mm, 4.5 mm, 5.5 mm, 6.5 mm      narrow, regular or wide base  Length: 6 mm, 8 mm, 10 mm, 12 mm, 14 mm, 16 mm, 18 mm  </Size><SupplierCode>SB</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>201</SubCategoryID><GroupID>1602</GroupID><SubGroupID>4392</SubGroupID><ARTGs><ARTG>119306</ARTG></ARTGs><MinimumBenefit>351</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MV015</BillingCode><Name>MIS Implants</Name><Description>Titanium implants (V3)</Description><Size>3.30mm, 3.90mm, 4.30mm, 5mm Diameter.   8mm, 10mm, 11.50mm, 13mm, 16mm Length.</Size><SupplierCode>MV</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>201</SubCategoryID><GroupID>1602</GroupID><SubGroupID>4392</SubGroupID><ARTGs><ARTG>104449</ARTG></ARTGs><MinimumBenefit>351</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2020-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SB012</BillingCode><Name>Neodent Helix GM Implant</Name><Description>Neodent Helix GM Titanium Implant (NeoPoros)</Description><Size>Diameter: 3.5mm - 7mm    Length: 8.0mm - 18.0mm</Size><SupplierCode>SB</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>201</SubCategoryID><GroupID>1602</GroupID><SubGroupID>4392</SubGroupID><ARTGs><ARTG>329014</ARTG></ARTGs><MinimumBenefit>351</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2019-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SB008</BillingCode><Name>Straumann Dental Implant</Name><Description>Straumann Dental Implant</Description><Size>Diameter 3.3mm - 6.5mm  Length 6 - 18mm</Size><SupplierCode>SB</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>201</SubCategoryID><GroupID>1602</GroupID><SubGroupID>4392</SubGroupID><ARTGs><ARTG>119306</ARTG></ARTGs><MinimumBenefit>351</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2016-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>FV002</BillingCode><Name>Dentsply Sirona Implants (Astra Tech implant EV/Tx, PrimeTaper EV and OmniTaper EV)</Name><Description>Titanium fixture with microthreaded cervical neck</Description><Size>Diameter 3.0 - 5.5mm, Length 6-18mm</Size><SupplierCode>FV</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>201</SubCategoryID><GroupID>1602</GroupID><SubGroupID>4392</SubGroupID><ARTGs><ARTG>212688</ARTG></ARTGs><MinimumBenefit>351</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2019-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>NW011</BillingCode><Name>Zimmer Tapered Screw-Vent Implant </Name><Description>Dental Implant Endosseous</Description><Size>3.1mm 3.7mm 4.1mm 4.7mm 6.0mm, 5.4mm</Size><SupplierCode>NW</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>201</SubCategoryID><GroupID>1602</GroupID><SubGroupID>4392</SubGroupID><ARTGs><ARTG>282252</ARTG></ARTGs><MinimumBenefit>351</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>NW002</BillingCode><Name>T3 Implant System</Name><Description>Dental Implant</Description><Size>3.25 - 6mm diameter</Size><SupplierCode>NW</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>201</SubCategoryID><GroupID>1602</GroupID><SubGroupID>4392</SubGroupID><ARTGs><ARTG>100482</ARTG></ARTGs><MinimumBenefit>351</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MV004</BillingCode><Name>MIS Implants</Name><Description>Titanium implants (Biocom, Seven, Mistral)</Description><Size>3mm - 6mm Diameter, 6mm - 16mm length</Size><SupplierCode>MV</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>201</SubCategoryID><GroupID>1602</GroupID><SubGroupID>4392</SubGroupID><ARTGs><ARTG>104449</ARTG></ARTGs><MinimumBenefit>351</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SB009</BillingCode><Name>Straumann Implants with SLActive Hydrophillic Surface</Name><Description>Straumann Bone Level and Tissue Level Implants with SLActive Hydrophillic Surface</Description><Size>2.9mm - 4.8mm diameter, 4mm-18mm height</Size><SupplierCode>SB</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>201</SubCategoryID><GroupID>1602</GroupID><SubGroupID>4392</SubGroupID><Suffix>Hydrophilic Coating</Suffix><ARTGs><ARTG>119306</ARTG></ARTGs><MinimumBenefit>409</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2016-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SB018</BillingCode><Name>BLX Roxolid SLA Implant</Name><Description>Bone level implant</Description><Size>Diameter: 3.5mm, 3.75mm, 4.0mm, 4.5mm, 5.0mm, 5.5mm, 6.5mm            Length: 6mm- 18mm</Size><SupplierCode>SB</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>201</SubCategoryID><GroupID>1602</GroupID><SubGroupID>4392</SubGroupID><ARTGs><ARTG>119306</ARTG></ARTGs><MinimumBenefit>351</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2020-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ER413</BillingCode><Name>Bicon Dental Implant System-Implant</Name><Description>Bicon Dental Implants for mandible or maxilla, endosseous, hydroxyapatite coated, with well</Description><Size>Dia (3-6mm) x length (5-11mm); well (2-3mm)</Size><SupplierCode>ER</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>201</SubCategoryID><GroupID>1602</GroupID><SubGroupID>4392</SubGroupID><ARTGs><ARTG>158187</ARTG><ARTG>160010</ARTG></ARTGs><MinimumBenefit>351</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>NR003</BillingCode><Name>Branemark System</Name><Description>Dental Implants, endosseous</Description><Size>Diameter: 3.3mm - 5.0mm
Length: 10mm - 15mm</Size><SupplierCode>NR</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>201</SubCategoryID><GroupID>1602</GroupID><SubGroupID>4392</SubGroupID><ARTGs><ARTG>97382</ARTG></ARTGs><MinimumBenefit>351</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HD033</BillingCode><Name>BioHorizons PTG Implant</Name><Description>BioHorizons Tapered PTG implants support full-arch treatment in severely resorbed maxillae and provide an alternative to grafting, potentially expediting treatment. Tapered PTG Implant is narrow, dual tapered shape which is designed for precise placement. This approach maximizes AP spread for full arch restorations, while maintaining high implant stability. Cover screw included.  </Description><Size>Body diameter: 4.2mm.  Apex diameter: 2.2mm.  Platform diameter: 3.5mm.  Body length: 15-18mm.  </Size><SupplierCode>HD</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>201</SubCategoryID><GroupID>1602</GroupID><SubGroupID>4392</SubGroupID><ARTGs><ARTG>126233</ARTG></ARTGs><MinimumBenefit>351</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2023-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HD030</BillingCode><Name>Camlog Conelog Progressive Line Implant</Name><Description>Bone-level CONELOG PROGRESSIVE conically tapered implant designed for high primary stability in all bone types. Other features include sand-blasted and acid etched surface and proven deep conical connection with integrated platform switching. </Description><Size>Diameters: 3.3, 3.8, 4.3, 5.0. Length: 7, 9, 11, 13, 16mm </Size><SupplierCode>HD</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>201</SubCategoryID><GroupID>1602</GroupID><SubGroupID>4392</SubGroupID><ARTGs><ARTG>378610</ARTG></ARTGs><MinimumBenefit>351</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2023-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>IF001</BillingCode><Name>Implant Direct Oceania Implant Systems (InterActive, Legacy, Swish)</Name><Description>Dental implants, endosseous</Description><Size>Diameter 3.2 - 7.0mm; Length 6.0 - 16.0mm</Size><SupplierCode>IF</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>201</SubCategoryID><GroupID>1602</GroupID><SubGroupID>4392</SubGroupID><ARTGs><ARTG>238870</ARTG></ARTGs><MinimumBenefit>351</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2020-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HD024</BillingCode><Name>BioHorizons Tapered Pro</Name><Description>Bone level tapered implant with Laser-Lok collar for immediate placement. Colour-coded internal hex conical connection. Cover screw included.</Description><Size>Body diameter: 3.8-5.2mm   Platform diameter: 3-4.5mm   Body length: 9-18mm  </Size><SupplierCode>HD</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>201</SubCategoryID><GroupID>1602</GroupID><SubGroupID>4392</SubGroupID><ARTGs><ARTG>126233</ARTG></ARTGs><MinimumBenefit>351</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SB035</BillingCode><Name>Straumann SLActive BLC and TLC Implants</Name><Description>Straumann Titanium Dental Implants with SLActive hydrophilic surface</Description><Size>Diameter 3.3mm - 6.5mm    Length 6mm - 18mm</Size><SupplierCode>SB</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>201</SubCategoryID><GroupID>1602</GroupID><SubGroupID>4392</SubGroupID><Suffix>Hydrophilic Coating</Suffix><ARTGs><ARTG>119306</ARTG></ARTGs><MinimumBenefit>409</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2023-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SB029</BillingCode><Name>TLX Roxolid SLActive Implant </Name><Description>Tissue Level implant with SLActive hydrophilic surface</Description><Size>Diameter: 3.75 mm, 4.5 mm, 5.5 mm, 6.5 mm  Length: 6 mm, 8 mm, 10 mm, 12 mm, 14 mm, 16 mm, 18 mm  narrow, regular or wide base  </Size><SupplierCode>SB</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>201</SubCategoryID><GroupID>1602</GroupID><SubGroupID>4392</SubGroupID><Suffix>Hydrophilic Coating</Suffix><ARTGs><ARTG>119306</ARTG></ARTGs><MinimumBenefit>409</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>NJ001</BillingCode><Name>NEOSS IMPLANT SYSTEM</Name><Description>TITANIUM DENTAL IMPLANT</Description><Size>DIAMETERS  3.25; 3.5; 4.0; 4.5; 5.0; 5.5; 6.0 and 6.5 mm in Lengths: 7, 9, 11, 13, 15, and 17mm</Size><SupplierCode>NJ</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>201</SubCategoryID><GroupID>1602</GroupID><SubGroupID>4392</SubGroupID><Suffix>Hydrophilic Coating</Suffix><ARTGs><ARTG>119452</ARTG></ARTGs><MinimumBenefit>409</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SB005</BillingCode><Name>Straumann Bone Ceramic</Name><Description>070.198 Straumann Bone Ceramic 400 -700</Description><Size>Straumann Bone Ceramic 400 -700, Granule size 400 - 700 microns, Unit size 0.25 g, Volume: approx 0.3 ml</Size><SupplierCode>SB</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>201</SubCategoryID><GroupID>1602</GroupID><SubGroupID>4393</SubGroupID><ARTGs><ARTG>194429</ARTG></ARTGs><MinimumBenefit>96</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2011-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ER377</BillingCode><Name>Bicon SynthoGraft Pure Phase Beta-Tricalcium Phosphate, 0.25 g</Name><Description>Bicon SynthoGraft Pure Phase Beta-Tricalcium Phosphate, 0.25 g, synthetic</Description><Size>0.25 g, granule size 50-500μm or 500-1000μm</Size><SupplierCode>ER</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>201</SubCategoryID><GroupID>1602</GroupID><SubGroupID>4393</SubGroupID><ARTGs><ARTG>230860</ARTG></ARTGs><MinimumBenefit>96</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>NW006</BillingCode><Name>Endobon Xenograft Granules</Name><Description>Hydroxyapatite granules, 0.5-1mm diameter</Description><Size>0.5ml</Size><SupplierCode>NW</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>201</SubCategoryID><GroupID>1602</GroupID><SubGroupID>4394</SubGroupID><ARTGs><ARTG>171507</ARTG></ARTGs><MinimumBenefit>293</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>FV013</BillingCode><Name>OSSIX Bone</Name><Description>OSSIX Bone is an osteoconductive bone grafting material aimed to fill, augment, or reconstruct periodontal and bony defects of the maxillo-facial complex.</Description><Size>5 x 10 x 10mm (0.5 cc)</Size><SupplierCode>FV</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>201</SubCategoryID><GroupID>1602</GroupID><SubGroupID>4394</SubGroupID><ARTGs><ARTG>380303</ARTG></ARTGs><MinimumBenefit>293</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SB006</BillingCode><Name>Straumann Bone Ceramic</Name><Description>070.199 Straumann Bone Ceramic 500 -1000</Description><Size>Straumann Bone Ceramic 500 -1000, Granule size: 500 -1000 microns, Unit size: 0.5 g, Volume: approx 0.95 ml</Size><SupplierCode>SB</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>201</SubCategoryID><GroupID>1602</GroupID><SubGroupID>4394</SubGroupID><ARTGs><ARTG>194429</ARTG></ARTGs><MinimumBenefit>293</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2011-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MV021</BillingCode><Name>BVital GENOSS Granules </Name><Description>Anorganic Bone Mineral Granules , vial or preloaded applicator </Description><Size>&lt;1.0 cc</Size><SupplierCode>MV</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>201</SubCategoryID><GroupID>1602</GroupID><SubGroupID>4394</SubGroupID><ARTGs><ARTG>376529</ARTG><ARTG>376530</ARTG></ARTGs><MinimumBenefit>293</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SB021</BillingCode><Name>cerabone</Name><Description>Bone grafting material derived from bovine bone</Description><Size>Granule size 0.5 - 1.0mm; 0.5ml.  Granule size 1.0 - 2.0mm; 0.5ml. </Size><SupplierCode>SB</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>201</SubCategoryID><GroupID>1602</GroupID><SubGroupID>4394</SubGroupID><ARTGs><ARTG>329433</ARTG></ARTGs><MinimumBenefit>293</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2020-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ER378</BillingCode><Name>Bicon SynthoGraft Pure Phase Beta-Tricalcium Phosphate, 0.5 g</Name><Description>Bicon SynthoGraft Pure Phase Beta-Tricalcium Phosphate, 0.5 gram, synthetic</Description><Size>0.5 gram; granule size 50-500μm or 500-1000μm</Size><SupplierCode>ER</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>201</SubCategoryID><GroupID>1602</GroupID><SubGroupID>4394</SubGroupID><ARTGs><ARTG>230860</ARTG></ARTGs><MinimumBenefit>293</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>GI032</BillingCode><Name>Bio-Oss</Name><Description>Natural bone mineral derived from bovine bone</Description><Size>0.25 to 1mm; 0.25g (0.5125cc)</Size><SupplierCode>GI</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>201</SubCategoryID><GroupID>1602</GroupID><SubGroupID>4394</SubGroupID><ARTGs><ARTG>229987</ARTG></ARTGs><MinimumBenefit>293</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2023-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>IF002</BillingCode><Name>Bioresorb Macro Pore</Name><Description>ß-Tricalcium Phosphate Bone Regeneration Material with Advanced Porosity</Description><Size>200 – 500 μm at 0.5 ml, 500 – 1000 μm at 0.5 ml, 500 – 1000 μm at 1.0 ml </Size><SupplierCode>IF</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>201</SubCategoryID><GroupID>1602</GroupID><SubGroupID>4394</SubGroupID><ARTGs><ARTG>136546</ARTG></ARTGs><MinimumBenefit>293</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2020-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HD023</BillingCode><Name>BioHorizons MinerOss XP</Name><Description>MinerOss XP is a highly porous anorganic porcine bone mineral matrix designed for hard tissue grafting applications. Xenograft for filling of bone defects in maxillofacial surgery, implantology, and periodontology.</Description><Size>Particle size ranges from 250-1000μm   Volume: 0.5cc,  Jar or Syringe applicator</Size><SupplierCode>HD</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>201</SubCategoryID><GroupID>1602</GroupID><SubGroupID>4394</SubGroupID><ARTGs><ARTG>299220</ARTG></ARTGs><MinimumBenefit>293</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>GI007</BillingCode><Name>Bio-Oss Pen</Name><Description>Pen applicator with natural bone mineral derived from bovine bone</Description><Size>0.25 to 1mm; 0.25g (0.5125cc)</Size><SupplierCode>GI</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>201</SubCategoryID><GroupID>1602</GroupID><SubGroupID>4394</SubGroupID><ARTGs><ARTG>229990</ARTG></ARTGs><MinimumBenefit>293</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2015-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>GI008</BillingCode><Name>Bio-Oss Pen</Name><Description>Pen applicator with natural bone mineral derived from bovine bone</Description><Size>0.25 to 1mm; 0.5g (1.025cc)</Size><SupplierCode>GI</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>201</SubCategoryID><GroupID>1602</GroupID><SubGroupID>4395</SubGroupID><ARTGs><ARTG>229990</ARTG></ARTGs><MinimumBenefit>293</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2015-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>GI009</BillingCode><Name>Bio-Oss Pen</Name><Description>Pen applicator with natural bone mineral derived from bovine bone</Description><Size>1 to 2mm; 0.5g (1.5cc)</Size><SupplierCode>GI</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>201</SubCategoryID><GroupID>1602</GroupID><SubGroupID>4395</SubGroupID><ARTGs><ARTG>229990</ARTG></ARTGs><MinimumBenefit>293</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2015-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>IC005</BillingCode><Name>Zen Gro</Name><Description>Dental Bone Matrix Implant, animal derived</Description><Size>Particle size 0.25-1mm 0.5 cc
Particle Sze  0.25-1mm 1.0 cc
Particle Size 0.25-1mm 2.0 cc
Particle Size 0.25-1mm 4.0 cc
Particle size 1.0-2.0mm  1.0cc
Particle size 1.0-2.0mm  2.0cc</Size><SupplierCode>IC</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>201</SubCategoryID><GroupID>1602</GroupID><SubGroupID>4395</SubGroupID><ARTGs><ARTG>299165</ARTG></ARTGs><MinimumBenefit>293</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2019-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ER379</BillingCode><Name>Bicon SynthoGraft Pure Phase Beta-Tricalcium Phosphate, 1-2 g</Name><Description>Bicon SynthoGraft Pure Phase Beta-Tricalcium Phosphate, 1-2 gram, synthetic</Description><Size>1 and 2 grams, granule size 50-500μm and  500-1000μm</Size><SupplierCode>ER</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>201</SubCategoryID><GroupID>1602</GroupID><SubGroupID>4395</SubGroupID><ARTGs><ARTG>230860</ARTG></ARTGs><MinimumBenefit>293</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SB022</BillingCode><Name>cerabone</Name><Description>Bone grafting material derived from bovine bone</Description><Size>Granule size: 0.5 - 1.0mm; 1ml.  Granule size: 1.0 - 2.0mm; 1ml.</Size><SupplierCode>SB</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>201</SubCategoryID><GroupID>1602</GroupID><SubGroupID>4395</SubGroupID><ARTGs><ARTG>329433</ARTG></ARTGs><MinimumBenefit>293</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2020-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SB007</BillingCode><Name>Straumann Bone Ceramic</Name><Description>070.200 Straumann Bone Ceramic 500 -1000</Description><Size>Straumann Bone Ceramic 500 -1000, Granule size: 500 -1000 microns, Unit Size 1g, Volume approx 1.9 ml</Size><SupplierCode>SB</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>201</SubCategoryID><GroupID>1602</GroupID><SubGroupID>4395</SubGroupID><ARTGs><ARTG>194429</ARTG></ARTGs><MinimumBenefit>293</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2011-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MV022</BillingCode><Name>BVital GENOSS Granules </Name><Description>Anorganic Bone Mineral Granules , vial </Description><Size> (1 -2) cc</Size><SupplierCode>MV</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>201</SubCategoryID><GroupID>1602</GroupID><SubGroupID>4395</SubGroupID><ARTGs><ARTG>376529</ARTG></ARTGs><MinimumBenefit>293</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HD028</BillingCode><Name>BioHorizons MinerOss XP</Name><Description>MinerOss XP is a highly porous anorganic porcine bone mineral matrix designed for hard tissue grafting applications. Xenograft for filling of bone defects in maxillofacial surgery,implantology, and periodontology.</Description><Size>Particle size ranges from 250-1000μm or 1000-2000μm Volume: 1.0cc, 2.0cc, and 4.0cc Jar or Syringe applicator</Size><SupplierCode>HD</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>201</SubCategoryID><GroupID>1602</GroupID><SubGroupID>4395</SubGroupID><ARTGs><ARTG>299220</ARTG></ARTGs><MinimumBenefit>293</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SB020</BillingCode><Name>cerabone</Name><Description>Bone grafting material derived from bovine bone</Description><Size>Granule size 0.5 - 1.0ml; 2cc(ml), 5cc(ml).   Granule size 1.0 - 2.0mm; 2cc(ml), 5cc(ml).</Size><SupplierCode>SB</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>201</SubCategoryID><GroupID>1602</GroupID><SubGroupID>4395</SubGroupID><ARTGs><ARTG>329433</ARTG></ARTGs><MinimumBenefit>293</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2020-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ER534</BillingCode><PriorBillingCodes><PriorBillingCode>NW008</PriorBillingCode></PriorBillingCodes><Name>NovaBone Dental Putty</Name><Description>NovaBone® Dental Putty is 100% synthetic and fully resorbable.</Description><Size>CARTRIDGES 2 UNITS X 0.5CC  CARTRIDGES 4 UNITS X 0.25CC  CARTRIDGES 4 UNITS X 0.5CC  SYRINGE, 1 UNIT X  0.5CC</Size><SupplierCode>ER</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>201</SubCategoryID><GroupID>1602</GroupID><SubGroupID>4395</SubGroupID><ARTGs><ARTG>242772</ARTG></ARTGs><MinimumBenefit>293</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2019-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>NW007</BillingCode><Name>Endobon Xenograft Granules</Name><Description>Hydroxyapatite granules, 0.5-1mm diameter or 1-2mm diameter</Description><Size>2 - 8ml</Size><SupplierCode>NW</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>201</SubCategoryID><GroupID>1602</GroupID><SubGroupID>4395</SubGroupID><ARTGs><ARTG>171507</ARTG></ARTGs><MinimumBenefit>293</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>WB001</BillingCode><Name>Ethoss</Name><Description>EthOss TCP is intended to fill, augment, or reconstruct periodontal or bony defects of the oral and maxillofacial region. </Description><Size>65% beta tri-calcium phosphate (ß-TCP) and 35% medical grade calcium sulfate (CaSO4) in 0.5cc syringes or 1.0cc syringes.</Size><SupplierCode>WB</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>201</SubCategoryID><GroupID>1602</GroupID><SubGroupID>4395</SubGroupID><ARTGs><ARTG>299917</ARTG></ARTGs><MinimumBenefit>293</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>GI006</BillingCode><Name>Bio-Oss</Name><Description>Natural bone mineral derived from bovine bone</Description><Size>1 to 2mm: 0.5g (1.5cc)</Size><SupplierCode>GI</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>201</SubCategoryID><GroupID>1602</GroupID><SubGroupID>4395</SubGroupID><ARTGs><ARTG>229987</ARTG></ARTGs><MinimumBenefit>293</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2015-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LM323</BillingCode><Name>GEMINUS Hook Plate</Name><Description>GEMINUS Hook Plate</Description><Size>One size</Size><SupplierCode>LM</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1772</GroupID><SubGroupID>5369</SubGroupID><ARTGs><ARTG>278692</ARTG></ARTGs><MinimumBenefit>43</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LM001</BillingCode><Name>TriMed Wrist Fixation System</Name><Description>Washer</Description><Size>One size</Size><SupplierCode>LM</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1772</GroupID><SubGroupID>5369</SubGroupID><ARTGs><ARTG>182677</ARTG></ARTGs><MinimumBenefit>43</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SY257</BillingCode><Name>A/O/ASIF K-wires</Name><Description>Cerclage Wire - coils with and without eye</Description><Size>0.4-1.5mm</Size><SupplierCode>JJ</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1772</GroupID><SubGroupID>5369</SubGroupID><ARTGs><ARTG>332244</ARTG><ARTG>203638</ARTG></ARTGs><MinimumBenefit>43</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LM005</BillingCode><Name>TriMed Fixation Systems</Name><Description>Multiple stainless steel wire forms</Description><Size>various sizes</Size><SupplierCode>LM</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1772</GroupID><SubGroupID>5370</SubGroupID><ARTGs><ARTG>182677</ARTG></ARTGs><MinimumBenefit>434</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LH630</BillingCode><PriorBillingCodes><PriorBillingCode>OO044</PriorBillingCode></PriorBillingCodes><Name>IC Cerclage System</Name><Description>IC Bone Cerclage System, pure titanium</Description><Size>8mm wide</Size><SupplierCode>LH</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1772</GroupID><SubGroupID>5370</SubGroupID><ARTGs><ARTG>197728</ARTG></ARTGs><MinimumBenefit>434</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HW310</BillingCode><Name>Dall Miles Cable Grip System - Vitallium</Name><Description>Vitallium: Sleeve -  Vitallium</Description><Size>1.6 and 2mm</Size><SupplierCode>JV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1772</GroupID><SubGroupID>5371</SubGroupID><ARTGs><ARTG>312160</ARTG></ARTGs><MinimumBenefit>100</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ZA106</BillingCode><PriorBillingCodes><PriorBillingCode>MZ018</PriorBillingCode></PriorBillingCodes><Name>Pioneer Cable System Crimps</Name><Description>Crimps - two pack</Description><Size>One size only</Size><SupplierCode>ZI</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1772</GroupID><SubGroupID>5371</SubGroupID><ARTGs><ARTG>193369</ARTG></ARTGs><MinimumBenefit>100</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SN733</BillingCode><Name>Accord</Name><Description>Orthopaedic Cable System, SS Button Plate Adapter</Description><Size>One Size Only</Size><SupplierCode>SN</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1772</GroupID><SubGroupID>5371</SubGroupID><ARTGs><ARTG>140705</ARTG></ARTGs><MinimumBenefit>100</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ343</BillingCode><PriorBillingCodes><PriorBillingCode>LM243</PriorBillingCode></PriorBillingCodes><Name>HK2</Name><Description>Finger Mini Fixator System</Description><Size>1.2mm, 1.5mm, 1.8mm</Size><SupplierCode>LH</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1772</GroupID><SubGroupID>5371</SubGroupID><ARTGs><ARTG>235591</ARTG></ARTGs><MinimumBenefit>100</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2015-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SY057</BillingCode><Name>Cable system</Name><Description>Cerclage fix, cerclage eye, positioning pins, and spacers.</Description><Size>3.5mm - 5mm</Size><SupplierCode>JJ</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1772</GroupID><SubGroupID>5371</SubGroupID><ARTGs><ARTG>332244</ARTG><ARTG>133923</ARTG><ARTG>332243</ARTG></ARTGs><MinimumBenefit>100</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MI148</BillingCode><Name>Atlas Cable System</Name><Description>Crimp</Description><Size>One size only</Size><SupplierCode>MI</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1772</GroupID><SubGroupID>5371</SubGroupID><ARTGs><ARTG>126313</ARTG></ARTGs><MinimumBenefit>100</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2014-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SL179</BillingCode><Name>EVOS Cabling System</Name><Description>Cable Locking device – Cable Post</Description><Size>3.5mm</Size><SupplierCode>SN</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1772</GroupID><SubGroupID>5371</SubGroupID><ARTGs><ARTG>108428</ARTG><ARTG>368492</ARTG></ARTGs><MinimumBenefit>100</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SR072</BillingCode><Name>Dall miles Trochanteric grip with divergent hooks</Name><Description>stainless steel dall miles trochanteric grip with diverging proximal hooks</Description><Size>small, medium, large  43-53mm</Size><SupplierCode>JV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1772</GroupID><SubGroupID>5372</SubGroupID><ARTGs><ARTG>144002</ARTG><ARTG>145550</ARTG><ARTG>144003</ARTG></ARTGs><MinimumBenefit>508</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2008-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HW302</BillingCode><Name>Dall Miles Cable Grip System - Stainless Steel</Name><Description>Stainless Steel: Trochanter Grip -  Stainless Steel</Description><Size>Small, Medium, Large</Size><SupplierCode>JV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1772</GroupID><SubGroupID>5372</SubGroupID><ARTGs><ARTG>312160</ARTG><ARTG>144003</ARTG></ARTGs><MinimumBenefit>508</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HW311</BillingCode><Name>Dall Miles Cable Grip System - Vitallium</Name><Description>Vitallium: Trochanter Grip -  Vitallium</Description><Size>Small, Medium and Large</Size><SupplierCode>JV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1772</GroupID><SubGroupID>5372</SubGroupID><ARTGs><ARTG>312160</ARTG></ARTGs><MinimumBenefit>508</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>KT053</BillingCode><Name>KLS Martin Distractor</Name><Description>Zurich II distractor bodies</Description><Size>15mm - 30mm distraction length</Size><SupplierCode>KT</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>202</SubCategoryID><GroupID>1604</GroupID><SubGroupID>4402</SubGroupID><ARTGs><ARTG>113786</ARTG></ARTGs><MinimumBenefit>2145</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2015-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SY515</BillingCode><Name>CMF Distraction System</Name><Description>Distractor System, Distractor Body</Description><Size>10-40mm distraction length</Size><SupplierCode>JJ</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>202</SubCategoryID><GroupID>1604</GroupID><SubGroupID>4402</SubGroupID><ARTGs><ARTG>183673</ARTG><ARTG>155806</ARTG></ARTGs><MinimumBenefit>2145</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2009-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SY595</BillingCode><Name>Midface, CMF Distractor System</Name><Description>Distractor Footplate</Description><Size>Various</Size><SupplierCode>JJ</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>202</SubCategoryID><GroupID>1604</GroupID><SubGroupID>4403</SubGroupID><Suffix>Dual Plate</Suffix><ARTGs><ARTG>155806</ARTG><ARTG>183673</ARTG></ARTGs><MinimumBenefit>1279</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>KT006</BillingCode><Name>Zurich II Modular Distractors</Name><Description>Distractor System, Component, Dual fixation plates, pair</Description><Size>Mesh-large and small design; Cloverleaf design</Size><SupplierCode>KT</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>202</SubCategoryID><GroupID>1604</GroupID><SubGroupID>4403</SubGroupID><Suffix>Dual Plate</Suffix><ARTGs><ARTG>113786</ARTG></ARTGs><MinimumBenefit>1279</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2015-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SY406</BillingCode><Name>External Midface Distractor System</Name><Description>Titanium Zygomatic, Maxxilary Footplate</Description><Size>3 holes, 40mm</Size><SupplierCode>JJ</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>202</SubCategoryID><GroupID>1604</GroupID><SubGroupID>4403</SubGroupID><ARTGs><ARTG>155806</ARTG></ARTGs><MinimumBenefit>152</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2007-12-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>KT021</BillingCode><Name>Martin Distraction Osteogenesis Rigid External Distraction (Polley RED II)</Name><Description>Distractor System, Component, Footplate, titanium</Description><Size>1.5mm</Size><SupplierCode>KT</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>202</SubCategoryID><GroupID>1604</GroupID><SubGroupID>4403</SubGroupID><ARTGs><ARTG>113786</ARTG></ARTGs><MinimumBenefit>152</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2015-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>KT022</BillingCode><Name>Martin Distraction Osteogenesis Rigid External Distraction (Polley RED II)</Name><Description>Distractor System, Component, Cross Bar, aluminium.carbon fibre</Description><Size>one size only</Size><SupplierCode>KT</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>202</SubCategoryID><GroupID>1604</GroupID><SubGroupID>4406</SubGroupID><ARTGs><ARTG>113786</ARTG></ARTGs><MinimumBenefit>965</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2015-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SY402</BillingCode><Name>External Midface Distractor System</Name><Description>Horizontal Rod Assembly</Description><Size>One size only</Size><SupplierCode>JJ</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>202</SubCategoryID><GroupID>1604</GroupID><SubGroupID>4406</SubGroupID><ARTGs><ARTG>155806</ARTG></ARTGs><MinimumBenefit>965</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2007-12-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>KT017</BillingCode><Name>Martin Distraction Osteogenesis Rigid External Distraction (Polley RED II)</Name><Description>Distractor System, Component, Screws/Pins (other than bone screws), titanium</Description><Size>45-55mm</Size><SupplierCode>KT</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>202</SubCategoryID><GroupID>1604</GroupID><SubGroupID>4408</SubGroupID><ARTGs><ARTG>113786</ARTG><ARTG>96619</ARTG></ARTGs><MinimumBenefit>144</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2015-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SY517</BillingCode><Name>Midface Distractor System</Name><Description>Distractor System, Screw</Description><Size>4-10mm</Size><SupplierCode>JJ</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>202</SubCategoryID><GroupID>1604</GroupID><SubGroupID>4409</SubGroupID><ARTGs><ARTG>155806</ARTG></ARTGs><MinimumBenefit>73</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2009-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>KT020</BillingCode><Name>Martin Distraction Osteogenesis Rigid External Distraction (Polley RED II)</Name><Description>Distractor System, Component, Other, titanium, aluminium</Description><Size>1.5-1.58mm</Size><SupplierCode>KT</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>202</SubCategoryID><GroupID>1604</GroupID><SubGroupID>4410</SubGroupID><ARTGs><ARTG>113786</ARTG></ARTGs><MinimumBenefit>1424</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2015-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>KT054</BillingCode><Name>KLS Martin Distractors</Name><Description>Zurich II remote release activators</Description><Size>20mm - 50mm</Size><SupplierCode>KT</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>202</SubCategoryID><GroupID>1604</GroupID><SubGroupID>4411</SubGroupID><ARTGs><ARTG>113786</ARTG></ARTGs><MinimumBenefit>487</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2015-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SY518</BillingCode><Name>Midface, CMF Distractor System</Name><Description>Distractor System , Body extensions</Description><Size>20-60 mm</Size><SupplierCode>JJ</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>202</SubCategoryID><GroupID>1604</GroupID><SubGroupID>4411</SubGroupID><ARTGs><ARTG>213820</ARTG><ARTG>155806</ARTG></ARTGs><MinimumBenefit>487</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2009-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>CO066</BillingCode><Name>Cochlear™ Nucleus® CP920 Sound Processor - Hybrid™ Mode (Initial)</Name><Description>The Cochlear Nucleus CP920 Sound Processor in "Hybrid Mode" facilitates electroacoustic stimulation of the cochlea</Description><Size>There is only one size of the processing unit and coil. There are two sizes for battery holder and cover.</Size><SupplierCode>CO</SupplierCode><CategoryID>22</CategoryID><SubCategoryID>196</SubCategoryID><GroupID>1528</GroupID><SubGroupID>4145</SubGroupID><Suffix>Electroacoustic, AutoScan, 2.4GHz Wireless</Suffix><ARTGs><ARTG>216063</ARTG></ARTGs><MinimumBenefit>12796</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2014-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>CO081</BillingCode><Name>Cochlear™ Nucleus® CP1000 Sound Processor - Hybrid™ Mode (initial)</Name><Description>The CP1000 (Nucleus 7, N7) - Hybrid Mode is a behind-the-ear (BTE) sound processor that is designed to function in a similar manner to the CP900 series (CP910/920) (Nucleus 6, N6) sound processor but with new architectural design, which provides improved battery life and MFi wireless connectivity directly with iOS devices via Smart App. The CP1000 in hybrid mode facilitates acoustic stimulation in the cochlea.</Description><Size>There is one size of the sound processor unit with 3 battery options and 7 different magnet strengths.</Size><SupplierCode>CO</SupplierCode><CategoryID>22</CategoryID><SubCategoryID>196</SubCategoryID><GroupID>1528</GroupID><SubGroupID>4145</SubGroupID><Suffix>Electroacoustic, AutoScan, 2.4GHz Wireless</Suffix><ARTGs><ARTG>292000</ARTG></ARTGs><MinimumBenefit>12796</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>US025</BillingCode><Name>SONNET 2 EAS Audio Processor</Name><Description>Audio processor with electric and electric acoustic stimulation modes, worn behind the ear with dual omnidirectional microphone, water-resistance, enhanced datalogging and signal processing, Adaptive Intelligence, Automatic Sound Management, wireless connectivity to assistive listening devices</Description><Size>one size with 3 battery options and various magnet strengths</Size><SupplierCode>US</SupplierCode><CategoryID>22</CategoryID><SubCategoryID>196</SubCategoryID><GroupID>1528</GroupID><SubGroupID>4145</SubGroupID><Suffix>Electroacoustic, AutoScan, 2.4GHz Wireless</Suffix><ARTGs><ARTG>319472</ARTG></ARTGs><MinimumBenefit>12796</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2019-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>US032</BillingCode><Name>RONDO 3 Audio Processor (initial)</Name><Description>A Single Unit off-the-ear (OTE) audio processor for the MED-EL CI System, integrating two omni-directional microphones, coil, indicator LED, magnet &amp; electronics package, held in place over the implant by magnetic attraction. It features an integrated wirelessly rechargeable battery providing up to 24hr battery life, link monitoring, increased water resistance (IP68), datalogging, Adaptive Intelligence, Automatic Sound Management, wireless connectivity to assistive listening devices.</Description><Size>One size - L 44.8 mm, W 35.7 mm, H 11.6 mm  (with 5 magnet strengths and 2 cover options)  </Size><SupplierCode>US</SupplierCode><CategoryID>22</CategoryID><SubCategoryID>196</SubCategoryID><GroupID>1528</GroupID><SubGroupID>4145</SubGroupID><Suffix>AutoScan, 2.4GHz Wireless</Suffix><ARTGs><ARTG>355351</ARTG></ARTGs><MinimumBenefit>11392</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>CO069</BillingCode><Name>Cochlear ™ Nucleus® CP910 Sound Processor (Initial)</Name><Description>The Cochlear Nucleus CP910 Sound Processor is a behind-the-ear sound processor two built-in directional microphones</Description><Size>There is only one size of the processing unit and coil.  There are two sizes for battery holder and cover.</Size><SupplierCode>CO</SupplierCode><CategoryID>22</CategoryID><SubCategoryID>196</SubCategoryID><GroupID>1528</GroupID><SubGroupID>4145</SubGroupID><Suffix>AutoScan, 2.4GHz Wireless</Suffix><ARTGs><ARTG>216062</ARTG></ARTGs><MinimumBenefit>11392</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2014-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>CO098</BillingCode><Name>Cochlear Nucleus 8 Nexa (Nucleus 8 Nexa) Sound Processor - Hybrid Mode (Initial)</Name><Description>Nucleus 8 Nexa Sound Processor - Hybrid Mode (Nucleus 8 Nexa) is a behind-the-ear (BTE) sound processor and exclusively compatible with Nucleus Nexa cochlear implants. It has similar features to the Nucleus 8, including SmartSound iQ 2 with SCAN 2 directional noise reduction algorithm, 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 Nexa in hybrid mode facilitates acoustic stimulation in the cochlea.
</Description><Size>There is one size of the sound processor unit with 4 battery options and 6 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>394470</ARTG><ARTG>475911</ARTG></ARTGs><ChangeExplanation>New listing</ChangeExplanation><MinimumBenefit>12796</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2025-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BD023</BillingCode><Name>Naida CI Q90 Sound Processor (Initial Order)</Name><Description>The Naida CI Q90 Sound processor is a BTE Sound Processor to communicates with the internally implanted HiRes Family implants. It facilitates electro-acoustic stimulation of the cochlea, as well as being compatible with a range of wireless devices.</Description><Size>There is one size of the sound processor unit with 4 battery options/sizes.</Size><SupplierCode>BD</SupplierCode><CategoryID>22</CategoryID><SubCategoryID>196</SubCategoryID><GroupID>1528</GroupID><SubGroupID>4145</SubGroupID><Suffix>AutoScan, 2.4GHz Wireless</Suffix><ARTGs><ARTG>282255</ARTG></ARTGs><MinimumBenefit>11392</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>CO100</BillingCode><Name>Cochlear Nucleus Kanso 3 (CP1170) Sound Processor (Initial)</Name><Description>Nucleus Kanso 3 (Kanso 3) is Cochlear’s next generation off-the-ear (OTE) style sound processor. Kanso 3 has the benefits of the latest sound processing technologies of the behind-the-ear (BTE) Cochlear Nucleus 8 (Nucleus 8). Compared to Kanso 2, Kanso 3 provides improved features such as SmartSound iQ 2 with SCAN 2 directional noise reduction algorithm, Bluetooth LE Audio Ready technology and automate function.</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>475909</ARTG></ARTGs><ChangeExplanation>New listing</ChangeExplanation><MinimumBenefit>11392</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2025-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>CO088</BillingCode><Name>Kanso® 2, Cochlear™ Nucleus® CP1150 Sound Processor (Initial)</Name><Description>The CP1150 Sound Processor (Kanso 2) is Cochlear’s next generation off-the-ear (OTE) style sound processor. Kanso 2 has the benefits of the latest sound processing technologies of the behind-the-ear (BTE) Cochlear™ Nucleus® 7  (N7). Compared to Kanso 1, Kanso 2 provides improved hearing performance in noise due to Spatial NR, and improved hearing experience and reduced user cost through buttonless interface, iOs and Android smartphone direct streaming and a rechargeable battery.  The initial Kanso 2 Kit provides multiple magnet strengths and range of battery charging options.</Description><Size>One size, multiple magnet strengths and range of battery charging options</Size><SupplierCode>CO</SupplierCode><CategoryID>22</CategoryID><SubCategoryID>196</SubCategoryID><GroupID>1528</GroupID><SubGroupID>4145</SubGroupID><Suffix>AutoScan, 2.4GHz Wireless</Suffix><ARTGs><ARTG>351996</ARTG></ARTGs><MinimumBenefit>11392</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BD027</BillingCode><Name>Naida CI Electric Acoustic Solution</Name><Description>The Naida CI Q90 sound processor is one part of a cochlear implant system that enables hearing. The other necessary parts of the system are the  implantable Cochlear Stimulator (ICS), headpiece and headpiece cable. The sound processor consists of two parts: the sound processor and battery power source. The Naida CI Q90 is compatible with the Naida CI Acoustic Earhook, supplying both electric and acoustic stimulation.</Description><Size>The Naida CI Sound Processor comes in one size. The Naida CI Acoustic Earhook comes in 5 length options, and is available for left and right ear (10 configurations).</Size><SupplierCode>BD</SupplierCode><CategoryID>22</CategoryID><SubCategoryID>196</SubCategoryID><GroupID>1528</GroupID><SubGroupID>4145</SubGroupID><Suffix>Electroacoustic, AutoScan, 2.4GHz Wireless</Suffix><ARTGs><ARTG>282255</ARTG><ARTG>300028</ARTG></ARTGs><MinimumBenefit>12796</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2020-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>US014</BillingCode><Name>SONNET EAS Audio Processor (initial)</Name><Description>Audio processor worn behind the ear with dual omnidirectional microphone, water-resistance, datalogging, Automatic Sound Management, wireless connectivity to assistive listening devices, electric and electric acoustic stimulation modes</Description><Size>One size</Size><SupplierCode>US</SupplierCode><CategoryID>22</CategoryID><SubCategoryID>196</SubCategoryID><GroupID>1528</GroupID><SubGroupID>4145</SubGroupID><Suffix>Electroacoustic</Suffix><ARTGs><ARTG>232487</ARTG></ARTGs><MinimumBenefit>12303</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2015-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>CO094</BillingCode><Name>Cochlear Nucleus Kanso 3 Nexa (CP1175) Sound Processor (Initial)</Name><Description>Nucleus Kanso 3 Nexa (Kanso 3 Nexa) is Cochlear’s next generation off-the-ear (OTE) style sound processor and is exclusively compatible with Nucleus Nexa cochlear implants. Kanso 3 Nexa has the benefits of the latest sound processing technologies of the behind-the-ear (BTE) Cochlear Nucleus Nexa 8 (Nucleus 8 Nexa). Compared to Kanso 2, Kanso 3 Nexa provides improved features such as SmartSound iQ 2 with SCAN 2 directional noise reduction algorithm, Bluetooth LE Audio Ready technology and automate function.</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>475910</ARTG></ARTGs><ChangeExplanation>New listing</ChangeExplanation><MinimumBenefit>11392</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2025-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>US035</BillingCode><Name>SONNET 3 EAS Audio Processor (initial)</Name><Description>Audio processor with electric and electric acoustic stimulation modes, worn behind the ear with direct wireless audio streaming and a binaural wireless link for control data exchange between two audio processors in a bilateral configuration, and a lower profile, in addition to dual omnidirectional microphone, water-resistance, datalogging, signal processing, Adaptive Intelligence, Automatic Sound Management and wireless connectivity to assistive listening devices.</Description><Size>one size with 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>462625</ARTG></ARTGs><ChangeExplanation>New listing</ChangeExplanation><MinimumBenefit>12796</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2025-03-01</CycleStartDate><CycleEndDate>2025-03-01</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>411570</ARTG><ARTG>411571</ARTG></ARTGs><MinimumBenefit>11392</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2023-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>CO080</BillingCode><Name>Kanso®, Cochlear™ Nucleus® CP950 Sound Processor (Initial)</Name><Description>An off-the-ear sound processor with two built-in directional microphones, wireless connectivity, and equivalent functionality to the Cochlear N6 behind-the-ear sound processor in a fully integrated single unit, enclosing radiofrequency (RF) coil, supplying power, and signals to internal implant.</Description><Size>One size (40.9 mm x 35.2 mm x 11.4 mm)</Size><SupplierCode>CO</SupplierCode><CategoryID>22</CategoryID><SubCategoryID>196</SubCategoryID><GroupID>1528</GroupID><SubGroupID>4145</SubGroupID><Suffix>AutoScan, 2.4GHz Wireless</Suffix><ARTGs><ARTG>282194</ARTG></ARTGs><MinimumBenefit>11392</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>CO071</BillingCode><Name>Cochlear ™ Nucleus® CP920 Sound Processor (Initial)</Name><Description>The Cochlear Nucleus CP920 Sound Processor is a behind-the-ear sound processor with two built-in directional micophones.</Description><Size>There is only one size of the processing unit and coil.  There are two sizes for battery holder and cover.</Size><SupplierCode>CO</SupplierCode><CategoryID>22</CategoryID><SubCategoryID>196</SubCategoryID><GroupID>1528</GroupID><SubGroupID>4145</SubGroupID><Suffix>AutoScan, 2.4GHz Wireless</Suffix><ARTGs><ARTG>216063</ARTG></ARTGs><MinimumBenefit>11392</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2014-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>OI036</BillingCode><Name>Neuro 2 Sound Processor</Name><Description>The behind the ear Neuro 2 sound processor performs with the Neuro Zti cochlear implants. It consists of two microphones allowing for 3 automatic adaptive directionality modes, voice tracker and wind noise reduction features.   Its benefits include: smaller and more cosmetically appealing design and rechargeable batteries.    The processor is placed on the auricle of the either one of the patient's ears and an external antenna transmits the acoustic signal processed by the processor, by means of electromagnetic induction, to the internal component implanted beneath the skin and secured onto the mastoid.</Description><Size>One size</Size><SupplierCode>OI</SupplierCode><CategoryID>22</CategoryID><SubCategoryID>196</SubCategoryID><GroupID>1528</GroupID><SubGroupID>4145</SubGroupID><ARTGs><ARTG>316140</ARTG></ARTGs><MinimumBenefit>6610</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2019-07-01</CycleStartDate><CycleEndDate>2025-03-01</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>394470</ARTG><ARTG>394471</ARTG><ARTG>394472</ARTG></ARTGs><MinimumBenefit>12796</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2023-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>CO064</BillingCode><Name>Cochlear ™ Nucleus® CP910 Sound Processor Hybrid™ Mode (Initial)</Name><Description>The Cochlear Nucleus CP910 Sound processor in "Hybrid Mode" facilitates electroacoustic stimulation of the cochlea</Description><Size>There is only one size of the processing unit and coil.  There are two sizes for the battery holder and cover.</Size><SupplierCode>CO</SupplierCode><CategoryID>22</CategoryID><SubCategoryID>196</SubCategoryID><GroupID>1528</GroupID><SubGroupID>4145</SubGroupID><Suffix>Electroacoustic, AutoScan, 2.4GHz Wireless</Suffix><ARTGs><ARTG>216062</ARTG></ARTGs><MinimumBenefit>12796</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2014-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>CO099</BillingCode><Name>Cochlear Nucleus 8 Nexa (Nucleus 8 Nexa) Sound Processor - Hybrid Mode (Replacement)</Name><Description>Nucleus 8 Nexa Sound Processor - Hybrid Mode (Nucleus 8 Nexa) is a behind-the-ear (BTE) sound processor and exclusively compatible with Nucleus Nexa cochlear implants. It has similar features to the Nucleus 8, including SmartSound iQ 2 with SCAN 2 directional noise reduction algorithm, 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 Nexa in hybrid mode facilitates acoustic stimulation in the cochlea.
</Description><Size>There is one size of the sound processor unit with 4 battery options and 6 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>475911</ARTG></ARTGs><ChangeExplanation>New listing</ChangeExplanation><MinimumBenefit>9078</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2025-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>US031</BillingCode><Name>RONDO 3 Audio Processor (Replacement)</Name><Description>A Single Unit off-the-ear (OTE) audio processor for the MED-EL CI System, integrating two omni-directional microphones, coil, indicator LED, magnet &amp; electronics package, held in place over the implant by magnetic attraction. It features an integrated wirelessly rechargeable battery providing up to 24hr battery life, link monitoring, increased water  resistance (IP68), datalogging, Adaptive Intelligence, Automatic Sound Management, wireless connectivity to assistive listening devices.</Description><Size>One size - L 44.8 mm, W 35.7 mm, H 11.6 mm (with 5 magnet strengths and 2 cover options)</Size><SupplierCode>US</SupplierCode><CategoryID>22</CategoryID><SubCategoryID>196</SubCategoryID><GroupID>1528</GroupID><SubGroupID>4147</SubGroupID><Suffix>AutoScan, 2.4GHz Wireless</Suffix><ARTGs><ARTG>355351</ARTG></ARTGs><MinimumBenefit>8114</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>CO095</BillingCode><Name>Cochlear Nucleus Kanso 3 (CP1170) Sound Processor (Replacement)</Name><Description>Nucleus Kanso 3 (Kanso 3) is Cochlear’s next generation off-the-ear (OTE) style sound processor. Kanso 3 has the benefits of the latest sound processing technologies of the behind-the-ear (BTE) Cochlear Nucleus 8 (Nucleus 8). Compared to Kanso 2, Kanso 3 provides improved features such as SmartSound iQ 2 with SCAN 2 directional noise reduction algorithm, Bluetooth LE Audio Ready technology and automate function.</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>475909</ARTG></ARTGs><ChangeExplanation>New listing</ChangeExplanation><MinimumBenefit>8114</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2025-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>CO093</BillingCode><Name>Cochlear Nucleus Kanso 3 Nexa (CP1175) Sound Processor (Replacement)</Name><Description>Nucleus Kanso 3 Nexa (Kanso 3 Nexa) is Cochlear’s next generation off-the-ear (OTE) style sound processor and is exclusively compatible with Nucleus Nexa cochlear implants. Kanso 3 Nexa has the benefits of the latest sound processing technologies of the behind-the-ear (BTE) Cochlear Nucleus Nexa 8 (Nucleus 8 Nexa). Compared to Kanso 2, Kanso 3 Nexa provides improved features such as SmartSound iQ 2 with SCAN 2 directional noise reduction algorithm, Bluetooth LE Audio Ready technology and automate function.</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>475910</ARTG></ARTGs><ChangeExplanation>New listing</ChangeExplanation><MinimumBenefit>8114</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2025-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>US036</BillingCode><Name>SONNET 3 EAS Audio Processor (Replacement)</Name><Description>Audio processor with electric and electric acoustic stimulation modes, worn behind
the ear with direct wireless audio streaming and a binaural wireless link for control data exchange between two audio processors in a bilateral configuration, and a lower profile, in addition to dual omnidirectional microphone, water-resistance, datalogging, signal processing, Adaptive Intelligence, Automatic Sound Management and wireless connectivity to assistive listening devices.</Description><Size>one size with 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>462625</ARTG></ARTGs><ChangeExplanation>New listing</ChangeExplanation><MinimumBenefit>9078</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2025-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BD025</BillingCode><Name>Naida CI Q90 Sound Processor (Replacement Order)</Name><Description>The Naida CI Q90 sound processor is one part of a cochlear implant system that enables hearing. The other necessary parts of the system are the Implantable Cochlear Stimulator (ICS), headpiece and headpiece cable. The sound processor consists of two parts: the sound processor and battery power source. There are four battery options, including four sizes of Lithium Ion rechargeable PowerCel™ batteries. This facilitates electro-acoustic stimulation to the cochlear and wireless capability.</Description><Size>There is only one size of the sound processing unitl.  There are four sizes of the battery.</Size><SupplierCode>BD</SupplierCode><CategoryID>22</CategoryID><SubCategoryID>196</SubCategoryID><GroupID>1528</GroupID><SubGroupID>4147</SubGroupID><Suffix>AutoScan, 2.4GHz Wireless</Suffix><ARTGs><ARTG>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>2025-03-01</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>411570</ARTG><ARTG>411571</ARTG></ARTGs><MinimumBenefit>8114</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2023-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>CO082</BillingCode><Name>Cochlear™ Nucleus® CP1000 Sound Processor - Hybrid™ Mode (replacement)</Name><Description>The CP1000 (Nucleus 7, N7) - Hybrid Model is a behind-the-ear (BTE) sound processor that is designed to function in a similar manner to the CP900 series (CP910/920) (Nucleus 6, N6) sound processor but with new architectural design, which provides improved battery life and MFi wireless connectivity directly with iOS devices via Smart App. The CP1000 in hybrid mode facilitates acoustic stimulation in the cochlea.</Description><Size>There is one size of the sound processor unit with 3 battery options and 7 different magnet strengths.</Size><SupplierCode>CO</SupplierCode><CategoryID>22</CategoryID><SubCategoryID>196</SubCategoryID><GroupID>1528</GroupID><SubGroupID>4147</SubGroupID><Suffix>Electroacoustic, AutoScan, 2.4GHz Wireless</Suffix><ARTGs><ARTG>292000</ARTG></ARTGs><MinimumBenefit>9078</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>US024</BillingCode><Name>SONNET 2 EAS Audio Processor (replacement)</Name><Description>Audio processor with electric and electric acoustic stimulation modes, worn behind the ear with dual omnidirectional microphone, water-resistance, enhanced datalogging and signal processing, Adaptive Intelligence, Automatic Sound Management, wireless connectivity to assistive listening devices</Description><Size>one size with 3 battery options and various magnet strengths</Size><SupplierCode>US</SupplierCode><CategoryID>22</CategoryID><SubCategoryID>196</SubCategoryID><GroupID>1528</GroupID><SubGroupID>4147</SubGroupID><Suffix>Electroacoustic, AutoScan, 2.4GHz Wireless</Suffix><ARTGs><ARTG>319472</ARTG></ARTGs><MinimumBenefit>9078</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2019-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>CO070</BillingCode><Name>Cochlear ™ Nucleus® CP910 Sound Processor (Replacement)</Name><Description>The Cochlear Nucleus CP910 Sound Processor is a behind-the-ear sound processor with two built-in directional microphones</Description><Size>CO049</Size><SupplierCode>CO</SupplierCode><CategoryID>22</CategoryID><SubCategoryID>196</SubCategoryID><GroupID>1528</GroupID><SubGroupID>4147</SubGroupID><Suffix>AutoScan, 2.4GHz Wireless</Suffix><ARTGs><ARTG>216062</ARTG></ARTGs><MinimumBenefit>8114</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2014-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>CO079</BillingCode><Name>Kanso®, Cochlear ™ Nucleus® CP950 Sound Processor (Replacement)</Name><Description>An off-the-ear sound processor with two built-in directional microphones, wireless connectivity, and equivalent functionality to the Cochlear N6 behind-the-ear sound processor in a fully integrated single unit, enclosing radiofrequency (RF) coil, supplying power, and signals to internal implant.</Description><Size>One size (40.9 mm x 35.2 mm x 11.4 mm)</Size><SupplierCode>CO</SupplierCode><CategoryID>22</CategoryID><SubCategoryID>196</SubCategoryID><GroupID>1528</GroupID><SubGroupID>4147</SubGroupID><Suffix>AutoScan, 2.4GHz Wireless</Suffix><ARTGs><ARTG>282194</ARTG></ARTGs><MinimumBenefit>8114</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-08-01</CycleStartDate><CycleEndDate>2025-03-01</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>394471</ARTG><ARTG>394472</ARTG><ARTG>394470</ARTG></ARTGs><MinimumBenefit>9078</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2023-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>CO072</BillingCode><Name>Cochlear ™ Nucleus® CP920 Sound Processor (Replacement)</Name><Description>The Cochlear Nucleus CP920 Sound Processor  is a behind-the-ear sound processor with two built-in directional microphones. It has no accessory port for cables.</Description><Size>There is only one size of the processing unit and coil.  There are two sizes for battery holder and cover.</Size><SupplierCode>CO</SupplierCode><CategoryID>22</CategoryID><SubCategoryID>196</SubCategoryID><GroupID>1528</GroupID><SubGroupID>4147</SubGroupID><Suffix>AutoScan, 2.4GHz Wireless</Suffix><ARTGs><ARTG>216063</ARTG></ARTGs><MinimumBenefit>8114</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2014-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>CO086</BillingCode><Name>Kanso® 2, Cochlear™ Nucleus® CP1150 Sound Processor (Replacement)</Name><Description>The CP1150 Sound Processor (Kanso 2) is Cochlear’s next generation off-the-ear (OTE) style sound processor. Kanso 2 has the benefits of the latest sound processing technologies of the behind-the-ear (BTE) Cochlear™ Nucleus® 7. Compared to Kanso 1, Kanso 2 provides improved hearing performance in noise due to Spatial NR, and improved hearing experience and reduced user cost through buttonless interface, iOs and Android smartphone direct streaming and a rechargeable battery. The Replacement Kanso 2 Kit provides a single magnet and battery charging option.</Description><Size>One size, single magnet and battery charging option  </Size><SupplierCode>CO</SupplierCode><CategoryID>22</CategoryID><SubCategoryID>196</SubCategoryID><GroupID>1528</GroupID><SubGroupID>4147</SubGroupID><Suffix>AutoScan, 2.4GHz Wireless</Suffix><ARTGs><ARTG>351996</ARTG></ARTGs><MinimumBenefit>8114</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>CO067</BillingCode><Name>Cochlear™ Nucleus® CP920 sound Processor - Hybrid™ Mode (Replacement)</Name><Description>The Cochlear Nucleus CP920 Sound Processor in "Hybrid Mode" facilatates electroacoustic stimulation of the cochlea.</Description><Size>There is only one size of the processing unit and coil. There are two sizes for battery holder and cover.</Size><SupplierCode>CO</SupplierCode><CategoryID>22</CategoryID><SubCategoryID>196</SubCategoryID><GroupID>1528</GroupID><SubGroupID>4147</SubGroupID><Suffix>Electroacoustic, AutoScan, 2.4GHz Wireless</Suffix><ARTGs><ARTG>216063</ARTG></ARTGs><MinimumBenefit>9078</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2014-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BD028</BillingCode><Name>Naida CI Electric Acoustic Solution</Name><Description>The Naida CI Q90 sound processor is one part of a cochlear implant system that enables  hearing. The other necessary parts of the system are the implantable Cochlear Stimulator  (ICS), headpiece and headpiece cable. The sound processor consists of two parts: the  sound processor and battery power source. The Naida CI Q90 is compatible with the Naida CI Acoustic Earhook, supplying both electric and acoustic stimulation.</Description><Size>The Naida CI Sound Processor comes in one size. The Naida CI Acoustic Earhook comes  in 5 length options, and is available for left and right ear (10 configurations).</Size><SupplierCode>BD</SupplierCode><CategoryID>22</CategoryID><SubCategoryID>196</SubCategoryID><GroupID>1528</GroupID><SubGroupID>4147</SubGroupID><Suffix>Electroacoustic, AutoScan, 2.4GHz Wireless</Suffix><ARTGs><ARTG>300028</ARTG><ARTG>282255</ARTG></ARTGs><MinimumBenefit>9078</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2020-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>CO065</BillingCode><Name>Cochlear™ Nucleus CP910 Sound Processor Hybrid™ Mode (Replacement)</Name><Description>The Cochlear Nucleus CP910 Sound Processor in "Hybrid Mode" facilitates electroacoustic stimulation to the cochlea</Description><Size>There is only one size of the processing unit and coil.  There are two sizes for the battery holder.</Size><SupplierCode>CO</SupplierCode><CategoryID>22</CategoryID><SubCategoryID>196</SubCategoryID><GroupID>1528</GroupID><SubGroupID>4147</SubGroupID><Suffix>Electroacoustic, AutoScan, 2.4GHz Wireless</Suffix><ARTGs><ARTG>216062</ARTG></ARTGs><MinimumBenefit>9078</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2014-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>US016</BillingCode><Name>SONNET EAS Audio Processor (replacement)</Name><Description>Audio processor worn behind the ear with dual omnidirectional microphones, water-resistance, data logging, Automatic Sound Management, wireless connectivity to assistive listening devices, electric and electric acoustic stimulation modes</Description><Size>One size</Size><SupplierCode>US</SupplierCode><CategoryID>22</CategoryID><SubCategoryID>196</SubCategoryID><GroupID>1528</GroupID><SubGroupID>4147</SubGroupID><Suffix>Electroacoustic</Suffix><ARTGs><ARTG>232487</ARTG></ARTGs><MinimumBenefit>8612</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2015-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BD015</BillingCode><Name>Neptune Sound Processor replacement part is the external part of the cochlear implant system. Also includes Neptune Connect</Name><Description>The Neptune Processor is an external component of the HiRes Bionic Ear System. The processor is intended to deliver HiResolution sound to a cochlear implant. Also includes Neptune Connect.</Description><Size>One size. 
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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>US015</BillingCode><Name>SONNET Audio Processor (Replacement)</Name><Description>Audio processor worn behind the ear with dual omnidirectional microphones, water-resistance, data logging, Automatic Sound Management, wireless connectivity to assistive listening devices</Description><Size>One size</Size><SupplierCode>US</SupplierCode><CategoryID>22</CategoryID><SubCategoryID>196</SubCategoryID><GroupID>1528</GroupID><SubGroupID>4147</SubGroupID><Suffix>Generation 4</Suffix><ARTGs><ARTG>232486</ARTG></ARTGs><MinimumBenefit>7648</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2015-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>OI037</BillingCode><Name>Neuro 2 Sound Processor Replacement</Name><Description>The behind the ear Neuro 2 sound processor performs with the Neuro Zti cochlear implants. It consists of two microphones allowing for three automatic adaptive directionality modes, voice tracker and wind noise reduction features.     Its benefits include: smaller and more cosmetically appealing design and rechargeable batteries.    The processor is placed on the auricle of the either one of the patient's ears and an external antenna transmits the acoustic signal processed by the processor, by means of electromagnetic induction, to the internal component implanted beneath the skin and secured onto the mastoid.</Description><Size>One size</Size><SupplierCode>OI</SupplierCode><CategoryID>22</CategoryID><SubCategoryID>196</SubCategoryID><GroupID>1528</GroupID><SubGroupID>4147</SubGroupID><Suffix>Generation 4</Suffix><ARTGs><ARTG>316140</ARTG></ARTGs><MinimumBenefit>7648</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2019-07-01</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</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>JJ</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>2025-03-01</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><MinimumBenefit>1352</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-03-01</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ER710</BillingCode><Name>SIGNUS COSY Cervicothoracic Occipital Rod-Screw System - Occipital Rod</Name><Description>SIGNUS COSY Cervicothoracic Occipital Rod-Screw System - Occipital Rod-various shapes, non-sterile and sterile, incl. set screws.</Description><Size>dia 3,5 mm; 85 - 300mm</Size><SupplierCode>ER</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>170</SubCategoryID><GroupID>1480</GroupID><SubGroupID>4133</SubGroupID><ARTGs><ARTG>464686</ARTG><ARTG>464685</ARTG></ARTGs><ChangeExplanation>New listing</ChangeExplanation><MinimumBenefit>1350</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2025-03-01</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</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><MinimumBenefit>1350</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2023-03-01</CycleStartDate><CycleEndDate>2025-03-01</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><MinimumBenefit>1350</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2020-11-01</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>EX062</BillingCode><Name>Equinoxe Reverse Torque Definition Screw Kit</Name><Description>Reverse Torque Definition Screw with Drive</Description><Size>One size only</Size><SupplierCode>FA</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>131</SubCategoryID><GroupID>1278</GroupID><SubGroupID>5428</SubGroupID><ARTGs><ARTG>252473</ARTG></ARTGs><MinimumBenefit>1132</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2010-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MA531</BillingCode><Name>Affinis Fixation Screw</Name><Description>Fixation Screw Long</Description><Size>one size only</Size><SupplierCode>MA</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>131</SubCategoryID><GroupID>1278</GroupID><SubGroupID>5428</SubGroupID><ARTGs><ARTG>257052</ARTG></ARTGs><MinimumBenefit>1132</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>EX065</BillingCode><Name>Equinoxe Torque Definition Screw Kit.</Name><Description>Torque Definition Screw with Drive.</Description><Size>One size only.</Size><SupplierCode>FA</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>131</SubCategoryID><GroupID>1278</GroupID><SubGroupID>5428</SubGroupID><ARTGs><ARTG>252473</ARTG></ARTGs><MinimumBenefit>1132</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2010-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BH344</BillingCode><Name>Comprehensive Segmental Revision System (SRS)</Name><Description>Comprehensive SRS Modular Augment</Description><Size>Small, Large</Size><SupplierCode>ZI</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>131</SubCategoryID><GroupID>1278</GroupID><SubGroupID>4080</SubGroupID><ARTGs><ARTG>277259</ARTG></ARTGs><ChangeExplanation>Change to Description</ChangeExplanation><MinimumBenefit>903</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Update</ActionFlag><CycleStartDate>2013-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LC036</BillingCode><Name>SMR Shoulder - Modular Augment</Name><Description>Modular Augment Ti6AI4V</Description><Size>20 - 50mm</Size><SupplierCode>LC</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>131</SubCategoryID><GroupID>1278</GroupID><SubGroupID>4081</SubGroupID><ARTGs><ARTG>225458</ARTG></ARTGs><MinimumBenefit>950</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2009-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HW865</BillingCode><PriorBillingCodes><PriorBillingCode>WR334</PriorBillingCode></PriorBillingCodes><Name>Aequalis Shoulder Prostheses Reverse</Name><Description>CoCr Reverse Humeral Neck</Description><Size>diameter 36 &amp; 42mm wide x 9mm high</Size><SupplierCode>JV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>131</SubCategoryID><GroupID>1278</GroupID><SubGroupID>4081</SubGroupID><ARTGs><ARTG>242575</ARTG></ARTGs><MinimumBenefit>950</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HW942</BillingCode><PriorBillingCodes><PriorBillingCode>WR430</PriorBillingCode></PriorBillingCodes><Name>Aequalis Reversed Fracture - Humeral Spacer</Name><Description>Lateralized Spacer</Description><Size>9mm</Size><SupplierCode>JV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>131</SubCategoryID><GroupID>1278</GroupID><SubGroupID>4081</SubGroupID><ARTGs><ARTG>242575</ARTG></ARTGs><MinimumBenefit>950</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ZI531</BillingCode><Name>Zimmer Trabecular Metal Reverse Shoulder System</Name><Description>Dual Taper Insert</Description><Size>One Size Only</Size><SupplierCode>ZI</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>131</SubCategoryID><GroupID>1278</GroupID><SubGroupID>4081</SubGroupID><ARTGs><ARTG>232002</ARTG></ARTGs><MinimumBenefit>950</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2006-11-30</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>JJ968</BillingCode><Name>Delta Shoulder System</Name><Description>Humeral Spacer</Description><Size>Diameter 36, 42; +9mm</Size><SupplierCode>JJ</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>131</SubCategoryID><GroupID>1278</GroupID><SubGroupID>4081</SubGroupID><ARTGs><ARTG>310880</ARTG></ARTGs><MinimumBenefit>950</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2015-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ZI530</BillingCode><Name>Zimmer Trabecular Metal Reverse Shoulder System</Name><Description>Spacer</Description><Size>9mm, 12mm Taper Insert</Size><SupplierCode>ZI</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>131</SubCategoryID><GroupID>1278</GroupID><SubGroupID>4081</SubGroupID><ARTGs><ARTG>260177</ARTG></ARTGs><MinimumBenefit>950</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2006-11-30</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>JJ615</BillingCode><Name>Global AP Shoulder</Name><Description>Fixed 135 Degree Taper Assembly</Description><Size>135 Degree Angle</Size><SupplierCode>JJ</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>131</SubCategoryID><GroupID>1278</GroupID><SubGroupID>4083</SubGroupID><ARTGs><ARTG>224368</ARTG></ARTGs><MinimumBenefit>991</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2007-12-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LC117</BillingCode><Name>SMR Shoulder Accessories</Name><Description>SMR Connector and Screw</Description><Size>Small R / Small STD</Size><SupplierCode>LC</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>131</SubCategoryID><GroupID>1278</GroupID><SubGroupID>4083</SubGroupID><ARTGs><ARTG>210861</ARTG></ARTGs><MinimumBenefit>991</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MA538</BillingCode><Name>Affinis Inverse inlay spacer</Name><Description>Humeral offset spacer. Supplied with screw</Description><Size>+9mm</Size><SupplierCode>MA</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>131</SubCategoryID><GroupID>1278</GroupID><SubGroupID>4084</SubGroupID><ARTGs><ARTG>224412</ARTG></ARTGs><MinimumBenefit>1159</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HW943</BillingCode><PriorBillingCodes><PriorBillingCode>WR431</PriorBillingCode></PriorBillingCodes><Name>Aequalis Reversed Fracture - Hemi-prosthesis Adaptor</Name><Description>Hemi-prosthesis Adaptor including union screw</Description><Size>One size only</Size><SupplierCode>JV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>131</SubCategoryID><GroupID>1278</GroupID><SubGroupID>4084</SubGroupID><ARTGs><ARTG>211056</ARTG></ARTGs><MinimumBenefit>1159</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>FA001</BillingCode><Name>Equinoxe Replicator Plate</Name><Description>The Equinoxe Replicator Plate is intended to connect the humeral head to the stem and to position the replacement humeral head in a variety of positions to match patient’s anatomy.</Description><Size>0mm – 4.5mm Offset</Size><SupplierCode>FA</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>131</SubCategoryID><GroupID>1278</GroupID><SubGroupID>4084</SubGroupID><ARTGs><ARTG>278519</ARTG><ARTG>266159</ARTG></ARTGs><MinimumBenefit>1159</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BH127</BillingCode><Name>Versadial Humeral Head</Name><Description>Eccentric adaptor, taper insert</Description><Size>Std, reverse</Size><SupplierCode>ZI</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>131</SubCategoryID><GroupID>1278</GroupID><SubGroupID>4084</SubGroupID><ARTGs><ARTG>104347</ARTG></ARTGs><MinimumBenefit>1159</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2011-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LC175</BillingCode><Name>SMR Reverse Modular Humeral Body Extension</Name><Description>Reverse Modular Mumeral Body Extension Ti6AI4V</Description><Size>+9mm</Size><SupplierCode>LC</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>131</SubCategoryID><GroupID>1278</GroupID><SubGroupID>4084</SubGroupID><ARTGs><ARTG>168581</ARTG></ARTGs><MinimumBenefit>1159</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2014-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ783</BillingCode><PriorBillingCodes><PriorBillingCode>DD062</PriorBillingCode></PriorBillingCodes><Name>RSP Humeral Stem Adapter</Name><Description>RSP Humeral Stem Adapter for conversion to hemiarthroplasty prostheses</Description><Size>6 &amp; 12mm</Size><SupplierCode>MA</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>131</SubCategoryID><GroupID>1278</GroupID><SubGroupID>4084</SubGroupID><ARTGs><ARTG>302694</ARTG></ARTGs><MinimumBenefit>1159</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ782</BillingCode><PriorBillingCodes><PriorBillingCode>DD061</PriorBillingCode></PriorBillingCodes><Name>RSP Hemi Adaptor</Name><Description>Adaptor for conversion of Reverse Shoulder Prostheses (RSP) to a hemi arthroplasty prosthesis</Description><Size>One size only</Size><SupplierCode>MA</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>131</SubCategoryID><GroupID>1278</GroupID><SubGroupID>4084</SubGroupID><ARTGs><ARTG>302695</ARTG></ARTGs><MinimumBenefit>1159</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>DD063</BillingCode><Name>Altivate Reverse - Metal Spacer</Name><Description>Small and Standard Metal Spacer</Description><Size>+8 and +12 </Size><SupplierCode>MA</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>131</SubCategoryID><GroupID>1278</GroupID><SubGroupID>4084</SubGroupID><ARTGs><ARTG>284539</ARTG></ARTGs><MinimumBenefit>1159</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LC037</BillingCode><Name>SMR Adaptor</Name><Description>Adaptor Eccentric / Neutral / CTA</Description><Size>Standard &amp; long 0 to +8mm</Size><SupplierCode>LC</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>131</SubCategoryID><GroupID>1278</GroupID><SubGroupID>4084</SubGroupID><ARTGs><ARTG>221712</ARTG><ARTG>221473</ARTG></ARTGs><MinimumBenefit>1159</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2009-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MA537</BillingCode><Name>Affinis Inverse head adaptor</Name><Description>Adaptor for conversion tohemi prostheses, includes fixation screw</Description><Size>One size only</Size><SupplierCode>MA</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>131</SubCategoryID><GroupID>1278</GroupID><SubGroupID>4084</SubGroupID><ARTGs><ARTG>224965</ARTG></ARTGs><MinimumBenefit>1159</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HW941</BillingCode><PriorBillingCodes><PriorBillingCode>WR429</PriorBillingCode></PriorBillingCodes><Name>Aequalis Reversed Fracture - Humeral Insert</Name><Description>Polyethylene Insert</Description><Size>Height 6.25 -13.5mm, Width 6mm-12mm, Articular Diameter- 36mm &amp; 42mm</Size><SupplierCode>JV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>131</SubCategoryID><GroupID>1278</GroupID><SubGroupID>4086</SubGroupID><ARTGs><ARTG>211016</ARTG></ARTGs><MinimumBenefit>829</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ZA109</BillingCode><Name>Comprehensive Reverse Humeral Tray</Name><Description>Epiphysis</Description><Size>Std, +5, +10</Size><SupplierCode>ZI</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>131</SubCategoryID><GroupID>1278</GroupID><SubGroupID>4086</SubGroupID><ARTGs><ARTG>324465</ARTG></ARTGs><MinimumBenefit>829</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HW951</BillingCode><PriorBillingCodes><PriorBillingCode>WR440</PriorBillingCode></PriorBillingCodes><Name>Aequalis Ascend Flex Reversed Tray</Name><Description>Reverse humeral tray - Titanium</Description><Size>Thickness: 0mm, 6mm, 12mm  Offset: 0mm, 1.5mm, 3.5mm</Size><SupplierCode>JV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>131</SubCategoryID><GroupID>1278</GroupID><SubGroupID>4086</SubGroupID><ARTGs><ARTG>218734</ARTG></ARTGs><MinimumBenefit>829</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BH054</BillingCode><Name>Comprehensive Shoulder - reverse humeral tray</Name><Description>Modular Reverse Humeral tray, to mount onto Comprehensive stem</Description><Size>Std, +5, +10</Size><SupplierCode>ZI</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>131</SubCategoryID><GroupID>1278</GroupID><SubGroupID>4086</SubGroupID><ARTGs><ARTG>263032</ARTG></ARTGs><MinimumBenefit>829</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2010-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ796</BillingCode><PriorBillingCodes><PriorBillingCode>DD064</PriorBillingCode></PriorBillingCodes><Name>Turon to RSP Conversion Module</Name><Description>Conversion Module</Description><Size>Neutral and Offset</Size><SupplierCode>MA</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>131</SubCategoryID><GroupID>1278</GroupID><SubGroupID>4086</SubGroupID><ARTGs><ARTG>302688</ARTG></ARTGs><MinimumBenefit>829</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HW871</BillingCode><PriorBillingCodes><PriorBillingCode>WR341</PriorBillingCode></PriorBillingCodes><Name>Aequalis Reversed Shoulder - Lateralized Insert</Name><Description>The humeral cup is made of UHMWPE. It comes in two diameters (36 + 42mm) to correspond with the humeral metaphyseal components with the following heights 6, 9, 12  and 15mm.</Description><Size>D. 36mm +6mm, D.36mm +9mm, D.36mm +12mm, D.36mm +15mm, D.42mm +6mm, D. 42mm +9mm, D.42mm +12mm D.42mm +15mm</Size><SupplierCode>JV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>131</SubCategoryID><GroupID>1278</GroupID><SubGroupID>4086</SubGroupID><ARTGs><ARTG>209514</ARTG></ARTGs><MinimumBenefit>829</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>EX064</BillingCode><Name>Equinoxe Reverse Shoulder Humeral Adapter Tray.</Name><Description>Reverse humeral adapter tray.</Description><Size>+0mm, +5mm, +10mm, +15mm</Size><SupplierCode>FA</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>131</SubCategoryID><GroupID>1278</GroupID><SubGroupID>4086</SubGroupID><Suffix>Metaphyseal component</Suffix><ARTGs><ARTG>244994</ARTG></ARTGs><MinimumBenefit>1840</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2010-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>UK030</BillingCode><Name>Spacer-S</Name><Description>A device temporarily placed into the shoulder joint space to prevent bone on bone contact and contraction of soft tissue during the treatment of an infected joint. The device locally releases gentamicin to help the treatment of the infection. The Spacer-S comes in 2 sizes</Description><Size>41 mm Head- 99 mm Stem  46 mm Head - 125 mm Stem  </Size><SupplierCode>UK</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>131</SubCategoryID><GroupID>1278</GroupID><SubGroupID>7378</SubGroupID><ARTGs><ARTG>387272</ARTG></ARTGs><MinimumBenefit>1309</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2023-03-01</CycleStartDate><CycleEndDate>2025-03-01</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>JJ</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SN271</BillingCode><Name>Spectron</Name><Description>Revision Hip Stem - Non-porous</Description><Size>225mm</Size><SupplierCode>SN</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>2025-03-01</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>2025-03-01</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>ZI</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>2025-03-01</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>ZI</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>TN056</BillingCode><Name>Grooved button</Name><Description>Grooved button</Description><Size>3 sizes</Size><SupplierCode>TN</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1772</GroupID><SubGroupID>5373</SubGroupID><ARTGs><ARTG>309175</ARTG></ARTGs><MinimumBenefit>171</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2019-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SL180</BillingCode><Name>EVOS Cabling System</Name><Description>Cable Saddle/Button</Description><Size>3.5mm and 4.5mm</Size><SupplierCode>SN</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1772</GroupID><SubGroupID>5373</SubGroupID><ARTGs><ARTG>368492</ARTG><ARTG>108428</ARTG></ARTGs><MinimumBenefit>171</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HW313</BillingCode><Name>Stryker Plating System</Name><Description>Cable Plug</Description><Size>4.0mm to 5.0mm</Size><SupplierCode>JV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1772</GroupID><SubGroupID>5373</SubGroupID><ARTGs><ARTG>143230</ARTG><ARTG>308681</ARTG><ARTG>119660</ARTG><ARTG>139635</ARTG></ARTGs><MinimumBenefit>171</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ZI234</BillingCode><Name>Cable System </Name><Description>Cable Ready, Cable Button</Description><Size>2,5mm - 5,0mm</Size><SupplierCode>ZI</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1772</GroupID><SubGroupID>5373</SubGroupID><ARTGs><ARTG>108377</ARTG></ARTGs><MinimumBenefit>171</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ654</BillingCode><Name>VA-LCP Periprosthetic Proximal Femur Plating System</Name><Description>Variable Angle Positioning Pin</Description><Size>5 mm</Size><SupplierCode>JJ</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1772</GroupID><SubGroupID>5373</SubGroupID><ARTGs><ARTG>332243</ARTG></ARTGs><MinimumBenefit>171</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2024-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ548</BillingCode><Name>Pangea PeriPRO Femur Plating System</Name><Description>Cable Plugs</Description><Size>3.5-5.0mm</Size><SupplierCode>JV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1772</GroupID><SubGroupID>5373</SubGroupID><ARTGs><ARTG>451965</ARTG></ARTGs><MinimumBenefit>171</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2024-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ET054</BillingCode><Name>Memokath Prostatic - Urethral Stents</Name><Description>Memokath Models: 028S, 028SW, 028T, 028TW, 044T, 044TW, 045T, 045TW, 045TTW</Description><Size> 5mm - 90mm</Size><SupplierCode>ET</SupplierCode><CategoryID>26</CategoryID><SubCategoryID>256</SubCategoryID><GroupID>1800</GroupID><SubGroupID>5501</SubGroupID><ARTGs><ARTG>141653</ARTG></ARTGs><MinimumBenefit>2351</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2008-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LH778</BillingCode><PriorBillingCodes><PriorBillingCode>MB014</PriorBillingCode></PriorBillingCodes><Name>Allium Round Posterior Urethral Stent</Name><Description>Round Nitinol stent with copolymer covering and supplied premounted on a delivery tool. For longer term temporary treatment of bladder outlet obstruction caused by  male stenotic posterior urethra or  stenotic bladder-neck.</Description><Size>The RPS has a body length of 40mm and a main body calibre of 45Fr</Size><SupplierCode>LH</SupplierCode><CategoryID>26</CategoryID><SubCategoryID>256</SubCategoryID><GroupID>1800</GroupID><SubGroupID>5501</SubGroupID><ARTGs><ARTG>205004</ARTG></ARTGs><ChangeExplanation>
Billing code transferred from MB014
Sponsor transferred from MD SOLUTIONS AUSTRALASIA PTY LTD</ChangeExplanation><MinimumBenefit>2351</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2013-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LH777</BillingCode><PriorBillingCodes><PriorBillingCode>MB013</PriorBillingCode></PriorBillingCodes><Name>Allium Bulbar Urethral Stent</Name><Description>Round Nitinol stent with co-polymer covering and supplied premounted on a delivery tool.</Description><Size>50, 55, 60, 80 mm</Size><SupplierCode>LH</SupplierCode><CategoryID>26</CategoryID><SubCategoryID>256</SubCategoryID><GroupID>1800</GroupID><SubGroupID>5501</SubGroupID><ARTGs><ARTG>205004</ARTG></ARTGs><ChangeExplanation>
Billing code transferred from MB013
Sponsor transferred from MD SOLUTIONS AUSTRALASIA PTY LTD</ChangeExplanation><MinimumBenefit>2351</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2013-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LH779</BillingCode><PriorBillingCodes><PriorBillingCode>MB015</PriorBillingCode></PriorBillingCodes><Name>Allium Triangle Prostatic Urethral Stent</Name><Description>Round Nitinol stent with copolymer covering and supplied premounted on a delivery tool. For longer term temporary treatment of bladder outlet obstruction caused by enlarged prostate.</Description><Size>Body lengths 30, 40, 50, 60, 65mm
main body calibre 45Fr</Size><SupplierCode>LH</SupplierCode><CategoryID>26</CategoryID><SubCategoryID>256</SubCategoryID><GroupID>1800</GroupID><SubGroupID>5501</SubGroupID><ARTGs><ARTG>205004</ARTG></ARTGs><ChangeExplanation>
Billing code transferred from MB015
Sponsor transferred from MD SOLUTIONS AUSTRALASIA PTY LTD</ChangeExplanation><MinimumBenefit>2351</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2013-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>WC136</BillingCode><Name>Zaontz Urethral Stent</Name><Description>Zaontz Urethral Stent</Description><Size>Multiple French Sizes, Length 12cm</Size><SupplierCode>WC</SupplierCode><CategoryID>26</CategoryID><SubCategoryID>256</SubCategoryID><GroupID>1800</GroupID><SubGroupID>5502</SubGroupID><ARTGs><ARTG>214821</ARTG></ARTGs><MinimumBenefit>55</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>WC126</BillingCode><Name>Firlit-Kluge Urethral Stent</Name><Description>Firlit-Kluge urethral stent</Description><Size>Multiple French Sizes, Length 30cm</Size><SupplierCode>WC</SupplierCode><CategoryID>26</CategoryID><SubCategoryID>256</SubCategoryID><GroupID>1800</GroupID><SubGroupID>5502</SubGroupID><ARTGs><ARTG>214821</ARTG></ARTGs><MinimumBenefit>55</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>152396</ARTG><ARTG>145590</ARTG><ARTG>145591</ARTG><ARTG>145592</ARTG><ARTG>152442</ARTG></ARTGs><MinimumBenefit>2191</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</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>JJ</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>2025-03-01</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>2025-03-01</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>SN</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>163</SubCategoryID><GroupID>1427</GroupID><SubGroupID>4016</SubGroupID><Suffix>SCP</Suffix><ARTGs><ARTG>223523</ARTG><ARTG>212782</ARTG></ARTGs><MinimumBenefit>2398</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</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>ZI</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>163</SubCategoryID><GroupID>1427</GroupID><SubGroupID>4017</SubGroupID><Suffix>SCP</Suffix><ARTGs><ARTG>213174</ARTG><ARTG>267446</ARTG></ARTGs><MinimumBenefit>2210</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</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>210208</ARTG><ARTG>210209</ARTG><ARTG>210210</ARTG></ARTGs><MinimumBenefit>2600</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-02-01</CycleStartDate><CycleEndDate>2025-03-01</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>SN</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>215938</ARTG><ARTG>215939</ARTG><ARTG>209003</ARTG></ARTGs><MinimumBenefit>2079</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2007-06-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>JV034</BillingCode><Name>Trident II HA/PSL Cluster Hole</Name><Description>Titanium Acetabular Shell, Plasma sprayed Titanium Coating, Hydroxyapatite (HA)</Description><Size>Size – A to H, Diameter – 42mm to 66mm</Size><SupplierCode>JV</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>163</SubCategoryID><GroupID>1427</GroupID><SubGroupID>4018</SubGroupID><ARTGs><ARTG>321441</ARTG><ARTG>321440</ARTG></ARTGs><ChangeExplanation>New listing</ChangeExplanation><MinimumBenefit>2079</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2025-03-01</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</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>SN</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>ZI</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>JJ</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MC775</BillingCode><Name>Interstim Lead Introducer Kit</Name><Description>Lead Introducer Kit for Sacral Nerve Stimulation</Description><Size>One size only</Size><SupplierCode>MI</SupplierCode><CategoryID>26</CategoryID><SubCategoryID>232</SubCategoryID><GroupID>1715</GroupID><SubGroupID>5342</SubGroupID><ARTGs><ARTG>355041</ARTG><ARTG>355030</ARTG></ARTGs><MinimumBenefit>514</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2008-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MI444</BillingCode><Name>InterStim neurostimulator- Extension Lead</Name><Description>Sacral Nerve Stimulation Extension Lead</Description><Size>One size</Size><SupplierCode>MI</SupplierCode><CategoryID>26</CategoryID><SubCategoryID>232</SubCategoryID><GroupID>1715</GroupID><SubGroupID>5342</SubGroupID><ARTGs><ARTG>239412</ARTG></ARTGs><MinimumBenefit>514</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MI387</BillingCode><Name>InterStim - Revision Kit</Name><Description>Revision kit includes tunneling tool, torque wrench, test stimulation cable, directional guide, lead introducer, dilator and set screws</Description><Size>One size</Size><SupplierCode>MI</SupplierCode><CategoryID>26</CategoryID><SubCategoryID>232</SubCategoryID><GroupID>1715</GroupID><SubGroupID>5342</SubGroupID><ARTGs><ARTG>240576</ARTG></ARTGs><MinimumBenefit>514</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2020-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>XP008</BillingCode><PriorBillingCodes><PriorBillingCode>UW008</PriorBillingCode></PriorBillingCodes><Name>Axonics Lead Implant Kit</Name><Description>Lead introducer kit including needles, sheath and tools</Description><Size>One size only</Size><SupplierCode>XP</SupplierCode><CategoryID>26</CategoryID><SubCategoryID>232</SubCategoryID><GroupID>1715</GroupID><SubGroupID>5342</SubGroupID><ARTGs><ARTG>298140</ARTG></ARTGs><ChangeExplanation>
Billing code transferred from UW008
Sponsor transferred from PLEXUS RA PTY LTD</ChangeExplanation><MinimumBenefit>514</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2022-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>XP009</BillingCode><PriorBillingCodes><PriorBillingCode>UW009</PriorBillingCode></PriorBillingCodes><Name>Axonics Foramen Needles</Name><Description>6 Foramen needles</Description><Size>Short and Long</Size><SupplierCode>XP</SupplierCode><CategoryID>26</CategoryID><SubCategoryID>232</SubCategoryID><GroupID>1715</GroupID><SubGroupID>5343</SubGroupID><ARTGs><ARTG>298140</ARTG></ARTGs><ChangeExplanation>
Billing code transferred from UW009
Sponsor transferred from PLEXUS RA PTY LTD</ChangeExplanation><MinimumBenefit>21</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2022-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MI333</BillingCode><PriorBillingCodes><PriorBillingCode>MC186</PriorBillingCode><PriorBillingCode>MI318</PriorBillingCode></PriorBillingCodes><Name>Sacral Nerve Stimulation Accessories</Name><Description>Foramen Needle. Sterile individual units.Stainless steel.</Description><Size>8.9 to 12.7 cm</Size><SupplierCode>MI</SupplierCode><CategoryID>26</CategoryID><SubCategoryID>232</SubCategoryID><GroupID>1715</GroupID><SubGroupID>5343</SubGroupID><ARTGs><ARTG>121280</ARTG></ARTGs><MinimumBenefit>21</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2020-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>XP010</BillingCode><PriorBillingCodes><PriorBillingCode>UW010</PriorBillingCode></PriorBillingCodes><Name>Axonics Stimulation Cable</Name><Description>Cable for trial and implant</Description><Size>One size only</Size><SupplierCode>XP</SupplierCode><CategoryID>26</CategoryID><SubCategoryID>232</SubCategoryID><GroupID>1715</GroupID><SubGroupID>5517</SubGroupID><ARTGs><ARTG>314969</ARTG></ARTGs><ChangeExplanation>
Billing code transferred from UW010
Sponsor transferred from PLEXUS RA PTY LTD</ChangeExplanation><MinimumBenefit>190</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2022-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MI127</BillingCode><Name>Medtronic Cables</Name><Description>Stimulation Cables for Intraoperative testing</Description><Size>Various</Size><SupplierCode>MI</SupplierCode><CategoryID>26</CategoryID><SubCategoryID>232</SubCategoryID><GroupID>1715</GroupID><SubGroupID>5517</SubGroupID><ARTGs><ARTG>355030</ARTG><ARTG>355041</ARTG></ARTGs><MinimumBenefit>190</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2014-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MI443</BillingCode><Name>InterStim neurostimulator- Programmer</Name><Description>Programmer</Description><Size>One size</Size><SupplierCode>MI</SupplierCode><CategoryID>26</CategoryID><SubCategoryID>232</SubCategoryID><GroupID>1713</GroupID><SubGroupID>5337</SubGroupID><ARTGs><ARTG>355036</ARTG></ARTGs><MinimumBenefit>1330</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MI520</BillingCode><Name>InterStim™ X System – Smart Programmer Kit</Name><Description>Smart 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>26</CategoryID><SubCategoryID>232</SubCategoryID><GroupID>1713</GroupID><SubGroupID>5337</SubGroupID><ARTGs><ARTG>402562</ARTG><ARTG>419710</ARTG><ARTG>402561</ARTG></ARTGs><MinimumBenefit>1330</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2023-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MC756</BillingCode><Name>InterStim iCON Patient Programmer</Name><Description>Hand held device Model 3037 to be used with implantable neurostimulation devices</Description><Size>One size only</Size><SupplierCode>MI</SupplierCode><CategoryID>26</CategoryID><SubCategoryID>232</SubCategoryID><GroupID>1713</GroupID><SubGroupID>5337</SubGroupID><ARTGs><ARTG>137808</ARTG></ARTGs><MinimumBenefit>1330</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2007-12-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>XP004</BillingCode><PriorBillingCodes><PriorBillingCode>UW004</PriorBillingCode></PriorBillingCodes><Name>Axonics Patient Remote Control</Name><Description>Remote patient controller for Axonics Sacral Neurmodulation System</Description><Size>One size only</Size><SupplierCode>XP</SupplierCode><CategoryID>26</CategoryID><SubCategoryID>232</SubCategoryID><GroupID>1713</GroupID><SubGroupID>5337</SubGroupID><ARTGs><ARTG>325941</ARTG></ARTGs><ChangeExplanation>
Billing code transferred from UW004
Sponsor transferred from PLEXUS RA PTY LTD</ChangeExplanation><MinimumBenefit>1330</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2022-11-01</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</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><MinimumBenefit>4275</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-02-01</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MJ026</BillingCode><Name>ReCerf Acetabular Cup</Name><Description>Biolox Delta Acetabular Cup Cementless with Plasma Titanium and HA Coating</Description><Size>46mm to 70mm</Size><SupplierCode>MJ</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>163</SubCategoryID><GroupID>1431</GroupID><SubGroupID>4032</SubGroupID><ARTGs><ARTG>470549</ARTG></ARTGs><ChangeExplanation>New listing</ChangeExplanation><MinimumBenefit>4322</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2025-03-01</CycleStartDate><CycleEndDate>2025-03-01</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>SN</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>2025-03-01</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>ZI</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>2025-03-01</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>ZI</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>163</SubCategoryID><GroupID>1426</GroupID><SubGroupID>4010</SubGroupID><ARTGs><ARTG>232428</ARTG><ARTG>227881</ARTG></ARTGs><MinimumBenefit>1931</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2013-08-01</CycleStartDate><CycleEndDate>2025-03-01</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>SN</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>163</SubCategoryID><GroupID>1426</GroupID><SubGroupID>4011</SubGroupID><ARTGs><ARTG>223522</ARTG><ARTG>220233</ARTG><ARTG>223823</ARTG><ARTG>223821</ARTG><ARTG>223524</ARTG><ARTG>247733</ARTG></ARTGs><MinimumBenefit>1802</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2020-07-01</CycleStartDate><CycleEndDate>2025-03-01</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>JJ</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>163</SubCategoryID><GroupID>1426</GroupID><SubGroupID>4011</SubGroupID><Suffix>SCP</Suffix><ARTGs><ARTG>221600</ARTG><ARTG>221679</ARTG><ARTG>223026</ARTG></ARTGs><MinimumBenefit>1802</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2009-02-01</CycleStartDate><CycleEndDate>2025-03-01</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>SN</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>2025-03-01</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>2025-03-01</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>ZI</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>SN</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>2025-03-01</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>2025-03-01</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>ZI</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>2025-03-01</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>2025-03-01</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>ZI</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>ZI</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>163</SubCategoryID><GroupID>1426</GroupID><SubGroupID>4014</SubGroupID><ARTGs><ARTG>287801</ARTG><ARTG>278984</ARTG></ARTGs><MinimumBenefit>2812</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-08-01</CycleStartDate><CycleEndDate>2025-03-01</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>ZI</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>163</SubCategoryID><GroupID>1426</GroupID><SubGroupID>4014</SubGroupID><ARTGs><ARTG>289084</ARTG><ARTG>289083</ARTG></ARTGs><MinimumBenefit>2812</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2009-08-01</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>JJ</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>2025-03-01</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>2025-03-01</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>SN</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MN126</BillingCode><Name>Mentor Contour Profile Gel Implant</Name><Description>Textured, Contour Profile, Cohesive lll, Gel implant</Description><Size>&lt;500cc</Size><SupplierCode>JJ</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>204</SubCategoryID><GroupID>1610</GroupID><SubGroupID>4429</SubGroupID><Suffix>Pre-shaped</Suffix><ARTGs><ARTG>130678</ARTG></ARTGs><MinimumBenefit>975</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MN130</BillingCode><Name>Mentor Siltex Round Gel Implant</Name><Description>Textured, Round Cohesive Gel ll Implant</Description><Size>&lt;500cc</Size><SupplierCode>JJ</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>204</SubCategoryID><GroupID>1610</GroupID><SubGroupID>4429</SubGroupID><ARTGs><ARTG>110589</ARTG></ARTGs><MinimumBenefit>595</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MN124</BillingCode><Name>Mentor Siltex Round Gel Implant</Name><Description>Textured, Round Cohesive l Gel implant</Description><Size>less than 500cc</Size><SupplierCode>JJ</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>204</SubCategoryID><GroupID>1610</GroupID><SubGroupID>4429</SubGroupID><ARTGs><ARTG>326144</ARTG><ARTG>110588</ARTG></ARTGs><MinimumBenefit>595</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MN122</BillingCode><Name>Mentor Smooth MemoryGel™, MemoryGel™ XTRA Breast Implant</Name><Description>Round, smooth surface cohesive I silicone gel-filled breast implant. Available in two projections: MemoryGel™ and MemoryGel™ XTRA. MemoryGel™ has two options: Moderate Plus and High Profile. MemoryGel™ XTRA has two options: Moderate Plus XTRA and High Profile XTRA</Description><Size>less than 500cc</Size><SupplierCode>JJ</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>204</SubCategoryID><GroupID>1610</GroupID><SubGroupID>4429</SubGroupID><ARTGs><ARTG>393729</ARTG><ARTG>393728</ARTG></ARTGs><MinimumBenefit>595</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>KK001</BillingCode><PriorBillingCodes><PriorBillingCode>AW008</PriorBillingCode></PriorBillingCodes><Name>Natrelle® INSPIRA® TruForm™ Smooth Mammary Implant</Name><Description>Round implants with smooth surface. Available in four projections: low, moderate, full and extra-full; and two cohesive gel types: TruForm™ 1 Responsive Gel and TruForm™ 2 Soft-Touch™ Gel.</Description><Size>110 - 800 grams</Size><SupplierCode>KK</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>204</SubCategoryID><GroupID>1610</GroupID><SubGroupID>4429</SubGroupID><ARTGs><ARTG>175426</ARTG><ARTG>175421</ARTG></ARTGs><MinimumBenefit>595</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2023-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ZW002</BillingCode><Name>Eurosilicone Breast Implants</Name><Description>Round Cohesive Gel Breast Implants for Plastic and Reconstructive Surgery</Description><Size>100cc to 900cc</Size><SupplierCode>ZW</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>204</SubCategoryID><GroupID>1610</GroupID><SubGroupID>4429</SubGroupID><ARTGs><ARTG>132036</ARTG></ARTGs><MinimumBenefit>595</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2011-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>KK002</BillingCode><PriorBillingCodes><PriorBillingCode>AW019</PriorBillingCode></PriorBillingCodes><Name>BRST Round MICROCELL™ Micotextured cohesive gel filled mammary implant</Name><Description>Round-shaped implants with MICROCELL™ microtextured surface, silicone elastomer barrier layer and cohesive silicone gel.   Available in three profiles:  moderate, high and extra high.</Description><Size>175 - 700 g</Size><SupplierCode>KK</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>204</SubCategoryID><GroupID>1610</GroupID><SubGroupID>4429</SubGroupID><ARTGs><ARTG>220900</ARTG></ARTGs><MinimumBenefit>595</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2023-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LH728</BillingCode><PriorBillingCodes><PriorBillingCode>BY016</PriorBillingCode></PriorBillingCodes><Name>Motiva, Matrix Silk Surface PLUS with QID</Name><Description>Sterile Silicone Breast Implants Motiva Implant Matrix SilkSurface PLUS with Qid - Prosthesis, internal, mammary,gel filled</Description><Size>105cc to 500cc</Size><SupplierCode>LH</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>204</SubCategoryID><GroupID>1610</GroupID><SubGroupID>4429</SubGroupID><ARTGs><ARTG>282776</ARTG></ARTGs><MinimumBenefit>595</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>JK048</BillingCode><PriorBillingCodes><PriorBillingCode>JK046</PriorBillingCode></PriorBillingCodes><Name>Impleo gel-filled Nagor mammary implant range - smooth - IMP-SMR, IMP-SHR and IMP-SEHR</Name><Description>Smooth Round</Description><Size>150 to 460ml</Size><SupplierCode>JK</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>204</SubCategoryID><GroupID>1610</GroupID><SubGroupID>4429</SubGroupID><ARTGs><ARTG>277759</ARTG></ARTGs><MinimumBenefit>595</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2023-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LH724</BillingCode><PriorBillingCodes><PriorBillingCode>BY011</PriorBillingCode></PriorBillingCodes><Name>Motiva, Matrix Silk Surface PLUS</Name><Description>Sterile Silicone Breast Implants, Motiva Matrix SilkSurface PLUS - Prosthesis, internal, mammary, gel filled</Description><Size>105cc to 500cc</Size><SupplierCode>LH</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>204</SubCategoryID><GroupID>1610</GroupID><SubGroupID>4429</SubGroupID><ARTGs><ARTG>282778</ARTG></ARTGs><MinimumBenefit>595</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>EG027</BillingCode><Name>Sebbin Mammary Implants</Name><Description>Sterile Silicone Breast Implants less than 500cc</Description><Size>Volume less than 500cc</Size><SupplierCode>EG</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>204</SubCategoryID><GroupID>1610</GroupID><SubGroupID>4429</SubGroupID><ARTGs><ARTG>309616</ARTG></ARTGs><MinimumBenefit>595</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LH725</BillingCode><PriorBillingCodes><PriorBillingCode>BY012</PriorBillingCode></PriorBillingCodes><Name>Motiva Ergonomix Implant Matrix, SilkSurface with Qid</Name><Description>Sterile Silicone Breast Implants Motiva Implant  Matrix Ergonomix, SilkSurface with Qid - Prosthesis, internal,  mammary, gel filled</Description><Size>105cc to 500cc</Size><SupplierCode>LH</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>204</SubCategoryID><GroupID>1610</GroupID><SubGroupID>4429</SubGroupID><Suffix>Pre-shaped</Suffix><ARTGs><ARTG>282777</ARTG></ARTGs><MinimumBenefit>975</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>JT003</BillingCode><Name>Sublime Line Mammary Implant</Name><Description>Smooth, Microthane or textured surface. Round or oval based with anatomical or central projection.</Description><Size>Low Profile, Moderate Profile, High Profile and Extra High Profile. Sizes 45-495cc.</Size><SupplierCode>JT</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>204</SubCategoryID><GroupID>1610</GroupID><SubGroupID>4429</SubGroupID><Suffix>Pre-shaped</Suffix><ARTGs><ARTG>171783</ARTG></ARTGs><MinimumBenefit>975</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LH729</BillingCode><PriorBillingCodes><PriorBillingCode>BY017</PriorBillingCode></PriorBillingCodes><Name>MOTIVA IMPLANTS ANATOMICAL TRUEFIXATION</Name><Description>Sterile Silicone Breast Implants. Gel filled, pre-shaped. </Description><Size>250- 495 cc</Size><SupplierCode>LH</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>204</SubCategoryID><GroupID>1610</GroupID><SubGroupID>4429</SubGroupID><Suffix>Pre-shaped</Suffix><ARTGs><ARTG>373251</ARTG></ARTGs><MinimumBenefit>975</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LH731</BillingCode><PriorBillingCodes><PriorBillingCode>BY014</PriorBillingCode></PriorBillingCodes><Name>Motiva, Matrix Silk Surface PLUS with QID</Name><Description>Sterile Silicone Breast Implants, Motiva Matrix, SilkSurface PLUS with QID  - prostheses, Internal, Mammary, gel filled</Description><Size>500cc TO 1050cc</Size><SupplierCode>LH</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>204</SubCategoryID><GroupID>1610</GroupID><SubGroupID>4432</SubGroupID><ARTGs><ARTG>282776</ARTG></ARTGs><MinimumBenefit>668</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LH726</BillingCode><PriorBillingCodes><PriorBillingCode>BY013</PriorBillingCode></PriorBillingCodes><Name>Motiva, Matrix Silk Surface PLUS</Name><Description>Sterile Silicone Breast Implants, Motiva Matrix, SilkSurface PLUS - prostheses, Internal, Mammary, gel filled</Description><Size>500cc to 1050cc</Size><SupplierCode>LH</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>204</SubCategoryID><GroupID>1610</GroupID><SubGroupID>4432</SubGroupID><ARTGs><ARTG>282778</ARTG></ARTGs><MinimumBenefit>668</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>JK047</BillingCode><PriorBillingCodes><PriorBillingCode>JK046</PriorBillingCode></PriorBillingCodes><Name>Impleo gel-filled Nagor mammary implant range - smooth - IMP-SMR, IMP-SHR and IMP-SEHR</Name><Description>Smooth Round</Description><Size>520 to 620ml</Size><SupplierCode>JK</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>204</SubCategoryID><GroupID>1610</GroupID><SubGroupID>4432</SubGroupID><ARTGs><ARTG>277759</ARTG></ARTGs><MinimumBenefit>668</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2023-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MN125</BillingCode><Name>Mentor Siltex Round Gel Implant</Name><Description>Textured, Round Cohesive l Gel implant</Description><Size>≥500cc</Size><SupplierCode>JJ</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>204</SubCategoryID><GroupID>1610</GroupID><SubGroupID>4432</SubGroupID><ARTGs><ARTG>326144</ARTG><ARTG>110588</ARTG></ARTGs><MinimumBenefit>668</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>EG025</BillingCode><Name>Sebbin Mammary Implants </Name><Description>Sterile Silicone Breast Implants greater than 500cc</Description><Size>Greater Than 500cc</Size><SupplierCode>EG</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>204</SubCategoryID><GroupID>1610</GroupID><SubGroupID>4432</SubGroupID><ARTGs><ARTG>309616</ARTG></ARTGs><MinimumBenefit>668</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MN131</BillingCode><Name>Mentor Siltex Round Gel Implant</Name><Description>Textured, Round Cohesive Gel ll Implant</Description><Size>≥500cc</Size><SupplierCode>JJ</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>204</SubCategoryID><GroupID>1610</GroupID><SubGroupID>4432</SubGroupID><ARTGs><ARTG>110589</ARTG></ARTGs><MinimumBenefit>668</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MN123</BillingCode><Name>Mentor Smooth MemoryGel™, MemoryGel™ XTRA Breast Implant</Name><Description>Round, smooth surface cohesive I silicone gel-filled breast implant. Available in two projections: MemoryGel™ and MemoryGel™ XTRA. MemoryGel™ has two options: Moderate Plus and High Profile. MemoryGel™ XTRA has two options: Moderate Plus XTRA and High Profile XTRA</Description><Size>≥500cc</Size><SupplierCode>JJ</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>204</SubCategoryID><GroupID>1610</GroupID><SubGroupID>4432</SubGroupID><ARTGs><ARTG>393728</ARTG><ARTG>393729</ARTG></ARTGs><MinimumBenefit>668</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>JT004</BillingCode><Name>Sublime Line Mammary Implant</Name><Description>Smooth, Microthane or textured surface. Round or oval based with anatomical or central projection</Description><Size>Low Profile, Moderate Profile, High Profile and Extra High Profile. Sizes 500-1035cc.</Size><SupplierCode>JT</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>204</SubCategoryID><GroupID>1610</GroupID><SubGroupID>4432</SubGroupID><Suffix>Pre-shaped</Suffix><ARTGs><ARTG>171783</ARTG></ARTGs><MinimumBenefit>1170</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LH727</BillingCode><PriorBillingCodes><PriorBillingCode>BY015</PriorBillingCode></PriorBillingCodes><Name>Motiva Ergonomix Implant Matrix, SilkSurface with QID</Name><Description>Sterile Silicone Breast Implants, Motiva Ergonomix Matrix, SilkSurface PLUS with QID  - prostheses, Internal, Mammary, gel filled</Description><Size>500cc TO 775cc</Size><SupplierCode>LH</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>204</SubCategoryID><GroupID>1610</GroupID><SubGroupID>4432</SubGroupID><Suffix>Pre-shaped</Suffix><ARTGs><ARTG>282777</ARTG></ARTGs><MinimumBenefit>1170</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LH730</BillingCode><PriorBillingCodes><PriorBillingCode>BY018</PriorBillingCode></PriorBillingCodes><Name>MOTIVA IMPLANTS ANATOMICAL TRUEFIXATION</Name><Description>Sterile Silicone Breast Implants. Gel filled, pre-shaped. </Description><Size>500-600 cc</Size><SupplierCode>LH</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>204</SubCategoryID><GroupID>1610</GroupID><SubGroupID>4432</SubGroupID><Suffix>Pre-shaped</Suffix><ARTGs><ARTG>373251</ARTG></ARTGs><MinimumBenefit>1170</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MN127</BillingCode><Name>Mentor Contour Profile Gel Implant</Name><Description>Textured, Contour Profile, Cohesive lll, Gel implant</Description><Size>≥500cc</Size><SupplierCode>JJ</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>204</SubCategoryID><GroupID>1610</GroupID><SubGroupID>4432</SubGroupID><Suffix>Pre-shaped</Suffix><ARTGs><ARTG>130678</ARTG></ARTGs><MinimumBenefit>1170</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-02-01</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</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>2025-03-01</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>SN</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>ZI</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>2025-03-01</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>2025-03-01</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>JJ</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>JJ</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>JJ975</BillingCode><Name>Attune Knee System</Name><Description>ATTUNE Cementless Posterior Stabilised Femoral Component</Description><Size>Left/Right Sizes 1-10 Standard Shape, Left/Right Sizes 3-6 Narrow Shape</Size><SupplierCode>JJ</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>149</SubCategoryID><GroupID>1351</GroupID><SubGroupID>3915</SubGroupID><ARTGs><ARTG>315525</ARTG></ARTGs><ChangeExplanation>New listing</ChangeExplanation><MinimumBenefit>3314</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2025-03-01</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</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>2025-03-01</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>SN</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>2025-03-01</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LH776</BillingCode><PriorBillingCodes><PriorBillingCode>MB006</PriorBillingCode></PriorBillingCodes><Name>Adjustable Continence Therapy for Men</Name><Description>ProACT Device: Prosthesis designed for the treatment of male SUI comprising of a single silicone balloon attached via a conduit to titanium and rubber ports allowing for post operative adjustment.</Description><Size>6 - 14cm</Size><SupplierCode>LH</SupplierCode><CategoryID>26</CategoryID><SubCategoryID>226</SubCategoryID><GroupID>1786</GroupID><SubGroupID>5450</SubGroupID><ARTGs><ARTG>163939</ARTG></ARTGs><ChangeExplanation>
Billing code transferred from MB006
Sponsor transferred from MD SOLUTIONS AUSTRALASIA PTY LTD</ChangeExplanation><MinimumBenefit>3938</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2010-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LH773</BillingCode><PriorBillingCodes><PriorBillingCode>MB003</PriorBillingCode></PriorBillingCodes><Name>Adjustable Continence Therapy for Women</Name><Description>ACT Device: Prosthesis designed for the treatment of female SUI comprising of a single silicone balloon attached via a conduit to titanium and rubber ports allowing for post operative adjustment.</Description><Size>6 - 14cm</Size><SupplierCode>LH</SupplierCode><CategoryID>26</CategoryID><SubCategoryID>226</SubCategoryID><GroupID>1786</GroupID><SubGroupID>5450</SubGroupID><ARTGs><ARTG>163939</ARTG></ARTGs><ChangeExplanation>
Billing code transferred from MB003
Sponsor transferred from MD SOLUTIONS AUSTRALASIA PTY LTD</ChangeExplanation><MinimumBenefit>3938</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2010-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ET074</BillingCode><Name>ATOMS System</Name><Description>The ATOMS System is a long term, adjustable prostheses that substitutes urinary sphincter function in incontinent males. It is a hydraulic system comprising of a suburethral sphincter cushion/cuff which can be adjusted hydraulically intra-operatively or post-operatively through an implanted titanium port. Fixation arms and attachment sutures hold the implant in situ.</Description><Size>1 size only - ATS 5011 (Length of Implant 560mm, width of tape 12mm, dimensions of cushion 40x45mm, max. filling volume of cushion 25mL). Titanium port-reservoir with hydraulic tubing, one size.</Size><SupplierCode>ET</SupplierCode><CategoryID>26</CategoryID><SubCategoryID>226</SubCategoryID><GroupID>1786</GroupID><SubGroupID>5451</SubGroupID><ARTGs><ARTG>154803</ARTG></ARTGs><MinimumBenefit>7876</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2014-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LH774</BillingCode><PriorBillingCodes><PriorBillingCode>MB004</PriorBillingCode></PriorBillingCodes><Name>Adjustable Continence Therapy device for women</Name><Description>ACT Device: prosthesis designed for the treatment of female SUI comprising of silicone balloons x 2 attached via a conduit to titanium and rubber ports allowing for post operative adjustment.</Description><Size>6 - 14cm</Size><SupplierCode>LH</SupplierCode><CategoryID>26</CategoryID><SubCategoryID>226</SubCategoryID><GroupID>1786</GroupID><SubGroupID>5451</SubGroupID><ARTGs><ARTG>163939</ARTG></ARTGs><ChangeExplanation>
Billing code transferred from MB004
Sponsor transferred from MD SOLUTIONS AUSTRALASIA PTY LTD</ChangeExplanation><MinimumBenefit>7876</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2010-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LH775</BillingCode><PriorBillingCodes><PriorBillingCode>MB005</PriorBillingCode></PriorBillingCodes><Name>Adjustable Continence Therapy for Men</Name><Description>ProACT Device: prosthesis designed for the treatment of male SUI comprising of silicone balloons x2 attached via a conduit to titanium and rubber ports allowing for post operative adjustment.</Description><Size>6 - 14cm</Size><SupplierCode>LH</SupplierCode><CategoryID>26</CategoryID><SubCategoryID>226</SubCategoryID><GroupID>1786</GroupID><SubGroupID>5451</SubGroupID><ARTGs><ARTG>163939</ARTG></ARTGs><ChangeExplanation>
Billing code transferred from MB005
Sponsor transferred from MD SOLUTIONS AUSTRALASIA PTY LTD</ChangeExplanation><MinimumBenefit>7876</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2010-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ET075</BillingCode><Name>AMI ATOMS Infusion Port</Name><Description>Hydraulic Infusion port for use with AMI ATOMS System - seperate</Description><Size>22mm Diameter, 9.8mm High</Size><SupplierCode>ET</SupplierCode><CategoryID>26</CategoryID><SubCategoryID>226</SubCategoryID><GroupID>1786</GroupID><SubGroupID>5987</SubGroupID><ARTGs><ARTG>148776</ARTG></ARTGs><MinimumBenefit>950</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2014-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>JJ014</BillingCode><Name>Surgicel ORIGINAL Absorbable Haemostat</Name><Description>Oxidised regenerated cellulose gauze, the material is biocompatible and also bactericidal</Description><Size>1.25  x 5cm</Size><SupplierCode>JJ</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>191</SubCategoryID><GroupID>1554</GroupID><SubGroupID>6008</SubGroupID><Suffix>Antimicrobial, Low Antigenicity</Suffix><ARTGs><ARTG>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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>JJ432</BillingCode><Name>SURGICEL Nu knit Absorbable Haemostat</Name><Description>High density , oxidised regenerated cellulose, the material is biocompatible and also bactericidal.</Description><Size>2.5 x 8.75cm</Size><SupplierCode>JJ</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>191</SubCategoryID><GroupID>1554</GroupID><SubGroupID>6008</SubGroupID><Suffix>Antimicrobial, Low Antigenicity, Woven</Suffix><ARTGs><ARTG>177701</ARTG></ARTGs><MinimumBenefit>33</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LH424</BillingCode><Name>Gelitacel Oxidised Resorbable Cellulose Gauze (15)</Name><Description>Gelitacel is a white, single-use, non-toxic, sterile, bioarbsorbable, weakly acidic, viscose-free, knitted haemostatic fabric (USP)</Description><Size>5 x 7 cm</Size><SupplierCode>LH</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>191</SubCategoryID><GroupID>1554</GroupID><SubGroupID>6008</SubGroupID><ARTGs><ARTG>157255</ARTG></ARTGs><MinimumBenefit>8</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2009-08-01</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>JJ023</BillingCode><Name>Surgicel Nu-Knit Absorbable Haemostat</Name><Description>High density, oxidised regenerated cellulose, the material is biocompatible and also bactericidal</Description><Size>2.5 x 2.5cm</Size><SupplierCode>JJ</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>191</SubCategoryID><GroupID>1554</GroupID><SubGroupID>6008</SubGroupID><Suffix>Antimicrobial, Low Antigenicity, Woven</Suffix><ARTGs><ARTG>177701</ARTG></ARTGs><MinimumBenefit>33</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MN112</BillingCode><Name>Surgicel Non-Woven (SNoW) Absorbable Haemostat</Name><Description>Absorbable haemostat, Structured Non-Woven</Description><Size>2.5 x 5cm</Size><SupplierCode>JJ</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>JJ009</BillingCode><Name>Surgicel Fibrillar Absorbable Haemostat</Name><Description>Fibrous fleece, oxidised regenerated cellulose, the material is biocompatible and also bactericidal</Description><Size>2.5 x 5.1cm</Size><SupplierCode>JJ</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>191</SubCategoryID><GroupID>1554</GroupID><SubGroupID>6008</SubGroupID><Suffix>Antimicrobial, Low Antigenicity, Micro-fibrous</Suffix><ARTGs><ARTG>166221</ARTG></ARTGs><MinimumBenefit>34</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BG002</BillingCode><Name>BloodStop iX</Name><Description>BloodStop iX is a new generation haemostat made from water soluble, oxidised-etherified regenerated cellulose</Description><Size>1.3x5cm, 5x5cm, 5x10cm</Size><SupplierCode>BG</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>191</SubCategoryID><GroupID>1554</GroupID><SubGroupID>6008</SubGroupID><Suffix>Antimicrobial, Low Antigenicity</Suffix><ARTGs><ARTG>240712</ARTG></ARTGs><MinimumBenefit>19</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2016-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>JJ013</BillingCode><Name>Surgicel ORIGINAL Absorbable Haemostat</Name><Description>Oxidised regenerated cellulose gauze, the material is biocompatible and also bactericidal</Description><Size>5 x 7.5cm</Size><SupplierCode>JJ</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>191</SubCategoryID><GroupID>1554</GroupID><SubGroupID>6008</SubGroupID><Suffix>Antimicrobial, Low Antigenicity</Suffix><ARTGs><ARTG>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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>JJ030</BillingCode><Name>Surgicel Fibrillar Absorbable Haemostat</Name><Description>Fibrous fleece, oxidised regenerated cellulose, the material is biocompatible and also bactericidal</Description><Size>5.1 x 10.2cm</Size><SupplierCode>JJ</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>191</SubCategoryID><GroupID>1554</GroupID><SubGroupID>6009</SubGroupID><Suffix>Antimicrobial, Low Antigenicity, Micro-fibrous</Suffix><ARTGs><ARTG>166221</ARTG></ARTGs><MinimumBenefit>69</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>JJ008</BillingCode><Name>Surgicel Nu-Knit Absorbable Haemostat</Name><Description>High density, oxidised regenerated cellulose, the material is biocompatible and also bactericidal</Description><Size>7.5 x 10cm</Size><SupplierCode>JJ</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>191</SubCategoryID><GroupID>1554</GroupID><SubGroupID>6009</SubGroupID><Suffix>Antimicrobial, Low Antigenicity, Woven</Suffix><ARTGs><ARTG>177701</ARTG></ARTGs><MinimumBenefit>39</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MN116</BillingCode><Name>Surgicel Non-Woven (SNoW) Absorbable Haemostat</Name><Description>Absorbable haemostat, Structured Non-Woven</Description><Size>5 x 10.2cm</Size><SupplierCode>JJ</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>JJ433</BillingCode><Name>SURGICEL Nu knit Absorbable Haemostat</Name><Description>High density , oxidised regenerated cellulose, the material is biocompatible and also bactericidal.</Description><Size>15.2 x 22.9cm</Size><SupplierCode>JJ</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>191</SubCategoryID><GroupID>1554</GroupID><SubGroupID>6010</SubGroupID><Suffix>Antimicrobial, Low Antigenicity, Woven</Suffix><ARTGs><ARTG>177701</ARTG></ARTGs><MinimumBenefit>91</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>JJ012</BillingCode><Name>Surgicel ORIGINAL Absorbable Haemostat</Name><Description>Oxidised regenerated cellulose gauze, the material is biocompatible and also bactericidal</Description><Size>5-10.2 x 20-35cm</Size><SupplierCode>JJ</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>191</SubCategoryID><GroupID>1554</GroupID><SubGroupID>6010</SubGroupID><Suffix>Antimicrobial, Low Antigenicity</Suffix><ARTGs><ARTG>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>2025-03-01</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BG001</BillingCode><Name>BloodStop iX</Name><Description>BloodStop iX is a new generation haemostat made from water soluble, oxidised-etherified regenerated cellulose</Description><Size>10x20cm, 5x35cm</Size><SupplierCode>BG</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>191</SubCategoryID><GroupID>1554</GroupID><SubGroupID>6010</SubGroupID><ARTGs><ARTG>240712</ARTG></ARTGs><MinimumBenefit>33</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2016-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LH423</BillingCode><Name>Gelitacel Oxidised Resorbable Cellulose Gauze (10)</Name><Description>Gelitacel is a white, single use, non-toxic, sterile, hydrophilic bioabsorbable, weakly acidic, viscose-free, knitted haemostatic fabric (USP)</Description><Size>5 x 35 cm, 10 x 20 cm</Size><SupplierCode>LH</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>191</SubCategoryID><GroupID>1554</GroupID><SubGroupID>6010</SubGroupID><ARTGs><ARTG>157255</ARTG></ARTGs><MinimumBenefit>26</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2009-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>JJ029</BillingCode><Name>Surgicel Fibrillar Absorbable Haemostat</Name><Description>Fibrous fleece, oxidised regenerated cellulose, the material is biocompatible and also bactericidal</Description><Size>10.2 x 10.2cm</Size><SupplierCode>JJ</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>191</SubCategoryID><GroupID>1554</GroupID><SubGroupID>6010</SubGroupID><Suffix>Antimicrobial, Low Antigenicity, Micro-fibrous</Suffix><ARTGs><ARTG>166221</ARTG></ARTGs><MinimumBenefit>98</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MN117</BillingCode><Name>Surgicel Non-Woven (SNoW) Absorbable Haemostat</Name><Description>Absorbable haemostat, Structured Non-Woven</Description><Size>10.2 x 10.2cm</Size><SupplierCode>JJ</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>GT225</BillingCode><Name>GORE® VIABAHN® Endoprosthesis with Propaten Bioactive Surface</Name><Description>GORE® VIABAHN® Endoprosthesis with Propaten Bioactive Surface is a flexible, self expanding endoluminal device consisting of an ePTFE lining with external nitinol support</Description><Size>5mmx2.5cm 120cm 5mmx5cm 120cm 6mmx2.5cm 120cm 6mmx5cm 75cm 6mmx5cm 120cm 7mmx2.5cm 120cm 7mmx5cm 75cm   7mmx5cm 120cm 8mmx2.5cm 120cm 8mmx5cm 75cm 8mmx5cm 120cm 9mmx 5cm 75cm 9mmx 5cm 120cm 10mmx 5cm 75cm   10mmx 5cm 120cm 11mmx 5cm 75cm   11mmx 5cm 120cm 13mmx 5cm 75cm 13mmx 5cm 120cm</Size><SupplierCode>GT</SupplierCode><CategoryID>24</CategoryID><SubCategoryID>207</SubCategoryID><GroupID>1635</GroupID><SubGroupID>4451</SubGroupID><Suffix>H (heparin)</Suffix><ARTGs><ARTG>160210</ARTG></ARTGs><MinimumBenefit>3154</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2009-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>GT227</BillingCode><Name>GORE® VIABAHN® Endoprosthesis with Propaten Bioactive Surface</Name><Description>GORE® VIABAHN® Endoprosthesis with Propaten Bioactive Surfaceis a flexible, self expandinbg endoluminal device consisting of an ePTFE lining with external nitinol support</Description><Size>5mmx 10cm 120cm 6mmx 10cm 75cm 6mmx 10cm 120cm 7mmx 10cm 75cm 7mmx 10cm 120cm 8mmx 10cm 75cm 8mmx 10cm 120cm   9mmx 10cm 75cm 9mmx 10cm 120cm   10mmx 10cm 75cm 10mmx 10cm 120cm   11mmx 10cm 75cm 11mmx 10cm 120cm   13mmx 10cm 75cm 13mmx 10cm 120cm</Size><SupplierCode>GT</SupplierCode><CategoryID>24</CategoryID><SubCategoryID>207</SubCategoryID><GroupID>1635</GroupID><SubGroupID>4451</SubGroupID><Suffix>H (heparin)</Suffix><ARTGs><ARTG>160210</ARTG></ARTGs><MinimumBenefit>3154</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2009-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BA219</BillingCode><Name>Encapsulated Carbon Lined Stent Graft</Name><Description>PTFE covered nitinol self-expanding stent</Description><Size>4mm - 13.5mm diameter, 2cm - 12cm length</Size><SupplierCode>BA</SupplierCode><CategoryID>24</CategoryID><SubCategoryID>207</SubCategoryID><GroupID>1635</GroupID><SubGroupID>4451</SubGroupID><ARTGs><ARTG>143665</ARTG></ARTGs><MinimumBenefit>3064</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>GT029</BillingCode><Name>Gore Tips Endoprosthesis</Name><Description>ePTFE</Description><Size>8-12mm Diameter 4-8cm Graft-Lined Length 2cm Unlined Length</Size><SupplierCode>GT</SupplierCode><CategoryID>24</CategoryID><SubCategoryID>207</SubCategoryID><GroupID>1635</GroupID><SubGroupID>4451</SubGroupID><ARTGs><ARTG>94146</ARTG></ARTGs><MinimumBenefit>3064</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BA297</BillingCode><Name>Bard COVERA Vascular Covered Stent</Name><Description>The Covera™ Vascular Covered Stent is a flexible, self-expanding endoprosthesis comprised of expanded ePTFE encapsulating a nitinol stent framework. The inner lumen of the covered stent is carbon impregnated. Available in flared and straight end configurations allow for optimal sizing and adaption to the venous vessel wall. Straight device configurations are intended for use in anatomies where the diameter of the outflow vessel is equal to or smaller than the diameter of the inflow vessel. Flared device configurations are intended for use in anatomies where the diameter of the outflow vessel segment is larger than the inflow segment. The Covera™ Vascular Covered Stent device is an over-the-wire delivery system. The delivery system is compatible with 0.035 inch guidewires and 8F or 9F introducer sheaths. The delivery system is available in working lengths of 80 cm and 120 cm. Triaxial delivery system thumb wheel delivery facilitates accurate placement control.</Description><Size>Implant diameter: 6mm, 7mm, 8mm, 9mm,10 mm    Implant lengths: 30mm*, 40 mm, 60 mm, 80 mm, 100 mm      *30 mm length available in straight configurations</Size><SupplierCode>BA</SupplierCode><CategoryID>24</CategoryID><SubCategoryID>207</SubCategoryID><GroupID>1635</GroupID><SubGroupID>4451</SubGroupID><ARTGs><ARTG>321442</ARTG></ARTGs><MinimumBenefit>3064</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2020-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>GT226</BillingCode><Name>GORE® VIABAHN® Endoprosthesis with Propaten Bioactive Surface</Name><Description>GORE® VIABAHN® Endoprosthesis with Propaten Bioactive Surface is a flexible, self expanding endoluminal device consisting of an ePTFE lining with external nitinol support</Description><Size>5mmx 15cm 120cm, 6mmx 15cm 75cm 6mmx 15cm 120cm 7mmx 15cm 75cm 7mmx 15cm 120cm 8mmx 15cm 75cm 8mmx 15cm 120cm 9mmx 15cm 75cm 9mmx 15cm 120cm 10mmx 15cm 75cm, 10mmx 15cm 120cm 11mmx 15cm 75cm 11mmx 15cm 120cm 13mmx 15cm  75cm 13mmx 15cm 120cm</Size><SupplierCode>GT</SupplierCode><CategoryID>24</CategoryID><SubCategoryID>207</SubCategoryID><GroupID>1635</GroupID><SubGroupID>4452</SubGroupID><Suffix>H (heparin)</Suffix><ARTGs><ARTG>160210</ARTG></ARTGs><MinimumBenefit>3723</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2009-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>GT262</BillingCode><Name>GORE® VIABAHN® Endoprosthesis with Propaten Bioactive Surface</Name><Description>GORE® VIABAHN® Endoprosthesis with Propaten Bioactive Surface  is a flexible, self expanding endoluminal device consisting of an ePTFE lining with external nitinol support</Description><Size>5mm x 25cm x 120CATH  6mm x 25cm x 120CATH  7mm x 25cm x 120CATH  8mm x 25cm x 120CATH</Size><SupplierCode>GT</SupplierCode><CategoryID>24</CategoryID><SubCategoryID>207</SubCategoryID><GroupID>1635</GroupID><SubGroupID>4453</SubGroupID><Suffix>H (heparin)</Suffix><ARTGs><ARTG>160210</ARTG></ARTGs><MinimumBenefit>5077</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2011-02-01</CycleStartDate><CycleEndDate>2025-03-01</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>ZI</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>RB001</BillingCode><Name>Accu-Chek Combo System</Name><Description>Insulin delivery device capable of remotely receiving and acting on information about blood glucose levels, performing bolus calculation and bolus advice on additional parameters than what is normally provided.</Description><Size>The Accu-Chek Combo System is only available in one size.</Size><SupplierCode>RB</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>188</SubCategoryID><GroupID>1525</GroupID><SubGroupID>4183</SubGroupID><Suffix>DE, SS</Suffix><ARTGs><ARTG>214240</ARTG></ARTGs><MinimumBenefit>8077</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2016-08-01</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>AN014</BillingCode><Name>t:slim X2 Insulin Pump</Name><Description>Ambulatory insulin infusion pump with real-time continuous glucose monitoring (CGM) capability</Description><Size>One size only.</Size><SupplierCode>AN</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>188</SubCategoryID><GroupID>1525</GroupID><SubGroupID>4183</SubGroupID><Suffix>DE, SS</Suffix><ARTGs><ARTG>304861</ARTG></ARTGs><MinimumBenefit>8077</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>RB006</BillingCode><Name>Accu-Chek Solo micropump - starter kit</Name><Description>Starter kit supply of insulin pump system to accommodate first year of use of Accu-Chek Solo micropump system. Starter kit includes insulin pump base components, blood glucose monitoring system handset control with integrated insulin bolus advisor (diabetes manager) and accessory pack.</Description><Size>Micropump: 68 x 40 x 15 mm  Handset control (diabetes manager): 124 x 64 x 17 mm</Size><SupplierCode>RB</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>188</SubCategoryID><GroupID>1525</GroupID><SubGroupID>4183</SubGroupID><Suffix>DE, SS, MP</Suffix><ARTGs><ARTG>311431</ARTG></ARTGs><MinimumBenefit>2375</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2019-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>FK017</BillingCode><Name>Agilia SP PCA Infusion System</Name><Description>Agilia SP PCA is a programmable electronic medical system dedicated to administering a pre-determined volume of a syringe at a programmed rate. This syringe pump ensures a fluid delivery, by pushing the syringe plunger and advancing the liquid to the patient through an extension set. The Agilia SP PCA syringe pump can also be used for general infusions on adults, pediatrics, and neonatal patients for the intermittent or continuous delivery of parenteral fluids (such as solutions, colloids, parenteral nutrition), medications (such as diluted drugs, chemotherapy, anesthesia drugs), blood and blood derivatives, and medications through clinically accepted routes of administration.  It is intended for use by trained healthcare professionals in clinical healthcare facilities. In PCA therapy, it is also intended for use by the patient in order to self administer doses of analgesic agent, after receiving appropriate training and instructions from the clinical staff. Agilia SP PCA is a transportable and reusable device that can be used every day. </Description><Size>The size of a syringe can be 5, 10, 20, 30 or 50/60 mL.  </Size><SupplierCode>FK</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>188</SubCategoryID><GroupID>1525</GroupID><SubGroupID>4185</SubGroupID><ARTGs><ARTG>267873</ARTG></ARTGs><MinimumBenefit>2805</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2020-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SI045</BillingCode><Name>CADD®- Solis Pain Management System</Name><Description>Ambulatory Infusion Pump, Battery Powered</Description><Size>680g excluding accessories</Size><SupplierCode>SI</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>188</SubCategoryID><GroupID>1525</GroupID><SubGroupID>4185</SubGroupID><ARTGs><ARTG>109467</ARTG></ARTGs><MinimumBenefit>2805</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2014-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SI034</BillingCode><Name>CADD-Solis VIP Ambulatory Infusion Pump</Name><Description>Ambulatory Infusion Pump</Description><Size>One size only</Size><SupplierCode>SI</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>188</SubCategoryID><GroupID>1525</GroupID><SubGroupID>4185</SubGroupID><ARTGs><ARTG>109467</ARTG></ARTGs><MinimumBenefit>2805</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>FX002</BillingCode><PriorBillingCodes><PriorBillingCode>AH004</PriorBillingCode></PriorBillingCodes><Name>ambIT Infusion Pump</Name><Description>The ambIT Reusable Infusion Pump is an external programmable electronic ambulatory infusion pump used for the delivery of fluid and medications via intravenous, epidural, subcutaneous or regional routes.  It can be programmed with different delivery profiles which include basal rate/continuous only, basal rate with PCA (Patient Controlled Analgesia), PCA Bolus Only or Intermittent Bolus Dose (PIB). It is operated in conjunction with a ambIT disposable administration cassette</Description><Size>AmbIT Single use Pump - 55mm x 36mm x 175mm  AmbIT Single use administration cassette - 20mm x 10mm x 15mm</Size><SupplierCode>FX</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>188</SubCategoryID><GroupID>1525</GroupID><SubGroupID>4185</SubGroupID><ARTGs><ARTG>228804</ARTG></ARTGs><MinimumBenefit>2805</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2019-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SI052</BillingCode><PriorBillingCodes><PriorBillingCode>SI037</PriorBillingCode><PriorBillingCode>SI038</PriorBillingCode><PriorBillingCode>SI039</PriorBillingCode></PriorBillingCodes><Name>CADD Legacy</Name><Description>CADD Legacy One, CADD Legacy Plus, CADD Legacy PCA</Description><Size>Variants - Continuous, Continuous + Intermittent, PCA</Size><SupplierCode>SI</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>188</SubCategoryID><GroupID>1525</GroupID><SubGroupID>4185</SubGroupID><ARTGs><ARTG>109467</ARTG></ARTGs><MinimumBenefit>2805</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>RE001</BillingCode><Name>Bodyguard Pump</Name><Description>Ambulatory Infusion Pump, Battery Powered</Description><Size>One size only</Size><SupplierCode>RE</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>188</SubCategoryID><GroupID>1525</GroupID><SubGroupID>4185</SubGroupID><ARTGs><ARTG>119623</ARTG></ARTGs><MinimumBenefit>2805</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2014-08-01</CycleStartDate><CycleEndDate>2025-03-01</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><MinimumBenefit>2805</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2024-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>DE776</BillingCode><PriorBillingCodes><PriorBillingCode>TT005</PriorBillingCode></PriorBillingCodes><Name>Sapphire Infusion System</Name><Description>The Sapphire Infusion System is a new device for ambulatory infusion and acute pain management. It is an infusion pump designed for the volumetric delivery of medications to patients at a programmable rate. Sapphire is the first pump to offer an intuitive, full colour touch screen interface in an ambulatory package, along with best-in-class +/-2.5% product delivery accuracy</Description><Size>Size (in), Weight (oz) 5.6 x 3.8 x 1.9 in. 14.7 oz (including battery)</Size><SupplierCode>DE</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>188</SubCategoryID><GroupID>1525</GroupID><SubGroupID>4185</SubGroupID><ARTGs><ARTG>201499</ARTG></ARTGs><MinimumBenefit>2805</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>RE005</BillingCode><Name>Sapphire Infusion Pump - Single Patient Use</Name><Description>The Sapphire Infusion Pump is a single-channel, volumetric infusion pump. The Sapphire pump includes the following infusion modes for all indicated uses: Continuous, Intermittent, TPN, PCA, Multi-step, and Epidural.</Description><Size>5.63 x 3.78 x 1.93 inches</Size><SupplierCode>RE</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>188</SubCategoryID><GroupID>1525</GroupID><SubGroupID>4185</SubGroupID><ARTGs><ARTG>426907</ARTG></ARTGs><ChangeExplanation>New listing</ChangeExplanation><MinimumBenefit>2805</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2025-03-01</CycleStartDate><CycleEndDate>2025-03-01</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><MinimumBenefit>2805</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2024-11-01</CycleStartDate><CycleEndDate>2025-03-01</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><MinimumBenefit>2805</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2024-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>FX003</BillingCode><PriorBillingCodes><PriorBillingCode>AH008</PriorBillingCode></PriorBillingCodes><Name>ambIT Single Use Regional Kit</Name><Description>The ambIT Single Use Regional Kit contains: a single use ambIT pump, single use administration cassette with male luer lock fitting, 420ml Medibag, the choice of 75mm, 127mm or 154mm fenestrated nerve/wound catheter, a peel away introducer sheath, button guard and patient carry bag.</Description><Size>ambIT Single Use Pump - 55mm x 36mm x 175mm  Ambit Single use administration cassette - 20mm x 10mm x 15mm   </Size><SupplierCode>FX</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>188</SubCategoryID><GroupID>1525</GroupID><SubGroupID>4186</SubGroupID><ARTGs><ARTG>190933</ARTG><ARTG>228804</ARTG><ARTG>190922</ARTG><ARTG>190934</ARTG><ARTG>228805</ARTG><ARTG>243381</ARTG></ARTGs><MinimumBenefit>407</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2019-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>FX004</BillingCode><PriorBillingCodes><PriorBillingCode>AH013</PriorBillingCode></PriorBillingCodes><Name>ambIT Single Use</Name><Description>Kit contains: a single use ambIT infusion pump, single use administration cassette with spike fitting, Button Guard, 2 x AA batteries, and patient carry bag</Description><Size>AmbIT Single use Pump  - 55mm X 36mm X 175mm  AmbIT Single use administration cassette - 20mm X 10mm X 15mm</Size><SupplierCode>FX</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>188</SubCategoryID><GroupID>1525</GroupID><SubGroupID>4186</SubGroupID><ARTGs><ARTG>228805</ARTG><ARTG>228804</ARTG></ARTGs><MinimumBenefit>407</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2019-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>DQ002</BillingCode><Name>Weight Dose Dispensor</Name><Description>Programmable Infusion Pump</Description><Size>50ml</Size><SupplierCode>DQ</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>188</SubCategoryID><GroupID>1525</GroupID><SubGroupID>4186</SubGroupID><ARTGs><ARTG>321942</ARTG></ARTGs><MinimumBenefit>407</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2019-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MI452</BillingCode><Name>MiniMed 780G Insulin Pump</Name><Description>MiniMed 780G Insulin Pump with SmartGuard advanced Hybrid Closed Loop (HCL) technology capable of operating in Manual Mode or Auto Mode, with Bluetooth® connectivity and continuous glucose monitoring (CGM) capability.  Provides 3 user selectable targets and can be set to automatically adjust delivery of basal insulin based on CGM. This includes automatically suspending insulin delivery or providing additional insulin delivery as required. </Description><Size>One size only.</Size><SupplierCode>MI</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>188</SubCategoryID><GroupID>1525</GroupID><SubGroupID>4187</SubGroupID><Suffix>DE, SS, ABD</Suffix><ARTGs><ARTG>376091</ARTG></ARTGs><MinimumBenefit>8574</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MI330</BillingCode><Name>Medtronic MiniMed 770G Insulin Pump</Name><Description>MiniMed 770G Insulin Pump with SmartGuard Hybrid Closed Loop (HCL) technology, with Bluetooth® connectivity and continuous glucose monitoring (CGM) capability which can be programmed to automatically adjust delivery of basal insulin based on CGM, and can suspend delivery of insulin when the sensor glucose value falls below or is predicted to fall below predefined threshold values.</Description><Size>One size only</Size><SupplierCode>MI</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>188</SubCategoryID><GroupID>1525</GroupID><SubGroupID>4187</SubGroupID><Suffix>DE, SS, ABD</Suffix><ARTGs><ARTG>332201</ARTG></ARTGs><MinimumBenefit>8574</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2020-07-01</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>AN018</BillingCode><Name>t:slim X2 Insulin Pump with Control-IQ Technology</Name><Description>Ambulatory insulin infusion pump with real-time continuous glucose monitoring (CGM) capability and incorporating Control-IQ Technology.</Description><Size>One size only</Size><SupplierCode>AN</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>188</SubCategoryID><GroupID>1525</GroupID><SubGroupID>4187</SubGroupID><Suffix>DE, SS</Suffix><ARTGs><ARTG>304681</ARTG></ARTGs><MinimumBenefit>8574</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2020-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>AN017</BillingCode><Name>t:slim X2 Insulin Pump with Basal-IQ Technology</Name><Description>Ambulatory insulin infusion pump with real-time continuous glucose monitoring (CGM) capability and incorporating Basal-IQ Predictive Low Glucose Suspend (PLGS) Technology.</Description><Size>One size only.</Size><SupplierCode>AN</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>188</SubCategoryID><GroupID>1525</GroupID><SubGroupID>4187</SubGroupID><Suffix>DE, SS</Suffix><ARTGs><ARTG>304681</ARTG></ARTGs><MinimumBenefit>8574</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2019-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>RB005</BillingCode><Name>Accu-Chek Solo micropump   subsequent supply</Name><Description>Subsequent supply of replaceable components of Accu-Chek Solo insulin pump system to accommodate a subsequent year usage after the initial year of use of Accu-Chek Solo (via Accu-Chek Solo micropump   starter kit).</Description><Size>Micropump: 68 x 40 x 15 mm</Size><SupplierCode>RB</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>188</SubCategoryID><GroupID>1525</GroupID><SubGroupID>7360</SubGroupID><ARTGs><ARTG>308702</ARTG></ARTGs><MinimumBenefit>1900</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2019-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HT015</BillingCode><PriorBillingCodes><PriorBillingCode>TZ010</PriorBillingCode></PriorBillingCodes><Name>Genus Knee System - Genus Cementless Tibial Tray + HA</Name><Description>Mobile Bearing Cementless Tibial Tray with HA coating</Description><Size>1-7</Size><SupplierCode>HT</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>151</SubCategoryID><GroupID>1362</GroupID><SubGroupID>3924</SubGroupID><ARTGs><ARTG>232061</ARTG></ARTGs><MinimumBenefit>2409</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BB233</BillingCode><Name>Emotion Total Knee System (TKS) Tibial Baseplate</Name><Description>Tibial baseplate, uncemented, CoCr, Titanium plasma spray (Plasmapore) with polished insert surface, HA coated for mobile insert</Description><Size>T1 - T8</Size><SupplierCode>BB</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>151</SubCategoryID><GroupID>1362</GroupID><SubGroupID>3924</SubGroupID><ARTGs><ARTG>293933</ARTG></ARTGs><MinimumBenefit>2409</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LH604</BillingCode><PriorBillingCodes><PriorBillingCode>OO007</PriorBillingCode></PriorBillingCodes><Name>ACS Knee System - TCP coated tibial component</Name><Description>Tibial base plate, TCP coated for use with mobile bearing insert, TiN coated</Description><Size>Sizes 2-7</Size><SupplierCode>LH</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>151</SubCategoryID><GroupID>1362</GroupID><SubGroupID>3924</SubGroupID><ARTGs><ARTG>265621</ARTG></ARTGs><MinimumBenefit>2409</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MU076</BillingCode><Name>GMK Uncemented mobile Tibia Tray</Name><Description>Asymmetric uncemented mobile tibia with titanium porous coating by an hydroxyapatite coating</Description><Size>1 to 6, left and right</Size><SupplierCode>MU</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>151</SubCategoryID><GroupID>1362</GroupID><SubGroupID>3924</SubGroupID><ARTGs><ARTG>210967</ARTG></ARTGs><MinimumBenefit>2409</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2008-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>OH421</BillingCode><Name>Trekking Knee System, Mobile Bearing Tibial Component</Name><Description>Mobile Bearing 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>1362</GroupID><SubGroupID>3924</SubGroupID><ARTGs><ARTG>287518</ARTG></ARTGs><MinimumBenefit>2409</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LI069</BillingCode><Name>Score Knee System Tibial Baseplate </Name><Description>Tibial baseplate, CoCr, uncemented, stippled surface, titanium plasma spray with HA</Description><Size>9 Sizes</Size><SupplierCode>LI</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>151</SubCategoryID><GroupID>1362</GroupID><SubGroupID>3924</SubGroupID><ARTGs><ARTG>271352</ARTG></ARTGs><MinimumBenefit>2409</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2013-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SK140</BillingCode><Name>Leibinger Titanium Implant System - Universal Mandible Reconstruction Plate</Name><Description>Items used for reconstruction and fixation of mandibular fractures and tumour resection.</Description><Size>Universal Mandible Reconstruction Plate, 8 - 15 holes, straight with template</Size><SupplierCode>JV</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>199</SubCategoryID><GroupID>1589</GroupID><SubGroupID>4303</SubGroupID><Suffix>Locking</Suffix><ARTGs><ARTG>295882</ARTG><ARTG>218563</ARTG><ARTG>200615</ARTG></ARTGs><MinimumBenefit>926</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ZZ091</BillingCode><PriorBillingCodes><PriorBillingCode>WH018</PriorBillingCode></PriorBillingCodes><Name>Materialise Standard+ Solutions - Plates</Name><Description>Titanium plate, Locking</Description><Size>2.0-2.99mm thick, 8-15 holes</Size><SupplierCode>ZZ</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>199</SubCategoryID><GroupID>1589</GroupID><SubGroupID>4303</SubGroupID><Suffix>Locking</Suffix><ARTGs><ARTG>377044</ARTG></ARTGs><MinimumBenefit>926</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SY497</BillingCode><Name>AO/ASIF Plate</Name><Description>Titanium mandible plate</Description><Size>8-15 holes</Size><SupplierCode>JJ</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>199</SubCategoryID><GroupID>1589</GroupID><SubGroupID>4303</SubGroupID><Suffix>Compression</Suffix><ARTGs><ARTG>157706</ARTG></ARTGs><MinimumBenefit>761</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2009-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>KT067</BillingCode><Name>Martin Level One Fixation</Name><Description>Plate, Titanium</Description><Size>2.0-2.99m thick, 8-15 holes</Size><SupplierCode>KT</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>199</SubCategoryID><GroupID>1589</GroupID><SubGroupID>4303</SubGroupID><ARTGs><ARTG>96619</ARTG></ARTGs><MinimumBenefit>459</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2020-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ZZ092</BillingCode><PriorBillingCodes><PriorBillingCode>WH019</PriorBillingCode></PriorBillingCodes><Name>Materialise Standard+ Solutions - Plates</Name><Description>Titanium plate, Locking</Description><Size>2.0-2.99mm thick, 16-32 holes</Size><SupplierCode>ZZ</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>199</SubCategoryID><GroupID>1589</GroupID><SubGroupID>4307</SubGroupID><Suffix>Locking</Suffix><ARTGs><ARTG>377044</ARTG></ARTGs><MinimumBenefit>1073</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>JK031</BillingCode><PriorBillingCodes><PriorBillingCode>UQ030</PriorBillingCode></PriorBillingCodes><Name>OsteoMed Plating &amp; Fixation System</Name><Description>Plates - Fracture</Description><Size>Rigid Comminuted Fracture Plate</Size><SupplierCode>JK</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>199</SubCategoryID><GroupID>1589</GroupID><SubGroupID>4307</SubGroupID><Suffix>Locking</Suffix><ARTGs><ARTG>130508</ARTG></ARTGs><MinimumBenefit>1073</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>KT068</BillingCode><PriorBillingCodes><PriorBillingCode>KT055</PriorBillingCode></PriorBillingCodes><Name>KLS Martin Plating System</Name><Description>Locking, Preshaped reconstruction plates, in left and right options</Description><Size>2.0mm to 2.5mm thickness with 26 holes</Size><SupplierCode>KT</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>199</SubCategoryID><GroupID>1589</GroupID><SubGroupID>4307</SubGroupID><Suffix>Locking</Suffix><ARTGs><ARTG>96619</ARTG></ARTGs><MinimumBenefit>1073</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2020-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ZI938</BillingCode><Name>Lorenz Locking Reconstruction System</Name><Description>Locking plates</Description><Size>2.0 and 2.4 mm, 16-32 holes</Size><SupplierCode>ZI</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>199</SubCategoryID><GroupID>1589</GroupID><SubGroupID>4307</SubGroupID><Suffix>Locking</Suffix><ARTGs><ARTG>128458</ARTG></ARTGs><MinimumBenefit>1073</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2016-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SK142</BillingCode><Name>Leibinger Titanium Implant System - Universal Mandible Reconstruction Plate</Name><Description>Items used for reconstruction and fixation of mandibular fractures and tumour resection</Description><Size>Universal Mandible Reconstruction Plate, (Full), 6 + 17 + 6 holes, with template</Size><SupplierCode>JV</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>199</SubCategoryID><GroupID>1589</GroupID><SubGroupID>4307</SubGroupID><Suffix>Locking</Suffix><ARTGs><ARTG>200615</ARTG></ARTGs><MinimumBenefit>1073</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SK138</BillingCode><Name>Leibinger Titanium Implant System - Universal Mandible Reconstruction Plate</Name><Description>Items used for reconstruction and fixation of mandibular fractures and tumour resection.</Description><Size>Universal Mandible Reconstruction Plate, (Full), 16 - 32 holes, with template</Size><SupplierCode>JV</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>199</SubCategoryID><GroupID>1589</GroupID><SubGroupID>4307</SubGroupID><Suffix>Locking</Suffix><ARTGs><ARTG>218563</ARTG><ARTG>200615</ARTG><ARTG>295882</ARTG></ARTGs><MinimumBenefit>1073</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SK141</BillingCode><Name>Leibinger Titanium Implant System - Universal Mandible Reconstruction Plate</Name><Description>Items used for reconstruction and fixation of mandibular fractures and tumour resection</Description><Size>Universal Mandible Reconstruction Plate, (Hemi), Right and Left, 6 + 17 holes with template</Size><SupplierCode>JV</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>199</SubCategoryID><GroupID>1589</GroupID><SubGroupID>4307</SubGroupID><Suffix>Locking</Suffix><ARTGs><ARTG>295882</ARTG><ARTG>218563</ARTG><ARTG>200615</ARTG></ARTGs><MinimumBenefit>1073</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SY780</BillingCode><Name>AO/ASIF Plate</Name><Description>Anatomical Preformed Complex Locking Reconstruction Plates</Description><Size>Small, Medium, Large</Size><SupplierCode>JJ</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>199</SubCategoryID><GroupID>1589</GroupID><SubGroupID>4307</SubGroupID><Suffix>Complex, Locking</Suffix><ARTGs><ARTG>157706</ARTG></ARTGs><MinimumBenefit>1287</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2013-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SY600</BillingCode><Name>AO/ASIF Plate</Name><Description>Titanium mandible locking plate</Description><Size>16-32 holes</Size><SupplierCode>JJ</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>199</SubCategoryID><GroupID>1589</GroupID><SubGroupID>4307</SubGroupID><Suffix>Locking</Suffix><ARTGs><ARTG>157706</ARTG></ARTGs><MinimumBenefit>1073</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>RV013</BillingCode><Name>Complex Locking plate</Name><Description>Preshaped reconstruction plates, in left and right options, Complex, locking</Description><Size>Small  Medium  Large</Size><SupplierCode>RV</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>199</SubCategoryID><GroupID>1589</GroupID><SubGroupID>4307</SubGroupID><Suffix>Complex, Locking</Suffix><ARTGs><ARTG>366767</ARTG></ARTGs><MinimumBenefit>1287</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>EO132</BillingCode><Name>MODUS Mandible </Name><Description>Anatomical contoured Complex, pre-formed locking plates intended for orthognathic reconstruction, inclusive of C-shaped adaption plates.</Description><Size>16-32 holes, 2.0 thickness</Size><SupplierCode>EO</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>199</SubCategoryID><GroupID>1589</GroupID><SubGroupID>4307</SubGroupID><Suffix>Complex, Locking</Suffix><ARTGs><ARTG>350270</ARTG><ARTG>350271</ARTG></ARTGs><MinimumBenefit>1287</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>KT069</BillingCode><PriorBillingCodes><PriorBillingCode>KT055</PriorBillingCode></PriorBillingCodes><Name>KLS Martin Plating System</Name><Description>Preshaped reconstruction plates, in left and right options, Complex, locking</Description><Size>2.0mm to 2.5mm thickness with 26 holes</Size><SupplierCode>KT</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>199</SubCategoryID><GroupID>1589</GroupID><SubGroupID>4307</SubGroupID><Suffix>Complex, Locking</Suffix><ARTGs><ARTG>96619</ARTG></ARTGs><MinimumBenefit>1287</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2020-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ZZ093</BillingCode><PriorBillingCodes><PriorBillingCode>WH020</PriorBillingCode></PriorBillingCodes><Name>Materialise Standard+ Solutions - Plates</Name><Description>Titanium plate, Locking, Complex Shape</Description><Size>2.0-2.99mm thick, &gt;32 holes</Size><SupplierCode>ZZ</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>199</SubCategoryID><GroupID>1589</GroupID><SubGroupID>4310</SubGroupID><Suffix>Complex</Suffix><ARTGs><ARTG>377044</ARTG></ARTGs><MinimumBenefit>1414</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SY472</BillingCode><Name>AO/ASIF Plate</Name><Description>Titanium mandible locking plate, complex shape</Description><Size>&gt;32 holes</Size><SupplierCode>JJ</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>199</SubCategoryID><GroupID>1589</GroupID><SubGroupID>4310</SubGroupID><Suffix>Complex</Suffix><ARTGs><ARTG>157706</ARTG></ARTGs><MinimumBenefit>1414</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2009-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>PF027</BillingCode><Name>ClawLink</Name><Description>A patented complex sternal fixation system for thoracotomy</Description><Size>18-50mm</Size><SupplierCode>PF</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>199</SubCategoryID><GroupID>1589</GroupID><SubGroupID>4311</SubGroupID><Suffix>Complex</Suffix><ARTGs><ARTG>308885</ARTG></ARTGs><MinimumBenefit>1306</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2019-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SY550</BillingCode><Name>Titanium Sternal Fixation System</Name><Description>Locking Plate - Star</Description><Size>Star: 6 holes</Size><SupplierCode>JJ</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>199</SubCategoryID><GroupID>1589</GroupID><SubGroupID>4311</SubGroupID><Suffix>Complex</Suffix><ARTGs><ARTG>187295</ARTG></ARTGs><MinimumBenefit>1306</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2010-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>XU027</BillingCode><PriorBillingCodes><PriorBillingCode>ZZ061</PriorBillingCode></PriorBillingCodes><Name>Lyka Smith Jeil Le Forte Locking Plates 8-32 holes</Name><Description>Titanium locking plates for craniofacial reconstruction</Description><Size>Thickness - 0.8mm  Holes - 8-32</Size><SupplierCode>XU</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>199</SubCategoryID><GroupID>1589</GroupID><SubGroupID>4277</SubGroupID><Suffix>Locking</Suffix><ARTGs><ARTG>310093</ARTG></ARTGs><ChangeExplanation>
Billing code transferred from ZZ061
Sponsor transferred from AA-Med Pty Ltd</ChangeExplanation><MinimumBenefit>259</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2020-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MC876</BillingCode><Name>TiMesh Rigid Fixation Bone Grafting and Plating System</Name><Description>Titanium, T Plate</Description><Size>8 - 15 hole</Size><SupplierCode>MI</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>199</SubCategoryID><GroupID>1589</GroupID><SubGroupID>4277</SubGroupID><ARTGs><ARTG>128523</ARTG></ARTGs><MinimumBenefit>199</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2009-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MI091</BillingCode><Name>TiMesh</Name><Description>Rigid Straight Plate</Description><Size>8 -32 holes</Size><SupplierCode>MI</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>199</SubCategoryID><GroupID>1589</GroupID><SubGroupID>4277</SubGroupID><ARTGs><ARTG>128523</ARTG></ARTGs><MinimumBenefit>199</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2013-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BI719</BillingCode><Name>W Lorenz Osteosynthesis System</Name><Description>Neuro Sub-Temporal Plate, Titanium</Description><Size>medium</Size><SupplierCode>ZI</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>199</SubCategoryID><GroupID>1589</GroupID><SubGroupID>4277</SubGroupID><ARTGs><ARTG>128458</ARTG></ARTGs><MinimumBenefit>199</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MC886</BillingCode><Name>TiMesh Rigid Fixation Bone Grafting and Plating System</Name><Description>Titanium, H Plate</Description><Size>8-15 hole</Size><SupplierCode>MI</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>199</SubCategoryID><GroupID>1589</GroupID><SubGroupID>4277</SubGroupID><ARTGs><ARTG>128523</ARTG></ARTGs><MinimumBenefit>199</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2009-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MC871</BillingCode><Name>Ti Mesh Rigid Fixation Bone Grafting and Plating System</Name><Description>Titanium ,Straight Plate</Description><Size>8 - 32 holes</Size><SupplierCode>MI</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>199</SubCategoryID><GroupID>1589</GroupID><SubGroupID>4277</SubGroupID><ARTGs><ARTG>128523</ARTG></ARTGs><MinimumBenefit>199</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2009-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>XU028</BillingCode><PriorBillingCodes><PriorBillingCode>ZZ062</PriorBillingCode></PriorBillingCodes><Name>Lyka Smith Jeil Le Forte Plates 8-32 Holes</Name><Description>Titanium plates in a variety of shapes for reconstruction</Description><Size>Thickness 0.5 - 0.8mm  8-20 Holes</Size><SupplierCode>XU</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>199</SubCategoryID><GroupID>1589</GroupID><SubGroupID>4277</SubGroupID><ARTGs><ARTG>310093</ARTG></ARTGs><ChangeExplanation>
Billing code transferred from ZZ062
Sponsor transferred from AA-Med Pty Ltd</ChangeExplanation><MinimumBenefit>199</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2020-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>KT109</BillingCode><PriorBillingCodes><PriorBillingCode>LH505</PriorBillingCode></PriorBillingCodes><Name>Martin Osteosynthesis 1.5mm System 8-32 hole plate</Name><Description>Plate, 0.6mm thick, Titanium</Description><Size>8-32 hole</Size><SupplierCode>KT</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>199</SubCategoryID><GroupID>1589</GroupID><SubGroupID>4277</SubGroupID><ARTGs><ARTG>202851</ARTG></ARTGs><ChangeExplanation>
Billing code transferred from LH505
Sponsor transferred from LIFEHEALTHCARE PTY LIMITED</ChangeExplanation><MinimumBenefit>199</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2014-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MC678</BillingCode><Name>TiMesh Rigid Fixation Bone Grafting and Plating System</Name><Description>Titanium, Universal Plate</Description><Size>12h</Size><SupplierCode>MI</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>199</SubCategoryID><GroupID>1589</GroupID><SubGroupID>4277</SubGroupID><ARTGs><ARTG>128523</ARTG></ARTGs><MinimumBenefit>199</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2006-03-24</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ZA079</BillingCode><PriorBillingCodes><PriorBillingCode>BI985</PriorBillingCode><PriorBillingCode>BI989</PriorBillingCode></PriorBillingCodes><Name>W Lorenz Osteosynthesis System</Name><Description>straight plates</Description><Size>8-32 holes</Size><SupplierCode>ZI</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>199</SubCategoryID><GroupID>1589</GroupID><SubGroupID>4277</SubGroupID><ARTGs><ARTG>128458</ARTG></ARTGs><MinimumBenefit>199</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2020-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SY584</BillingCode><Name>AO/ASIF Plate</Name><Description>Rapid resorbable reconstruction plate</Description><Size>8-32 holes</Size><SupplierCode>JJ</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>199</SubCategoryID><GroupID>1589</GroupID><SubGroupID>4277</SubGroupID><Suffix>Resorbable</Suffix><ARTGs><ARTG>157706</ARTG></ARTGs><MinimumBenefit>210</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HW503</BillingCode><Name>Delta Resorbable fixation System</Name><Description>Craniofacial Resorbable Fixation Plates</Description><Size>0.5 - 0.99mm thick, 8 -32 holes</Size><SupplierCode>JV</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>199</SubCategoryID><GroupID>1589</GroupID><SubGroupID>4277</SubGroupID><Suffix>Resorbable</Suffix><ARTGs><ARTG>151009</ARTG><ARTG>72659</ARTG></ARTGs><MinimumBenefit>210</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2013-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HW502</BillingCode><Name>Stryker Leibinger Plating System</Name><Description>Craniofacial Fixation Plates</Description><Size>0.5 - 0.99mm thick, 8 -32 holes</Size><SupplierCode>JV</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>199</SubCategoryID><GroupID>1589</GroupID><SubGroupID>4277</SubGroupID><ARTGs><ARTG>262485</ARTG><ARTG>295882</ARTG><ARTG>200615</ARTG></ARTGs><MinimumBenefit>199</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2013-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SY583</BillingCode><Name>AO/ASIF Plate</Name><Description>Titanium adaption plate</Description><Size>8-32 holes</Size><SupplierCode>JJ</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>199</SubCategoryID><GroupID>1589</GroupID><SubGroupID>4277</SubGroupID><Suffix>Compression</Suffix><ARTGs><ARTG>157706</ARTG></ARTGs><MinimumBenefit>195</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ZZ083</BillingCode><PriorBillingCodes><PriorBillingCode>WH010</PriorBillingCode></PriorBillingCodes><Name>Materialise Standard+ Solutions - Plates</Name><Description>Titanium plate</Description><Size>0.5-0.99mm thick, 8-32 holes</Size><SupplierCode>ZZ</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>199</SubCategoryID><GroupID>1589</GroupID><SubGroupID>4277</SubGroupID><Suffix>Compression</Suffix><ARTGs><ARTG>377044</ARTG></ARTGs><MinimumBenefit>195</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>EO096</BillingCode><Name>MODUS Orthognathic</Name><Description>Indication-specific solutions for maxillary and mandibular orthognathic surgeries. Le-Fort, Split, Grid, Bar plates, Sagittal split, X-Shaped, L-shaped, Z-shaped, T-shaped, Y-Shaped, straight plates, square, rectangular </Description><Size>0.5-0.7mm Thick, 8-32 Holes </Size><SupplierCode>EO</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>199</SubCategoryID><GroupID>1589</GroupID><SubGroupID>4277</SubGroupID><Suffix>Complex</Suffix><ARTGs><ARTG>350270</ARTG><ARTG>350271</ARTG></ARTGs><MinimumBenefit>273</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2016-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SY585</BillingCode><Name>AO/ASIF Plate</Name><Description>Titanium adaption plate</Description><Size>8-32 holes</Size><SupplierCode>JJ</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>199</SubCategoryID><GroupID>1589</GroupID><SubGroupID>4277</SubGroupID><Suffix>Complex</Suffix><ARTGs><ARTG>157706</ARTG></ARTGs><MinimumBenefit>273</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>KT037</BillingCode><Name>Martin Level One Fixation</Name><Description>Plate Titanium</Description><Size>0.5-0.99mm thick, 8-32 holes</Size><SupplierCode>KT</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>199</SubCategoryID><GroupID>1589</GroupID><SubGroupID>4277</SubGroupID><Suffix>Complex</Suffix><ARTGs><ARTG>96619</ARTG></ARTGs><MinimumBenefit>273</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2015-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SK345</BillingCode><Name>Leibinger Titanium Implant System - Universal CMF Plate</Name><Description>Le Fort 1 Plate, Right/Left</Description><Size>11hole, Advancement 2 - 10mm</Size><SupplierCode>JV</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>199</SubCategoryID><GroupID>1589</GroupID><SubGroupID>4277</SubGroupID><Suffix>Complex</Suffix><ARTGs><ARTG>295882</ARTG><ARTG>200615</ARTG></ARTGs><MinimumBenefit>273</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ZZ082</BillingCode><PriorBillingCodes><PriorBillingCode>WH016</PriorBillingCode></PriorBillingCodes><Name>Materialise Standard+ Solutions - Plates</Name><Description>Titanium plate, Complex shape</Description><Size>0.5-0.99mm thick, 8-32 holes</Size><SupplierCode>ZZ</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>199</SubCategoryID><GroupID>1589</GroupID><SubGroupID>4277</SubGroupID><Suffix>Complex</Suffix><ARTGs><ARTG>377044</ARTG></ARTGs><MinimumBenefit>273</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HW504</BillingCode><Name>Stryker Leibinger Plating System</Name><Description>Craniofacial Locking Fixation Plates</Description><Size>0.5 - 0.99mm thick, 8 -32 holes</Size><SupplierCode>JV</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>199</SubCategoryID><GroupID>1589</GroupID><SubGroupID>4277</SubGroupID><Suffix>Locking</Suffix><ARTGs><ARTG>295882</ARTG><ARTG>200615</ARTG></ARTGs><MinimumBenefit>259</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2013-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ZI923</BillingCode><Name>OmniMax Arch Bar</Name><Description>Arch Bar</Description><Size>One size</Size><SupplierCode>ZI</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>199</SubCategoryID><GroupID>1589</GroupID><SubGroupID>4277</SubGroupID><Suffix>Locking</Suffix><ARTGs><ARTG>211079</ARTG></ARTGs><MinimumBenefit>259</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2016-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HW486</BillingCode><Name>Stryker Leibinger Hybrid MMF Plate</Name><Description>SMARTLOCK Hybrid MMF Plate, Locking  System - Universal SMARTLOCK Hybrid MMF  Component - MMF Plate</Description><Size>One size - 9 Hole Straight Plate, for maxilla and Mandible</Size><SupplierCode>JV</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>199</SubCategoryID><GroupID>1589</GroupID><SubGroupID>4277</SubGroupID><Suffix>Locking</Suffix><ARTGs><ARTG>200615</ARTG></ARTGs><MinimumBenefit>259</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2013-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SK355</BillingCode><Name>Universal Neuro Titanium Low Profile Plate</Name><Description>Titanium Low Profile plates used for the fixation of cranial bone flaps</Description><Size>Small, large, 20mm burr hole, 16 hole without bar</Size><SupplierCode>JV</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>199</SubCategoryID><GroupID>1589</GroupID><SubGroupID>4277</SubGroupID><Suffix>Burr</Suffix><ARTGs><ARTG>295882</ARTG><ARTG>200615</ARTG></ARTGs><MinimumBenefit>403</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>EO127</BillingCode><Name>MODUS Intermaxillary Fixation System </Name><Description>Titanium Arch Bar </Description><Size>One size </Size><SupplierCode>EO</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>199</SubCategoryID><GroupID>1589</GroupID><SubGroupID>4277</SubGroupID><Suffix>Locking</Suffix><ARTGs><ARTG>350314</ARTG></ARTGs><MinimumBenefit>259</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>JK021</BillingCode><PriorBillingCodes><PriorBillingCode>UQ020</PriorBillingCode></PriorBillingCodes><Name>Plates</Name><Description>Micro, Midface, Mini, Maxi</Description><Size>0.5-0.99mm thick, 8-32 holes</Size><SupplierCode>JK</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>199</SubCategoryID><GroupID>1589</GroupID><SubGroupID>4277</SubGroupID><ARTGs><ARTG>130508</ARTG></ARTGs><MinimumBenefit>199</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>JK020</BillingCode><PriorBillingCodes><PriorBillingCode>UQ021</PriorBillingCode></PriorBillingCodes><Name>Plates</Name><Description>Micro, Mini, Maxi</Description><Size>Quad Plates, Medium 2 x 4 Hole Quad Plate, Plates 8 to 15 holes</Size><SupplierCode>JK</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>199</SubCategoryID><GroupID>1589</GroupID><SubGroupID>4277</SubGroupID><Suffix>3D</Suffix><ARTGs><ARTG>130508</ARTG></ARTGs><MinimumBenefit>205</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MC884</BillingCode><Name>TiMesh Rigid Fixation Bone Grafting and Plating System</Name><Description>Titanium, L Plate (Left and right configurations)</Description><Size>8 - 15 hole</Size><SupplierCode>MI</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>199</SubCategoryID><GroupID>1589</GroupID><SubGroupID>4277</SubGroupID><ARTGs><ARTG>128523</ARTG></ARTGs><MinimumBenefit>199</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2009-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BI773</BillingCode><Name>W Lorenz Osteosynthesis System</Name><Description>Neuro sub-temporal plate, 1.5 system, titanium</Description><Size>Small</Size><SupplierCode>ZI</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>199</SubCategoryID><GroupID>1589</GroupID><SubGroupID>4277</SubGroupID><ARTGs><ARTG>128458</ARTG></ARTGs><MinimumBenefit>199</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BI641</BillingCode><Name>W Lorenz Osteosynthesis System</Name><Description>Plate, Matrix.  1mm System, 1.5mm System. Titanium</Description><Size>2 x 4 hole</Size><SupplierCode>ZI</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>199</SubCategoryID><GroupID>1589</GroupID><SubGroupID>4277</SubGroupID><ARTGs><ARTG>128458</ARTG></ARTGs><MinimumBenefit>199</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BI658</BillingCode><Name>W Lorenz Osteosynthesis System</Name><Description>Plate, Orbital. 1.5mm System, 2mm System. Titanium</Description><Size>8-10 hole</Size><SupplierCode>ZI</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>199</SubCategoryID><GroupID>1589</GroupID><SubGroupID>4277</SubGroupID><ARTGs><ARTG>128458</ARTG></ARTGs><MinimumBenefit>199</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SY514</BillingCode><Name>AO/ASIF Plate</Name><Description>Rapid resorbable reconstruction plate</Description><Size>&gt;32 holes</Size><SupplierCode>JJ</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>199</SubCategoryID><GroupID>1589</GroupID><SubGroupID>4284</SubGroupID><Suffix>Resorbable</Suffix><ARTGs><ARTG>167547</ARTG></ARTGs><MinimumBenefit>342</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2009-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>JK022</BillingCode><PriorBillingCodes><PriorBillingCode>UQ012</PriorBillingCode></PriorBillingCodes><Name>Plates</Name><Description>Micro, Mini</Description><Size>40 Hole Straight Plate, Mesh 18 row, Plate &gt;32 holes.</Size><SupplierCode>JK</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>199</SubCategoryID><GroupID>1589</GroupID><SubGroupID>4284</SubGroupID><ARTGs><ARTG>130508</ARTG></ARTGs><MinimumBenefit>271</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>WU005</BillingCode><PriorBillingCodes><PriorBillingCode>VK026</PriorBillingCode></PriorBillingCodes><Name>CPS Bioabsorbable Fixation System</Name><Description>CPS Systems and Baby System Plates.  Polylactic Acid Trimethylene Carbonate Copolymer</Description><Size>1.5-2.5mm plates:- 2-10 hole plates and extended, c-plate &amp; x-plate 7 hole, H-plate 8 hole, orthognathic hole and L-plate L &amp; R 7 hole</Size><SupplierCode>WU</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>199</SubCategoryID><GroupID>1589</GroupID><SubGroupID>4286</SubGroupID><Suffix>Resorbable</Suffix><ARTGs><ARTG>154544</ARTG></ARTGs><MinimumBenefit>203</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2023-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ZZ084</BillingCode><PriorBillingCodes><PriorBillingCode>WH011</PriorBillingCode></PriorBillingCodes><Name>Materialise Standard+ Solutions - Plates</Name><Description>Titanium plate</Description><Size>1.0-1.99mm thick, &amp;lt;4 holes</Size><SupplierCode>ZZ</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>199</SubCategoryID><GroupID>1589</GroupID><SubGroupID>4286</SubGroupID><ARTGs><ARTG>377044</ARTG></ARTGs><MinimumBenefit>107</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SY317</BillingCode><Name>AO/ASIF Plate</Name><Description>Titanium Plate - straight</Description><Size>1.6mm Profile, 2-4 holes</Size><SupplierCode>JJ</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>199</SubCategoryID><GroupID>1589</GroupID><SubGroupID>4286</SubGroupID><ARTGs><ARTG>157706</ARTG></ARTGs><MinimumBenefit>107</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>KT009</BillingCode><Name>Martin Level One Fixation</Name><Description>Plate, titanium</Description><Size>1 to 1.99mm thick, &lt;4 holes</Size><SupplierCode>KT</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>199</SubCategoryID><GroupID>1589</GroupID><SubGroupID>4286</SubGroupID><ARTGs><ARTG>96619</ARTG></ARTGs><MinimumBenefit>107</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2015-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>JK025</BillingCode><PriorBillingCodes><PriorBillingCode>UQ024</PriorBillingCode></PriorBillingCodes><Name>OsteoMed Plating &amp; Fixation System</Name><Description>Plates - Fracture</Description><Size>8 Hole Fracture Plate, 4 &amp; 6 hole locking fracture plate, 4 to 7 hole locking plate.</Size><SupplierCode>JK</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>199</SubCategoryID><GroupID>1589</GroupID><SubGroupID>4288</SubGroupID><Suffix>Locking</Suffix><ARTGs><ARTG>130508</ARTG></ARTGs><MinimumBenefit>345</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ZZ087</BillingCode><PriorBillingCodes><PriorBillingCode>WH014</PriorBillingCode></PriorBillingCodes><Name>Materialise Standard+ Solutions - Plates</Name><Description>Titanium plate, Locking</Description><Size>1.0-1.99mm thick, 4-7 holes</Size><SupplierCode>ZZ</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>199</SubCategoryID><GroupID>1589</GroupID><SubGroupID>4288</SubGroupID><Suffix>Locking</Suffix><ARTGs><ARTG>377044</ARTG></ARTGs><MinimumBenefit>345</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>WU006</BillingCode><PriorBillingCodes><PriorBillingCode>VK025</PriorBillingCode></PriorBillingCodes><Name>CPS Bioabsorbable Fixation System</Name><Description>CPS Systems and Baby System Plates.  Polylactic Acid Trimethylene Carbonate Copolymer</Description><Size>1.5mm plates:- 20 holes, c-plate &amp; x-plate 7 hole, L-plate 7 hole L &amp; R. burrhole</Size><SupplierCode>WU</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>199</SubCategoryID><GroupID>1589</GroupID><SubGroupID>4288</SubGroupID><Suffix>Resorbable</Suffix><ARTGs><ARTG>154544</ARTG></ARTGs><MinimumBenefit>245</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2023-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>KT012</BillingCode><Name>Martin Level One Fixation Resorb x &amp; SonicWeld Rx</Name><Description>Mesh, PDLLA (resorbable)</Description><Size>1.0 to 1.99mm thick, 4 to 7 holes</Size><SupplierCode>KT</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>199</SubCategoryID><GroupID>1589</GroupID><SubGroupID>4288</SubGroupID><Suffix>Resorbable</Suffix><ARTGs><ARTG>143326</ARTG></ARTGs><MinimumBenefit>245</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2015-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LH513</BillingCode><Name>Martin Osteosynthesis 1.5mm System Mesh 1mm 4-7 hole plate</Name><Description>Plate, Titanium</Description><Size>1.0-1.99mm thick, 4-7 holes</Size><SupplierCode>LH</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>199</SubCategoryID><GroupID>1589</GroupID><SubGroupID>4288</SubGroupID><ARTGs><ARTG>202851</ARTG></ARTGs><MinimumBenefit>135</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2014-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>KT059</BillingCode><Name>Martin Level  One Fixation Plate</Name><Description>Martin Level One Fixation</Description><Size>1.0-1.99mm thick, 4-7 holes</Size><SupplierCode>KT</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>199</SubCategoryID><GroupID>1589</GroupID><SubGroupID>4288</SubGroupID><ARTGs><ARTG>96619</ARTG></ARTGs><MinimumBenefit>135</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2015-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>JK024</BillingCode><PriorBillingCodes><PriorBillingCode>UQ023</PriorBillingCode></PriorBillingCodes><Name>OsteoMed Plating &amp; Fixation System</Name><Description>Plates - Fracture</Description><Size>1.0-1.99mm thick, 4-7 holes</Size><SupplierCode>JK</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>199</SubCategoryID><GroupID>1589</GroupID><SubGroupID>4288</SubGroupID><Suffix>Compression</Suffix><ARTGs><ARTG>130508</ARTG></ARTGs><MinimumBenefit>135</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MC517</BillingCode><Name>TiMesh</Name><Description>Mandibular "J" Plate</Description><Size>One size only</Size><SupplierCode>MI</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>199</SubCategoryID><GroupID>1589</GroupID><SubGroupID>4288</SubGroupID><ARTGs><ARTG>128523</ARTG></ARTGs><MinimumBenefit>135</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2006-03-24</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ZZ086</BillingCode><PriorBillingCodes><PriorBillingCode>WH012</PriorBillingCode></PriorBillingCodes><Name>Materialise Standard+ Solutions - Plates</Name><Description>Titanium plate</Description><Size>1.0-1.99mm thick, 4-7 holes</Size><SupplierCode>ZZ</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>199</SubCategoryID><GroupID>1589</GroupID><SubGroupID>4288</SubGroupID><Suffix>Compression</Suffix><ARTGs><ARTG>377044</ARTG></ARTGs><MinimumBenefit>135</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SY498</BillingCode><Name>AO/ASIF Plate</Name><Description>Mandible plate</Description><Size>4-7 holes</Size><SupplierCode>JJ</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>199</SubCategoryID><GroupID>1589</GroupID><SubGroupID>4288</SubGroupID><ARTGs><ARTG>298355</ARTG></ARTGs><MinimumBenefit>135</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2009-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SK132</BillingCode><Name>Leibinger Titanium Implant System - Universal Mandible Fracture Plate</Name><Description>Items used for reconstruction and fixation of mandibular fractures and tumour resection.</Description><Size>Universal Mandible Fracture Plate, Angled Shaped, 6 holes, 115-140 deg</Size><SupplierCode>JV</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>199</SubCategoryID><GroupID>1589</GroupID><SubGroupID>4288</SubGroupID><Suffix>Complex</Suffix><ARTGs><ARTG>200615</ARTG></ARTGs><MinimumBenefit>341</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>EO097</BillingCode><Name>MODUS Orthognathics</Name><Description>Indication-specific solutions for maxillary and mandibular orthognathic surgeries</Description><Size>1.0-1.99mm, 4-7 Holes </Size><SupplierCode>EO</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>199</SubCategoryID><GroupID>1589</GroupID><SubGroupID>4288</SubGroupID><Suffix>Complex</Suffix><ARTGs><ARTG>350270</ARTG><ARTG>350271</ARTG></ARTGs><MinimumBenefit>341</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2016-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>JK023</BillingCode><PriorBillingCodes><PriorBillingCode>UQ022</PriorBillingCode></PriorBillingCodes><Name>Plates</Name><Description>Micro, Midface, Mini &amp; Maxi</Description><Size>Chin Plate 2, 3, 4, 6, 8, 10 &amp; 12mm, Plates 4 to 7 holes.</Size><SupplierCode>JK</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>199</SubCategoryID><GroupID>1589</GroupID><SubGroupID>4288</SubGroupID><Suffix>Complex</Suffix><ARTGs><ARTG>130508</ARTG></ARTGs><MinimumBenefit>341</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ZZ085</BillingCode><PriorBillingCodes><PriorBillingCode>WH013</PriorBillingCode></PriorBillingCodes><Name>Materialise Standard+ Solutions - Plates</Name><Description>Titanium plate, S-shape</Description><Size>1.0-1.99mm thick, 4-7 holes</Size><SupplierCode>ZZ</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>199</SubCategoryID><GroupID>1589</GroupID><SubGroupID>4288</SubGroupID><Suffix>Complex</Suffix><ARTGs><ARTG>377044</ARTG></ARTGs><MinimumBenefit>341</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SK131</BillingCode><Name>Leibinger Titanium Implant System - Universal Mandible Fracture Plate</Name><Description>Items used for reconstruction and fixation of mandibular fractures and tumour resection.</Description><Size>Universal Mandible Fracture Plate, C-shaped, 4 holes</Size><SupplierCode>JV</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>199</SubCategoryID><GroupID>1589</GroupID><SubGroupID>4288</SubGroupID><Suffix>Complex</Suffix><ARTGs><ARTG>295882</ARTG><ARTG>200615</ARTG></ARTGs><MinimumBenefit>341</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SY587</BillingCode><Name>MatrixMANDIBLE Mandible Plating System</Name><Description>Titanium mandible locking plates</Description><Size>4-7 holes</Size><SupplierCode>JJ</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>199</SubCategoryID><GroupID>1589</GroupID><SubGroupID>4288</SubGroupID><Suffix>Locking</Suffix><ARTGs><ARTG>298355</ARTG></ARTGs><MinimumBenefit>345</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HW493</BillingCode><Name>Stryker Leibinger Plating System</Name><Description>Mandible Locking Fixation Plates</Description><Size>1.0 -1.9mm thick, 4 - 7 holes</Size><SupplierCode>JV</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>199</SubCategoryID><GroupID>1589</GroupID><SubGroupID>4288</SubGroupID><Suffix>Locking</Suffix><ARTGs><ARTG>200615</ARTG><ARTG>295882</ARTG></ARTGs><MinimumBenefit>345</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2013-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>KT043</BillingCode><Name>Martin Level One Fixation</Name><Description>Plate Titanium locking</Description><Size>1.0 to 1.99 mm thick, 4 - 7 holes</Size><SupplierCode>KT</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>199</SubCategoryID><GroupID>1589</GroupID><SubGroupID>4288</SubGroupID><Suffix>Locking</Suffix><ARTGs><ARTG>96619</ARTG></ARTGs><MinimumBenefit>345</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2015-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ZA009</BillingCode><Name>Mandibular Fracture System</Name><Description>plates, various shapes</Description><Size>4-7 holes</Size><SupplierCode>ZI</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>199</SubCategoryID><GroupID>1589</GroupID><SubGroupID>4288</SubGroupID><ARTGs><ARTG>128458</ARTG><ARTG>211079</ARTG></ARTGs><MinimumBenefit>135</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ZZ088</BillingCode><PriorBillingCodes><PriorBillingCode>WH008</PriorBillingCode></PriorBillingCodes><Name>Materialise Standard+ Solutions - Plates</Name><Description>Titanium plate, Locking</Description><Size>1.0-1.99mm thick, 8-15 holes</Size><SupplierCode>ZZ</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>199</SubCategoryID><GroupID>1589</GroupID><SubGroupID>4293</SubGroupID><Suffix>Locking</Suffix><ARTGs><ARTG>377044</ARTG></ARTGs><MinimumBenefit>629</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SY588</BillingCode><Name>AO/ASIF Plate</Name><Description>Titanium mandible locking plate, complex shape</Description><Size>8-15 holes</Size><SupplierCode>JJ</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>199</SubCategoryID><GroupID>1589</GroupID><SubGroupID>4293</SubGroupID><Suffix>Locking</Suffix><ARTGs><ARTG>157706</ARTG></ARTGs><MinimumBenefit>629</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HW494</BillingCode><Name>Stryker Leibinger Plating System</Name><Description>Mandible Fixation Plates</Description><Size>1.0 - 1.99mm thick, 8 -15 holes</Size><SupplierCode>JV</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>199</SubCategoryID><GroupID>1589</GroupID><SubGroupID>4293</SubGroupID><Suffix>Locking</Suffix><ARTGs><ARTG>200615</ARTG></ARTGs><MinimumBenefit>629</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2013-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>JK026</BillingCode><PriorBillingCodes><PriorBillingCode>UQ026</PriorBillingCode></PriorBillingCodes><Name>OsteoMed Plating &amp; Fixation System</Name><Description>Mandible Locking plates</Description><Size>8-15 Hole Plates, 1.0-1.99 mm thick</Size><SupplierCode>JK</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>199</SubCategoryID><GroupID>1589</GroupID><SubGroupID>4293</SubGroupID><Suffix>Locking</Suffix><ARTGs><ARTG>130508</ARTG></ARTGs><MinimumBenefit>629</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>EO098</BillingCode><Name>MODUS Orthognathics</Name><Description>Indication-specific solutions for maxillary and mandibular orthognathic surgeries</Description><Size>1.3-1.99 Thickness, 8-15 Holes </Size><SupplierCode>EO</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>199</SubCategoryID><GroupID>1589</GroupID><SubGroupID>4293</SubGroupID><Suffix>Locking</Suffix><ARTGs><ARTG>350270</ARTG><ARTG>350271</ARTG></ARTGs><MinimumBenefit>629</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2016-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>KT036</BillingCode><Name>Martin Level One Fixation Resorb x &amp; Sonic Weld</Name><Description>Plate PDLLA (resorbable)</Description><Size>1.0 to 1.99mm thick, 8 to 15 holes</Size><SupplierCode>KT</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>199</SubCategoryID><GroupID>1589</GroupID><SubGroupID>4293</SubGroupID><Suffix>Resorbable</Suffix><ARTGs><ARTG>143326</ARTG></ARTGs><MinimumBenefit>336</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2015-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>JK027</BillingCode><PriorBillingCodes><PriorBillingCode>UQ025</PriorBillingCode></PriorBillingCodes><Name>Plates</Name><Description>Mini &amp; Maxi</Description><Size>12 Hole Straight Plate 1.0 mm thick, 8 Hole Straight Plate 1.0 mm thick, Plates 8 to 15 holes</Size><SupplierCode>JK</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>199</SubCategoryID><GroupID>1589</GroupID><SubGroupID>4293</SubGroupID><ARTGs><ARTG>130508</ARTG></ARTGs><MinimumBenefit>336</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HW508</BillingCode><Name>Stryker Leibinger Plating System</Name><Description>Mandible Locking Fixation Plates</Description><Size>1.0 - 1.99mm thick, 8 - 15 holes</Size><SupplierCode>JV</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>199</SubCategoryID><GroupID>1589</GroupID><SubGroupID>4293</SubGroupID><ARTGs><ARTG>124319</ARTG><ARTG>11565</ARTG></ARTGs><MinimumBenefit>336</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2013-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>EO099</BillingCode><Name>MODUS Orthognathics</Name><Description>Indication-specific solutions for maxillary and mandibular orthognathic surgeries</Description><Size>2.0mm</Size><SupplierCode>EO</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>199</SubCategoryID><GroupID>1589</GroupID><SubGroupID>4293</SubGroupID><ARTGs><ARTG>350271</ARTG><ARTG>350270</ARTG></ARTGs><MinimumBenefit>336</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2016-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LH514</BillingCode><Name>Martin Osteosynthesis 1.5mm System 1mm 8-15 hole plate</Name><Description>Plate, Titanium</Description><Size>1.0-1.99mm thick, 8-15 holes</Size><SupplierCode>LH</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>199</SubCategoryID><GroupID>1589</GroupID><SubGroupID>4293</SubGroupID><ARTGs><ARTG>202851</ARTG></ARTGs><MinimumBenefit>336</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2014-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>KT056</BillingCode><Name>Martin Level One Fixation</Name><Description>Plate ,Titanium</Description><Size>1.0 to 1.99mm thick, 8 -15 holes</Size><SupplierCode>KT</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>199</SubCategoryID><GroupID>1589</GroupID><SubGroupID>4293</SubGroupID><ARTGs><ARTG>99619</ARTG></ARTGs><MinimumBenefit>336</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2015-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SY508</BillingCode><Name>AO/ASIF Plate</Name><Description>Rapid resorbable reconstruction plate</Description><Size>8-15 holes</Size><SupplierCode>JJ</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>199</SubCategoryID><GroupID>1589</GroupID><SubGroupID>4293</SubGroupID><Suffix>Resorbable</Suffix><ARTGs><ARTG>167547</ARTG></ARTGs><MinimumBenefit>336</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2009-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>WU007</BillingCode><PriorBillingCodes><PriorBillingCode>VK022</PriorBillingCode></PriorBillingCodes><Name>CPS Bioabsorbable Fixation System</Name><Description>OTPS fixation system: PLGA/TMC copolymer</Description><Size>Plates 6 &amp; 8 hole</Size><SupplierCode>WU</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>199</SubCategoryID><GroupID>1589</GroupID><SubGroupID>4293</SubGroupID><Suffix>Resorbable</Suffix><ARTGs><ARTG>154544</ARTG></ARTGs><MinimumBenefit>336</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2023-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ZZ089</BillingCode><PriorBillingCodes><PriorBillingCode>WH015</PriorBillingCode></PriorBillingCodes><Name>Materialise Standard+ Solutions - Plates</Name><Description>Titanium plate</Description><Size>1.0-1.99mm thick, 8-15 holes</Size><SupplierCode>ZZ</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>199</SubCategoryID><GroupID>1589</GroupID><SubGroupID>4293</SubGroupID><ARTGs><ARTG>377044</ARTG></ARTGs><MinimumBenefit>336</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ZI970</BillingCode><Name>Mandibular Fracture System</Name><Description>Mandibular fracture plates</Description><Size>8-15 holes</Size><SupplierCode>ZI</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>199</SubCategoryID><GroupID>1589</GroupID><SubGroupID>4293</SubGroupID><ARTGs><ARTG>128458</ARTG></ARTGs><MinimumBenefit>336</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MC522</BillingCode><Name>TiMesh</Name><Description>Curved Plate:  Standard, Rigid, Left, Right</Description><Size>1mm x 12 holes</Size><SupplierCode>MI</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>199</SubCategoryID><GroupID>1589</GroupID><SubGroupID>4293</SubGroupID><ARTGs><ARTG>128523</ARTG></ARTGs><MinimumBenefit>336</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2006-03-24</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>KT028</BillingCode><Name>Martin Level One Fixation Resorb x &amp; SonicWeld Rx</Name><Description>Plate, PDLLA (resorbable)</Description><Size>1.0 to 1.99mm thick, 16 to 32 holes</Size><SupplierCode>KT</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>199</SubCategoryID><GroupID>1589</GroupID><SubGroupID>4296</SubGroupID><Suffix>Resorbable</Suffix><ARTGs><ARTG>143326</ARTG></ARTGs><MinimumBenefit>394</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2015-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>WU008</BillingCode><PriorBillingCodes><PriorBillingCode>VK024</PriorBillingCode></PriorBillingCodes><Name>CPS Bioabsorbable Fixation System</Name><Description>CPS Systems and Baby System Plates.  Polylactic Acid Trimethylene Carbonate Copolymer</Description><Size>1.5mm baby plates:- 20 hole, c-plate &amp; x-plate 7 hole, 2 hole</Size><SupplierCode>WU</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>199</SubCategoryID><GroupID>1589</GroupID><SubGroupID>4296</SubGroupID><Suffix>Resorbable</Suffix><ARTGs><ARTG>154544</ARTG></ARTGs><MinimumBenefit>394</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2023-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SY589</BillingCode><Name>AO/ASIF Plate</Name><Description>Rapid resorbable reconstruction plate</Description><Size>16-32 holes</Size><SupplierCode>JJ</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>199</SubCategoryID><GroupID>1589</GroupID><SubGroupID>4296</SubGroupID><Suffix>Resorbable</Suffix><ARTGs><ARTG>167547</ARTG></ARTGs><MinimumBenefit>394</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>KT029</BillingCode><Name>Martin Level One Fixation</Name><Description>Plate, titanium</Description><Size>1.0 to 1.99mm thick, 16 to 32 holes</Size><SupplierCode>KT</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>199</SubCategoryID><GroupID>1589</GroupID><SubGroupID>4296</SubGroupID><Suffix>3D</Suffix><ARTGs><ARTG>96619</ARTG></ARTGs><MinimumBenefit>798</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2015-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SY493</BillingCode><Name>AO/ASIF Plate</Name><Description>Titanium Mandibular locking plate, complex shape</Description><Size>16-32 holes</Size><SupplierCode>JJ</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>199</SubCategoryID><GroupID>1589</GroupID><SubGroupID>4296</SubGroupID><Suffix>Complex</Suffix><ARTGs><ARTG>157706</ARTG></ARTGs><MinimumBenefit>854</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2009-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>EO119</BillingCode><Name>MODUS Mandible </Name><Description>Mandible Locking Plates </Description><Size>16-21 Hole, 1.0-1.99 thickness</Size><SupplierCode>EO</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>199</SubCategoryID><GroupID>1589</GroupID><SubGroupID>4296</SubGroupID><Suffix>Locking</Suffix><ARTGs><ARTG>350270</ARTG><ARTG>350271</ARTG></ARTGs><MinimumBenefit>798</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>JK028</BillingCode><PriorBillingCodes><PriorBillingCode>UQ028</PriorBillingCode></PriorBillingCodes><Name>OsteoMed Plating &amp; Fixation System</Name><Description>Mandible Locking Plates</Description><Size>16-32 Hole Plates, 1.0-1.99 mm thick</Size><SupplierCode>JK</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>199</SubCategoryID><GroupID>1589</GroupID><SubGroupID>4296</SubGroupID><Suffix>Locking</Suffix><ARTGs><ARTG>130508</ARTG></ARTGs><MinimumBenefit>798</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>KT030</BillingCode><Name>Martin Level One Fixation</Name><Description>Plate Titanium</Description><Size>1.0 to 1.99mm thick, 16 to 32 holes</Size><SupplierCode>KT</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>199</SubCategoryID><GroupID>1589</GroupID><SubGroupID>4296</SubGroupID><ARTGs><ARTG>96619</ARTG></ARTGs><MinimumBenefit>199</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2015-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BI762</BillingCode><Name>Mandibular Fracture System</Name><Description>Plates, 2.4 Mandibular Fracture System, Titanium</Description><Size>16 - 24 Hole</Size><SupplierCode>ZI</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>199</SubCategoryID><GroupID>1589</GroupID><SubGroupID>4296</SubGroupID><ARTGs><ARTG>128458</ARTG></ARTGs><MinimumBenefit>199</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>EO118</BillingCode><Name>MODUS Mandible </Name><Description>Indication-specific solutions for mandibular orthognatic surgeries   </Description><Size>1.0-1.99 thickness, 16-32 Holes </Size><SupplierCode>EO</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>199</SubCategoryID><GroupID>1589</GroupID><SubGroupID>4296</SubGroupID><ARTGs><ARTG>350270</ARTG><ARTG>350271</ARTG></ARTGs><MinimumBenefit>199</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LH515</BillingCode><Name>Martin Osteosynthesis 1.5mm System 1mm 16-32 hole plate</Name><Description>Plate, Titanium</Description><Size>1.0-1.99mm thick, 16-32 holes</Size><SupplierCode>LH</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>199</SubCategoryID><GroupID>1589</GroupID><SubGroupID>4296</SubGroupID><ARTGs><ARTG>202851</ARTG></ARTGs><MinimumBenefit>199</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2014-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>JK029</BillingCode><PriorBillingCodes><PriorBillingCode>UQ027</PriorBillingCode></PriorBillingCodes><Name>Plates</Name><Description>Micro, Mini, Maxi</Description><Size>16 Hole Straight Plate, 1.0mm thick, Plate 15 to 32 holes</Size><SupplierCode>JK</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>199</SubCategoryID><GroupID>1589</GroupID><SubGroupID>4296</SubGroupID><ARTGs><ARTG>130508</ARTG></ARTGs><MinimumBenefit>199</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HW495</BillingCode><Name>Stryker Leibinger Plating System</Name><Description>Mandible Fixation Plates</Description><Size>1.0 - 1.9mm thick, 16- 32 holes</Size><SupplierCode>JV</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>199</SubCategoryID><GroupID>1589</GroupID><SubGroupID>4296</SubGroupID><ARTGs><ARTG>200615</ARTG><ARTG>295882</ARTG></ARTGs><MinimumBenefit>199</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2013-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>EO121</BillingCode><Name>MODUS Mandible </Name><Description>Titanium Mandibular locking plates, complex shape</Description><Size>16-20 holes, 1.3-1.5mm thickness. </Size><SupplierCode>EO</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>199</SubCategoryID><GroupID>1589</GroupID><SubGroupID>4296</SubGroupID><Suffix>Complex</Suffix><ARTGs><ARTG>350270</ARTG><ARTG>350271</ARTG></ARTGs><MinimumBenefit>854</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HW496</BillingCode><Name>Stryker Leibinger Plating System</Name><Description>Mandible Fixation Plates</Description><Size>1.0 -1.9mm thick, 16 - 32 holes</Size><SupplierCode>JV</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>199</SubCategoryID><GroupID>1589</GroupID><SubGroupID>4296</SubGroupID><Suffix>Locking</Suffix><ARTGs><ARTG>200615</ARTG><ARTG>295882</ARTG></ARTGs><MinimumBenefit>798</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2013-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ZZ102</BillingCode><Name>Materialise Standard+ Solutions - Plates</Name><Description>Titanium Plate, Locking</Description><Size>1.0mm-1.99mm thick, 16-32 holes</Size><SupplierCode>ZZ</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>199</SubCategoryID><GroupID>1589</GroupID><SubGroupID>4296</SubGroupID><Suffix>Locking</Suffix><ARTGs><ARTG>377044</ARTG></ARTGs><MinimumBenefit>798</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2023-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>UT026</BillingCode><Name>SCS Interlink Plate - 2-hole</Name><Description>Titanium 2-hole plate</Description><Size>0.4mm x 15mm, 0.4mm x 17mm</Size><SupplierCode>UT</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>199</SubCategoryID><GroupID>1589</GroupID><SubGroupID>4261</SubGroupID><ARTGs><ARTG>339425</ARTG></ARTGs><MinimumBenefit>63</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BB411</BillingCode><Name>Aesculap Neuro Plating System</Name><Description>Cranial fixation system, internal fracture, non biodegradable. Consists of screws, plates.</Description><Size>Plate Neuro, 2 hole, 12.4 - 15.4mm</Size><SupplierCode>BB</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>199</SubCategoryID><GroupID>1589</GroupID><SubGroupID>4261</SubGroupID><ARTGs><ARTG>388668</ARTG></ARTGs><MinimumBenefit>63</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2023-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ606</BillingCode><Name>Sterile SCS Interlink Plate - 2-hole</Name><Description>Sterile packed titanium 2-hole plate</Description><Size>0.4mm x 15mm, 0.4mm x 17mm</Size><SupplierCode>UT</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>199</SubCategoryID><GroupID>1589</GroupID><SubGroupID>4261</SubGroupID><ARTGs><ARTG>339425</ARTG></ARTGs><MinimumBenefit>63</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2024-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>JK014</BillingCode><PriorBillingCodes><PriorBillingCode>UQ011</PriorBillingCode></PriorBillingCodes><Name>Plates</Name><Description>Micro, Midface &amp; Mini</Description><Size>Straight Plate - 2 Hole, Plate &lt; 4 holes.</Size><SupplierCode>JK</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>199</SubCategoryID><GroupID>1589</GroupID><SubGroupID>4261</SubGroupID><ARTGs><ARTG>130508</ARTG></ARTGs><MinimumBenefit>63</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SY561</BillingCode><Name>Matrix</Name><Description>Simple shaped plates</Description><Size>&lt; 4 holes</Size><SupplierCode>JJ</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>199</SubCategoryID><GroupID>1589</GroupID><SubGroupID>4261</SubGroupID><ARTGs><ARTG>298355</ARTG></ARTGs><MinimumBenefit>63</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2010-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>WT004</BillingCode><Name>EvoFix Low Profile</Name><Description>Titanium craniofacial fixation plates </Description><Size>&lt;0.5mm thickness, &lt;4 holes</Size><SupplierCode>WT</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>199</SubCategoryID><GroupID>1589</GroupID><SubGroupID>4261</SubGroupID><ARTGs><ARTG>314801</ARTG></ARTGs><MinimumBenefit>63</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2023-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LH495</BillingCode><Name>Martin Level One Fixation</Name><Description>Plate, titanium</Description><Size>&lt;0.5mm thick, 4 to 7 holes</Size><SupplierCode>LH</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>199</SubCategoryID><GroupID>1589</GroupID><SubGroupID>4263</SubGroupID><Suffix>Burr</Suffix><ARTGs><ARTG>202851</ARTG></ARTGs><MinimumBenefit>155</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2013-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>WT001</BillingCode><Name>EvoFix Low Profile Burrhole Plate</Name><Description>Titanium craniofacial fixation plates</Description><Size>&lt;0.5mm thick, 4-7 holes</Size><SupplierCode>WT</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>199</SubCategoryID><GroupID>1589</GroupID><SubGroupID>4263</SubGroupID><Suffix>Burr</Suffix><ARTGs><ARTG>314801</ARTG></ARTGs><MinimumBenefit>155</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2023-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MN196</BillingCode><Name>Matrix Plate</Name><Description>Burr Hole Plates</Description><Size>12 to 24mm</Size><SupplierCode>JJ</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>199</SubCategoryID><GroupID>1589</GroupID><SubGroupID>4263</SubGroupID><Suffix>Burr</Suffix><ARTGs><ARTG>298355</ARTG></ARTGs><MinimumBenefit>155</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2016-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>KT010</BillingCode><Name>Martin Level One Fixation</Name><Description>Plate, titanium</Description><Size>&lt;0.5mm thick, 4 to 7 holes</Size><SupplierCode>KT</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>199</SubCategoryID><GroupID>1589</GroupID><SubGroupID>4263</SubGroupID><Suffix>Burr</Suffix><ARTGs><ARTG>96619</ARTG></ARTGs><MinimumBenefit>155</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2015-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>UT028</BillingCode><Name>SCS Interlink Plate - Burr Hole/Drainage Burr Hole</Name><Description>Titanium burr hole plate, drainage burr hole plate </Description><Size>0.4mm thick; Diameter: 12mm, 16mm, 18mm, 22mm, </Size><SupplierCode>UT</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>199</SubCategoryID><GroupID>1589</GroupID><SubGroupID>4263</SubGroupID><Suffix>Burr</Suffix><ARTGs><ARTG>339425</ARTG></ARTGs><MinimumBenefit>155</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ608</BillingCode><Name>Sterile SCS Interlink Plate - Burr Hole/Drainage Burr Hole</Name><Description>Sterile packed titanium burr hole plate, drainage burr hole plate</Description><Size>0.4mm thick; Diameter: 12mm, 16mm, 18mm, 22mm</Size><SupplierCode>UT</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>199</SubCategoryID><GroupID>1589</GroupID><SubGroupID>4263</SubGroupID><Suffix>Burr</Suffix><ARTGs><ARTG>339425</ARTG></ARTGs><MinimumBenefit>155</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2024-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SY562</BillingCode><Name>Matrix</Name><Description>Micro X, Frame plates</Description><Size>4  - 7 Holes</Size><SupplierCode>JJ</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>199</SubCategoryID><GroupID>1589</GroupID><SubGroupID>4263</SubGroupID><ARTGs><ARTG>157706</ARTG></ARTGs><MinimumBenefit>137</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2010-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>WT002</BillingCode><Name>EvoFix Low Profile Various</Name><Description>Titanium craniofacial fixation plates</Description><Size>&lt;0.5mm thick, 4-7 holes</Size><SupplierCode>WT</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>199</SubCategoryID><GroupID>1589</GroupID><SubGroupID>4263</SubGroupID><ARTGs><ARTG>314801</ARTG></ARTGs><MinimumBenefit>137</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2023-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BB412</BillingCode><Name>Aesculap Neuro Plating System</Name><Description>Cranial fixation system, internal fracture, non biodegradable.  Consists of screws, plates.</Description><Size>Plate Neuro, 4 - 7 hole,   Dimensions: 11.0 - 30.3mm x 3.4 - 24.3mm  Diameters: 18.4 - 30.9mm</Size><SupplierCode>BB</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>199</SubCategoryID><GroupID>1589</GroupID><SubGroupID>4263</SubGroupID><ARTGs><ARTG>388668</ARTG></ARTGs><MinimumBenefit>137</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2023-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BB414</BillingCode><Name>Aesculap Neuro Plating System</Name><Description>Cranial fixation system, internal fracture, non biodegradable. Consists of screws, plates.</Description><Size>Plate Neuro, 8 - 10 hole, 28mm - 43.9mm x 3.4mm - 14mm.  </Size><SupplierCode>BB</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>199</SubCategoryID><GroupID>1589</GroupID><SubGroupID>4265</SubGroupID><ARTGs><ARTG>388668</ARTG></ARTGs><MinimumBenefit>193</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2023-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SY563</BillingCode><Name>Matrix</Name><Description>Micor Orbital curved plate</Description><Size>12 hole</Size><SupplierCode>JJ</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>199</SubCategoryID><GroupID>1589</GroupID><SubGroupID>4265</SubGroupID><ARTGs><ARTG>157706</ARTG></ARTGs><MinimumBenefit>193</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2010-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>KT108</BillingCode><PriorBillingCodes><PriorBillingCode>LH504</PriorBillingCode></PriorBillingCodes><Name>Martin Osteosynthesis 1.5mm System 8-15 hole plate</Name><Description>Plate, Titanium</Description><Size>&lt;0.5mm thick, 8-15 holes</Size><SupplierCode>KT</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>199</SubCategoryID><GroupID>1589</GroupID><SubGroupID>4265</SubGroupID><ARTGs><ARTG>202851</ARTG></ARTGs><ChangeExplanation>
Billing code transferred from LH504
Sponsor transferred from LIFEHEALTHCARE PTY LIMITED</ChangeExplanation><MinimumBenefit>193</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2014-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BB413</BillingCode><Name>Aesculap Neuro Plating System</Name><Description>Cranial fixation system, internal fracture, non biodegradable.  </Description><Size>One size</Size><SupplierCode>BB</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>199</SubCategoryID><GroupID>1589</GroupID><SubGroupID>4266</SubGroupID><ARTGs><ARTG>388668</ARTG></ARTGs><MinimumBenefit>283</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2023-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SY558</BillingCode><Name>Matrix</Name><Description>Micro Adaption, Strut Plates</Description><Size>18-20 hole</Size><SupplierCode>JJ</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>199</SubCategoryID><GroupID>1589</GroupID><SubGroupID>4266</SubGroupID><ARTGs><ARTG>157706</ARTG></ARTGs><MinimumBenefit>283</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2010-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>KT110</BillingCode><PriorBillingCodes><PriorBillingCode>LH506</PriorBillingCode></PriorBillingCodes><Name>Martin Osteosynthesis 1.5mm System 16-32 hole plate</Name><Description>Plate, Titanium</Description><Size>&lt;0.5mm thick, 16-32 holes</Size><SupplierCode>KT</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>199</SubCategoryID><GroupID>1589</GroupID><SubGroupID>4266</SubGroupID><ARTGs><ARTG>202851</ARTG></ARTGs><ChangeExplanation>
Billing code transferred from LH506
Sponsor transferred from LIFEHEALTHCARE PTY LIMITED</ChangeExplanation><MinimumBenefit>283</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2014-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ607</BillingCode><Name>Sterile SCS Interlink Plate - 2-hole</Name><Description>Sterile packed titanium 2-hole plate</Description><Size>0.6mm x 15mm, 0.6mm x 17mm</Size><SupplierCode>UT</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>199</SubCategoryID><GroupID>1589</GroupID><SubGroupID>4267</SubGroupID><ARTGs><ARTG>339425</ARTG></ARTGs><MinimumBenefit>76</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2024-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MC908</BillingCode><Name>Timesh</Name><Description>Rigid Straight Plates</Description><Size>&lt; 4 holes</Size><SupplierCode>MI</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>199</SubCategoryID><GroupID>1589</GroupID><SubGroupID>4267</SubGroupID><ARTGs><ARTG>128523</ARTG></ARTGs><MinimumBenefit>76</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2009-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ007</BillingCode><PriorBillingCodes><PriorBillingCode>AT078</PriorBillingCode><PriorBillingCode>AT078</PriorBillingCode></PriorBillingCodes><Name>Anatomics Fixation Straight Plates</Name><Description>Titanium fixation straight plates</Description><Size>2 Holes
Thickness - 0.6mm
Length - 15mm</Size><SupplierCode>KU</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>199</SubCategoryID><GroupID>1589</GroupID><SubGroupID>4267</SubGroupID><ARTGs><ARTG>288564</ARTG></ARTGs><MinimumBenefit>76</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MC872</BillingCode><Name>TiMesh Rigid Fixation Bone Grafting and Plating System</Name><Description>Titanium, Straight Plate</Description><Size>&lt; 4 holes</Size><SupplierCode>MI</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>199</SubCategoryID><GroupID>1589</GroupID><SubGroupID>4267</SubGroupID><ARTGs><ARTG>128523</ARTG></ARTGs><MinimumBenefit>76</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2009-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>KT024</BillingCode><Name>Martin Micro Plate Osteosynthesis System</Name><Description>1.5mm system Straight Plate Titanium</Description><Size>2 hole, 0.6mm profile</Size><SupplierCode>KT</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>199</SubCategoryID><GroupID>1589</GroupID><SubGroupID>4267</SubGroupID><ARTGs><ARTG>96620</ARTG></ARTGs><MinimumBenefit>76</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2015-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BI677</BillingCode><Name>W Lorenz Osteosynthesis System</Name><Description>Plate, Neuro Straight, 1.5mm System, Titanium</Description><Size>2 hole (medium or long)</Size><SupplierCode>ZI</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>199</SubCategoryID><GroupID>1589</GroupID><SubGroupID>4267</SubGroupID><ARTGs><ARTG>128458</ARTG></ARTGs><MinimumBenefit>76</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HW497</BillingCode><Name>Stryker Leibinger Plating System</Name><Description>Fracture or reconstruction plates</Description><Size>0.5 - 0.99mm thick, &amp;lt;4 holes</Size><SupplierCode>JV</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>199</SubCategoryID><GroupID>1589</GroupID><SubGroupID>4267</SubGroupID><ARTGs><ARTG>295882</ARTG><ARTG>200615</ARTG></ARTGs><MinimumBenefit>76</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2013-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SY512</BillingCode><Name>AO/ASIF Plate</Name><Description>Rapid resorbable reconstruction plate</Description><Size>&lt;4 holes</Size><SupplierCode>JJ</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>199</SubCategoryID><GroupID>1589</GroupID><SubGroupID>4267</SubGroupID><Suffix>Resorbable</Suffix><ARTGs><ARTG>167547</ARTG></ARTGs><MinimumBenefit>144</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2009-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>JK015</BillingCode><PriorBillingCodes><PriorBillingCode>UQ016</PriorBillingCode></PriorBillingCodes><Name>Plates</Name><Description>Micro, Midface &amp; Mini</Description><Size>Straight Plate - 2 Hole, Plate &lt; 4 holes.</Size><SupplierCode>JK</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>199</SubCategoryID><GroupID>1589</GroupID><SubGroupID>4267</SubGroupID><ARTGs><ARTG>130508</ARTG></ARTGs><MinimumBenefit>76</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>UT027</BillingCode><Name>SCS Interlink Plate - 2-hole</Name><Description>Titanium 2-hole plate</Description><Size>0.6mm x 15mm, 0.6mm x 17mm</Size><SupplierCode>UT</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>199</SubCategoryID><GroupID>1589</GroupID><SubGroupID>4267</SubGroupID><ARTGs><ARTG>339425</ARTG></ARTGs><MinimumBenefit>76</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LH502</BillingCode><Name>Martin Osteosynthesis 1.5mm System 2 hole plate</Name><Description>Plate, 0.6mm thick, titanium</Description><Size>2-4 hole</Size><SupplierCode>LH</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>199</SubCategoryID><GroupID>1589</GroupID><SubGroupID>4267</SubGroupID><ARTGs><ARTG>202851</ARTG></ARTGs><MinimumBenefit>76</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2014-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>KT057</BillingCode><Name>Martin Level One Fixation</Name><Description>Plate Titanium</Description><Size>0.5 to 0.99mm thick, 4 - 7 holes</Size><SupplierCode>KT</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>199</SubCategoryID><GroupID>1589</GroupID><SubGroupID>4271</SubGroupID><ARTGs><ARTG>96619</ARTG></ARTGs><MinimumBenefit>166</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2015-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MC870</BillingCode><Name>TiMesh Rigid Fixation Bone Grafting and Plating System</Name><Description>Titanium, Y Plate Double and Single</Description><Size>4 - 7 hole</Size><SupplierCode>MI</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>199</SubCategoryID><GroupID>1589</GroupID><SubGroupID>4271</SubGroupID><ARTGs><ARTG>128523</ARTG></ARTGs><MinimumBenefit>166</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2009-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BI617</BillingCode><Name>W Lorenz Osteosynthesis System</Name><Description>Plate, Straight, 1mm System. Titanium</Description><Size>4 hole</Size><SupplierCode>ZI</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>199</SubCategoryID><GroupID>1589</GroupID><SubGroupID>4271</SubGroupID><ARTGs><ARTG>128458</ARTG></ARTGs><MinimumBenefit>166</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BI605</BillingCode><Name>W Lorenz Osteosynthesis System</Name><Description>Plate, Matrix, 1.0 or 1.5mm System, Titanium</Description><Size>6 hole</Size><SupplierCode>ZI</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>199</SubCategoryID><GroupID>1589</GroupID><SubGroupID>4271</SubGroupID><ARTGs><ARTG>128458</ARTG></ARTGs><MinimumBenefit>166</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BI621</BillingCode><Name>W Lorenz Osteosynthesis System</Name><Description>Plate, L , 2.5mm or 2m system, Titanium</Description><Size>2 x2 or 3x3 hole</Size><SupplierCode>ZI</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>199</SubCategoryID><GroupID>1589</GroupID><SubGroupID>4271</SubGroupID><ARTGs><ARTG>128458</ARTG></ARTGs><MinimumBenefit>166</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BI348</BillingCode><Name>W Lorenz Osteosynthesis System</Name><Description>L-Plate, 2mm System, Left or Right. Titanium</Description><Size>2 x 2 hole, Mini or Low Profile</Size><SupplierCode>ZI</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>199</SubCategoryID><GroupID>1589</GroupID><SubGroupID>4271</SubGroupID><ARTGs><ARTG>119508</ARTG></ARTGs><MinimumBenefit>166</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MC520</BillingCode><Name>TiMesh</Name><Description>X Plate</Description><Size>4 holes x 1mm - 4 holes x 2.2mm</Size><SupplierCode>MI</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>199</SubCategoryID><GroupID>1589</GroupID><SubGroupID>4271</SubGroupID><ARTGs><ARTG>128523</ARTG></ARTGs><MinimumBenefit>166</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2006-03-24</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>JK019</BillingCode><PriorBillingCodes><PriorBillingCode>UQ017</PriorBillingCode></PriorBillingCodes><Name>Plates</Name><Description>Micro, Midface, Mini, Maxi, BSSO, TR BSSO</Description><Size>0.5-0.99mm thick, 4-7 holes</Size><SupplierCode>JK</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>199</SubCategoryID><GroupID>1589</GroupID><SubGroupID>4271</SubGroupID><ARTGs><ARTG>130508</ARTG></ARTGs><MinimumBenefit>166</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ006</BillingCode><PriorBillingCodes><PriorBillingCode>AT079</PriorBillingCode><PriorBillingCode>AT079</PriorBillingCode></PriorBillingCodes><Name>Anatomics Fixation Double-Y Plates</Name><Description>Titanium craniofacial fixation plates</Description><Size>6 Holes
Thickness - 0.6mm
Length - 17mm</Size><SupplierCode>KU</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>199</SubCategoryID><GroupID>1589</GroupID><SubGroupID>4271</SubGroupID><ARTGs><ARTG>288564</ARTG></ARTGs><MinimumBenefit>166</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MC909</BillingCode><Name>Timesh</Name><Description>Rigid Straight Plates</Description><Size>4 - 7 holes</Size><SupplierCode>MI</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>199</SubCategoryID><GroupID>1589</GroupID><SubGroupID>4271</SubGroupID><ARTGs><ARTG>128523</ARTG></ARTGs><MinimumBenefit>166</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2009-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>XU026</BillingCode><PriorBillingCodes><PriorBillingCode>ZZ060</PriorBillingCode></PriorBillingCodes><Name>Lyka Smith Jeil Le Forte Plates 4-7 Holes</Name><Description>Titanium plates in a variety of shapes for reconstruction</Description><Size>Thickness - 0.5-0.8mm   4-7 Holes</Size><SupplierCode>XU</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>199</SubCategoryID><GroupID>1589</GroupID><SubGroupID>4271</SubGroupID><ARTGs><ARTG>310093</ARTG></ARTGs><ChangeExplanation>
Billing code transferred from ZZ060
Sponsor transferred from AA-Med Pty Ltd</ChangeExplanation><MinimumBenefit>166</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2020-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SY319</BillingCode><Name>AO/ASIF Plate</Name><Description>Low profile neurosurgical plate, burr hole</Description><Size>4-7 holes</Size><SupplierCode>JJ</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>199</SubCategoryID><GroupID>1589</GroupID><SubGroupID>4271</SubGroupID><Suffix>Burr</Suffix><ARTGs><ARTG>157706</ARTG></ARTGs><MinimumBenefit>166</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>UT029</BillingCode><Name>SCS Interlink Plate - Burr Hole/Drainage Burr Hole</Name><Description>Titanium burr hole plate, drainage burr hole plate </Description><Size>0.6mm thick; Diameter: 12mm, 16mm, 18mm, 22mm</Size><SupplierCode>UT</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>199</SubCategoryID><GroupID>1589</GroupID><SubGroupID>4271</SubGroupID><Suffix>Burr</Suffix><ARTGs><ARTG>339425</ARTG></ARTGs><MinimumBenefit>166</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HW499</BillingCode><Name>Delta Resorbable Fixation System</Name><Description>Craniofacial Resorbable Fixation Plates</Description><Size>0.5 -0.99mm thick, 4 - 7 holes</Size><SupplierCode>JV</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>199</SubCategoryID><GroupID>1589</GroupID><SubGroupID>4271</SubGroupID><Suffix>Resorbable</Suffix><ARTGs><ARTG>72659</ARTG><ARTG>151009</ARTG></ARTGs><MinimumBenefit>195</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2013-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SY504</BillingCode><Name>AO/ASIF Plate</Name><Description>Rapid resorbable reconstruction plate</Description><Size>4-7 holes</Size><SupplierCode>JJ</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>199</SubCategoryID><GroupID>1589</GroupID><SubGroupID>4271</SubGroupID><Suffix>Resorbable</Suffix><ARTGs><ARTG>167547</ARTG></ARTGs><MinimumBenefit>195</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2009-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HW500</BillingCode><Name>Stryker Leibinger Plating System</Name><Description>Craniofacial Fixation Plates ,Locking</Description><Size>0.5 - 0.9mm thick, 4 -7 holes</Size><SupplierCode>JV</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>199</SubCategoryID><GroupID>1589</GroupID><SubGroupID>4271</SubGroupID><Suffix>Locking</Suffix><ARTGs><ARTG>200615</ARTG><ARTG>295882</ARTG></ARTGs><MinimumBenefit>190</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2013-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>XU029</BillingCode><PriorBillingCodes><PriorBillingCode>ZZ063</PriorBillingCode></PriorBillingCodes><Name>Lyka Smith Jeil Le Forte Locking Plates 4-7 Holes</Name><Description>Titanium locking plates of various shapes for reconstruction</Description><Size>4-7 holes  Thickness - 0.5-0.99mm</Size><SupplierCode>XU</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>199</SubCategoryID><GroupID>1589</GroupID><SubGroupID>4271</SubGroupID><Suffix>Locking</Suffix><ARTGs><ARTG>310093</ARTG></ARTGs><ChangeExplanation>
Billing code transferred from ZZ063
Sponsor transferred from AA-Med Pty Ltd</ChangeExplanation><MinimumBenefit>190</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2020-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MC883</BillingCode><Name>TiMesh Rigid Fixation Bone Grafting and Plating System</Name><Description>Titanium, L Plate (Left and right configurations)</Description><Size>4 to 7 holes</Size><SupplierCode>MI</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>199</SubCategoryID><GroupID>1589</GroupID><SubGroupID>4271</SubGroupID><ARTGs><ARTG>128523</ARTG></ARTGs><MinimumBenefit>166</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2009-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BI625</BillingCode><Name>W Lorenz Osteosynthesis System</Name><Description>Plate, Y, Double Y, X, 1.5mm System or 2.0mm System, Titanium</Description><Size>One size only</Size><SupplierCode>ZI</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>199</SubCategoryID><GroupID>1589</GroupID><SubGroupID>4271</SubGroupID><ARTGs><ARTG>128458</ARTG></ARTGs><MinimumBenefit>166</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MC576</BillingCode><Name>Timesh</Name><Description>Double Y Plates</Description><Size>3 Hole - 2.5mm - 7mm</Size><SupplierCode>MI</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>199</SubCategoryID><GroupID>1589</GroupID><SubGroupID>4271</SubGroupID><ARTGs><ARTG>128523</ARTG></ARTGs><MinimumBenefit>166</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2006-03-24</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MC393</BillingCode><Name>TiMesh Rigid Fixation Bone Grafting and Plating System</Name><Description>Titanium, Z Plate Left and Right</Description><Size>4 hole - 5mm, 9.5mm</Size><SupplierCode>MI</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>199</SubCategoryID><GroupID>1589</GroupID><SubGroupID>4271</SubGroupID><ARTGs><ARTG>128523</ARTG></ARTGs><MinimumBenefit>166</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2006-03-24</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MC519</BillingCode><Name>TiMesh</Name><Description>Squareplate</Description><Size>4 holes x 1mm - 4 holes x 2.2mm</Size><SupplierCode>MI</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>199</SubCategoryID><GroupID>1589</GroupID><SubGroupID>4271</SubGroupID><ARTGs><ARTG>128523</ARTG></ARTGs><MinimumBenefit>166</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2006-03-24</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MC885</BillingCode><Name>TiMesh Rigid Fixation Bone Grafting and Plating System</Name><Description>Titanium, H Plate</Description><Size>4 - 7 hole</Size><SupplierCode>MI</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>199</SubCategoryID><GroupID>1589</GroupID><SubGroupID>4271</SubGroupID><ARTGs><ARTG>128523</ARTG></ARTGs><MinimumBenefit>166</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2009-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BH362</BillingCode><Name>Lorenz Plating System</Name><Description>Neuro Gap Plate, Titanium</Description><Size>25mm - 45mm</Size><SupplierCode>ZI</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>199</SubCategoryID><GroupID>1589</GroupID><SubGroupID>4271</SubGroupID><ARTGs><ARTG>128458</ARTG></ARTGs><MinimumBenefit>166</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2014-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BI620</BillingCode><Name>W Lorenz Osteosynthesis System</Name><Description>Plate, Straight, low profile, 2.0mm System, Titanium</Description><Size>4 - 8 hole</Size><SupplierCode>ZI</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>199</SubCategoryID><GroupID>1589</GroupID><SubGroupID>4271</SubGroupID><ARTGs><ARTG>128458</ARTG></ARTGs><MinimumBenefit>166</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MC875</BillingCode><Name>TiMesh Rigid Fixation Bone Grafting and Plating System</Name><Description>Titanium, T Plate</Description><Size>4 - 7 hole</Size><SupplierCode>MI</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>199</SubCategoryID><GroupID>1589</GroupID><SubGroupID>4271</SubGroupID><ARTGs><ARTG>128523</ARTG></ARTGs><MinimumBenefit>166</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2009-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HW498</BillingCode><Name>Stryker Leibinger Plating System</Name><Description>Craniofacial Fixation Plates</Description><Size>0.5 - 0.99mm thick, 4 -7 holes</Size><SupplierCode>JV</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>199</SubCategoryID><GroupID>1589</GroupID><SubGroupID>4271</SubGroupID><ARTGs><ARTG>295882</ARTG><ARTG>200615</ARTG></ARTGs><MinimumBenefit>166</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2013-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LH503</BillingCode><Name>Martin Osteosynthesis 1.5mm System 4-7 hole plate</Name><Description>Plate, 0.6mm thick, Titanium</Description><Size>4-7 hole</Size><SupplierCode>LH</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>199</SubCategoryID><GroupID>1589</GroupID><SubGroupID>4271</SubGroupID><ARTGs><ARTG>202851</ARTG></ARTGs><MinimumBenefit>166</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2014-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BI656</BillingCode><Name>W Lorenz Osteosynthesis System</Name><Description>Plate, Orbital, 1.5mm, 2.0mm System, Titanium</Description><Size>6 hole</Size><SupplierCode>ZI</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>199</SubCategoryID><GroupID>1589</GroupID><SubGroupID>4271</SubGroupID><ARTGs><ARTG>128458</ARTG></ARTGs><MinimumBenefit>166</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BI627</BillingCode><Name>W Lorenz Osteosynthesis System</Name><Description>Plate, Straight, 1.5mm System, Titanium</Description><Size>4 or 6 hole</Size><SupplierCode>ZI</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>199</SubCategoryID><GroupID>1589</GroupID><SubGroupID>4271</SubGroupID><ARTGs><ARTG>128458</ARTG></ARTGs><MinimumBenefit>166</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HW677</BillingCode><Name>Stryker Mini Plating System</Name><Description>Craniomaxillofacial reconstruction fixation plates. </Description><Size>0.5-0.99mm thick, 4-7 holes</Size><SupplierCode>JV</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>199</SubCategoryID><GroupID>1589</GroupID><SubGroupID>4271</SubGroupID><ARTGs><ARTG>295882</ARTG><ARTG>200615</ARTG></ARTGs><MinimumBenefit>166</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2020-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ZZ081</BillingCode><PriorBillingCodes><PriorBillingCode>WH007</PriorBillingCode></PriorBillingCodes><Name>Materialise Standard+ Solutions - Plates</Name><Description>Titanium plate</Description><Size>0.5-0.99mm thick, 4-7 holes</Size><SupplierCode>ZZ</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>199</SubCategoryID><GroupID>1589</GroupID><SubGroupID>4271</SubGroupID><Suffix>Compression</Suffix><ARTGs><ARTG>377044</ARTG></ARTGs><MinimumBenefit>166</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>JK018</BillingCode><PriorBillingCodes><PriorBillingCode>UQ019</PriorBillingCode></PriorBillingCodes><Name>OsteoMed Plating &amp; Fixation System</Name><Description>Compression Plates - Micro, Mini &amp; Maxi</Description><Size>Micro: 2 x 3 Hole Compression T Plate, Oblique Left &amp; Right Compression T Plate, 4 Hole Straight Compression Plate; 5 Hole Straight Plate, 13mm Left &amp; Right L Plate, 19mm T Plate, 2 x 3 Hole Quad Plate; Mini: 4 Hole Left &amp; Right L Plate, 4 Hole Left &amp; Rig</Size><SupplierCode>JK</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>199</SubCategoryID><GroupID>1589</GroupID><SubGroupID>4271</SubGroupID><Suffix>Compression</Suffix><ARTGs><ARTG>130508</ARTG></ARTGs><MinimumBenefit>166</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SY581</BillingCode><Name>AO/ASIF Plate</Name><Description>Titanium adaption plate</Description><Size>4-7 holes</Size><SupplierCode>JJ</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>199</SubCategoryID><GroupID>1589</GroupID><SubGroupID>4271</SubGroupID><Suffix>Compression</Suffix><ARTGs><ARTG>157706</ARTG></ARTGs><MinimumBenefit>166</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MC868</BillingCode><Name>TiMesh Rigid Fixation Bone Grafting and Plating System</Name><Description>Titanium, Plate</Description><Size>Fan Blade 11-18mm, Mesh 11-25mm, 4 - 7 hole</Size><SupplierCode>MI</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>199</SubCategoryID><GroupID>1589</GroupID><SubGroupID>4271</SubGroupID><Suffix>Burr</Suffix><ARTGs><ARTG>128523</ARTG></ARTGs><MinimumBenefit>166</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2009-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BI591</BillingCode><Name>W Lorenz Osteosynthesis System</Name><Description>Chin Plates, Paulus, 2mm System, Titanium</Description><Size>4 - 12mm</Size><SupplierCode>ZI</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>199</SubCategoryID><GroupID>1589</GroupID><SubGroupID>4271</SubGroupID><Suffix>Complex</Suffix><ARTGs><ARTG>128458</ARTG></ARTGs><MinimumBenefit>240</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>JK016</BillingCode><PriorBillingCodes><PriorBillingCode>UQ018</PriorBillingCode></PriorBillingCodes><Name>Plates</Name><Description>Micro, Mini, Maxi</Description><Size>Burr Hole Plates, Calvarium Plate - Small &amp; Large - Calvarium Plate, Plates 4 to 7 Holes</Size><SupplierCode>JK</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>199</SubCategoryID><GroupID>1589</GroupID><SubGroupID>4271</SubGroupID><Suffix>Burr</Suffix><ARTGs><ARTG>130508</ARTG></ARTGs><MinimumBenefit>166</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ZA096</BillingCode><PriorBillingCodes><PriorBillingCode>BI353</PriorBillingCode><PriorBillingCode>BI721</PriorBillingCode></PriorBillingCodes><Name>W Lorenz Osteosynthesis System</Name><Description>Plate, Burr Hole, 1mm, 1.5mm, 2mm system  </Description><Size>13mm-25mm  </Size><SupplierCode>ZI</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>199</SubCategoryID><GroupID>1589</GroupID><SubGroupID>4271</SubGroupID><Suffix>Burr</Suffix><ARTGs><ARTG>128460</ARTG><ARTG>128458</ARTG></ARTGs><MinimumBenefit>166</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ST141</BillingCode><Name>Leibinger Titanium Implant System</Name><Description>Leibinger Burr Hole Cover: curved  Titanium</Description><Size>7, 10, 14mm</Size><SupplierCode>JV</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>199</SubCategoryID><GroupID>1589</GroupID><SubGroupID>4271</SubGroupID><Suffix>Burr</Suffix><ARTGs><ARTG>200615</ARTG><ARTG>295882</ARTG></ARTGs><MinimumBenefit>166</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ003</BillingCode><PriorBillingCodes><PriorBillingCode>AT080</PriorBillingCode><PriorBillingCode>AT080</PriorBillingCode></PriorBillingCodes><Name>Anatomics Burr Hole Plates</Name><Description>Titanium burr hole plate</Description><Size>Thickness - 0.6mm
Diameter - 18-22mm</Size><SupplierCode>KU</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>199</SubCategoryID><GroupID>1589</GroupID><SubGroupID>4271</SubGroupID><Suffix>Burr</Suffix><ARTGs><ARTG>288564</ARTG></ARTGs><MinimumBenefit>166</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>KT111</BillingCode><PriorBillingCodes><PriorBillingCode>LH507</PriorBillingCode></PriorBillingCodes><Name>Martin Osteosynthesis 1.5mm System Burr hole plate</Name><Description>Burr Hole Plate, Titanium</Description><Size>0.6mm thick, 4-7 holes</Size><SupplierCode>KT</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>199</SubCategoryID><GroupID>1589</GroupID><SubGroupID>4271</SubGroupID><Suffix>Burr</Suffix><ARTGs><ARTG>202851</ARTG></ARTGs><ChangeExplanation>
Billing code transferred from LH507
Sponsor transferred from LIFEHEALTHCARE PTY LIMITED</ChangeExplanation><MinimumBenefit>166</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2014-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SY582</BillingCode><Name>AO/ASIF Plate</Name><Description>Titanium adaption plate</Description><Size>4-7 holes</Size><SupplierCode>JJ</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>199</SubCategoryID><GroupID>1589</GroupID><SubGroupID>4271</SubGroupID><Suffix>Complex</Suffix><ARTGs><ARTG>157706</ARTG></ARTGs><MinimumBenefit>240</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>JK017</BillingCode><PriorBillingCodes><PriorBillingCode>UQ044</PriorBillingCode></PriorBillingCodes><Name>Plates</Name><Description>Micro, Mini, Maxi</Description><Size>Gap Plates, Plates 4 to 7 holes</Size><SupplierCode>JK</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>199</SubCategoryID><GroupID>1589</GroupID><SubGroupID>4271</SubGroupID><Suffix>Complex</Suffix><ARTGs><ARTG>130508</ARTG></ARTGs><MinimumBenefit>240</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>EO095</BillingCode><Name>MODUS Orthognathics</Name><Description>Indication-specific solutions for maxillary and mandibular orthognathic surgeries</Description><Size>1.5mm - 29mm</Size><SupplierCode>EO</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>199</SubCategoryID><GroupID>1589</GroupID><SubGroupID>4271</SubGroupID><Suffix>Complex</Suffix><ARTGs><ARTG>350270</ARTG><ARTG>350271</ARTG><ARTG>181396</ARTG></ARTGs><MinimumBenefit>240</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2016-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>KT014</BillingCode><Name>Martin Level One Fixation</Name><Description>Plate, titanium</Description><Size>0.5-0.99mm thick, 4-7 holes</Size><SupplierCode>KT</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>199</SubCategoryID><GroupID>1589</GroupID><SubGroupID>4271</SubGroupID><Suffix>Complex</Suffix><ARTGs><ARTG>96620</ARTG><ARTG>96619</ARTG></ARTGs><MinimumBenefit>240</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2015-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SY551</BillingCode><Name>Titanium Sternal Fixation System</Name><Description>Locking Plate - Straight , H or Star</Description><Size>Straight: 8-12holes, H: small &amp; large, Star: 12 holes, Xplate:10 holes, Double T;14 holes, Angled plate 12 holes</Size><SupplierCode>JJ</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>199</SubCategoryID><GroupID>1589</GroupID><SubGroupID>4312</SubGroupID><Suffix>Complex</Suffix><ARTGs><ARTG>286609</ARTG><ARTG>157069</ARTG></ARTGs><MinimumBenefit>1443</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2010-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>KT007</BillingCode><Name>Martin Level One Fixation</Name><Description>Plate, titanium</Description><Size>=&gt;3mm thick, 8 to 15 holes</Size><SupplierCode>KT</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>199</SubCategoryID><GroupID>1589</GroupID><SubGroupID>4312</SubGroupID><Suffix>Locking</Suffix><ARTGs><ARTG>96620</ARTG></ARTGs><MinimumBenefit>562</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2015-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SY347</BillingCode><Name>Titanium Sternal Fixation System</Name><Description>Locking Plate - straight</Description><Size>20 or 30 holes</Size><SupplierCode>JJ</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>199</SubCategoryID><GroupID>1589</GroupID><SubGroupID>4314</SubGroupID><Suffix>Complex</Suffix><ARTGs><ARTG>157069</ARTG></ARTGs><MinimumBenefit>1630</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2006-03-24</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>KT061</BillingCode><Name>Martin Level One Fixation</Name><Description>Plate, Titanium</Description><Size>≥3mm thick, 16 to 32 Holes</Size><SupplierCode>KT</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>199</SubCategoryID><GroupID>1589</GroupID><SubGroupID>4314</SubGroupID><Suffix>Locking</Suffix><ARTGs><ARTG>96619</ARTG></ARTGs><MinimumBenefit>554</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2015-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SY700</BillingCode><Name>AO/ASIF Plate</Name><Description>Titanium Mandibular locking plate, complex shape</Description><Size>&gt;32 holes</Size><SupplierCode>JJ</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>199</SubCategoryID><GroupID>1589</GroupID><SubGroupID>4300</SubGroupID><Suffix>Complex</Suffix><ARTGs><ARTG>157706</ARTG></ARTGs><MinimumBenefit>756</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SY511</BillingCode><Name>AO/ASIF Plate</Name><Description>Rapid resorbable reconstruction plate</Description><Size>&gt;32 holes</Size><SupplierCode>JJ</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>199</SubCategoryID><GroupID>1589</GroupID><SubGroupID>4300</SubGroupID><Suffix>Resorbable</Suffix><ARTGs><ARTG>167547</ARTG></ARTGs><MinimumBenefit>378</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2009-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SY499</BillingCode><Name>AO/ASIF Plate</Name><Description>Titanium mandible plate</Description><Size>4-7 holes</Size><SupplierCode>JJ</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>199</SubCategoryID><GroupID>1589</GroupID><SubGroupID>4301</SubGroupID><Suffix>Compression</Suffix><ARTGs><ARTG>157706</ARTG></ARTGs><MinimumBenefit>702</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2009-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HW674</BillingCode><Name>Stryker Mini Plating System</Name><Description>Craniomaxillofacial reconstruction fixation plates. </Description><Size>2.0-2.99mm thick, 4-7 holes</Size><SupplierCode>JV</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>199</SubCategoryID><GroupID>1589</GroupID><SubGroupID>4301</SubGroupID><Suffix>Compression</Suffix><ARTGs><ARTG>295882</ARTG></ARTGs><MinimumBenefit>702</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2020-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>JK030</BillingCode><PriorBillingCodes><PriorBillingCode>UQ029</PriorBillingCode></PriorBillingCodes><Name>OsteoMed  Plating &amp; Fixation System</Name><Description>Mandible locking plates</Description><Size>4-7 Holes, 2.0-2.99 mm thick</Size><SupplierCode>JK</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>199</SubCategoryID><GroupID>1589</GroupID><SubGroupID>4301</SubGroupID><ARTGs><ARTG>130508</ARTG></ARTGs><MinimumBenefit>604</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ZZ090</BillingCode><PriorBillingCodes><PriorBillingCode>WH017</PriorBillingCode></PriorBillingCodes><Name>Materialise Standard+ Solutions - Plates</Name><Description>Titanium plate</Description><Size>2.0-2.99mm thick, 4-7 holes</Size><SupplierCode>ZZ</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>199</SubCategoryID><GroupID>1589</GroupID><SubGroupID>4301</SubGroupID><ARTGs><ARTG>377044</ARTG></ARTGs><MinimumBenefit>604</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>KT066</BillingCode><Name>Martin Level One Fixation</Name><Description>Plate, Titanium</Description><Size>2.0-2.99m thick, 4-7 holes</Size><SupplierCode>KT</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>199</SubCategoryID><GroupID>1589</GroupID><SubGroupID>4301</SubGroupID><ARTGs><ARTG>96619</ARTG></ARTGs><MinimumBenefit>604</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2020-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SY559</BillingCode><Name>AO/ASIF Screw</Name><Description>CMF screw; cortex, cortical, emergency, self-tapping,self-drilling</Description><Size>1.0mm-1.20mm various lengths</Size><SupplierCode>JJ</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>199</SubCategoryID><GroupID>1590</GroupID><SubGroupID>4321</SubGroupID><ARTGs><ARTG>297881</ARTG><ARTG>157706</ARTG></ARTGs><MinimumBenefit>68</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2010-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>KT025</BillingCode><Name>Martin Level One Fixation</Name><Description>Screw Titanium</Description><Size>diameter &lt;1.24mm</Size><SupplierCode>KT</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>199</SubCategoryID><GroupID>1590</GroupID><SubGroupID>4321</SubGroupID><ARTGs><ARTG>96619</ARTG></ARTGs><MinimumBenefit>68</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2015-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>JK033</BillingCode><PriorBillingCodes><PriorBillingCode>UQ031</PriorBillingCode></PriorBillingCodes><Name>Screws</Name><Description>Micro, Maxi &amp; Self Drilling</Description><Size>"Size 1.2mm self-drilling screws, 1.2mm x (2 - 14)mm, Screws diameter &lt; 1.24mm"</Size><SupplierCode>JK</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>199</SubCategoryID><GroupID>1590</GroupID><SubGroupID>4321</SubGroupID><ARTGs><ARTG>130509</ARTG></ARTGs><MinimumBenefit>68</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HW511</BillingCode><Name>Stryker Leibinger Plating System</Name><Description>Micro Screws</Description><Size>1.0 - 1.2mm diameter, 3 - 15mm length</Size><SupplierCode>JV</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>199</SubCategoryID><GroupID>1590</GroupID><SubGroupID>4321</SubGroupID><ARTGs><ARTG>251654</ARTG><ARTG>200615</ARTG></ARTGs><MinimumBenefit>68</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2013-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>EO124</BillingCode><Name>MODUS Orthognathics Screw</Name><Description>Cortical Screw and Sliders </Description><Size>2-14mm</Size><SupplierCode>EO</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>199</SubCategoryID><GroupID>1590</GroupID><SubGroupID>4321</SubGroupID><ARTGs><ARTG>350272</ARTG></ARTGs><MinimumBenefit>68</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>JK032</BillingCode><PriorBillingCodes><PriorBillingCode>UQ032</PriorBillingCode></PriorBillingCodes><Name>OsteoMed Plating &amp; Fixation System</Name><Description>Lag Screws - Micro, Mini</Description><Size>1.2mm x (6 - 16)mm; 1.6mm x (10-12)mm; 2.0mm x (8 - 22)mm;</Size><SupplierCode>JK</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>199</SubCategoryID><GroupID>1590</GroupID><SubGroupID>4321</SubGroupID><Suffix>Compression</Suffix><ARTGs><ARTG>130509</ARTG></ARTGs><MinimumBenefit>78</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ581</BillingCode><Name>AXS Axial Stability Screw</Name><Description>Craniomaxillofacial Fixation Screws</Description><Size>1.2mm diameter, 3 - 15mm length</Size><SupplierCode>JV</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>199</SubCategoryID><GroupID>1590</GroupID><SubGroupID>4321</SubGroupID><ARTGs><ARTG>251654</ARTG></ARTGs><MinimumBenefit>68</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2024-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BI723</BillingCode><Name>Mandibular Fracture System</Name><Description>Screw, High Torque 2.0/2.4 Mandibular Fracture, Titanium</Description><Size>2.7 x (6-20)mm</Size><SupplierCode>ZI</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>199</SubCategoryID><GroupID>1590</GroupID><SubGroupID>4323</SubGroupID><ARTGs><ARTG>128459</ARTG></ARTGs><MinimumBenefit>42</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BH021</BillingCode><Name>W Lorenz Osteosynthesis System</Name><Description>Bone Screw, Cross Drive or Centre Drive. Titanium</Description><Size>1.8mm dia x (3.5 - 17)mm</Size><SupplierCode>ZI</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>199</SubCategoryID><GroupID>1590</GroupID><SubGroupID>4323</SubGroupID><ARTGs><ARTG>128459</ARTG></ARTGs><MinimumBenefit>42</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2009-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BI734</BillingCode><Name>W.Lorenz Osteosynthesis System</Name><Description>Bone Screw, Self Drilling, Cross Drive, Titanium</Description><Size>1.5 mm (dia) x 3.5, 4.0, 5.0mm, [lengths]</Size><SupplierCode>ZI</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>199</SubCategoryID><GroupID>1590</GroupID><SubGroupID>4323</SubGroupID><ARTGs><ARTG>128459</ARTG></ARTGs><MinimumBenefit>42</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ZI924</BillingCode><Name>OmniMax Screws</Name><Description>IMF screws</Description><Size>2.0 diameter, 7-11mm</Size><SupplierCode>ZI</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>199</SubCategoryID><GroupID>1590</GroupID><SubGroupID>4323</SubGroupID><ARTGs><ARTG>128459</ARTG></ARTGs><MinimumBenefit>42</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2016-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SF127</BillingCode><Name>Melbourne TMJ Prosthesis</Name><Description>TMJ Mandibular Component - Screws</Description><Size>(2.7-3.2mm Diameter) x (8-12mm Length)</Size><SupplierCode>SF</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>199</SubCategoryID><GroupID>1590</GroupID><SubGroupID>4323</SubGroupID><ARTGs><ARTG>246581</ARTG></ARTGs><MinimumBenefit>42</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2016-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>UT025</BillingCode><Name>SCS Interlink Screw</Name><Description>Titanum screw, self-drilling</Description><Size>Diameter 1.5mm, 2.0mm  </Size><SupplierCode>UT</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>199</SubCategoryID><GroupID>1590</GroupID><SubGroupID>4323</SubGroupID><ARTGs><ARTG>339424</ARTG></ARTGs><MinimumBenefit>42</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HQ001</BillingCode><Name>Bionnovation Fixation Screws</Name><Description>Craniofacial Bone Screw, non-biodegradable    These are bone screws that are intended to be used to be surgically inserted for the use in bone graft surgery, fixation of grafts and membranes in the maxilla and mandible. </Description><Size>Diameter 1.2mm, Length 4,6,8,10,12,14mm   Diameter 1.4mm, Length 4,6,8,10,12,14mm  Diameter 1.6mm, Length 4,6,8,10,12, 14mm  Diameter 1.8mm, Length 4,6,8,10,12,14mm  </Size><SupplierCode>HQ</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>199</SubCategoryID><GroupID>1590</GroupID><SubGroupID>4323</SubGroupID><ARTGs><ARTG>247012</ARTG></ARTGs><MinimumBenefit>42</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ZZ095</BillingCode><PriorBillingCodes><PriorBillingCode>WH009</PriorBillingCode></PriorBillingCodes><Name>Materialise Standard+ Solutions - Screws</Name><Description>Titanium Screw</Description><Size>Diameter 1.25-3.24mm</Size><SupplierCode>ZZ</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>199</SubCategoryID><GroupID>1590</GroupID><SubGroupID>4323</SubGroupID><ARTGs><ARTG>377044</ARTG></ARTGs><MinimumBenefit>42</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BI360</BillingCode><Name>W Lorenz Osteosynthesis System</Name><Description>Bone Screw, Cross or Centre Drive, Std or Self Drilling; Titanium</Description><Size>2.0mm x (4 - 7) mm</Size><SupplierCode>ZI</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>199</SubCategoryID><GroupID>1590</GroupID><SubGroupID>4323</SubGroupID><ARTGs><ARTG>128459</ARTG></ARTGs><MinimumBenefit>42</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ002</BillingCode><PriorBillingCodes><PriorBillingCode>AT077</PriorBillingCode><PriorBillingCode>AT077</PriorBillingCode></PriorBillingCodes><Name>Anatomics Bone Screws</Name><Description>Titanium bone screws for patient specific implants</Description><Size>Diameter - 1.6-2.0 mm
Length - 5mm</Size><SupplierCode>KU</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>199</SubCategoryID><GroupID>1590</GroupID><SubGroupID>4323</SubGroupID><ARTGs><ARTG>288564</ARTG></ARTGs><MinimumBenefit>42</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BH020</BillingCode><Name>W Lorenz Osteosynthesis System</Name><Description>Bone Screw, Cross Drive or Centre Drive. Titanium</Description><Size>1.5mm dia x (3.5 - 17)mm</Size><SupplierCode>ZI</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>199</SubCategoryID><GroupID>1590</GroupID><SubGroupID>4323</SubGroupID><ARTGs><ARTG>143957</ARTG></ARTGs><MinimumBenefit>42</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2009-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BI748</BillingCode><Name>Mandibular Fracture System</Name><Description>Screw, High Torque (HT), 2.0/2.4 Mandibular Fracture System, Titanium</Description><Size>Dia 2.4 x 6.0mm, 8.0, 10.0, 12.0, 14.0, 16.0, 18.0mm Lengths</Size><SupplierCode>ZI</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>199</SubCategoryID><GroupID>1590</GroupID><SubGroupID>4323</SubGroupID><ARTGs><ARTG>128459</ARTG></ARTGs><MinimumBenefit>42</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>UT039</BillingCode><Name>Sterile SCS Interlink Screw</Name><Description>Sterile packed titanium screw, self-drilling</Description><Size>Diameter 1.5mm, 2.0mm</Size><SupplierCode>UT</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>199</SubCategoryID><GroupID>1590</GroupID><SubGroupID>4323</SubGroupID><ARTGs><ARTG>463286</ARTG></ARTGs><ChangeExplanation>New listing</ChangeExplanation><MinimumBenefit>42</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2025-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SY590</BillingCode><Name>AO/ASIF Screw</Name><Description>Cortex, Cortical, Emergency, Self-tapping, Self-drilling; Low Profile, Pure Titanium; Matrix Plating System Titanium Alloy, </Description><Size>1.25-3.24mm</Size><SupplierCode>JJ</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>199</SubCategoryID><GroupID>1590</GroupID><SubGroupID>4323</SubGroupID><ARTGs><ARTG>295238</ARTG><ARTG>297881</ARTG><ARTG>157706</ARTG><ARTG>298355</ARTG><ARTG>309862</ARTG></ARTGs><MinimumBenefit>42</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>RV020</BillingCode><Name>CMF Screw</Name><Description>Self tapping and self drilling screws</Description><Size>Diameter 1.5 - 2.4mm</Size><SupplierCode>RV</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>199</SubCategoryID><GroupID>1590</GroupID><SubGroupID>4323</SubGroupID><ARTGs><ARTG>330190</ARTG></ARTGs><MinimumBenefit>42</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>WT003</BillingCode><Name>EvoFix Micro Screws </Name><Description>Titanium screws for craniofacial fixation </Description><Size>1. Diameter 1.5mm, Length 3.5mm to 6mm    2. Diameter 1.8mm, Length 4mm to 5mm</Size><SupplierCode>WT</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>199</SubCategoryID><GroupID>1590</GroupID><SubGroupID>4323</SubGroupID><ARTGs><ARTG>314801</ARTG></ARTGs><MinimumBenefit>42</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2023-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BI726</BillingCode><Name>Mandibular Fracture System</Name><Description>Screw, High Torque (HT), Emergency, 2.0/2.4 Mandibular Fracture System, Titanium</Description><Size>Dia 2.3mm x 4.0, 5.0, 7.0, 9.0, 11.0, 13.0, 15.0mm  Lengths</Size><SupplierCode>ZI</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>199</SubCategoryID><GroupID>1590</GroupID><SubGroupID>4323</SubGroupID><ARTGs><ARTG>128459</ARTG></ARTGs><MinimumBenefit>42</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ580</BillingCode><Name>AXS Axial Stability Screw</Name><Description>Craniomaxillofacial Fixation Screws</Description><Size>1.4-2.7mm diameter, 3-20mm length</Size><SupplierCode>JV</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>199</SubCategoryID><GroupID>1590</GroupID><SubGroupID>4323</SubGroupID><ARTGs><ARTG>251654</ARTG></ARTGs><MinimumBenefit>42</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2024-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HW491</BillingCode><Name>Stryker Leibinger Plating System</Name><Description>Craniofacial Fixation Screws</Description><Size>1.5 - 2.7mm diameter, 3 - 20mm length</Size><SupplierCode>JV</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>199</SubCategoryID><GroupID>1590</GroupID><SubGroupID>4323</SubGroupID><ARTGs><ARTG>200615</ARTG><ARTG>251654</ARTG></ARTGs><MinimumBenefit>42</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2013-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>XU024</BillingCode><PriorBillingCodes><PriorBillingCode>ZZ058</PriorBillingCode></PriorBillingCodes><Name>Lyka Smith Jeil LeForte System Screws</Name><Description>Self tapping and self drilling screws</Description><Size>Diameter- 1.3 - 2.7mm  Length 2-20mm</Size><SupplierCode>XU</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>199</SubCategoryID><GroupID>1590</GroupID><SubGroupID>4323</SubGroupID><ARTGs><ARTG>310093</ARTG></ARTGs><ChangeExplanation>
Billing code transferred from ZZ058
Sponsor transferred from AA-Med Pty Ltd</ChangeExplanation><MinimumBenefit>42</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2020-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BI744</BillingCode><Name>Mandibular Fracture System</Name><Description>Screw, High Torque 2.0/2.4 Mandibular Fracture, Titanium</Description><Size>2.0 x (9-17)mm</Size><SupplierCode>ZI</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>199</SubCategoryID><GroupID>1590</GroupID><SubGroupID>4323</SubGroupID><ARTGs><ARTG>128459</ARTG></ARTGs><MinimumBenefit>42</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>KT038</BillingCode><Name>Martin Level One Fixation</Name><Description>Screw Titanium</Description><Size>Diameter 1.25 to 3.24mm</Size><SupplierCode>KT</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>199</SubCategoryID><GroupID>1590</GroupID><SubGroupID>4323</SubGroupID><ARTGs><ARTG>96620</ARTG></ARTGs><MinimumBenefit>42</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2015-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ZA080</BillingCode><PriorBillingCodes><PriorBillingCode>BH016</PriorBillingCode><PriorBillingCode>BH017</PriorBillingCode><PriorBillingCode>BI742</PriorBillingCode></PriorBillingCodes><Name>TMJ System</Name><Description>Screw, Cross Drive, Titanium  </Description><Size>2.0-3.2mm diameter</Size><SupplierCode>ZI</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>199</SubCategoryID><GroupID>1590</GroupID><SubGroupID>4323</SubGroupID><ARTGs><ARTG>145265</ARTG><ARTG>128459</ARTG></ARTGs><MinimumBenefit>42</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2020-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BI733</BillingCode><Name>W.Lorenz Osteosynthesis System</Name><Description>Bone Screw, Self Drilling, Cross Drive, Titanium</Description><Size>1.5 mm (dia) x 6.0, 7.0mm [lengths]</Size><SupplierCode>ZI</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>199</SubCategoryID><GroupID>1590</GroupID><SubGroupID>4323</SubGroupID><ARTGs><ARTG>128459</ARTG></ARTGs><MinimumBenefit>42</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BB415</BillingCode><Name>Aesculap Neuro Plating System</Name><Description>Cranial fixation system</Description><Size>Screw Dimensions: 1.5mm x 3mm, 4mm &amp; 5mm; 1.8mm x 4mm &amp; 6mm</Size><SupplierCode>BB</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>199</SubCategoryID><GroupID>1590</GroupID><SubGroupID>4323</SubGroupID><ARTGs><ARTG>388669</ARTG></ARTGs><MinimumBenefit>42</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2023-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>JK035</BillingCode><PriorBillingCodes><PriorBillingCode>UQ033</PriorBillingCode></PriorBillingCodes><Name>Screws</Name><Description>Micro, Maxi &amp; Self Drilling</Description><Size>Diameter 1.25-3.24mm</Size><SupplierCode>JK</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>199</SubCategoryID><GroupID>1590</GroupID><SubGroupID>4323</SubGroupID><ARTGs><ARTG>130509</ARTG></ARTGs><MinimumBenefit>42</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MC571</BillingCode><Name>Timesh</Name><Description>12 Point Screws</Description><Size>3 - 20mm</Size><SupplierCode>MI</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>199</SubCategoryID><GroupID>1590</GroupID><SubGroupID>4323</SubGroupID><ARTGs><ARTG>128524</ARTG></ARTGs><MinimumBenefit>42</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2006-03-24</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ748</BillingCode><Name>AXS Axial Stability Screw</Name><Description>Craniomaxillofacial Fixation Screws</Description><Size>1.7-2.7mm diameter, 4-20mm length</Size><SupplierCode>JV</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>199</SubCategoryID><GroupID>1590</GroupID><SubGroupID>4323</SubGroupID><Suffix>Locking</Suffix><ARTGs><ARTG>251654</ARTG></ARTGs><MinimumBenefit>88</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2024-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>KT114</BillingCode><PriorBillingCodes><PriorBillingCode>LH516</PriorBillingCode></PriorBillingCodes><Name>Martin Osteosynthesis 1.5mm System Screw</Name><Description>Self retaining, Titanium</Description><Size>3-7mm length, 1.5-1.8mm diam</Size><SupplierCode>KT</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>199</SubCategoryID><GroupID>1590</GroupID><SubGroupID>4323</SubGroupID><ARTGs><ARTG>212844</ARTG></ARTGs><ChangeExplanation>
Billing code transferred from LH516
Sponsor transferred from LIFEHEALTHCARE PTY LIMITED</ChangeExplanation><MinimumBenefit>42</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2014-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ZI925</BillingCode><Name>OmniMax Screws</Name><Description>MMF Screws</Description><Size>2.0 diameter, 7mm-11mm</Size><SupplierCode>ZI</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>199</SubCategoryID><GroupID>1590</GroupID><SubGroupID>4323</SubGroupID><Suffix>Locking</Suffix><ARTGs><ARTG>128459</ARTG></ARTGs><MinimumBenefit>88</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2016-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BI457</BillingCode><Name>Lorenz 2 - 2.4mm Locking Reconstruction System</Name><Description>Screw, Locking Reconstruction Modular. Titanium</Description><Size>2 - 2.4 x (6-18)mm</Size><SupplierCode>ZI</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>199</SubCategoryID><GroupID>1590</GroupID><SubGroupID>4323</SubGroupID><Suffix>Locking</Suffix><ARTGs><ARTG>128459</ARTG></ARTGs><MinimumBenefit>88</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>KT035</BillingCode><Name>Martin Level One Fixation</Name><Description>Screw, titanium</Description><Size>Diameter 2.25 - 2.74mm</Size><SupplierCode>KT</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>199</SubCategoryID><GroupID>1590</GroupID><SubGroupID>4323</SubGroupID><Suffix>Locking</Suffix><ARTGs><ARTG>96619</ARTG></ARTGs><MinimumBenefit>88</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2015-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>JK034</BillingCode><PriorBillingCodes><PriorBillingCode>UQ034</PriorBillingCode></PriorBillingCodes><Name>OsteoMed Plating &amp; Fixation System</Name><Description>Locking Screws</Description><Size>Diameter 1.25-3.24mm</Size><SupplierCode>JK</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>199</SubCategoryID><GroupID>1590</GroupID><SubGroupID>4323</SubGroupID><Suffix>Locking</Suffix><ARTGs><ARTG>130509</ARTG></ARTGs><MinimumBenefit>88</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HW487</BillingCode><Name>Stryker Leibinger Hybrid MMF Screws</Name><Description>SMARTLock Hybrid MMF Screws, Locking  System - Universal SMARTLock Hybrid MMF  Component - MMF Screws</Description><Size>Two Sizes -   2.0mm Diameter, 6mm Length  2.0mm Diameter, 8mm Length</Size><SupplierCode>JV</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>199</SubCategoryID><GroupID>1590</GroupID><SubGroupID>4323</SubGroupID><Suffix>Locking</Suffix><ARTGs><ARTG>251654</ARTG><ARTG>200615</ARTG></ARTGs><MinimumBenefit>88</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2013-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SY592</BillingCode><Name>AO/ASIF Screw</Name><Description>Cortex, Cortical, Emergency, Self-tapping, Self-drilling; Locking Screws</Description><Size>1.25-3.24mm</Size><SupplierCode>JJ</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>199</SubCategoryID><GroupID>1590</GroupID><SubGroupID>4323</SubGroupID><Suffix>Locking</Suffix><ARTGs><ARTG>157706</ARTG></ARTGs><MinimumBenefit>88</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>RV015</BillingCode><Name>CMF Locking Screw</Name><Description>Locking Screw, Self tapping</Description><Size>Diameter 1.5-2.4 mm</Size><SupplierCode>RV</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>199</SubCategoryID><GroupID>1590</GroupID><SubGroupID>4323</SubGroupID><Suffix>Locking</Suffix><ARTGs><ARTG>366767</ARTG></ARTGs><MinimumBenefit>88</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>EO125</BillingCode><Name>MODUS Orthognathic Screw</Name><Description>Cortical screw, TriLock locking Screw, TriLock Speed-Tip screw, Self-Tapping screw Screw </Description><Size>1.5-2.5 Diameter,  5-23mm lengths</Size><SupplierCode>EO</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>199</SubCategoryID><GroupID>1590</GroupID><SubGroupID>4323</SubGroupID><Suffix>Locking</Suffix><ARTGs><ARTG>350272</ARTG><ARTG>350350</ARTG></ARTGs><MinimumBenefit>88</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>KT040</BillingCode><Name>Martin Level One Fixation Resorb x &amp; Sonic Weld</Name><Description>Sonic Pin PDDLA (resorbable)</Description><Size>Diameter 1.25 - 3.24mm</Size><SupplierCode>KT</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>199</SubCategoryID><GroupID>1590</GroupID><SubGroupID>4323</SubGroupID><Suffix>Resorbable</Suffix><ARTGs><ARTG>143327</ARTG></ARTGs><MinimumBenefit>100</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2015-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>RV014</BillingCode><Name>CMF Screw</Name><Description>Self tapping and self drilling screws</Description><Size>Diameter 1.5 - 2.4mm</Size><SupplierCode>RV</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>199</SubCategoryID><GroupID>1590</GroupID><SubGroupID>4323</SubGroupID><Suffix>Compression</Suffix><ARTGs><ARTG>366767</ARTG></ARTGs><MinimumBenefit>116</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>WU009</BillingCode><PriorBillingCodes><PriorBillingCode>VK018</PriorBillingCode></PriorBillingCodes><Name>CPS Bioabsorbable Fixation System</Name><Description>OTPS fixation system: PLGA/TMC copolymer</Description><Size>Screws 1.5 - 2.5mm dia x 5-8mm long</Size><SupplierCode>WU</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>199</SubCategoryID><GroupID>1590</GroupID><SubGroupID>4323</SubGroupID><Suffix>Resorbable</Suffix><ARTGs><ARTG>154541</ARTG></ARTGs><MinimumBenefit>100</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2023-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HW510</BillingCode><Name>Delta Resorbable Fixation System</Name><Description>Resorbable Screws</Description><Size>1.7mm diameter, 3 -6mm length</Size><SupplierCode>JV</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>199</SubCategoryID><GroupID>1590</GroupID><SubGroupID>4323</SubGroupID><Suffix>Resorbable</Suffix><ARTGs><ARTG>72659</ARTG><ARTG>151008</ARTG></ARTGs><MinimumBenefit>100</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2013-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ZZ094</BillingCode><PriorBillingCodes><PriorBillingCode>WH021</PriorBillingCode></PriorBillingCodes><Name>Materialise Standard+ Solutions - Screws</Name><Description>Titanium Screw, Locking</Description><Size>Diameter 1.25-3.24mm</Size><SupplierCode>ZZ</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>199</SubCategoryID><GroupID>1590</GroupID><SubGroupID>4323</SubGroupID><Suffix>Locking</Suffix><ARTGs><ARTG>377044</ARTG></ARTGs><MinimumBenefit>88</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SY591</BillingCode><Name>External Midface Distractor System</Name><Description>Fixation; Set - Screws</Description><Size>1.25-3.24mm</Size><SupplierCode>JJ</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>199</SubCategoryID><GroupID>1590</GroupID><SubGroupID>4323</SubGroupID><Suffix>Distractor</Suffix><ARTGs><ARTG>157706</ARTG></ARTGs><MinimumBenefit>83</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>GI033</BillingCode><Name>Stoma Osteosynthesis Screws</Name><Description>Screw Titanium</Description><Size>Diameter 1.3-1.6mm; Length 4-14mm</Size><SupplierCode>GI</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>199</SubCategoryID><GroupID>1590</GroupID><SubGroupID>4323</SubGroupID><ARTGs><ARTG>351730</ARTG></ARTGs><ChangeExplanation>New listing</ChangeExplanation><MinimumBenefit>42</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2025-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>XU025</BillingCode><PriorBillingCodes><PriorBillingCode>ZZ059</PriorBillingCode></PriorBillingCodes><Name>Lyka Smith Jeil Le Fort Locking Screws</Name><Description>Titanium Locking Screws</Description><Size>Diameter 2-2.4mm  Length 4-20mm</Size><SupplierCode>XU</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>199</SubCategoryID><GroupID>1590</GroupID><SubGroupID>4323</SubGroupID><Suffix>Locking</Suffix><ARTGs><ARTG>310093</ARTG></ARTGs><ChangeExplanation>
Billing code transferred from ZZ059
Sponsor transferred from AA-Med Pty Ltd</ChangeExplanation><MinimumBenefit>88</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2020-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MI527</BillingCode><Name>Timesh - Screws</Name><Description>Self-Drilling and Rescue Screws</Description><Size>Diameter: 1.6mm - 1.8mm Length: 3.0mm - 5.0mm</Size><SupplierCode>MI</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>199</SubCategoryID><GroupID>1590</GroupID><SubGroupID>4323</SubGroupID><ARTGs><ARTG>128524</ARTG></ARTGs><ChangeExplanation>New listing</ChangeExplanation><MinimumBenefit>42</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2025-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BI964</BillingCode><Name>Compress Compliant Prestress System</Name><Description>Medullary Centering Sleeve</Description><Size>13-28mm</Size><SupplierCode>ZI</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>157</SubCategoryID><GroupID>1387</GroupID><SubGroupID>3936</SubGroupID><ARTGs><ARTG>177878</ARTG></ARTGs><MinimumBenefit>3923</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2008-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ZI583</BillingCode><Name>Zimmer segmental system - TM stem collar</Name><Description>Segmental TM stem collar</Description><Size>9-16mm, 25mm: 9-16mm, 30mm: 9-16mm, 35mm; 17-19mm, 30mm; 17-19mm, 35mm</Size><SupplierCode>ZI</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>157</SubCategoryID><GroupID>1387</GroupID><SubGroupID>3936</SubGroupID><ARTGs><ARTG>284920</ARTG></ARTGs><MinimumBenefit>3923</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2008-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HW614</BillingCode><Name>METS Tibial Collar Coated</Name><Description>Titanium collar with HA coating</Description><Size>5 diameters 20-32mm</Size><SupplierCode>JV</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>157</SubCategoryID><GroupID>1387</GroupID><SubGroupID>3936</SubGroupID><ARTGs><ARTG>278021</ARTG></ARTGs><MinimumBenefit>3923</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LO164</BillingCode><Name>Link Modular Knee Prosthesis
System</Name><Description>Collar Couplings</Description><Size>Terminal round: 14 and 16mm
Oval Terminal: 26 x 34, 30 x 44, 34 x 48mm
Support Ring: 10mm
Coupling: Short and Long</Size><SupplierCode>LO</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>157</SubCategoryID><GroupID>1387</GroupID><SubGroupID>3936</SubGroupID><ARTGs><ARTG>257497</ARTG><ARTG>257612</ARTG><ARTG>257500</ARTG></ARTGs><MinimumBenefit>3923</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2011-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HT044</BillingCode><Name>Pantheon Bridging Collar</Name><Description>Pantheon Salvage system porous endosteal collars  </Description><Size>26, 30 ,36mm diameter for Stems 10mm to 24mm</Size><SupplierCode>HT</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>157</SubCategoryID><GroupID>1387</GroupID><SubGroupID>3936</SubGroupID><ARTGs><ARTG>340803</ARTG></ARTGs><ChangeExplanation>New listing</ChangeExplanation><MinimumBenefit>3923</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2025-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HW611</BillingCode><Name>METS Stippled Collar</Name><Description>Titanium, HA coated, round or oval</Description><Size>4 sizes round, 4 sizes oval</Size><SupplierCode>JV</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>157</SubCategoryID><GroupID>1387</GroupID><SubGroupID>3936</SubGroupID><ARTGs><ARTG>246514</ARTG><ARTG>246515</ARTG></ARTGs><MinimumBenefit>3923</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HW658</BillingCode><PriorBillingCodes><PriorBillingCode>CR141</PriorBillingCode></PriorBillingCodes><Name>METS Smooth Collar</Name><Description>Titanium, uncoated, round or oval</Description><Size>4 sizes round, 4 sizes oval</Size><SupplierCode>JV</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>157</SubCategoryID><GroupID>1387</GroupID><SubGroupID>3936</SubGroupID><ARTGs><ARTG>246505</ARTG></ARTGs><MinimumBenefit>3923</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ZI572</BillingCode><Name>Zimmer segmental system - smooth stem collar</Name><Description>Segmental smooth stem collar</Description><Size>9-16mm &amp; 17-19mm</Size><SupplierCode>ZI</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>157</SubCategoryID><GroupID>1387</GroupID><SubGroupID>3936</SubGroupID><ARTGs><ARTG>284868</ARTG></ARTGs><MinimumBenefit>3923</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2008-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LO161</BillingCode><Name>Link Modular Knee Coupling</Name><Description>Coupling</Description><Size>One Size only</Size><SupplierCode>LO</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>157</SubCategoryID><GroupID>1387</GroupID><SubGroupID>3937</SubGroupID><Suffix>Complex</Suffix><ARTGs><ARTG>245852</ARTG></ARTGs><MinimumBenefit>6356</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2011-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>JJ827</BillingCode><Name>Limb Preservation System - Sleeve Adapter</Name><Description>Diaphyseal sleeve adapter</Description><Size>+0 to +10mm</Size><SupplierCode>JJ</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>157</SubCategoryID><GroupID>1387</GroupID><SubGroupID>3937</SubGroupID><ARTGs><ARTG>252532</ARTG></ARTGs><MinimumBenefit>1482</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2011-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LH646</BillingCode><PriorBillingCodes><PriorBillingCode>OO105</PriorBillingCode></PriorBillingCodes><Name>Mutars Diaphyseal connecting piece</Name><Description>Mutars Diaphyseal connecting piece</Description><Size>100mm -120mm</Size><SupplierCode>LH</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>157</SubCategoryID><GroupID>1387</GroupID><SubGroupID>3937</SubGroupID><ARTGs><ARTG>284224</ARTG><ARTG>221740</ARTG><ARTG>284221</ARTG></ARTGs><MinimumBenefit>1482</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BI965</BillingCode><Name>Compress Compliant Prestress System</Name><Description>Femoral Adapter</Description><Size>OSS or Finn Adapter</Size><SupplierCode>ZI</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>157</SubCategoryID><GroupID>1387</GroupID><SubGroupID>3937</SubGroupID><ARTGs><ARTG>177878</ARTG></ARTGs><MinimumBenefit>1482</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2008-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SK172</BillingCode><Name>Howmedica Modular Resection System</Name><Description>GMRS Adaptors Male/Female Taper, Titanium/Forged Cobalt Chrome</Description><Size>Male Taper; Female Taper</Size><SupplierCode>JV</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>157</SubCategoryID><GroupID>1387</GroupID><SubGroupID>3937</SubGroupID><ARTGs><ARTG>224413</ARTG><ARTG>224767</ARTG></ARTGs><MinimumBenefit>1482</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LH690</BillingCode><PriorBillingCodes><PriorBillingCode>OO141</PriorBillingCode></PriorBillingCodes><Name>MUTARS RS Hip System. MUTARS RS coupling device</Name><Description>RS coupling device</Description><Size>30mm</Size><SupplierCode>LH</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>157</SubCategoryID><GroupID>1387</GroupID><SubGroupID>3937</SubGroupID><ARTGs><ARTG>237292</ARTG><ARTG>284583</ARTG></ARTGs><MinimumBenefit>1482</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LH656</BillingCode><PriorBillingCodes><PriorBillingCode>OO115</PriorBillingCode></PriorBillingCodes><Name>Mutars – Proximal tibia connecting piece</Name><Description>Mutars – Proximal tibia connecting piece</Description><Size>105mm, 125mm</Size><SupplierCode>LH</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>157</SubCategoryID><GroupID>1387</GroupID><SubGroupID>3937</SubGroupID><ARTGs><ARTG>284223</ARTG><ARTG>244316</ARTG></ARTGs><MinimumBenefit>1482</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LH655</BillingCode><PriorBillingCodes><PriorBillingCode>OO114</PriorBillingCode></PriorBillingCodes><Name>Mutars – reducer</Name><Description>Mutars – reducer</Description><Size>20mm/30mm</Size><SupplierCode>LH</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>157</SubCategoryID><GroupID>1387</GroupID><SubGroupID>3937</SubGroupID><ARTGs><ARTG>284271</ARTG><ARTG>237292</ARTG></ARTGs><MinimumBenefit>1482</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>DY191</BillingCode><Name>Limb Preservation System</Name><Description>Total Femoral Segment Component (Male/Male)</Description><Size>55 mm Length</Size><SupplierCode>JJ</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>157</SubCategoryID><GroupID>1387</GroupID><SubGroupID>3938</SubGroupID><ARTGs><ARTG>252532</ARTG></ARTGs><MinimumBenefit>3838</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HT048</BillingCode><Name>Pantheon Shaft</Name><Description>Stem extension pieces for the Pantheon Limb Salvage System - Titanium alloy</Description><Size>35mm - 140mm</Size><SupplierCode>HT</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>157</SubCategoryID><GroupID>1387</GroupID><SubGroupID>3938</SubGroupID><ARTGs><ARTG>340801</ARTG></ARTGs><ChangeExplanation>New listing</ChangeExplanation><MinimumBenefit>3838</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2025-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LH648</BillingCode><Name>Mutars Diaphyseal extension piece</Name><Description>Mutars Diaphyseal extension piece</Description><Size>30/100mm</Size><SupplierCode>LH</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>157</SubCategoryID><GroupID>1387</GroupID><SubGroupID>3938</SubGroupID><ARTGs><ARTG>284224</ARTG></ARTGs><MinimumBenefit>3838</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LO162</BillingCode><Name>Link Modular Knee ProsthesisSystem</Name><Description>Stem extender, segment</Description><Size>30mm - 250mm</Size><SupplierCode>LO</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>157</SubCategoryID><GroupID>1387</GroupID><SubGroupID>3938</SubGroupID><ARTGs><ARTG>245852</ARTG></ARTGs><MinimumBenefit>3838</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2011-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>DY192</BillingCode><Name>Limb Preservation System</Name><Description>Segmental Component (Male/Female)</Description><Size>25 to 125mm Length</Size><SupplierCode>JJ</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>157</SubCategoryID><GroupID>1387</GroupID><SubGroupID>3938</SubGroupID><ARTGs><ARTG>252532</ARTG></ARTGs><MinimumBenefit>3838</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SB033</BillingCode><Name>TLX Screw-Retained Abutment</Name><Description>Titanium abutment</Description><Size>AH 3.5 mm   Narrow base  </Size><SupplierCode>SB</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>201</SubCategoryID><GroupID>1600</GroupID><SubGroupID>4385</SubGroupID><ARTGs><ARTG>212172</ARTG></ARTGs><MinimumBenefit>171</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SB025</BillingCode><Name>Straumann Zygomatic Screw-retained Abutment</Name><Description>Titanium screw-retained abutments, straight</Description><Size>4.6mm diameter, 1.5mm - 4.5mm height</Size><SupplierCode>SB</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>201</SubCategoryID><GroupID>1600</GroupID><SubGroupID>4385</SubGroupID><ARTGs><ARTG>330841</ARTG></ARTGs><MinimumBenefit>171</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MV005</BillingCode><Name>MIS Abutments</Name><Description>Abutments</Description><Size>Height: 1mm - 5mm, Crown height: 4 - 11mm, Platform: Narrow, Standard or Wide</Size><SupplierCode>MV</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>201</SubCategoryID><GroupID>1600</GroupID><SubGroupID>4385</SubGroupID><ARTGs><ARTG>115006</ARTG></ARTGs><MinimumBenefit>171</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SB019</BillingCode><Name>BLX Screw-Retained Abutment</Name><Description>Screw-retained abutment, straight or angled</Description><Size>Diameter: 4.6mm  Gingiva height: 1.5mm, 2.5mm, 3.5mm, 4.5mm, 5.5mm</Size><SupplierCode>SB</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>201</SubCategoryID><GroupID>1600</GroupID><SubGroupID>4385</SubGroupID><ARTGs><ARTG>212172</ARTG></ARTGs><MinimumBenefit>171</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2020-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>NJ003</BillingCode><Name>Neoss Titanium Abutment</Name><Description>Neoss Abutment Titanium</Description><Size>Universal</Size><SupplierCode>NJ</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>201</SubCategoryID><GroupID>1600</GroupID><SubGroupID>4385</SubGroupID><ARTGs><ARTG>120228</ARTG></ARTGs><MinimumBenefit>171</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>NJ004</BillingCode><Name>Neoss Gold Abutment</Name><Description>Neoss Abutment Gold </Description><Size>Universal</Size><SupplierCode>NJ</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>201</SubCategoryID><GroupID>1600</GroupID><SubGroupID>4385</SubGroupID><ARTGs><ARTG>120228</ARTG></ARTGs><MinimumBenefit>171</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MV014</BillingCode><Name>MIS Abutments</Name><Description>Abutments</Description><Size>Height: 1mm - 5mm, Crown height: 4 - 11mm, Platform: Narrow or Standard</Size><SupplierCode>MV</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>201</SubCategoryID><GroupID>1600</GroupID><SubGroupID>4385</SubGroupID><ARTGs><ARTG>115006</ARTG></ARTGs><MinimumBenefit>171</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2020-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>GZ003</BillingCode><Name>JD Permanent Abutments</Name><Description>Titanium Abutments</Description><Size>1.5mm to 6.0mm (height)</Size><SupplierCode>GZ</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>201</SubCategoryID><GroupID>1600</GroupID><SubGroupID>4385</SubGroupID><ARTGs><ARTG>334161</ARTG></ARTGs><MinimumBenefit>171</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SB010</BillingCode><Name>Neodent GM Abutment</Name><Description>Neodent GM Abutment Titanium (Mini Conical, Exact Mini Conical)</Description><Size>Height: 0.8mm to 5.5mm. Angle: 0, 17, 30, 45 and 60 degrees</Size><SupplierCode>SB</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>201</SubCategoryID><GroupID>1600</GroupID><SubGroupID>4385</SubGroupID><ARTGs><ARTG>295056</ARTG></ARTGs><MinimumBenefit>171</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2019-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>NW001</BillingCode><Name>3i Abutment Complete</Name><Description>Titanium</Description><Size>3.25 - 6mm diameter</Size><SupplierCode>NW</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>201</SubCategoryID><GroupID>1600</GroupID><SubGroupID>4385</SubGroupID><ARTGs><ARTG>120288</ARTG></ARTGs><MinimumBenefit>171</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HQ005</BillingCode><Name>Rex PiezoImplants Permanent Abutments (No Screw included) </Name><Description>The PiezoImplant System permanent restorations may consist of single crowns or bridges as well as complete or partial dentures. The prosthetic components are connected to the implants by corresponding abutments. The PiezoImplant System is intended for delayed loading. </Description><Size>1.8mm &amp; 2.9mm     </Size><SupplierCode>HQ</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>201</SubCategoryID><GroupID>1600</GroupID><SubGroupID>4385</SubGroupID><ARTGs><ARTG>389981</ARTG></ARTGs><MinimumBenefit>171</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2023-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SB027</BillingCode><Name>BL/BLT Screw-retained Abutment</Name><Description>Screw-retained abutment, straight or angled</Description><Size>Diameter: 3.5mm, 4.6mm  Gingiva height: 1.5mm, 2.5mm, 3.5mm, 4.5mm, 5.5mm</Size><SupplierCode>SB</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>201</SubCategoryID><GroupID>1600</GroupID><SubGroupID>4385</SubGroupID><ARTGs><ARTG>212172</ARTG></ARTGs><MinimumBenefit>171</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>IC003</BillingCode><Name>Southern Implants Abutments</Name><Description>Final Abutments (multiple units)</Description><Size>3.0 - 6mm Diameter
1.0 - 5.5mm Height</Size><SupplierCode>IC</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>201</SubCategoryID><GroupID>1600</GroupID><SubGroupID>4385</SubGroupID><ARTGs><ARTG>450726</ARTG></ARTGs><ChangeExplanation>Change to ARTG</ChangeExplanation><MinimumBenefit>171</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Update</ActionFlag><CycleStartDate>2018-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>NR001</BillingCode><Name>Nobel Biocare Abutments</Name><Description>Final Abutments (Multi-Units)</Description><Size>NP, RP, WP</Size><SupplierCode>NR</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>201</SubCategoryID><GroupID>1600</GroupID><SubGroupID>4385</SubGroupID><ARTGs><ARTG>127964</ARTG></ARTGs><MinimumBenefit>171</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HD031</BillingCode><Name>CAMLOG Conelog Progressive Line - Multi Unit Abutment </Name><Description>Titanium abutments used for multiple-unit restorations. Includes straight, 17 and 30 degree abutments. Comes with a cover cap</Description><Size>Collar height: 1.0 - 5.0mm.  Angles: Straight,17 and 30 degrees </Size><SupplierCode>HD</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>201</SubCategoryID><GroupID>1600</GroupID><SubGroupID>4385</SubGroupID><ARTGs><ARTG>343993</ARTG></ARTGs><MinimumBenefit>171</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2023-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ER415</BillingCode><Name>Bicon Dental Implant System-Abutment, Permanent</Name><Description>Bicon Dental Implant System permanent abutment, universal, Ti, various profiles</Description><Size>diameter (4-7.5mm) (post (2-3mm), angle 0˚ and 15˚, height (1-12mm)</Size><SupplierCode>ER</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>201</SubCategoryID><GroupID>1600</GroupID><SubGroupID>4385</SubGroupID><ARTGs><ARTG>158187</ARTG><ARTG>160010</ARTG></ARTGs><MinimumBenefit>171</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>JN003</BillingCode><Name>ARDS Abutments</Name><Description>Permanent - ball,  conical,  straight, angled, anatomic</Description><Size>(4.2 - 6)mm width x (2.5 - 1)mm height</Size><SupplierCode>JN</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>201</SubCategoryID><GroupID>1600</GroupID><SubGroupID>4385</SubGroupID><ARTGs><ARTG>375050</ARTG></ARTGs><MinimumBenefit>171</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HD026</BillingCode><Name>BioHorizons Multi-unit Abutments</Name><Description>Titanium abutments used for multiple-unit restorations. Includes straight, 17 and 30 degree abutments. Laser-lok technology optional. Comes with a cover cap. </Description><Size>Collar height: 1.0 - 5.0mm  Platforms: 3.0, 3.5, 4.5, 5.7mm  Angles: Straight,  17 and 30 degrees  </Size><SupplierCode>HD</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>201</SubCategoryID><GroupID>1600</GroupID><SubGroupID>4385</SubGroupID><ARTGs><ARTG>133898</ARTG></ARTGs><MinimumBenefit>171</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>FV007</BillingCode><Name>Ankylos / DS EV Permanent Abutments</Name><Description>Permanent Abutments</Description><Size>Diameter range: 3.3mm - 5.7mm, height range: 7.5mm - 11.1mm</Size><SupplierCode>FV</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>201</SubCategoryID><GroupID>1600</GroupID><SubGroupID>4385</SubGroupID><ARTGs><ARTG>224096</ARTG><ARTG>153161</ARTG></ARTGs><MinimumBenefit>171</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2019-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MV017</BillingCode><Name>MIS Abutments</Name><Description>Abutments</Description><Size>Height: 1mm - 5mm, Crown height: 4 - 11mm, Platform: Narrow, Standard or Wide</Size><SupplierCode>MV</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>201</SubCategoryID><GroupID>1600</GroupID><SubGroupID>4385</SubGroupID><ARTGs><ARTG>115006</ARTG></ARTGs><MinimumBenefit>171</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2020-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>FV003</BillingCode><Name>Astra Tech Implant System/ DS EV Healing Abutments</Name><Description>Healing Abutments</Description><Size>Healing Abutment  Diameter: Range 3.5 - 7.5 mm,  Height Range from 2.0 - 10mm</Size><SupplierCode>FV</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>201</SubCategoryID><GroupID>1600</GroupID><SubGroupID>4386</SubGroupID><ARTGs><ARTG>212101</ARTG></ARTGs><MinimumBenefit>68</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2019-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SB013</BillingCode><Name>Neodent GM Healing Abutment</Name><Description>Titanium healing abutment</Description><Size>Diameter: 3.3mm, 4.5mm  Profile: 0.8mm - 5.5mm</Size><SupplierCode>SB</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>201</SubCategoryID><GroupID>1600</GroupID><SubGroupID>4386</SubGroupID><ARTGs><ARTG>429210</ARTG><ARTG>303678</ARTG></ARTGs><MinimumBenefit>68</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2019-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>IC006</BillingCode><Name>Southern Implants Healing Abutments</Name><Description>Titanium healing abutment that sculpts and prepares soft tissue</Description><Size>Emergence profiles:  Narrow - Wide  Diameter 3.0 - 8.0mm  Height 1.0 - 12mm</Size><SupplierCode>IC</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>201</SubCategoryID><GroupID>1600</GroupID><SubGroupID>4386</SubGroupID><ARTGs><ARTG>197727</ARTG></ARTGs><MinimumBenefit>68</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2023-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ER414</BillingCode><Name>Bicon Dental Implant System-Abutment (temporary)</Name><Description>Bicon Dental Implant System temporary abutments</Description><Size>dia (4-7.5mm) x length (2.5-6.5mm) x post (2-3mm)</Size><SupplierCode>ER</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>201</SubCategoryID><GroupID>1600</GroupID><SubGroupID>4386</SubGroupID><ARTGs><ARTG>158187</ARTG><ARTG>160010</ARTG></ARTGs><MinimumBenefit>68</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>GZ004</BillingCode><Name>JD Temporary Abutments</Name><Description>Titanium Abutments</Description><Size>3.2mm to 7.5mm (diameter), 3.0mm to 9.0mm (height)</Size><SupplierCode>GZ</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>201</SubCategoryID><GroupID>1600</GroupID><SubGroupID>4386</SubGroupID><ARTGs><ARTG>334161</ARTG></ARTGs><MinimumBenefit>68</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HD025</BillingCode><Name>BioHorizons Healing Abutment</Name><Description>Titanium healing abutment with or without laser-lok technology</Description><Size>Emergence profiles: Narrow - Wide     Diameter - 4.0-8.0mm     Height: 1.0 - 5.0mm   </Size><SupplierCode>HD</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>201</SubCategoryID><GroupID>1600</GroupID><SubGroupID>4386</SubGroupID><ARTGs><ARTG>133898</ARTG></ARTGs><MinimumBenefit>68</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>NW012</BillingCode><Name>T3 Healing abutment</Name><Description>Abutment, temporary or healing, complete</Description><Size>3.25 - 6mm diameter    </Size><SupplierCode>NW</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>201</SubCategoryID><GroupID>1600</GroupID><SubGroupID>4386</SubGroupID><ARTGs><ARTG>120289</ARTG></ARTGs><MinimumBenefit>68</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SB004</BillingCode><Name>Straumann Bone Level Implant Healing Abutment</Name><Description>Straumann Healing Abutment NC/RC/SC</Description><Size>Heights 2mm – 7mm    Diameters from 3.3mm to 7mm  Shape: Conical, Bottle shaped, Customizable, Oval </Size><SupplierCode>SB</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>201</SubCategoryID><GroupID>1600</GroupID><SubGroupID>4386</SubGroupID><ARTGs><ARTG>200750</ARTG></ARTGs><MinimumBenefit>68</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2011-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SB017</BillingCode><Name>BLX/BLC Healing Abutment</Name><Description>Titanium healing abutment</Description><Size>Diameter: 4mm, 5mm, 6mm, 6.5mm, 7.5mm  Abutment height: 2mm, 4mm</Size><SupplierCode>SB</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>201</SubCategoryID><GroupID>1600</GroupID><SubGroupID>4386</SubGroupID><ARTGs><ARTG>200750</ARTG></ARTGs><MinimumBenefit>68</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2020-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MV023</BillingCode><Name>MIS Healing Abutment</Name><Description>Titanium healing abutment for MIS dental implants</Description><Size>Diameter range 4.0-6.5mm. Height range 2.0-8.0mm</Size><SupplierCode>MV</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>201</SubCategoryID><GroupID>1600</GroupID><SubGroupID>4386</SubGroupID><ARTGs><ARTG>462161</ARTG></ARTGs><ChangeExplanation>New listing</ChangeExplanation><MinimumBenefit>68</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2025-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>NR004</BillingCode><Name>Nobel Biocare Abutments</Name><Description>Abutment, temporary or healing, complete</Description><Size>NP, RP, WP, 6.0mm</Size><SupplierCode>NR</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>201</SubCategoryID><GroupID>1600</GroupID><SubGroupID>4386</SubGroupID><ARTGs><ARTG>127913</ARTG></ARTGs><MinimumBenefit>68</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SB032</BillingCode><Name>Straumann Tissue Level Healing Caps</Name><Description>Straumann Tissue Level Healing Caps (TL and TLX)</Description><Size>Diameter: 4mm to 7.2mm   Height: 2mm to 4.5mm  </Size><SupplierCode>SB</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>201</SubCategoryID><GroupID>1600</GroupID><SubGroupID>4386</SubGroupID><ARTGs><ARTG>200750</ARTG></ARTGs><MinimumBenefit>68</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>FV004</BillingCode><Name>Astra Tech Implant System / DS EV Abutments</Name><Description>Temporary Abutment</Description><Size>Diameter range: 3.3 - 7.0 mm</Size><SupplierCode>FV</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>201</SubCategoryID><GroupID>1600</GroupID><SubGroupID>4386</SubGroupID><ARTGs><ARTG>212101</ARTG></ARTGs><MinimumBenefit>68</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2019-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>NJ009</BillingCode><Name>Neoss Implant System</Name><Description>Healing / Provisional Abutment with Screw</Description><Size>Universal</Size><SupplierCode>NJ</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>201</SubCategoryID><GroupID>1600</GroupID><SubGroupID>4386</SubGroupID><ARTGs><ARTG>120227</ARTG></ARTGs><MinimumBenefit>68</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>FV006</BillingCode><PriorBillingCodes><PriorBillingCode>DH006</PriorBillingCode></PriorBillingCodes><Name>Ankylos Temporary Abutments</Name><Description>Temporary and healing abutments</Description><Size>Diameter 3.3mm - 7mm</Size><SupplierCode>FV</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>201</SubCategoryID><GroupID>1600</GroupID><SubGroupID>4386</SubGroupID><ARTGs><ARTG>212101</ARTG></ARTGs><MinimumBenefit>68</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2019-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>NW010</BillingCode><Name>Zimmer Tapered Screw-Vent Healing Abutment </Name><Description>Temporary or healing abutment </Description><Size>2.9mm 3.5mm 4.5mm 5.7mm</Size><SupplierCode>NW</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>201</SubCategoryID><GroupID>1600</GroupID><SubGroupID>4386</SubGroupID><ARTGs><ARTG>338406</ARTG></ARTGs><MinimumBenefit>68</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HD032</BillingCode><Name>CAMLOG Conelog Progressive Line - Healing Abutment </Name><Description>Temporary healing abutment for Camlog Conelog implant. Sterile. </Description><Size>Shape: Cylindrical, Wide body, Bottle neck  Height: 2-6mm</Size><SupplierCode>HD</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>201</SubCategoryID><GroupID>1600</GroupID><SubGroupID>4386</SubGroupID><ARTGs><ARTG>378911</ARTG></ARTGs><MinimumBenefit>68</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2023-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>NR002</BillingCode><Name>Nobel Biocare Cover Screws</Name><Description>Cover screw</Description><Size>NP, RP, WP, 6.0mm</Size><SupplierCode>NR</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>201</SubCategoryID><GroupID>1600</GroupID><SubGroupID>4387</SubGroupID><ARTGs><ARTG>97382</ARTG></ARTGs><MinimumBenefit>47</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>JN002</BillingCode><Name>ARDS Cover Screws and Healing Caps</Name><Description>Cover Screws and Healing Caps </Description><Size>(4-6.3)mm diameter  x (2 - 5)mm height,</Size><SupplierCode>JN</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>201</SubCategoryID><GroupID>1600</GroupID><SubGroupID>4387</SubGroupID><ARTGs><ARTG>375050</ARTG></ARTGs><MinimumBenefit>47</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>IC007</BillingCode><Name>Southern Implants Cover Screw</Name><Description>Titanium covering cap/screw</Description><Size>Platforms from 3 - 9mm   Length &lt;1mm</Size><SupplierCode>IC</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>201</SubCategoryID><GroupID>1600</GroupID><SubGroupID>4387</SubGroupID><ARTGs><ARTG>197727</ARTG></ARTGs><MinimumBenefit>47</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2023-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MV016</BillingCode><Name>MIS Cover Screws and Healing Caps</Name><Description>Cover screws and healing caps (V3)</Description><Size>1.5mm - 8mm height, 3.3mm - 5.8mm diameter</Size><SupplierCode>MV</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>201</SubCategoryID><GroupID>1600</GroupID><SubGroupID>4387</SubGroupID><ARTGs><ARTG>115006</ARTG></ARTGs><MinimumBenefit>47</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2020-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MV006</BillingCode><Name>MIS Cover Screws and Healing Caps</Name><Description>Cover screws and healing caps (Biocom, Seven, Mistral)</Description><Size>1.5mm - 6mm height, 4mm - 6.3mm diameter</Size><SupplierCode>MV</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>201</SubCategoryID><GroupID>1600</GroupID><SubGroupID>4387</SubGroupID><ARTGs><ARTG>115006</ARTG></ARTGs><MinimumBenefit>47</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>FV001</BillingCode><Name>Astra Tech Implant System/ DS EV Cover Screws &amp; healing cap</Name><Description>Cover Screw and healing cap</Description><Size>Diameter range 3.0 - 5.4</Size><SupplierCode>FV</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>201</SubCategoryID><GroupID>1600</GroupID><SubGroupID>4387</SubGroupID><ARTGs><ARTG>212100</ARTG><ARTG>153161</ARTG></ARTGs><MinimumBenefit>47</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2019-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SB026</BillingCode><Name>Straumann Zygomatic Cover-Screw</Name><Description>Cover screw for zygomatic implant</Description><Size>Cover screw: 4mm diameter</Size><SupplierCode>SB</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>201</SubCategoryID><GroupID>1600</GroupID><SubGroupID>4387</SubGroupID><ARTGs><ARTG>413626</ARTG></ARTGs><MinimumBenefit>47</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MV019</BillingCode><Name>MIS Cover Screws and Healing Caps</Name><Description>Cover screws and healing caps (C1)</Description><Size>1.5mm - 8mm height, 3.3mm - 6.3mm diameter</Size><SupplierCode>MV</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>201</SubCategoryID><GroupID>1600</GroupID><SubGroupID>4387</SubGroupID><ARTGs><ARTG>115006</ARTG></ARTGs><MinimumBenefit>47</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2020-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SB028</BillingCode><Name>BL/BLT/BLX/BLC Protective Cap</Name><Description>Protective cap for screw-retained abutment</Description><Size>Height: 4.5mm - 8.1mm, Diameter: 3.5mm - 4.6mm</Size><SupplierCode>SB</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>201</SubCategoryID><GroupID>1600</GroupID><SubGroupID>4387</SubGroupID><ARTGs><ARTG>196612</ARTG></ARTGs><MinimumBenefit>47</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SB002</BillingCode><Name>Straumann Closure Caps</Name><Description>Straumann Closure Caps</Description><Size>Height 0.0 - 1.5 mm</Size><SupplierCode>SB</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>201</SubCategoryID><GroupID>1600</GroupID><SubGroupID>4387</SubGroupID><ARTGs><ARTG>200750</ARTG></ARTGs><MinimumBenefit>47</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2006-03-24</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SB011</BillingCode><Name>Neodent GM Cover Screw</Name><Description>Cover screw</Description><Size>Height: 0mm, 2mm</Size><SupplierCode>SB</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>201</SubCategoryID><GroupID>1600</GroupID><SubGroupID>4387</SubGroupID><ARTGs><ARTG>303678</ARTG></ARTGs><MinimumBenefit>47</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2019-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SK146</BillingCode><Name>Leibinger Titanium Implant System - Universal Mandible Biconcave Washer</Name><Description>Items used for reconstruction and fixation of mandibular fractures and tumour resection</Description><Size>Universal Mandible Bi-concave Washer</Size><SupplierCode>JV</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>199</SubCategoryID><GroupID>1591</GroupID><SubGroupID>4334</SubGroupID><ARTGs><ARTG>142141</ARTG></ARTGs><MinimumBenefit>29</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ430</BillingCode><PriorBillingCodes><PriorBillingCode>AN009</PriorBillingCode></PriorBillingCodes><Name>Collatamp G</Name><Description>Biodegradeable collagen implant with gentamicin</Description><Size>5cm x 5cm x 0.5cm</Size><SupplierCode>LX</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>191</SubCategoryID><GroupID>1555</GroupID><SubGroupID>4215</SubGroupID><Suffix>Antibiotic</Suffix><ARTGs><ARTG>156287</ARTG></ARTGs><MinimumBenefit>122</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2010-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ429</BillingCode><PriorBillingCodes><PriorBillingCode>AN008</PriorBillingCode></PriorBillingCodes><Name>Collatamp G</Name><Description>Biodegradable collagen implant with gentamicin</Description><Size>10cm x 10cm x 0.5cm, 20cm x 5cm x 0.5cm</Size><SupplierCode>LX</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>191</SubCategoryID><GroupID>1555</GroupID><SubGroupID>4216</SubGroupID><Suffix>Antibiotic</Suffix><ARTGs><ARTG>156287</ARTG></ARTGs><MinimumBenefit>277</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2010-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>FY003</BillingCode><PriorBillingCodes><PriorBillingCode>MQ040</PriorBillingCode></PriorBillingCodes><Name>PuraStat Applicator Type E</Name><Description>PuraStat is used as an adjunct to haemostasis when control of bleeding by ligature or conventional surgical procedures is ineffective or impractical.</Description><Size>1600mm, 2200mm</Size><SupplierCode>FY</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>191</SubCategoryID><GroupID>1555</GroupID><SubGroupID>4217</SubGroupID><ARTGs><ARTG>283717</ARTG></ARTGs><MinimumBenefit>28</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2019-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>VB001</BillingCode><Name>HEMOBLAST 35cm Laparoscopic Applicator</Name><Description>Single-use laparoscopic applicator device, designed to deliver HEMOBLAST Bellows hemostatic powder.</Description><Size>35cm in length</Size><SupplierCode>VB</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>191</SubCategoryID><GroupID>1555</GroupID><SubGroupID>4217</SubGroupID><ARTGs><ARTG>304086</ARTG></ARTGs><MinimumBenefit>28</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2019-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>VB002</BillingCode><Name>HEMOBLAST Bellows</Name><Description>Haemostatic powder comprised of collagen, chondroitin sulfate, and thrombin.</Description><Size>1.65 gm powder/1500 IU thrombin</Size><SupplierCode>VB</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>191</SubCategoryID><GroupID>1555</GroupID><SubGroupID>7345</SubGroupID><Suffix>Complete Biomaterial</Suffix><ARTGs><ARTG>337110</ARTG></ARTGs><MinimumBenefit>903</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2019-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>FY001</BillingCode><PriorBillingCodes><PriorBillingCode>MQ038</PriorBillingCode></PriorBillingCodes><Name>Purastat</Name><Description>Haemostatic material in the form of a pre-filled syringe</Description><Size>1ml, 3ml, 5ml</Size><SupplierCode>FY</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>191</SubCategoryID><GroupID>1555</GroupID><SubGroupID>4213</SubGroupID><ARTGs><ARTG>267486</ARTG></ARTGs><MinimumBenefit>343</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2019-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BX258</BillingCode><Name>FloSeal Hemostatic Matrix</Name><Description>FloSeal is a proprietary combination of collagen-derived particles and topical thrombin. Comes with a syringe with needle or needle free  vial adapter.  It is not sponge, but is a high viscosity gel for haemostasis.  Clinical proven to control bleeding from capillary oozing to arterial spurting.</Description><Size>5ml</Size><SupplierCode>BX</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>191</SubCategoryID><GroupID>1555</GroupID><SubGroupID>4213</SubGroupID><Suffix>Complete Biomaterial</Suffix><ARTGs><ARTG>192294</ARTG></ARTGs><MinimumBenefit>394</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2007-12-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>JJ640</BillingCode><Name>Surgiflo Haemostatic Matrix</Name><Description>Absorbable Porcine Gelatin Matrix Pre-packaged in a Syringe</Description><Size>6ml</Size><SupplierCode>JJ</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>191</SubCategoryID><GroupID>1555</GroupID><SubGroupID>4213</SubGroupID><ARTGs><ARTG>204900</ARTG></ARTGs><MinimumBenefit>343</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2008-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MN172</BillingCode><Name>Surgiflo Haemostatic Matrix with Thrombin</Name><Description>Absorbable Porcine Gelatin Matrix pre-packaged in a syringe and with plasma derived Human Thrombin</Description><Size>8mls</Size><SupplierCode>JJ</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>191</SubCategoryID><GroupID>1555</GroupID><SubGroupID>4214</SubGroupID><Suffix>Complete Biomaterial</Suffix><ARTGs><ARTG>280654</ARTG><ARTG>226071</ARTG></ARTGs><MinimumBenefit>640</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2014-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BX259</BillingCode><Name>FloSeal Hemostatic Matrix</Name><Description>FloSeal is a proprietary combination of collagen-derived particles and topical thrombin. Comes with a syringe with needle or needle free  vial adapter. It is not sponge, but is a high viscosity gel for haemostasis.  Clinically proven to control bleeding from capillary oozing to arterial spurting.</Description><Size>10ml</Size><SupplierCode>BX</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>191</SubCategoryID><GroupID>1555</GroupID><SubGroupID>4214</SubGroupID><Suffix>Complete Biomaterial</Suffix><ARTGs><ARTG>192294</ARTG></ARTGs><MinimumBenefit>640</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2007-12-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>RQ084</BillingCode><Name>Glaukos iStent inject W System </Name><Description>An improved product to PLAC billing code RQ075 (product name iStent Inject) with a wider flange for better surgeon visualisation and stent confirmation. The improvement includes a delivery injection unit with 2 stents. Intended purpose per TGA submission is for implantation with or without cataract surgery and to reduce intraocular pressure in adult patients diagnosed with mild to moderate primary open-angle glaucoma (POAG) currently treated with ocular hypotensive medication. </Description><Size>One Size</Size><SupplierCode>RQ</SupplierCode><CategoryID>1</CategoryID><SubCategoryID>144</SubCategoryID><GroupID>1802</GroupID><SubGroupID>6441</SubGroupID><Suffix>tda</Suffix><ARTGs><ARTG>321526</ARTG></ARTGs><MinimumBenefit>1444</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2020-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>RQ075</BillingCode><Name>iStent Inject System</Name><Description>The iStent Inject is a pre-loaded injection system which delivers two stents across the trabecular meshwork to provide a pathway for aqueous humor to flow from the anterior chamber. It is indicated for use in conjunction with cataract surgery for the reduction of IOP in subjects with mild to moderate open angle glaucoma currently treated with ocular hypotensive medication.</Description><Size>One size</Size><SupplierCode>RQ</SupplierCode><CategoryID>1</CategoryID><SubCategoryID>144</SubCategoryID><GroupID>1802</GroupID><SubGroupID>6441</SubGroupID><Suffix>tda</Suffix><ARTGs><ARTG>250914</ARTG></ARTGs><MinimumBenefit>1444</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2015-08-01</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ER501</BillingCode><PriorBillingCodes><PriorBillingCode>OQ002</PriorBillingCode></PriorBillingCodes><Name>Hydrus Microstent</Name><Description>Intracanalicular scaffold, made from a biocompatible alloy, for the treatment of primary open angle glaucoma</Description><Size>8 mm in length</Size><SupplierCode>ER</SupplierCode><CategoryID>1</CategoryID><SubCategoryID>144</SubCategoryID><GroupID>1802</GroupID><SubGroupID>6441</SubGroupID><Suffix>smp</Suffix><ARTGs><ARTG>301403</ARTG></ARTGs><MinimumBenefit>1264</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-08-01</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>RQ085</BillingCode><Name>PRESERFLO™ MicroShunt &amp; 3mm Scleral Marker</Name><Description>The MicroShunt is made of a flexible SIBS [poly (Styrene-block-IsoButylene-block-Styrene)] polymer with triangular fins that prevent migration of the tube into the AC. It is designed to be implanted under the subconjunctival/Tenon space and intended for reduction of intraocular pressure in eyes of patients with primary open angle glaucoma where IOP remains uncontrollable while on maximum tolerated medical therapy and/or where glaucoma progression warrants surgery</Description><Size>1 size ( 8.5 mm length; 70 µm internal lumen; 350 μm outer diameter; 1.1 mm wingspan)</Size><SupplierCode>RQ</SupplierCode><CategoryID>1</CategoryID><SubCategoryID>144</SubCategoryID><GroupID>1802</GroupID><SubGroupID>6442</SubGroupID><ARTGs><ARTG>367151</ARTG></ARTGs><MinimumBenefit>1264</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-03-01</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SJ389</BillingCode><Name>Proclaim DRG</Name><Description>Implantable Pulse Generator</Description><Size>one size only</Size><SupplierCode>SJ</SupplierCode><CategoryID>25</CategoryID><SubCategoryID>222</SubCategoryID><GroupID>1677</GroupID><SubGroupID>4480</SubGroupID><Suffix>Multi waveforms</Suffix><ARTGs><ARTG>396987</ARTG></ARTGs><MinimumBenefit>21660</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>PQ004</BillingCode><Name>Reactiv8 Implantable Pulse Generator</Name><Description>Two channel implantable stimulator</Description><Size>One size only</Size><SupplierCode>PQ</SupplierCode><CategoryID>25</CategoryID><SubCategoryID>222</SubCategoryID><GroupID>1677</GroupID><SubGroupID>4480</SubGroupID><ARTGs><ARTG>327089</ARTG></ARTGs><MinimumBenefit>17283</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2020-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SJ379</BillingCode><Name>Proclaim IPG</Name><Description>Implantable pulse generator</Description><Size>55mm, 68mm</Size><SupplierCode>SJ</SupplierCode><CategoryID>25</CategoryID><SubCategoryID>222</SubCategoryID><GroupID>1677</GroupID><SubGroupID>4480</SubGroupID><Suffix>Multi waveforms</Suffix><ARTGs><ARTG>351631</ARTG><ARTG>351632</ARTG></ARTGs><MinimumBenefit>21660</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2016-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BS383</BillingCode><Name>WaveWriter Alpha</Name><Description>16 &amp; 32 output, multi-channel, neurostimulation system IPG with 3D Algorythmic Programming, Combination Therapy and Multi Waveform capability </Description><Size>One Size Only</Size><SupplierCode>BS</SupplierCode><CategoryID>25</CategoryID><SubCategoryID>222</SubCategoryID><GroupID>1677</GroupID><SubGroupID>4480</SubGroupID><Suffix>Multi waveforms</Suffix><ARTGs><ARTG>400292</ARTG><ARTG>400373</ARTG></ARTGs><MinimumBenefit>21660</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SJ432</BillingCode><Name>Proclaim XR IPG</Name><Description>Implantable pulse generator</Description><Size>55mm and 68mm</Size><SupplierCode>SJ</SupplierCode><CategoryID>25</CategoryID><SubCategoryID>222</SubCategoryID><GroupID>1677</GroupID><SubGroupID>4480</SubGroupID><Suffix>Multi waveforms</Suffix><ARTGs><ARTG>396985</ARTG><ARTG>396984</ARTG></ARTGs><MinimumBenefit>21660</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ660</BillingCode><Name>Eterna IPG</Name><Description>Implantable pulse generator</Description><Size>Volume 13.9 cc  Weight 26g</Size><SupplierCode>SJ</SupplierCode><CategoryID>25</CategoryID><SubCategoryID>222</SubCategoryID><GroupID>1677</GroupID><SubGroupID>4481</SubGroupID><Suffix>Multi waveform, Recharge protection</Suffix><ARTGs><ARTG>440130</ARTG></ARTGs><MinimumBenefit>23465</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2024-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>UY003</BillingCode><Name>Evoke Closed Loop Stimulator (CLS)  </Name><Description>A 24 contact implantable, rechargeable spinal cord stimulator capable of providing ECAP-controlled closed-loop stimulation. </Description><Size>N/A</Size><SupplierCode>UY</SupplierCode><CategoryID>25</CategoryID><SubCategoryID>222</SubCategoryID><GroupID>1677</GroupID><SubGroupID>4481</SubGroupID><Suffix>Adaptive Stimulation, Multi waveform, Recharge protection, Unlimited Deep Discharge Battery,</Suffix><ARTGs><ARTG>336330</ARTG></ARTGs><MinimumBenefit>23465</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2020-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>WW021</BillingCode><PriorBillingCodes><PriorBillingCode>ER535</PriorBillingCode></PriorBillingCodes><Name>Senza Omnia IPG Kit</Name><Description>Implantable Pulse Generator Kit</Description><Size>One size only</Size><SupplierCode>WW</SupplierCode><CategoryID>25</CategoryID><SubCategoryID>222</SubCategoryID><GroupID>1677</GroupID><SubGroupID>4481</SubGroupID><Suffix>Unlimited Deep Discharge Battery, 10kHz Stimulation</Suffix><ARTGs><ARTG>330704</ARTG></ARTGs><MinimumBenefit>23465</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2023-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>WW003</BillingCode><PriorBillingCodes><PriorBillingCode>ER496</PriorBillingCode></PriorBillingCodes><Name>Senza II IPG Kit</Name><Description>Implantable Pulse Generator Kit</Description><Size>One size only</Size><SupplierCode>WW</SupplierCode><CategoryID>25</CategoryID><SubCategoryID>222</SubCategoryID><GroupID>1677</GroupID><SubGroupID>4481</SubGroupID><Suffix>Unlimited Deep Discharge Battery, 10kHz Stimulation</Suffix><ARTGs><ARTG>186043</ARTG></ARTGs><MinimumBenefit>23465</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2023-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>FP001</BillingCode><Name>StimRouter Neuromodulation System Kit</Name><Description>Implantable multi-electrode lead with integrated receiver, delivery tools, external pulse transmitter, patient programmer, and charger set.</Description><Size>One size only</Size><SupplierCode>FP</SupplierCode><CategoryID>25</CategoryID><SubCategoryID>222</SubCategoryID><GroupID>1677</GroupID><SubGroupID>4481</SubGroupID><Suffix>Integrated Leads</Suffix><ARTGs><ARTG>313344</ARTG></ARTGs><MinimumBenefit>18032</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2019-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BS389</BillingCode><Name>WaveWriter Alpha</Name><Description>16 or 32-output, multi-channel, zero-volt rechargeable neurostimulation system IPG with Combination Therapy, Sub-Perception Algorithms and Waveform Automation</Description><Size>One Size Only</Size><SupplierCode>BS</SupplierCode><CategoryID>25</CategoryID><SubCategoryID>222</SubCategoryID><GroupID>1677</GroupID><SubGroupID>4481</SubGroupID><Suffix>Adaptive Stimulation, Unlimited Deep Discharge Battery</Suffix><ARTGs><ARTG>400392</ARTG><ARTG>400374</ARTG></ARTGs><MinimumBenefit>23465</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BN020</BillingCode><Name>Omniflow II Vascular Prostheses - Straight</Name><Description>Vascular Patch</Description><Size>1.5cm x 5cm (less than 8 sq. Cm)</Size><SupplierCode>BN</SupplierCode><CategoryID>24</CategoryID><SubCategoryID>209</SubCategoryID><GroupID>1640</GroupID><SubGroupID>4458</SubGroupID><ARTGs><ARTG>155500</ARTG></ARTGs><MinimumBenefit>166</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2010-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BB017</BillingCode><Name>Vascular Patch</Name><Description>Vascular patch</Description><Size>12x9 to 3x4</Size><SupplierCode>BB</SupplierCode><CategoryID>24</CategoryID><SubCategoryID>209</SubCategoryID><GroupID>1640</GroupID><SubGroupID>4458</SubGroupID><ARTGs><ARTG>142664</ARTG></ARTGs><MinimumBenefit>166</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BA257</BillingCode><Name>Bard Vascular Graft</Name><Description>Vascular Graft Patch</Description><Size>3x6cm, 2.5x15cm, 2x9cm, 5x7.5cm, 2.5x2.5cm, 10x10cm, 5.1x10.2cm, 6x5.1cm, 1.2x10cm, 5x5cm</Size><SupplierCode>BA</SupplierCode><CategoryID>24</CategoryID><SubCategoryID>209</SubCategoryID><GroupID>1640</GroupID><SubGroupID>4458</SubGroupID><ARTGs><ARTG>150354</ARTG><ARTG>150360</ARTG><ARTG>150352</ARTG><ARTG>150361</ARTG><ARTG>150376</ARTG><ARTG>150355</ARTG><ARTG>150353</ARTG><ARTG>150359</ARTG></ARTGs><MinimumBenefit>166</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2014-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BN021</BillingCode><Name>Omniflow II Vascular Prostheses - Straight</Name><Description>Vascular Patch</Description><Size>2.5cm x 10cm (more than 8 sq. cm</Size><SupplierCode>BN</SupplierCode><CategoryID>24</CategoryID><SubCategoryID>209</SubCategoryID><GroupID>1640</GroupID><SubGroupID>4458</SubGroupID><ARTGs><ARTG>155500</ARTG></ARTGs><MinimumBenefit>166</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2010-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BA258</BillingCode><Name>Bard Vascular Graft</Name><Description>Vascular Graft Patch</Description><Size>101 - 150sq cm</Size><SupplierCode>BA</SupplierCode><CategoryID>24</CategoryID><SubCategoryID>209</SubCategoryID><GroupID>1640</GroupID><SubGroupID>4459</SubGroupID><ARTGs><ARTG>150359</ARTG><ARTG>150357</ARTG><ARTG>150355</ARTG><ARTG>150361</ARTG><ARTG>150354</ARTG><ARTG>150376</ARTG></ARTGs><MinimumBenefit>239</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2014-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BA259</BillingCode><Name>Bard Vascular Graft</Name><Description>Vascular Graft Patch</Description><Size>15 x 15cm</Size><SupplierCode>BA</SupplierCode><CategoryID>24</CategoryID><SubCategoryID>209</SubCategoryID><GroupID>1640</GroupID><SubGroupID>4460</SubGroupID><ARTGs><ARTG>150357</ARTG><ARTG>150376</ARTG><ARTG>150359</ARTG><ARTG>150352</ARTG><ARTG>150360</ARTG><ARTG>150361</ARTG><ARTG>150355</ARTG><ARTG>150354</ARTG></ARTGs><MinimumBenefit>324</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2014-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BA039</BillingCode><Name>Grafts Vascular</Name><Description>Polyester pledgets</Description><Size>Rectangle, Oval, Circle, Square 2.9mm-8mm x 6mm - 9.5mm</Size><SupplierCode>BA</SupplierCode><CategoryID>24</CategoryID><SubCategoryID>209</SubCategoryID><GroupID>1640</GroupID><SubGroupID>4461</SubGroupID><ARTGs><ARTG>24168</ARTG></ARTGs><MinimumBenefit>22</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BS369</BillingCode><PriorBillingCodes><PriorBillingCode>MB024</PriorBillingCode></PriorBillingCodes><Name>TraceIT Gel System</Name><Description>TraceIT System is intended to create a temporary space within soft tissue during radiation therapy.</Description><Size>10mL</Size><SupplierCode>BS</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>187</SubCategoryID><GroupID>1792</GroupID><SubGroupID>6281</SubGroupID><ARTGs><ARTG>268092</ARTG></ARTGs><MinimumBenefit>1730</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2020-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BS368</BillingCode><Name>SpaceOAR System</Name><Description>The SpaceOAR System consists of components for preparation of a synthetic, absorbable hydrogel spacer and a delivery mechanism packaged in a single kit. The hydrogel spacer creates a temporary space between the prostate and rectum during radiation therapy.</Description><Size>10CC</Size><SupplierCode>BS</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>187</SubCategoryID><GroupID>1792</GroupID><SubGroupID>6281</SubGroupID><ARTGs><ARTG>354010</ARTG></ARTGs><MinimumBenefit>1730</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2020-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BS388</BillingCode><Name>SpaceOAR VUE System</Name><Description>The SpaceOAR VUE System is a radiotherapy protection spacer consisting of components for preparation of synthetic absorbable hydrogel spacer and a delivery mechanism packaged in a single kit. The hydrogel spacer creates a temporary space between the prostate and rectum during radiation therapy. The hydrogel is radiopaque for visibility under computed tomography (CT) and cone beam CT.</Description><Size>10CC</Size><SupplierCode>BS</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>187</SubCategoryID><GroupID>1792</GroupID><SubGroupID>6281</SubGroupID><ARTGs><ARTG>373630</ARTG></ARTGs><MinimumBenefit>1730</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>TX065</BillingCode><PriorBillingCodes><PriorBillingCode>RW004</PriorBillingCode></PriorBillingCodes><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>TX</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>187</SubCategoryID><GroupID>1792</GroupID><SubGroupID>6281</SubGroupID><ARTGs><ARTG>339926</ARTG></ARTGs><ChangeExplanation>
Billing code transferred from RW004
Sponsor transferred from PALETTE LIFE SCIENCES AUSTRALIA PTY LTD</ChangeExplanation><MinimumBenefit>1730</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2021-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BS370</BillingCode><PriorBillingCodes><PriorBillingCode>MB025</PriorBillingCode></PriorBillingCodes><Name>TraceIT Gel System</Name><Description>TraceIT System is intended to create a temporary space within soft tissue during radiation therapy.</Description><Size>3mL</Size><SupplierCode>BS</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>187</SubCategoryID><GroupID>1792</GroupID><SubGroupID>6061</SubGroupID><ARTGs><ARTG>268092</ARTG></ARTGs><MinimumBenefit>843</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2020-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>TX064</BillingCode><PriorBillingCodes><PriorBillingCode>RW003</PriorBillingCode></PriorBillingCodes><Name>Barrigel</Name><Description>Biodegrable gel of hyaluronic acid supplied in a 3ml syringe</Description><Size>3ml</Size><SupplierCode>TX</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>187</SubCategoryID><GroupID>1792</GroupID><SubGroupID>6061</SubGroupID><ARTGs><ARTG>339926</ARTG></ARTGs><ChangeExplanation>
Billing code transferred from RW003
Sponsor transferred from PALETTE LIFE SCIENCES AUSTRALIA PTY LTD</ChangeExplanation><MinimumBenefit>843</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2021-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>WC318</BillingCode><Name>ShortShot Saeed Hemorrhoidal Multi-Band Ligator</Name><Description>The ShortShot Saeed Haemorrhoidal Multi-Band Ligator is used to ligate internal haemorrhoids and is supplied with the TriView Anoscope.  </Description><Size>4 bands per ligator, 15mm in diameter</Size><SupplierCode>WC</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>194</SubCategoryID><GroupID>1581</GroupID><SubGroupID>5490</SubGroupID><ARTGs><ARTG>139361</ARTG></ARTGs><MinimumBenefit>58</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2014-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BS225</BillingCode><Name>Speedband Superview Super 7</Name><Description>Multiple Band Ligator</Description><Size>7 bands per unit, compatible with scopes with outer diameter of 8.6mm - 11.5mm</Size><SupplierCode>BS</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>194</SubCategoryID><GroupID>1581</GroupID><SubGroupID>5490</SubGroupID><ARTGs><ARTG>443901</ARTG></ARTGs><MinimumBenefit>236</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2013-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>DH011</BillingCode><Name>KilRoid</Name><Description>KilRoid® is a disposable haemorrhoid suction ligator with and without tubing.</Description><Size>6 bands - available with and without tubing.</Size><SupplierCode>DH</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>194</SubCategoryID><GroupID>1581</GroupID><SubGroupID>5490</SubGroupID><ARTGs><ARTG>326510</ARTG></ARTGs><MinimumBenefit>36</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>WC314</BillingCode><Name>Saeed Multi-band Ligator</Name><Description>Multiple Band Ligator</Description><Size>4, 6 or 10 bands per unit, compatible with scopes with outer diameter of 8.6mm - 14mm</Size><SupplierCode>WC</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>194</SubCategoryID><GroupID>1581</GroupID><SubGroupID>5490</SubGroupID><ARTGs><ARTG>136845</ARTG></ARTGs><MinimumBenefit>236</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2013-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HB001</BillingCode><Name>Haemoband</Name><Description>A preloaded, single use, 4 band ligator for haemorrhoids.</Description><Size>1 size, 4 bands</Size><SupplierCode>HB</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>194</SubCategoryID><GroupID>1581</GroupID><SubGroupID>5490</SubGroupID><ARTGs><ARTG>136643</ARTG></ARTGs><MinimumBenefit>49</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2016-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>AK011</BillingCode><Name>Band Ligator</Name><Description>A surgical instrument used to apply a ligature to haemorrhoids. A ligator typically consists of a long shaft or cannula with a clamp or grip at the distal end for holding the ligature. The proximal end consists of a handle with moving parts that mechanically operate the distal clamp or grip.</Description><Size>Barrel with 5 bands</Size><SupplierCode>AK</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>194</SubCategoryID><GroupID>1581</GroupID><SubGroupID>5490</SubGroupID><ARTGs><ARTG>308836</ARTG></ARTGs><MinimumBenefit>236</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2019-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>FQ002</BillingCode><Name>FlexDex Gastric Bypass and Gastrectomy Kit</Name><Description>Kit includes a single-use articulating laparoscopic needle driver with seven degrees of motion and sutures</Description><Size>One size only</Size><SupplierCode>FQ</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>194</SubCategoryID><GroupID>1581</GroupID><SubGroupID>7361</SubGroupID><ARTGs><ARTG>315333</ARTG></ARTGs><MinimumBenefit>680</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2019-11-01</CycleStartDate><CycleEndDate>2025-03-01</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>237773</ARTG><ARTG>237774</ARTG></ARTGs><MinimumBenefit>1473</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2016-02-01</CycleStartDate><CycleEndDate>2025-03-01</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>236906</ARTG><ARTG>245894</ARTG></ARTGs><MinimumBenefit>211</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2016-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>JJ034</BillingCode><Name>Ligaclip* Ligating Clips - titanium</Name><Description>Titanium clips contained in a plastic cartridge</Description><Size>9-12 mm; 6 clips per cartage</Size><SupplierCode>JJ</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>194</SubCategoryID><GroupID>1581</GroupID><SubGroupID>4256</SubGroupID><ARTGs><ARTG>122810</ARTG></ARTGs><MinimumBenefit>10</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</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><MinimumBenefit>2</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2024-11-01</CycleStartDate><CycleEndDate>2025-03-01</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><MinimumBenefit>2</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2024-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>TX009</BillingCode><Name>Horizon Ligating Clips  </Name><Description>Ligation Clips Titanium </Description><Size>Medium  (24 per cartridge)</Size><SupplierCode>TX</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>194</SubCategoryID><GroupID>1581</GroupID><SubGroupID>4256</SubGroupID><ARTGs><ARTG>121043</ARTG><ARTG>93446</ARTG></ARTGs><MinimumBenefit>41</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2015-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>DE617</BillingCode><Name>Vitalitec Titanium Hemostatic Clips</Name><Description>The SLS titanium (grade 1) hemostatic clips are designed to securely grip the vessel in order to provide a complete and final occlusion atraumatically.</Description><Size>Small &amp; Medium Clips (24 clips per pouch - 6 clips per cartridge, 4 cartridges per pouch)</Size><SupplierCode>DE</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>194</SubCategoryID><GroupID>1581</GroupID><SubGroupID>4256</SubGroupID><ARTGs><ARTG>194411</ARTG></ARTGs><MinimumBenefit>41</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>DE724</BillingCode><PriorBillingCodes><PriorBillingCode>MG045</PriorBillingCode></PriorBillingCodes><Name>Everest Ligating Clip</Name><Description>Titanium clip</Description><Size>Small, Medium, Medium-Large, Large (6 per cartridge)</Size><SupplierCode>DE</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>194</SubCategoryID><GroupID>1581</GroupID><SubGroupID>4256</SubGroupID><ARTGs><ARTG>235137</ARTG></ARTGs><MinimumBenefit>10</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2020-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>DE619</BillingCode><Name>Vitalitec Titanium Hemostatic Clips</Name><Description>The SLS titanium (grade 1) hemostatic clips are designed to securely grip the vessel in order to provide a complete and final occlusion atraumatically.</Description><Size>Small and Medium (27 clips per pouch - 9 clips per cartridge, 3 cartridges per pouch)</Size><SupplierCode>DE</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>194</SubCategoryID><GroupID>1581</GroupID><SubGroupID>4256</SubGroupID><ARTGs><ARTG>194411</ARTG></ARTGs><MinimumBenefit>25</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>DE618</BillingCode><Name>Vitalitec Titanium Hemostatic Clips</Name><Description>The SLS titanium (grade 1) hemostatic clips are designed to securely grip the vessel in order to provide a complete and final occlusion atraumatically.</Description><Size>Micro, Small, Small/Medium, Medium (9 clips per cartridge)</Size><SupplierCode>DE</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>194</SubCategoryID><GroupID>1581</GroupID><SubGroupID>4256</SubGroupID><ARTGs><ARTG>194411</ARTG></ARTGs><MinimumBenefit>9</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BB299</BillingCode><Name>Aesculap Ligating Clips</Name><Description>Aesculap Ligating Clips Titanium</Description><Size>PL567T - medium; 6 clips/cartridge</Size><SupplierCode>BB</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>194</SubCategoryID><GroupID>1581</GroupID><SubGroupID>4256</SubGroupID><ARTGs><ARTG>136103</ARTG></ARTGs><MinimumBenefit>10</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2007-12-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BB297</BillingCode><Name>Aesculap Ligating Clips</Name><Description>Aesculap Ligating Clips Titanium</Description><Size>PL565T - Small; 6 clips/cartridge</Size><SupplierCode>BB</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>194</SubCategoryID><GroupID>1581</GroupID><SubGroupID>4256</SubGroupID><ARTGs><ARTG>136103</ARTG></ARTGs><MinimumBenefit>10</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2007-12-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BB294</BillingCode><Name>Aesculap Ligating Clips</Name><Description>Aesculap Ligating Clips- Ligation Clips Titanium;</Description><Size>PL561T- Large; 6 clips/cartridge</Size><SupplierCode>BB</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>194</SubCategoryID><GroupID>1581</GroupID><SubGroupID>4256</SubGroupID><ARTGs><ARTG>136103</ARTG></ARTGs><MinimumBenefit>10</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2007-12-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>TX011</BillingCode><Name>Horizon Ligating Clips  </Name><Description>Ligation Clips Titanium </Description><Size>Medium/Large (24 per cartridge)</Size><SupplierCode>TX</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>194</SubCategoryID><GroupID>1581</GroupID><SubGroupID>4256</SubGroupID><ARTGs><ARTG>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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>JJ035</BillingCode><Name>Ligaclip* Ligating Clips - titanium</Name><Description>Titanium clips contained in a plastic cartridge</Description><Size>3-5 mm; 20 clips per cartridge</Size><SupplierCode>JJ</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>194</SubCategoryID><GroupID>1581</GroupID><SubGroupID>4256</SubGroupID><ARTGs><ARTG>122810</ARTG></ARTGs><MinimumBenefit>30</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BB298</BillingCode><Name>Aesculap Ligating Clips</Name><Description>Aesculap Ligating Clips Titanium</Description><Size>PL566T - small cardiopack of 24</Size><SupplierCode>BB</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>194</SubCategoryID><GroupID>1581</GroupID><SubGroupID>4256</SubGroupID><ARTGs><ARTG>136103</ARTG></ARTGs><MinimumBenefit>41</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2007-12-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>TX013</BillingCode><Name>Horizon Ligating Clips  </Name><Description>Ligation Clips Titanium </Description><Size>Large (24 per cartridge)</Size><SupplierCode>TX</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>194</SubCategoryID><GroupID>1581</GroupID><SubGroupID>4256</SubGroupID><ARTGs><ARTG>121043</ARTG><ARTG>93446</ARTG></ARTGs><MinimumBenefit>41</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2015-08-01</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</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>121043</ARTG><ARTG>93446</ARTG></ARTGs><MinimumBenefit>11</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2015-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BB300</BillingCode><Name>Aesculap Ligating Clips</Name><Description>Aesculap Ligating Clips Titanium</Description><Size>PL568T - medium/large; 6 clips/cartridge</Size><SupplierCode>BB</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>194</SubCategoryID><GroupID>1581</GroupID><SubGroupID>4256</SubGroupID><ARTGs><ARTG>136103</ARTG></ARTGs><MinimumBenefit>10</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2007-12-01</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>JJ033</BillingCode><Name>Ligaclip* Ligating Clips - titanium</Name><Description>Titanium clips contained in a plastic cartridge</Description><Size>3-5mm; 6 clips per cartridge</Size><SupplierCode>JJ</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>194</SubCategoryID><GroupID>1581</GroupID><SubGroupID>4256</SubGroupID><ARTGs><ARTG>122810</ARTG></ARTGs><MinimumBenefit>10</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>DE725</BillingCode><PriorBillingCodes><PriorBillingCode>MG046</PriorBillingCode></PriorBillingCodes><Name>Everest Ligating Clip</Name><Description>Titanium clip</Description><Size>Small, Medium (24 per cartridge)</Size><SupplierCode>DE</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>194</SubCategoryID><GroupID>1581</GroupID><SubGroupID>4256</SubGroupID><ARTGs><ARTG>235137</ARTG></ARTGs><MinimumBenefit>41</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2020-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>DE616</BillingCode><PriorBillingCodes><PriorBillingCode>RH006</PriorBillingCode></PriorBillingCodes><Name>Vitalitec Titanium Hemostatic Clips</Name><Description>The SLS titanium (grade 1) hemostatic clips are designed to securely grip the vessel in order to provide a complete and final occlusion atraumatically.</Description><Size>Micro, Small, Small/Medium, Medium, Medium/Large and Large. 6 clips per cartridge</Size><SupplierCode>DE</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>194</SubCategoryID><GroupID>1581</GroupID><SubGroupID>4256</SubGroupID><ARTGs><ARTG>194411</ARTG></ARTGs><MinimumBenefit>11</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>XM001</BillingCode><Name>ClickaV Polymer Ligating clips </Name><Description>ClickaV ligating clips are implantable medical devices made of an advanced polymer to ensure a high level of biocompatibility along with the structural and dimensional stability over time necessary for long-lasting patient safety. They are designed to combine the speed of the metal clip with outstanding security comparable to 2 suture This combination leads to extreme time savings.</Description><Size>M 2mm to 7mm, ML 3mm to 10mm, L 5mm to 13mm, XL 7mm to 16mm and XXL 10mm to 22mm</Size><SupplierCode>XM</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>194</SubCategoryID><GroupID>1581</GroupID><SubGroupID>4256</SubGroupID><Suffix>Polymeric Non-resorbable</Suffix><ARTGs><ARTG>435831</ARTG><ARTG>446892</ARTG></ARTGs><ChangeExplanation>New listing</ChangeExplanation><MinimumBenefit>40</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2025-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>TX007</BillingCode><Name>Horizon Ligating Clips  </Name><Description>Ligation Clips Titanium </Description><Size>Small  (24 per cartridge)</Size><SupplierCode>TX</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>194</SubCategoryID><GroupID>1581</GroupID><SubGroupID>4256</SubGroupID><ARTGs><ARTG>93346</ARTG><ARTG>121043</ARTG></ARTGs><MinimumBenefit>41</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2015-08-01</CycleStartDate><CycleEndDate>2025-03-01</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><MinimumBenefit>40</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2024-11-01</CycleStartDate><CycleEndDate>2025-03-01</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><MinimumBenefit>2</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2024-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>JJ036</BillingCode><Name>Absolok* Extra Absorbable Ligating Clips </Name><Description>Polydioxanone clips contained in a plastic cartridge</Description><Size>Small to Extralarge</Size><SupplierCode>JJ</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>194</SubCategoryID><GroupID>1581</GroupID><SubGroupID>4256</SubGroupID><Suffix>Resorbable</Suffix><ARTGs><ARTG>121372</ARTG></ARTGs><MinimumBenefit>81</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>TX023</BillingCode><Name>Hem-o-Lok Polymer Non-Absorbable Ligating Clip</Name><Description>Hem-o-lok Medium (M), Medium-Large (ML) and Large (L) Polymer Clips</Description><Size>Small, Medium, Medium-Large, Large (6 clips/cartridge)</Size><SupplierCode>TX</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>194</SubCategoryID><GroupID>1581</GroupID><SubGroupID>4256</SubGroupID><Suffix>Polymeric Non-resorbable</Suffix><ARTGs><ARTG>121043</ARTG><ARTG>93446</ARTG></ARTGs><MinimumBenefit>40</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2015-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>TX025</BillingCode><Name>Hem-o-lok Polymer Non-Absorbable Ligating Clip</Name><Description>Hem-o-lok Extra-large (XL) Polymer Clips</Description><Size>Extra-large (XL) (6 clips/cartridge)</Size><SupplierCode>TX</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>194</SubCategoryID><GroupID>1581</GroupID><SubGroupID>4256</SubGroupID><Suffix>Polymeric Non-resorbable</Suffix><ARTGs><ARTG>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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LM042</BillingCode><Name>Microclip</Name><Description>Malleable titanium clip</Description><Size>1.5-2.5mm x 2-3.5mm</Size><SupplierCode>LM</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>194</SubCategoryID><GroupID>1581</GroupID><SubGroupID>4256</SubGroupID><ARTGs><ARTG>339703</ARTG></ARTGs><MinimumBenefit>2</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LV081</BillingCode><Name>Open Clip Applier</Name><Description>Titanium</Description><Size>25 medium size titanium clips</Size><SupplierCode>LV</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>194</SubCategoryID><GroupID>1581</GroupID><SubGroupID>4257</SubGroupID><ARTGs><ARTG>131194</ARTG></ARTGs><MinimumBenefit>125</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>DE609</BillingCode><Name>Cor-Knot Mini Device Kit</Name><Description>The Cor-Knot Mini Device Kit contains two Cor-Knot Mini Devices which deliver and crimp a titanium fastener around a suture placed using routine suture placement techniques, trimming any excess suture tails.</Description><Size>2 x Cor-Knot Mini Sterile Devices (14cm length shaft) in each kit</Size><SupplierCode>DE</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>194</SubCategoryID><GroupID>1581</GroupID><SubGroupID>4257</SubGroupID><ARTGs><ARTG>219812</ARTG></ARTGs><MinimumBenefit>249</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>DE606</BillingCode><Name>Cor-Knot® Device Kit</Name><Description>The Cor-Knot Device kit contains two Cor Knot devices which deliver and crimp a titanium fastener around a suture placed using routine suture placement techniques, trimming any excess suture tails</Description><Size>Each kit contains two Cor- Knot sterile devices</Size><SupplierCode>DE</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>194</SubCategoryID><GroupID>1581</GroupID><SubGroupID>4257</SubGroupID><ARTGs><ARTG>219812</ARTG></ARTGs><MinimumBenefit>249</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-02-01</CycleStartDate><CycleEndDate>2025-03-01</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><MinimumBenefit>350</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2024-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MI213</BillingCode><Name>Endo Clip</Name><Description>Laparoscopic Clip Applier</Description><Size>5mm device with various clip sizes</Size><SupplierCode>MI</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>194</SubCategoryID><GroupID>1581</GroupID><SubGroupID>4258</SubGroupID><Suffix>Laparoscopic</Suffix><ARTGs><ARTG>182307</ARTG></ARTGs><MinimumBenefit>180</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>JJ037</BillingCode><Name>Ligaclip* Multiple Clip Applier </Name><Description>Metal/plastic applier preloaded with titanium clips</Description><Size>3-12 mm; 20 clips per applier</Size><SupplierCode>JJ</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>194</SubCategoryID><GroupID>1581</GroupID><SubGroupID>4258</SubGroupID><Suffix>Open</Suffix><ARTGs><ARTG>122810</ARTG></ARTGs><MinimumBenefit>128</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LV086</BillingCode><Name>Reflex 5mm Automatic Clip Applier</Name><Description>Autofeeding disposable clip applier. Contains 15 non absorbable polymer locking clips</Description><Size>medium/large</Size><SupplierCode>LV</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>194</SubCategoryID><GroupID>1581</GroupID><SubGroupID>4258</SubGroupID><Suffix>Laparoscopic</Suffix><ARTGs><ARTG>212478</ARTG></ARTGs><MinimumBenefit>96</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>TX024</BillingCode><Name>Weck Hem-o-lok</Name><Description>Hem-o-lok Automatic Endo Applier</Description><Size>15 Clips per applier
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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LV076</BillingCode><Name>Reflex ELC 530 Automatic Clip Applier</Name><Description>Titanium Endoscopic Clip Applier</Description><Size>Medium/Large, 10mm, 20 Clips</Size><SupplierCode>LV</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>194</SubCategoryID><GroupID>1581</GroupID><SubGroupID>4258</SubGroupID><Suffix>Laparoscopic</Suffix><ARTGs><ARTG>131194</ARTG></ARTGs><MinimumBenefit>180</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MH015</BillingCode><Name>Epix™ Disposable Laparoscopic Clip Applier w/ TiGold M/L titanium clips</Name><Description>Epix™ Disposable Laparoscopic Clip Applier w/ TiGold M/L titanium clips 5mm</Description><Size>5mm</Size><SupplierCode>MH</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>194</SubCategoryID><GroupID>1581</GroupID><SubGroupID>4258</SubGroupID><Suffix>Laparoscopic</Suffix><ARTGs><ARTG>116980</ARTG></ARTGs><MinimumBenefit>180</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>AS074</BillingCode><Name>ENDOCLIP*</Name><Description>Titanium Surgical Stapler</Description><Size>10mm (ML, M, L)-(20 clips)</Size><SupplierCode>MI</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>194</SubCategoryID><GroupID>1581</GroupID><SubGroupID>4258</SubGroupID><Suffix>Laparoscopic</Suffix><ARTGs><ARTG>182307</ARTG></ARTGs><MinimumBenefit>180</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>JJ186</BillingCode><Name>Ligaclip Endoscopic Multiclip Applier</Name><Description>Metal/plastic stapler with titanium clips</Description><Size>10-12 mm shaft diameter, medium to large clip</Size><SupplierCode>JJ</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>194</SubCategoryID><GroupID>1581</GroupID><SubGroupID>4258</SubGroupID><Suffix>Laparoscopic</Suffix><ARTGs><ARTG>122810</ARTG></ARTGs><MinimumBenefit>180</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>JJ482</BillingCode><Name>LIGAMAX 5mm Endoscopic Clip Applier</Name><Description>LIGAMAX 5mm Endoscopic Clip Applier</Description><Size>Medium / Large</Size><SupplierCode>JJ</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>194</SubCategoryID><GroupID>1581</GroupID><SubGroupID>4258</SubGroupID><Suffix>Laparoscopic</Suffix><ARTGs><ARTG>122810</ARTG></ARTGs><MinimumBenefit>180</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2006-03-24</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>WL002</BillingCode><Name>InnoClip</Name><Description>Disposable clip applier, multi-fire with titanium clips for continuous ligation.</Description><Size>Size:  Dia 5.6-10mm, length 300-350mm</Size><SupplierCode>WL</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>194</SubCategoryID><GroupID>1581</GroupID><SubGroupID>4258</SubGroupID><Suffix>Laparoscopic</Suffix><ARTGs><ARTG>461225</ARTG></ARTGs><ChangeExplanation>New listing</ChangeExplanation><MinimumBenefit>180</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2025-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ET083</BillingCode><Name>Full-Thickness Resection Device (FTRD)</Name><Description>The FTRD System Set is used for diagnostic and therapeutic full-thickness resection via flexible endoscopy in the colon and rectum. The FTRD System Set is designed to ensure that the transection of tissue happens only after the defect has been completely closed.</Description><Size>The FTRD clip is and 11mm nitinol clip.
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>2025-03-01</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>2025-03-01</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>18057</ARTG><ARTG>185058</ARTG><ARTG>185056</ARTG><ARTG>185054</ARTG></ARTGs><MinimumBenefit>2002</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>VM002</BillingCode><Name>Precision Clip</Name><Description>Endoscopic Hemoclip</Description><Size>Jaw Opening 13mm - 16mm</Size><SupplierCode>VM</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>194</SubCategoryID><GroupID>1581</GroupID><SubGroupID>4258</SubGroupID><Suffix>Endoscopic</Suffix><ARTGs><ARTG>289170</ARTG></ARTGs><MinimumBenefit>125</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2019-11-01</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>JJ038</BillingCode><Name>Ligaclip* Multiple Clip Applier </Name><Description>Metal/plastic applier preloaded with titanium clips</Description><Size>3-12 mm; 30 clips per applier</Size><SupplierCode>JJ</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>194</SubCategoryID><GroupID>1581</GroupID><SubGroupID>4258</SubGroupID><Suffix>Open</Suffix><ARTGs><ARTG>122810</ARTG></ARTGs><MinimumBenefit>128</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ET064</BillingCode><Name>AMI HAL-RAR Flexi Procedure Kit</Name><Description>Doppler guided Haemorrhoidal Arterial Ligation and Recto-Anal Repair System.
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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MS056</BillingCode><Name>THD Slide</Name><Description>Transanal Haemorrhoidal Dearterilisation and Pexis System</Description><Size>One Size Only</Size><SupplierCode>MS</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>194</SubCategoryID><GroupID>1581</GroupID><SubGroupID>4258</SubGroupID><Suffix>Doppler Guided, Endoscopic</Suffix><ARTGs><ARTG>377045</ARTG></ARTGs><MinimumBenefit>844</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2010-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>OB008</BillingCode><PriorBillingCodes><PriorBillingCode>MO441</PriorBillingCode></PriorBillingCodes><Name>Angiodin Procto</Name><Description>Single-use Ultrasound Proctoscope Kit (kit includes 1 x proctoscope, 6 x braided absorbable suture thread 75 cm with 26 mm needle, and 1 x knot pusher )</Description><Size>Single item</Size><SupplierCode>OB</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>194</SubCategoryID><GroupID>1581</GroupID><SubGroupID>4258</SubGroupID><Suffix>Doppler Guided, Endoscopic</Suffix><ARTGs><ARTG>279583</ARTG></ARTGs><MinimumBenefit>844</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>AK008</BillingCode><Name>Ligation Loop</Name><Description>A device used in combination with a dedicated endoscope. It is intended to ligate a polyp using loop wire for haemostasis or necrosis during endoscopy. It consist of an insertion sheath, a loop wire attached at the distal end of the sheath, and a control handle and operation wire connected to both the loop wire and control handle.</Description><Size>Introducer up to 240cm long
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>2025-03-01</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>2025-03-01</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>2025-03-01</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>WC</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>194</SubCategoryID><GroupID>1581</GroupID><SubGroupID>4258</SubGroupID><Suffix>Endoscopic</Suffix><ARTGs><ARTG>96698</ARTG></ARTGs><MinimumBenefit>125</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>JJ039</BillingCode><Name>Ligaclip* Multiple Clip Applier </Name><Description>Metal/plastic applier preloaded with titanium clips; reloadable </Description><Size>5-6mm; 20 clips per applier</Size><SupplierCode>JJ</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>194</SubCategoryID><GroupID>1581</GroupID><SubGroupID>4258</SubGroupID><Suffix>Open</Suffix><ARTGs><ARTG>122810</ARTG></ARTGs><MinimumBenefit>128</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ET067</BillingCode><Name>OTSC Clip</Name><Description>The OTSC Clip is a superelastic Nitinol clip which compresses the tissue between its teeth. Therefore it enables hemostasis as well as closing of perforations</Description><Size>OTSC Clip is available in three sizes: 9mm, 10mm and 11mm</Size><SupplierCode>ET</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>194</SubCategoryID><GroupID>1581</GroupID><SubGroupID>4258</SubGroupID><Suffix>Endoscopic, OTS</Suffix><ARTGs><ARTG>185054</ARTG><ARTG>185057</ARTG></ARTGs><MinimumBenefit>738</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>WC311</BillingCode><Name>Instinct Endoscopic Hemoclip</Name><Description>Endoscopic hemoclip used within the GI tract</Description><Size>Opening span up to 16mm.</Size><SupplierCode>WC</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>194</SubCategoryID><GroupID>1581</GroupID><SubGroupID>4258</SubGroupID><Suffix>Endoscopic</Suffix><ARTGs><ARTG>96698</ARTG></ARTGs><MinimumBenefit>125</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2013-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>OL010</BillingCode><Name>Ligation device</Name><Description>Disposable pre-assembled applier and ligating loop</Description><Size>Sheath Length 1650-2300mm</Size><SupplierCode>OL</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>194</SubCategoryID><GroupID>1581</GroupID><SubGroupID>4258</SubGroupID><Suffix>Endoscopic</Suffix><ARTGs><ARTG>145846</ARTG></ARTGs><MinimumBenefit>125</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2006-03-24</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LV144</BillingCode><Name>DuraClip™ Repositionable Hemostasis Clip</Name><Description>A single use repositionable hemostasis clip which is intended to be used for placement within the gastrointestinal tract.</Description><Size>165cm Length and 235cm Length</Size><SupplierCode>LV</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>194</SubCategoryID><GroupID>1581</GroupID><SubGroupID>4258</SubGroupID><Suffix>Endoscopic</Suffix><ARTGs><ARTG>274973</ARTG></ARTGs><MinimumBenefit>125</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2016-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>OL009</BillingCode><Name>Rotatable Clip fixing device</Name><Description>Disposable pre-loaded clip applier</Description><Size>Standard or long clip length, 9 or 11mm jaw opening</Size><SupplierCode>OL</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>194</SubCategoryID><GroupID>1581</GroupID><SubGroupID>4258</SubGroupID><Suffix>Endoscopic</Suffix><ARTGs><ARTG>146730</ARTG></ARTGs><MinimumBenefit>125</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2006-03-24</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>DE567</BillingCode><Name>Hemoclip</Name><Description>Pre-loaded Endoscopically  applied clip for the GI tract.</Description><Size>Jaw openings: 9 - 16mm;
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>2025-03-01</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BS379</BillingCode><Name>Resolution 360 Ultra Clip</Name><Description>Radiopaque, single-use clip pre-loaded on a flexible, rotatable delivery system</Description><Size>17mm jaw opening</Size><SupplierCode>BS</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>194</SubCategoryID><GroupID>1581</GroupID><SubGroupID>4258</SubGroupID><Suffix>Endoscopic</Suffix><ARTGs><ARTG>271874</ARTG></ARTGs><MinimumBenefit>125</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-07-01</CycleStartDate><CycleEndDate>2025-03-01</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>Change to Part</ChangeExplanation><MinimumBenefit>125</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Update</ActionFlag><CycleStartDate>2024-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BB301</BillingCode><Name>Challenger Ligating Clips</Name><Description>Challenger Ligating Clips Titanium Multifire</Description><Size>PL572T - small/medium</Size><SupplierCode>BB</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>194</SubCategoryID><GroupID>1581</GroupID><SubGroupID>4259</SubGroupID><ARTGs><ARTG>136103</ARTG></ARTGs><MinimumBenefit>52</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2007-12-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BB016</BillingCode><Name>Challenger Ligating Clips</Name><Description>Challenger Ligating Clips Titanium Multifire</Description><Size>Medium-large</Size><SupplierCode>BB</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>194</SubCategoryID><GroupID>1581</GroupID><SubGroupID>4259</SubGroupID><ARTGs><ARTG>136103</ARTG></ARTGs><MinimumBenefit>52</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BB321</BillingCode><Name>Pneumatic Challenger Multifire Clips</Name><Description>Challenger TI-P SM-Ligat. Clips 12 Cartridge (PL574T)  Challenger TI-P ML-Ligat. Clips 12 Cartridge (PL579T)</Description><Size>small-medium, medium-large</Size><SupplierCode>BB</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>194</SubCategoryID><GroupID>1581</GroupID><SubGroupID>4259</SubGroupID><ARTGs><ARTG>136103</ARTG></ARTGs><MinimumBenefit>52</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2010-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>JJ040</BillingCode><Name>Ligaclip* 20/20 Reload Unit</Name><Description>Metal reload cartridge containing titanium clips</Description><Size>5 mm; 20 clips</Size><SupplierCode>JJ</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>194</SubCategoryID><GroupID>1581</GroupID><SubGroupID>4259</SubGroupID><ARTGs><ARTG>122810</ARTG></ARTGs><MinimumBenefit>52</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>GQ006</BillingCode><Name>Microline Surgical Disposable 19 Titanium K2 Clip Cartridge</Name><Description>Disposable cartridge containing 19 surgical grade titanium clips delivered using a reusable handpiece applier</Description><Size>19 Clips per cartridge</Size><SupplierCode>GQ</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>194</SubCategoryID><GroupID>1581</GroupID><SubGroupID>4259</SubGroupID><ARTGs><ARTG>326239</ARTG></ARTGs><MinimumBenefit>52</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>GQ007</BillingCode><Name>Microline Surgical Disposable 10 Titanium K2 Clip Cartridge</Name><Description>Disposable cartridge containing 10 surgical grade titanium clips delivered using a reusable handpiece applier</Description><Size>10 Clips per cartridge</Size><SupplierCode>GQ</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>194</SubCategoryID><GroupID>1581</GroupID><SubGroupID>4259</SubGroupID><ARTGs><ARTG>326239</ARTG></ARTGs><MinimumBenefit>52</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ET065</BillingCode><Name>HAL-RAR</Name><Description>HAL-Ligating Suture, AMI HAL-Ligating suture, prosthetic component of AMI HAL-RAR Doppler System</Description><Size>One size</Size><SupplierCode>ET</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>194</SubCategoryID><GroupID>1581</GroupID><SubGroupID>4260</SubGroupID><ARTGs><ARTG>180973</ARTG></ARTGs><MinimumBenefit>68</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2011-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ZZ100</BillingCode><PriorBillingCodes><PriorBillingCode>WH005</PriorBillingCode></PriorBillingCodes><Name>Materialise Titanium 3D Printed Plates - Zygoma</Name><Description>Patient specific Titanium 3D printed plates for zygoma reconstruction</Description><Size>Personalized so the size is variable</Size><SupplierCode>ZZ</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>200</SubCategoryID><GroupID>1597</GroupID><SubGroupID>5783</SubGroupID><Suffix>Biomodelled</Suffix><ARTGs><ARTG>377044</ARTG></ARTGs><MinimumBenefit>4095</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HW423</BillingCode><Name>Nasal Shape. Petite Nasal Dorsum.</Name><Description>Porus Polyethylene. Petite Nasal Dorsum ( Models 84000 - 84004).</Description><Size>Petite Nasal Dorsum: 4 x 4 x 45mm, 4 x 4 x 55mm, 5 x 5 x 45mm, 5 x 5 x 55mm, 6 x 9 x 55mm.</Size><SupplierCode>JV</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>200</SubCategoryID><GroupID>1597</GroupID><SubGroupID>4360</SubGroupID><ARTGs><ARTG>257016</ARTG></ARTGs><MinimumBenefit>272</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2011-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>DE811</BillingCode><PriorBillingCodes><PriorBillingCode>VL008</PriorBillingCode></PriorBillingCodes><Name>Biopore Nasal Dorsum Shape</Name><Description>An implantable device intended to support, contour, and provide structure for the nose and zygoma. 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>53 x 5mm, 66 x 6 mm, 76 x 15mm, 40 x 9mm</Size><SupplierCode>DE</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>200</SubCategoryID><GroupID>1597</GroupID><SubGroupID>4360</SubGroupID><ARTGs><ARTG>335454</ARTG></ARTGs><MinimumBenefit>272</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2023-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HW415</BillingCode><Name>Nasal Shape or Rhinoplasty Shape</Name><Description>Porus Polyethylene. Nasal Arch shapes, nasal arch and nasal sheet (Models 9533 - 9536). Nasal dorsum shapes, design A and design B (Models 7516 - 7518). Nasal valve support, lateral nasal valve support and ext.</Description><Size>Nasal arch shapes: small 70 x 13 x 2mm, medium 70 x 15 x 2mm, large 70 x 15 x 2mm, sheet 40 x 9 x 1.1mm. Nasal dorsum shapes: design A small 53 x 5mm, design A large 66 x 8mm, design B 67 x 6.5mm. Nasal valve support: lateral nasal valve 13 x 0.85 x 3.5mm</Size><SupplierCode>JV</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>200</SubCategoryID><GroupID>1597</GroupID><SubGroupID>4361</SubGroupID><ARTGs><ARTG>152165</ARTG></ARTGs><MinimumBenefit>341</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2011-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HW425</BillingCode><Name>Nasal Shell Shapes.</Name><Description>Nasal Shell Shapes, Regular and Large with Inserts Small and Large (included). Models 9553 - 9554. Thin Nasal Shell 84006</Description><Size>Regular: 38 x 21 x 17mm, Insert Small 30 x 4 x 9mm, Insert Large 38 x 2.5 x 9mm. Large: 40 x 20 x 18mm, Insert Small 32 x 4 x 9mm, Insert Large 41 x 3 x 9mm. Thin Nasal Dorsal Shell 42.7mm x 16.4mm x 21.8mm</Size><SupplierCode>JV</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>200</SubCategoryID><GroupID>1597</GroupID><SubGroupID>4362</SubGroupID><ARTGs><ARTG>257016</ARTG></ARTGs><MinimumBenefit>478</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2011-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HW424</BillingCode><Name>Nasal Valve Support.</Name><Description>Lateral Nasal Valve, Model 7545. External Nasal Valve Batten, Model 7546. External Nasal Valve Batten - Thin, Model 7167</Description><Size>Lateral Nasal Valve:13 x 3.5 x 0.85mm, External Nasal Valve Batten: 25 x 11 x 0.85mm, External Nasal Valve Batten - Thin: 24 x 11.5 x 0.6mm.</Size><SupplierCode>JV</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>200</SubCategoryID><GroupID>1597</GroupID><SubGroupID>4363</SubGroupID><ARTGs><ARTG>257016</ARTG></ARTGs><MinimumBenefit>221</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2011-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MC521</BillingCode><Name>TiMesh</Name><Description>Naso-Orbital-Ethmoid </Description><Size>1mm - 2.2mm;  Complex 1, Complex 2, Complex 3</Size><SupplierCode>MI</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>200</SubCategoryID><GroupID>1597</GroupID><SubGroupID>4364</SubGroupID><Suffix>Complex</Suffix><ARTGs><ARTG>128523</ARTG></ARTGs><MinimumBenefit>527</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2006-03-24</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BS356</BillingCode><PriorBillingCodes><PriorBillingCode>BS110</PriorBillingCode></PriorBillingCodes><Name>INFINION Lead</Name><Description>16 contact point leads with multiple independent current control</Description><Size>50cm - 70cm</Size><SupplierCode>BS</SupplierCode><CategoryID>25</CategoryID><SubCategoryID>222</SubCategoryID><GroupID>1679</GroupID><SubGroupID>4486</SubGroupID><Suffix>greater than 8 and less than 32 electrodes</Suffix><ARTGs><ARTG>197909</ARTG></ARTGs><MinimumBenefit>6895</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SJ168</BillingCode><Name>ANS Spinal Cord Stimulation System (SCS)</Name><Description>Lamitrode Plate Electrode</Description><Size>60cm</Size><SupplierCode>SJ</SupplierCode><CategoryID>25</CategoryID><SubCategoryID>222</SubCategoryID><GroupID>1679</GroupID><SubGroupID>4486</SubGroupID><Suffix>8 electrodes</Suffix><ARTGs><ARTG>384013</ARTG></ARTGs><MinimumBenefit>3817</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2009-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MI136</BillingCode><Name>Vectris Surescan MRI Neurostimulation Leads</Name><Description>Octad Compact Lead Kit Model 977A2, Subcompact lead Kit Model 977A1</Description><Size>60cm, 75cm, 90cm</Size><SupplierCode>MI</SupplierCode><CategoryID>25</CategoryID><SubCategoryID>222</SubCategoryID><GroupID>1679</GroupID><SubGroupID>4486</SubGroupID><Suffix>8 electrodes</Suffix><ARTGs><ARTG>214839</ARTG><ARTG>214838</ARTG></ARTGs><MinimumBenefit>3817</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2014-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SJ185</BillingCode><Name>Lamitrode S Series</Name><Description>Lamitrode S Series, 8 Channel</Description><Size>60 cm</Size><SupplierCode>SJ</SupplierCode><CategoryID>25</CategoryID><SubCategoryID>222</SubCategoryID><GroupID>1679</GroupID><SubGroupID>4486</SubGroupID><Suffix>8 electrodes</Suffix><ARTGs><ARTG>384012</ARTG></ARTGs><MinimumBenefit>3817</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2009-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>PQ003</BillingCode><Name>Reactiv8 Percutaneous Lead</Name><Description>Four electrode lead kit</Description><Size>45cm; 65cm</Size><SupplierCode>PQ</SupplierCode><CategoryID>25</CategoryID><SubCategoryID>222</SubCategoryID><GroupID>1679</GroupID><SubGroupID>4486</SubGroupID><Suffix>4 electrodes</Suffix><ARTGs><ARTG>327091</ARTG></ARTGs><MinimumBenefit>3041</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2020-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SJ474</BillingCode><Name>Slim Tip DRG lead kit</Name><Description>Implant Lead kit</Description><Size>50-90cm</Size><SupplierCode>SJ</SupplierCode><CategoryID>25</CategoryID><SubCategoryID>222</SubCategoryID><GroupID>1679</GroupID><SubGroupID>4486</SubGroupID><Suffix>4 electrodes</Suffix><ARTGs><ARTG>333462</ARTG><ARTG>333463</ARTG></ARTGs><MinimumBenefit>3041</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SJ162</BillingCode><Name>ANS Spinal Cord Stimulation System (SCS)</Name><Description>Quattrode Lead. 4 Electrode.</Description><Size>60cm</Size><SupplierCode>SJ</SupplierCode><CategoryID>25</CategoryID><SubCategoryID>222</SubCategoryID><GroupID>1679</GroupID><SubGroupID>4486</SubGroupID><Suffix>4 electrodes</Suffix><ARTGs><ARTG>381328</ARTG></ARTGs><MinimumBenefit>3041</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2009-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SJ359</BillingCode><Name>Axium Neurostimulator System - Implant Lead Kit</Name><Description>Implant lead kit and Implant lead kit, slim tip</Description><Size>Package containing either 50cm or 90cm lead</Size><SupplierCode>SJ</SupplierCode><CategoryID>25</CategoryID><SubCategoryID>222</SubCategoryID><GroupID>1679</GroupID><SubGroupID>4486</SubGroupID><Suffix>4 electrodes</Suffix><ARTGs><ARTG>301387</ARTG><ARTG>333463</ARTG><ARTG>333462</ARTG><ARTG>202325</ARTG><ARTG>301386</ARTG></ARTGs><MinimumBenefit>3041</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2015-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SJ231</BillingCode><Name>Penta Leads</Name><Description>Paddle leads (Penta Leads have a curved paddle instead of a conventional flat paddle)</Description><Size>2-3mm, 30cm-110cm</Size><SupplierCode>SJ</SupplierCode><CategoryID>25</CategoryID><SubCategoryID>222</SubCategoryID><GroupID>1679</GroupID><SubGroupID>4486</SubGroupID><Suffix>greater than 8 and less than 32 electrodes, Bifurcated proximal tail</Suffix><ARTGs><ARTG>170450</ARTG></ARTGs><MinimumBenefit>8123</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2010-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BS255</BillingCode><Name> CoverEdge 32 Contact Surgical Leads</Name><Description>CoverEdge, CoverEdge MRI, CoverEdge X, CoverEdge X MRI - 4x8 spaced electrodes.    </Description><Size>Up to 70cm in length</Size><SupplierCode>BS</SupplierCode><CategoryID>25</CategoryID><SubCategoryID>222</SubCategoryID><GroupID>1679</GroupID><SubGroupID>4486</SubGroupID><Suffix>≥32 electrodes</Suffix><ARTGs><ARTG>218230</ARTG></ARTGs><MinimumBenefit>11011</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2014-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>WW016</BillingCode><PriorBillingCodes><PriorBillingCode>ER607</PriorBillingCode></PriorBillingCodes><Name>Surpass-C Surgical Lead</Name><Description>Surgical lead, 10, 12 and 14 electrode</Description><Size>50cm, 70cm, 90cm</Size><SupplierCode>WW</SupplierCode><CategoryID>25</CategoryID><SubCategoryID>222</SubCategoryID><GroupID>1679</GroupID><SubGroupID>4486</SubGroupID><Suffix>greater than 8 and less than 32 electrodes, Bifurcated proximal tail</Suffix><ARTGs><ARTG>368530</ARTG></ARTGs><MinimumBenefit>8123</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2023-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>UY009</BillingCode><Name>Evoke 12C Percutaneous Lead Kit </Name><Description>A 12 contact lead that delivers electrical stimulation to neural tissue and captures ECAPs from the same tissue. </Description><Size>60 and 90cm lengths</Size><SupplierCode>UY</SupplierCode><CategoryID>25</CategoryID><SubCategoryID>222</SubCategoryID><GroupID>1679</GroupID><SubGroupID>4486</SubGroupID><Suffix>greater than 8 and less than 32 electrodes</Suffix><ARTGs><ARTG>336573</ARTG></ARTGs><MinimumBenefit>6895</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2020-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BS312</BillingCode><Name>Infinion CX Lead</Name><Description>1 x 16 lead with two 8 contact tails</Description><Size>50 - 70cm</Size><SupplierCode>BS</SupplierCode><CategoryID>25</CategoryID><SubCategoryID>222</SubCategoryID><GroupID>1679</GroupID><SubGroupID>4486</SubGroupID><Suffix>greater than 8 and less than 32 electrodes, Bifurcated proximal tail</Suffix><ARTGs><ARTG>275241</ARTG></ARTGs><MinimumBenefit>8123</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2016-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>WW022</BillingCode><PriorBillingCodes><PriorBillingCode>ER388</PriorBillingCode></PriorBillingCodes><Name>Surpass Surgical Lead</Name><Description>16 Contact Lead with two bifurcating 8 contact tails with embedded differentiating colour pigment in tail</Description><Size>Length: 30 - 90 cm</Size><SupplierCode>WW</SupplierCode><CategoryID>25</CategoryID><SubCategoryID>222</SubCategoryID><GroupID>1679</GroupID><SubGroupID>4486</SubGroupID><Suffix>greater than 8 and less than 32 electrodes, Bifurcated proximal tail</Suffix><ARTGs><ARTG>284256</ARTG></ARTGs><MinimumBenefit>8123</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2023-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SJ161</BillingCode><Name>ANS Spinal Cord Stimulation System (SCS)</Name><Description>Octrode Lead. 8 Electrode (thoracic or cervical placement).</Description><Size>30cm, 60cm, 90cm</Size><SupplierCode>SJ</SupplierCode><CategoryID>25</CategoryID><SubCategoryID>222</SubCategoryID><GroupID>1679</GroupID><SubGroupID>4486</SubGroupID><Suffix>8 electrodes</Suffix><ARTGs><ARTG>374775</ARTG><ARTG>374776</ARTG></ARTGs><MinimumBenefit>3817</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2009-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BS357</BillingCode><Name>ARTISAN, ARTISAN MRI Lead</Name><Description>16 contact point leads with multiple independent current control</Description><Size>50cm - 70cm</Size><SupplierCode>BS</SupplierCode><CategoryID>25</CategoryID><SubCategoryID>222</SubCategoryID><GroupID>1679</GroupID><SubGroupID>4486</SubGroupID><Suffix>greater than 8 and less than 32 electrodes</Suffix><ARTGs><ARTG>308180</ARTG><ARTG>163471</ARTG></ARTGs><MinimumBenefit>6895</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>WW006</BillingCode><PriorBillingCodes><PriorBillingCode>ER006</PriorBillingCode></PriorBillingCodes><Name>Nevro Spinal Cord Stimulation System (SCSS) - Lead Kit</Name><Description>The percutaneous lead is intended to be single use and interfaces with the Implantable Pulse Generator, lead extender OR cable, and lead accessories.</Description><Size>Spacing: 1-9mm spacing, 1-9mm in 1mm increments; Length: 30-90cm in 5cm increments</Size><SupplierCode>WW</SupplierCode><CategoryID>25</CategoryID><SubCategoryID>222</SubCategoryID><GroupID>1679</GroupID><SubGroupID>4486</SubGroupID><Suffix>8 electrodes</Suffix><ARTGs><ARTG>185992</ARTG></ARTGs><MinimumBenefit>3817</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2023-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BS331</BillingCode><Name>Avista MRI 8 Contact Lead</Name><Description>Eight contact percutaneous leads, MRI Conditional</Description><Size>56cm - 74cm</Size><SupplierCode>BS</SupplierCode><CategoryID>25</CategoryID><SubCategoryID>222</SubCategoryID><GroupID>1679</GroupID><SubGroupID>4486</SubGroupID><Suffix>8 electrodes</Suffix><ARTGs><ARTG>287236</ARTG></ARTGs><MinimumBenefit>3817</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BS109</BillingCode><Name>Precision SCS Eight Contact Leads</Name><Description>Eight contact percutaneous leads.</Description><Size>30cm to 70cm</Size><SupplierCode>BS</SupplierCode><CategoryID>25</CategoryID><SubCategoryID>222</SubCategoryID><GroupID>1679</GroupID><SubGroupID>4486</SubGroupID><Suffix>8 electrodes</Suffix><ARTGs><ARTG>128775</ARTG></ARTGs><MinimumBenefit>3817</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2007-06-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SJ138</BillingCode><Name>Lamitrode Lead - Tripole 16C</Name><Description>Tripole 16C</Description><Size>60cm</Size><SupplierCode>SJ</SupplierCode><CategoryID>25</CategoryID><SubCategoryID>222</SubCategoryID><GroupID>1679</GroupID><SubGroupID>4486</SubGroupID><Suffix>greater than 8 and less than 32 electrodes</Suffix><ARTGs><ARTG>384015</ARTG></ARTGs><MinimumBenefit>6895</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2009-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SJ169</BillingCode><Name>ANS Spinal Cord Stimulation System (SCS)</Name><Description>Lamitrode Dual 8 Plate Electrode Lead</Description><Size>One size only</Size><SupplierCode>SJ</SupplierCode><CategoryID>25</CategoryID><SubCategoryID>222</SubCategoryID><GroupID>1679</GroupID><SubGroupID>4486</SubGroupID><Suffix>greater than 8 and less than 32 electrodes</Suffix><ARTGs><ARTG>377340</ARTG></ARTGs><MinimumBenefit>6895</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2009-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BS118</BillingCode><Name>Precision SCS Lead Blanks</Name><Description>Lead Blank</Description><Size>One Size Only</Size><SupplierCode>BS</SupplierCode><CategoryID>25</CategoryID><SubCategoryID>222</SubCategoryID><GroupID>1679</GroupID><SubGroupID>4487</SubGroupID><ARTGs><ARTG>218730</ARTG></ARTGs><MinimumBenefit>438</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2007-06-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MI137</BillingCode><Name>Medtronic Vectris Neurostimulation Trial Lead</Name><Description>Octad Compact Trial lead Kit Model 977D2 and Subcompact Model 977D1</Description><Size>60cm</Size><SupplierCode>MI</SupplierCode><CategoryID>25</CategoryID><SubCategoryID>222</SubCategoryID><GroupID>1679</GroupID><SubGroupID>4487</SubGroupID><ARTGs><ARTG>219259</ARTG><ARTG>219258</ARTG></ARTGs><MinimumBenefit>438</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2014-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SN697</BillingCode><Name>Femoral Head</Name><Description>Stainless steel</Description><Size>22-32mm,+0-+16mm</Size><SupplierCode>SN</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>220077</ARTG><ARTG>224980</ARTG></ARTGs><MinimumBenefit>621</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</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>ZI</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>2025-03-01</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>ZI</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>2025-03-01</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>ZI</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>2025-03-01</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ZI051</BillingCode><Name>Femoral Head</Name><Description>CoCr Femoral heads</Description><Size>22mm - 32mm</Size><SupplierCode>ZI</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>2025-03-01</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>2025-03-01</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SN280</BillingCode><Name>Femoral Head</Name><Description>CoCr</Description><Size>&lt;=32mm</Size><SupplierCode>SN</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>JJ</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>162</SubCategoryID><GroupID>1419</GroupID><SubGroupID>3989</SubGroupID><ARTGs><ARTG>231693</ARTG><ARTG>224755</ARTG><ARTG>224613</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>211867</ARTG><ARTG>211868</ARTG></ARTGs><MinimumBenefit>1280</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>JJ</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>2025-03-01</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>2025-03-01</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>SN</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>2025-03-01</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>296607</ARTG><ARTG>206143</ARTG></ARTGs><MinimumBenefit>1702</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-03-01</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</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>ZI</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>ZI</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>SN</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>JJ</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>SN</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>TU002</BillingCode><Name>Anaconda Endovascular Graft System</Name><Description>Bifurcated Aortic System, Ultra thin woven polyester, nitinol ring stents, tantalum markers</Description><Size>18 - 34mm</Size><SupplierCode>TU</SupplierCode><CategoryID>24</CategoryID><SubCategoryID>207</SubCategoryID><GroupID>1628</GroupID><SubGroupID>4444</SubGroupID><ARTGs><ARTG>172404</ARTG></ARTGs><MinimumBenefit>11196</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>GT263</BillingCode><Name>GORE EXCLUDER AAA Endoprosthesis</Name><Description>AAA Stent Graft Nitinol &amp; ePTFE Two piece system (1/2) Trunk-ipsilateral component</Description><Size>Diameters: 23, 26, 28.5, 35mm
Lengths: 12, 14, 16, 18cm
Diameters: 31mm
Lengths: 13, 15, 17cm
Diameters: 35mm
Lengths: 14, 16, 18cm</Size><SupplierCode>GT</SupplierCode><CategoryID>24</CategoryID><SubCategoryID>207</SubCategoryID><GroupID>1628</GroupID><SubGroupID>4445</SubGroupID><ARTGs><ARTG>157813</ARTG></ARTGs><MinimumBenefit>8082</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2011-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MC997</BillingCode><Name>Endurant II AAA Stent Graft Bifurcation</Name><Description>Endurant II Endoluminal Stent Graft System - Bifurcated Graft</Description><Size>Proximal diameters: 23 to 36mm; Distal diameters: 13 to 20mm; Covered lengths: 124 to 166mm</Size><SupplierCode>MI</SupplierCode><CategoryID>24</CategoryID><SubCategoryID>207</SubCategoryID><GroupID>1628</GroupID><SubGroupID>4445</SubGroupID><ARTGs><ARTG>197540</ARTG><ARTG>302574</ARTG></ARTGs><MinimumBenefit>8082</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>JY007</BillingCode><Name>E-tegra Main Body</Name><Description>E-tegra Stent Graft system - Bifurcated Graft Main Body</Description><Size>Diameters 23-36mm (proximal)    Length: 100-160mm (covered)    Length: 85, 100mm (trunk),   Diameter : 13,16,19mm (distal)</Size><SupplierCode>JY</SupplierCode><CategoryID>24</CategoryID><SubCategoryID>207</SubCategoryID><GroupID>1628</GroupID><SubGroupID>4445</SubGroupID><ARTGs><ARTG>388374</ARTG></ARTGs><MinimumBenefit>8082</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2023-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MI173</BillingCode><Name>Endurant IIs AAA Stent Graft</Name><Description>Endurant IIs Endoluminal Stent Graft System - Bifurcated Graft (body + single limb configuration), shorter ipsilateral leg</Description><Size>Proximal diameters: 23 to 36 mm; Distal diameters: 14 mm; Covered length: 103 mm</Size><SupplierCode>MI</SupplierCode><CategoryID>24</CategoryID><SubCategoryID>207</SubCategoryID><GroupID>1628</GroupID><SubGroupID>4445</SubGroupID><ARTGs><ARTG>235711</ARTG><ARTG>302575</ARTG></ARTGs><MinimumBenefit>8082</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2015-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>WC261</BillingCode><Name>Zenith Fenestrated AAA Endovascular Graft with Flexor</Name><Description>Distal Bifurcated Body with Flexor sheath</Description><Size>Diameter 12 - 24mm, 1st length 28 - 62mm, 2nd length 76 - 121mm</Size><SupplierCode>WC</SupplierCode><CategoryID>24</CategoryID><SubCategoryID>207</SubCategoryID><GroupID>1628</GroupID><SubGroupID>4446</SubGroupID><ARTGs><ARTG>138797</ARTG></ARTGs><MinimumBenefit>5229</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2009-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>WC277</BillingCode><Name>Zenith Flex AAA Endovascular Graft with the Z-Trak Introduction System - main body</Name><Description>Zenith Flex with Z-trak main body - AAA endovascular graft</Description><Size>Diameter - 22mm - 36mm. Length 82mm - 149mm.</Size><SupplierCode>WC</SupplierCode><CategoryID>24</CategoryID><SubCategoryID>207</SubCategoryID><GroupID>1628</GroupID><SubGroupID>4446</SubGroupID><ARTGs><ARTG>161932</ARTG></ARTGs><MinimumBenefit>5229</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2010-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>WC332</BillingCode><Name>Zenith Alpha Abdominal Endovascular Graft </Name><Description>Bifurcated main body graft</Description><Size>Diameters:22-36mm.  Lengths: 70-128mm</Size><SupplierCode>WC</SupplierCode><CategoryID>24</CategoryID><SubCategoryID>207</SubCategoryID><GroupID>1628</GroupID><SubGroupID>4446</SubGroupID><ARTGs><ARTG>265762</ARTG></ARTGs><MinimumBenefit>5229</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2016-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>JW003</BillingCode><PriorBillingCodes><PriorBillingCode>DO006</PriorBillingCode></PriorBillingCodes><Name>InCraft AAA Stent-Graft System - Aortic Bifurcate</Name><Description>Bifurcated main body</Description><Size>22-34mm diameter, 86-94mm length</Size><SupplierCode>JW</SupplierCode><CategoryID>24</CategoryID><SubCategoryID>207</SubCategoryID><GroupID>1628</GroupID><SubGroupID>4446</SubGroupID><ARTGs><ARTG>231895</ARTG></ARTGs><MinimumBenefit>5229</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HW645</BillingCode><Name>METS Femoral Knee and Stem</Name><Description>CoCR-molybdenum hinged component with stem includes axle, bushes and circlip</Description><Size>Small and Std Left and Right</Size><SupplierCode>JV</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>157</SubCategoryID><GroupID>1380</GroupID><SubGroupID>3930</SubGroupID><Suffix>Hinge included</Suffix><ARTGs><ARTG>275995</ARTG></ARTGs><MinimumBenefit>4543</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SK157</BillingCode><Name>GMRS (Global Modular Replacement System) Distal Femoral Component</Name><Description>GMRS Distal Femoral component, CoCr, uncemented, Fixed</Description><Size>Small Left 65mm, Small Left 75mm, Small Left 85mm, Small Left 95mm, Small Right 65mm, Small Right 75mm, Small Right 85mm, Small Right 95mm, Standard Left, Standard Right</Size><SupplierCode>JV</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>157</SubCategoryID><GroupID>1380</GroupID><SubGroupID>3931</SubGroupID><ARTGs><ARTG>222994</ARTG></ARTGs><MinimumBenefit>6984</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>DY188</BillingCode><Name>Limb Preservation System</Name><Description>Distal Femoral Replacement Component Left/Right</Description><Size>XX Small and X Small</Size><SupplierCode>JJ</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>157</SubCategoryID><GroupID>1380</GroupID><SubGroupID>3931</SubGroupID><ARTGs><ARTG>227901</ARTG></ARTGs><MinimumBenefit>6984</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HW227</BillingCode><Name>HMRS (Howmedica Modular Replacement System) Rotating Hinge Distal Femur Component</Name><Description>HMRS Rotating Hinge Distal Femur, CoCr (Vitallium) uncemented, porous coated, Fixed</Description><Size>120, 140, 160mm</Size><SupplierCode>JV</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>157</SubCategoryID><GroupID>1380</GroupID><SubGroupID>3931</SubGroupID><ARTGs><ARTG>247672</ARTG></ARTGs><MinimumBenefit>6984</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HW194</BillingCode><Name>Howmedica Modular Resection System</Name><Description>Femoral Joint -  Vitallium</Description><Size>One size only</Size><SupplierCode>JV</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>157</SubCategoryID><GroupID>1380</GroupID><SubGroupID>3931</SubGroupID><ARTGs><ARTG>262258</ARTG></ARTGs><MinimumBenefit>6984</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ZI570</BillingCode><Name>Zimmer segmental system - distal femoral component</Name><Description>Distal femoral component</Description><Size>B &amp; C, left and right</Size><SupplierCode>ZI</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>157</SubCategoryID><GroupID>1380</GroupID><SubGroupID>3931</SubGroupID><ARTGs><ARTG>292688</ARTG></ARTGs><MinimumBenefit>6984</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2008-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LH647</BillingCode><PriorBillingCodes><PriorBillingCode>OO106</PriorBillingCode></PriorBillingCodes><Name>Mutars Distal Femur</Name><Description>Mutars Distal Femur</Description><Size>Left/Right 90mm -110mm</Size><SupplierCode>LH</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>157</SubCategoryID><GroupID>1380</GroupID><SubGroupID>3931</SubGroupID><ARTGs><ARTG>284225</ARTG><ARTG>284581</ARTG><ARTG>225901</ARTG><ARTG>227769</ARTG><ARTG>284226</ARTG></ARTGs><MinimumBenefit>6984</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HW641</BillingCode><Name>METS Tibial Rotating Hinge Polyethylene</Name><Description>CoCr-Molybedenum tibial component</Description><Size>Stem length 105mm and 114mm</Size><SupplierCode>JV</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>157</SubCategoryID><GroupID>1380</GroupID><SubGroupID>3931</SubGroupID><ARTGs><ARTG>278136</ARTG></ARTGs><MinimumBenefit>6984</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BI865</BillingCode><Name>OSS Orthopaedic Salvage System</Name><Description>Femoral Component, Resurfacing or Segmental, CoCr,Ti</Description><Size>3 - 10cm</Size><SupplierCode>ZI</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>157</SubCategoryID><GroupID>1380</GroupID><SubGroupID>3931</SubGroupID><ARTGs><ARTG>238693</ARTG><ARTG>238697</ARTG><ARTG>251372</ARTG><ARTG>238319</ARTG><ARTG>238320</ARTG><ARTG>247572</ARTG><ARTG>177878</ARTG></ARTGs><MinimumBenefit>6984</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HW599</BillingCode><Name>METS Femoral Knee</Name><Description>CoCR-molybdenum hinged femoral component includes axle, bushes and circlip</Description><Size>Small left; small right; standard left; standard right</Size><SupplierCode>JV</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>157</SubCategoryID><GroupID>1380</GroupID><SubGroupID>3931</SubGroupID><Suffix>Hinge included</Suffix><ARTGs><ARTG>269992</ARTG></ARTGs><MinimumBenefit>7619</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HW640</BillingCode><Name>METS Tibial Rotating Hinge Metal Casing</Name><Description>Ti casing and CoCr-Mo tibial component</Description><Size>Stem lengths 140mm and 180mm</Size><SupplierCode>JV</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>157</SubCategoryID><GroupID>1380</GroupID><SubGroupID>3931</SubGroupID><ARTGs><ARTG>278137</ARTG></ARTGs><MinimumBenefit>6984</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LO156</BillingCode><Name>Link Modular Knee Prosthesis  System</Name><Description>Femoral Component</Description><Size>Extra Small - Extra Large</Size><SupplierCode>LO</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>157</SubCategoryID><GroupID>1380</GroupID><SubGroupID>3931</SubGroupID><ARTGs><ARTG>222087</ARTG><ARTG>225703</ARTG><ARTG>225704</ARTG><ARTG>226433</ARTG></ARTGs><MinimumBenefit>6984</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2011-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>WC313</BillingCode><Name>Zenith t-Branch Endovascular Graft</Name><Description>The t-Branch is an endovascular graft designed for use in the thoracabdominal aorta.</Description><Size>Diameter: 34mm  Length: 202mm</Size><SupplierCode>WC</SupplierCode><CategoryID>24</CategoryID><SubCategoryID>207</SubCategoryID><GroupID>1629</GroupID><SubGroupID>5516</SubGroupID><Suffix>L</Suffix><ARTGs><ARTG>228114</ARTG></ARTGs><MinimumBenefit>13086</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2013-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>WC312</BillingCode><Name>Zenith Universal Distal Body Endovascular Graft</Name><Description>The Zenith Universal Distal Body Endovascular Graft (Unibody) consists of a bifurcated graft loaded into the H&amp;L-B One-Shot delivery system</Description><Size>Diameters: 22 - 24mm
Lengths: 81 - 132mm</Size><SupplierCode>WC</SupplierCode><CategoryID>24</CategoryID><SubCategoryID>207</SubCategoryID><GroupID>1629</GroupID><SubGroupID>5516</SubGroupID><ARTGs><ARTG>208899</ARTG></ARTGs><MinimumBenefit>6769</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2013-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LM333</BillingCode><Name>Internal joint articulating fixator Elbow</Name><Description>Internal joint articulating fixator Elbow</Description><Size>One size - adjustable</Size><SupplierCode>LM</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>2945</GroupID><SubGroupID>7348</SubGroupID><ARTGs><ARTG>278692</ARTG></ARTGs><MinimumBenefit>2416</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>EO120</BillingCode><Name>MODUS Mandible </Name><Description>Locking Plates - Mandibular Reconstruction </Description><Size>6+19+6 Hole, Full Mandible Plate </Size><SupplierCode>EO</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>200</SubCategoryID><GroupID>1596</GroupID><SubGroupID>4353</SubGroupID><ARTGs><ARTG>350271</ARTG><ARTG>350270</ARTG></ARTGs><MinimumBenefit>915</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ZZ097</BillingCode><PriorBillingCodes><PriorBillingCode>WH002</PriorBillingCode></PriorBillingCodes><Name>Materialise PorousiTi - Mandible</Name><Description>Patient specific Titanium 3D printed implant for mandible</Description><Size>Personalized so the size is variable</Size><SupplierCode>ZZ</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>200</SubCategoryID><GroupID>1596</GroupID><SubGroupID>4353</SubGroupID><Suffix>Biomodelled</Suffix><ARTGs><ARTG>377044</ARTG></ARTGs><MinimumBenefit>5119</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SY824</BillingCode><Name>OBL PorousiTi Patient Specific Implant - Mandible</Name><Description>Patient specific implant for mandible constructed of PourousiTi</Description><Size>The model is custom made so size will vary</Size><SupplierCode>JJ</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>200</SubCategoryID><GroupID>1596</GroupID><SubGroupID>4353</SubGroupID><Suffix>Biomodelled</Suffix><ARTGs><ARTG>276733</ARTG></ARTGs><MinimumBenefit>5119</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2016-09-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>JK039</BillingCode><PriorBillingCodes><PriorBillingCode>UQ038</PriorBillingCode></PriorBillingCodes><Name>Osteo Plating &amp; Fixation System</Name><Description>Plates - Reconstruction</Description><Size>5 x 20 x 5 Hole Full Mandible Plate; 5 x 16 x 5 Hole Full Mandible Plate; Mandible, Full</Size><SupplierCode>JK</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>200</SubCategoryID><GroupID>1596</GroupID><SubGroupID>4353</SubGroupID><ARTGs><ARTG>130508</ARTG></ARTGs><MinimumBenefit>915</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ196</BillingCode><Name>Stryker Patient-Matched TMJ – Full, Mandibular Component</Name><Description>The mandibular component consists of a cobalt-chromium-molybdenum alloy condylar head and a titanium alloy mandibular body.</Description><Size>Patient Specific</Size><SupplierCode>JV</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>200</SubCategoryID><GroupID>1596</GroupID><SubGroupID>4353</SubGroupID><Suffix>Biomodelled</Suffix><ARTGs><ARTG>427023</ARTG></ARTGs><MinimumBenefit>5119</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2024-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MC513</BillingCode><Name>TiMesh</Name><Description>Full Mandible</Description><Size>One size only</Size><SupplierCode>MI</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>200</SubCategoryID><GroupID>1596</GroupID><SubGroupID>4353</SubGroupID><ARTGs><ARTG>128523</ARTG></ARTGs><MinimumBenefit>915</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2006-03-24</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>OG003</BillingCode><Name>OMX Solutions Melbourne TMJ Glenoid Fossa Component</Name><Description>Universal glenoid fossa component constructed of UHMWP</Description><Size>The device is custom made so the size will vary.</Size><SupplierCode>OG</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>200</SubCategoryID><GroupID>1596</GroupID><SubGroupID>4354</SubGroupID><ARTGs><ARTG>276176</ARTG></ARTGs><MinimumBenefit>4114</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2016-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>XU017</BillingCode><PriorBillingCodes><PriorBillingCode>ZZ044</PriorBillingCode></PriorBillingCodes><Name>OrthoTin TMJ Fossa Component</Name><Description>Titanium fossa component with UHMWPE bearing surface</Description><Size>The device is custom made so the size will vary</Size><SupplierCode>XU</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>200</SubCategoryID><GroupID>1596</GroupID><SubGroupID>4354</SubGroupID><ARTGs><ARTG>293845</ARTG></ARTGs><ChangeExplanation>
Billing code transferred from ZZ044
Sponsor transferred from AA-Med Pty Ltd</ChangeExplanation><MinimumBenefit>4114</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2018-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ195</BillingCode><Name>Stryker Patient-Matched TMJ - Fossa Component</Name><Description>The fossa component consists of an ultra-high-molecular-weight polyethylene (UHMWPE)
fossa bearing and an unalloyed titanium mesh backing.</Description><Size>Patient Specific</Size><SupplierCode>JV</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>200</SubCategoryID><GroupID>1596</GroupID><SubGroupID>4354</SubGroupID><ARTGs><ARTG>427023</ARTG></ARTGs><MinimumBenefit>4114</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2024-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BI569</BillingCode><Name>TMJ System</Name><Description>Fossa Component, Left or Right; Titanium, UHMWPE</Description><Size>Small, Medium Large</Size><SupplierCode>ZI</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>200</SubCategoryID><GroupID>1596</GroupID><SubGroupID>4354</SubGroupID><ARTGs><ARTG>145265</ARTG></ARTGs><MinimumBenefit>4114</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SF131</BillingCode><Name>Melbourne TMJ Prosthesis</Name><Description>TMJ Fossa component</Description><Size>One Size</Size><SupplierCode>SF</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>200</SubCategoryID><GroupID>1596</GroupID><SubGroupID>4354</SubGroupID><ARTGs><ARTG>268455</ARTG></ARTGs><MinimumBenefit>4114</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2016-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HW422</BillingCode><Name>Mandibular angle</Name><Description>Porus Polyethylene. RZ mandibular angles left and right (Models 9955 - 9960); Porus Polyethylene. Contoured mandibular angles left and right (Models 88037 - 88038)</Description><Size>RZ mandibular angles: 65 x 35 x 3 x 6.5 x 3 x 3mm, 65 x 35 x 7 x 6.5 x 3 x 3mm, 65 x 35 x 11 x 6.5 x 3 x 3mm. Contoured mandibular angles left and right:59 x 29 x 7 x 11mm.</Size><SupplierCode>JV</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>200</SubCategoryID><GroupID>1596</GroupID><SubGroupID>4355</SubGroupID><Suffix>Polymer</Suffix><ARTGs><ARTG>257036</ARTG><ARTG>187186</ARTG></ARTGs><MinimumBenefit>1448</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2011-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>DE810</BillingCode><PriorBillingCodes><PriorBillingCode>VL007</PriorBillingCode></PriorBillingCodes><Name>Su-Por Mandible (Left / Right)</Name><Description>An implantable device intended to support, contour, and provide structure for the mandible. Made of high-density polyethylene material with an interconnecting pore structure that supports tissue ingrowth. The device can be cut by the surgeon to meet the patient's specific needs.</Description><Size>74 x 33 x5mm</Size><SupplierCode>DE</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>200</SubCategoryID><GroupID>1596</GroupID><SubGroupID>4355</SubGroupID><Suffix>Polymer</Suffix><ARTGs><ARTG>335454</ARTG></ARTGs><MinimumBenefit>1448</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2023-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>JK040</BillingCode><PriorBillingCodes><PriorBillingCode>UQ039</PriorBillingCode></PriorBillingCodes><Name>Plates</Name><Description>Micro, Mini, Maxi</Description><Size>Angled EDC Plate, Angled Long EDC Plate, 40mm 6 Hole Fracture Plate, 6 Hole Curved EDC Plate, 33mm &amp; 38mm 4 Hole EDC Plate, 48mm 6 Hole EDC Plate, Mandible, Mandible/Reduction, Mandible Angle</Size><SupplierCode>JK</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>200</SubCategoryID><GroupID>1596</GroupID><SubGroupID>4355</SubGroupID><Suffix>Compression</Suffix><ARTGs><ARTG>130508</ARTG></ARTGs><MinimumBenefit>148</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SY695</BillingCode><Name>Condylar Head Add-On System</Name><Description>Fixation Plate 0-6mm positions</Description><Size>2 Holes</Size><SupplierCode>JJ</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>200</SubCategoryID><GroupID>1596</GroupID><SubGroupID>4357</SubGroupID><Suffix>Fixation Plate</Suffix><ARTGs><ARTG>157706</ARTG></ARTGs><MinimumBenefit>629</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SK218</BillingCode><Name>Leibinger Titanium Implant System - Universal Mandible Condylar Device</Name><Description>Items used for reconstruction following trauma or tumor resection of the mandible. Included are 2x cross pin fixation screw.</Description><Size>Universal Mandible Condylar Device Left and Right</Size><SupplierCode>JV</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>200</SubCategoryID><GroupID>1596</GroupID><SubGroupID>4357</SubGroupID><ARTGs><ARTG>295882</ARTG></ARTGs><MinimumBenefit>1506</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>EO123</BillingCode><Name>MODUS Mandible </Name><Description>MODUS Mandible - Complete Condylar Device system (Left and Right), inclusive of carrier element and connecting screws for Condylar Head Prosthesis. </Description><Size>Mandible Condylar Device, Left and Right   </Size><SupplierCode>EO</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>200</SubCategoryID><GroupID>1596</GroupID><SubGroupID>4357</SubGroupID><ARTGs><ARTG>350311</ARTG></ARTGs><MinimumBenefit>1506</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>KT008</BillingCode><Name>Martin Level One Fixation</Name><Description>Temporary condylar impant, titanium</Description><Size>5cm</Size><SupplierCode>KT</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>200</SubCategoryID><GroupID>1596</GroupID><SubGroupID>4357</SubGroupID><ARTGs><ARTG>304394</ARTG></ARTGs><MinimumBenefit>1506</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2015-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SY694</BillingCode><Name>Condylar Head Add-On System</Name><Description>Condylar Head - Left, Right</Description><Size>One Size</Size><SupplierCode>JJ</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>200</SubCategoryID><GroupID>1596</GroupID><SubGroupID>4357</SubGroupID><ARTGs><ARTG>157706</ARTG></ARTGs><MinimumBenefit>1506</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MC515</BillingCode><Name>TiMesh</Name><Description>Hemimandible, Left/Right</Description><Size>One size only</Size><SupplierCode>MI</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>200</SubCategoryID><GroupID>1596</GroupID><SubGroupID>4358</SubGroupID><Suffix>Hemimandible</Suffix><ARTGs><ARTG>128523</ARTG></ARTGs><MinimumBenefit>453</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2006-03-24</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>JK041</BillingCode><PriorBillingCodes><PriorBillingCode>UQ045</PriorBillingCode></PriorBillingCodes><Name>OsteoMed Plating &amp; Fixation System</Name><Description>Plates - Reconstruction</Description><Size>5 x 16 Hole plate Right &amp; Left</Size><SupplierCode>JK</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>200</SubCategoryID><GroupID>1596</GroupID><SubGroupID>4358</SubGroupID><Suffix>Hemimandible</Suffix><ARTGs><ARTG>130508</ARTG></ARTGs><MinimumBenefit>453</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>XU018</BillingCode><PriorBillingCodes><PriorBillingCode>ZZ045</PriorBillingCode></PriorBillingCodes><Name>OrthoTin TMJ Ramus Component</Name><Description>TiN coated titanium mandibular ramus</Description><Size>The device is custom made so the size will vary</Size><SupplierCode>XU</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>200</SubCategoryID><GroupID>1596</GroupID><SubGroupID>4358</SubGroupID><ARTGs><ARTG>293845</ARTG></ARTGs><ChangeExplanation>
Billing code transferred from ZZ045
Sponsor transferred from AA-Med Pty Ltd</ChangeExplanation><MinimumBenefit>4738</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2018-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>XU021</BillingCode><PriorBillingCodes><PriorBillingCode>ZZ048</PriorBillingCode></PriorBillingCodes><Name>Lyka Smith Patient Specific Plate</Name><Description>3D printed custom plate</Description><Size>The device is custom so the size will vary</Size><SupplierCode>XU</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>200</SubCategoryID><GroupID>1596</GroupID><SubGroupID>4358</SubGroupID><Suffix>Biomodelled</Suffix><ARTGs><ARTG>293845</ARTG></ARTGs><ChangeExplanation>
Billing code transferred from ZZ048
Sponsor transferred from AA-Med Pty Ltd</ChangeExplanation><MinimumBenefit>2952</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2018-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MC516</BillingCode><Name>TiMesh</Name><Description>Mandibular Symphysis</Description><Size>One size only</Size><SupplierCode>MI</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>200</SubCategoryID><GroupID>1596</GroupID><SubGroupID>4358</SubGroupID><Suffix>Symphsis</Suffix><ARTGs><ARTG>128523</ARTG></ARTGs><MinimumBenefit>909</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2006-03-24</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MC512</BillingCode><Name>TiMesh</Name><Description>Maxillary Prosthesis</Description><Size>One size only</Size><SupplierCode>MI</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>200</SubCategoryID><GroupID>1596</GroupID><SubGroupID>4358</SubGroupID><Suffix>Maxilla</Suffix><ARTGs><ARTG>128523</ARTG></ARTGs><MinimumBenefit>1491</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2006-03-24</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BI559</BillingCode><Name>TMJ System</Name><Description>Mandibular Component, Left or Right, Titanium</Description><Size>(40 - 60mm), 5-13 hole</Size><SupplierCode>ZI</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>200</SubCategoryID><GroupID>1596</GroupID><SubGroupID>4358</SubGroupID><ARTGs><ARTG>145265</ARTG></ARTGs><MinimumBenefit>4738</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HW545</BillingCode><Name>Stryker Biomodelled Patient Specific Mandible Reconstruction Plate</Name><Description>Biomodelled Patient Specific Mandible Complex Locking Reconstruction Plate</Description><Size>Custom</Size><SupplierCode>JV</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>200</SubCategoryID><GroupID>1596</GroupID><SubGroupID>4358</SubGroupID><Suffix>Biomodelled</Suffix><ARTGs><ARTG>218563</ARTG></ARTGs><MinimumBenefit>2952</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2015-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>RV016</BillingCode><Name>ReconPILOT Patient Specific Implant for Maxilla Midface and Mandible</Name><Description>Patient Specific Implant for Maxilla Midface and Mandible, Titanium</Description><Size>The device is custom made so the size will vary.</Size><SupplierCode>RV</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>200</SubCategoryID><GroupID>1596</GroupID><SubGroupID>4358</SubGroupID><Suffix>Biomodelled</Suffix><ARTGs><ARTG>366767</ARTG></ARTGs><ChangeExplanation>Change to Product name, Description</ChangeExplanation><MinimumBenefit>2952</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Update</ActionFlag><CycleStartDate>2021-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>KT095</BillingCode><Name>IPS Implants® – Patient-Specific Implants</Name><Description>IPS patient specific maxilla complex locking reconstruction plate</Description><Size>Custom made - patient specific</Size><SupplierCode>KT</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>200</SubCategoryID><GroupID>1596</GroupID><SubGroupID>4358</SubGroupID><Suffix>Biomodelled</Suffix><ARTGs><ARTG>96619</ARTG></ARTGs><MinimumBenefit>2952</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2023-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HW668</BillingCode><Name>Facial iD</Name><Description>Patient specific implants</Description><Size>These plates are patient specific - size will vary</Size><SupplierCode>JV</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>200</SubCategoryID><GroupID>1596</GroupID><SubGroupID>4358</SubGroupID><Suffix>Biomodelled</Suffix><ARTGs><ARTG>331521</ARTG></ARTGs><MinimumBenefit>2952</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2020-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>KT002</BillingCode><Name>UNIQOS custom Threadlock TS Mandible Reconstruction Plates</Name><Description>UNIQOS Custom Threadlock TS Mandible Reconstruction Plates</Description><Size>Custom-Patient Specific</Size><SupplierCode>KT</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>200</SubCategoryID><GroupID>1596</GroupID><SubGroupID>4358</SubGroupID><Suffix>Biomodelled</Suffix><ARTGs><ARTG>96619</ARTG></ARTGs><MinimumBenefit>2952</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2015-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SF128</BillingCode><Name>Melbourne TMJ Prosthesis</Name><Description>TMJ Mandibular Component</Description><Size>S, M, L (Left &amp; Right)</Size><SupplierCode>SF</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>200</SubCategoryID><GroupID>1596</GroupID><SubGroupID>4358</SubGroupID><ARTGs><ARTG>268455</ARTG></ARTGs><MinimumBenefit>4738</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2016-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>GI030</BillingCode><Name>Yxoss CBR</Name><Description>Yxoss CBR is a customized 3-D printed pure titanium or titanium alloys (certified medical grade 4) scaffold for use in craniofacial surgery, to regenerate complex alveolar bone in craniofacial bone rejuvenation and augmentation (Attachments 1 &amp; 2).</Description><Size>Patient specific - size matches individual patient.</Size><SupplierCode>GI</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>200</SubCategoryID><GroupID>1596</GroupID><SubGroupID>4358</SubGroupID><Suffix>Biomodelled</Suffix><ARTGs><ARTG>280805</ARTG></ARTGs><MinimumBenefit>2952</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2020-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SY832</BillingCode><Name>SynpliciTi System - Plates</Name><Description>Patient specific plates for the mandible, maxilla and TMJ</Description><Size>The model is custom made so size will vary</Size><SupplierCode>JJ</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>200</SubCategoryID><GroupID>1596</GroupID><SubGroupID>4358</SubGroupID><Suffix>Biomodelled</Suffix><ARTGs><ARTG>276733</ARTG></ARTGs><MinimumBenefit>2952</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2016-09-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>DZ097</BillingCode><Name>Patient Specific Biomodelled Plate</Name><Description>Patient Specific Biomodelled Plate</Description><Size>Patient Specific</Size><SupplierCode>DZ</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>200</SubCategoryID><GroupID>1596</GroupID><SubGroupID>4358</SubGroupID><Suffix>Biomodelled</Suffix><ARTGs><ARTG>366767</ARTG></ARTGs><MinimumBenefit>2952</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>OG005</BillingCode><Name>Custom Plate</Name><Description>A titanium plate designed to be attached to bone fragments with screws to bridge the fracture gap and shield the fracture site from stress as the bone heals. The device is used for fixation of maxillofacial, mandibular fractures and reconstructions.</Description><Size>Customised to patients</Size><SupplierCode>OG</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>200</SubCategoryID><GroupID>1596</GroupID><SubGroupID>4358</SubGroupID><Suffix>Biomodelled</Suffix><ARTGs><ARTG>330150</ARTG></ARTGs><MinimumBenefit>2952</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2020-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ZZ098</BillingCode><PriorBillingCodes><PriorBillingCode>WH003</PriorBillingCode></PriorBillingCodes><Name>Materialise Titanium 3D Printed Plates</Name><Description>Patient specific Titanium 3D printed plates for maxillofacial applications</Description><Size>Personalized so the size is variable</Size><SupplierCode>ZZ</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>200</SubCategoryID><GroupID>1596</GroupID><SubGroupID>4358</SubGroupID><Suffix>Biomodelled</Suffix><ARTGs><ARTG>377044</ARTG></ARTGs><MinimumBenefit>2952</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ197</BillingCode><Name>Stryker Patient-Matched TMJ – Plate, Mandibular Component</Name><Description>The mandibular component consists of a cobalt-chromium-molybdenum alloy condylar
head and a titanium alloy mandibular body.</Description><Size>Patient Specific</Size><SupplierCode>JV</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>200</SubCategoryID><GroupID>1596</GroupID><SubGroupID>4358</SubGroupID><ARTGs><ARTG>427023</ARTG></ARTGs><MinimumBenefit>4738</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2024-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>OG002</BillingCode><Name>OMX Solutions Melbourne TMJ Mandibular Ramus</Name><Description>Custom 3D printed mandible component constructed of titanium alloy</Description><Size>The device is custom made so the size will vary.</Size><SupplierCode>OG</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>200</SubCategoryID><GroupID>1596</GroupID><SubGroupID>4358</SubGroupID><ARTGs><ARTG>276176</ARTG></ARTGs><MinimumBenefit>4738</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2016-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ010</BillingCode><PriorBillingCodes><PriorBillingCode>AT084</PriorBillingCode><PriorBillingCode>AT084</PriorBillingCode></PriorBillingCodes><Name>Anatomics Patient Specific Mandible</Name><Description>Custom mandible implant constructed of porous polyethylene</Description><Size>The device is custom made so the size will vary.</Size><SupplierCode>KU</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>200</SubCategoryID><GroupID>1596</GroupID><SubGroupID>6741</SubGroupID><Suffix>Biomodelled</Suffix><ARTGs><ARTG>288564</ARTG></ARTGs><MinimumBenefit>3493</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ZZ108</BillingCode><Name>Materialise Titanium 3D Printed Guides</Name><Description>Patient specific maxillofacial guides for specific use with Materialise  peronalised implants and plates included in rebate codes ZZ096, ZZ097, ZZ098, ZZ099, ZZ100, ZZ101, and standard plates and screws ZZ081, ZZ082, ZZ083, ZZ084, ZZ085, ZZ086, ZZ087, ZZ088, ZZ089, ZZ090, ZZ091, Z092, ZZ093, ZZ094, ZZ095 and ZZ102</Description><Size>Custom</Size><SupplierCode>ZZ</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>200</SubCategoryID><GroupID>1596</GroupID><SubGroupID>5498</SubGroupID><Suffix>Biomodelled</Suffix><ARTGs><ARTG>377044</ARTG><ARTG>410054</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 dental 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.</Note><ChangeExplanation>New listing</ChangeExplanation><MinimumBenefit>1450</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2025-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>OG006</BillingCode><Name>MAXONIQ Surgical Guide Dental (Southern Implants)</Name><Description>The MAXONIQ Surgical Dental Guide is a patient-specific and single use device that is intended to be used in conventional and multiple dental, partial and full dental arch and zygomatic implantation procedures to be used with Southern Dental Implant systems. It is designed from patient scan data or surgical restoration templates and is given a predefined shape and hole configuration to guide the placement of dental-guided surgery reference pins. It is also used as a drill guide for the placement of dental implants in the early stages of dental implantation procedures. The surgical guides manufactured by MAXONIQ Pty Ltd using the coDiagnosiX software are specifically designed to be used with Southern Implants listed under the following rebate codes, IC008.</Description><Size>Sizes vary</Size><SupplierCode>OG</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>200</SubCategoryID><GroupID>1596</GroupID><SubGroupID>5498</SubGroupID><Suffix>Biomodelled</Suffix><ARTGs><ARTG>404632</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 dental 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.</Note><ChangeExplanation>New listing</ChangeExplanation><MinimumBenefit>1450</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2025-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>UI001</BillingCode><PriorBillingCodes><PriorBillingCode>RQ082</PriorBillingCode></PriorBillingCodes><Name>OsGuide</Name><Description>A non-sterile, custom-made surgical guide manufactured by 3-D printing  and CAD/CAM techniques</Description><Size>Custom-made. Patient specific</Size><SupplierCode>UI</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>200</SubCategoryID><GroupID>1596</GroupID><SubGroupID>5498</SubGroupID><Suffix>Biomodelled</Suffix><ARTGs><ARTG>292759</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 dental 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.</Note><ChangeExplanation>Change to Condition</ChangeExplanation><MinimumBenefit>1450</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Update</ActionFlag><CycleStartDate>2019-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HI006</BillingCode><Name>DDN Guide</Name><Description>Custom made patient specific guide for use with the STRAUMANN Implant System (SB024), (SB009), (SB015), (SB023), (SB008), (SB012), (SB018), (SB029), (SB030) and (SB035).</Description><Size>The device is custom made so the size will vary.</Size><SupplierCode>HI</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>200</SubCategoryID><GroupID>1596</GroupID><SubGroupID>5498</SubGroupID><Suffix>Biomodelled</Suffix><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 dental 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.</Note><ChangeExplanation>Change to Condition</ChangeExplanation><MinimumBenefit>1450</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Update</ActionFlag><CycleStartDate>2023-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>OG007</BillingCode><Name>MAXONIQ Surgical Guide Dental (STMN)</Name><Description>The MAXONIQ Surgical Dental Guide is a patient-specific and single use device that is intended to be used in conventional and multiple dental, partial and full dental arch and zygomatic implantation procedures to be used with Straumann Implant systems. It is designed from patient scan data or surgical restoration templates and is given a predefined shape and hole configuration to guide the placement of dental-guided surgery reference pins. It is also used as a drill guide for the placement of dental implants in the early stages of dental implantation procedures. The surgical guides manufactured by MAXONIQ Pty Ltd using the coDiagnosiX software are specifically designed to be used with Straumann dental implants listed under the following rebate codes, SB008, SB009, SB015, SB018, SB029, SB030 and SB035.</Description><Size>Sizes vary</Size><SupplierCode>OG</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>200</SubCategoryID><GroupID>1596</GroupID><SubGroupID>5498</SubGroupID><Suffix>Biomodelled</Suffix><ARTGs><ARTG>404632</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 dental 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.</Note><ChangeExplanation>New listing</ChangeExplanation><MinimumBenefit>1450</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2025-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>XU022</BillingCode><PriorBillingCodes><PriorBillingCode>ZZ049</PriorBillingCode></PriorBillingCodes><Name>Lyka Smith Patient Specific Guides</Name><Description>Patient specific surgical guide</Description><Size>The device is custom made so the size will vary.</Size><SupplierCode>XU</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>200</SubCategoryID><GroupID>1596</GroupID><SubGroupID>5498</SubGroupID><Suffix>Biomodelled</Suffix><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 dental 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.</Note><ChangeExplanation>Change to Condition
Billing code transferred from ZZ049
Sponsor transferred from AA-Med Pty Ltd</ChangeExplanation><MinimumBenefit>1450</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2018-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HW653</BillingCode><Name>VSP Reconstruction Mandibular/Maxillary Case Bundle</Name><Description>VSP Reconstruction Mandibular/Maxillary Case Bundle (With Metal Inserts) Customized Bundle</Description><Size>Custom</Size><SupplierCode>JV</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>200</SubCategoryID><GroupID>1596</GroupID><SubGroupID>5498</SubGroupID><Suffix>Biomodelled</Suffix><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 dental 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.</Note><ChangeExplanation>Change to Condition</ChangeExplanation><MinimumBenefit>1450</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Update</ActionFlag><CycleStartDate>2018-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SY778</BillingCode><Name>ProPlan</Name><Description>Pateint specific Maxillofacial Surgical Guides, Implants</Description><Size>Custom</Size><SupplierCode>JJ</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>200</SubCategoryID><GroupID>1596</GroupID><SubGroupID>5498</SubGroupID><Suffix>Biomodelled</Suffix><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 dental 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.</Note><ChangeExplanation>Change to Condition</ChangeExplanation><MinimumBenefit>1450</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Update</ActionFlag><CycleStartDate>2013-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>KT005</BillingCode><Name>UNIQOS Patient Specific Surgical guides</Name><Description>UNIQOS Patient Specific Surgical guides</Description><Size>Custom - Patient specific</Size><SupplierCode>KT</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>200</SubCategoryID><GroupID>1596</GroupID><SubGroupID>5498</SubGroupID><Suffix>Biomodelled</Suffix><ARTGs><ARTG>387616</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 dental 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.</Note><ChangeExplanation>Change to ARTG, Condition</ChangeExplanation><MinimumBenefit>1450</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Update</ActionFlag><CycleStartDate>2015-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SY829</BillingCode><PriorBillingCodes><PriorBillingCode>ZZ010</PriorBillingCode></PriorBillingCodes><Name>Custom made plates (including Megaplates) – Surgical Guides</Name><Description>Surgical Guides for patient specific plates for the mandible and maxilla</Description><Size>The model is custom made so size will vary</Size><SupplierCode>JJ</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>200</SubCategoryID><GroupID>1596</GroupID><SubGroupID>5498</SubGroupID><Suffix>Biomodelled</Suffix><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 dental 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.</Note><ChangeExplanation>Change to Condition</ChangeExplanation><MinimumBenefit>1450</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Update</ActionFlag><CycleStartDate>2016-09-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HW650</BillingCode><Name>VSP Orthognathics Bundle (Surgical Guide and Implants)</Name><Description>VSP Orthognathic Bundle (Surgical Guide and Implants - Plates and Screws)</Description><Size>Custom</Size><SupplierCode>JV</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>200</SubCategoryID><GroupID>1596</GroupID><SubGroupID>5498</SubGroupID><Suffix>Biomodelled</Suffix><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 dental 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.</Note><ChangeExplanation>Change to Condition</ChangeExplanation><MinimumBenefit>1450</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Update</ActionFlag><CycleStartDate>2018-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ008</BillingCode><PriorBillingCodes><PriorBillingCode>AT085</PriorBillingCode></PriorBillingCodes><Name>Anatomics Patient Specifc Surgical Guide</Name><Description>Patient specific surgical guide created from patient CT scan data, used to assist surgeons to implant the device by assisting in clinical decision making both pre- and intraoperatively</Description><Size>The device is custom made so the size will vary.</Size><SupplierCode>KU</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>200</SubCategoryID><GroupID>1596</GroupID><SubGroupID>5498</SubGroupID><Suffix>Biomodelled</Suffix><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 dental 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.</Note><ChangeExplanation>Change to Condition</ChangeExplanation><MinimumBenefit>1450</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Update</ActionFlag><CycleStartDate>2017-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>OG001</BillingCode><Name>OMX Solutions patient Optimized Guide system</Name><Description>CT Based Patient Specific Surgical Guide</Description><Size>The device is patient specific so size will vary</Size><SupplierCode>OG</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>200</SubCategoryID><GroupID>1596</GroupID><SubGroupID>5498</SubGroupID><Suffix>Biomodelled</Suffix><ARTGs><ARTG>276176</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 dental 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.</Note><ChangeExplanation>Change to Condition</ChangeExplanation><MinimumBenefit>1450</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Update</ActionFlag><CycleStartDate>2016-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MV007</BillingCode><Name>MGuide</Name><Description>Custom made patient specific guide for use with the MIS Implant System (MV004), (MV015), (MV018)</Description><Size>Custom-made, patient specific so size will vary</Size><SupplierCode>MV</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>200</SubCategoryID><GroupID>1596</GroupID><SubGroupID>5498</SubGroupID><Suffix>Biomodelled</Suffix><ARTGs><ARTG>348196</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 dental 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.</Note><ChangeExplanation>Change to Condition</ChangeExplanation><MinimumBenefit>1450</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Update</ActionFlag><CycleStartDate>2019-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ312</BillingCode><Name>AI Guide</Name><Description>Custom made patient specific guide for use with the ARDS Dental System (JN001)</Description><Size>size will vary as patent specific</Size><SupplierCode>JN</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>200</SubCategoryID><GroupID>1596</GroupID><SubGroupID>5498</SubGroupID><Suffix>Biomodelled</Suffix><ARTGs><ARTG>443915</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 dental 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.</Note><ChangeExplanation>Change to Condition</ChangeExplanation><MinimumBenefit>1450</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Update</ActionFlag><CycleStartDate>2024-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>RV022</BillingCode><Name>ReconPILOT Biomodelled Patient Specific Surgical guide for Maxillofacial surgery</Name><Description>Biomodelled Patient Specific Surgical guide for Maxillofacial patient Specific Implant</Description><Size>Custom</Size><SupplierCode>RV</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>200</SubCategoryID><GroupID>1596</GroupID><SubGroupID>5498</SubGroupID><Suffix>Biomodelled</Suffix><ARTGs><ARTG>356670</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 dental 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.</Note><ChangeExplanation>New listing</ChangeExplanation><MinimumBenefit>1450</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2025-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>UI003</BillingCode><Name>DGUIDE</Name><Description>Custom made patient specific guide for use with the JD Implant System (GZ001), (GZ002)</Description><Size>Patient specific</Size><SupplierCode>UI</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>200</SubCategoryID><GroupID>1596</GroupID><SubGroupID>5498</SubGroupID><Suffix>Biomodelled</Suffix><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 dental 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.</Note><ChangeExplanation>Change to Condition, Description</ChangeExplanation><MinimumBenefit>1450</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Update</ActionFlag><CycleStartDate>2020-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HI001</BillingCode><Name>DDN Guide</Name><Description>Custom made patient specific guide 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>1596</GroupID><SubGroupID>5498</SubGroupID><Suffix>Biomodelled</Suffix><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 dental 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.</Note><ChangeExplanation>Change to Condition</ChangeExplanation><MinimumBenefit>1495</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Update</ActionFlag><CycleStartDate>2021-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>XU020</BillingCode><PriorBillingCodes><PriorBillingCode>ZZ047</PriorBillingCode></PriorBillingCodes><Name>OrthoTin Surgical Guide</Name><Description>Patient specific surgical guide</Description><Size>The device is custom so the size may vary</Size><SupplierCode>XU</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>200</SubCategoryID><GroupID>1596</GroupID><SubGroupID>5498</SubGroupID><Suffix>Biomodelled</Suffix><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 dental 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.</Note><ChangeExplanation>Change to Condition
Billing code transferred from ZZ047
Sponsor transferred from AA-Med Pty Ltd</ChangeExplanation><MinimumBenefit>1450</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2018-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SY828</BillingCode><Name>OBL PorousiTi Patient Specific Implant - Maxilla</Name><Description>Patient specific implant for maxilla constructed of PorousiTi</Description><Size>The model is custom made so size will vary</Size><SupplierCode>JJ</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>200</SubCategoryID><GroupID>1596</GroupID><SubGroupID>5782</SubGroupID><Suffix>Biomodelled</Suffix><ARTGs><ARTG>276733</ARTG></ARTGs><MinimumBenefit>6337</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2016-09-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ZZ099</BillingCode><PriorBillingCodes><PriorBillingCode>WH004</PriorBillingCode></PriorBillingCodes><Name>Materialise PorousiTi - Maxilla</Name><Description>Patient specific Titanium 3D printed implant for maxilla</Description><Size>Personalized so the size is variable</Size><SupplierCode>ZZ</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>200</SubCategoryID><GroupID>1596</GroupID><SubGroupID>5782</SubGroupID><Suffix>Biomodelled</Suffix><ARTGs><ARTG>377044</ARTG></ARTGs><MinimumBenefit>6337</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ET092</BillingCode><PriorBillingCodes><PriorBillingCode>WC243</PriorBillingCode></PriorBillingCodes><Name>Surgisis Biodesign Anal Fistula Plug</Name><Description>Surgisis Biodesign Anal Fistula Plug is a small intestine submucosal porcine derived, rolled and shaped collagen matrix, non cross-linked, that signals the body and provides support for native tissue remodeling, healing and closure of anal fistulas</Description><Size>0.6cm Width Tapering to 0.2cm Width x 9.5cm Length. Conical Shape</Size><SupplierCode>ET</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>194</SubCategoryID><GroupID>1691</GroupID><SubGroupID>4519</SubGroupID><ARTGs><ARTG>153045</ARTG></ARTGs><MinimumBenefit>903</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SJ483</BillingCode><Name>GRAFTMASTER RX Coronary Stent Graft</Name><Description>Stainless Steel/PTFE</Description><Size>16-26 mm x 2.8 - 4.8 mm</Size><SupplierCode>SJ</SupplierCode><CategoryID>27</CategoryID><SubCategoryID>247</SubCategoryID><GroupID>1767</GroupID><SubGroupID>5349</SubGroupID><Suffix>l, m</Suffix><ARTGs><ARTG>398152</ARTG></ARTGs><MinimumBenefit>2146</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2023-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BT220</BillingCode><Name>PK Papyrus Covered Coronary Stent System</Name><Description>Highly flexible, low profile , polyurethane/CoCr Covered Coronary Stent System</Description><Size>Length – 15,20,26mm     Diameter – 5F:2.5,3,3.5,4mm   6F:4.5,5mm</Size><SupplierCode>BT</SupplierCode><CategoryID>27</CategoryID><SubCategoryID>247</SubCategoryID><GroupID>1767</GroupID><SubGroupID>5349</SubGroupID><Suffix>l, m</Suffix><ARTGs><ARTG>307104</ARTG></ARTGs><MinimumBenefit>2146</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2019-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>PY050</BillingCode><Name>BeGraft Coronary Stent Graft System</Name><Description>Coronary Stent Graft System</Description><Size>Diameter: 2.50mm, 2.75mm, 3.00mm, 3.50mm, 4.00mm, 4.50mm, 5.00m  Length: 8mm, 12mm, 16mm, 18mm, 21mm, 24mm</Size><SupplierCode>PY</SupplierCode><CategoryID>27</CategoryID><SubCategoryID>247</SubCategoryID><GroupID>1767</GroupID><SubGroupID>5349</SubGroupID><Suffix>l, m</Suffix><ARTGs><ARTG>278654</ARTG></ARTGs><MinimumBenefit>2146</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2019-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MC818</BillingCode><Name>Medtronic Intrathecal Catheter Revision Kit (Distal)</Name><Description>Revision kit to repair distal end of intrathecal catheter (8598A)</Description><Size>38.1cm</Size><SupplierCode>MI</SupplierCode><CategoryID>25</CategoryID><SubCategoryID>223</SubCategoryID><GroupID>1684</GroupID><SubGroupID>4503</SubGroupID><ARTGs><ARTG>153486</ARTG></ARTGs><MinimumBenefit>542</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2009-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MI030</BillingCode><Name>Medtronic Ascenda Pump Segment Revision Kit</Name><Description>Intrathecal Catheter Pump Segment Revision Kit</Description><Size>One Size</Size><SupplierCode>MI</SupplierCode><CategoryID>25</CategoryID><SubCategoryID>223</SubCategoryID><GroupID>1684</GroupID><SubGroupID>4503</SubGroupID><ARTGs><ARTG>192044</ARTG></ARTGs><MinimumBenefit>542</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MC817</BillingCode><Name>Medtronic Intrathecal Catheter Revision Kit (Proximal)</Name><Description>Revision kit to repair proximal end of intrathecal catheter (8596SC)</Description><Size>66cm</Size><SupplierCode>MI</SupplierCode><CategoryID>25</CategoryID><SubCategoryID>223</SubCategoryID><GroupID>1684</GroupID><SubGroupID>4503</SubGroupID><ARTGs><ARTG>153487</ARTG></ARTGs><MinimumBenefit>542</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2009-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MI029</BillingCode><Name>Medtronic Ascenda Spinal Segment Revision Kit</Name><Description>Intrathecal Catheter Spinal Segment Revision Kit</Description><Size>One Size</Size><SupplierCode>MI</SupplierCode><CategoryID>25</CategoryID><SubCategoryID>223</SubCategoryID><GroupID>1684</GroupID><SubGroupID>4503</SubGroupID><ARTGs><ARTG>192043</ARTG></ARTGs><MinimumBenefit>542</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MI040</BillingCode><Name>Medtronic Infusion Pump Accessories</Name><Description>Accessories for refill/catheter access of infusion pumps</Description><Size>Various</Size><SupplierCode>MI</SupplierCode><CategoryID>25</CategoryID><SubCategoryID>223</SubCategoryID><GroupID>1684</GroupID><SubGroupID>5483</SubGroupID><ARTGs><ARTG>398941</ARTG><ARTG>398942</ARTG></ARTGs><MinimumBenefit>36</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BX326</BillingCode><Name>Infusor</Name><Description>Sterile Infusor Devices, Spring Powered</Description><Size>SV Half, 5ml/hr, nominal 60ml vol, max 65ml.
SV Single day, 2ml/hr, nominal 48ml vol, max 65ml</Size><SupplierCode>BX</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>188</SubCategoryID><GroupID>1540</GroupID><SubGroupID>4188</SubGroupID><ARTGs><ARTG>168893</ARTG></ARTGs><MinimumBenefit>76</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2014-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ827</BillingCode><Name>eZPush IV Spring Infusion Pump - Single Use only</Name><Description>The eZPush IV Spring Infusion Pump is a SINGLE USE mechanical infusion pump that works independently from main power supplies or batteries, 
providing constant intravenous (IV) or subcutaneous (SC) infusions in either a 10ml, 30ml or 50ml configuration. The pump works with any Luer Lock tip syringe regardless of the manufacturer whilst the flow rates are managed by either precision tubing (simiular to Springfusor flow controlled tubing) or Flobot Flow Regulator with attached tubing. The Epic Medical tubing is compatible with the GO Medical Springfusor pumps.</Description><Size>5ml, 10ml, 20ml and 60ml Spring Infusion Pump systems. </Size><SupplierCode>LU</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>188</SubCategoryID><GroupID>1540</GroupID><SubGroupID>4188</SubGroupID><ARTGs><ARTG>406013</ARTG></ARTGs><MinimumBenefit>76</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2024-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LE002</BillingCode><Name>Springfusor Infusion System  - Component # 1 Springfusor Pump/s</Name><Description>#1 Spring Powered Fixed Rate Ambulatory Infusion Pump </Description><Size> Pumps are available as 10ml, 30ml, 50ml</Size><SupplierCode>LE</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>188</SubCategoryID><GroupID>1540</GroupID><SubGroupID>4188</SubGroupID><Suffix>Set</Suffix><ARTGs><ARTG>159494</ARTG></ARTGs><MinimumBenefit>233</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2020-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>CU001</BillingCode><Name>BeeLINE MotIV Infusion Pump (275ml)</Name><Description>External infusion pump, spring powered, fixed flow rate, 275ml set: set includes reservoir, introducer needle, tubing set, priming/flushing syringes, saturation catheter, dressing, syringes.  30min - 7 day infusion</Description><Size>275ml infuser reservoir = 19cm (7.5") x 7cm (2.8")</Size><SupplierCode>CU</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>188</SubCategoryID><GroupID>1540</GroupID><SubGroupID>4188</SubGroupID><Suffix>Set</Suffix><ARTGs><ARTG>167182</ARTG></ARTGs><MinimumBenefit>233</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2011-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>CU002</BillingCode><Name>BeeLINE MotIV Infusion Pump (100ml)</Name><Description>External infusion pump, spring powered, fixed flow rate, 100ml set: set includes reservoir, introducer needle, tubing set, priming/flushing syringes, saturation catheter, dressing, syringes.  30min - 7 day infusion</Description><Size>100ml infusor reservoir = 13cm (5.1") x 7cm (2.8")</Size><SupplierCode>CU</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>188</SubCategoryID><GroupID>1540</GroupID><SubGroupID>4188</SubGroupID><Suffix>Set</Suffix><ARTGs><ARTG>167182</ARTG></ARTGs><MinimumBenefit>233</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2011-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>DQ001</BillingCode><Name>BioQ Pharma ReadyfusOR</Name><Description>Non-electric pre-filled infusion pain kit</Description><Size>250 ml</Size><SupplierCode>DQ</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>188</SubCategoryID><GroupID>1540</GroupID><SubGroupID>4188</SubGroupID><Suffix>Set</Suffix><ARTGs><ARTG>292140</ARTG></ARTGs><MinimumBenefit>233</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BX286</BillingCode><Name>Painfusor Catheter</Name><Description>The Painfusor Catheter is an extended fenestration catheter for the administration of analgesic drugs into surgical wounds to manage acute post-operative pain. Pack contains fenestrated catheter, peel away introducer needle accommodating 19Ga (100 mm length), 3M Tegaderm IV Transparent Film Dressing with border 1633, and GripLok catheter securement device</Description><Size>Catheters are 35cm + Fenestrated section:     (35cm + 2.5cm) - total length 37.5cm, (35cm + 7.5cm) - total length 42.5cm, (35cm + 15cm) - total length 50cm, (35cm + 22.5cm) - total length 57.5cm, (35cm + 30 cm) - total length 65cm</Size><SupplierCode>BX</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>188</SubCategoryID><GroupID>1541</GroupID><SubGroupID>4190</SubGroupID><ARTGs><ARTG>177499</ARTG></ARTGs><MinimumBenefit>72</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-02-01</CycleStartDate><CycleEndDate>2025-03-01</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><MinimumBenefit>72</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2024-11-01</CycleStartDate><CycleEndDate>2025-03-01</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><MinimumBenefit>26</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2024-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>RE003</BillingCode><Name>Bodyguard Pump infusion sets</Name><Description>Single use sterile disposble infusion set for use with Bodyguard Infusion Pump</Description><Size>230 cm length</Size><SupplierCode>RE</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>188</SubCategoryID><GroupID>1541</GroupID><SubGroupID>4191</SubGroupID><ARTGs><ARTG>119624</ARTG></ARTGs><MinimumBenefit>26</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2015-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SI024</BillingCode><Name>CADD Medication Cassettes</Name><Description>Medication Cassettes for use with CADD pumps</Description><Size>50 mL, 100mL, 250mL</Size><SupplierCode>SI</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>188</SubCategoryID><GroupID>1541</GroupID><SubGroupID>4191</SubGroupID><ARTGs><ARTG>145297</ARTG><ARTG>316997</ARTG></ARTGs><MinimumBenefit>26</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>FX001</BillingCode><PriorBillingCodes><PriorBillingCode>AH005</PriorBillingCode></PriorBillingCodes><Name>ambIT Infusion Pump Cassette</Name><Description>Single use sterile disposable administration set for use with the ambIT Infusion Pump.  The cassette contains a rotary mechanism that pumps the infusion solution at an accurate and controlled rate.  The cassette includes an administration line with either a spike fitting or a luer lock fitting depending on the solution bag used. The line has an inline air filter.</Description><Size>20mm x 10mm x 15mm</Size><SupplierCode>FX</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>188</SubCategoryID><GroupID>1541</GroupID><SubGroupID>4191</SubGroupID><ARTGs><ARTG>228805</ARTG></ARTGs><MinimumBenefit>26</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2019-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>DE777</BillingCode><PriorBillingCodes><PriorBillingCode>TT006</PriorBillingCode></PriorBillingCodes><Name>Sapphire Infusion Cassette and Set</Name><Description>The Sapphire Infusion Cassette and set is a one piece microfibre infusion set with non vented spike, pinch clamp, administration cassette, female luer lock, entrance with a back check valve, pinch clamp and spin male leur lock for use with the sapphire infusion system. The materail components are made from PVC-Non DEHP (tubing, connectors), silicon (Y site and tubing and polypropylene (valves)</Description><Size>210cm</Size><SupplierCode>DE</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>188</SubCategoryID><GroupID>1541</GroupID><SubGroupID>4191</SubGroupID><ARTGs><ARTG>200689</ARTG></ARTGs><MinimumBenefit>26</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>RE004</BillingCode><Name>Sapphire Infusion Cassette and Set</Name><Description>Administration sets with a cassette to be used with the Sapphire Infusion Pump. Options include vented/non-vented spike, male/female luer lock, pinch clamp, roller clamp, needle/needleless Y-site, Pressure Activated Valve (PAV), back check valve, NRFit.</Description><Size>277 - 302.3cm</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>2025-03-01</CycleStartDate><CycleEndDate>2025-03-01</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><MinimumBenefit>26</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2024-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>AN016</BillingCode><Name>t:slim Cartridge</Name><Description>Cartridge for use with the t:slim X2 System</Description><Size>Pack of 10</Size><SupplierCode>AN</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>188</SubCategoryID><GroupID>1541</GroupID><SubGroupID>4192</SubGroupID><ARTGs><ARTG>304681</ARTG></ARTGs><MinimumBenefit>8</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2019-03-01</CycleStartDate><CycleEndDate>2025-03-01</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><MinimumBenefit>8</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2024-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SI028</BillingCode><Name>CADD Extention Set</Name><Description>CADD Extension set for use with CADD Pumps</Description><Size>Various</Size><SupplierCode>SI</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>188</SubCategoryID><GroupID>1541</GroupID><SubGroupID>4193</SubGroupID><ARTGs><ARTG>145297</ARTG><ARTG>317222</ARTG></ARTGs><MinimumBenefit>7</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SI040</BillingCode><Name>Administration Set</Name><Description>Administration Set for use with CADD pump</Description><Size>Various configurations</Size><SupplierCode>SI</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>188</SubCategoryID><GroupID>1541</GroupID><SubGroupID>4193</SubGroupID><ARTGs><ARTG>316996</ARTG><ARTG>145297</ARTG></ARTGs><MinimumBenefit>7</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SI026</BillingCode><Name>CADD Administration Set 175cm TOTM tubing</Name><Description>For use with SI036</Description><Size>250 mL</Size><SupplierCode>SI</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>188</SubCategoryID><GroupID>1541</GroupID><SubGroupID>4193</SubGroupID><ARTGs><ARTG>145297</ARTG></ARTGs><MinimumBenefit>7</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</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><MinimumBenefit>7</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2024-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>RE006</BillingCode><Name>Sapphire Infusion Set</Name><Description>Administration sets to be used with the Sapphire Infusion Pump</Description><Size>71cm</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>2025-03-01</CycleStartDate><CycleEndDate>2025-03-01</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>LU</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>188</SubCategoryID><GroupID>1541</GroupID><SubGroupID>4193</SubGroupID><ARTGs><ARTG>401812</ARTG></ARTGs><MinimumBenefit>7</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2024-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SI046</BillingCode><Name>Pump Pouch, single use</Name><Description>Pump pouch, single use 50/100mL</Description><Size>50/100mL</Size><SupplierCode>SI</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>188</SubCategoryID><GroupID>1541</GroupID><SubGroupID>4194</SubGroupID><ARTGs><ARTG>109467</ARTG></ARTGs><MinimumBenefit>45</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-02-01</CycleStartDate><CycleEndDate>2025-03-01</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><MinimumBenefit>45</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2024-11-01</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>JJ</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>ZI</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>51002</ARTG><ARTG>114169</ARTG></ARTGs><MinimumBenefit>1020</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</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>JJ</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>2025-03-01</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>ZI</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>2025-03-01</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>JJ</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>161</SubCategoryID><GroupID>1410</GroupID><SubGroupID>3962</SubGroupID><Suffix>Body, Tumor</Suffix><ARTGs><ARTG>226873</ARTG><ARTG>226872</ARTG></ARTGs><MinimumBenefit>5867</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</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>ZI</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>2025-03-01</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>ZI</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>2025-03-01</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>227163</ARTG><ARTG>284591</ARTG><ARTG>319680</ARTG></ARTGs><MinimumBenefit>4322</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-08-01</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>342977</ARTG><ARTG>340803</ARTG></ARTGs><MinimumBenefit>3591</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-11-01</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</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>ZI</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>161</SubCategoryID><GroupID>1410</GroupID><SubGroupID>3965</SubGroupID><Suffix>Body, Tumour</Suffix><ARTGs><ARTG>238746</ARTG><ARTG>238435</ARTG><ARTG>291301</ARTG></ARTGs><MinimumBenefit>4322</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</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>2025-03-01</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>JJ</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MI399</BillingCode><Name>Freezor Cardiac Cryoablation Catheters</Name><Description>Freezor, Freezor Xtra, Freezor Max: Focal Cryoablation Catheters</Description><Size>7Fr, 9Fr</Size><SupplierCode>MI</SupplierCode><CategoryID>27</CategoryID><SubCategoryID>290</SubCategoryID><GroupID>2947</GroupID><SubGroupID>7352</SubGroupID><Suffix>Medtronic</Suffix><ARTGs><ARTG>412450</ARTG></ARTGs><MinimumBenefit>3550</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BS406</BillingCode><Name>POLARx Cryoablation Balloon Catheter</Name><Description>Flexible, over-the-wire balloon catheter used to ablate cardiac tissue</Description><Size>28mm</Size><SupplierCode>BS</SupplierCode><CategoryID>27</CategoryID><SubCategoryID>290</SubCategoryID><GroupID>2947</GroupID><SubGroupID>7352</SubGroupID><ARTGs><ARTG>367270</ARTG></ARTGs><MinimumBenefit>5100</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2023-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MI301</BillingCode><Name>Arctic Front Advance Cardiac CryoAblation Catheter / Pro</Name><Description>A flexible, over-the-wire balloon catheter used to ablate cardiac tissue</Description><Size>23mm, 28mm</Size><SupplierCode>MI</SupplierCode><CategoryID>27</CategoryID><SubCategoryID>290</SubCategoryID><GroupID>2947</GroupID><SubGroupID>7352</SubGroupID><ARTGs><ARTG>396019</ARTG><ARTG>306567</ARTG></ARTGs><MinimumBenefit>5100</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2019-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BS418</BillingCode><Name>POLARx FIT Cryoablation Balloon Catheter</Name><Description>Flexible, over-the-wire balloon catheter used to ablate cardiac tissue</Description><Size>31mm</Size><SupplierCode>BS</SupplierCode><CategoryID>27</CategoryID><SubCategoryID>290</SubCategoryID><GroupID>2947</GroupID><SubGroupID>7352</SubGroupID><ARTGs><ARTG>409910</ARTG></ARTGs><MinimumBenefit>5100</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2023-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BS407</BillingCode><Name>POLARMAP Circular Mapping Catheter</Name><Description>Multi-electrode catheter designed to record intracardiac electrograms and provide pacing stimulation during electrophysiology procedures.</Description><Size>One size</Size><SupplierCode>BS</SupplierCode><CategoryID>27</CategoryID><SubCategoryID>290</SubCategoryID><GroupID>2947</GroupID><SubGroupID>7353</SubGroupID><ARTGs><ARTG>367271</ARTG></ARTGs><MinimumBenefit>1299</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2023-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MI302</BillingCode><Name>Achieve / Achieve Advance Mapping Catheter</Name><Description>Intra-cardiac electrophysiology circular mapping catheter</Description><Size>15mm, 20mm, 25mm</Size><SupplierCode>MI</SupplierCode><CategoryID>27</CategoryID><SubCategoryID>290</SubCategoryID><GroupID>2947</GroupID><SubGroupID>7353</SubGroupID><ARTGs><ARTG>188676</ARTG><ARTG>231648</ARTG><ARTG>286735</ARTG></ARTGs><MinimumBenefit>1299</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2019-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>OX001</BillingCode><Name>ARMAR LPS Humerus Plates</Name><Description>TiCP humeral locking plates</Description><Size>3-6 holes</Size><SupplierCode>OX</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5273</SubGroupID><Suffix>LK</Suffix><ARTGs><ARTG>286842</ARTG></ARTGs><MinimumBenefit>1205</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>DZ001</BillingCode><Name>Valens Shoulder and Elbow - Elbow</Name><Description>Distal Humerus, Lateral, Medial, Olecranon, Locking Plates</Description><Size>1-6 Holes</Size><SupplierCode>DZ</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5273</SubGroupID><Suffix>LK</Suffix><ARTGs><ARTG>276915</ARTG></ARTGs><MinimumBenefit>1205</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SN916</BillingCode><Name>Peri-Loc</Name><Description>Humerus Plates</Description><Size>≤6 holes</Size><SupplierCode>SN</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5273</SubGroupID><Suffix>LK</Suffix><ARTGs><ARTG>108428</ARTG></ARTGs><MinimumBenefit>1205</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>OX003</BillingCode><Name>ARMAR Distal Humerus Plates</Name><Description>TiCP anatomic humeral locking plates</Description><Size>3-6 holes and left and right</Size><SupplierCode>OX</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5273</SubGroupID><ARTGs><ARTG>286842</ARTG></ARTGs><MinimumBenefit>972</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SL184</BillingCode><Name>Smith &amp; Nephew Plate and Screw System - EVOS</Name><Description>Periarticular Anatomical Plate - Humerus</Description><Size>≤ 6 holes</Size><SupplierCode>SN</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5273</SubGroupID><Suffix>LK</Suffix><ARTGs><ARTG>368492</ARTG><ARTG>108428</ARTG></ARTGs><MinimumBenefit>1205</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SL143</BillingCode><Name>Smith &amp; Nephew Plate and Screw System - EVOS</Name><Description>VAL Periarticular Anatomical Small Fragment plate - Humerus</Description><Size>≤ 6 holes</Size><SupplierCode>SN</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5273</SubGroupID><Suffix>VAL</Suffix><ARTGs><ARTG>108428</ARTG></ARTGs><MinimumBenefit>1488</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2019-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MO352</BillingCode><Name>Acumed Tap Loc Elbow plates</Name><Description>Variable angle locking plate system</Description><Size>≤6 holes lateral</Size><SupplierCode>MO</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5273</SubGroupID><Suffix>VAL</Suffix><ARTGs><ARTG>99824</ARTG></ARTGs><MinimumBenefit>1488</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>DZ073</BillingCode><Name>Austofix Proximal Humeral Plating System - Austofix Proximal Humeral Plate</Name><Description>Anatomic Periarticular Humeral Variable Angle Locking Plate, Titanium</Description><Size>3-5 holes</Size><SupplierCode>DZ</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5273</SubGroupID><Suffix>VAL</Suffix><ARTGs><ARTG>276915</ARTG></ARTGs><MinimumBenefit>1488</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2020-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ZI929</BillingCode><Name>Proximal Humerus Plating System</Name><Description>Proximal Humerus Plates</Description><Size>≤ 6 holes</Size><SupplierCode>ZI</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5273</SubGroupID><Suffix>VAL</Suffix><ARTGs><ARTG>275084</ARTG></ARTGs><MinimumBenefit>1488</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2016-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HW551</BillingCode><Name>VariAx Elbow Plating System</Name><Description>Periarticular anatomic humerus</Description><Size>≤ 6 holes</Size><SupplierCode>JV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5273</SubGroupID><Suffix>VAL</Suffix><ARTGs><ARTG>269713</ARTG></ARTGs><MinimumBenefit>1488</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2015-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LM547</BillingCode><Name>Periarticular Distal Humerus Plates</Name><Description>Direct Medial Plates</Description><Size>75mm Left and Right  6 holes</Size><SupplierCode>LM</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5273</SubGroupID><Suffix>VAL</Suffix><ARTGs><ARTG>278692</ARTG></ARTGs><MinimumBenefit>1488</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2023-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>XT025</BillingCode><PriorBillingCodes><PriorBillingCode>GW035</PriorBillingCode></PriorBillingCodes><Name>WEGO Trauma Systems</Name><Description>Distal Humerus Plating System</Description><Size>≤ 6 Holes</Size><SupplierCode>XT</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5273</SubGroupID><Suffix>LK</Suffix><ARTGs><ARTG>324402</ARTG></ARTGs><ChangeExplanation>
Billing code transferred from GW035
Sponsor transferred from EQUINOX MEDICAL PTY LTD</ChangeExplanation><MinimumBenefit>1205</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2020-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MO425</BillingCode><Name>ACUMED POLARUS® 3 Solution Plates</Name><Description>ACUMED POLARUS 3 SOLUTION, includes plates, intramedullary nails, screws and accessories designed to address fractures, fusions and osteotomies of the humerus</Description><Size>12 and 14 hole plates</Size><SupplierCode>MO</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5274</SubGroupID><Suffix>LK</Suffix><ARTGs><ARTG>99824</ARTG></ARTGs><MinimumBenefit>1330</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2015-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MO353</BillingCode><Name>Acumed Tap Loc Elbow plates</Name><Description>Variable angle locking plate system</Description><Size>≥7 to ≤15 holes medial lateral</Size><SupplierCode>MO</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5274</SubGroupID><Suffix>VAL</Suffix><ARTGs><ARTG>199824</ARTG></ARTGs><MinimumBenefit>1513</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ZI930</BillingCode><Name>Proximal Humerus Plating System</Name><Description>Proximal Humerus Plates</Description><Size>7-15 holes</Size><SupplierCode>ZI</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5274</SubGroupID><Suffix>VAL</Suffix><ARTGs><ARTG>275084</ARTG><ARTG>209306</ARTG></ARTGs><MinimumBenefit>1513</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2016-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>OX004</BillingCode><Name>ARMAR Distal Humerus Plates</Name><Description>TiCP distal humeral anatomical locking plates</Description><Size>7-15 holes</Size><SupplierCode>OX</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5274</SubGroupID><ARTGs><ARTG>286842</ARTG></ARTGs><MinimumBenefit>1033</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LM548</BillingCode><Name>Skeletal Dynamics Distal Humerus Plates</Name><Description>Medial Direct, Lateral Direct, Lateral Capitellar, Lateral Helical, Supracondylar plates</Description><Size>Medial Direct - 105 to 165mm,   Lateral Direct - 85 to 115mm  Lateral Capitellar - 70 to 160mm  Lateral Helical - 85 to 175mm  Supracondylar - 142 to 250mm</Size><SupplierCode>LM</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5274</SubGroupID><Suffix>VAL</Suffix><ARTGs><ARTG>278692</ARTG></ARTGs><MinimumBenefit>1513</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2023-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HW953</BillingCode><PriorBillingCodes><PriorBillingCode>WR443</PriorBillingCode></PriorBillingCodes><Name>ORTHOLOC SPS Humeral Plates - Standard &amp; Posterior</Name><Description>Stainless steel variable angle locking periarticular anatomic humeral plate, standard and posterior.</Description><Size>≥ 7 to ≤ 15 holes, right &amp; left</Size><SupplierCode>JV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5274</SubGroupID><Suffix>VAL</Suffix><ARTGs><ARTG>370409</ARTG></ARTGs><MinimumBenefit>1513</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ365</BillingCode><PriorBillingCodes><PriorBillingCode>LM275</PriorBillingCode></PriorBillingCodes><Name>PANTERA Proximal Humerus Fracture Fixation Plate System - Plates</Name><Description>Proximal Humerus Plate</Description><Size>≥ 7 to ≤ 15 holes</Size><SupplierCode>LH</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5274</SubGroupID><Suffix>VAL</Suffix><ARTGs><ARTG>182168</ARTG></ARTGs><MinimumBenefit>1513</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2016-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HW803</BillingCode><PriorBillingCodes><PriorBillingCode>WR225</PriorBillingCode></PriorBillingCodes><Name>Evolve Ortholco EPS System - Distal Humerus</Name><Description>Stainless Steel, Polyaxial Locking Plate, Straight, Coronal, Medial, Lateral, Posterolateral</Description><Size>Right &amp; left, 2.7 &amp; 3.5mm</Size><SupplierCode>JV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5274</SubGroupID><Suffix>VAL</Suffix><ARTGs><ARTG>326629</ARTG></ARTGs><MinimumBenefit>1513</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HW957</BillingCode><PriorBillingCodes><PriorBillingCode>WR447</PriorBillingCode></PriorBillingCodes><Name>ORTHOLOC SPS Greater Tuberosity Plate</Name><Description>Stainless steel peri-articular anatomic variable angle locking plate for greater tuberosity fixation</Description><Size>One size only</Size><SupplierCode>JV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5274</SubGroupID><Suffix>VAL</Suffix><ARTGs><ARTG>370409</ARTG></ARTGs><MinimumBenefit>1513</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BH290</BillingCode><Name>ALPS Elbow System</Name><Description>Humeral Titanium Plates</Description><Size>Small - Large, 7 to 15 holes</Size><SupplierCode>ZI</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5274</SubGroupID><Suffix>VAL</Suffix><ARTGs><ARTG>209306</ARTG></ARTGs><MinimumBenefit>1513</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2013-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SK569</BillingCode><Name>Stryker Plating System</Name><Description>Stryker locked plating system</Description><Size>7-15 Holes</Size><SupplierCode>JV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5274</SubGroupID><Suffix>VAL</Suffix><ARTGs><ARTG>119848</ARTG><ARTG>139635</ARTG></ARTGs><MinimumBenefit>1513</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SY763</BillingCode><Name>AO/ASIF Plate</Name><Description>Locking Perarticular Anatomic Humerus plate</Description><Size>≥ 7 - ≤ 15 holes</Size><SupplierCode>JJ</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5274</SubGroupID><Suffix>VAL</Suffix><ARTGs><ARTG>157069</ARTG></ARTGs><MinimumBenefit>1513</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2013-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>JD006</BillingCode><Name>CarboFix Piccolo Proximal Humerus Plate Systems – Plate component</Name><Description>CFR-PEEK proximal humerus plate</Description><Size>100mm, 120mm, 154mm, 190mm, 262mm</Size><SupplierCode>JD</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5274</SubGroupID><Suffix>VAL</Suffix><ARTGs><ARTG>222648</ARTG></ARTGs><MinimumBenefit>1513</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SL135</BillingCode><Name>Smith &amp; Nephew Plate and Screw System - EVOS</Name><Description>VAL Periarticular Anatomical Small Fragment plate - Humerus</Description><Size>≥ 7 to ≤ 15 holes</Size><SupplierCode>SN</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5274</SubGroupID><Suffix>VAL</Suffix><ARTGs><ARTG>108428</ARTG></ARTGs><MinimumBenefit>1513</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2019-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ261</BillingCode><Name>LORRAINE 3.5mm Distal Humerus Plate</Name><Description>Distal Humerus Plate</Description><Size>Posterolateral and Extraarticular, 8 to 13 holes</Size><SupplierCode>LQ</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5274</SubGroupID><Suffix>VAL</Suffix><ARTGs><ARTG>433150</ARTG></ARTGs><MinimumBenefit>1513</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2024-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ260</BillingCode><Name>LORRAINE 3.5mm Distal Humerus Plate</Name><Description>Distal Humerus Plate</Description><Size>Medial and Posterolateral, 4 and 5 holes</Size><SupplierCode>LQ</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5274</SubGroupID><Suffix>VAL</Suffix><ARTGs><ARTG>433150</ARTG></ARTGs><MinimumBenefit>1513</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2024-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ281</BillingCode><Name>TAMINA 3.5mm Proximal Humerus Plate</Name><Description>Proximal Humerus Plate</Description><Size>Standard and TF Plates, 3 to 5 holes</Size><SupplierCode>LQ</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5274</SubGroupID><Suffix>VAL</Suffix><ARTGs><ARTG>433150</ARTG></ARTGs><MinimumBenefit>1513</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2024-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>XT026</BillingCode><PriorBillingCodes><PriorBillingCode>GW036</PriorBillingCode></PriorBillingCodes><Name>WEGO Trauma Systems</Name><Description>Humerus Plating Systems</Description><Size>7 - 15 Holes</Size><SupplierCode>XT</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5274</SubGroupID><Suffix>LK</Suffix><ARTGs><ARTG>324402</ARTG></ARTGs><ChangeExplanation>
Billing code transferred from GW036
Sponsor transferred from EQUINOX MEDICAL PTY LTD</ChangeExplanation><MinimumBenefit>1330</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2020-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SK555</BillingCode><PriorBillingCodes><PriorBillingCode>SK379</PriorBillingCode></PriorBillingCodes><Name>AxSOS 3 Titanium 4.0mm System </Name><Description>Proximal Humerus Locking Plate, used with 4.0mm screws.</Description><Size>11-14 hole</Size><SupplierCode>JV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5274</SubGroupID><Suffix>LK</Suffix><ARTGs><ARTG>352530</ARTG><ARTG>352531</ARTG></ARTGs><ChangeExplanation>Change to Product name, ARTG, Description</ChangeExplanation><MinimumBenefit>1330</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Update</ActionFlag><CycleStartDate>2012-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>TN033</BillingCode><Name>Newclip Humerus Plates</Name><Description>Plates for fixation of fractures of the distal humerus and proximal ulnar</Description><Size>7 - 15 holes</Size><SupplierCode>TN</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5274</SubGroupID><Suffix>LK</Suffix><ARTGs><ARTG>260232</ARTG><ARTG>260229</ARTG></ARTGs><MinimumBenefit>1330</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>OX002</BillingCode><Name>ARMAR LPS Humerus Plates</Name><Description>TiCP anatomical humeral locking plates</Description><Size>7-15 holes</Size><SupplierCode>OX</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5274</SubGroupID><Suffix>LK</Suffix><ARTGs><ARTG>286842</ARTG></ARTGs><MinimumBenefit>1330</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SY762</BillingCode><Name>AO/ASIF Plate</Name><Description>Locking Perarticular Anatomic Humerus plate</Description><Size>≥ 7 - ≤ 15 holes</Size><SupplierCode>JJ</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5274</SubGroupID><Suffix>LK</Suffix><ARTGs><ARTG>157069</ARTG></ARTGs><MinimumBenefit>1330</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2013-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>DZ002</BillingCode><Name>Austofix Small Fragment System </Name><Description>Humeral Plates – Dorsal, Distal, Distal Medial, Distal Lateral, Proximal</Description><Size>7-15 Holes</Size><SupplierCode>DZ</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5274</SubGroupID><Suffix>VAL</Suffix><ARTGs><ARTG>276915</ARTG></ARTGs><ChangeExplanation>Change to Product name, Description</ChangeExplanation><MinimumBenefit>1513</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Update</ActionFlag><CycleStartDate>2017-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>DZ025</BillingCode><Name>Austofix PHP - Proximal Humeral Plating System</Name><Description>Anatomic Periarticular Humeral Variable Angle Locking Plate, Titanium</Description><Size>7-15 Hole</Size><SupplierCode>DZ</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5274</SubGroupID><Suffix>VAL</Suffix><ARTGs><ARTG>276915</ARTG></ARTGs><MinimumBenefit>1513</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SL185</BillingCode><Name>Smith &amp; Nephew Plate and Screw System - EVOS</Name><Description>Periarticular Anatomical Plate - Humerus</Description><Size> ≥ 7 to ≤ 15 holes</Size><SupplierCode>SN</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5274</SubGroupID><Suffix>LK</Suffix><ARTGs><ARTG>108428</ARTG><ARTG>368492</ARTG></ARTGs><MinimumBenefit>1330</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>TN020</BillingCode><Name>Newclip Proximal Humerus Plate</Name><Description>Proximal Humerus Plate</Description><Size>1/2/3</Size><SupplierCode>TN</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5274</SubGroupID><Suffix>VAL</Suffix><ARTGs><ARTG>260232</ARTG></ARTGs><MinimumBenefit>1513</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2016-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>EO078</BillingCode><Name>Aptus Elbow</Name><Description>Distal Humerus Plpates, Lateral,Middle and Posterolateral</Description><Size>2.8mm</Size><SupplierCode>EO</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5274</SubGroupID><Suffix>VAL</Suffix><ARTGs><ARTG>141170</ARTG></ARTGs><MinimumBenefit>1513</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>TN013</BillingCode><Name>Newclip Distal Humerus Plates - Periarticular 7-15 holes</Name><Description>Plates for the fixation of fractures of the elbow</Description><Size>Periarticular anatomic - Humerus ≥ 7 to ≤ 15 holes</Size><SupplierCode>TN</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5274</SubGroupID><Suffix>VAL</Suffix><ARTGs><ARTG>260229</ARTG><ARTG>260232</ARTG></ARTGs><MinimumBenefit>1513</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2016-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SN917</BillingCode><Name>Peri-Loc</Name><Description>Humerus Plates</Description><Size>≥7 to ≤15 holes</Size><SupplierCode>SN</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5274</SubGroupID><Suffix>LK</Suffix><ARTGs><ARTG>108428</ARTG></ARTGs><MinimumBenefit>1330</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HW958</BillingCode><PriorBillingCodes><PriorBillingCode>WR448</PriorBillingCode></PriorBillingCodes><Name>ORTHOLOC SPS Humeral Plates - Standard (Long)</Name><Description>Stainless steel variable angle locking periarticular anatomic humeral plate</Description><Size>≥ 16 holes</Size><SupplierCode>JV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5275</SubGroupID><Suffix>VAL</Suffix><ARTGs><ARTG>370409</ARTG></ARTGs><MinimumBenefit>1643</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HW804</BillingCode><PriorBillingCodes><PriorBillingCode>WR226</PriorBillingCode></PriorBillingCodes><Name>Evolve Ortholco EPS System - Distal Humerus</Name><Description>Stainless Steel, Polyaxial Locking Plate, Straight, Coronal, Medial, Lateral, Posterolateral</Description><Size>Right &amp; left, 2.7 &amp; 3.5mm</Size><SupplierCode>JV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5275</SubGroupID><Suffix>VAL</Suffix><ARTGs><ARTG>326629</ARTG></ARTGs><MinimumBenefit>1643</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>XT019</BillingCode><PriorBillingCodes><PriorBillingCode>GW023</PriorBillingCode></PriorBillingCodes><Name>WEGO Trauma Systems</Name><Description>Humerus Plating Systems</Description><Size>≥ 16 Holes</Size><SupplierCode>XT</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5275</SubGroupID><Suffix>LK</Suffix><ARTGs><ARTG>324402</ARTG></ARTGs><ChangeExplanation>
Billing code transferred from GW023
Sponsor transferred from EQUINOX MEDICAL PTY LTD</ChangeExplanation><MinimumBenefit>1330</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2020-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ364</BillingCode><PriorBillingCodes><PriorBillingCode>LM276</PriorBillingCode></PriorBillingCodes><Name>PANTERA Proximal Humerus Fracture Fixation Plate System - Plate ≥ 16 holes</Name><Description>Proximal Humerus Plate</Description><Size>≥ 16 holes</Size><SupplierCode>LH</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5275</SubGroupID><Suffix>VAL</Suffix><ARTGs><ARTG>182168</ARTG></ARTGs><MinimumBenefit>1643</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2016-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SK570</BillingCode><Name>Stryker Plating System</Name><Description>Stryker locked plating system</Description><Size>16-17 Hole</Size><SupplierCode>JV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5275</SubGroupID><Suffix>VAL</Suffix><ARTGs><ARTG>119848</ARTG><ARTG>139635</ARTG></ARTGs><MinimumBenefit>1643</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ZA116</BillingCode><Name>ALPS Elbow System</Name><Description>Humeral Titanium Plates</Description><Size>≥ 16 holes</Size><SupplierCode>ZI</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5275</SubGroupID><Suffix>VAL</Suffix><ARTGs><ARTG>209306</ARTG></ARTGs><MinimumBenefit>1643</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2023-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ZA114</BillingCode><Name>Proximal Humerus Plating System</Name><Description>Proximal Humerus Plates</Description><Size>&gt;15 holes</Size><SupplierCode>ZI</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5275</SubGroupID><Suffix>VAL</Suffix><ARTGs><ARTG>275084</ARTG><ARTG>209306</ARTG></ARTGs><MinimumBenefit>1643</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MO429</BillingCode><Name>ACUMED POLARUS* 3 Solution, Humeral Plates, Sterile and Non-Sterile</Name><Description>ACUMED POLARUS 3 SOLUTION, includes plates, intramedullary nails, screws and accessories designed to address fractures, fusions and osteotomies of the humerus</Description><Size>16 , 18 , 22 , 26  and 30 hole plates</Size><SupplierCode>MO</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5275</SubGroupID><Suffix>LK</Suffix><ARTGs><ARTG>99824</ARTG></ARTGs><MinimumBenefit>1330</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2015-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>OX005</BillingCode><Name>ARMAR Distal Humerus Plates</Name><Description>TiCP distal humeral locking plates</Description><Size>16-18 holes</Size><SupplierCode>OX</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5275</SubGroupID><ARTGs><ARTG>286842</ARTG></ARTGs><MinimumBenefit>1074</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SL128</BillingCode><Name>Smith &amp; Nephew Plate and Screw System - EVOS</Name><Description>VAL Periarticular Anatomical Small Fragment plate - Humerus</Description><Size>≥ 16 holes</Size><SupplierCode>SN</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5275</SubGroupID><Suffix>VAL</Suffix><ARTGs><ARTG>108428</ARTG></ARTGs><MinimumBenefit>1643</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2019-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SY755</BillingCode><Name>AO/ASIF Plates</Name><Description>Anatomical Locking Humerus Plate</Description><Size>≥ 16 holes</Size><SupplierCode>JJ</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5275</SubGroupID><Suffix>VAL</Suffix><ARTGs><ARTG>157069</ARTG></ARTGs><MinimumBenefit>1643</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2013-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SK556</BillingCode><PriorBillingCodes><PriorBillingCode>SK379</PriorBillingCode></PriorBillingCodes><Name>AxSOS 3 Titanium 4.0mm System </Name><Description>Proximal Humerus Locking Plate, used with 4.0mm screws.</Description><Size>16-28 hole</Size><SupplierCode>JV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5275</SubGroupID><Suffix>LK</Suffix><ARTGs><ARTG>352530</ARTG><ARTG>352531</ARTG></ARTGs><ChangeExplanation>Change to Product name, ARTG, Description, Size</ChangeExplanation><MinimumBenefit>1330</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Update</ActionFlag><CycleStartDate>2012-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SY754</BillingCode><Name>AO/ASIF Plates</Name><Description>Anatomical Locking Humerus Plate</Description><Size>≥ 16 holes</Size><SupplierCode>JJ</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5275</SubGroupID><Suffix>LK</Suffix><ARTGs><ARTG>157069</ARTG></ARTGs><MinimumBenefit>1330</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2013-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>TN042</BillingCode><Name>Newclip Humerus Plates</Name><Description>Plates for fixation of fractures of the distal humerus and proximal ulna</Description><Size>≥ 16 holes</Size><SupplierCode>TN</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5275</SubGroupID><Suffix>LK</Suffix><ARTGs><ARTG>260229</ARTG><ARTG>260232</ARTG></ARTGs><MinimumBenefit>1330</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MO354</BillingCode><Name>Acumed Tap Loc Elbow plates</Name><Description>Variable angle locking plate system</Description><Size>≥16 holes</Size><SupplierCode>MO</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5275</SubGroupID><Suffix>VAL</Suffix><ARTGs><ARTG>99824</ARTG></ARTGs><MinimumBenefit>1643</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ297</BillingCode><Name>TAMINA 3.5mm Proximal Humerus Plate</Name><Description>Proximal Humerus Plate</Description><Size>Standard and TF Plates 5, 9 to 13 holes, long</Size><SupplierCode>LQ</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5275</SubGroupID><Suffix>VAL</Suffix><ARTGs><ARTG>433150</ARTG></ARTGs><MinimumBenefit>1643</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2024-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>EO087</BillingCode><Name>Aptus Shoulder (Proximal Humerus Plates)</Name><Description>Proximal Humerus Fixation plates</Description><Size>3.5mm System</Size><SupplierCode>EO</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5275</SubGroupID><Suffix>VAL</Suffix><ARTGs><ARTG>141170</ARTG></ARTGs><MinimumBenefit>1643</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2013-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>TN070</BillingCode><Name>Newclip Humerus Plates</Name><Description>Periarticular plate for humerus</Description><Size>≥ 16 holes</Size><SupplierCode>TN</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5275</SubGroupID><Suffix>VAL</Suffix><ARTGs><ARTG>260229</ARTG><ARTG>260232</ARTG></ARTGs><MinimumBenefit>1643</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>EO079</BillingCode><Name>Aptus Elbow</Name><Description>Distal Humerus Plates Posterolateral</Description><Size>2.8mm System</Size><SupplierCode>EO</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5275</SubGroupID><Suffix>VAL</Suffix><ARTGs><ARTG>141170</ARTG></ARTGs><MinimumBenefit>1643</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>TN012</BillingCode><Name>Newclip Disal Humerus Plates - Perarticular 16+ holes</Name><Description>Plates for the fixation of fractures of the elbow</Description><Size>Periarticular anatomic - Humerus ≥ 16 holes, VAL</Size><SupplierCode>TN</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5275</SubGroupID><Suffix>VAL</Suffix><ARTGs><ARTG>260232</ARTG><ARTG>260229</ARTG></ARTGs><MinimumBenefit>1643</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2016-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HW435</BillingCode><Name>E-POR Biomaterial/ Craniotomy Gap Wedge Porous Polyethylene</Name><Description>Craniotomy Gap Wedge Porous Polyethylene</Description><Size>One Size - V and T shape</Size><SupplierCode>JV</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>199</SubCategoryID><GroupID>1591</GroupID><SubGroupID>4335</SubGroupID><ARTGs><ARTG>144944</ARTG></ARTGs><MinimumBenefit>375</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2011-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>JK036</BillingCode><PriorBillingCodes><PriorBillingCode>UQ035</PriorBillingCode></PriorBillingCodes><Name>OsteoMed Plating &amp; Fixation System</Name><Description>Screws</Description><Size>MMF / Anchorage Screws 1.2/1.6/2.0mm Anchor, Bone</Size><SupplierCode>JK</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>199</SubCategoryID><GroupID>1591</GroupID><SubGroupID>4336</SubGroupID><ARTGs><ARTG>130509</ARTG></ARTGs><MinimumBenefit>137</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BB289</BillingCode><Name>CranioFix Absorbable</Name><Description>Double sided Cranial clamp, absorbable polyester</Description><Size>11mm, 16mm</Size><SupplierCode>BB</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>199</SubCategoryID><GroupID>1591</GroupID><SubGroupID>4337</SubGroupID><ARTGs><ARTG>125104</ARTG></ARTGs><MinimumBenefit>93</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2007-06-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BB384</BillingCode><PriorBillingCodes><PriorBillingCode>BB072</PriorBillingCode><PriorBillingCode>BB073</PriorBillingCode><PriorBillingCode>BB168</PriorBillingCode></PriorBillingCodes><Name>CranioFix</Name><Description>Titanium Skull Fixation Clamp</Description><Size>11mm - 20mm</Size><SupplierCode>BB</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>199</SubCategoryID><GroupID>1591</GroupID><SubGroupID>4337</SubGroupID><ARTGs><ARTG>138311</ARTG></ARTGs><MinimumBenefit>93</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>JK037</BillingCode><PriorBillingCodes><PriorBillingCode>UQ036</PriorBillingCode></PriorBillingCodes><Name>OsteoMed Plating &amp; Fixation System</Name><Description>Screws</Description><Size>Locking Screw Inserts, Other ancillary</Size><SupplierCode>JK</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>199</SubCategoryID><GroupID>1591</GroupID><SubGroupID>4338</SubGroupID><ARTGs><ARTG>130509</ARTG></ARTGs><MinimumBenefit>137</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>WC264</BillingCode><Name>SYSTEM-  Doppler Blood Flow Monitoring System. COMPONENT - Cook-Swartz Implantable Doppler Flow Probe</Name><Description>The Cook-Swartz Implantable Doppler Flow Probe is an implantable 20MHz Probe with epoxy-coated Crystal and patented Silicone Cuff which provides continuous direct vessel monitoring of microvascular anastomoses. A 30cm wire with external Retention Tabs is attached to the 1mm diameter Crystal.</Description><Size>Cuff Lengths: 17.4 and 32mm</Size><SupplierCode>WC</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>199</SubCategoryID><GroupID>1591</GroupID><SubGroupID>4340</SubGroupID><ARTGs><ARTG>187643</ARTG></ARTGs><MinimumBenefit>380</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2009-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>KT018</BillingCode><Name>Martin Distraction Osteogenesis Rigid External Distraction (Polley RED II)</Name><Description>Distractor System, Complete, External, Midface, Aluminium, Carbon Fibre</Description><Size>one size only</Size><SupplierCode>KT</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>202</SubCategoryID><GroupID>1603</GroupID><SubGroupID>4396</SubGroupID><Suffix>Multivector</Suffix><ARTGs><ARTG>113786</ARTG></ARTGs><MinimumBenefit>7897</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2015-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SY401</BillingCode><Name>External Midface Distractor System</Name><Description>Head Frame Assembly, Carbon Fibre Rods</Description><Size>One size only</Size><SupplierCode>JJ</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>202</SubCategoryID><GroupID>1603</GroupID><SubGroupID>4396</SubGroupID><Suffix>Multivector</Suffix><ARTGs><ARTG>155806</ARTG></ARTGs><MinimumBenefit>7897</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2007-12-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>KT016</BillingCode><Name>Martin Distraction Osteogenesis</Name><Description>Distractor System, Complete, other, titanium</Description><Size>1.5mm</Size><SupplierCode>KT</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>202</SubCategoryID><GroupID>1603</GroupID><SubGroupID>4396</SubGroupID><Suffix>Single Vector</Suffix><ARTGs><ARTG>113786</ARTG></ARTGs><MinimumBenefit>4114</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2015-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>KT065</BillingCode><Name>IPS Custom Distractor</Name><Description>Internal distractor with patient specific 3D Printed plates and/or standard implant parts that have been adjusted to patients anatomical structures and needs.</Description><Size>1mm – 2mm</Size><SupplierCode>KT</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>202</SubCategoryID><GroupID>1603</GroupID><SubGroupID>4399</SubGroupID><Suffix>Multivector</Suffix><ARTGs><ARTG>113786</ARTG></ARTGs><MinimumBenefit>2608</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2019-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SY753</BillingCode><Name>Curvilinear Distraction System</Name><Description>Curvilinear Distraction, Right Left</Description><Size>30mm - 100mm radius</Size><SupplierCode>JJ</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>202</SubCategoryID><GroupID>1603</GroupID><SubGroupID>4399</SubGroupID><Suffix>Multivector</Suffix><ARTGs><ARTG>183673</ARTG></ARTGs><MinimumBenefit>2608</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2013-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>JK044</BillingCode><PriorBillingCodes><PriorBillingCode>UQ041</PriorBillingCode></PriorBillingCodes><Name>Logic Distraction System</Name><Description>Distractor, spacers &amp; activation set</Description><Size>Straight, Curved 18-52mm</Size><SupplierCode>JK</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>202</SubCategoryID><GroupID>1603</GroupID><SubGroupID>4399</SubGroupID><Suffix>Multivector</Suffix><ARTGs><ARTG>130510</ARTG></ARTGs><MinimumBenefit>2608</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>KT019</BillingCode><Name>Martin Distraction Osteogenesis</Name><Description>Distractor System, Complete, other, titanium</Description><Size>15-60 mm distraction length</Size><SupplierCode>KT</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>202</SubCategoryID><GroupID>1603</GroupID><SubGroupID>4399</SubGroupID><Suffix>Multivector</Suffix><ARTGs><ARTG>113786</ARTG></ARTGs><MinimumBenefit>2608</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2015-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SK183</BillingCode><Name>Leibinger Intraoral Distractor (Multiguide II)</Name><Description>Manufactured from stainless steel, allows gradual, independent, and simultaneous distraction of the mandible in 3 planes.</Description><Size>Frame 20mm - 35mm, 2.0mm diameter, 50 - 90 mm length Auto - Pilot Pins</Size><SupplierCode>JV</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>202</SubCategoryID><GroupID>1603</GroupID><SubGroupID>4399</SubGroupID><Suffix>Multivector</Suffix><ARTGs><ARTG>200615</ARTG></ARTGs><MinimumBenefit>2608</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>KT011</BillingCode><Name>Martin Distraction Osteogenesis</Name><Description>Distractor System, Complete, internal/intraoral, titanium</Description><Size>10 to 20 mm</Size><SupplierCode>KT</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>202</SubCategoryID><GroupID>1603</GroupID><SubGroupID>4399</SubGroupID><Suffix>Single Vector</Suffix><ARTGs><ARTG>113786</ARTG></ARTGs><MinimumBenefit>1906</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2015-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SY399</BillingCode><Name>Alveolar Distractor</Name><Description>Vertical mandibular, maxilla alveolar ridge distractor</Description><Size>8-16mm</Size><SupplierCode>JJ</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>202</SubCategoryID><GroupID>1603</GroupID><SubGroupID>4399</SubGroupID><Suffix>Single Vector</Suffix><ARTGs><ARTG>155806</ARTG></ARTGs><MinimumBenefit>1906</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2007-12-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MI519</BillingCode><Name>InterStim X System – Neurostimulator</Name><Description>Recharge-free implantable neurostimulator</Description><Size>One size only</Size><SupplierCode>MI</SupplierCode><CategoryID>26</CategoryID><SubCategoryID>232</SubCategoryID><GroupID>1712</GroupID><SubGroupID>7380</SubGroupID><ARTGs><ARTG>421914</ARTG></ARTGs><MinimumBenefit>9606</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2023-11-01</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>JV033</BillingCode><Name>Knotilus+ PEEK Knotless Anchor </Name><Description>Knotilus+ PEEK Knotless Anchor – a soft-tissue fixation device</Description><Size>Diameter: 2.4-2.9mm, Length: 8.9-15.5mm</Size><SupplierCode>JV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1774</GroupID><SubGroupID>5382</SubGroupID><ARTGs><ARTG>229717</ARTG></ARTGs><ChangeExplanation>New listing</ChangeExplanation><MinimumBenefit>234</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2025-03-01</CycleStartDate><CycleEndDate>2025-03-01</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>ZI</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BI969</BillingCode><Name>JuggerStitch</Name><Description>Meniscal Repair Device</Description><Size>one size</Size><SupplierCode>ZI</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>JJ</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>SN</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>2025-03-01</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>2025-03-01</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>SN</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>2025-03-01</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>JJ</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>2025-03-01</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><MinimumBenefit>294</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2020-03-01</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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><MinimumBenefit>294</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2020-03-01</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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><MinimumBenefit>294</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2020-03-01</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>SN</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>2025-03-01</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>SN</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>2025-03-01</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><MinimumBenefit>294</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2024-11-01</CycleStartDate><CycleEndDate>2025-03-01</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>SN</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1774</GroupID><SubGroupID>5384</SubGroupID><ARTGs><ARTG>109451</ARTG><ARTG>428211</ARTG></ARTGs><MinimumBenefit>294</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2023-11-01</CycleStartDate><CycleEndDate>2025-03-01</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>XF</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1774</GroupID><SubGroupID>5384</SubGroupID><ARTGs><ARTG>421650</ARTG></ARTGs><MinimumBenefit>294</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2024-11-01</CycleStartDate><CycleEndDate>2025-03-01</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>XF</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1774</GroupID><SubGroupID>5384</SubGroupID><ARTGs><ARTG>421632</ARTG></ARTGs><MinimumBenefit>294</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2024-11-01</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</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>JJ</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1774</GroupID><SubGroupID>5384</SubGroupID><ARTGs><ARTG>136374</ARTG><ARTG>161092</ARTG></ARTGs><MinimumBenefit>294</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</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>XF</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1774</GroupID><SubGroupID>5384</SubGroupID><ARTGs><ARTG>421632</ARTG></ARTGs><MinimumBenefit>294</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2024-11-01</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</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>JJ</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>2025-03-01</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>SN</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>2025-03-01</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>2025-03-01</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><MinimumBenefit>294</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2024-11-01</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</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>SN</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1774</GroupID><SubGroupID>5384</SubGroupID><Suffix>AB</Suffix><ARTGs><ARTG>204890</ARTG><ARTG>164727</ARTG><ARTG>164726</ARTG><ARTG>164725</ARTG><ARTG>204889</ARTG></ARTGs><MinimumBenefit>503</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2010-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>JJ926</BillingCode><Name>MiniLok Anchor System</Name><Description>Suture Anchor</Description><Size>2.3mm</Size><SupplierCode>JJ</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>ZI</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>2025-03-01</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>JJ</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>2025-03-01</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>JV029</BillingCode><Name>ICONIX Knotless</Name><Description>ICONIX Knotless Anchor and Suture</Description><Size>2.3mm </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>2025-03-01</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>SN</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>2025-03-01</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>SN</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>SN</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>ZI</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>SN</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>2025-03-01</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>2025-03-01</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LH772</BillingCode><PriorBillingCodes><PriorBillingCode>KH062</PriorBillingCode></PriorBillingCodes><Name>Healfix Anchor System</Name><Description>Titanium Suture Anchor</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>
Billing code transferred from KH062
Sponsor transferred from KH NXGEN (AUST) PTY LIMITED</ChangeExplanation><MinimumBenefit>442</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2020-03-01</CycleStartDate><CycleEndDate>2025-03-01</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>SN</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>SN</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>2025-03-01</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>JJ</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>JJ</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>2025-03-01</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>JJ</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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><MinimumBenefit>442</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2020-03-01</CycleStartDate><CycleEndDate>2025-03-01</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><MinimumBenefit>442</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2024-11-01</CycleStartDate><CycleEndDate>2025-03-01</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>SN</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>2025-03-01</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>2025-03-01</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>JJ</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>2025-03-01</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>SN</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>2025-03-01</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>SN</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>2025-03-01</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>JJ</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>2025-03-01</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>2025-03-01</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>JJ</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>2025-03-01</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>2025-03-01</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>SN</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SN854</BillingCode><Name>Fast-Fix Ultra</Name><Description>Meniscal suture anchor</Description><Size>One Size</Size><SupplierCode>SN</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BI968</BillingCode><Name>ToggleLoc</Name><Description>Femoral Fixation Device</Description><Size>15mm-60mm</Size><SupplierCode>ZI</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>2025-03-01</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>ZI</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>2025-03-01</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>2025-03-01</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><MinimumBenefit>442</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2024-11-01</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>XF</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1774</GroupID><SubGroupID>5385</SubGroupID><ARTGs><ARTG>417256</ARTG></ARTGs><MinimumBenefit>442</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2024-11-01</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</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>XF</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1774</GroupID><SubGroupID>5385</SubGroupID><ARTGs><ARTG>417256</ARTG></ARTGs><MinimumBenefit>442</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2024-11-01</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>XF</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1774</GroupID><SubGroupID>5385</SubGroupID><ARTGs><ARTG>417256</ARTG></ARTGs><MinimumBenefit>442</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2024-11-01</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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><MinimumBenefit>442</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2020-03-01</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>JJ928</BillingCode><Name>Bioknotless Anchor System</Name><Description>Suture Anchor</Description><Size>3.9mm</Size><SupplierCode>JJ</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1774</GroupID><SubGroupID>5385</SubGroupID><Suffix>AB</Suffix><ARTGs><ARTG>154629</ARTG><ARTG>154630</ARTG></ARTGs><MinimumBenefit>501</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2013-08-01</CycleStartDate><CycleEndDate>2025-03-01</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>SN</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>2025-03-01</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>SN</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>JJ</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>2025-03-01</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>JJ</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>2025-03-01</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>2025-03-01</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>2025-03-01</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><MinimumBenefit>442</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2020-03-01</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MN171</BillingCode><Name>Lupine Anchor System</Name><Description>Suture Anchor</Description><Size>3.9mm</Size><SupplierCode>JJ</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>2025-03-01</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>2025-03-01</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>ZI</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>ZI</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>SN</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1774</GroupID><SubGroupID>5385</SubGroupID><Suffix>AB</Suffix><ARTGs><ARTG>164727</ARTG><ARTG>164726</ARTG><ARTG>169170</ARTG><ARTG>164725</ARTG><ARTG>161696</ARTG><ARTG>348730</ARTG></ARTGs><MinimumBenefit>501</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2019-11-01</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</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>ZI</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>2025-03-01</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>JJ</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HU374</BillingCode><Name>SwiveLock SP</Name><Description>SwiveLock SP PEEK Suture Anchor</Description><Size>4.75mm &amp; 5.5mm</Size><SupplierCode>HU</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1774</GroupID><SubGroupID>5387</SubGroupID><ARTGs><ARTG>353482</ARTG></ARTGs><ChangeExplanation>New listing</ChangeExplanation><MinimumBenefit>442</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2025-03-01</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>JJ</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>2025-03-01</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>2025-03-01</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>ZI</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>2025-03-01</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>ZI</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>2025-03-01</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>2025-03-01</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SL046</BillingCode><Name>HEALICOIL REGENESORB</Name><Description>HEALICOIL REGENESORB Suture Anchors pre-loaded with ULTRATAPE or ULTRABRAID or MINITAPE sutures</Description><Size>4.75mm and 5.5mm</Size><SupplierCode>SN</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1774</GroupID><SubGroupID>5387</SubGroupID><Suffix>AB</Suffix><ARTGs><ARTG>231879</ARTG><ARTG>276921</ARTG><ARTG>460028</ARTG></ARTGs><ChangeExplanation>Change to ARTG, Description</ChangeExplanation><MinimumBenefit>501</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Update</ActionFlag><CycleStartDate>2015-02-01</CycleStartDate><CycleEndDate>2025-03-01</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>JJ</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>2025-03-01</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>SN</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>SN</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>2025-03-01</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>SN</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1774</GroupID><SubGroupID>5387</SubGroupID><ARTGs><ARTG>428211</ARTG><ARTG>120338</ARTG><ARTG>109451</ARTG></ARTGs><MinimumBenefit>442</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2023-11-01</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</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>SN</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>2025-03-01</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>2025-03-01</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>SN</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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><MinimumBenefit>442</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2020-03-01</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>ZI</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>151656</ARTG><ARTG>152291</ARTG></ARTGs><MinimumBenefit>442</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</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>ZI</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>2025-03-01</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>ZI</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>2025-03-01</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>JJ</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>2025-03-01</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>JJ</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>2025-03-01</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>JJ</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>2025-03-01</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>JJ</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>2025-03-01</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>2025-03-01</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>JJ</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>2025-03-01</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>JJ</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>2025-03-01</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>JJ</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>2025-03-01</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>JJ</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>2025-03-01</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><MinimumBenefit>442</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2020-03-01</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>ZI</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>JJ</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>JJ097</BillingCode><Name>Fastin Anchor System</Name><Description>Suture Anchor</Description><Size>5 - 6.5mm</Size><SupplierCode>JJ</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SL182</BillingCode><Name>HEALICOIL Knotless REGENESORB</Name><Description>Absorbable Suture Anchors</Description><Size>5.5mm</Size><SupplierCode>SN</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>2025-03-01</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>2025-03-01</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>JJ</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>2025-03-01</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>SN</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>2025-03-01</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>SN</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>SN</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>2025-03-01</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>2025-03-01</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>SN</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>2025-03-01</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>2025-03-01</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>JJ</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>2025-03-01</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>JJ</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>2025-03-01</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>2025-03-01</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>ZI</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>XF</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1774</GroupID><SubGroupID>5387</SubGroupID><ARTGs><ARTG>417256</ARTG></ARTGs><MinimumBenefit>442</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2024-11-01</CycleStartDate><CycleEndDate>2025-03-01</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>XF</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1774</GroupID><SubGroupID>5387</SubGroupID><ARTGs><ARTG>417256</ARTG></ARTGs><MinimumBenefit>442</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2024-11-01</CycleStartDate><CycleEndDate>2025-03-01</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>XF</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1774</GroupID><SubGroupID>5387</SubGroupID><ARTGs><ARTG>417256</ARTG></ARTGs><MinimumBenefit>442</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2024-11-01</CycleStartDate><CycleEndDate>2025-03-01</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>XF</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1774</GroupID><SubGroupID>5387</SubGroupID><ARTGs><ARTG>417256</ARTG></ARTGs><MinimumBenefit>442</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2024-11-01</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</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>JJ</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>JJ</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ZA066</BillingCode><Name>Allthread Anchors</Name><Description>suture anchors</Description><Size>4.5-6.8mm</Size><SupplierCode>ZI</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>2025-03-01</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>2025-03-01</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>JJ</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>ZI</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>ZI</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>2025-03-01</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>ZI</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>XF</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1774</GroupID><SubGroupID>5389</SubGroupID><ARTGs><ARTG>421590</ARTG></ARTGs><MinimumBenefit>374</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2024-11-01</CycleStartDate><CycleEndDate>2025-03-01</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>XF</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1774</GroupID><SubGroupID>5389</SubGroupID><ARTGs><ARTG>421590</ARTG></ARTGs><MinimumBenefit>374</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2024-11-01</CycleStartDate><CycleEndDate>2025-03-01</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><MinimumBenefit>374</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2024-11-01</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>JJ</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>ZI</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>SN</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>JJ</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>2025-03-01</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>JJ</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>2025-03-01</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>JJ</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>SN</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>2025-03-01</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>SN</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>2025-03-01</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>2025-03-01</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>SN</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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><MinimumBenefit>374</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2020-03-01</CycleStartDate><CycleEndDate>2025-03-01</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>XF</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1774</GroupID><SubGroupID>5389</SubGroupID><ARTGs><ARTG>421590</ARTG></ARTGs><MinimumBenefit>374</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2024-11-01</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</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>XF</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1774</GroupID><SubGroupID>5389</SubGroupID><ARTGs><ARTG>421590</ARTG></ARTGs><MinimumBenefit>374</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2024-11-01</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SN853</BillingCode><Name>Endobutton</Name><Description>Fixation for ACL/PCL reconstruction</Description><Size>5-60mm</Size><SupplierCode>SN</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>2025-03-01</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>SN</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>2025-03-01</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>ZI</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1774</GroupID><SubGroupID>5389</SubGroupID><ARTGs><ARTG>116765</ARTG><ARTG>208040</ARTG></ARTGs><MinimumBenefit>374</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2011-02-01</CycleStartDate><CycleEndDate>2025-03-01</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>SN</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>2025-03-01</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>2025-03-01</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>ZI</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1774</GroupID><SubGroupID>5390</SubGroupID><ARTGs><ARTG>397951</ARTG></ARTGs><MinimumBenefit>374</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2024-11-01</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</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>SN</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ZA087</BillingCode><Name>ToggleLoc Flipwasher</Name><Description>Titanium Button</Description><Size>15mm-20mm,  20mm (Extender)</Size><SupplierCode>ZI</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>XF</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1774</GroupID><SubGroupID>5390</SubGroupID><ARTGs><ARTG>421590</ARTG></ARTGs><MinimumBenefit>374</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2024-11-01</CycleStartDate><CycleEndDate>2025-03-01</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>JJ</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>2025-03-01</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>SN</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>2025-03-01</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>SN</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>360374</ARTG><ARTG>360373</ARTG></ARTGs><MinimumBenefit>457</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-07-01</CycleStartDate><CycleEndDate>2025-03-01</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><ARTGs><ARTG>184460</ARTG></ARTGs><ChangeExplanation>Change to Suffix,Change to Group benefit</ChangeExplanation><MinimumBenefit>181</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Update</ActionFlag><CycleStartDate>2018-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SM176</BillingCode><Name>Bioabsorbable HA Screw</Name><Description>Absorbable HA Interference Screw</Description><Size>Various</Size><SupplierCode>SN</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1774</GroupID><SubGroupID>5391</SubGroupID><Suffix>AB, HA</Suffix><ARTGs><ARTG>124506</ARTG><ARTG>162821</ARTG></ARTGs><MinimumBenefit>457</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2010-02-01</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>JJ</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SL017</BillingCode><Name>Biosure Healicoil</Name><Description>interference screw</Description><Size>6-10mm diameter</Size><SupplierCode>SN</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>2025-03-01</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>JJ</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>2025-03-01</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>2025-03-01</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>ZI</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>2025-03-01</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>SN</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>2025-03-01</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>SN</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>2025-03-01</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>SN</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>2025-03-01</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>DE821</BillingCode><PriorBillingCodes><PriorBillingCode>CR031</PriorBillingCode></PriorBillingCodes><Name>LARS Interference Screw</Name><Description>Titanium Interference screw</Description><Size>5.2 - 10mm diameter, 
15 - 30mm</Size><SupplierCode>DE</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1774</GroupID><SubGroupID>5391</SubGroupID><ARTGs><ARTG>138574</ARTG></ARTGs><ChangeExplanation>
Billing code transferred from CR031
Sponsor transferred from Corin (Australia) Pty Limited</ChangeExplanation><MinimumBenefit>181</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</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>ZI</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>2025-03-01</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>2025-03-01</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ZI990</BillingCode><Name>Quattro Bolt</Name><Description>Tenodesis Screw</Description><Size>10-16 mm</Size><SupplierCode>ZI</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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><MinimumBenefit>181</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2020-03-01</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</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>ZI</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>2025-03-01</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>2025-03-01</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>XF</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1774</GroupID><SubGroupID>5391</SubGroupID><ARTGs><ARTG>417257</ARTG></ARTGs><MinimumBenefit>181</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2024-11-01</CycleStartDate><CycleEndDate>2025-03-01</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>XF</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1774</GroupID><SubGroupID>5391</SubGroupID><ARTGs><ARTG>417257</ARTG></ARTGs><MinimumBenefit>181</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2024-11-01</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>SN</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SF096</BillingCode><PriorBillingCodes><PriorBillingCode>SF057</PriorBillingCode></PriorBillingCodes><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><ARTGs><ARTG>184460</ARTG></ARTGs><ChangeExplanation>Change to Suffix,Change to Group benefit</ChangeExplanation><MinimumBenefit>181</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Update</ActionFlag><CycleStartDate>2015-08-01</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SL103</BillingCode><PriorBillingCodes><PriorBillingCode>SF097</PriorBillingCode><PriorBillingCode>SF057</PriorBillingCode></PriorBillingCodes><Name>Bi-On™ Inteference Screw</Name><Description>HA infused Polymer Interference Screws</Description><Size>5-12mm</Size><SupplierCode>SN</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1774</GroupID><SubGroupID>5391</SubGroupID><ARTGs><ARTG>184460</ARTG></ARTGs><ChangeExplanation>Change to Suffix,Change to Group benefit</ChangeExplanation><MinimumBenefit>181</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Update</ActionFlag><CycleStartDate>2018-08-01</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</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>SN</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1774</GroupID><SubGroupID>5391</SubGroupID><Suffix>AB</Suffix><ARTGs><ARTG>126191</ARTG><ARTG>322284</ARTG><ARTG>121752</ARTG></ARTGs><MinimumBenefit>457</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2020-03-01</CycleStartDate><CycleEndDate>2025-03-01</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>JJ</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>JJ</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>2025-03-01</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>JJ</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>2025-03-01</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>2025-03-01</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>ZI</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>2025-03-01</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>ZI</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1774</GroupID><SubGroupID>5391</SubGroupID><Suffix>AB</Suffix><ARTGs><ARTG>308241</ARTG><ARTG>308240</ARTG></ARTGs><MinimumBenefit>457</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2019-03-01</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</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>JJ</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>XP005</BillingCode><PriorBillingCodes><PriorBillingCode>UW005</PriorBillingCode></PriorBillingCodes><Name>Axonics Charging System</Name><Description>Charger and dock with belt and adhesive carriers for Axonics Sacral Neuromodulation System</Description><Size>One size only</Size><SupplierCode>XP</SupplierCode><CategoryID>26</CategoryID><SubCategoryID>232</SubCategoryID><GroupID>1713</GroupID><SubGroupID>7367</SubGroupID><ARTGs><ARTG>297956</ARTG></ARTGs><ChangeExplanation>
Billing code transferred from UW005
Sponsor transferred from PLEXUS RA PTY LTD</ChangeExplanation><MinimumBenefit>1215</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2022-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MI451</BillingCode><Name>InterStim MRI rechargeable neurostimulator- Recharger</Name><Description>Recharger kit</Description><Size>One size</Size><SupplierCode>MI</SupplierCode><CategoryID>26</CategoryID><SubCategoryID>232</SubCategoryID><GroupID>1713</GroupID><SubGroupID>7367</SubGroupID><ARTGs><ARTG>121279</ARTG></ARTGs><MinimumBenefit>1215</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MI528</BillingCode><Name>InterStim MRI rechargeable neurostimulator – Recharger Kit (includes Recharger Dock)</Name><Description>Recharger kit (includes Recharger Dock)</Description><Size>One Size</Size><SupplierCode>MI</SupplierCode><CategoryID>26</CategoryID><SubCategoryID>232</SubCategoryID><GroupID>1713</GroupID><SubGroupID>7367</SubGroupID><ARTGs><ARTG>454447</ARTG></ARTGs><ChangeExplanation>New listing</ChangeExplanation><MinimumBenefit>1215</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2025-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>XP006</BillingCode><PriorBillingCodes><PriorBillingCode>UW006</PriorBillingCode></PriorBillingCodes><Name>Axonics Trial Stimulator</Name><Description>External neurostimulator with belt</Description><Size>One size only</Size><SupplierCode>XP</SupplierCode><CategoryID>26</CategoryID><SubCategoryID>232</SubCategoryID><GroupID>1713</GroupID><SubGroupID>5518</SubGroupID><ARTGs><ARTG>313220</ARTG></ARTGs><ChangeExplanation>
Billing code transferred from UW006
Sponsor transferred from PLEXUS RA PTY LTD</ChangeExplanation><MinimumBenefit>1140</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2022-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MI126</BillingCode><Name>Verify External Neurostimulator</Name><Description>External Neurostimulator</Description><Size>One size only</Size><SupplierCode>MI</SupplierCode><CategoryID>26</CategoryID><SubCategoryID>232</SubCategoryID><GroupID>1713</GroupID><SubGroupID>5518</SubGroupID><ARTGs><ARTG>215635</ARTG></ARTGs><MinimumBenefit>1140</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2014-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>WC064</BillingCode><Name>Tannenbaum Biliary Stent only</Name><Description>Plastic biliary stent with proximal and distal flaps</Description><Size>Diameter: 8.5,10,11.5 FR. Length Between Flaps: 5 --&gt;15 cm</Size><SupplierCode>WC</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>192</SubCategoryID><GroupID>1556</GroupID><SubGroupID>4218</SubGroupID><ARTGs><ARTG>139770</ARTG></ARTGs><MinimumBenefit>74</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>WC012</BillingCode><Name>Zimmon Biliary Stent Only</Name><Description>.</Description><Size>5 - 11.5Fr, Length 3 - 18cm</Size><SupplierCode>WC</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>192</SubCategoryID><GroupID>1556</GroupID><SubGroupID>4218</SubGroupID><ARTGs><ARTG>139770</ARTG></ARTGs><MinimumBenefit>74</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>WC267</BillingCode><Name>Cotton-Leung Sof-Flex Biliary Stent</Name><Description>Cotton-Leung Sof-Flex Biliary Stent</Description><Size>6 - 11.5 Fr; Length 3 - 20cm</Size><SupplierCode>WC</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>192</SubCategoryID><GroupID>1556</GroupID><SubGroupID>4218</SubGroupID><ARTGs><ARTG>139770</ARTG></ARTGs><MinimumBenefit>74</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2009-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BS066</BillingCode><Name>Biliary Drainage Stent, Amsterdam Biliary Stent</Name><Description>C-Flex or Polyurethane Biliary Stent</Description><Size>Diameters up to 12Fr &amp; lengths up to 15cm</Size><SupplierCode>BS</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>192</SubCategoryID><GroupID>1556</GroupID><SubGroupID>4218</SubGroupID><ARTGs><ARTG>127387</ARTG></ARTGs><MinimumBenefit>74</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>WC006</BillingCode><Name>Cotton-Leung Biliary Stent Only</Name><Description>.</Description><Size>6 - 11.5Fr, Length 3 - 20cm</Size><SupplierCode>WC</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>192</SubCategoryID><GroupID>1556</GroupID><SubGroupID>4218</SubGroupID><ARTGs><ARTG>139770</ARTG></ARTGs><MinimumBenefit>74</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BS173</BillingCode><Name>Advanix Plastic Stent with Naviflex Delivery System</Name><Description>Plastic stent manufactured pre loaded on a delivery catheter</Description><Size>5-18cm length, 7-10 FR diameter</Size><SupplierCode>BS</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>192</SubCategoryID><GroupID>1556</GroupID><SubGroupID>4218</SubGroupID><Suffix>Delivery System</Suffix><ARTGs><ARTG>127387</ARTG></ARTGs><MinimumBenefit>181</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2010-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>WC008</BillingCode><Name>Cotton-Huibregste Biliary Stent Only</Name><Description>.</Description><Size>7 - 11.5Fr, Length 5 - 21cm</Size><SupplierCode>WC</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>192</SubCategoryID><GroupID>1556</GroupID><SubGroupID>4218</SubGroupID><ARTGs><ARTG>139770</ARTG></ARTGs><MinimumBenefit>74</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BS055</BillingCode><Name>RX Biliary Stent</Name><Description>Polyurethane Biliary Stent</Description><Size>Diameters up to 12Fr &amp; lengths up to 15cm</Size><SupplierCode>BS</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>192</SubCategoryID><GroupID>1556</GroupID><SubGroupID>4218</SubGroupID><Suffix>Delivery System</Suffix><ARTGs><ARTG>127387</ARTG></ARTGs><MinimumBenefit>181</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BS054</BillingCode><Name>Flexima Biliary Stent</Name><Description>Polyurethane Biliary Stent</Description><Size>Diameters up to 12Fr &amp; lengths up to 15cm</Size><SupplierCode>BS</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>192</SubCategoryID><GroupID>1556</GroupID><SubGroupID>4218</SubGroupID><Suffix>Delivery System</Suffix><ARTGs><ARTG>127387</ARTG></ARTGs><MinimumBenefit>181</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>WC013</BillingCode><Name>Zimmon Biliary Stent Set</Name><Description>Double pigtail plastic biliary stent with delivery system</Description><Size>5 - 11.5Fr, Length 2 - 18cm</Size><SupplierCode>WC</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>192</SubCategoryID><GroupID>1556</GroupID><SubGroupID>4218</SubGroupID><Suffix>Delivery System</Suffix><ARTGs><ARTG>139771</ARTG></ARTGs><MinimumBenefit>181</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>WC108</BillingCode><Name>Geenan Pancreatic Stent Set</Name><Description>Radiopaque Polyethylene Stent with or without ductal flaps - includes pushing catheter</Description><Size>Diameter 3 - 11.5 FR, Length 2 - 15cm</Size><SupplierCode>WC</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>192</SubCategoryID><GroupID>1556</GroupID><SubGroupID>4218</SubGroupID><Suffix>Delivery System</Suffix><ARTGs><ARTG>142999</ARTG></ARTGs><MinimumBenefit>181</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>WC106</BillingCode><Name>Cotton-Leung Biliary Stent Set</Name><Description>Polyethylene Stent preloaded on an Oasis Introduction System</Description><Size>Diameter 7 - 11.5 FR,  length 5 - 15cm</Size><SupplierCode>WC</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>192</SubCategoryID><GroupID>1556</GroupID><SubGroupID>4218</SubGroupID><Suffix>Delivery System</Suffix><ARTGs><ARTG>139771</ARTG></ARTGs><MinimumBenefit>181</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>WA003</BillingCode><Name>Compass BDS Biliary Stent</Name><Description>Plastic biliary stent</Description><Size>7 Fr, Length: 5-15cm</Size><SupplierCode>WC</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>WC017</BillingCode><Name>Cotton-Leung Biliary Stent Set</Name><Description>Set includes stent, positioning sleeve to collapse the duodenal flap, 170cm pushing catheter and 320cm guiding catheter. 7Fr stents do not include guiding catheter.</Description><Size>7 - 11.5Fr, Length 5 - 18cm</Size><SupplierCode>WC</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>192</SubCategoryID><GroupID>1556</GroupID><SubGroupID>4218</SubGroupID><Suffix>Delivery System</Suffix><ARTGs><ARTG>139771</ARTG></ARTGs><MinimumBenefit>181</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>WC228</BillingCode><Name>Tannenbaum Biliary Stent Set preloaded on the OASIS Introduction System</Name><Description>Plastic Biliary Stent</Description><Size>8.5 - 11.5 Fr,   5 - 15 cm</Size><SupplierCode>WC</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>192</SubCategoryID><GroupID>1556</GroupID><SubGroupID>4218</SubGroupID><Suffix>Delivery System</Suffix><ARTGs><ARTG>139771</ARTG></ARTGs><MinimumBenefit>181</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2006-11-30</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BS184</BillingCode><Name>Advanix Plastic Stent</Name><Description>Plastic stent manufactured individually</Description><Size>5-18cm length, 7-10 FR diameter</Size><SupplierCode>BS</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>192</SubCategoryID><GroupID>1556</GroupID><SubGroupID>4218</SubGroupID><ARTGs><ARTG>127387</ARTG></ARTGs><MinimumBenefit>74</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2010-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>OL008</BillingCode><Name>Olympus Biliary Stent Set</Name><Description>Radio-opaque Polyethglare Stent Set</Description><Size>7Fr 3cm - 15cm, 8Fr 3cm - 15cm, 10Fr 3cm - 15cm</Size><SupplierCode>OL</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>192</SubCategoryID><GroupID>1556</GroupID><SubGroupID>4218</SubGroupID><ARTGs><ARTG>145856</ARTG></ARTGs><MinimumBenefit>74</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2006-03-24</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ET038</BillingCode><Name>SX-Ella Biliary Stent</Name><Description>Self-expanding nitinol stent</Description><Size>Diameter 8 - 10mm, Length 40 - 100mm.</Size><SupplierCode>ET</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>192</SubCategoryID><GroupID>1556</GroupID><SubGroupID>4234</SubGroupID><ARTGs><ARTG>144490</ARTG></ARTGs><MinimumBenefit>2008</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BS051</BillingCode><Name>Wallstent Biliary Stent</Name><Description>Monofilament wire, self-expanding stent</Description><Size>Diameters up to 10mm &amp; lengths up to 100mm</Size><SupplierCode>BS</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>192</SubCategoryID><GroupID>1556</GroupID><SubGroupID>4234</SubGroupID><ARTGs><ARTG>136261</ARTG></ARTGs><MinimumBenefit>2008</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>WC331</BillingCode><Name>Zilver 635 Biliary Stent</Name><Description>The Zilver 635 Biliary Stent is a self-expandable stent made of nitinol.</Description><Size>Length: 4-8cm, Diameter: 6-14mm, Delivery system: 40cm</Size><SupplierCode>WC</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>192</SubCategoryID><GroupID>1556</GroupID><SubGroupID>4234</SubGroupID><ARTGs><ARTG>236948</ARTG></ARTGs><MinimumBenefit>2008</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2015-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>WC270</BillingCode><Name>Zilver Biliary Stent System</Name><Description>Self expanding metal biliary stent system</Description><Size>Diameters 6, 8, 10mm; Lengths 4, 6, 8, 10, 12cm</Size><SupplierCode>WC</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>192</SubCategoryID><GroupID>1556</GroupID><SubGroupID>4234</SubGroupID><ARTGs><ARTG>177491</ARTG></ARTGs><MinimumBenefit>2008</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2009-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>WC308</BillingCode><Name>Evolution Biliary Stent System (uncovered)</Name><Description>Self expanding bare metal biliary stent system.</Description><Size>Diameters :8 -10mm
Lengths: 40 -100mm</Size><SupplierCode>WC</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>192</SubCategoryID><GroupID>1556</GroupID><SubGroupID>4234</SubGroupID><ARTGs><ARTG>177491</ARTG></ARTGs><MinimumBenefit>2008</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2013-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ET039</BillingCode><Name>SX-Ella Tips Stent</Name><Description>Uncovered, self-expanding nitinol stent</Description><Size>Dia 10-14mm, length 52-77mm</Size><SupplierCode>ET</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>192</SubCategoryID><GroupID>1556</GroupID><SubGroupID>4234</SubGroupID><ARTGs><ARTG>144490</ARTG></ARTGs><MinimumBenefit>2008</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BS354</BillingCode><Name>Epic Biliary Endoscopic Stent System</Name><Description>Uncovered self-expanding nitinol biliary stent</Description><Size>Diameter 6-10mm, Length 40-100mm</Size><SupplierCode>BS</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>192</SubCategoryID><GroupID>1556</GroupID><SubGroupID>4234</SubGroupID><ARTGs><ARTG>299016</ARTG></ARTGs><MinimumBenefit>2008</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BS215</BillingCode><Name>WallFlex Biliary Stent</Name><Description>Bare Metal Stent</Description><Size>6 - 10 x 40 - 120mm</Size><SupplierCode>BS</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>192</SubCategoryID><GroupID>1556</GroupID><SubGroupID>4234</SubGroupID><ARTGs><ARTG>136261</ARTG><ARTG>226864</ARTG></ARTGs><MinimumBenefit>2008</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-02-01</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>PY038</BillingCode><Name>Niti-S Biliary Uncovered Stents</Name><Description>Niti-S Biliary Uncovered Stents.</Description><Size>Diameter:  6mm to 10mm   Length:  40mm to 120mm</Size><SupplierCode>PY</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>192</SubCategoryID><GroupID>1556</GroupID><SubGroupID>4234</SubGroupID><ARTGs><ARTG>130531</ARTG></ARTGs><MinimumBenefit>2008</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2013-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BS052</BillingCode><Name>Wallstent Biliary Stent</Name><Description>Monofilament wire, self-expanding stent</Description><Size>Diameters up to 10mm &amp; lengths up to 100mm</Size><SupplierCode>BS</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>192</SubCategoryID><GroupID>1556</GroupID><SubGroupID>4235</SubGroupID><ARTGs><ARTG>136261</ARTG></ARTGs><MinimumBenefit>2730</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BS214</BillingCode><Name>WallFlex Biliary Stent</Name><Description>Stent with permalume covering</Description><Size>6 - 10 x 40 - 120mm</Size><SupplierCode>BS</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>192</SubCategoryID><GroupID>1556</GroupID><SubGroupID>4235</SubGroupID><ARTGs><ARTG>136261</ARTG><ARTG>177661</ARTG><ARTG>226864</ARTG></ARTGs><MinimumBenefit>2730</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BS070</BillingCode><Name>Wallstent RX Biliary Stent</Name><Description>Monofilament wire, self-expanding stent</Description><Size>Diameters up to 10mm &amp; lengths up to 100mm</Size><SupplierCode>BS</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>192</SubCategoryID><GroupID>1556</GroupID><SubGroupID>4235</SubGroupID><ARTGs><ARTG>136261</ARTG></ARTGs><MinimumBenefit>2730</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LH781</BillingCode><PriorBillingCodes><PriorBillingCode>MB023</PriorBillingCode></PriorBillingCodes><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>LH</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>192</SubCategoryID><GroupID>1556</GroupID><SubGroupID>4235</SubGroupID><ARTGs><ARTG>205006</ARTG></ARTGs><ChangeExplanation>
Billing code transferred from MB023
Sponsor transferred from MD SOLUTIONS AUSTRALASIA PTY LTD</ChangeExplanation><MinimumBenefit>2730</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2014-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>WC309</BillingCode><Name>Evolution Biliary Stent System (covered)</Name><Description>Self expanding partially or fully covered biliary stent system.</Description><Size>Diameters: 8 - 10mm
Lengths: 40 - 80mm</Size><SupplierCode>WC</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>192</SubCategoryID><GroupID>1556</GroupID><SubGroupID>4235</SubGroupID><ARTGs><ARTG>177491</ARTG></ARTGs><MinimumBenefit>2730</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2013-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>GT116</BillingCode><Name>Gore Biliary Endoprostheses</Name><Description>ePTFE</Description><Size>Short or Long Catheter 8-10mmx4-8cm</Size><SupplierCode>GT</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>192</SubCategoryID><GroupID>1556</GroupID><SubGroupID>4235</SubGroupID><ARTGs><ARTG>130493</ARTG></ARTGs><MinimumBenefit>2730</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>UK012</BillingCode><Name>HANAROSTENT</Name><Description>HANAROSTENT Biliary, Plumber Biliary, Biliary Flap, Biliary Flap Lasso, Biliary Lasso, Multi-Hole Biliary, TwynLay Biliary, FAST Biliary Flap.  Self-expanding nitinol biliary stent</Description><Size>Diameter 6-16mm, Length 20-150mm</Size><SupplierCode>UK</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>192</SubCategoryID><GroupID>1556</GroupID><SubGroupID>4235</SubGroupID><ARTGs><ARTG>272683</ARTG><ARTG>336629</ARTG></ARTGs><MinimumBenefit>2730</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2019-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>PY049</BillingCode><Name>Niti-S Biliary Covered and Partially Covered Stents</Name><Description>Niti-S Biliary Covered and Partially Covered Stents</Description><Size>Diameter:  4mm to 16mm  Length:  10mm to 120mm</Size><SupplierCode>PY</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>192</SubCategoryID><GroupID>1556</GroupID><SubGroupID>4235</SubGroupID><ARTGs><ARTG>130531</ARTG></ARTGs><MinimumBenefit>2730</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SL075</BillingCode><Name>VLP</Name><Description>Distal Radius Plates</Description><Size>≤ 6 holes</Size><SupplierCode>SN</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5276</SubGroupID><Suffix>VAL</Suffix><ARTGs><ARTG>108428</ARTG></ARTGs><MinimumBenefit>1372</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SY676</BillingCode><Name>AO/ASIF Plates</Name><Description>Locking Distal Radius Ulna Column Plate System</Description><Size>≤ 6 holes</Size><SupplierCode>JJ</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5276</SubGroupID><Suffix>VAL</Suffix><ARTGs><ARTG>157069</ARTG></ARTGs><MinimumBenefit>1372</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SL148</BillingCode><Name>Smith &amp; Nephew Plate and Screw System - EVOS</Name><Description>VAL Periarticular anatomic Radius Plate</Description><Size>≤ 6 holes</Size><SupplierCode>SN</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5276</SubGroupID><Suffix>VAL</Suffix><ARTGs><ARTG>108428</ARTG></ARTGs><MinimumBenefit>1372</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2019-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>EO067</BillingCode><Name>Aptus Wrist</Name><Description>2.5 TriLock Distal Radius Small Fragment Plates</Description><Size>2.5mm diameter system</Size><SupplierCode>EO</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5276</SubGroupID><Suffix>VAL</Suffix><ARTGs><ARTG>141170</ARTG></ARTGs><MinimumBenefit>1372</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HW913</BillingCode><PriorBillingCodes><PriorBillingCode>WR392</PriorBillingCode></PriorBillingCodes><Name>NexFix MTP Fusion System</Name><Description>A bendable stainless steel bone plate and screw system with unique low profile locking screw option.  Indicated for use in primary MTP fusion</Description><Size>Left 2 + 3; Right 2 + 3</Size><SupplierCode>JV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5276</SubGroupID><ARTGs><ARTG>177214</ARTG></ARTGs><MinimumBenefit>869</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SK590</BillingCode><Name>SCS Distal Radius Plate System</Name><Description>Left and Right, Tined</Description><Size>Small and Large 3 hole</Size><SupplierCode>JV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5276</SubGroupID><ARTGs><ARTG>141005</ARTG></ARTGs><MinimumBenefit>869</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2015-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LM117</BillingCode><Name>TriMed Radial Column Plates</Name><Description>Radial Column Plate</Description><Size>3 &amp; 5 hole</Size><SupplierCode>LM</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5276</SubGroupID><ARTGs><ARTG>182677</ARTG></ARTGs><MinimumBenefit>869</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LM119</BillingCode><Name>TriMed Ulna Column Plates</Name><Description>Ulna Column Plate</Description><Size>3 &amp; 5 hole</Size><SupplierCode>LM</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5276</SubGroupID><ARTGs><ARTG>182677</ARTG></ARTGs><MinimumBenefit>869</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>TN021</BillingCode><Name>Xpert 2.4 Distal Radius Platform</Name><Description>Fragment specific radius plates</Description><Size>≤ 6 holes</Size><SupplierCode>TN</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5276</SubGroupID><Suffix>VAL</Suffix><ARTGs><ARTG>260232</ARTG><ARTG>260229</ARTG></ARTGs><MinimumBenefit>1372</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2016-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>XT028</BillingCode><PriorBillingCodes><PriorBillingCode>GW038</PriorBillingCode></PriorBillingCodes><Name>WEGO Trauma Systems</Name><Description>Periarticular Radius Plating Systems</Description><Size>≤ 6 Holes</Size><SupplierCode>XT</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5276</SubGroupID><Suffix>LK</Suffix><ARTGs><ARTG>324402</ARTG></ARTGs><ChangeExplanation>
Billing code transferred from GW038
Sponsor transferred from EQUINOX MEDICAL PTY LTD</ChangeExplanation><MinimumBenefit>1113</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2020-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>DZ003</BillingCode><Name>Valens Shoulder and Elbow - Elbow</Name><Description>Locking Compression Plate Proximal Radius</Description><Size>1-6 Holes</Size><SupplierCode>DZ</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5276</SubGroupID><Suffix>VAL</Suffix><ARTGs><ARTG>276915</ARTG></ARTGs><MinimumBenefit>1372</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HU128</BillingCode><PriorBillingCodes><PriorBillingCode>DE579</PriorBillingCode></PriorBillingCodes><Name>Radial Styloid Plate</Name><Description>Plate for Fracture Fixation</Description><Size>5 Holes</Size><SupplierCode>HU</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5276</SubGroupID><Suffix>VAL</Suffix><ARTGs><ARTG>351000</ARTG></ARTGs><MinimumBenefit>1372</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HU178</BillingCode><PriorBillingCodes><PriorBillingCode>DE470</PriorBillingCode></PriorBillingCodes><Name>Titanium Volar Distal Radius Plating System</Name><Description>Fixation Plate for Distal Radius Fractures</Description><Size>6 holes or less</Size><SupplierCode>HU</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5276</SubGroupID><Suffix>VAL</Suffix><ARTGs><ARTG>350871</ARTG><ARTG>351000</ARTG></ARTGs><MinimumBenefit>1372</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SY675</BillingCode><Name>AO/ASIF Plates</Name><Description>Locking Distal Radius; Ulna Column Plate System</Description><Size>≤ 6 holes</Size><SupplierCode>JJ</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5276</SubGroupID><Suffix>LK</Suffix><ARTGs><ARTG>157069</ARTG></ARTGs><MinimumBenefit>1113</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SN920</BillingCode><Name>Peri-Loc</Name><Description>Radius Plates</Description><Size>≤6 holes</Size><SupplierCode>SN</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5276</SubGroupID><Suffix>LK</Suffix><ARTGs><ARTG>108428</ARTG></ARTGs><MinimumBenefit>1113</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>OX026</BillingCode><Name>ARMAR 2.4 Locking Distal Radial Plate System - ≤ 6 holes</Name><Description>TiCP Distal Radial Locking Plates</Description><Size>3-6 Holes
40-57 Length
Left, Straight and Right</Size><SupplierCode>OX</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5276</SubGroupID><Suffix>LK</Suffix><ARTGs><ARTG>286842</ARTG></ARTGs><MinimumBenefit>1113</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HU127</BillingCode><PriorBillingCodes><PriorBillingCode>DE563</PriorBillingCode></PriorBillingCodes><Name>Volar Hook PLate</Name><Description>Plate for Fracture Fixation</Description><Size>4 Holes  6 Holes</Size><SupplierCode>HU</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5276</SubGroupID><Suffix>VAL</Suffix><ARTGs><ARTG>351000</ARTG></ARTGs><MinimumBenefit>1372</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SK571</BillingCode><Name>Universal Distal Radius System</Name><Description>SMARTLock Column Locking Plates</Description><Size>4-6 Hole</Size><SupplierCode>JV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5276</SubGroupID><Suffix>VAL</Suffix><ARTGs><ARTG>124319</ARTG></ARTGs><MinimumBenefit>1372</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>JV002</BillingCode><Name>VariAx Wrist Plating System – Distal Radius</Name><Description>VAL Fixation Plates for Distal Radius Fractures</Description><Size>≤ 6 holes</Size><SupplierCode>JV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5276</SubGroupID><Suffix>VAL</Suffix><ARTGs><ARTG>340042</ARTG><ARTG>357433</ARTG></ARTGs><MinimumBenefit>1372</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>KT072</BillingCode><PriorBillingCodes><PriorBillingCode>OH472</PriorBillingCode></PriorBillingCodes><Name>IXOS Radius Plating System</Name><Description>Straight/L plate R&amp;L</Description><Size>7.5-15mm x 43-52mm</Size><SupplierCode>KT</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5276</SubGroupID><Suffix>VAL</Suffix><ARTGs><ARTG>276674</ARTG><ARTG>236206</ARTG></ARTGs><MinimumBenefit>1372</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ER543</BillingCode><Name>Osteomed ExtremiLock Plate (≤ 6 holes)</Name><Description>VDR Radial/Intermediate Column; Standard; Left or Right and Styloid Plates; 6 hole  </Description><Size>6 holes</Size><SupplierCode>ER</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5276</SubGroupID><Suffix>VAL</Suffix><ARTGs><ARTG>337239</ARTG></ARTGs><MinimumBenefit>1372</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2020-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LM140</BillingCode><Name>TriMed Wrist Fixation System</Name><Description>TriMed Volar Bearing Plate</Description><Size>3 and 5 hole</Size><SupplierCode>LM</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5276</SubGroupID><Suffix>VAL</Suffix><ARTGs><ARTG>182677</ARTG></ARTGs><MinimumBenefit>1372</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LM321</BillingCode><Name>GEMINUS Volar Distal Radius Plates</Name><Description>Fixation Plate for Distal Radius Fractures</Description><Size>3 and 4 hole</Size><SupplierCode>LM</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5276</SubGroupID><Suffix>VAL</Suffix><ARTGs><ARTG>278692</ARTG></ARTGs><MinimumBenefit>1372</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LM211</BillingCode><Name>Trimed Volar &amp; Dorsal Hook Plate</Name><Description>Wrist Fixation System - Volar &amp; Dorsal Hook Plates</Description><Size>≤ 6 holes</Size><SupplierCode>LM</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5276</SubGroupID><Suffix>LK</Suffix><ARTGs><ARTG>182677</ARTG></ARTGs><MinimumBenefit>1113</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2015-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ZA112</BillingCode><Name>ALPS Elbow System</Name><Description>Proximal Radius Plates</Description><Size>≤ 6 holes</Size><SupplierCode>ZI</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5276</SubGroupID><Suffix>LK</Suffix><ARTGs><ARTG>209306</ARTG></ARTGs><MinimumBenefit>1113</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MO366</BillingCode><Name>Acu-Loc Distal Radius Plating System</Name><Description>Volar, Dorsal, Distal Ulna, Standard, Long, Extra long, wide, narrow, left, right, extra-articular plates</Description><Size>Radius ≤6 holes`</Size><SupplierCode>MO</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5276</SubGroupID><Suffix>LK</Suffix><ARTGs><ARTG>99824</ARTG></ARTGs><MinimumBenefit>1113</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MO362</BillingCode><Name>Anatomic Midshaft Forearm Plates</Name><Description>Internal Fixation Plate Anatomic Forearm, Radius</Description><Size>≤6 holes</Size><SupplierCode>MO</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5276</SubGroupID><Suffix>LK</Suffix><ARTGs><ARTG>99824</ARTG></ARTGs><MinimumBenefit>1113</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MO194</BillingCode><Name>Acumed Congruent Plate System</Name><Description>Elbow plate  titanium, locking radial head</Description><Size>Locking radial head, 3 hole std curve 31mm, 5 hole std curve 46mm, 3 hole curve 31mm, 5 hole curve 46mm</Size><SupplierCode>MO</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5276</SubGroupID><Suffix>LK</Suffix><ARTGs><ARTG>126428</ARTG></ARTGs><MinimumBenefit>1113</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SY610</BillingCode><Name>AO/ASIF Plates</Name><Description>DHS Plates</Description><Size>8-14 holes</Size><SupplierCode>JJ</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SY607</BillingCode><Name>AO/ASIF Plates</Name><Description>DHS Plates</Description><Size>7-15 holes</Size><SupplierCode>JJ</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SK552</BillingCode><Name>Omega3 Compression Hip Screw System</Name><Description>Omega3 Locking Plate</Description><Size>7-14 hole</Size><SupplierCode>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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SL157</BillingCode><PriorBillingCodes><PriorBillingCode>SN470</PriorBillingCode><PriorBillingCode>SN475</PriorBillingCode><PriorBillingCode>SN927</PriorBillingCode></PriorBillingCodes><Name>Compression Hip Screw System</Name><Description>Compression Hip Screw Plates</Description><Size>  ≥ 7 to ≤ 15 holes</Size><SupplierCode>SN</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SN913</BillingCode><Name>Intermediate Osteotomy System</Name><Description>Plate (hip screw)</Description><Size>≥7 to ≤15 holes</Size><SupplierCode>SN</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5265</SubGroupID><ARTGs><ARTG>108428</ARTG></ARTGs><MinimumBenefit>509</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ZI769</BillingCode><Name>Versa Fx II Compression Hip Screw</Name><Description>Versa Fx II CHS Tube Plates</Description><Size>7-15 holes left and right</Size><SupplierCode>ZI</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5265</SubGroupID><ARTGs><ARTG>112735</ARTG></ARTGs><MinimumBenefit>509</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SY611</BillingCode><Name>AO/ASIF Plates</Name><Description>DHS Plates</Description><Size>≥ 16-20 holes</Size><SupplierCode>JJ</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SY608</BillingCode><Name>AO/ASIF Plates</Name><Description>DHS Plates</Description><Size>≥ 16 holes</Size><SupplierCode>JJ</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SK553</BillingCode><Name>Stryker Compression Hip Screw System</Name><Description>Omega3 Supracondylar Plate</Description><Size>6 hole</Size><SupplierCode>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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>XT041</BillingCode><PriorBillingCodes><PriorBillingCode>GW055</PriorBillingCode></PriorBillingCodes><Name>WEGO Trauma Systems </Name><Description>Supracondylar Femur Plates</Description><Size>≤ 6 holes</Size><SupplierCode>XT</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5267</SubGroupID><Suffix>Com, LK</Suffix><ARTGs><ARTG>324402</ARTG></ARTGs><ChangeExplanation>
Billing code transferred from GW055
Sponsor transferred from EQUINOX MEDICAL PTY LTD</ChangeExplanation><MinimumBenefit>850</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2020-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ZI770</BillingCode><Name>Versa Fx II Compression Hip Screw</Name><Description>Versa Fx II CHS Tube Plates</Description><Size>2-6 holes left and right</Size><SupplierCode>ZI</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5267</SubGroupID><ARTGs><ARTG>112735</ARTG></ARTGs><MinimumBenefit>480</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SY641</BillingCode><Name>AO/ASIF Plates</Name><Description>DCS DHS plate</Description><Size>≤ 6 holes</Size><SupplierCode>JJ</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SN922</BillingCode><Name>Compression Hip Screw System</Name><Description>Classic Supracondylar Plate</Description><Size>≤6 holes</Size><SupplierCode>SN</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5267</SubGroupID><ARTGs><ARTG>108428</ARTG></ARTGs><MinimumBenefit>480</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>XT013</BillingCode><PriorBillingCodes><PriorBillingCode>GW014</PriorBillingCode></PriorBillingCodes><Name>WEGO Trauma Systems</Name><Description>Supracondylar Femur Plates</Description><Size>≥ 7 to ≤ 15 holes</Size><SupplierCode>XT</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5268</SubGroupID><Suffix>Com, LK</Suffix><ARTGs><ARTG>324402</ARTG></ARTGs><ChangeExplanation>
Billing code transferred from GW014
Sponsor transferred from EQUINOX MEDICAL PTY LTD</ChangeExplanation><MinimumBenefit>850</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2020-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SK554</BillingCode><Name>Stryker Compression Hip Screw System</Name><Description>Omega3 Supracondylar Plate</Description><Size>8-14 hole</Size><SupplierCode>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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SN923</BillingCode><Name>Compression Hip Screw System</Name><Description>Classic Supracondylar Plate</Description><Size>≥7 to ≤15 holes</Size><SupplierCode>SN</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5268</SubGroupID><ARTGs><ARTG>108428</ARTG></ARTGs><MinimumBenefit>386</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SY642</BillingCode><Name>AO/ASIF Plates</Name><Description>DCS DHS plate</Description><Size>7- 15 holes</Size><SupplierCode>JJ</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5268</SubGroupID><ARTGs><ARTG>157069</ARTG></ARTGs><MinimumBenefit>386</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ZI771</BillingCode><Name>Versa Fx II Compression Hip Screw</Name><Description>Versa Fx II CHS Tube Plates</Description><Size>7-15 holes left and right</Size><SupplierCode>ZI</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5268</SubGroupID><ARTGs><ARTG>112735</ARTG></ARTGs><MinimumBenefit>386</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SY643</BillingCode><Name>AO/ASIF Plates</Name><Description>DCS DHS plate</Description><Size>≥ 16 Holes</Size><SupplierCode>JJ</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5269</SubGroupID><ARTGs><ARTG>157069</ARTG></ARTGs><MinimumBenefit>1009</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>OX022</BillingCode><Name>ARMAR LPS Clavicle Hook Plates</Name><Description>3.5 mm anatomical clavicle hook locking plate</Description><Size>4-6 holes</Size><SupplierCode>OX</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5270</SubGroupID><Suffix>LK</Suffix><ARTGs><ARTG>286842</ARTG></ARTGs><MinimumBenefit>1208</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ074</BillingCode><PriorBillingCodes><PriorBillingCode>AE148</PriorBillingCode><PriorBillingCode>AE148</PriorBillingCode></PriorBillingCodes><Name>ASDM Clavicle Plating System - Plates</Name><Description>Clavicle fracture plating system consisting of anatomic pre-contoured stainless steel locking compression plates and screws (cortical, cancellous &amp; locking)</Description><Size>6 holes(L&amp;R),</Size><SupplierCode>KR</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5270</SubGroupID><Suffix>LK</Suffix><ARTGs><ARTG>258572</ARTG></ARTGs><MinimumBenefit>1208</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MN294</BillingCode><Name>AO/ASIF Plates</Name><Description>LCP Clavicle Hook Plate</Description><Size>≤ 6 holes</Size><SupplierCode>JJ</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5270</SubGroupID><Suffix>LK</Suffix><ARTGs><ARTG>157069</ARTG></ARTGs><MinimumBenefit>1208</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MO371</BillingCode><Name>Acumed Locking Scapula Plate System</Name><Description>Locking Bone Plate, Scapula</Description><Size>≤6 hole</Size><SupplierCode>MO</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5270</SubGroupID><Suffix>LK</Suffix><ARTGs><ARTG>99824</ARTG></ARTGs><MinimumBenefit>1208</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MO384</BillingCode><PriorBillingCodes><PriorBillingCode>MO211</PriorBillingCode></PriorBillingCodes><Name>Acumed -Locking Clavical Plating System</Name><Description>Locking Clavicle Plates Mid Shaft Anterior and Distal</Description><Size>= &lt; 6 holes</Size><SupplierCode>MO</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5270</SubGroupID><Suffix>LK</Suffix><ARTGs><ARTG>99824</ARTG></ARTGs><ChangeExplanation>Change to Product name, Size</ChangeExplanation><MinimumBenefit>1208</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Update</ActionFlag><CycleStartDate>2012-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SL142</BillingCode><Name>Smith &amp; Nephew Plate and Screw System - EVOS</Name><Description>VAL Periarticular Anatomical Small Fragment plate - Clavicle</Description><Size>≤ 6 holes</Size><SupplierCode>SN</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5270</SubGroupID><Suffix>VAL</Suffix><ARTGs><ARTG>108428</ARTG></ARTGs><MinimumBenefit>1261</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2019-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>XU002</BillingCode><PriorBillingCodes><PriorBillingCode>QQ194</PriorBillingCode></PriorBillingCodes><Name>ARIX Clavicle System-Hook Plates</Name><Description>3.5mm clavicle hook plate</Description><Size>5-6 holes</Size><SupplierCode>XU</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5270</SubGroupID><Suffix>VAL</Suffix><ARTGs><ARTG>409165</ARTG></ARTGs><ChangeExplanation>
Billing code transferred from QQ194
Sponsor transferred from AA-Med Pty Ltd</ChangeExplanation><MinimumBenefit>1261</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2024-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>XT053</BillingCode><PriorBillingCodes><PriorBillingCode>GW067</PriorBillingCode></PriorBillingCodes><Name>WEGO Trauma Systems - Titanium Alloy</Name><Description>Clavicle Plating System - Titanium Alloy</Description><Size>≤ 6 holes</Size><SupplierCode>XT</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5270</SubGroupID><Suffix>LK</Suffix><ARTGs><ARTG>324402</ARTG></ARTGs><ChangeExplanation>
Billing code transferred from GW067
Sponsor transferred from EQUINOX MEDICAL PTY LTD</ChangeExplanation><MinimumBenefit>1208</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2022-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MN323</BillingCode><Name>AO/ASIF Plates</Name><Description>VA-LCP Clavicle Plate 2.7 System - Button Hook Plate</Description><Size> ≤ 6 holes, 9-, 12- and 15-mm hook depth</Size><SupplierCode>JJ</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5270</SubGroupID><Suffix>VAL</Suffix><ARTGs><ARTG>157069</ARTG></ARTGs><MinimumBenefit>1261</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>PB082</BillingCode><Name>VA Clavicle Plate</Name><Description>VA Clavicle Plating System</Description><Size>less than 6 holes</Size><SupplierCode>PB</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5270</SubGroupID><Suffix>VAL</Suffix><ARTGs><ARTG>261562</ARTG></ARTGs><MinimumBenefit>1261</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2023-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HW595</BillingCode><Name>Stryker Locked Plating System</Name><Description>Periarticular variable angle locking plate - clavicle</Description><Size>1-6 holes</Size><SupplierCode>JV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5270</SubGroupID><Suffix>VAL</Suffix><ARTGs><ARTG>196764</ARTG></ARTGs><MinimumBenefit>1261</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>OX023</BillingCode><Name>ARMAR Superior Anterior Clavicle Plates</Name><Description>Superior Anterior Clavicle anatomical plates</Description><Size>3-6 holes</Size><SupplierCode>OX</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5270</SubGroupID><Suffix>LK</Suffix><ARTGs><ARTG>286842</ARTG></ARTGs><MinimumBenefit>1208</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-02-01</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</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><MinimumBenefit>240</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2024-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SQ192</BillingCode><Name>PediLoc Plating System</Name><Description>3.5mm Locking Plate</Description><Size>8 Hole</Size><SupplierCode>SQ</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5259</SubGroupID><Suffix>LK</Suffix><ARTGs><ARTG>191530</ARTG></ARTGs><MinimumBenefit>240</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SL095</BillingCode><Name>Smith &amp; Nephew Plate and Screw System - EVOS</Name><Description>Small Fragment plate</Description><Size>≥ 7 to ≤ 15 holes</Size><SupplierCode>SN</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SN939</BillingCode><Name>Peri-Loc VLP</Name><Description>VAL/LK 3.5mm 1/3 Tubular Plates</Description><Size>≥7 to ≤15 holes</Size><SupplierCode>SN</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5259</SubGroupID><Suffix>VAL</Suffix><ARTGs><ARTG>108428</ARTG></ARTGs><MinimumBenefit>577</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MN335</BillingCode><Name>AO/ASIF Plates</Name><Description>Locking Specialty Plates, LCP Clavicle, MatrixRIB, Titanium</Description><Size>7-15 Holes</Size><SupplierCode>JJ</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>JD023</BillingCode><Name>1/3 Tubular Plate</Name><Description>1/3 Tubular Plate</Description><Size>≥ 7 to ≤ 15 holes</Size><SupplierCode>JD</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5259</SubGroupID><Suffix>VAL</Suffix><ARTGs><ARTG>222648</ARTG></ARTGs><MinimumBenefit>577</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SY722</BillingCode><Name>AO/ASIF Plates</Name><Description>LCP T, L, Straight Plates, Stainless Steel, Titanium</Description><Size>7-15 holes</Size><SupplierCode>JJ</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MN210</BillingCode><Name>AO/ASIF Plates</Name><Description>Variable Angle Locking  Plate</Description><Size>7-15 Holes</Size><SupplierCode>JJ</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MN298</BillingCode><Name>AO/ASIF Plates</Name><Description>3.5 mm LCP Medial Anterior Clavicle Plate  </Description><Size>≥ 7 to ≤ 15 holes</Size><SupplierCode>JJ</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SL216</BillingCode><PriorBillingCodes><PriorBillingCode>IG115</PriorBillingCode></PriorBillingCodes><Name>TIBIAXYS Distal Tibial Osteotomy System - Medial osteotomy plate</Name><Description>Inverted T-shape medial osteotomy plate to fit medial malleolus</Description><Size>8 hole; 70mm</Size><SupplierCode>SN</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MN296</BillingCode><Name>AO/ASIF Plates</Name><Description>VA-LCP Anterior Clavicle Plates</Description><Size>≥ 7 to ≤ 15 holes</Size><SupplierCode>JJ</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SN980</BillingCode><Name>Peri-Loc</Name><Description>Fibula Plates</Description><Size>≥ 7 to   ≤15 Holes</Size><SupplierCode>SN</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5259</SubGroupID><Suffix>VAL</Suffix><ARTGs><ARTG>108428</ARTG></ARTGs><MinimumBenefit>577</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ST051</BillingCode><Name>Stryker Plating System Small Fragment Set</Name><Description>Cloverleaf Plate</Description><Size>8-15 Holes</Size><SupplierCode>JV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5259</SubGroupID><Suffix>Com</Suffix><ARTGs><ARTG>25735</ARTG><ARTG>119848</ARTG></ARTGs><MinimumBenefit>247</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SL087</BillingCode><Name>PERI-LOC</Name><Description>Clavicle plates</Description><Size>≥ 7 to ≤ 15 holes</Size><SupplierCode>SN</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HU183</BillingCode><PriorBillingCodes><PriorBillingCode>DE441</PriorBillingCode></PriorBillingCodes><Name>Medial Column Plate</Name><Description>Plate for fusion</Description><Size>Small, Medium, Large (Left and Right)</Size><SupplierCode>HU</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5259</SubGroupID><Suffix>LK</Suffix><ARTGs><ARTG>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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SK547</BillingCode><Name>Stryker Plating System</Name><Description>T-Plates, pre-shaped</Description><Size>7-13 hole</Size><SupplierCode>JV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5259</SubGroupID><Suffix>Com</Suffix><ARTGs><ARTG>269713</ARTG><ARTG>295226</ARTG><ARTG>119848</ARTG></ARTGs><MinimumBenefit>247</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>DZ034</BillingCode><Name>Valens Shoulder and Elbow - Plates</Name><Description>Locking Compression Plates</Description><Size>3.5mm</Size><SupplierCode>DZ</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5259</SubGroupID><Suffix>LK</Suffix><ARTGs><ARTG>276915</ARTG></ARTGs><MinimumBenefit>240</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SN069</BillingCode><Name> TC-100 </Name><Description>3.5mm Reconstruction Plates </Description><Size>≥ 7 to ≤ 15 holes</Size><SupplierCode>SN</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5259</SubGroupID><Suffix>Com</Suffix><ARTGs><ARTG>108428</ARTG></ARTGs><MinimumBenefit>247</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>TN066</BillingCode><Name>Newclip Plating System</Name><Description>VAL Locking plates</Description><Size>7 to  15 holes</Size><SupplierCode>TN</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5259</SubGroupID><Suffix>Com, VAL</Suffix><ARTGs><ARTG>260229</ARTG><ARTG>260232</ARTG></ARTGs><MinimumBenefit>793</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2019-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>EO081</BillingCode><Name>APTUS Foot</Name><Description>TriLock Plates</Description><Size>2.8</Size><SupplierCode>EO</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5259</SubGroupID><Suffix>Com, VAL</Suffix><ARTGs><ARTG>141170</ARTG></ARTGs><MinimumBenefit>793</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-08-01</CycleStartDate><CycleEndDate>2025-03-01</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>352531</ARTG><ARTG>352530</ARTG></ARTGs><MinimumBenefit>577</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2024-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SL126</BillingCode><Name>Smith &amp; Nephew Plate and Screw System - EVOS</Name><Description>Small Fragment Plate</Description><Size>≥ 7 to ≤ 15 holes</Size><SupplierCode>SN</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SN936</BillingCode><Name>TC-100</Name><Description>3.5mm Curved Reconstruction Plate</Description><Size>≥7 to ≤15 holes</Size><SupplierCode>SN</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5259</SubGroupID><Suffix>Com</Suffix><ARTGs><ARTG>108428</ARTG></ARTGs><MinimumBenefit>247</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SN801</BillingCode><Name>Peri-Loc </Name><Description>3.5mm Recon Plates   </Description><Size>  &gt; 7 to &lt; 15 holes</Size><SupplierCode>SN</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SK539</BillingCode><PriorBillingCodes><PriorBillingCode>SK449</PriorBillingCode></PriorBillingCodes><Name>AxSOS 3 Titanium 4.0mm System</Name><Description>Locking Compression Plate, used with 4.0mm screws.</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>352531</ARTG><ARTG>352530</ARTG></ARTGs><ChangeExplanation>Change to Product name, ARTG, Description</ChangeExplanation><MinimumBenefit>240</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Update</ActionFlag><CycleStartDate>2012-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ZI811</BillingCode><Name>Zimmer Universal Locking System</Name><Description>3.5mm Dual Compression Locking Plates</Description><Size>7 - 14 holes</Size><SupplierCode>ZI</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5259</SubGroupID><Suffix>LK</Suffix><ARTGs><ARTG>112735</ARTG></ARTGs><MinimumBenefit>240</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SK541</BillingCode><Name>Stryker Plating System</Name><Description>Locking Reconstruction Plates</Description><Size>4.0mm, 7-14 hole</Size><SupplierCode>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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LM123</BillingCode><Name>TriMed Periarticular Plate</Name><Description>Periarticular Plates</Description><Size>≥ 7 to ≤ 15 holes</Size><SupplierCode>LM</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5259</SubGroupID><Suffix>LK</Suffix><ARTGs><ARTG>182677</ARTG></ARTGs><MinimumBenefit>240</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ZI801</BillingCode><Name>Zimmer Universal Locking System</Name><Description>3.5mm One Third Tubular Locking Plate</Description><Size>7-15 holes</Size><SupplierCode>ZI</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5259</SubGroupID><Suffix>LK</Suffix><ARTGs><ARTG>112735</ARTG></ARTGs><MinimumBenefit>240</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>OX007</BillingCode><Name>ARMAR LPS Reconstruction Plates</Name><Description>3.5 mm reconstruction plates</Description><Size>7-15 holes</Size><SupplierCode>OX</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5259</SubGroupID><Suffix>LK</Suffix><ARTGs><ARTG>286842</ARTG></ARTGs><MinimumBenefit>240</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LQ005</BillingCode><Name>CASCELLA 3.5mm Superior Clavicle Plate Lateral</Name><Description>Superior Clavicle Plate Lateral</Description><Size>9, 12 and 15 holes, Left and Right, Length 75mm to 143mm.</Size><SupplierCode>LQ</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5259</SubGroupID><Suffix>VAL</Suffix><ARTGs><ARTG>433150</ARTG></ARTGs><ChangeExplanation>New listing</ChangeExplanation><MinimumBenefit>577</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2025-03-01</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SK543</BillingCode><Name>Stryker Plating System</Name><Description>Locking One Third Tubular Plates</Description><Size>3.0mm, 7-14 hole</Size><SupplierCode>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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BU014</BillingCode><PriorBillingCodes><PriorBillingCode>LI082</PriorBillingCode></PriorBillingCodes><Name>Airlock Bone plate System</Name><Description>Lisfranc H and Utility plates</Description><Size>8 hole Small, Medium, Large H plates and 7-hole Utility plate</Size><SupplierCode>BU</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5259</SubGroupID><Suffix>LK</Suffix><ARTGs><ARTG>235766</ARTG></ARTGs><ChangeExplanation>Change to Suffix, Description, Size,Change to Group benefit</ChangeExplanation><MinimumBenefit>240</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Update</ActionFlag><CycleStartDate>2016-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>DZ005</BillingCode><Name>Austofix Clavicle Plates</Name><Description>Clavicle lateral extension plates</Description><Size>7 - 15 holes</Size><SupplierCode>DZ</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5259</SubGroupID><Suffix>LK</Suffix><ARTGs><ARTG>276915</ARTG></ARTGs><ChangeExplanation>Change to Product name, Suffix, Description, Size,Change to Group benefit</ChangeExplanation><MinimumBenefit>240</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Update</ActionFlag><CycleStartDate>2017-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>DZ006</BillingCode><Name>Austofix Clavicle Plates</Name><Description>Anterior, Anterior Lateral Extension, Reconstruction, and Anterior Reconstruction Locking Plates</Description><Size>7-15 Holes</Size><SupplierCode>DZ</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5259</SubGroupID><Suffix>VAL</Suffix><ARTGs><ARTG>276915</ARTG></ARTGs><ChangeExplanation>Change to Product name, Suffix, Description,Change to Group benefit</ChangeExplanation><MinimumBenefit>577</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Update</ActionFlag><CycleStartDate>2017-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LM126</BillingCode><Name>TriMed Sidewinder</Name><Description>Ankle Fixation Plate</Description><Size>7 hole sidewinder plate</Size><SupplierCode>LM</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5259</SubGroupID><Suffix>Com, LK</Suffix><ARTGs><ARTG>182677</ARTG></ARTGs><MinimumBenefit>916</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SL138</BillingCode><Name>Smith &amp; Nephew Plate and Screw System- EVOS</Name><Description>Small Fragment plate</Description><Size>≥ 7 to ≤ 15 holes</Size><SupplierCode>SN</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>2025-03-01</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><MinimumBenefit>577</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2024-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SN797</BillingCode><Name>Peri-Loc</Name><Description>Locking 1/3 Tubular &amp; 3.5mm Straight Plates</Description><Size>≥ 7 to ≤ 15 holes</Size><SupplierCode>SN</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5259</SubGroupID><Suffix>LK</Suffix><ARTGs><ARTG>108428</ARTG></ARTGs><MinimumBenefit>240</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HU187</BillingCode><Name>Locking Third Tubular Plate</Name><Description>Plate for fracture of the Fibula</Description><Size>7-12 Holes</Size><SupplierCode>HU</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5259</SubGroupID><Suffix>LK</Suffix><ARTGs><ARTG>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>2025-03-01</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SQ081</BillingCode><Name>PediLoc-Periarticular Locking Plating System Femur - &gt;7 to &gt;15 holes, screw size 2.71 - 4.49mm</Name><Description>3.5mm Contour or Bowed Locking Compression, 8-14 Hole Plate, Left-Right</Description><Size>3.5mm Bowed, 14 hole
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>2025-03-01</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>2025-03-01</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><MinimumBenefit>577</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2023-07-01</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HW992</BillingCode><Name>VariAx 2 Locking Plate System – Distal Ulna</Name><Description>VAL Fixation Plates for Distal Ulna Fractures</Description><Size>≥ 7 to ≤ 15 holes</Size><SupplierCode>JV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5259</SubGroupID><Suffix>VAL</Suffix><ARTGs><ARTG>357433</ARTG><ARTG>340044</ARTG></ARTGs><MinimumBenefit>577</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HW811</BillingCode><PriorBillingCodes><PriorBillingCode>WR238</PriorBillingCode></PriorBillingCodes><Name>Ortholoc Fracture System - Plates</Name><Description>Universal</Description><Size>8 Hole</Size><SupplierCode>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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>EO134</BillingCode><Name>APTUS </Name><Description>Clavicle Variable Angle Locking Plates </Description><Size>7 - 15 holes </Size><SupplierCode>EO</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5259</SubGroupID><Suffix>VAL</Suffix><ARTGs><ARTG>206157</ARTG></ARTGs><MinimumBenefit>577</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-11-01</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</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>KQ</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5259</SubGroupID><Suffix>VAL</Suffix><ARTGs><ARTG>289248</ARTG></ARTGs><MinimumBenefit>577</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HU314</BillingCode><Name>Locking Medial Hook Plate</Name><Description>Plate for fracture fixation</Description><Size>&amp;lt;6 Holes</Size><SupplierCode>HU</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5259</SubGroupID><Suffix>VAL</Suffix><ARTGs><ARTG>351000</ARTG></ARTGs><MinimumBenefit>577</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HU311</BillingCode><Name>Anatomic Posterolateral Distal Fibula Plate</Name><Description>Plate for fracture fixation</Description><Size>7-15 Holes</Size><SupplierCode>HU</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5259</SubGroupID><Suffix>VAL</Suffix><ARTGs><ARTG>351000</ARTG></ARTGs><MinimumBenefit>577</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HU299</BillingCode><Name>Locking Distal Fibula Plate</Name><Description>Plate for Fracture Fixation</Description><Size>7-15 Holes</Size><SupplierCode>HU</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5259</SubGroupID><Suffix>VAL</Suffix><ARTGs><ARTG>351000</ARTG></ARTGs><MinimumBenefit>577</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HU308</BillingCode><Name>Posterolateral Fibula Plate</Name><Description>Plate for Fracture fixation</Description><Size>≥ 7 to ≤ 15 holes</Size><SupplierCode>HU</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5259</SubGroupID><Suffix>VAL</Suffix><ARTGs><ARTG>351000</ARTG></ARTGs><MinimumBenefit>577</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HU177</BillingCode><PriorBillingCodes><PriorBillingCode>DE505</PriorBillingCode></PriorBillingCodes><Name>MTP Plate, Straight , Long</Name><Description>1st MTP Arthrodesis Plate , Straight, Long - 8 Holes</Description><Size>8 Holes</Size><SupplierCode>HU</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5259</SubGroupID><Suffix>VAL</Suffix><ARTGs><ARTG>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>2025-03-01</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>2025-03-01</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>KQ</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5259</SubGroupID><Suffix>VAL</Suffix><ARTGs><ARTG>290443</ARTG></ARTGs><MinimumBenefit>577</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BH274</BillingCode><Name>ALPS - Anatomic Locked Plating System</Name><Description>3.5mm Titanium  plates</Description><Size>7 to 15 holes</Size><SupplierCode>ZI</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>2025-03-01</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>ZI</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>2025-03-01</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><MinimumBenefit>577</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-03-01</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</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><MinimumBenefit>577</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2016-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ291</BillingCode><Name>CASCELLA 3.5mm Superior Clavicle Plate</Name><Description>Superior Clavicle Plate</Description><Size>7 and 9 holes</Size><SupplierCode>LQ</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5259</SubGroupID><Suffix>VAL</Suffix><ARTGs><ARTG>433150</ARTG></ARTGs><ChangeExplanation>Change to Size</ChangeExplanation><MinimumBenefit>577</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Update</ActionFlag><CycleStartDate>2024-07-01</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HU310</BillingCode><Name>Anatomic Posterolateral Distal Fibula Plate</Name><Description>Plate for fracture fixation</Description><Size>4-6 Holes</Size><SupplierCode>HU</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5259</SubGroupID><Suffix>VAL</Suffix><ARTGs><ARTG>351000</ARTG></ARTGs><MinimumBenefit>577</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-03-01</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HU312</BillingCode><Name>Locking Medial Hook Plate</Name><Description>Plate for fracture fixation</Description><Size>7-15 Holes</Size><SupplierCode>HU</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5259</SubGroupID><Suffix>VAL</Suffix><ARTGs><ARTG>351000</ARTG></ARTGs><MinimumBenefit>577</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>TN074</BillingCode><Name>Newclip Foot Plate</Name><Description>Variable-Angle Locking anatomic plates</Description><Size>≥ 7 to ≤ 15 holes</Size><SupplierCode>TN</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5259</SubGroupID><Suffix>Com, VAL</Suffix><ARTGs><ARTG>260232</ARTG><ARTG>260229</ARTG></ARTGs><MinimumBenefit>793</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-07-01</CycleStartDate><CycleEndDate>2025-03-01</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><MinimumBenefit>793</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-03-01</CycleStartDate><CycleEndDate>2025-03-01</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>KQ</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5259</SubGroupID><Suffix>Com, VAL</Suffix><ARTGs><ARTG>289248</ARTG></ARTGs><MinimumBenefit>793</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2023-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LM471</BillingCode><Name>TriMed ASET Foot Plating System</Name><Description>Lapidus Plate</Description><Size>≥ 7 Holes</Size><SupplierCode>LM</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5259</SubGroupID><Suffix>Com, VAL</Suffix><ARTGs><ARTG>182677</ARTG></ARTGs><MinimumBenefit>793</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-07-01</CycleStartDate><CycleEndDate>2025-03-01</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><MinimumBenefit>577</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2024-11-01</CycleStartDate><CycleEndDate>2025-03-01</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>352530</ARTG><ARTG>196764</ARTG></ARTGs><MinimumBenefit>793</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-08-01</CycleStartDate><CycleEndDate>2025-03-01</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>KQ</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5259</SubGroupID><Suffix>Com, VAL</Suffix><ARTGs><ARTG>289248</ARTG></ARTGs><MinimumBenefit>793</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HU243</BillingCode><PriorBillingCodes><PriorBillingCode>DE760</PriorBillingCode></PriorBillingCodes><Name>MaxForce MTP</Name><Description>Plate for Arthrodesis</Description><Size>7-8 Holes</Size><SupplierCode>HU</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5259</SubGroupID><Suffix>Com, VAL</Suffix><ARTGs><ARTG>351000</ARTG></ARTGs><MinimumBenefit>793</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-07-01</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HU193</BillingCode><PriorBillingCodes><PriorBillingCode>DE418</PriorBillingCode></PriorBillingCodes><Name>Locking Medial Hook Plate</Name><Description>Locking Medial Hook Plate for fixation of Medial malleolus fractures</Description><Size>7 Holes</Size><SupplierCode>HU</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5259</SubGroupID><Suffix>Com, LK</Suffix><ARTGs><ARTG>350871</ARTG><ARTG>351000</ARTG></ARTGs><MinimumBenefit>916</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HU191</BillingCode><PriorBillingCodes><PriorBillingCode>DE420</PriorBillingCode></PriorBillingCodes><Name>Locking Lateral Hook Plate</Name><Description>Locking Lateral Hook Plate for Fixation of Lateral Malleolus</Description><Size>7 Holes</Size><SupplierCode>HU</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5259</SubGroupID><Suffix>Com, LK</Suffix><ARTGs><ARTG>350871</ARTG><ARTG>351000</ARTG></ARTGs><MinimumBenefit>916</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>TN029</BillingCode><Name>Newclip Plating System</Name><Description>Locking bone plates</Description><Size>7 to 15 holes</Size><SupplierCode>TN</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5259</SubGroupID><Suffix>Com, LK</Suffix><ARTGs><ARTG>260232</ARTG></ARTGs><MinimumBenefit>916</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2016-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>TN032</BillingCode><Name>Newclip Calcaneal Plates</Name><Description>Plates for calcaneus</Description><Size>7 to 15 holes</Size><SupplierCode>TN</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5259</SubGroupID><Suffix>Com, LK</Suffix><ARTGs><ARTG>260229</ARTG><ARTG>260232</ARTG></ARTGs><MinimumBenefit>916</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>PB017</BillingCode><Name>Ankle Fusion Locking Plate</Name><Description>Ankle Fusion Locking Plate</Description><Size>7 holes</Size><SupplierCode>PB</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5259</SubGroupID><Suffix>Com, LK</Suffix><ARTGs><ARTG>261562</ARTG></ARTGs><MinimumBenefit>916</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2016-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>TN027</BillingCode><Name>Newclip Plating System</Name><Description>Locking Bone Plates</Description><Size>7 to 15 holes</Size><SupplierCode>TN</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5259</SubGroupID><Suffix>LK</Suffix><ARTGs><ARTG>260229</ARTG><ARTG>260232</ARTG></ARTGs><MinimumBenefit>240</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2016-02-01</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>DZ032</BillingCode><Name>Valetis Ankle - Plates</Name><Description>1/3 Tubular Plate</Description><Size>7 to 12 hole</Size><SupplierCode>DZ</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5259</SubGroupID><Suffix>LK</Suffix><ARTGs><ARTG>284755</ARTG></ARTGs><MinimumBenefit>240</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HU188</BillingCode><Name>Locking Reconstruction Plate</Name><Description>Reconstruction Plate for communited Fibula Shaft Fractures</Description><Size>7-12 holes</Size><SupplierCode>HU</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5259</SubGroupID><Suffix>LK</Suffix><ARTGs><ARTG>351000</ARTG><ARTG>350871</ARTG></ARTGs><MinimumBenefit>240</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-03-01</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MN209</BillingCode><Name>AO/ASIF Plates</Name><Description>Locking Specialty Plate</Description><Size>7-15 Holes</Size><SupplierCode>JJ</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LQ002</BillingCode><Name>SALTI 2.5/3.5MM Ankle System</Name><Description>Distal Fibular Plates</Description><Size>9 or 14 holes, Left and Right, Length 97mm to 172mm</Size><SupplierCode>LQ</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5259</SubGroupID><Suffix>VAL</Suffix><ARTGs><ARTG>468027</ARTG></ARTGs><ChangeExplanation>New listing</ChangeExplanation><MinimumBenefit>577</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2025-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SL097</BillingCode><Name>Smith &amp; Nephew Plate and Screw System - EVOS</Name><Description>Small Fragment Plate</Description><Size>≥ 7 to ≤ 15 holes</Size><SupplierCode>SN</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SY721</BillingCode><Name>AO/ASIF Plates</Name><Description>Non-Locking Fragment Plates</Description><Size>7-15 Holes</Size><SupplierCode>JJ</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SN118</BillingCode><Name>TC-100 &amp; Peri-Loc </Name><Description>3.5mm Straight Plates </Description><Size>≥ 7 to ≤ 15 holes</Size><SupplierCode>SN</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5259</SubGroupID><ARTGs><ARTG>108428</ARTG></ARTGs><MinimumBenefit>113</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LM337</BillingCode><Name>Trimed Plates</Name><Description>Elbow, Forearm, clavicle and Wrist Plates</Description><Size>≥ 7 to ≤ 15 holes</Size><SupplierCode>LM</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5259</SubGroupID><Suffix>Com, LK</Suffix><ARTGs><ARTG>182677</ARTG></ARTGs><MinimumBenefit>916</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-08-01</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SK549</BillingCode><Name>Stryker Plating System Small Fragment Set</Name><Description>3.5mm Reconstruction Plate</Description><Size>7-14 hole</Size><SupplierCode>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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SL219</BillingCode><PriorBillingCodes><PriorBillingCode>IG119</PriorBillingCode></PriorBillingCodes><Name>HALLU-Lock MTP Arthrodesis System - HALLU-Lock S Plate</Name><Description>Titanium contoured Hallu-Lock S plate for revision of Keller osteotomy, failed arthroplasty, failed fusion</Description><Size>7 holes, sizes 0 to 3, length 40 to 55mm</Size><SupplierCode>SN</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>2025-03-01</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>2025-03-01</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SL222</BillingCode><PriorBillingCodes><PriorBillingCode>IG131</PriorBillingCode></PriorBillingCodes><Name>TIBIAXYS Distal Tibia System - Ankle Arthrodesis - Lateral anterior plate</Name><Description>Titanium lateral anterior plate with 8 holes; left or right</Description><Size>3mm thick, 92mm long</Size><SupplierCode>SN</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SL215</BillingCode><PriorBillingCodes><PriorBillingCode>IG114</PriorBillingCode></PriorBillingCodes><Name>TIBIAXYS Distal Tibial Osteotomy System: Medial right/lateral left osteotomy plate: lateral right/medial left osteotomy plate</Name><Description>Titanium contoured right and left design plates for wedge osteotomy of distal tibia</Description><Size>8 hole; Lateral plates 75.2mm length</Size><SupplierCode>SN</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SY798</BillingCode><Name>AO/ASIF Plates</Name><Description>Variable Angle Locking Specialty Plate</Description><Size>7-15 Holes</Size><SupplierCode>JJ</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>XT035</BillingCode><PriorBillingCodes><PriorBillingCode>GW048</PriorBillingCode></PriorBillingCodes><Name>WEGO Trauma Systems</Name><Description>Locking Plate Systems</Description><Size>7-15 Holes</Size><SupplierCode>XT</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5259</SubGroupID><Suffix>LK</Suffix><ARTGs><ARTG>324402</ARTG></ARTGs><ChangeExplanation>
Billing code transferred from GW048
Sponsor transferred from EQUINOX MEDICAL PTY LTD</ChangeExplanation><MinimumBenefit>240</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2020-07-01</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HU123</BillingCode><PriorBillingCodes><PriorBillingCode>DE531</PriorBillingCode></PriorBillingCodes><Name>Wrist Spanning Plate</Name><Description>Plate for Fracture Fixation</Description><Size>9 Holes</Size><SupplierCode>HU</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5259</SubGroupID><Suffix>VAL</Suffix><ARTGs><ARTG>351000</ARTG></ARTGs><MinimumBenefit>577</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>XT052</BillingCode><PriorBillingCodes><PriorBillingCode>GW066</PriorBillingCode></PriorBillingCodes><Name>WEGO Trauma Systems</Name><Description>1/3 Tubular Plate</Description><Size>7-15 holes</Size><SupplierCode>XT</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5259</SubGroupID><ARTGs><ARTG>324402</ARTG></ARTGs><ChangeExplanation>
Billing code transferred from GW066
Sponsor transferred from EQUINOX MEDICAL PTY LTD</ChangeExplanation><MinimumBenefit>113</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2021-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>EO136</BillingCode><Name>APTUS </Name><Description>Variable Angle Locking Plates </Description><Size>7 - 15 holes </Size><SupplierCode>EO</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5259</SubGroupID><Suffix>VAL</Suffix><ARTGs><ARTG>206157</ARTG></ARTGs><MinimumBenefit>577</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>TN051</BillingCode><Name>VAL plates screw size 2.71-4.49</Name><Description>VAL complex plates screw size 2.71-4.49</Description><Size>7≥ to ≤ 15 holes</Size><SupplierCode>TN</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5259</SubGroupID><Suffix>VAL</Suffix><ARTGs><ARTG>260229</ARTG><ARTG>260232</ARTG></ARTGs><MinimumBenefit>577</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>TN044</BillingCode><Name>Newclip Clavicle Plate</Name><Description>Plate for fixation of fractures of the clavicle or Locking Clavicle Plate</Description><Size>7 to 15 holes</Size><SupplierCode>TN</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5259</SubGroupID><Suffix>VAL</Suffix><ARTGs><ARTG>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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>PB076</BillingCode><Name>Marathon variable angle Fibula Plate</Name><Description>Marathon variable angle Fibula Plate</Description><Size>1 - 6 holes</Size><SupplierCode>PB</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5259</SubGroupID><Suffix>VAL</Suffix><ARTGs><ARTG>261562</ARTG></ARTGs><MinimumBenefit>577</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>TN063</BillingCode><Name>Newclip Locking plates</Name><Description>Variable Angle Locking Plate</Description><Size>7 to 15 holes</Size><SupplierCode>TN</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5259</SubGroupID><Suffix>VAL</Suffix><ARTGs><ARTG>260229</ARTG><ARTG>260232</ARTG></ARTGs><MinimumBenefit>577</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2019-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>TN059</BillingCode><Name>Periarticular Clavicle plate</Name><Description>Periarticular plate for clavicle</Description><Size>≥ 7 to ≤ 15 holes</Size><SupplierCode>TN</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5259</SubGroupID><ARTGs><ARTG>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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HU309</BillingCode><Name>Posterolateral Fibula Plate</Name><Description>Plate for fracture fixation</Description><Size>8 Holes</Size><SupplierCode>HU</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5259</SubGroupID><Suffix>VAL</Suffix><ARTGs><ARTG>351000</ARTG></ARTGs><MinimumBenefit>577</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SQ174</BillingCode><Name>PediFoot Deformity Correction System</Name><Description>3.5mm Plates, Recon</Description><Size>70mm length, 8 holes</Size><SupplierCode>SQ</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5259</SubGroupID><Suffix>VAL</Suffix><ARTGs><ARTG>191530</ARTG></ARTGs><MinimumBenefit>577</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2020-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SK099</BillingCode><Name>Stryker Plating System Small Fragment Set</Name><Description>One Third Tubular Plate with Collar</Description><Size>7-14 Holes</Size><SupplierCode>JV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5259</SubGroupID><ARTGs><ARTG>295226</ARTG><ARTG>269713</ARTG></ARTGs><MinimumBenefit>113</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>EO133</BillingCode><Name>APTUS</Name><Description>Variable angle locking plate </Description><Size>7 - 15 holes </Size><SupplierCode>EO</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5259</SubGroupID><Suffix>VAL</Suffix><ARTGs><ARTG>206157</ARTG></ARTGs><MinimumBenefit>577</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>PB077</BillingCode><Name>Marathon variable angle Fibula plates</Name><Description>Marathon variable angle Fibula plates</Description><Size>7 - 15 holes</Size><SupplierCode>PB</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5259</SubGroupID><Suffix>VAL</Suffix><ARTGs><ARTG>261562</ARTG></ARTGs><MinimumBenefit>577</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>TN071</BillingCode><Name>Periarticular Clavicle plate</Name><Description>Periarticular plate for clavicle    </Description><Size>  ≥ 7 to ≤ 15 holes  </Size><SupplierCode>TN</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5259</SubGroupID><Suffix>VAL</Suffix><ARTGs><ARTG>260232</ARTG><ARTG>260229</ARTG></ARTGs><MinimumBenefit>577</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HW934</BillingCode><PriorBillingCodes><PriorBillingCode>WR420</PriorBillingCode></PriorBillingCodes><Name>MaxLock Extreme System - Small Complex VAL Plates &gt;6 holes</Name><Description>Small complex variable angle lockig plates, Titanium, &gt;6 holes</Description><Size>&gt; 6 holes</Size><SupplierCode>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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LM213</BillingCode><Name>Fusion Cup</Name><Description>PEEK curved and round plate</Description><Size>7, 9, 10, 11 &amp; 12 hole</Size><SupplierCode>LM</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5259</SubGroupID><Suffix>Com, VAL</Suffix><ARTGs><ARTG>229707</ARTG></ARTGs><MinimumBenefit>793</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2015-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ZI790</BillingCode><Name>ZPS-Zimmer Plate and Screw System</Name><Description>3.5mm Straight Reconstruction Plates</Description><Size>7-15 holes</Size><SupplierCode>ZI</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5259</SubGroupID><ARTGs><ARTG>112735</ARTG></ARTGs><MinimumBenefit>113</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-02-01</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MO445</BillingCode><Name>Acumed Small Fragment Plates</Name><Description>One Third Tubular Plates</Description><Size>7 to 15 Holes</Size><SupplierCode>MO</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5259</SubGroupID><ARTGs><ARTG>99824</ARTG></ARTGs><MinimumBenefit>113</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2019-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>XU013</BillingCode><PriorBillingCodes><PriorBillingCode>QQ669</PriorBillingCode></PriorBillingCodes><Name>ARIX Wrist System - Distal Ulna Plates</Name><Description>Distal Ulna Plates</Description><Size>7 holes</Size><SupplierCode>XU</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5259</SubGroupID><Suffix>VAL</Suffix><ARTGs><ARTG>409165</ARTG></ARTGs><ChangeExplanation>
Billing code transferred from QQ669
Sponsor transferred from AA-Med Pty Ltd</ChangeExplanation><MinimumBenefit>577</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2024-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SN130</BillingCode><Name>TC-100 &amp; Peri-Loc </Name><Description> 3.5mm Straight Plates</Description><Size>≥ 7 to ≤ 15 holes</Size><SupplierCode>SN</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5259</SubGroupID><ARTGs><ARTG>108428</ARTG></ARTGs><MinimumBenefit>113</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>XU015</BillingCode><PriorBillingCodes><PriorBillingCode>QQ802</PriorBillingCode></PriorBillingCodes><Name>ARIX Wrist System - Carpal Fusion Plate</Name><Description>Carpal Fusion Plate</Description><Size>7 holes </Size><SupplierCode>XU</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5259</SubGroupID><Suffix>VAL</Suffix><ARTGs><ARTG>409165</ARTG></ARTGs><ChangeExplanation>
Billing code transferred from QQ802
Sponsor transferred from AA-Med Pty Ltd</ChangeExplanation><MinimumBenefit>577</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2024-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>XT044</BillingCode><PriorBillingCodes><PriorBillingCode>GW058</PriorBillingCode></PriorBillingCodes><Name>WEGO Trauma Systems</Name><Description>Locking Compression Plates</Description><Size>≥16 holes</Size><SupplierCode>XT</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5260</SubGroupID><Suffix>LK</Suffix><ARTGs><ARTG>324402</ARTG></ARTGs><ChangeExplanation>
Billing code transferred from GW058
Sponsor transferred from EQUINOX MEDICAL PTY LTD</ChangeExplanation><MinimumBenefit>591</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2020-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HU300</BillingCode><Name>Locking Distal Fibula Plate</Name><Description>Plate for Fracture Fixation</Description><Size>&gt;16 Holes</Size><SupplierCode>HU</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5260</SubGroupID><Suffix>VAL</Suffix><ARTGs><ARTG>351000</ARTG></ARTGs><MinimumBenefit>810</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-03-01</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</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><MinimumBenefit>810</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2024-11-01</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</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><MinimumBenefit>810</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2024-08-08</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SQ083</BillingCode><Name>PediLoc - Anterolateral and Medial Distal Tibial Paediatric Locking Plate</Name><Description>3.5 mm distal tibial locking compression plate (narrow/wide; 2-5 holes)</Description><Size>3.5mm anterolateral left (2,3,4,5, holes)
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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SY810</BillingCode><Name>AO/ASIF Plates</Name><Description>Locking Specialty Plate</Description><Size>≥16 holes</Size><SupplierCode>JJ</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SN798</BillingCode><Name>Peri-Loc</Name><Description>Plates, Stainless Steel, Locking, Compression, Lefts and Rights</Description><Size>3.5mm, 20 - 22 holes</Size><SupplierCode>SN</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5260</SubGroupID><Suffix>LK</Suffix><ARTGs><ARTG>108428</ARTG></ARTGs><MinimumBenefit>591</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SN011</BillingCode><Name>TC-100 &amp;Peri-Loc </Name><Description>Sterile, 14 - 26 hole</Description><Size>≥ 16 holes</Size><SupplierCode>SN</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5260</SubGroupID><ARTGs><ARTG>108428</ARTG></ARTGs><MinimumBenefit>539</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SK550</BillingCode><Name>Stryker Plating System Small Fragment Set</Name><Description>3.5mm Reconstruction Plate</Description><Size>16-22 hole</Size><SupplierCode>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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SN134</BillingCode><Name>TC-100</Name><Description>3.5mm Reconstruction Plates</Description><Size>≥ 16 holes</Size><SupplierCode>SN</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5260</SubGroupID><Suffix>Com</Suffix><ARTGs><ARTG>108428</ARTG></ARTGs><MinimumBenefit>1018</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SN937</BillingCode><Name>TC-100</Name><Description>3.5mm Curved Reconstruction Plate</Description><Size>≥16 holes</Size><SupplierCode>SN</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5260</SubGroupID><Suffix>Com</Suffix><ARTGs><ARTG>108428</ARTG></ARTGs><MinimumBenefit>1018</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>JV032</BillingCode><Name>AxSOS 3 Compression Plates</Name><Description>AxSOS 3 Compression Plates to be used with 4.0mm Locking Screws </Description><Size>16-20 hole</Size><SupplierCode>JV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5260</SubGroupID><Suffix>LK</Suffix><ARTGs><ARTG>352530</ARTG></ARTGs><ChangeExplanation>New listing</ChangeExplanation><MinimumBenefit>591</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2025-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MO427</BillingCode><Name>ACUMED ACU-LOC Wrist Spanning Plate</Name><Description>Wrist Spanning Plate</Description><Size>Plates available in 13 hole configerations.</Size><SupplierCode>MO</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5260</SubGroupID><Suffix>Com, LK</Suffix><ARTGs><ARTG>99824</ARTG></ARTGs><MinimumBenefit>1397</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2015-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SL139</BillingCode><Name>Smith &amp; Nephew Plate and Screw System - EVOS</Name><Description>Small Fragment Plate</Description><Size>≥ 16 holes</Size><SupplierCode>SN</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SY809</BillingCode><Name>AO/ASIF Plates</Name><Description>Locking Specialty Plate</Description><Size>≥16 holes</Size><SupplierCode>JJ</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>EO114</BillingCode><Name>APTUS</Name><Description>Variable angle locking plates</Description><Size>≥ 16 holes </Size><SupplierCode>EO</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5260</SubGroupID><Suffix>VAL</Suffix><ARTGs><ARTG>206157</ARTG></ARTGs><MinimumBenefit>810</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HW534</BillingCode><Name>Stryker Locking Plate System</Name><Description>Variable Angle Locking Plates</Description><Size>≥ 16 holes</Size><SupplierCode>JV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5260</SubGroupID><Suffix>VAL</Suffix><ARTGs><ARTG>295226</ARTG><ARTG>139635</ARTG><ARTG>237797</ARTG></ARTGs><MinimumBenefit>810</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2014-08-01</CycleStartDate><CycleEndDate>2025-03-01</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>KQ</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5260</SubGroupID><Suffix>VAL</Suffix><ARTGs><ARTG>289248</ARTG></ARTGs><MinimumBenefit>810</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SL127</BillingCode><Name>Smith &amp; Nephew Plate and Screw System - EVOS</Name><Description>Small Fragment plate</Description><Size>≥ 16 holes</Size><SupplierCode>SN</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LM124</BillingCode><Name>TriMed Periarticular Plate</Name><Description>Periarticular Plates</Description><Size>≥ 16 holes</Size><SupplierCode>LM</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5260</SubGroupID><Suffix>LK</Suffix><ARTGs><ARTG>182677</ARTG></ARTGs><MinimumBenefit>591</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>OX008</BillingCode><Name>ARMAR LPS Reconstruction Plates</Name><Description>3.5 mm reconstruction locking plates</Description><Size>16-22 holes</Size><SupplierCode>OX</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5260</SubGroupID><Suffix>LK</Suffix><ARTGs><ARTG>286842</ARTG></ARTGs><MinimumBenefit>591</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HU124</BillingCode><PriorBillingCodes><PriorBillingCode>DE642</PriorBillingCode></PriorBillingCodes><Name>Dorsal Midfoot Fusion Plate</Name><Description>Plate for fusion</Description><Size>Small, Medium, Large</Size><SupplierCode>HU</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5260</SubGroupID><Suffix>Com</Suffix><ARTGs><ARTG>351000</ARTG></ARTGs><MinimumBenefit>1018</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-03-01</CycleStartDate><CycleEndDate>2025-03-01</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><MinimumBenefit>591</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2024-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HU182</BillingCode><PriorBillingCodes><PriorBillingCode>DE443</PriorBillingCode></PriorBillingCodes><Name>Low Profile T-Plate</Name><Description>Plate for fusion</Description><Size>3-6 Holes</Size><SupplierCode>HU</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5261</SubGroupID><Suffix>LK</Suffix><ARTGs><ARTG>350871</ARTG><ARTG>351000</ARTG></ARTGs><MinimumBenefit>550</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-03-01</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HU173</BillingCode><PriorBillingCodes><PriorBillingCode>DE442</PriorBillingCode></PriorBillingCodes><Name>X Plate</Name><Description>Plate for fusion</Description><Size>Small</Size><SupplierCode>HU</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5261</SubGroupID><Suffix>Com, LK</Suffix><ARTGs><ARTG>350871</ARTG><ARTG>351000</ARTG></ARTGs><MinimumBenefit>993</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SL133</BillingCode><Name>Smith &amp; Nephew Plate and Screw System- EVOS</Name><Description>Small Fragment Plate</Description><Size>≤ 6 holes</Size><SupplierCode>SN</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SY808</BillingCode><Name>AO/ASIF Plates</Name><Description>Pre-contoured locking plates</Description><Size>≤6 Holes</Size><SupplierCode>JJ</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SY821</BillingCode><Name>AO/ASIF Plates</Name><Description>Anatomic Locking Hand Plates</Description><Size>2-6 holes</Size><SupplierCode>JJ</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SY804</BillingCode><Name>AO/ASIF Plates</Name><Description>Locking Plates</Description><Size>≤6 Holes</Size><SupplierCode>JJ</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SN940</BillingCode><Name>Peri-Loc VLP</Name><Description>VAL/LK, 2.7mm Quarter Tubular Plates</Description><Size>≤6 holes</Size><SupplierCode>SN</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5261</SubGroupID><Suffix>VAL</Suffix><ARTGs><ARTG>108428</ARTG></ARTGs><MinimumBenefit>907</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SL039</BillingCode><Name>VLP EVOS</Name><Description>Mini Plates Straight</Description><Size>≤ 6 holes</Size><SupplierCode>SN</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SL218</BillingCode><PriorBillingCodes><PriorBillingCode>IG118</PriorBillingCode></PriorBillingCodes><Name>HALLU-Lock MTP Arthrodesis System - HALLU-Lock C Plate</Name><Description>Titanium contoured plate for 1st MTP arthrodesis, fixation of fractures and osteotomies</Description><Size>4, 5 or 6 holes; sizes 0 to 3, length 35 to 50mm</Size><SupplierCode>SN</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>XU033</BillingCode><PriorBillingCodes><PriorBillingCode>ZZ073</PriorBillingCode><PriorBillingCode>EF019</PriorBillingCode></PriorBillingCodes><Name>Arix Hand Plating System</Name><Description>Mini Plates</Description><Size>≤ 6 holes</Size><SupplierCode>XU</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5261</SubGroupID><Suffix>VAL</Suffix><ARTGs><ARTG>239812</ARTG></ARTGs><ChangeExplanation>
Billing code transferred from ZZ073
Sponsor transferred from AA-Med Pty Ltd</ChangeExplanation><MinimumBenefit>907</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2021-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SL068</BillingCode><Name>VLP</Name><Description>VAL mini plates - Hand</Description><Size>Mini Plates ≤2.7mm</Size><SupplierCode>SN</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HW825</BillingCode><PriorBillingCodes><PriorBillingCode>WR266</PriorBillingCode></PriorBillingCodes><Name>Locking Plate</Name><Description>Titanium locking plates anatomically contoured for forefoot and midfoot osteotomies.</Description><Size>2.7mm &amp; 3.5mm. Neutral, 1mm, 2mm, 3mm, 4mm, 4.5mm, 5mm, 5.5mm, 6mm, 6.5mm, 7mm, 8mm, 10mm. 4-6Holes</Size><SupplierCode>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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HW968</BillingCode><PriorBillingCodes><PriorBillingCode>WR459</PriorBillingCode></PriorBillingCodes><Name>ORTHOLOC 2 Small Bones Plates – Complex and VAL – up to 6 holes</Name><Description>Titanium mini plates, complex, variable angle locking, up to 6 holes, various designs (Hook plate, Y-plates and Pinch plates).</Description><Size>Up to 6 holes</Size><SupplierCode>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>2025-03-01</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>2025-03-01</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>KQ</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5261</SubGroupID><Suffix>Com, VAL</Suffix><ARTGs><ARTG>289248</ARTG></ARTGs><MinimumBenefit>971</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SN116</BillingCode><Name>TC-100  </Name><Description>2.7mm T Plates</Description><Size>≤ 6 holes</Size><SupplierCode>SN</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5261</SubGroupID><ARTGs><ARTG>108428</ARTG></ARTGs><MinimumBenefit>417</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SN088</BillingCode><Name>TC-100</Name><Description>Semitubular Plates</Description><Size>≤ 6 holes</Size><SupplierCode>SN</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5261</SubGroupID><ARTGs><ARTG>108428</ARTG></ARTGs><MinimumBenefit>417</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SN073</BillingCode><Name>TC-100 </Name><Description>Mini L Plates &amp; T Plates</Description><Size>≤ 6 holes</Size><SupplierCode>SN</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5261</SubGroupID><ARTGs><ARTG>108428</ARTG></ARTGs><MinimumBenefit>417</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SN928</BillingCode><Name>TC-100</Name><Description>Quarter Tubular Plates, L/E 6 holes</Description><Size>≤6 holes</Size><SupplierCode>SN</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5261</SubGroupID><ARTGs><ARTG>108428</ARTG></ARTGs><MinimumBenefit>417</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HU289</BillingCode><Name>T- Plate</Name><Description>Plate for fracture fixation</Description><Size>6 Holes</Size><SupplierCode>HU</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5261</SubGroupID><Suffix>VAL</Suffix><ARTGs><ARTG>350999</ARTG></ARTGs><MinimumBenefit>907</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-11-01</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</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><MinimumBenefit>907</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2024-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HW829</BillingCode><PriorBillingCodes><PriorBillingCode>WR279</PriorBillingCode></PriorBillingCodes><Name>Biotech Easy Lock System</Name><Description>Easy Lock Plating System</Description><Size>Various</Size><SupplierCode>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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>KT087</BillingCode><PriorBillingCodes><PriorBillingCode>OH534</PriorBillingCode></PriorBillingCodes><Name>KLS Martin Hand Fracture System - Plates</Name><Description>Various Size and Shapes plates</Description><Size>1 to 6 hole</Size><SupplierCode>KT</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5261</SubGroupID><Suffix>Com, VAL</Suffix><ARTGs><ARTG>236206</ARTG><ARTG>276674</ARTG></ARTGs><MinimumBenefit>971</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LM470</BillingCode><Name>TriMed ASET Foot Plating System </Name><Description>Lapidus and Universal Plates</Description><Size>≤ 6 holes  </Size><SupplierCode>LM</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5261</SubGroupID><Suffix>Com, VAL</Suffix><ARTGs><ARTG>182677</ARTG></ARTGs><MinimumBenefit>971</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>EO082</BillingCode><Name>APTUS Hand and Foot</Name><Description>TriLock Plates</Description><Size>1.2 - 2.3</Size><SupplierCode>EO</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5261</SubGroupID><Suffix>Com, VAL</Suffix><ARTGs><ARTG>141170</ARTG></ARTGs><MinimumBenefit>971</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HU286</BillingCode><Name>Rotation Correction Plate</Name><Description>Plate for arthrodesis</Description><Size>5 Holes</Size><SupplierCode>HU</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5261</SubGroupID><Suffix>VAL</Suffix><ARTGs><ARTG>350999</ARTG></ARTGs><MinimumBenefit>907</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HU276</BillingCode><Name>V-Plate</Name><Description>Plate for fracture fixation</Description><Size>6 Holes</Size><SupplierCode>HU</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5261</SubGroupID><Suffix>VAL</Suffix><ARTGs><ARTG>350999</ARTG></ARTGs><MinimumBenefit>907</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HU293</BillingCode><Name>T-Plate, Reinforced</Name><Description>Plate for fracture fixation</Description><Size>6 Holes</Size><SupplierCode>HU</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5261</SubGroupID><Suffix>VAL</Suffix><ARTGs><ARTG>350999</ARTG></ARTGs><MinimumBenefit>907</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HU281</BillingCode><Name>Straight Plate</Name><Description>Plate for fracture fixation</Description><Size>6 Holes</Size><SupplierCode>HU</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5261</SubGroupID><Suffix>VAL</Suffix><ARTGs><ARTG>350999</ARTG></ARTGs><MinimumBenefit>907</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MO447</BillingCode><Name>Acumed Small Fragment Plates</Name><Description>2.7mm Fragment Plates</Description><Size>6 Hole</Size><SupplierCode>MO</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5261</SubGroupID><Suffix>VAL</Suffix><ARTGs><ARTG>99824</ARTG></ARTGs><MinimumBenefit>907</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2019-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>XT021</BillingCode><PriorBillingCodes><PriorBillingCode>GW026</PriorBillingCode></PriorBillingCodes><Name>WEGO Trauma Systems</Name><Description>Non-Locking Plate Systems</Description><Size>≤ 6 holes</Size><SupplierCode>XT</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5261</SubGroupID><ARTGs><ARTG>324402</ARTG></ARTGs><ChangeExplanation>
Billing code transferred from GW026
Sponsor transferred from EQUINOX MEDICAL PTY LTD</ChangeExplanation><MinimumBenefit>417</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2020-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>DZ039</BillingCode><Name>Mini-Fragment Plates</Name><Description>Locking Compression Plates</Description><Size>1.5mm, 2.0mm, 2.5mm, 2.7mm</Size><SupplierCode>DZ</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5261</SubGroupID><Suffix>LK</Suffix><ARTGs><ARTG>276915</ARTG></ARTGs><MinimumBenefit>550</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HU181</BillingCode><PriorBillingCodes><PriorBillingCode>DE444</PriorBillingCode></PriorBillingCodes><Name>Low Profile Straight Plate</Name><Description>Plate for Fusion</Description><Size>4-6 Holes</Size><SupplierCode>HU</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5261</SubGroupID><Suffix>LK</Suffix><ARTGs><ARTG>350871</ARTG><ARTG>351000</ARTG></ARTGs><MinimumBenefit>550</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SY806</BillingCode><Name>AO/ASIF Plates</Name><Description>Pre-contoured locking plates</Description><Size>≤6 Holes</Size><SupplierCode>JJ</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BU028</BillingCode><Name>Airlock Plate</Name><Description>Airlock Plating System</Description><Size>Left and Right, Size 0 - 6</Size><SupplierCode>BU</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5261</SubGroupID><Suffix>LK</Suffix><ARTGs><ARTG>235766</ARTG></ARTGs><MinimumBenefit>550</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HU172</BillingCode><PriorBillingCodes><PriorBillingCode>DE554</PriorBillingCode></PriorBillingCodes><Name>LPS Cotton Osteotomy Plates</Name><Description>Wedged Fusion Plate</Description><Size>Flat, 2mm - 8mm</Size><SupplierCode>HU</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5261</SubGroupID><Suffix>Com</Suffix><ARTGs><ARTG>350871</ARTG><ARTG>351000</ARTG></ARTGs><MinimumBenefit>663</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SY747</BillingCode><Name>AO/ASIF Plates</Name><Description>Condylar plates</Description><Size>≤ 6 holes</Size><SupplierCode>JJ</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>2025-03-01</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SN068</BillingCode><Name>TC 100</Name><Description>Plate: Condylar</Description><Size>1.5mm, 2.0mm &amp;2.7mm</Size><SupplierCode>SN</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5261</SubGroupID><Suffix>Com</Suffix><ARTGs><ARTG>108428</ARTG></ARTGs><MinimumBenefit>663</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SY737</BillingCode><Name>AO/ASIF Plates</Name><Description>Locking Plates</Description><Size>≤6 Holes</Size><SupplierCode>JJ</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>XT030</BillingCode><PriorBillingCodes><PriorBillingCode>GW040</PriorBillingCode></PriorBillingCodes><Name>WEGO Trauma Systems</Name><Description>Locking Compression Plates</Description><Size>≤ 6 Holes</Size><SupplierCode>XT</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5261</SubGroupID><Suffix>LK</Suffix><ARTGs><ARTG>324402</ARTG></ARTGs><ChangeExplanation>
Billing code transferred from GW040
Sponsor transferred from EQUINOX MEDICAL PTY LTD</ChangeExplanation><MinimumBenefit>550</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2020-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SF123</BillingCode><Name>Islay Opening Wedge Locking plate</Name><Description>Islay Opening Wedge Locking plate</Description><Size>universal locking plate 12 MM - 30mm/
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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SY817</BillingCode><Name>AO/ASIF Plates</Name><Description>Locking plates</Description><Size>Less than 6 holes</Size><SupplierCode>JJ</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SN930</BillingCode><Name>Peri-Loc</Name><Description>2.7mm LK Reconstruction Plates</Description><Size>≤6 holes</Size><SupplierCode>SN</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5261</SubGroupID><Suffix>Com, LK</Suffix><ARTGs><ARTG>108428</ARTG></ARTGs><MinimumBenefit>993</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SF118</BillingCode><Name>Islay MTP Plate</Name><Description>Islay MTP / TMT Plate</Description><Size>2.7mm Univeral locking plate 18mm (2.7ULP), up to 24mm 
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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MO395</BillingCode><Name>RibLoc Rib fracture plating System</Name><Description>RibLoc Plate</Description><Size>46mmL X 8-14mm W</Size><SupplierCode>MO</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5261</SubGroupID><Suffix>Com, LK</Suffix><ARTGs><ARTG>158695</ARTG></ARTGs><MinimumBenefit>993</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SQ139</BillingCode><Name>PediLoc - Plating System ≤ 6 holes, screw size ≤ 2.7mm</Name><Description>2.7mm Locking Plate</Description><Size>3-6 Hole</Size><SupplierCode>SQ</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5261</SubGroupID><Suffix>Com, LK</Suffix><ARTGs><ARTG>191586</ARTG></ARTGs><MinimumBenefit>993</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ZI946</BillingCode><Name>Normed fracture fixation plates</Name><Description>Titanium locking foot plates</Description><Size>4/6 hole and 2.7mm screws</Size><SupplierCode>ZI</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5261</SubGroupID><Suffix>Com, LK</Suffix><ARTGs><ARTG>140687</ARTG></ARTGs><MinimumBenefit>993</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2016-08-01</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HW899</BillingCode><PriorBillingCodes><PriorBillingCode>WR375</PriorBillingCode></PriorBillingCodes><Name>Mini MaxLock Extreme System - Mini Plates ≤ 6 holes</Name><Description>Mini variable angle locking plates, Titanium, ≤ 6 holes</Description><Size>≤ 6 holes</Size><SupplierCode>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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>EO060</BillingCode><Name>Aptus Wrist Arthrodesis</Name><Description>STT Fusion Plate</Description><Size>2.0 system</Size><SupplierCode>EO</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5261</SubGroupID><Suffix>Com, VAL</Suffix><ARTGs><ARTG>141170</ARTG></ARTGs><MinimumBenefit>971</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SY713</BillingCode><Name>AO/ASIF Plates</Name><Description>LCP, Condylar, Mini Fragment Plates - Various</Description><Size>≤6 holes</Size><SupplierCode>JJ</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>PB056</BillingCode><Name>Marathon VA System</Name><Description>Variable Angle Bone Plates</Description><Size>&lt;6 Holes</Size><SupplierCode>PB</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5261</SubGroupID><Suffix>VAL</Suffix><ARTGs><ARTG>261562</ARTG></ARTGs><MinimumBenefit>907</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2019-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SL035</BillingCode><Name>VLP</Name><Description>VAL mini plates</Description><Size>Mini Plates ≤2.7mm</Size><SupplierCode>SN</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>PB023</BillingCode><Name>Mallet Finger Plate</Name><Description>Finger Plates</Description><Size>1 &amp; 2 Holes</Size><SupplierCode>PB</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5261</SubGroupID><Suffix>Com, VAL</Suffix><ARTGs><ARTG>229660</ARTG></ARTGs><MinimumBenefit>971</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2016-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>TN046</BillingCode><Name>VAL plates screw size ≤2.7mm</Name><Description>Variable angle locking complex plates</Description><Size>Mini : screw size ≤2.7mm  &lt;= 6 holes</Size><SupplierCode>TN</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5261</SubGroupID><Suffix>VAL</Suffix><ARTGs><ARTG>260229</ARTG><ARTG>260232</ARTG></ARTGs><MinimumBenefit>907</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MO433</BillingCode><Name>ACUMED Hand Fracture System</Name><Description>0.8mm Avulsion Hook Plate</Description><Size>0.8mm</Size><SupplierCode>MO</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5261</SubGroupID><Suffix>Com, VAL</Suffix><ARTGs><ARTG>99824</ARTG></ARTGs><MinimumBenefit>971</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2016-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ST786</BillingCode><Name>Leibinger Titanium Implant System</Name><Description>Leibinger Forefoot Reconstruction System, straight plate, Titanium</Description><Size>4 holes</Size><SupplierCode>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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SK591</BillingCode><Name>Diamond Plate/Carpal Button</Name><Description>Carpal Fusion Plate</Description><Size>Large, Small</Size><SupplierCode>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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ST787</BillingCode><Name>Leibinger Titanium Implant System</Name><Description>Leibinger Forefoot Reconstruction System, straight plate, Titanium</Description><Size>6 holes</Size><SupplierCode>JV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5261</SubGroupID><Suffix>Com</Suffix><ARTGs><ARTG>64730</ARTG><ARTG>124318</ARTG></ARTGs><MinimumBenefit>663</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>TN072</BillingCode><Name>Newclip Anatomic Locking plates</Name><Description>Variable Angle Anatomic Locking Plate</Description><Size>≤6 holes</Size><SupplierCode>TN</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5261</SubGroupID><Suffix>VAL</Suffix><ARTGs><ARTG>260232</ARTG><ARTG>260229</ARTG></ARTGs><MinimumBenefit>907</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-03-01</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MO202</BillingCode><Name>Acumed Bone Plate</Name><Description>MCP Fusion Plate - Titanium</Description><Size> 4 Hole</Size><SupplierCode>MO</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5261</SubGroupID><ARTGs><ARTG>99824</ARTG></ARTGs><MinimumBenefit>417</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HU125</BillingCode><PriorBillingCodes><PriorBillingCode>DE575</PriorBillingCode></PriorBillingCodes><Name>Straight Plate</Name><Description>Plate for Fracture Fixation</Description><Size>2-5 Holes</Size><SupplierCode>HU</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5261</SubGroupID><ARTGs><ARTG>351000</ARTG></ARTGs><MinimumBenefit>417</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SN932</BillingCode><Name>TC-100</Name><Description>2.0mm Straight Plates</Description><Size>≤6 holes</Size><SupplierCode>SN</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5261</SubGroupID><ARTGs><ARTG>108428</ARTG></ARTGs><MinimumBenefit>417</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SN083</BillingCode><Name>TC-100</Name><Description>2.0mm T Plates </Description><Size>≤ 6 holes</Size><SupplierCode>SN</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5261</SubGroupID><ARTGs><ARTG>108428</ARTG></ARTGs><MinimumBenefit>417</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SY736</BillingCode><Name>AO/ASIF Plates</Name><Description>Non-Locking Plates</Description><Size>≤ 6 holes</Size><SupplierCode>JJ</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HU244</BillingCode><PriorBillingCodes><PriorBillingCode>DE755</PriorBillingCode></PriorBillingCodes><Name>Hook Plate</Name><Description>Plate for Fracture Fixation</Description><Size>6 Holes</Size><SupplierCode>HU</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5261</SubGroupID><Suffix>Com, VAL</Suffix><ARTGs><ARTG>350999</ARTG></ARTGs><MinimumBenefit>971</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-07-01</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>KT086</BillingCode><PriorBillingCodes><PriorBillingCode>OH533</PriorBillingCode></PriorBillingCodes><Name>KLS Martin Hand Fracture System - Plates</Name><Description>Various Size and Shaped Plates</Description><Size>1 to 6 Hole</Size><SupplierCode>KT</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5261</SubGroupID><Suffix>VAL</Suffix><ARTGs><ARTG>276674</ARTG><ARTG>236206</ARTG></ARTGs><MinimumBenefit>907</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LM473</BillingCode><Name>TriMed ASET Foot Plating System</Name><Description>Straight and T Plates</Description><Size>≤ 6 holes</Size><SupplierCode>LM</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5261</SubGroupID><Suffix>VAL</Suffix><ARTGs><ARTG>182677</ARTG></ARTGs><MinimumBenefit>907</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HW969</BillingCode><PriorBillingCodes><PriorBillingCode>WR460</PriorBillingCode></PriorBillingCodes><Name>ORTHOLOC 2 Small Bones Plates – VAL – up to 6 holes</Name><Description>Titanium mini plates, variable angle locking, up to 6 holes, various designs (Straight plates, T-plate and Jones Fracture Plates).</Description><Size>Up to 6 holes</Size><SupplierCode>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>2025-03-01</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SQ182</BillingCode><Name>PediFoot Deformity Correction System</Name><Description>2.7mm Plates, Compression/Neutral, Recon, Angle Iron, Wedge, Clover</Description><Size>5-56mm length, 2-4mm wedge length, 2-6 holes</Size><SupplierCode>SQ</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5261</SubGroupID><Suffix>VAL</Suffix><ARTGs><ARTG>191530</ARTG></ARTGs><MinimumBenefit>907</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2020-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LM209</BillingCode><Name>Jones Fracture Plate</Name><Description>Fracture Fixation Systems</Description><Size>≤ 6 holes</Size><SupplierCode>LM</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5261</SubGroupID><Suffix>Com</Suffix><ARTGs><ARTG>182677</ARTG></ARTGs><MinimumBenefit>663</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2015-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HU290</BillingCode><Name>T-Plate, Wide</Name><Description>Plate for fracture fixation</Description><Size>6 Holes</Size><SupplierCode>HU</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5261</SubGroupID><Suffix>VAL</Suffix><ARTGs><ARTG>350999</ARTG></ARTGs><MinimumBenefit>907</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HU287</BillingCode><Name>Bridge Plate</Name><Description>Plate for fracture fixation</Description><Size>6 Holes</Size><SupplierCode>HU</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5261</SubGroupID><Suffix>VAL</Suffix><ARTGs><ARTG>350999</ARTG></ARTGs><MinimumBenefit>907</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HU291</BillingCode><Name>Straight Plate, Reinforced</Name><Description>Plate for fracture fixation</Description><Size>6 Holes</Size><SupplierCode>HU</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5261</SubGroupID><Suffix>VAL</Suffix><ARTGs><ARTG>350999</ARTG></ARTGs><MinimumBenefit>907</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MO436</BillingCode><Name>Acumed Hand Fracture System</Name><Description>Straight Plates Variable Angle Locking</Description><Size>6 hole</Size><SupplierCode>MO</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5261</SubGroupID><Suffix>VAL</Suffix><ARTGs><ARTG>99824</ARTG></ARTGs><MinimumBenefit>907</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HW563</BillingCode><Name>Leibinger Titanium Implant System</Name><Description>Profyle hand and small fragment plate system</Description><Size>screw size ≤2.7mm   ≤ 6 holes</Size><SupplierCode>JV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5261</SubGroupID><Suffix>VAL</Suffix><ARTGs><ARTG>357433</ARTG><ARTG>340042</ARTG></ARTGs><MinimumBenefit>907</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2016-02-01</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>EO084</BillingCode><Name>APTUS Hand</Name><Description>Fixation Plates</Description><Size>1.2 - 2.3</Size><SupplierCode>EO</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5261</SubGroupID><ARTGs><ARTG>141170</ARTG></ARTGs><MinimumBenefit>417</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>PB029</BillingCode><Name>Mini Locking System - Condylar Plates ≤ 6 holes</Name><Description>Condylar Plates</Description><Size>≤ 6 holes</Size><SupplierCode>PB</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5261</SubGroupID><ARTGs><ARTG>261562</ARTG></ARTGs><MinimumBenefit>417</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2016-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SL038</BillingCode><Name>VLP EVOS</Name><Description>VAL mini plates - Hand</Description><Size>Mini Plates ≤2.7mm</Size><SupplierCode>SN</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ST788</BillingCode><Name>Leibinger Titanium Implant System</Name><Description>Leibinger System, anatomical shap, Titanium</Description><Size>screw size ≤2.7mm ≤ 6 holes</Size><SupplierCode>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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>XT012</BillingCode><PriorBillingCodes><PriorBillingCode>GW013</PriorBillingCode></PriorBillingCodes><Name>WEGO Trauma Systems</Name><Description>Locking Compression Plates</Description><Size>≤ 6 Holes</Size><SupplierCode>XT</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5261</SubGroupID><Suffix>Com, LK</Suffix><ARTGs><ARTG>324402</ARTG></ARTGs><ChangeExplanation>
Billing code transferred from GW013
Sponsor transferred from EQUINOX MEDICAL PTY LTD</ChangeExplanation><MinimumBenefit>993</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2020-07-01</CycleStartDate><CycleEndDate>2025-03-01</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>KQ</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5261</SubGroupID><Suffix>VAL</Suffix><ARTGs><ARTG>289248</ARTG></ARTGs><MinimumBenefit>907</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HU294</BillingCode><Name>Y-Plate</Name><Description>Plate for Arthrodesis</Description><Size>6 Holes</Size><SupplierCode>HU</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5261</SubGroupID><Suffix>VAL</Suffix><ARTGs><ARTG>350999</ARTG></ARTGs><MinimumBenefit>907</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-11-01</CycleStartDate><CycleEndDate>2025-03-01</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>KQ</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5261</SubGroupID><Suffix>VAL</Suffix><ARTGs><ARTG>289248</ARTG></ARTGs><MinimumBenefit>907</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HU266</BillingCode><PriorBillingCodes><PriorBillingCode>DE215</PriorBillingCode></PriorBillingCodes><Name>Titanium Metatarsal Opening Wedge Osteotomy Plate </Name><Description>Titanium Metatarsal Opening Wedge Osteotomy Plate with 4 non locking holes and square wedge </Description><Size>2mm - 8mm</Size><SupplierCode>HU</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5261</SubGroupID><Suffix>Com</Suffix><ARTGs><ARTG>350871</ARTG><ARTG>351000</ARTG></ARTGs><MinimumBenefit>663</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-07-01</CycleStartDate><CycleEndDate>2025-03-01</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><MinimumBenefit>907</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2015-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>XU034</BillingCode><PriorBillingCodes><PriorBillingCode>ZZ074</PriorBillingCode><PriorBillingCode>EF020</PriorBillingCode></PriorBillingCodes><Name>Arix Hand Plating System</Name><Description>Mini Locking Plates</Description><Size>≤ 6 holes</Size><SupplierCode>XU</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5261</SubGroupID><Suffix>Com, VAL</Suffix><ARTGs><ARTG>239812</ARTG></ARTGs><ChangeExplanation>
Billing code transferred from ZZ074
Sponsor transferred from AA-Med Pty Ltd</ChangeExplanation><MinimumBenefit>971</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2021-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SL136</BillingCode><Name>Smith &amp; Nephew Plate and Screw System - EVOS</Name><Description>Small Fragment Plate</Description><Size>≤ 6 holes</Size><SupplierCode>SN</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HW792</BillingCode><PriorBillingCodes><PriorBillingCode>WR077</PriorBillingCode></PriorBillingCodes><Name>Charlotte LisfrancReconstruction System - Bridge Plate.</Name><Description>Stainless steel plate for stabilisation of the tarsometatarsal joint.</Description><Size>4, 6, 5 &amp; 9 hole.</Size><SupplierCode>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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SR086</BillingCode><Name>Stryker Locking Plate System</Name><Description>Plates including Locking, Standard and Compression</Description><Size>≤ 6 holes</Size><SupplierCode>JV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5261</SubGroupID><Suffix>Com</Suffix><ARTGs><ARTG>295882</ARTG><ARTG>200615</ARTG><ARTG>237797</ARTG><ARTG>269713</ARTG><ARTG>295226</ARTG><ARTG>239452</ARTG></ARTGs><MinimumBenefit>663</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-02-01</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>PB028</BillingCode><Name>Mini Locking System - Condylar Locking Plates ≤ 6 holes</Name><Description>Condylar Locking Plates</Description><Size>≤ 6 holes</Size><SupplierCode>PB</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5261</SubGroupID><Suffix>LK</Suffix><ARTGs><ARTG>261562</ARTG></ARTGs><MinimumBenefit>550</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2016-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>PB026</BillingCode><Name>Plates ≤ 6 holes</Name><Description>Plates ≤ 6 holes</Description><Size>≤ 6 holes</Size><SupplierCode>PB</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5261</SubGroupID><Suffix>LK</Suffix><ARTGs><ARTG>261562</ARTG></ARTGs><MinimumBenefit>550</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2016-02-01</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SY735</BillingCode><Name>AO/ASIF Plates</Name><Description>Non-Locking Plates</Description><Size>7-15 Holes</Size><SupplierCode>JJ</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SN929</BillingCode><Name>TC-100</Name><Description>Quarter Tubular Plates, G/E 7 to L/E 15 holes</Description><Size>≥7 to ≤15 holes</Size><SupplierCode>SN</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5262</SubGroupID><ARTGs><ARTG>108428</ARTG></ARTGs><MinimumBenefit>362</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HU245</BillingCode><PriorBillingCodes><PriorBillingCode>DE753</PriorBillingCode></PriorBillingCodes><Name>Reinforced T-Plate</Name><Description>Plate for Fracture Fixation</Description><Size>8 Holes</Size><SupplierCode>HU</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5262</SubGroupID><Suffix>VAL</Suffix><ARTGs><ARTG>350999</ARTG></ARTGs><MinimumBenefit>797</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>PB031</BillingCode><Name>Mini Locking System - Non Locking Plates</Name><Description>Non Locking Plate</Description><Size>screw size ≤ 2.7mm, ≥ 7 to ≤ 15 holes</Size><SupplierCode>PB</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5262</SubGroupID><ARTGs><ARTG>261562</ARTG></ARTGs><MinimumBenefit>362</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2016-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SN934</BillingCode><Name>TC-100</Name><Description>1.5mm Mini Plates</Description><Size>≥7 to ≤15 holes</Size><SupplierCode>SN</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5262</SubGroupID><ARTGs><ARTG>108428</ARTG></ARTGs><MinimumBenefit>362</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HU288</BillingCode><Name>T- Plate</Name><Description>Plate for fracture fixation</Description><Size>8 Holes</Size><SupplierCode>HU</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5262</SubGroupID><Suffix>VAL</Suffix><ARTGs><ARTG>350999</ARTG></ARTGs><MinimumBenefit>797</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>PB030</BillingCode><Name>Mini Locking System - Condylar Plates ≥ 7 to ≤ 15 holes</Name><Description>Condylar Plates</Description><Size>≥ 7 to ≤ 15 holes</Size><SupplierCode>PB</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5262</SubGroupID><ARTGs><ARTG>261562</ARTG></ARTGs><MinimumBenefit>362</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2016-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HU277</BillingCode><Name>V-Plate</Name><Description>Plate for fracture fixation</Description><Size>10 Holes</Size><SupplierCode>HU</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5262</SubGroupID><Suffix>VAL</Suffix><ARTGs><ARTG>350999</ARTG></ARTGs><MinimumBenefit>797</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SQ177</BillingCode><Name>PediFoot Deformity Correction System</Name><Description>2.7mm Plates, Recon</Description><Size>56mm length, 8 holes</Size><SupplierCode>SQ</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5262</SubGroupID><Suffix>VAL</Suffix><ARTGs><ARTG>191530</ARTG></ARTGs><MinimumBenefit>797</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2020-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>XT016</BillingCode><PriorBillingCodes><PriorBillingCode>GW017</PriorBillingCode></PriorBillingCodes><Name>WEGO Trauma Systems</Name><Description>Locking Compression Plate</Description><Size>7 - 15 Holes</Size><SupplierCode>XT</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5262</SubGroupID><Suffix>LK</Suffix><ARTGs><ARTG>324402</ARTG></ARTGs><ChangeExplanation>
Billing code transferred from GW017
Sponsor transferred from EQUINOX MEDICAL PTY LTD</ChangeExplanation><MinimumBenefit>354</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2020-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>EO094</BillingCode><Name>APTUS Hand and Foot</Name><Description>TriLock Plates</Description><Size>1.2 - 2.3</Size><SupplierCode>EO</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5262</SubGroupID><Suffix>Com, VAL</Suffix><ARTGs><ARTG>206157</ARTG></ARTGs><MinimumBenefit>812</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2016-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SY822</BillingCode><Name>AO/ASIF Plates</Name><Description>VA Locking Plates</Description><Size>7-12 holes</Size><SupplierCode>JJ</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SL032</BillingCode><Name>VLP</Name><Description>VAL mini plates</Description><Size>Mini Plates ≤2.7mm</Size><SupplierCode>SN</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HU283</BillingCode><Name>Z-Plate</Name><Description>Plate for fracture fixation</Description><Size>10 Holes</Size><SupplierCode>HU</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5262</SubGroupID><Suffix>VAL</Suffix><ARTGs><ARTG>350999</ARTG></ARTGs><MinimumBenefit>797</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SN941</BillingCode><Name>Peri-Loc VLP</Name><Description>VAL/LK, 2.7mm Quarter Tubular Plates</Description><Size>≥7 to ≤15 holes</Size><SupplierCode>SN</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5262</SubGroupID><Suffix>VAL</Suffix><ARTGs><ARTG>108428</ARTG></ARTGs><MinimumBenefit>797</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SL040</BillingCode><Name>VLP EVOS</Name><Description>Mini Plates Straight</Description><Size>≥7 to ≤15 holes</Size><SupplierCode>SN</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>2025-03-01</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>2025-03-01</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HU282</BillingCode><Name>Straight Plate</Name><Description>Plate for fracture fixation</Description><Size>10 Holes</Size><SupplierCode>HU</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5262</SubGroupID><Suffix>VAL</Suffix><ARTGs><ARTG>350999</ARTG></ARTGs><MinimumBenefit>797</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HU292</BillingCode><Name>Straight Plate, Reinforced</Name><Description>Plate for fracture fixation</Description><Size>8 Holes</Size><SupplierCode>HU</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5262</SubGroupID><Suffix>VAL</Suffix><ARTGs><ARTG>350999</ARTG></ARTGs><MinimumBenefit>797</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MO448</BillingCode><Name>Acumed Small Fragment Plates</Name><Description>2.7mm Fragment Plates</Description><Size>7 to 15 Holes</Size><SupplierCode>MO</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5262</SubGroupID><Suffix>VAL</Suffix><ARTGs><ARTG>99824</ARTG></ARTGs><MinimumBenefit>797</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2019-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HU179</BillingCode><PriorBillingCodes><PriorBillingCode>DE456</PriorBillingCode></PriorBillingCodes><Name>Low Profile Straight Plate</Name><Description>Plate for fusion</Description><Size>7-8 Holes</Size><SupplierCode>HU</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5262</SubGroupID><Suffix>LK</Suffix><ARTGs><ARTG>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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>XU035</BillingCode><PriorBillingCodes><PriorBillingCode>ZZ075</PriorBillingCode><PriorBillingCode>EF021</PriorBillingCode></PriorBillingCodes><Name>Locking Plate System</Name><Description>Variable Locking Plate</Description><Size>≥ 7 to ≤ 15 holes</Size><SupplierCode>XU</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5262</SubGroupID><Suffix>VAL</Suffix><ARTGs><ARTG>239812</ARTG></ARTGs><ChangeExplanation>
Billing code transferred from ZZ075
Sponsor transferred from AA-Med Pty Ltd</ChangeExplanation><MinimumBenefit>797</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2021-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HU180</BillingCode><PriorBillingCodes><PriorBillingCode>DE454</PriorBillingCode></PriorBillingCodes><Name>Low Profile T-Plate</Name><Description> Plate for fusion</Description><Size>7-9 Holes</Size><SupplierCode>HU</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5262</SubGroupID><Suffix>LK</Suffix><ARTGs><ARTG>350871</ARTG><ARTG>351000</ARTG></ARTGs><MinimumBenefit>354</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SN087</BillingCode><Name>TC-100</Name><Description>Semi-tubular plates</Description><Size>≥ 7 to ≤ 15 holes</Size><SupplierCode>SN</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5262</SubGroupID><ARTGs><ARTG>108428</ARTG></ARTGs><MinimumBenefit>362</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HU295</BillingCode><Name>Y-Plate</Name><Description>Plate for Arthrodesis</Description><Size>8 Holes</Size><SupplierCode>HU</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5262</SubGroupID><Suffix>VAL</Suffix><ARTGs><ARTG>350999</ARTG></ARTGs><MinimumBenefit>797</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MO430</BillingCode><Name>ACUMED Hand Fracture System, plates</Name><Description>Hand plating System, including plates and screws</Description><Size>Plates available in 7 to 12 hole configurations</Size><SupplierCode>MO</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5262</SubGroupID><Suffix>VAL</Suffix><ARTGs><ARTG>99824</ARTG></ARTGs><MinimumBenefit>797</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2015-02-01</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SL140</BillingCode><Name>Smith &amp; Nephew Plate and Screw System - EVOS</Name><Description>Small Fragment Plate</Description><Size>≥ 7 to ≤ 15 holes</Size><SupplierCode>SN</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SY818</BillingCode><Name>AO/ASIF Plates</Name><Description>Locking plates</Description><Size>7 to 15 holes</Size><SupplierCode>JJ</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SQ140</BillingCode><Name>PediLoc - Plating System ≥ 7 to ≤ 15 holes, screw size ≤ 2.7mm</Name><Description>2.7mm Locking Plate</Description><Size>7-15 Hole</Size><SupplierCode>SQ</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5262</SubGroupID><Suffix>Com, LK</Suffix><ARTGs><ARTG>191586</ARTG></ARTGs><MinimumBenefit>489</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-08-01</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BH064</BillingCode><Name>Sternalock</Name><Description>plates, various shapes</Description><Size>7-15 holes</Size><SupplierCode>ZI</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HW900</BillingCode><PriorBillingCodes><PriorBillingCode>WR376</PriorBillingCode></PriorBillingCodes><Name>Mini MaxLock Extreme System - Mini Plates &gt; 6 holes</Name><Description>Mini Variable angle locking plates, Titanium, &gt; 6 holes</Description><Size>&gt; 6 holes</Size><SupplierCode>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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MO428</BillingCode><Name>ACUMED Total Wrist Fusion Plating System</Name><Description>Total Wrist Fusion System</Description><Size>Plates available in 9 and 10 hole configurations</Size><SupplierCode>MO</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5262</SubGroupID><Suffix>Com, LK</Suffix><ARTGs><ARTG>99824</ARTG></ARTGs><MinimumBenefit>489</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2015-02-01</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HU195</BillingCode><PriorBillingCodes><PriorBillingCode>DE373</PriorBillingCode></PriorBillingCodes><Name>Low Profile MTP Plate</Name><Description>Arthodesis Plate - 8 Hole plate</Description><Size>8 Hole plate</Size><SupplierCode>HU</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5262</SubGroupID><Suffix>LK</Suffix><ARTGs><ARTG>350871</ARTG><ARTG>351000</ARTG></ARTGs><MinimumBenefit>354</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SY628</BillingCode><Name>AO/ASIF Plates</Name><Description>LCP, Condylar , mini Fragment Plates - Various</Description><Size>7 - 15 holes</Size><SupplierCode>JJ</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SQ151</BillingCode><Name>PediLoc Plating System</Name><Description>PediFrag Wrist Fusion Plates</Description><Size>2.7/3.5mm
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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>DZ040</BillingCode><Name>Mini Fragment Plates</Name><Description>Locking Compression Plates</Description><Size>1.5mm, 2.0mm, 2.5mm, 2.7mm</Size><SupplierCode>DZ</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5262</SubGroupID><Suffix>LK</Suffix><ARTGs><ARTG>276915</ARTG></ARTGs><MinimumBenefit>354</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>PB027</BillingCode><Name>Mini Locking System - Locking Plates ≥ 7 to ≤ 15 holes</Name><Description>Foot &amp; hand plates - steel - titanium multiple hole</Description><Size>2-2.7 mm, ≥ 7 to ≤ 15 holes</Size><SupplierCode>PB</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5262</SubGroupID><Suffix>Com, LK</Suffix><ARTGs><ARTG>261562</ARTG></ARTGs><MinimumBenefit>489</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2016-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SN931</BillingCode><Name>Peri-Loc</Name><Description>2.7mm LK Reconstruction Plates</Description><Size>≥7 to ≤15 holes</Size><SupplierCode>SN</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5262</SubGroupID><Suffix>Com, LK</Suffix><ARTGs><ARTG>108428</ARTG></ARTGs><MinimumBenefit>489</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-02-01</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</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>KQ</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5262</SubGroupID><Suffix>Com, VAL</Suffix><ARTGs><ARTG>289248</ARTG></ARTGs><MinimumBenefit>812</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>KT085</BillingCode><PriorBillingCodes><PriorBillingCode>OH532</PriorBillingCode></PriorBillingCodes><Name>KLS Martin Hand Fracture System - Plates</Name><Description>Various size and shaped plates</Description><Size>7 to 15 hole</Size><SupplierCode>KT</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5262</SubGroupID><Suffix>Com, VAL</Suffix><ARTGs><ARTG>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>2025-03-01</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><MinimumBenefit>812</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2015-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BH367</BillingCode><Name>ALPS Hand Fracture System - Locking Plate</Name><Description>1.5mm and 2.5mm titanium hand plates</Description><Size>7 to 15 holes</Size><SupplierCode>ZI</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>EO061</BillingCode><Name>Aptus Wrist Arthrodesis</Name><Description>RSL Fusion Plate</Description><Size>7 to 15 holes</Size><SupplierCode>EO</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5262</SubGroupID><Suffix>Com, VAL</Suffix><ARTGs><ARTG>141170</ARTG></ARTGs><MinimumBenefit>812</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-02-01</CycleStartDate><CycleEndDate>2025-03-01</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>LQ</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SY799</BillingCode><Name>AO/ASIF Plates</Name><Description>LCP, Condylar, Mini Fragment Plates - Various</Description><Size>7-15 holes</Size><SupplierCode>JJ</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MO432</BillingCode><Name>ACUMED Hand Fracture System</Name><Description>0.8mm Offset Plate</Description><Size>0.8mm</Size><SupplierCode>MO</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5262</SubGroupID><Suffix>Com, VAL</Suffix><ARTGs><ARTG>99824</ARTG></ARTGs><MinimumBenefit>812</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2016-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HU126</BillingCode><PriorBillingCodes><PriorBillingCode>DE587</PriorBillingCode></PriorBillingCodes><Name>5th Metatarsal Fracture Plate</Name><Description>Hook Plate for Fracture fixation</Description><Size>2 Sizes Side Specific  Long Left - 7 Holes  Long Right - 7 Holes</Size><SupplierCode>HU</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5262</SubGroupID><Suffix>Com, VAL</Suffix><ARTGs><ARTG>351000</ARTG></ARTGs><MinimumBenefit>812</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-03-01</CycleStartDate><CycleEndDate>2025-03-01</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>JJ</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>2025-03-01</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BH297</BillingCode><Name>ALPS Hand Fracture System - Locking Plate</Name><Description>1.0 - 2.5mm titanium hand plates</Description><Size>7 to 25 holes</Size><SupplierCode>ZI</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MO434</BillingCode><Name>ACUMED Hand Fracture System</Name><Description>1.3mm Rolando Fracture Hook Plate</Description><Size>1.3mm</Size><SupplierCode>MO</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5262</SubGroupID><Suffix>Com, VAL</Suffix><ARTGs><ARTG>99824</ARTG></ARTGs><MinimumBenefit>812</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2016-02-01</CycleStartDate><CycleEndDate>2025-03-01</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>KQ</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5262</SubGroupID><Suffix>VAL</Suffix><ARTGs><ARTG>289248</ARTG></ARTGs><MinimumBenefit>797</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HW564</BillingCode><Name>Leibinger Titanium Implant System</Name><Description>Profyle hand and small fragment plate system</Description><Size>size ≤2.7mm ≥ 7 to ≤ 15 holes</Size><SupplierCode>JV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5262</SubGroupID><Suffix>VAL</Suffix><ARTGs><ARTG>340042</ARTG><ARTG>357433</ARTG></ARTGs><MinimumBenefit>797</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2016-02-01</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SL137</BillingCode><Name>Smith &amp; Nephew Plate and Screw System - EVOS</Name><Description>Small Fragment Plate</Description><Size>≥ 7 to ≤ 15 holes</Size><SupplierCode>SN</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>XU036</BillingCode><PriorBillingCodes><PriorBillingCode>ZZ076</PriorBillingCode><PriorBillingCode>EF022</PriorBillingCode></PriorBillingCodes><Name>Arix Hand Plating System</Name><Description>Mini Locking Plate</Description><Size>≥ 7 to ≤ 15 holes</Size><SupplierCode>XU</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5262</SubGroupID><Suffix>Com, VAL</Suffix><ARTGs><ARTG>239812</ARTG></ARTGs><ChangeExplanation>
Billing code transferred from ZZ076
Sponsor transferred from AA-Med Pty Ltd</ChangeExplanation><MinimumBenefit>812</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2021-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SR087</BillingCode><Name>Stryker Locking Plate System</Name><Description>Plates including Locking, Standard and Compression</Description><Size>7-15 hole</Size><SupplierCode>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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SY748</BillingCode><Name>AO/ASIF Plates</Name><Description>Condylar plates</Description><Size>≥ 7 to ≤ 15 holes</Size><SupplierCode>JJ</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LM210</BillingCode><Name>Jones Fracture Plate</Name><Description>Fracture Fixation Systems</Description><Size>≥ 7 to ≤ 15 holes</Size><SupplierCode>LM</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5262</SubGroupID><Suffix>Com</Suffix><ARTGs><ARTG>182677</ARTG></ARTGs><MinimumBenefit>308</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2015-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>EO085</BillingCode><Name>APTUS Hand</Name><Description>Fixation Plates</Description><Size>1.2 - 2.3</Size><SupplierCode>EO</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5262</SubGroupID><ARTGs><ARTG>141170</ARTG></ARTGs><MinimumBenefit>362</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-08-01</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BH366</BillingCode><Name>ALPS Hand Fracture System - Locking Plate</Name><Description>1.5mm and 2.5mm titanium hand plates</Description><Size>7 to 15 holes</Size><SupplierCode>ZI</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HW970</BillingCode><PriorBillingCodes><PriorBillingCode>WR461</PriorBillingCode></PriorBillingCodes><Name>ORTHOLOC 2 Small Bones Plates – VAL – 7 to 15 holes</Name><Description>Titanium mini plates, variable angle locking, 7-15 holes, various designs (Straight plate, T-plates).</Description><Size>From 7 to 15 holes</Size><SupplierCode>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>2025-03-01</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><MinimumBenefit>797</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2015-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LM472</BillingCode><Name>TriMed ASET Foot Plating System </Name><Description>MTP Plates</Description><Size>≥ 7 to ≤ 15 holes</Size><SupplierCode>LM</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5262</SubGroupID><Suffix>VAL</Suffix><ARTGs><ARTG>182677</ARTG></ARTGs><MinimumBenefit>797</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LQ004</BillingCode><Name>SALGINA 2.5mm Wrist Spanning Plate</Name><Description>Wrist Spanning Plate</Description><Size>10mm wide, 195mm long</Size><SupplierCode>LQ</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5262</SubGroupID><Suffix>VAL</Suffix><ARTGs><ARTG>468027</ARTG></ARTGs><ChangeExplanation>New listing</ChangeExplanation><MinimumBenefit>797</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2025-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>KT094</BillingCode><Name>RECOS Ulna </Name><Description>Ulna Plate</Description><Size>Short 80mm, Long 90mm x 10mm  </Size><SupplierCode>KT</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5262</SubGroupID><Suffix>VAL</Suffix><ARTGs><ARTG>236206</ARTG></ARTGs><MinimumBenefit>797</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-11-01</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SR089</BillingCode><Name>Stryker Locking Plate System</Name><Description>Periarticular Plates, Locking</Description><Size>4-6</Size><SupplierCode>JV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5262</SubGroupID><Suffix>VAL</Suffix><ARTGs><ARTG>119848</ARTG><ARTG>124319</ARTG><ARTG>357433</ARTG></ARTGs><MinimumBenefit>797</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SR090</BillingCode><Name>Stryker Locking Plates System</Name><Description>Locking Plates</Description><Size>7-13</Size><SupplierCode>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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HW826</BillingCode><PriorBillingCodes><PriorBillingCode>WR267</PriorBillingCode></PriorBillingCodes><Name>Locking Plate</Name><Description>Titanium locking plates anatomically contoured for forefoot and midfoot osteotomies.</Description><Size>2.7mm &amp; 3.5mm, neutral, 1mm, 2mm, 3mm, 4mm, 5mm, 6mm, 7mm, 7-9 holes</Size><SupplierCode>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>2025-03-01</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><MinimumBenefit>797</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2015-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>PB058</BillingCode><Name>Marathon VA System</Name><Description>Variable Angle Bone plates</Description><Size>&gt;7 - &lt;15 holes</Size><SupplierCode>PB</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5262</SubGroupID><Suffix>VAL</Suffix><ARTGs><ARTG>261562</ARTG></ARTGs><MinimumBenefit>797</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2019-07-01</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>KT084</BillingCode><PriorBillingCodes><PriorBillingCode>OH531</PriorBillingCode></PriorBillingCodes><Name>KLS Martin Hand Fracture System - Plates</Name><Description>Various size and shaped plates</Description><Size>7 to 15 hole</Size><SupplierCode>KT</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5262</SubGroupID><Suffix>VAL</Suffix><ARTGs><ARTG>236206</ARTG><ARTG>276674</ARTG></ARTGs><MinimumBenefit>797</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HU246</BillingCode><PriorBillingCodes><PriorBillingCode>DE754</PriorBillingCode></PriorBillingCodes><Name>Wide T-Plate</Name><Description>Plate for Fracture Fixation</Description><Size>10 Holes</Size><SupplierCode>HU</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5262</SubGroupID><Suffix>VAL</Suffix><ARTGs><ARTG>350999</ARTG></ARTGs><MinimumBenefit>797</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-07-01</CycleStartDate><CycleEndDate>2025-03-01</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><MinimumBenefit>797</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2024-11-01</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HU284</BillingCode><Name>Cage Plate</Name><Description>Plate for fracture fixation</Description><Size>10 Holes</Size><SupplierCode>HU</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5262</SubGroupID><Suffix>VAL</Suffix><ARTGs><ARTG>350999</ARTG></ARTGs><MinimumBenefit>797</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HU275</BillingCode><Name>Triangle Plate</Name><Description>Plate for fracture fixation</Description><Size>8 Holes</Size><SupplierCode>HU</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5262</SubGroupID><Suffix>VAL</Suffix><ARTGs><ARTG>350999</ARTG></ARTGs><MinimumBenefit>797</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MN309</BillingCode><Name>AO/ASIF Plates</Name><Description>VA-LCP Clavicle Plates, Shaft</Description><Size>≥ 7 to ≤ 15 holes</Size><SupplierCode>JJ</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SL098</BillingCode><Name>Smith &amp; Nephew Plate and Screw System - EVOS</Name><Description>Small Fragment Plate</Description><Size>≥ 7 to ≤ 15 holes</Size><SupplierCode>SN</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>XT003</BillingCode><PriorBillingCodes><PriorBillingCode>GW004</PriorBillingCode></PriorBillingCodes><Name>WEGO Trauma Systems</Name><Description>Non-Locking Plate Systems</Description><Size>7-15 Holes</Size><SupplierCode>XT</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5262</SubGroupID><ARTGs><ARTG>324402</ARTG></ARTGs><ChangeExplanation>
Billing code transferred from GW004
Sponsor transferred from EQUINOX MEDICAL PTY LTD</ChangeExplanation><MinimumBenefit>362</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2020-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SL069</BillingCode><Name>VLP</Name><Description>VAL mini plates - Hand</Description><Size>Mini Plates ≤2.7mm</Size><SupplierCode>SN</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MN336</BillingCode><Name>AO/ASIF Plate</Name><Description>VA Locking Patella Plate Titanium</Description><Size>13 holes</Size><SupplierCode>JJ</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>XT023</BillingCode><PriorBillingCodes><PriorBillingCode>GW033</PriorBillingCode></PriorBillingCodes><Name>WEGO Trauma Systems</Name><Description>Locking Compression Plate</Description><Size>7 - 15 Holes</Size><SupplierCode>XT</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5262</SubGroupID><Suffix>Com, LK</Suffix><ARTGs><ARTG>324402</ARTG></ARTGs><ChangeExplanation>
Billing code transferred from GW033
Sponsor transferred from EQUINOX MEDICAL PTY LTD</ChangeExplanation><MinimumBenefit>489</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2020-07-01</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HW788</BillingCode><Name>Stryker Plating System</Name><Description>Non-locking Plates</Description><Size>≥ 16 holes</Size><SupplierCode>JV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5263</SubGroupID><ARTGs><ARTG>340042</ARTG><ARTG>357433</ARTG></ARTGs><MinimumBenefit>431</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SR088</BillingCode><Name>Stryker Locking Plate System</Name><Description>Plates including Locking, Standard, and Compression</Description><Size>16 hole</Size><SupplierCode>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>2025-03-01</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><MinimumBenefit>1207</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2024-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SL131</BillingCode><Name>Smith &amp; Nephew Plate and Screw System - EVOS</Name><Description>Small Fragment plate</Description><Size>≥ 16 holes</Size><SupplierCode>SN</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>2025-03-01</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><MinimumBenefit>1207</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2024-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>EO062</BillingCode><Name>Aptus Wrist Arthrodesis</Name><Description>Total Wrist Fusion Plate, Straight, long bend and short bend</Description><Size>&gt;16 holes</Size><SupplierCode>EO</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5263</SubGroupID><Suffix>Com, VAL</Suffix><ARTGs><ARTG>141170</ARTG></ARTGs><MinimumBenefit>1180</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>XT014</BillingCode><PriorBillingCodes><PriorBillingCode>GW015</PriorBillingCode></PriorBillingCodes><Name>WEGO Trauma Systems</Name><Description>Non-Locking Plate Systems</Description><Size>≥ 16 holes</Size><SupplierCode>XT</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5263</SubGroupID><ARTGs><ARTG>324402</ARTG></ARTGs><ChangeExplanation>
Billing code transferred from GW015
Sponsor transferred from EQUINOX MEDICAL PTY LTD</ChangeExplanation><MinimumBenefit>431</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2020-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>EO086</BillingCode><Name>APTUS Hand</Name><Description>Fixation Plates</Description><Size>1.2 - 2.3</Size><SupplierCode>EO</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5263</SubGroupID><ARTGs><ARTG>141170</ARTG></ARTGs><MinimumBenefit>431</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SN935</BillingCode><Name>TC-100</Name><Description>1.5mm Mini Plates</Description><Size>≥16 holes</Size><SupplierCode>SN</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5263</SubGroupID><ARTGs><ARTG>108428</ARTG></ARTGs><MinimumBenefit>431</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SN933</BillingCode><Name>TC-100</Name><Description>2.0mm Straight Plates</Description><Size>≥16 holes</Size><SupplierCode>SN</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5263</SubGroupID><ARTGs><ARTG>108428</ARTG></ARTGs><MinimumBenefit>431</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SL099</BillingCode><Name>Smith &amp; Nephew Plate and Screw System - EVOS</Name><Description>Small Fragment Plate</Description><Size>≥ 16 holes</Size><SupplierCode>SN</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MN339</BillingCode><Name>AO/ASIF Plates</Name><Description>VA Locking Patella Plating System Titanium</Description><Size>≥ 16 holes</Size><SupplierCode>JJ</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SY111</BillingCode><Name>AO/ASIF Plates</Name><Description>Specially manufactured plate</Description><Size>1.0mm - 6.5mm</Size><SupplierCode>JJ</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>2025-03-01</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SY819</BillingCode><Name>AO/ASIF Plates</Name><Description>Pre-contoured Locking plate</Description><Size>≥16 holes</Size><SupplierCode>JJ</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>2025-03-01</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SL141</BillingCode><Name>Smith &amp; Nephew Plate and Screw System - EVOS</Name><Description>Small Fragment Plate</Description><Size>≥ 16 holes</Size><SupplierCode>SN</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>2025-03-01</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>2025-03-01</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>JJ</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>2025-03-01</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SL041</BillingCode><Name>VLP EVOS</Name><Description>Mini Plates Straight</Description><Size>≥ 16 holes</Size><SupplierCode>SN</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SR091</BillingCode><Name>Stryker Locking Plate System</Name><Description>Locking Plates</Description><Size>≥16 hole</Size><SupplierCode>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>2025-03-01</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>KQ</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5263</SubGroupID><Suffix>VAL</Suffix><ARTGs><ARTG>289248</ARTG></ARTGs><MinimumBenefit>1207</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SY820</BillingCode><Name>AO/ASIF Plates</Name><Description>Pre-contoured Locking plate</Description><Size>≥16 holes</Size><SupplierCode>JJ</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>2025-03-01</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>KQ</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5263</SubGroupID><Suffix>Com, VAL</Suffix><ARTGs><ARTG>289248</ARTG></ARTGs><MinimumBenefit>1180</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SL033</BillingCode><Name>VLP</Name><Description>VAL mini plates</Description><Size>Mini Plates ≤2.7mm</Size><SupplierCode>SN</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ZI768</BillingCode><Name>Zimmer Internal Fixation System: Compression Hip Screw</Name><Description>Versa Fx II CHS Tube Plates</Description><Size>2-6 holes left and right</Size><SupplierCode>ZI</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5264</SubGroupID><ARTGs><ARTG>112735</ARTG></ARTGs><MinimumBenefit>274</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SN912</BillingCode><Name>Intermediate Osteotomy System</Name><Description>Plate (hip screw)</Description><Size>≤6 holes</Size><SupplierCode>SN</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5264</SubGroupID><ARTGs><ARTG>108428</ARTG></ARTGs><MinimumBenefit>274</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SK551</BillingCode><Name>Omega3 Compression Hip Screw System</Name><Description>Omega3 Locking Plate</Description><Size>2-6 hole</Size><SupplierCode>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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SY609</BillingCode><Name>AO/ASIF Plates</Name><Description>DHS Plates</Description><Size>2-6 holes</Size><SupplierCode>JJ</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SY606</BillingCode><Name>AO/ASIF Plates</Name><Description>DHS Plates</Description><Size>2-6 holes</Size><SupplierCode>JJ</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SN493</BillingCode><Name>Paediatric Osteotomy System</Name><Description> Paediatric Osteotomy System</Description><Size>≤ 6 holes</Size><SupplierCode>SN</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5264</SubGroupID><ARTGs><ARTG>108428</ARTG></ARTGs><MinimumBenefit>274</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SL158</BillingCode><PriorBillingCodes><PriorBillingCode>SN471</PriorBillingCode><PriorBillingCode>SN473</PriorBillingCode><PriorBillingCode>SN476</PriorBillingCode><PriorBillingCode>SN926</PriorBillingCode></PriorBillingCodes><Name>Compression Hip Screw System</Name><Description>Compression Hip Screw Plates</Description><Size>≤ 6 holes</Size><SupplierCode>SN</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SN488</BillingCode><Name>Intermediate Osteotomy System</Name><Description>Compressing</Description><Size>One size only</Size><SupplierCode>SN</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5264</SubGroupID><ARTGs><ARTG>108429</ARTG></ARTGs><MinimumBenefit>274</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</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>ZI</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5994</SubGroupID><ARTGs><ARTG>456147</ARTG></ARTGs><MinimumBenefit>982</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2024-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ZI926</BillingCode><Name>Sternalock 360</Name><Description>Sternal Closure System</Description><Size>Box Plate (4 Holes, 1 Integrated Cable)</Size><SupplierCode>ZI</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5994</SubGroupID><ARTGs><ARTG>128458</ARTG></ARTGs><MinimumBenefit>982</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2016-08-01</CycleStartDate><CycleEndDate>2025-03-01</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>JJ</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5994</SubGroupID><ARTGs><ARTG>157069</ARTG></ARTGs><MinimumBenefit>982</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2024-11-01</CycleStartDate><CycleEndDate>2025-03-01</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>JJ</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5996</SubGroupID><ARTGs><ARTG>157069</ARTG></ARTGs><MinimumBenefit>1048</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2024-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ZI927</BillingCode><Name>Sternalock 360</Name><Description>Sternal Closure System</Description><Size>X-Plate 8 Holes, 1 Integrated Cable</Size><SupplierCode>ZI</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5996</SubGroupID><ARTGs><ARTG>128458</ARTG></ARTGs><MinimumBenefit>1048</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2016-08-01</CycleStartDate><CycleEndDate>2025-03-01</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>ZI</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5996</SubGroupID><ARTGs><ARTG>456147</ARTG></ARTGs><MinimumBenefit>1048</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2024-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HU105</BillingCode><PriorBillingCodes><PriorBillingCode>DE651</PriorBillingCode></PriorBillingCodes><Name>Mesh Plate</Name><Description>Plate for Fracture fixation and Arthrodesis</Description><Size>Short  Long</Size><SupplierCode>HU</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5255</SubGroupID><ARTGs><ARTG>351000</ARTG></ARTGs><MinimumBenefit>354</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-03-01</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</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>SN</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>2025-03-01</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><MinimumBenefit>826</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2024-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SQ111</BillingCode><Name>Iso-Elastic SuperCable Trochanteric Grips and Cable-Plates System</Name><Description>Cable Plates Titanium</Description><Size>6 Hole 185mm</Size><SupplierCode>SQ</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5255</SubGroupID><Suffix>Com, LK</Suffix><ARTGs><ARTG>260681</ARTG></ARTGs><MinimumBenefit>1178</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2016-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>IT014</BillingCode><Name>Superior Fusion Plate System - Plate</Name><Description>Anatomically contoured 6 hole plate and screw set with locking screw hole option, for
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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SQ149</BillingCode><Name>PediLoc Plating System</Name><Description>PediFrag Clavicle Plates</Description><Size>2.7-3.5mm
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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SQ150</BillingCode><Name>PediLoc Plating System</Name><Description>PediFrag Clavicle Plates</Description><Size>2.7-3.5mm
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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HU196</BillingCode><Name>Stainless Steel Square Wedge Tibial Osteotomy Plate</Name><Description>Steel Square Wedge Tibial Osteotomy Plate with 4 non locking holes </Description><Size>3mm - 17.5mm</Size><SupplierCode>HU</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5255</SubGroupID><Suffix>Com</Suffix><ARTGs><ARTG>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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>VK027</BillingCode><Name>eight-Plate Plus</Name><Description>The guided growth plate system plus consists of different sizes of eight-Plate plus. The device is designed for the gradual correction of paediatric congenital as well as acquired deformities in both upper and lower extremities.</Description><Size>12mm  16mm  20mm</Size><SupplierCode>VK</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5255</SubGroupID><ARTGs><ARTG>289399</ARTG></ARTGs><MinimumBenefit>354</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2019-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SN071</BillingCode><Name>TC 100</Name><Description>4.5mm Straight Plates</Description><Size>≤ 6 holes</Size><SupplierCode>SN</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5255</SubGroupID><ARTGs><ARTG>108428</ARTG></ARTGs><MinimumBenefit>354</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SN942</BillingCode><Name>Peri-Loc</Name><Description>4.5 Straight Non Locking Plates</Description><Size>≤6 holes</Size><SupplierCode>SN</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5255</SubGroupID><ARTGs><ARTG>108428</ARTG></ARTGs><MinimumBenefit>354</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LM066</BillingCode><Name>TriMed Olecranon Sled</Name><Description>Washer</Description><Size>one size</Size><SupplierCode>LM</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5255</SubGroupID><ARTGs><ARTG>182677</ARTG></ARTGs><MinimumBenefit>354</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2006-11-30</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ST039</BillingCode><Name>Stryker Plating System</Name><Description>L-Plates</Description><Size>4-6hole</Size><SupplierCode>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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SQ074</BillingCode><Name>PediPlates Plating System</Name><Description>O-Plate, Delta Plate, Center Hole</Description><Size>12-24mm</Size><SupplierCode>SQ</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5255</SubGroupID><ARTGs><ARTG>191530</ARTG></ARTGs><MinimumBenefit>354</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2013-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>OX014</BillingCode><Name>ARMAR 4.5mm Meril Locking Plate System ≤ 6 holes</Name><Description>TiCP locking plates</Description><Size>2-6 Holes
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>2025-03-01</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><MinimumBenefit>826</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2024-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SK535</BillingCode><Name>Stryker Plating System</Name><Description>Locking Reconstruction Plates</Description><Size>5.0mm, 4-6 hole</Size><SupplierCode>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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HU104</BillingCode><Name>Ankle Fusion Plate</Name><Description>Plate for Arthrodesis</Description><Size>One Universal Size</Size><SupplierCode>HU</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5255</SubGroupID><Suffix>Com, LK</Suffix><ARTGs><ARTG>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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SQ077</BillingCode><Name>PediLoc Plating System</Name><Description>4.5mm Locking Plate</Description><Size>2-6 Holes</Size><SupplierCode>SQ</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5255</SubGroupID><Suffix>Com, LK</Suffix><ARTGs><ARTG>191530</ARTG></ARTGs><MinimumBenefit>1178</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2013-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SL201</BillingCode><PriorBillingCodes><PriorBillingCode>IG089</PriorBillingCode></PriorBillingCodes><Name>Newdeal Femoral Varus and De-rotation Osteotomy Plates</Name><Description>Stainless steel periarticular anatomic plate fixed with locking screws into proximal femur </Description><Size>Newdeal Femoral Varus and De-rotation Osteotomy Plates - 3 holes, Newdeal Femoral Varus and De-rotation Osteotomy Plates - 4 holes, Newdeal Reinforced Femoral Newdeal and De-rotation Osteotomy Plates - left and right</Size><SupplierCode>SN</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SN143</BillingCode><Name>TC 100 </Name><Description>4.5mm Reconstruction Plate         </Description><Size>&lt; 6 holes</Size><SupplierCode>SN</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5255</SubGroupID><Suffix>Com</Suffix><ARTGs><ARTG>108428</ARTG></ARTGs><MinimumBenefit>487</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SL200</BillingCode><PriorBillingCodes><PriorBillingCode>IG088</PriorBillingCode></PriorBillingCodes><Name>Newdeal Distal Femoral Varus Osteotomy Plate</Name><Description>Stainless steel periarticular anatomically shaped plate fixed with 3 locking screws into femoral condyle </Description><Size>1 Size </Size><SupplierCode>SN</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SY622</BillingCode><Name>AO/ASIF Plates</Name><Description>Non Locking Specialty Plates</Description><Size>≤ 6 Holes</Size><SupplierCode>JJ</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HU113</BillingCode><PriorBillingCodes><PriorBillingCode>DE348</PriorBillingCode></PriorBillingCodes><Name>Calcaneal Step Plate</Name><Description>Calcaneal Step Plate</Description><Size>5mm, 7.5mm, 10mm</Size><SupplierCode>HU</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5255</SubGroupID><Suffix>Com, LK</Suffix><ARTGs><ARTG>350871</ARTG><ARTG>351000</ARTG></ARTGs><MinimumBenefit>1178</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HW716</BillingCode><PriorBillingCodes><PriorBillingCode>WR067</PriorBillingCode></PriorBillingCodes><Name>Displacement Plate - DPS</Name><Description>Unique steep plate design allows for controlled fixation of displacement calcaneal osteotomies. 3 step variations allows for accurate corrections. 3.5mm Titanium locking plate</Description><Size>6, 8 &amp; 10mm step, 4 hole</Size><SupplierCode>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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ZI752</BillingCode><Name>ZPS-Zimmer Plate &amp; Screw System</Name><Description>3.5mm and 4.5mm pelvic plates</Description><Size>6 holes or less</Size><SupplierCode>ZI</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5255</SubGroupID><Suffix>Com</Suffix><ARTGs><ARTG>112735</ARTG></ARTGs><MinimumBenefit>487</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-02-01</CycleStartDate><CycleEndDate>2025-03-01</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><MinimumBenefit>1178</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2019-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SK075</BillingCode><Name>Stryker Plating System Basic Fragment Set</Name><Description>4.5mm Reconstruction Plate</Description><Size>3-9 Holes</Size><SupplierCode>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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>IT001</BillingCode><Name>Hawk Anterior Ankle Fusion Set</Name><Description>Anatomically contoured 6 hole plate and screw set for anterior fixation of the ankle joint.</Description><Size>77mm in length
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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SK532</BillingCode><PriorBillingCodes><PriorBillingCode>SK449</PriorBillingCode></PriorBillingCodes><Name>AxSOS 3 Titanium 5.0mm System</Name><Description>Locking Compression Plate, used with 5.0mm screws.</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>352530</ARTG><ARTG>352531</ARTG></ARTGs><ChangeExplanation>Change to Product name, ARTG, Description</ChangeExplanation><MinimumBenefit>325</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Update</ActionFlag><CycleStartDate>2012-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SY116</BillingCode><Name>AO/ASIF Plates</Name><Description>LCP Large Fragement Plates</Description><Size>≤ 6 holes</Size><SupplierCode>JJ</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>KT106</BillingCode><Name>Nexos Pelvis Plates</Name><Description>C-Plates, I-Plates, S-Plates</Description><Size>3-6 holes</Size><SupplierCode>KT</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5255</SubGroupID><ARTGs><ARTG>236206</ARTG></ARTGs><ChangeExplanation>New listing</ChangeExplanation><MinimumBenefit>354</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2025-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SL199</BillingCode><PriorBillingCodes><PriorBillingCode>IG084</PriorBillingCode></PriorBillingCodes><Name>Newdeal Bendable Osteosynthesis Plates</Name><Description>Composition - 316L Stainless Steel.  To be used only with Newdeal screws/lock screws.</Description><Size>3-6 holes </Size><SupplierCode>SN</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SL198</BillingCode><PriorBillingCodes><PriorBillingCode>IG083</PriorBillingCode></PriorBillingCodes><Name>Newdeal Reinforced Bendable Osteosynthesis Plates</Name><Description>Stainless Steel 2 - 4 Holes </Description><Size>2 holes, 4 holes/77mm, 4 holes/112mm</Size><SupplierCode>SN</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SL176</BillingCode><Name>Smith &amp; Nephew Plate and Screw System - EVOS</Name><Description>Large Fragment Plate – Locking</Description><Size>≤ 6 holes</Size><SupplierCode>SN</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5255</SubGroupID><Suffix>LK</Suffix><ARTGs><ARTG>108428</ARTG><ARTG>368492</ARTG></ARTGs><MinimumBenefit>325</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-11-01</CycleStartDate><CycleEndDate>2025-03-01</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>KQ</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5255</SubGroupID><Suffix>VAL</Suffix><ARTGs><ARTG>289248</ARTG></ARTGs><MinimumBenefit>826</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-11-01</CycleStartDate><CycleEndDate>2025-03-01</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><MinimumBenefit>826</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2023-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>TN058</BillingCode><Name>Plating system Com, LK</Name><Description>Plating system Com, LK</Description><Size>≤ 6 holes</Size><SupplierCode>TN</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5255</SubGroupID><Suffix>LK</Suffix><ARTGs><ARTG>260229</ARTG><ARTG>260232</ARTG></ARTGs><MinimumBenefit>325</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2019-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>TN008</BillingCode><Name>Newclip Activmotion HTO Plate</Name><Description>Fixation plates for high tibial osteotomy (HTO)</Description><Size>≤ 6 holes</Size><SupplierCode>TN</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5255</SubGroupID><Suffix>VAL</Suffix><ARTGs><ARTG>260229</ARTG></ARTGs><MinimumBenefit>826</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2016-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HU198</BillingCode><PriorBillingCodes><PriorBillingCode>DE094</PriorBillingCode></PriorBillingCodes><Name> Anterior Posterior Sloped Stainless Steel Tibial Osteotomy Plate</Name><Description>Anterior Posterior Sloped Stainless Steel Tibial Osteotomy Plate with 4 non locking holes</Description><Size>5 - 15mm length</Size><SupplierCode>HU</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5255</SubGroupID><Suffix>Com</Suffix><ARTGs><ARTG>351000</ARTG><ARTG>350871</ARTG></ARTGs><MinimumBenefit>487</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-03-01</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>PJ001</BillingCode><Name>Flexit System, Flexit HTO Opening Wedge Tibial Plate</Name><Description>Anatomic Locking Tibial Plates</Description><Size>51mm,63mm,2.8mm thick 4-6 holes</Size><SupplierCode>PJ</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5255</SubGroupID><Suffix>LK</Suffix><ARTGs><ARTG>206422</ARTG></ARTGs><MinimumBenefit>325</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2014-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>TN076</BillingCode><Name>Newclip pelvis plates</Name><Description>Pariarticular anatomic pelvis plates</Description><Size>≤ 6 holes</Size><SupplierCode>TN</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5255</SubGroupID><Suffix>LK</Suffix><ARTGs><ARTG>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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SL202</BillingCode><PriorBillingCodes><PriorBillingCode>IG091</PriorBillingCode></PriorBillingCodes><Name>Newdeal HTO Plates</Name><Description>Stainless steel anatomically shaped plates for high tibial osteotomy;4 or 5 holes </Description><Size>Opening wedge HTO plates, left and right. Closing wedge HTO plates, left and right. Reinforced closing wedge HTO plates, left and right</Size><SupplierCode>SN</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>2025-03-01</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>KQ</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5255</SubGroupID><Suffix>Com,VAL</Suffix><ARTGs><ARTG>289248</ARTG></ARTGs><MinimumBenefit>1473</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2023-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HU200</BillingCode><PriorBillingCodes><PriorBillingCode>DE217</PriorBillingCode></PriorBillingCodes><Name>Titanium Femoral Osteotomy Plate </Name><Description>Titanium Femoral Osteotomy Plate with 7 Variable Angle Locking Holes </Description><Size>5mm - 17.5mm</Size><SupplierCode>HU</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5255</SubGroupID><Suffix>Com,VAL</Suffix><ARTGs><ARTG>351000</ARTG><ARTG>350871</ARTG></ARTGs><MinimumBenefit>1473</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-03-01</CycleStartDate><CycleEndDate>2025-03-01</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>KQ</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5256</SubGroupID><Suffix>Com,VAL</Suffix><ARTGs><ARTG>290443</ARTG></ARTGs><MinimumBenefit>1244</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2020-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SK536</BillingCode><Name>Stryker Plating System</Name><Description>Locking Reconstruction Plates</Description><Size>5.0mm, 8-14 hole</Size><SupplierCode>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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SY636</BillingCode><Name>AO/ASIF Plates</Name><Description>LC-LCP Fragment Plates</Description><Size>7-15 Holes</Size><SupplierCode>JJ</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>2025-03-01</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>JJ</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SK633</BillingCode><Name>VariAx Wrist plates</Name><Description>Wrist plates</Description><Size>7-15 holes</Size><SupplierCode>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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SL177</BillingCode><Name>Smith &amp; Nephew Plate and Screw System - EVOS</Name><Description>Large Fragment Plate – Locking </Description><Size>≥ 7 to ≤ 15 holes</Size><SupplierCode>SN</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SQ078</BillingCode><Name>PediLoc System ≥7 to ≤15 holes, screw size ≥4.5mm</Name><Description>4.5mm Bowed locking compression femur 10, 12, 14 hole plates
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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SY814</BillingCode><Name>AO/ASIF Plates</Name><Description>Non Locking Fragment Plate</Description><Size>7 - 15 holes</Size><SupplierCode>JJ</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HW956</BillingCode><PriorBillingCodes><PriorBillingCode>WR446</PriorBillingCode></PriorBillingCodes><Name>ORTHOLOC Universal Ankle Fusion Plating System</Name><Description>The ORTHOLOC Universal Ankle Fusion Plating System is intended to facilitate arthrodesis of the ankle including tibiotalocalcaneal and tibiotalar joints and tibiocalcaneal arthrodeses, in conjunction with osteotomies and fractures of the distal tibia, talus, and calcaneus.</Description><Size>82mm</Size><SupplierCode>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>2025-03-01</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>KQ</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5256</SubGroupID><Suffix>VAL</Suffix><ARTGs><ARTG>290443</ARTG></ARTGs><MinimumBenefit>1244</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>TN060</BillingCode><Name>Plating System Com, LK</Name><Description>Plating System Com, LK</Description><Size>≥ 7 to ≤ 15 holes</Size><SupplierCode>TN</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5256</SubGroupID><Suffix>LK</Suffix><ARTGs><ARTG>260229</ARTG><ARTG>260232</ARTG></ARTGs><MinimumBenefit>508</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2019-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ZI948</BillingCode><Name>Ankle Fix - Plate ≥ 7 to ≤ 15 holes</Name><Description>Ankle Fusion plate</Description><Size>Standard and Large</Size><SupplierCode>ZI</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5256</SubGroupID><Suffix>Com, LK</Suffix><ARTGs><ARTG>140687</ARTG></ARTGs><MinimumBenefit>1295</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2016-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HU203</BillingCode><Name>Ankle Fusion Plating System</Name><Description>Fusion Plate for Ankle Joint Arthritis</Description><Size>Anterior, Posterior, Lateral</Size><SupplierCode>HU</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5256</SubGroupID><Suffix>LK</Suffix><ARTGs><ARTG>350871</ARTG><ARTG>351000</ARTG></ARTGs><MinimumBenefit>508</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>TN077</BillingCode><Name>Newclip pelvis plates</Name><Description>Pariarticular anatomic pelvis plates</Description><Size>≥ 7 to ≤ 15 holes</Size><SupplierCode>TN</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5256</SubGroupID><Suffix>LK</Suffix><ARTGs><ARTG>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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HU148</BillingCode><Name>Ankle Fusion Plating System</Name><Description>Fusion Plate</Description><Size>Anterior Plate </Size><SupplierCode>HU</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5256</SubGroupID><Suffix>Com, LK</Suffix><ARTGs><ARTG>351000</ARTG><ARTG>350871</ARTG></ARTGs><MinimumBenefit>1295</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SQ112</BillingCode><Name>Iso-Elastic SuperCable Trochanteric Grips and Cable-Plates System</Name><Description>Cable Plates Titanium</Description><Size>8 Hole 240mm  10 Hole 290mm</Size><SupplierCode>SQ</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5256</SubGroupID><Suffix>Com, LK</Suffix><ARTGs><ARTG>260681</ARTG></ARTGs><MinimumBenefit>1295</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2016-02-01</CycleStartDate><CycleEndDate>2025-03-01</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><MinimumBenefit>1244</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2024-11-01</CycleStartDate><CycleEndDate>2025-03-01</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>SN</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>PJ002</BillingCode><Name>FlexiSystem, Flexit HTO Opening wedge Tibial Plate</Name><Description>Anatomic Locking Tibial Plates</Description><Size>80mm, 7-15 holes</Size><SupplierCode>PJ</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5256</SubGroupID><Suffix>LK</Suffix><ARTGs><ARTG>206422</ARTG></ARTGs><MinimumBenefit>508</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2014-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>TN038</BillingCode><Name>Newclip Activmotion HTO Plate</Name><Description>Fixation plates for high tibial osteotomy (HTO)</Description><Size>7 to 15 holes</Size><SupplierCode>TN</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5256</SubGroupID><Suffix>LK</Suffix><ARTGs><ARTG>260229</ARTG><ARTG>260232</ARTG></ARTGs><MinimumBenefit>508</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SN943</BillingCode><Name>Peri-Loc</Name><Description>4.5 Straight Non Locking Plates</Description><Size>≥7 to ≤15 holes</Size><SupplierCode>SN</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5256</SubGroupID><ARTGs><ARTG>108428</ARTG></ARTGs><MinimumBenefit>645</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HU303</BillingCode><Name>Posterior Pilon Fusion Plate</Name><Description>Plate for Arthrodesis</Description><Size>13-15 Holes</Size><SupplierCode>HU</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5256</SubGroupID><Suffix>LK</Suffix><ARTGs><ARTG>351000</ARTG></ARTGs><MinimumBenefit>508</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SN133</BillingCode><Name>TC-100</Name><Description>4.5mm Straight Plates</Description><Size>≥ 7 to ≤ 15 holes</Size><SupplierCode>SN</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5256</SubGroupID><ARTGs><ARTG>108428</ARTG></ARTGs><MinimumBenefit>645</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ZI168</BillingCode><Name>Zimmer Internal Fixation Systems: Cable System</Name><Description>Cable-Ready 8 Hole Plate - Stainless Steel</Description><Size>246mm long</Size><SupplierCode>ZI</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5256</SubGroupID><ARTGs><ARTG>108377</ARTG></ARTGs><MinimumBenefit>645</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SK544</BillingCode><Name>Stryker Plating System Basic Fragment Set</Name><Description>4.5mm Reconstruction Plate</Description><Size>7-15 hole</Size><SupplierCode>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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>TN043</BillingCode><Name>Newclip Plating System</Name><Description>VAL Locking plates</Description><Size>Standard ≥ 7 to ≤ 15 holes</Size><SupplierCode>TN</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5256</SubGroupID><Suffix>VAL</Suffix><ARTGs><ARTG>260229</ARTG></ARTGs><MinimumBenefit>1244</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SN098</BillingCode><Name>TC-100</Name><Description>4.5mm Reconstruction Plate</Description><Size>≥ 7 to ≤ 15 holes</Size><SupplierCode>SN</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5256</SubGroupID><ARTGs><ARTG>108428</ARTG></ARTGs><MinimumBenefit>645</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</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>350871</ARTG><ARTG>351000</ARTG></ARTGs><MinimumBenefit>645</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HU114</BillingCode><PriorBillingCodes><PriorBillingCode>DE342</PriorBillingCode></PriorBillingCodes><Name>PEEKPower HTO Plate</Name><Description>Medial High Tibial Osteotomy Implant Device System</Description><Size>One Universal Size</Size><SupplierCode>HU</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5256</SubGroupID><ARTGs><ARTG>350871</ARTG></ARTGs><MinimumBenefit>645</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HU305</BillingCode><Name>Anterolateral Pilon Fusion Plate</Name><Description>Plate for Arthrodesis</Description><Size>7-15 Holes  </Size><SupplierCode>HU</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5256</SubGroupID><Suffix>Com, LK</Suffix><ARTGs><ARTG>351000</ARTG></ARTGs><MinimumBenefit>1295</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-03-01</CycleStartDate><CycleEndDate>2025-03-01</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><MinimumBenefit>1244</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2023-07-01</CycleStartDate><CycleEndDate>2025-03-01</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><MinimumBenefit>1244</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-03-01</CycleStartDate><CycleEndDate>2025-03-01</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>KQ</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5256</SubGroupID><Suffix>VAL</Suffix><ARTGs><ARTG>290443</ARTG></ARTGs><MinimumBenefit>1244</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>OX015</BillingCode><Name>ARMAR 4.5mm Meril Locking Plate System ≥ 7 to ≤ 15 holes</Name><Description>TiCP humeral locking plates</Description><Size>7-15 Holes
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>2025-03-01</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><MinimumBenefit>1244</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2024-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>KQ004</BillingCode><PriorBillingCodes><PriorBillingCode>ER674</PriorBillingCode></PriorBillingCodes><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>KQ</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5256</SubGroupID><Suffix>VAL</Suffix><ARTGs><ARTG>289248</ARTG></ARTGs><ChangeExplanation>
Billing code transferred from ER674
Sponsor transferred from EMERGO ASIA-PACIFIC PTY. LIMITED</ChangeExplanation><MinimumBenefit>1244</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2023-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>KQ006</BillingCode><PriorBillingCodes><PriorBillingCode>ER677</PriorBillingCode></PriorBillingCodes><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>KQ</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5256</SubGroupID><Suffix>VAL</Suffix><ARTGs><ARTG>289248</ARTG></ARTGs><ChangeExplanation>
Billing code transferred from ER677
Sponsor transferred from EMERGO ASIA-PACIFIC PTY. LIMITED</ChangeExplanation><MinimumBenefit>1244</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2023-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SK533</BillingCode><PriorBillingCodes><PriorBillingCode>SK449</PriorBillingCode></PriorBillingCodes><Name>AxSOS 3 Titanium 5.0mm System</Name><Description>Locking Compression Plate, used with 5.0mm screws</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>352530</ARTG><ARTG>352531</ARTG></ARTGs><ChangeExplanation>Change to Product name, ARTG, Description</ChangeExplanation><MinimumBenefit>508</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Update</ActionFlag><CycleStartDate>2012-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BH065</BillingCode><Name>Sternalock</Name><Description>Straight plate, locking, </Description><Size>8 hole</Size><SupplierCode>ZI</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>KT105</BillingCode><Name>Nexos Pelvis Plates</Name><Description>C-Plates, I-Plates, S-Plates</Description><Size>8-14 holes</Size><SupplierCode>KT</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5256</SubGroupID><ARTGs><ARTG>236206</ARTG></ARTGs><ChangeExplanation>New listing</ChangeExplanation><MinimumBenefit>645</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2025-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>KQ001</BillingCode><PriorBillingCodes><PriorBillingCode>ER671</PriorBillingCode></PriorBillingCodes><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>KQ</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5256</SubGroupID><Suffix>VAL</Suffix><ARTGs><ARTG>289248</ARTG></ARTGs><ChangeExplanation>
Billing code transferred from ER671
Sponsor transferred from EMERGO ASIA-PACIFIC PTY. LIMITED</ChangeExplanation><MinimumBenefit>1244</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2023-03-01</CycleStartDate><CycleEndDate>2025-03-01</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><MinimumBenefit>1244</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2024-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>KQ005</BillingCode><PriorBillingCodes><PriorBillingCode>ER676</PriorBillingCode></PriorBillingCodes><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>KQ</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5256</SubGroupID><Suffix>VAL</Suffix><ARTGs><ARTG>289248</ARTG></ARTGs><ChangeExplanation>
Billing code transferred from ER676
Sponsor transferred from EMERGO ASIA-PACIFIC PTY. LIMITED</ChangeExplanation><MinimumBenefit>1244</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2023-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>TN078</BillingCode><Name>Newclip pelvis plates</Name><Description>Pariarticular anatomic pelvis plates</Description><Size>≥ 16 holes</Size><SupplierCode>TN</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5257</SubGroupID><Suffix>LK</Suffix><ARTGs><ARTG>260232</ARTG><ARTG>260229</ARTG></ARTGs><MinimumBenefit>762</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SL178</BillingCode><Name>Smith &amp; Nephew Plate and Screw System - EVOS</Name><Description>Large Fragment Plate – Locking </Description><Size>≥ 16 holes</Size><SupplierCode>SN</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5257</SubGroupID><Suffix>LK</Suffix><ARTGs><ARTG>108428</ARTG><ARTG>368492</ARTG></ARTGs><MinimumBenefit>762</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HU304</BillingCode><Name>Posterior Pilon Fusion Plate</Name><Description>Plate for Arthrodesis</Description><Size>≥ 16 Holes  </Size><SupplierCode>HU</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5257</SubGroupID><Suffix>LK</Suffix><ARTGs><ARTG>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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SK537</BillingCode><Name>Stryker Plating System</Name><Description>Locking Reconstruction Plates</Description><Size>5.0mm, 16-22 hole</Size><SupplierCode>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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ZI943</BillingCode><Name>Ankle Fix -Plate ≥ 16 holes</Name><Description>Ankle fusion plate</Description><Size>One size only</Size><SupplierCode>ZI</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5257</SubGroupID><Suffix>Com, LK</Suffix><ARTGs><ARTG>140687</ARTG></ARTGs><MinimumBenefit>1378</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2016-08-01</CycleStartDate><CycleEndDate>2025-03-01</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>JJ</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>2025-03-01</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>JJ</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5257</SubGroupID><Suffix>Com, LK</Suffix><ARTGs><ARTG>157069</ARTG><ARTG>286609</ARTG></ARTGs><MinimumBenefit>1378</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HU306</BillingCode><Name>Anterolateral Pilon Fusion Plate</Name><Description>Plate for Arthrodesis</Description><Size>&gt;16 Holes</Size><SupplierCode>HU</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5257</SubGroupID><Suffix>Com, LK</Suffix><ARTGs><ARTG>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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HU106</BillingCode><PriorBillingCodes><PriorBillingCode>DE572</PriorBillingCode></PriorBillingCodes><Name>Plantar Lapidus Plates</Name><Description>Arthrodesis Plate</Description><Size>Short and Standard  Left &amp; Right side specific</Size><SupplierCode>HU</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5257</SubGroupID><Suffix>Com, LK</Suffix><ARTGs><ARTG>351000</ARTG></ARTGs><MinimumBenefit>1378</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SQ079</BillingCode><Name>PediLoc - Periarticular Locking Plating System Femur- &gt; 16 holes, screw size ≥4.5mm</Name><Description>4.5mm Bowed locking compression femur 16 hole plate
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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SY637</BillingCode><Name>AO/ASIF Plates</Name><Description>LC-LCP Plates</Description><Size>≥ 16 Holes</Size><SupplierCode>JJ</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>TN034</BillingCode><Name>Newclip Femoral Plate</Name><Description>Variable angle plates for femur</Description><Size>Standard ≥ 16 holes</Size><SupplierCode>TN</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5257</SubGroupID><Suffix>VAL</Suffix><ARTGs><ARTG>260229</ARTG></ARTGs><MinimumBenefit>1207</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>KQ002</BillingCode><PriorBillingCodes><PriorBillingCode>ER672</PriorBillingCode></PriorBillingCodes><Name>Paragon Silverback Straddle Plate-lateral TC</Name><Description>Silverback Straddle Plate-lateral TC, long, left or right        </Description><Size>one size</Size><SupplierCode>KQ</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5257</SubGroupID><Suffix>VAL</Suffix><ARTGs><ARTG>289248</ARTG></ARTGs><ChangeExplanation>
Billing code transferred from ER672
Sponsor transferred from EMERGO ASIA-PACIFIC PTY. LIMITED</ChangeExplanation><MinimumBenefit>1207</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2023-03-01</CycleStartDate><CycleEndDate>2025-03-01</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><MinimumBenefit>1207</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2024-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>KQ003</BillingCode><PriorBillingCodes><PriorBillingCode>ER673</PriorBillingCode></PriorBillingCodes><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>KQ</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5257</SubGroupID><Suffix>VAL</Suffix><ARTGs><ARTG>289248</ARTG></ARTGs><ChangeExplanation>
Billing code transferred from ER673
Sponsor transferred from EMERGO ASIA-PACIFIC PTY. LIMITED</ChangeExplanation><MinimumBenefit>1207</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2023-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>OX016</BillingCode><Name>ARMAR 4.5mm Meril Locking Plate System ≥ 16 holes</Name><Description>TiCP locking plates</Description><Size>16-26 Holes
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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SN078</BillingCode><Name>TC-100</Name><Description>4.5mm Straight Plates</Description><Size>≥ 16 holes</Size><SupplierCode>SN</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5257</SubGroupID><ARTGs><ARTG>108428</ARTG></ARTGs><MinimumBenefit>322</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SN784</BillingCode><Name>Peri-Loc</Name><Description>Plates, Stainless Steel, Non-Locking, Broad, Left &amp; Rights</Description><Size>≥ 16 holes</Size><SupplierCode>SN</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5257</SubGroupID><ARTGs><ARTG>108428</ARTG></ARTGs><MinimumBenefit>322</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SK545</BillingCode><Name>Stryker Plating System Basic Fragment Set</Name><Description>4.5mm Reconstruction Plate</Description><Size>16-22 hole</Size><SupplierCode>JV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5257</SubGroupID><ARTGs><ARTG>139635</ARTG><ARTG>119848</ARTG></ARTGs><MinimumBenefit>322</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SK534</BillingCode><PriorBillingCodes><PriorBillingCode>SK449</PriorBillingCode></PriorBillingCodes><Name>AxSOS 3 Titanium 5.0mm System</Name><Description>Locking Compression Plate, used with 5.0mm screws</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>352530</ARTG><ARTG>352531</ARTG></ARTGs><ChangeExplanation>Change to Product name, ARTG, Description</ChangeExplanation><MinimumBenefit>762</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Update</ActionFlag><CycleStartDate>2012-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ST738</BillingCode><Name>Leibinger Titanium Implant System</Name><Description>Leibinger profyle hand &amp; small  fragment system, fixation, 3D plate, titanium</Description><Size>1.7mm system, 2x2 holes</Size><SupplierCode>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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HW708</BillingCode><PriorBillingCodes><PriorBillingCode>WR050</PriorBillingCode></PriorBillingCodes><Name>Charlotte MTP Fusion System</Name><Description>MTP plate, stainless steel</Description><Size>Left &amp; Right extended,9 holes</Size><SupplierCode>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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SK546</BillingCode><Name>Stryker Plating System</Name><Description>T-Plates, pre-shaped</Description><Size>2-6 holes</Size><SupplierCode>JV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5258</SubGroupID><Suffix>Com</Suffix><ARTGs><ARTG>119848</ARTG><ARTG>269713</ARTG></ARTGs><MinimumBenefit>210</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SN044</BillingCode><Name>TC-100 &amp; Peri-Loc</Name><Description> 3.5mm Straight Plates</Description><Size>≤ 6 holes</Size><SupplierCode>SN</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5258</SubGroupID><ARTGs><ARTG>108428</ARTG></ARTGs><MinimumBenefit>130</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HU150</BillingCode><Name>Dual Syndesmosis Tightrope Plate</Name><Description>Buttress plate for syndesmosis repair</Description><Size>1 size (2 Hole Plate)</Size><SupplierCode>HU</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5258</SubGroupID><ARTGs><ARTG>350871</ARTG><ARTG>351000</ARTG></ARTGs><MinimumBenefit>130</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MO446</BillingCode><Name>Acumed Small Fragment Plates</Name><Description>One Third Tubular Plates</Description><Size>3 to 6 Holes</Size><SupplierCode>MO</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5258</SubGroupID><ARTGs><ARTG>99824</ARTG></ARTGs><MinimumBenefit>130</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2019-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HU301</BillingCode><Name>Lateral Hook Plate</Name><Description>Plate for fracture fixation</Description><Size>3-5 Holes</Size><SupplierCode>HU</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5258</SubGroupID><Suffix>VAL</Suffix><ARTGs><ARTG>351000</ARTG></ARTGs><MinimumBenefit>594</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SL125</BillingCode><Name>Smith &amp; Nephew Plate and Screw System- EVOS</Name><Description>Small Fragment Plate</Description><Size>≤ 6 holes</Size><SupplierCode>SN</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SY702</BillingCode><Name>AO/ASIF Plates</Name><Description>DCS DHS Plate, Angled blade, Osteotomy</Description><Size>≤6 holes</Size><SupplierCode>JJ</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SN109</BillingCode><Name>TC100</Name><Description>3.5mm Reconstruction Plates</Description><Size>≤ 6 holes</Size><SupplierCode>SN</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5258</SubGroupID><ARTGs><ARTG>108428</ARTG></ARTGs><MinimumBenefit>130</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ST730</BillingCode><Name>Leibinger Titanium Implant System</Name><Description>Hand system, fixation plate, L-shape, right/left</Description><Size>1.7mm, 6 holes</Size><SupplierCode>JV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5258</SubGroupID><ARTGs><ARTG>295882</ARTG><ARTG>200615</ARTG></ARTGs><MinimumBenefit>130</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SN136</BillingCode><Name>TC-100 </Name><Description>Small right angle &amp; T plates </Description><Size>≤ 6 holes</Size><SupplierCode>SN</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5258</SubGroupID><ARTGs><ARTG>108428</ARTG></ARTGs><MinimumBenefit>130</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SL094</BillingCode><Name>Smith &amp; Nephew Plate and Screw System- EVOS</Name><Description>Small Fragment Plate</Description><Size>≤ 6 holes</Size><SupplierCode>SN</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SN012</BillingCode><Name>TC-100 &amp; Peri-Loc</Name><Description>1/3 Tubular Plates</Description><Size>≤ 6 holes.</Size><SupplierCode>SN</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5258</SubGroupID><ARTGs><ARTG>108428</ARTG></ARTGs><MinimumBenefit>130</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SY726</BillingCode><Name>AO/ASIF Plates</Name><Description>Non-Locking Fragment Plates</Description><Size>≤6 Holes</Size><SupplierCode>JJ</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LM121</BillingCode><Name>'TriMed Wire Plates</Name><Description>Wire Fixation plate</Description><Size>3 &amp; 5 hole</Size><SupplierCode>LM</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5258</SubGroupID><ARTGs><ARTG>182677</ARTG></ARTGs><MinimumBenefit>130</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>XT054</BillingCode><PriorBillingCodes><PriorBillingCode>GW068</PriorBillingCode></PriorBillingCodes><Name>Equinox Trauma Systems</Name><Description>Clavicle Midshaft Locking Compression Plate </Description><Size>6 holes left, 6 holes right</Size><SupplierCode>XT</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5258</SubGroupID><Suffix>LK</Suffix><ARTGs><ARTG>324402</ARTG></ARTGs><ChangeExplanation>
Billing code transferred from GW068
Sponsor transferred from EQUINOX MEDICAL PTY LTD</ChangeExplanation><MinimumBenefit>250</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2022-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BH273</BillingCode><Name>ALPS - Anatomic Locked Plating System</Name><Description>3.5mm titanium plate</Description><Size>2-6 holes</Size><SupplierCode>ZI</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>2025-03-01</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SN800</BillingCode><Name>Peri-Loc</Name><Description>3.5mm Recon Plate </Description><Size>≤ 6 holes</Size><SupplierCode>SN</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5258</SubGroupID><Suffix>Com</Suffix><ARTGs><ARTG>108428</ARTG></ARTGs><MinimumBenefit>210</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SN938</BillingCode><Name>Peri-Loc VLP</Name><Description>VAL/LK 3.5 1/3 Tubular</Description><Size>≤6 holes</Size><SupplierCode>SN</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5258</SubGroupID><Suffix>VAL</Suffix><ARTGs><ARTG>108428</ARTG></ARTGs><MinimumBenefit>594</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MN297</BillingCode><Name>AO/ASIF Plates</Name><Description>3.5 mm LCP Medial Anterior Clavicle Plate  </Description><Size>≤ 6 holes</Size><SupplierCode>JJ</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>JD021</BillingCode><Name>1/3 Tubular Plate</Name><Description>1/3 Tubular Plates</Description><Size>≤ 6 holes</Size><SupplierCode>JD</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5258</SubGroupID><Suffix>VAL</Suffix><ARTGs><ARTG>222648</ARTG></ARTGs><MinimumBenefit>594</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>JD022</BillingCode><Name>MTP Plate</Name><Description>Fusion Plates</Description><Size>Left and Right</Size><SupplierCode>JD</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5258</SubGroupID><Suffix>VAL</Suffix><ARTGs><ARTG>222648</ARTG></ARTGs><MinimumBenefit>594</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HU111</BillingCode><PriorBillingCodes><PriorBillingCode>DE525</PriorBillingCode></PriorBillingCodes><Name>Dorsal Distal Radius Plate</Name><Description>Plate for Fracture Fixation</Description><Size>4 Holes Standard (Left &amp; Right)  4 Holes Narrow (Left &amp;  Right)</Size><SupplierCode>HU</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5258</SubGroupID><Suffix>VAL</Suffix><ARTGs><ARTG>351000</ARTG></ARTGs><MinimumBenefit>594</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HU171</BillingCode><Name>MTP Plate, Straight</Name><Description>Metatarso-Phalangeal Fusion plate for 1st MTP</Description><Size>Small and Standard, ≤ 6 holes</Size><SupplierCode>HU</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5258</SubGroupID><Suffix>VAL</Suffix><ARTGs><ARTG>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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HU302</BillingCode><Name>Lateral Hook Plate</Name><Description>Plate for fracture fixation</Description><Size>7-15 Holes</Size><SupplierCode>HU</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5258</SubGroupID><Suffix>VAL</Suffix><ARTGs><ARTG>351000</ARTG></ARTGs><MinimumBenefit>594</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SQ178</BillingCode><Name>PediFoot Deformity Correction System</Name><Description>3.5mm Plates, Compression/Neutral, Recon, Angle Iron, Wedge, Clover    </Description><Size>7-70mm length, 4-6mm wedge length, 2-6 holes</Size><SupplierCode>SQ</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5258</SubGroupID><Suffix>VAL</Suffix><ARTGs><ARTG>191530</ARTG></ARTGs><MinimumBenefit>594</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2020-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>VK016</BillingCode><Name>Orthofix eight-Plate</Name><Description>Guided growth plate for correction of angular deformities over an open growth plate. Titanium, two screw holes, wire guided.</Description><Size>12mm, 16mm</Size><SupplierCode>VK</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5258</SubGroupID><ARTGs><ARTG>118320</ARTG><ARTG>189806</ARTG></ARTGs><MinimumBenefit>130</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HU285</BillingCode><Name>Dynanite Compression Plates</Name><Description>Plate for Arthrodesis</Description><Size>2-4 Holes</Size><SupplierCode>HU</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5258</SubGroupID><Suffix>VAL</Suffix><ARTGs><ARTG>355042</ARTG></ARTGs><MinimumBenefit>594</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>OX006</BillingCode><Name>ARMAR LPS Reconstruction Plates</Name><Description>3.5 mm Reconstruction plates</Description><Size>2-6 holes</Size><SupplierCode>OX</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5258</SubGroupID><Suffix>LK</Suffix><ARTGs><ARTG>286842</ARTG></ARTGs><MinimumBenefit>250</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LM122</BillingCode><Name>TriMed Periarticular Plate</Name><Description>Periarticular Plates</Description><Size>≤ 6 holes</Size><SupplierCode>LM</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5258</SubGroupID><Suffix>LK</Suffix><ARTGs><ARTG>182677</ARTG></ARTGs><MinimumBenefit>250</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ZI810</BillingCode><Name>Zimmer Universal Locking System</Name><Description>3.5mm Dual Compression Locking Plates</Description><Size>4 - 6 holes</Size><SupplierCode>ZI</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5258</SubGroupID><Suffix>LK</Suffix><ARTGs><ARTG>112735</ARTG></ARTGs><MinimumBenefit>250</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SK540</BillingCode><Name>Stryker Plating System</Name><Description>Locking Reconstruction Plates</Description><Size>4.0mm, 4-6 hole</Size><SupplierCode>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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>OX009</BillingCode><Name>ARMAR LPS Cloverleaf Plate</Name><Description>3.5 mm cloverleaf reconstruction plate</Description><Size>MT-PT1303088
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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>DZ033</BillingCode><Name>Valens Shoulder and Elbow - Plates</Name><Description>Locking Compression Plates</Description><Size>3.5mm</Size><SupplierCode>DZ</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5258</SubGroupID><Suffix>LK</Suffix><ARTGs><ARTG>276915</ARTG></ARTGs><MinimumBenefit>250</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HU166</BillingCode><Name>Locking Third Tubular Plate</Name><Description>Plate for fracture fixation of the Fibula</Description><Size>4-6 holes</Size><SupplierCode>HU</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5258</SubGroupID><Suffix>LK</Suffix><ARTGs><ARTG>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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SQ114</BillingCode><Name>SuperCable Trochanteric Grips and Cable Plate System</Name><Description>Trochanteric Grips - Titanium</Description><Size>Short 50mm, 2 Hole Plate 135mm, 4 Hole Plate 190mm, 6 Hole Plate Straight, Right, Left 245mm</Size><SupplierCode>SQ</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>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>2025-03-01</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HU109</BillingCode><PriorBillingCodes><PriorBillingCode>DE533</PriorBillingCode></PriorBillingCodes><Name>Posterolateral Distal Fibula Plate</Name><Description>Plate for fracture fixation</Description><Size>4-6 Holes</Size><SupplierCode>HU</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5258</SubGroupID><Suffix>LK</Suffix><ARTGs><ARTG>351000</ARTG></ARTGs><MinimumBenefit>250</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HU108</BillingCode><PriorBillingCodes><PriorBillingCode>DE455</PriorBillingCode></PriorBillingCodes><Name>Low Profile T-Plate</Name><Description>Plate for fusion</Description><Size>2-4 Holes</Size><SupplierCode>HU</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5258</SubGroupID><Suffix>LK</Suffix><ARTGs><ARTG>351000</ARTG></ARTGs><MinimumBenefit>250</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HU165</BillingCode><Name>Locking Reconstruction Plate</Name><Description>Reconstruction Plate for communited Fibula Shaft Fractures</Description><Size>4-6 Holes</Size><SupplierCode>HU</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5258</SubGroupID><Suffix>LK</Suffix><ARTGs><ARTG>351000</ARTG><ARTG>350871</ARTG></ARTGs><MinimumBenefit>250</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SL096</BillingCode><Name>Smith &amp; Nephew Plate and Screw System - EVOS</Name><Description>Small Fragment Plate</Description><Size>≤ 6 holes</Size><SupplierCode>SN</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SN979</BillingCode><Name>Peri-Loc</Name><Description>Fibula Plates</Description><Size>≤ 6 holes</Size><SupplierCode>SN</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5258</SubGroupID><Suffix>VAL</Suffix><ARTGs><ARTG>108428</ARTG></ARTGs><MinimumBenefit>594</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HU110</BillingCode><PriorBillingCodes><PriorBillingCode>DE568</PriorBillingCode></PriorBillingCodes><Name>Posterolateral Distal Fibula Plate</Name><Description>Plate for fracture fixation</Description><Size>8 Holes</Size><SupplierCode>HU</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5258</SubGroupID><Suffix>LK</Suffix><ARTGs><ARTG>351000</ARTG></ARTGs><MinimumBenefit>250</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HU201</BillingCode><PriorBillingCodes><PriorBillingCode>DE285</PriorBillingCode></PriorBillingCodes><Name> Titanium Lapidus Arthrodesis Plate </Name><Description>Titanium Lapidus Arthrodesis Plate with locking holes and compresion slot</Description><Size>Small, Large</Size><SupplierCode>HU</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5258</SubGroupID><Suffix>LK</Suffix><ARTGs><ARTG>351000</ARTG><ARTG>350871</ARTG></ARTGs><MinimumBenefit>250</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>DZ031</BillingCode><Name>Valetis Ankle - Plates</Name><Description>1/3 Tubular Plate</Description><Size>4 to 6 hole</Size><SupplierCode>DZ</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5258</SubGroupID><Suffix>LK</Suffix><ARTGs><ARTG>284755</ARTG></ARTGs><MinimumBenefit>250</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>DZ035</BillingCode><Name>Valens Shoulder and Elbow - Plates</Name><Description>LCP, Right/Oblique Angled, T-Plate</Description><Size>1-6 Holes</Size><SupplierCode>DZ</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5258</SubGroupID><Suffix>LK</Suffix><ARTGs><ARTG>276915</ARTG></ARTGs><MinimumBenefit>250</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-08-01</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HU168</BillingCode><PriorBillingCodes><PriorBillingCode>DE457</PriorBillingCode></PriorBillingCodes><Name>Low Profile Straight Plate</Name><Description>Plate for fusion</Description><Size>2-5 Holes</Size><SupplierCode>HU</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5258</SubGroupID><Suffix>LK</Suffix><ARTGs><ARTG>350871</ARTG><ARTG>351000</ARTG></ARTGs><MinimumBenefit>250</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HU167</BillingCode><PriorBillingCodes><PriorBillingCode>DE453</PriorBillingCode></PriorBillingCodes><Name>X Plate</Name><Description>Plate for fusion</Description><Size>Medium, Large</Size><SupplierCode>HU</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5258</SubGroupID><Suffix>LK</Suffix><ARTGs><ARTG>350871</ARTG><ARTG>351000</ARTG></ARTGs><MinimumBenefit>250</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-03-01</CycleStartDate><CycleEndDate>2025-03-01</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>JJ</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5258</SubGroupID><Suffix>LK</Suffix><ARTGs><ARTG>286609</ARTG><ARTG>157069</ARTG></ARTGs><MinimumBenefit>250</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SF083</BillingCode><Name>Islay Universial Locking Plate</Name><Description>Titanium Plate with or without wedge with 4 and non locking holes. Left and right side specific.</Description><Size>Various length plates from 18-24mm with and without wedges (2-7mm), plates with valugus angle built in range.</Size><SupplierCode>SF</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5258</SubGroupID><Suffix>Com, LK</Suffix><ARTGs><ARTG>208160</ARTG></ARTGs><MinimumBenefit>572</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2015-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SL227</BillingCode><PriorBillingCodes><PriorBillingCode>IG136</PriorBillingCode></PriorBillingCodes><Name>Uni-CP Compression plating system</Name><Description>4 hole U design</Description><Size>4 hole, 3 interaxis sizes: 17,19,21mm</Size><SupplierCode>SN</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>2025-03-01</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SN796</BillingCode><Name>Peri-Loc</Name><Description>Locking 1/3 Tubular &amp; 3.5mm Straight Plates </Description><Size>≤ 6 holes</Size><SupplierCode>SN</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5258</SubGroupID><Suffix>LK</Suffix><ARTGs><ARTG>108428</ARTG></ARTGs><MinimumBenefit>250</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SL086</BillingCode><Name>PERI-LOC</Name><Description>Clavicle plates</Description><Size>≤ 6 holes</Size><SupplierCode>SN</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5258</SubGroupID><Suffix>LK</Suffix><ARTGs><ARTG>108428</ARTG></ARTGs><MinimumBenefit>250</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SN914</BillingCode><Name>Peri-Loc</Name><Description>Clavicle plates</Description><Size>≤6 holes</Size><SupplierCode>SN</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5258</SubGroupID><Suffix>LK</Suffix><ARTGs><ARTG>108428</ARTG></ARTGs><MinimumBenefit>250</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>XT024</BillingCode><PriorBillingCodes><PriorBillingCode>GW034</PriorBillingCode></PriorBillingCodes><Name>WEGO Trauma Systems</Name><Description>Small Fragment Plating System</Description><Size>≤ 6 Holes</Size><SupplierCode>XT</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5258</SubGroupID><ARTGs><ARTG>324402</ARTG></ARTGs><ChangeExplanation>
Billing code transferred from GW034
Sponsor transferred from EQUINOX MEDICAL PTY LTD</ChangeExplanation><MinimumBenefit>130</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2020-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>XT055</BillingCode><PriorBillingCodes><PriorBillingCode>GW069</PriorBillingCode></PriorBillingCodes><Name>Equinox Trauma Systems </Name><Description>Clavicle Midhsaft Locking Plates </Description><Size>6 holes left, 6 holes right</Size><SupplierCode>XT</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5258</SubGroupID><Suffix>LK</Suffix><ARTGs><ARTG>324402</ARTG></ARTGs><ChangeExplanation>
Billing code transferred from GW069
Sponsor transferred from EQUINOX MEDICAL PTY LTD</ChangeExplanation><MinimumBenefit>250</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2022-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>VK028</BillingCode><Name>Quad Plate Plus</Name><Description>The Guided Growth Plate System Plus consists of different sizes of quad- Plate plus, different cannulated and solid screw options. The device is designed for the gradual correction of paediatric congenital as well as acquired deformities in both the upper and lower extremities, provided that the physics are not fused. The plates feature a contoured waist and low profile for paediatric usage. There is a centre hole in the plates for a temporary guide pin to be implanted to aid application and removal of the plate. The plates are attached to the external surface of the bone over the growth plate by screws. These screws are not locked to the plate, but rather are allowed to swivel and diverge in their position as bone growth occurs. The implant acts like a flexible hinge, permitting growth at the growth plate to gradually straighten the limb.</Description><Size>16mm plate  22mm plate</Size><SupplierCode>VK</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5258</SubGroupID><ARTGs><ARTG>289399</ARTG></ARTGs><MinimumBenefit>130</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2019-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ST037</BillingCode><Name>Stryker Plating System Small Fragment Set </Name><Description>One Third Tubular Plate with Collar</Description><Size>2-6 Holes</Size><SupplierCode>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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SK548</BillingCode><Name>Stryker Plating System Small Fragment Set</Name><Description>3.5mm Reconstruction Plate</Description><Size>4-6 hole</Size><SupplierCode>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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ZI789</BillingCode><Name>ZPS-Zimmer Plate and Screw System</Name><Description>3.5mm Straight Reconstruction Plates</Description><Size>3-6 holes</Size><SupplierCode>ZI</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5258</SubGroupID><ARTGs><ARTG>112735</ARTG></ARTGs><MinimumBenefit>130</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>XT034</BillingCode><PriorBillingCodes><PriorBillingCode>GW047</PriorBillingCode></PriorBillingCodes><Name>WEGO Trauma Systems</Name><Description>Locking Plate Systems</Description><Size>≤ 6 holes</Size><SupplierCode>XT</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5258</SubGroupID><Suffix>LK</Suffix><ARTGs><ARTG>324402</ARTG></ARTGs><ChangeExplanation>
Billing code transferred from GW047
Sponsor transferred from EQUINOX MEDICAL PTY LTD</ChangeExplanation><MinimumBenefit>250</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2020-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>XU003</BillingCode><PriorBillingCodes><PriorBillingCode>QQ198</PriorBillingCode></PriorBillingCodes><Name>ARIX Wrist System - Carpal Fusion Plate</Name><Description>Carpal Fusion Plate</Description><Size>6 holes </Size><SupplierCode>XU</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5258</SubGroupID><Suffix>VAL</Suffix><ARTGs><ARTG>409165</ARTG></ARTGs><ChangeExplanation>
Billing code transferred from QQ198
Sponsor transferred from AA-Med Pty Ltd</ChangeExplanation><MinimumBenefit>594</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2024-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HW978</BillingCode><PriorBillingCodes><PriorBillingCode>WR069</PriorBillingCode></PriorBillingCodes><Name>TOM Plate</Name><Description>Designed for base osteotomies and fusions of MT1 with correction achieved through one cut. It is a titanium locking plate, anatomically designed with a smaller radius to fit the contour of the first metatarsal and 5 step variation in 1mm increments for ac</Description><Size>- L &amp; R: neutral, 1-5mm step, 4 hole</Size><SupplierCode>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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HW902</BillingCode><PriorBillingCodes><PriorBillingCode>WR378</PriorBillingCode></PriorBillingCodes><Name>MaxLock Extreme System - Small Plates ≤ 6 holes</Name><Description>Small variable angle locking plates, titanium, ≤ 6 holes</Description><Size>≤ 6 holes</Size><SupplierCode>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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HW711</BillingCode><PriorBillingCodes><PriorBillingCode>WR057</PriorBillingCode></PriorBillingCodes><Name>Lapidus Plate</Name><Description>Titanium locking plate with unique stepped displacement in 1mm increments permits accurate plantarisation and lateralisation in midfoot fusions.</Description><Size> 3.5mm: neutral, 1-6mm step</Size><SupplierCode>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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ZI543</BillingCode><Name>Zimmer Universal Locking System</Name><Description>3.5mm Locking T plate</Description><Size>3 hole head 5 hole shaft 73mm length; 4 hole head 6 hole shaft 85mm length; 3 hole head 3 hole shaft left 51mm length; 3 hole head 4 hole shaft left 63mm length; 3 hole head 3 hole shaft right 51mm length; 3 hole head 4 hole shaft right 63mm length.</Size><SupplierCode>ZI</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5258</SubGroupID><Suffix>Com, LK</Suffix><ARTGs><ARTG>112735</ARTG></ARTGs><MinimumBenefit>572</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2007-12-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HW707</BillingCode><PriorBillingCodes><PriorBillingCode>WR049</PriorBillingCode></PriorBillingCodes><Name>Charlotte MTP Fusion System</Name><Description>MTP plate, stainless steel</Description><Size>Left &amp; Right small &amp; standard, 6 holes</Size><SupplierCode>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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LM125</BillingCode><Name>TriMed Sidewinder</Name><Description>Ankle Fixation Plate</Description><Size>≤ 6 holes</Size><SupplierCode>LM</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5258</SubGroupID><Suffix>Com, LK</Suffix><ARTGs><ARTG>182677</ARTG></ARTGs><MinimumBenefit>572</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-02-01</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</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>2025-03-01</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><MinimumBenefit>594</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2023-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HW991</BillingCode><Name>VariAx 2 Locking Plate System – Distal Ulna</Name><Description>VAL Fixation Plates for Distal Ulna Fractures</Description><Size>625102  625102S</Size><SupplierCode>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>2025-03-01</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>KQ</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5258</SubGroupID><Suffix>VAL</Suffix><ARTGs><ARTG>289248</ARTG></ARTGs><MinimumBenefit>594</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-02-01</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</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>KQ</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5258</SubGroupID><Suffix>VAL</Suffix><ARTGs><ARTG>289248</ARTG></ARTGs><MinimumBenefit>594</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-07-01</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</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><MinimumBenefit>1159</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2016-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HU169</BillingCode><PriorBillingCodes><PriorBillingCode>DE504</PriorBillingCode></PriorBillingCodes><Name>Double Compression Plate System</Name><Description>Fixation plates for surgical compression across fusion sites.</Description><Size>Double Compression Plate, 2 Hole, 20 mm   Double Compression Plate, 2 Hole, 25 mm   Double Compression Plate, 2 Hole, 30 mm   Double Compression Plate, 3 Hole, 20 mm   Double Compression Plate, 3 Hole, 25 mm   Double Compression Plate, 3 Hole, 30 mm   Double Compression Plate, 4 Hole, Straight, 20 mm   Double Compression Plate, 4 Hole, Straight, 25 mm   Double Compression Plate, 4 Hole, Straight, 30 mm   Double Compression Plate, 4 Hole, Square, 20 mm   Double Compression Plate, 4 Hole, Square, 25 mm   Double Compression Plate, 4 Hole, Square, 30 mm</Size><SupplierCode>HU</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5258</SubGroupID><Suffix>LK</Suffix><ARTGs><ARTG>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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HU164</BillingCode><PriorBillingCodes><PriorBillingCode>DE372</PriorBillingCode></PriorBillingCodes><Name>Low Profile MTP Plate</Name><Description>Athrodesis Plate - 6 hole plates</Description><Size>Contoured small left,contoured small right, contoured standard right,contoured standard left</Size><SupplierCode>HU</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5258</SubGroupID><Suffix>LK</Suffix><ARTGs><ARTG>351000</ARTG></ARTGs><MinimumBenefit>250</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HU170</BillingCode><Name>MTP Plate</Name><Description>1st MTP Arthrodesis Plate</Description><Size>≤ 6 holes</Size><SupplierCode>HU</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5258</SubGroupID><Suffix>LK</Suffix><ARTGs><ARTG>351000</ARTG></ARTGs><MinimumBenefit>250</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HW535</BillingCode><Name>VariAx Compression Plating System</Name><Description>VAL 1/3 Tubular Plate</Description><Size>&gt;/=6 holes</Size><SupplierCode>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>2025-03-01</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><MinimumBenefit>594</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2024-11-01</CycleStartDate><CycleEndDate>2025-03-01</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><MinimumBenefit>572</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2024-11-01</CycleStartDate><CycleEndDate>2025-03-01</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><MinimumBenefit>250</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2024-11-01</CycleStartDate><CycleEndDate>2025-03-01</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>KQ</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5258</SubGroupID><Suffix>Com, VAL</Suffix><ARTGs><ARTG>289248</ARTG></ARTGs><MinimumBenefit>1159</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BH242</BillingCode><Name>ALPS Foot System</Name><Description>Complex periarticular foot plates</Description><Size>small to large</Size><SupplierCode>ZI</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HW713</BillingCode><PriorBillingCodes><PriorBillingCode>WR064</PriorBillingCode></PriorBillingCodes><Name>MPJ Fusion Plate</Name><Description>Titanium locking plate with built-in 1- degree valgus angle for anatomic fixation of 1st MTP joint</Description><Size>Small, Medium &amp; Revision, Left &amp; Right, 0, 5 &amp; 10 degree</Size><SupplierCode>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>2025-03-01</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><MinimumBenefit>1159</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HW596</BillingCode><Name>Stryker Locked Plating System</Name><Description>Periarticular variable angle locking plate - clavicle</Description><Size>7-15 holes</Size><SupplierCode>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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>EO080</BillingCode><Name>APTUS Foot</Name><Description>TriLock Plates</Description><Size>2.8</Size><SupplierCode>EO</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5258</SubGroupID><Suffix>Com, VAL</Suffix><ARTGs><ARTG>141170</ARTG></ARTGs><MinimumBenefit>1159</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-08-01</CycleStartDate><CycleEndDate>2025-03-01</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><MinimumBenefit>594</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>TN050</BillingCode><Name>VAL plates screw size 2.71-4.49</Name><Description>VAL complex plates</Description><Size>screw size 2.71-4.49 
≤  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>2018-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>EO135</BillingCode><Name>APTUS</Name><Description>Variable Angle Locking Plate </Description><Size>≤ 6 holes </Size><SupplierCode>EO</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5258</SubGroupID><Suffix>VAL</Suffix><ARTGs><ARTG>206157</ARTG></ARTGs><MinimumBenefit>594</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>TN067</BillingCode><Name>Newclip Plating System</Name><Description>VAL Locking plates</Description><Size>≤ 6 holes</Size><SupplierCode>TN</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5258</SubGroupID><Suffix>VAL</Suffix><ARTGs><ARTG>260232</ARTG><ARTG>260229</ARTG></ARTGs><MinimumBenefit>594</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2019-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HU242</BillingCode><PriorBillingCodes><PriorBillingCode>DE763</PriorBillingCode></PriorBillingCodes><Name>MaxForce MTP</Name><Description>Plate for Arthrodesis</Description><Size>6 Holes</Size><SupplierCode>HU</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5258</SubGroupID><Suffix>Com, VAL</Suffix><ARTGs><ARTG>351000</ARTG></ARTGs><MinimumBenefit>1159</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>TN026</BillingCode><Name>Newclip Plating System</Name><Description>Locking Bone Plates</Description><Size>≤ 6 holes</Size><SupplierCode>TN</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5258</SubGroupID><Suffix>LK</Suffix><ARTGs><ARTG>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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SF119</BillingCode><Name>Islay Arthrodesis Wedge Plate</Name><Description>Islay Arthrodesis Wedge Plate</Description><Size>Arthrodesis Wedge Plate 0mm-8mm(AWP), - 30mm (3.5mm universal locking plate 12mm - 30mm (3.5ULP))</Size><SupplierCode>SF</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5258</SubGroupID><Suffix>Com, LK</Suffix><ARTGs><ARTG>208160</ARTG></ARTGs><MinimumBenefit>572</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2016-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SL217</BillingCode><PriorBillingCodes><PriorBillingCode>IG117</PriorBillingCode></PriorBillingCodes><Name>UNI-CP Compression plating system</Name><Description>2 or 4 hole stainless steel compression plate, with 3 plate configurations (2 or 4 hole 'straight' design, 4 hole T-design)</Description><Size>2 or 4 hole, 4 interaxis sizes: 17, 20, 25 and 30mm</Size><SupplierCode>SN</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SL130</BillingCode><Name>Smith &amp; Nephew Plate and Screw System- EVOS</Name><Description>Small Fragment Plate</Description><Size>≤ 6 holes</Size><SupplierCode>SN</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BU023</BillingCode><Name>Airlock Plating System</Name><Description>MTP, MT wedge Lapidus, utility and Lisfranc T plate</Description><Size>MTP plates short and Wedge 0 to 5, Lapidus 0 to 3, Utility 0 to 6 holes and Lisfranc short to long.</Size><SupplierCode>BU</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5258</SubGroupID><Suffix>LK</Suffix><ARTGs><ARTG>235766</ARTG></ARTGs><ChangeExplanation>Change to Description, Size</ChangeExplanation><MinimumBenefit>250</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Update</ActionFlag><CycleStartDate>2018-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SY703</BillingCode><Name>AO/ASIF Plates</Name><Description>Specialty Locking Plate</Description><Size>≤ 6 holes</Size><SupplierCode>JJ</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SF126</BillingCode><Name>Islay Recon Plate</Name><Description>Islay Recon Plate</Description><Size>Recon Plate, 6 Hole (RRP)
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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>TN028</BillingCode><Name>Newclip Plating System</Name><Description>Complex Locking Bone Plates</Description><Size>≤ 6 holes</Size><SupplierCode>TN</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5258</SubGroupID><Suffix>Com, LK</Suffix><ARTGs><ARTG>260229</ARTG><ARTG>260232</ARTG></ARTGs><MinimumBenefit>572</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2016-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HU107</BillingCode><PriorBillingCodes><PriorBillingCode>DE644</PriorBillingCode></PriorBillingCodes><Name>Proximal 1st Metatarsal Osteotomy Plate</Name><Description>1st Metatarsal Osteotomy Plate</Description><Size>Petite - Left and Right Side Specific  Standard - Left and Right Side Specific</Size><SupplierCode>HU</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5258</SubGroupID><Suffix>Com, LK</Suffix><ARTGs><ARTG>351000</ARTG></ARTGs><MinimumBenefit>572</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HU175</BillingCode><PriorBillingCodes><PriorBillingCode>DE555</PriorBillingCode></PriorBillingCodes><Name>Locking POW Plate</Name><Description>Wedged Fusion Plate</Description><Size>0-7mm</Size><SupplierCode>HU</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5258</SubGroupID><Suffix>Com, LK</Suffix><ARTGs><ARTG>350871</ARTG><ARTG>351000</ARTG></ARTGs><MinimumBenefit>572</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HU194</BillingCode><PriorBillingCodes><PriorBillingCode>DE417</PriorBillingCode></PriorBillingCodes><Name>Locking Medial Hook Plate</Name><Description>Locking Medial Hook Plate for Fixation of medial malleolus fractures</Description><Size>3-5 holes</Size><SupplierCode>HU</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5258</SubGroupID><Suffix>Com, LK</Suffix><ARTGs><ARTG>350871</ARTG><ARTG>351000</ARTG></ARTGs><MinimumBenefit>572</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HU174</BillingCode><PriorBillingCodes><PriorBillingCode>DE565</PriorBillingCode></PriorBillingCodes><Name>Lisfranc Plates</Name><Description>Arthrodesis Plate</Description><Size>Small, Medium, Large  Plates come in Left &amp; Right</Size><SupplierCode>HU</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5258</SubGroupID><Suffix>Com, LK</Suffix><ARTGs><ARTG>350871</ARTG><ARTG>351000</ARTG></ARTGs><MinimumBenefit>572</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SQ154</BillingCode><Name>PediLoc Plating System</Name><Description>Locking Cannulated Blade Plate</Description><Size>Infant, Child, Adolescent, 90-130 degrees, 0-14 mm offset, 25-80 mm blade, 2-4 holes</Size><SupplierCode>SQ</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5258</SubGroupID><Suffix>Com, LK</Suffix><ARTGs><ARTG>191530</ARTG></ARTGs><MinimumBenefit>572</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2019-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HW936</BillingCode><PriorBillingCodes><PriorBillingCode>WR423</PriorBillingCode></PriorBillingCodes><Name>MaxLock Extreme System – Edgelock II STP Plate</Name><Description>Calcaneal displacement osteotomies locking plate, Titanium.</Description><Size>≤ 6 holes</Size><SupplierCode>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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SL223</BillingCode><PriorBillingCodes><PriorBillingCode>IG132</PriorBillingCode></PriorBillingCodes><Name>TIBIAXYS Distal Tibia System - Ankle Arthrodesis - Medial anterior plate</Name><Description>Titanium medial anterior plate with 6 holes; left or right</Description><Size>3mm thick, 77mm long</Size><SupplierCode>SN</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>2025-03-01</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>JJ</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5258</SubGroupID><Suffix>Com, VAL</Suffix><ARTGs><ARTG>286609</ARTG><ARTG>157069</ARTG></ARTGs><MinimumBenefit>1159</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LM291</BillingCode><Name>Forearm Locking Plate</Name><Description>Forearm plates</Description><Size>≤ 6 holes</Size><SupplierCode>LM</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5258</SubGroupID><Suffix>Com, LK</Suffix><ARTGs><ARTG>182677</ARTG></ARTGs><MinimumBenefit>572</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2016-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BI930</BillingCode><Name>Sternalock</Name><Description>≤ 6 holes, various shapes</Description><Size>≤ 6 holes</Size><SupplierCode>ZI</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HW715</BillingCode><PriorBillingCodes><PriorBillingCode>WR066</PriorBillingCode></PriorBillingCodes><Name>Arthrodesis Flat Plate - AFP</Name><Description>Flat plate intended for use in isolated tarsal fusions, titanium locking plate, 2mm thickness</Description><Size>12, 14 &amp; 16mm length - 4 hole</Size><SupplierCode>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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HU192</BillingCode><Name>Locking Lateral Hook Plate</Name><Description>Locking Lateral Hook Plate for Fracture Fixation of the Lateral Malleolus</Description><Size>3-5 Holes</Size><SupplierCode>HU</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5258</SubGroupID><Suffix>Com, LK</Suffix><ARTGs><ARTG>351000</ARTG><ARTG>350871</ARTG></ARTGs><MinimumBenefit>572</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SK542</BillingCode><Name>Stryker Plating System</Name><Description>Locking One Third Tubular Plates</Description><Size>3.0mm, 2-6 hole</Size><SupplierCode>JV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5258</SubGroupID><Suffix>LK</Suffix><ARTGs><ARTG>119848</ARTG><ARTG>139635</ARTG><ARTG>269713</ARTG></ARTGs><MinimumBenefit>250</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-02-01</CycleStartDate><CycleEndDate>2025-03-01</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><MinimumBenefit>594</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2024-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SK538</BillingCode><PriorBillingCodes><PriorBillingCode>SK449</PriorBillingCode></PriorBillingCodes><Name>AxSOS 3 Titanium 4.0mm System</Name><Description>Locking Compression Plate, used with 4.0mm screws.</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>352531</ARTG><ARTG>352530</ARTG></ARTGs><ChangeExplanation>Change to Product name, ARTG, Description</ChangeExplanation><MinimumBenefit>250</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Update</ActionFlag><CycleStartDate>2012-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HU112</BillingCode><PriorBillingCodes><PriorBillingCode>DE535</PriorBillingCode></PriorBillingCodes><Name>Dorsal L Plate</Name><Description>Plate for Fracture Fixation</Description><Size>5 Holes (Left &amp; Right)</Size><SupplierCode>HU</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5258</SubGroupID><Suffix>VAL</Suffix><ARTGs><ARTG>351000</ARTG></ARTGs><MinimumBenefit>594</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-03-01</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HW896</BillingCode><PriorBillingCodes><PriorBillingCode>WR372</PriorBillingCode></PriorBillingCodes><Name>MaxLock Extreme System - Medial Malleolous Plate</Name><Description>Medial malleolous variable angle locking plate, Titanium</Description><Size>5 holes</Size><SupplierCode>JV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5302</SubGroupID><ARTGs><ARTG>214671</ARTG></ARTGs><MinimumBenefit>1649</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SK403</BillingCode><Name>Trochanteric Grip</Name><Description>Trochanteric Grip Plate with 2 cables</Description><Size>Large, 110 - 210mm, 2 -6 holes</Size><SupplierCode>JV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5302</SubGroupID><ARTGs><ARTG>312160</ARTG></ARTGs><MinimumBenefit>1649</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2006-11-30</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ZI290</BillingCode><Name>Cable Ready Cable Grip System</Name><Description>Titanium - comes with two cables (Co Cr), Integral Crimps</Description><Size>23 x 53mm, 1.8 x 635mm</Size><SupplierCode>ZI</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5302</SubGroupID><ARTGs><ARTG>108377</ARTG></ARTGs><MinimumBenefit>1649</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>VK001</BillingCode><Name>Orthofix External Fixation System Ankle Fixator</Name><Description>Anodised aluminium and stainless steel</Description><Size>One size only</Size><SupplierCode>VK</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1237</GroupID><SubGroupID>3401</SubGroupID><ARTGs><ARTG>123604</ARTG><ARTG>117273</ARTG><ARTG>118320</ARTG><ARTG>177324</ARTG></ARTGs><MinimumBenefit>4035</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SK617</BillingCode><Name>MicroFix</Name><Description>Finger Mini Fixator System</Description><Size>one size</Size><SupplierCode>JV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1237</GroupID><SubGroupID>3401</SubGroupID><Suffix>Mini</Suffix><ARTGs><ARTG>252452</ARTG></ARTGs><MinimumBenefit>1405</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2015-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LM197</BillingCode><Name>MiniFlo Fixator</Name><Description>Finger mini fixator system</Description><Size>Radius: 25 and 30mm</Size><SupplierCode>LM</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1237</GroupID><SubGroupID>3401</SubGroupID><Suffix>Mini</Suffix><ARTGs><ARTG>222613</ARTG></ARTGs><MinimumBenefit>1405</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2015-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LM244</BillingCode><Name>Ligamentotaxor</Name><Description>Finger Mini Fixator System</Description><Size>1 size only</Size><SupplierCode>LM</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1237</GroupID><SubGroupID>3401</SubGroupID><Suffix>Mini</Suffix><ARTGs><ARTG>235592</ARTG></ARTGs><MinimumBenefit>1405</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2015-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LM336</BillingCode><Name>Osteo-x External Mini Fixator</Name><Description>The Osteo-x® external fixator is a device used for the fixation and distraction of small bones, primarily in the hand. It incorporates four K-wires which are driven into the bone and placed to provide three-dimensional stability.</Description><Size>One Size Only</Size><SupplierCode>LM</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1237</GroupID><SubGroupID>3401</SubGroupID><Suffix>Small, CDD</Suffix><ARTGs><ARTG>278692</ARTG></ARTGs><MinimumBenefit>1824</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>VK014</BillingCode><Name>Orthofix External Fixation Systems</Name><Description>Pennig Minifixator</Description><Size>Short, Standard, Long</Size><SupplierCode>VK</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1237</GroupID><SubGroupID>3401</SubGroupID><Suffix>Small, 3D, CDD</Suffix><ARTGs><ARTG>197364</ARTG></ARTGs><MinimumBenefit>1824</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>VK002</BillingCode><Name>Orthofix External Fixation System Pennig Wrist Fixator</Name><Description>Anodised aluminium and stainless steel</Description><Size>One size only</Size><SupplierCode>VK</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1237</GroupID><SubGroupID>3401</SubGroupID><Suffix>Small</Suffix><ARTGs><ARTG>118320</ARTG><ARTG>123604</ARTG></ARTGs><MinimumBenefit>1353</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SK615</BillingCode><Name>Wrist Fixator PFII</Name><Description>Wrist Fixator System</Description><Size>One size</Size><SupplierCode>JV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1237</GroupID><SubGroupID>3401</SubGroupID><Suffix>Small</Suffix><ARTGs><ARTG>141004</ARTG></ARTGs><MinimumBenefit>1353</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2015-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SK616</BillingCode><Name>Poing Fix</Name><Description>Wrist Fixator System</Description><Size>One size</Size><SupplierCode>JV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1237</GroupID><SubGroupID>3401</SubGroupID><Suffix>Small</Suffix><ARTGs><ARTG>141004</ARTG></ARTGs><MinimumBenefit>1353</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2015-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SK613</BillingCode><Name>RadioFix</Name><Description>Radio Fixator System</Description><Size>One size</Size><SupplierCode>JV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1237</GroupID><SubGroupID>3401</SubGroupID><Suffix>Small</Suffix><ARTGs><ARTG>141004</ARTG></ARTGs><MinimumBenefit>1353</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2015-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ST947</BillingCode><Name>Monotube External Fixation System</Name><Description>Anodized metal alloy, dynamic tube assembly rod</Description><Size>25mm</Size><SupplierCode>JV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1237</GroupID><SubGroupID>3401</SubGroupID><Suffix>CDD</Suffix><ARTGs><ARTG>112434</ARTG></ARTGs><MinimumBenefit>6243</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ST946</BillingCode><Name>Monotube External Fixation System</Name><Description>Anodized metal alloy, dynamic tube assembly blue</Description><Size>20mm</Size><SupplierCode>JV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1237</GroupID><SubGroupID>3401</SubGroupID><ARTGs><ARTG>112434</ARTG></ARTGs><MinimumBenefit>4035</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ZA060</BillingCode><Name>FastFrame External Fixation System</Name><Description>Knee Spanning and damage control external fixator system - fully assembled, sterile</Description><Size>Length: 200mm</Size><SupplierCode>ZI</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1237</GroupID><SubGroupID>3401</SubGroupID><ARTGs><ARTG>315769</ARTG></ARTGs><MinimumBenefit>4035</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2019-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ST945</BillingCode><Name>Monotube External Fixation System</Name><Description>Anodized metal alloy, dynamic tube assembly yellow</Description><Size>15mm</Size><SupplierCode>JV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1237</GroupID><SubGroupID>3401</SubGroupID><ARTGs><ARTG>112434</ARTG></ARTGs><MinimumBenefit>4035</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ZA061</BillingCode><Name>FastFrame External Fixation System</Name><Description>Ankle Spanning - fully assembled, sterile</Description><Size>Length: 100-200mm</Size><SupplierCode>ZI</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1237</GroupID><SubGroupID>3401</SubGroupID><ARTGs><ARTG>315769</ARTG></ARTGs><MinimumBenefit>4035</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2019-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>IT019</BillingCode><Name>Frame IT - Pre-assembled Frame</Name><Description>Pre assembled Frame - used for the correction of deformities</Description><Size>120mm-180mm</Size><SupplierCode>IT</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1237</GroupID><SubGroupID>3401</SubGroupID><ARTGs><ARTG>282764</ARTG></ARTGs><MinimumBenefit>4035</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>VK009</BillingCode><Name>Orthopaedic External Fixation System - Xcaliber External Fixator</Name><Description>Metadiaphyseal Fixator</Description><Size>One size</Size><SupplierCode>VK</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1237</GroupID><SubGroupID>3401</SubGroupID><ARTGs><ARTG>117273</ARTG><ARTG>118320</ARTG><ARTG>123604</ARTG></ARTGs><MinimumBenefit>4035</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>VK046</BillingCode><Name>LRS Knee Hinge</Name><Description>Knee spanning and limb salvage external fixator - fully assembled.</Description><Size>One size.</Size><SupplierCode>VK</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1237</GroupID><SubGroupID>3401</SubGroupID><ARTGs><ARTG>172152</ARTG><ARTG>123604</ARTG><ARTG>197638</ARTG></ARTGs><MinimumBenefit>4035</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2023-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SQ162</BillingCode><Name>Monoplanar Fixator System</Name><Description>Micro and Mini Rails</Description><Size>80 - 100 mm  </Size><SupplierCode>SQ</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1237</GroupID><SubGroupID>3401</SubGroupID><Suffix>Mini</Suffix><ARTGs><ARTG>341661</ARTG></ARTGs><MinimumBenefit>1405</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2020-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MO431</BillingCode><Name>ACUMED Small Bone External Fixation System</Name><Description>Designed for Metacarpal and Phalangeal bones</Description><Size>mini</Size><SupplierCode>MO</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1237</GroupID><SubGroupID>3401</SubGroupID><Suffix>Mini</Suffix><ARTGs><ARTG>101930</ARTG></ARTGs><MinimumBenefit>1405</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2015-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SK612</BillingCode><Name>MiniFix</Name><Description>Finger Mini Fixator System</Description><Size>One size</Size><SupplierCode>JV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1237</GroupID><SubGroupID>3401</SubGroupID><Suffix>Mini</Suffix><ARTGs><ARTG>141004</ARTG></ARTGs><MinimumBenefit>1405</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2015-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SQ163</BillingCode><Name>Monoplanar Fixator System  </Name><Description>Rail</Description><Size>100 - 300 mm  </Size><SupplierCode>SQ</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1237</GroupID><SubGroupID>3401</SubGroupID><Suffix>Mini</Suffix><ARTGs><ARTG>341661</ARTG></ARTGs><MinimumBenefit>1405</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2020-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>VK013</BillingCode><Name>Orthofix External Fixation Systems</Name><Description>MiniRail System</Description><Size>Short, Standard, Long and Articulated Horizontal and Vertical Axis</Size><SupplierCode>VK</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1237</GroupID><SubGroupID>3401</SubGroupID><Suffix>Mini</Suffix><ARTGs><ARTG>197364</ARTG></ARTGs><MinimumBenefit>1405</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SL247</BillingCode><Name>MAVERICK External Fixation</Name><Description>Clamps</Description><Size>Up to 75mm</Size><SupplierCode>SN</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1237</GroupID><SubGroupID>3402</SubGroupID><ARTGs><ARTG>401572</ARTG></ARTGs><MinimumBenefit>992</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2023-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HW850</BillingCode><PriorBillingCodes><PriorBillingCode>WR312</PriorBillingCode></PriorBillingCodes><Name>SALVATION Limb Salvage Clamp</Name><Description>Clamp</Description><Size>5mm and 6mm, 1 hole to 4 hole cube</Size><SupplierCode>JV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1237</GroupID><SubGroupID>3402</SubGroupID><ARTGs><ARTG>198486</ARTG></ARTGs><MinimumBenefit>992</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SY664</BillingCode><Name>Orthopaedic External Fixator Systems</Name><Description>Mini Frame Holding Clamp</Description><Size>3.0-4.0mm</Size><SupplierCode>JJ</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1237</GroupID><SubGroupID>3402</SubGroupID><Suffix>Mini</Suffix><ARTGs><ARTG>155806</ARTG></ARTGs><MinimumBenefit>312</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SN966</BillingCode><Name>Smith &amp; Nephew External Fixation (Llizarov, Taylor Spatial Frame, Jet-X, Compass)</Name><Description>Monoplanar Clamp, 3 Dimensional</Description><Size>Small</Size><SupplierCode>SN</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1237</GroupID><SubGroupID>3402</SubGroupID><Suffix>Small</Suffix><ARTGs><ARTG>97612</ARTG></ARTGs><MinimumBenefit>1267</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SL254</BillingCode><Name>MAVERICK Mini</Name><Description>Clamps for 6mm rods</Description><Size>6mm to 4mm</Size><SupplierCode>SN</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1237</GroupID><SubGroupID>3402</SubGroupID><Suffix>Small</Suffix><ARTGs><ARTG>401572</ARTG></ARTGs><MinimumBenefit>1267</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2023-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HW517</BillingCode><Name>HOFFMANN3 EXTERNAL FIXATION SYSTEM</Name><Description>MULTIPLANAR CLAMP PIN/ROD-ROD</Description><Size>STANDARD</Size><SupplierCode>JV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1237</GroupID><SubGroupID>3402</SubGroupID><Suffix>3D</Suffix><ARTGs><ARTG>112434</ARTG></ARTGs><MinimumBenefit>992</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2013-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ST968</BillingCode><Name>TenXor External Fixation System</Name><Description>Anodized metal alloy, ring to monotube triax tube clamp</Description><Size>One size only</Size><SupplierCode>JV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1237</GroupID><SubGroupID>3402</SubGroupID><ARTGs><ARTG>112434</ARTG><ARTG>16241</ARTG></ARTGs><MinimumBenefit>992</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>VK045</BillingCode><Name>LRS Clamps</Name><Description>Monoplanar clamp - 3 dimensional.</Description><Size>Small.</Size><SupplierCode>VK</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1237</GroupID><SubGroupID>3402</SubGroupID><ARTGs><ARTG>197638</ARTG><ARTG>172152</ARTG><ARTG>123604</ARTG></ARTGs><MinimumBenefit>992</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2023-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SN947</BillingCode><Name>Smith &amp; Nephew External Fixation (Llizarov, Taylor Spatial Frame, Jet-X, Compass)</Name><Description>Monoplanar Clamp</Description><Size>Standard</Size><SupplierCode>SN</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1237</GroupID><SubGroupID>3402</SubGroupID><ARTGs><ARTG>97612</ARTG></ARTGs><MinimumBenefit>992</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SL021</BillingCode><Name>Modular Rail System</Name><Description>Monoplanar Clamp</Description><Size>50mm - 100mm</Size><SupplierCode>SN</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1237</GroupID><SubGroupID>3402</SubGroupID><ARTGs><ARTG>97612</ARTG></ARTGs><MinimumBenefit>992</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SQ164</BillingCode><Name>Monoplanar Clamp  </Name><Description>Clamp</Description><Size>Standard</Size><SupplierCode>SQ</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1237</GroupID><SubGroupID>3402</SubGroupID><ARTGs><ARTG>341661</ARTG></ARTGs><MinimumBenefit>992</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2020-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ST943</BillingCode><Name>Hoffman II External Fixation System</Name><Description>Anodised metal alloy, adjustable connecting rod</Description><Size>Long, short</Size><SupplierCode>JV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1237</GroupID><SubGroupID>3404</SubGroupID><ARTGs><ARTG>112434</ARTG><ARTG>16241</ARTG></ARTGs><MinimumBenefit>746</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ST953</BillingCode><Name>Monotube External Fixation System</Name><Description>Anodized metal alloy, T-Adapter yellow, blue, red</Description><Size>15, 20, 25mm</Size><SupplierCode>JV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1237</GroupID><SubGroupID>3404</SubGroupID><ARTGs><ARTG>16241</ARTG><ARTG>112434</ARTG></ARTGs><MinimumBenefit>746</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SN949</BillingCode><Name>Smith &amp; Nephew External Fixation (Llizarov, Taylor Spatial Frame, Jet-X, Compass)</Name><Description>Monoplanar clamp, Compresion Distraction Device</Description><Size>Standard</Size><SupplierCode>SN</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1237</GroupID><SubGroupID>3404</SubGroupID><ARTGs><ARTG>97612</ARTG></ARTGs><MinimumBenefit>746</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SN948</BillingCode><Name>Smith &amp; Nephew External Fixation (Llizarov, Taylor Spatial Frame, Jet-X, Compass)</Name><Description>Monoplanar Clamp, 3 Dimensional</Description><Size>Standard</Size><SupplierCode>SN</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1237</GroupID><SubGroupID>3404</SubGroupID><ARTGs><ARTG>97612</ARTG></ARTGs><MinimumBenefit>746</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>IT023</BillingCode><Name>Frame It Full Ring</Name><Description>Full Circular Ring</Description><Size>Diameter 80mm-220mm</Size><SupplierCode>IT</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1237</GroupID><SubGroupID>3405</SubGroupID><ARTGs><ARTG>282764</ARTG></ARTGs><MinimumBenefit>685</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>VK030</BillingCode><Name>Orthofix Circular Frame Full ring</Name><Description>The Orthofix circular frame is a surgeon designed, user friendly ring fixation system for trauma applications, limb lengthening and deformity correction. It is based on the science, methodology and principles of Prof Ilizarov. The circular frame is simple, offering preassembled functional components that are easy to connect and operate. The frame is stable with anti-rotational feature on connection elements that prevents any undesirable movement. Its unique wire and half pin fixation elements provide efficient bone segment stabilisation. A biomechanically superior metal-plastic interface is stable both during and between adjustments. The system is versatile, consisting of rings, half-rings, foot plates, 5/8 rings and arches. Full control of bone segments accomplished with Orthofix circular frame allows precise movement of segments without compromising stability.</Description><Size>80mm - 300mm full rings</Size><SupplierCode>VK</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1237</GroupID><SubGroupID>3405</SubGroupID><ARTGs><ARTG>229624</ARTG><ARTG>177324</ARTG></ARTGs><MinimumBenefit>685</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2019-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HW476</BillingCode><Name>HOFFMANN LRF - FULL CIRCULAR RING</Name><Description>FULL CURCULAR RING</Description><Size>DIAMETER - 80 - 270MM</Size><SupplierCode>JV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1237</GroupID><SubGroupID>3405</SubGroupID><ARTGs><ARTG>197935</ARTG></ARTGs><MinimumBenefit>685</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2013-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HW960</BillingCode><PriorBillingCodes><PriorBillingCode>WR450</PriorBillingCode></PriorBillingCodes><Name>SALVATION Full Ring</Name><Description>Salvation External Fixation Full Ring</Description><Size>120mm - 220mm</Size><SupplierCode>JV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1237</GroupID><SubGroupID>3405</SubGroupID><ARTGs><ARTG>198486</ARTG></ARTGs><MinimumBenefit>685</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HW845</BillingCode><PriorBillingCodes><PriorBillingCode>WR307</PriorBillingCode></PriorBillingCodes><Name>SALVATION Limb Salvage Full Rings</Name><Description>Full Rings</Description><Size>120mm - 200mm</Size><SupplierCode>JV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1237</GroupID><SubGroupID>3405</SubGroupID><ARTGs><ARTG>198486</ARTG></ARTGs><MinimumBenefit>685</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SY425</BillingCode><Name>MAXFRAME Distraction Osteogenesis External Fixation System</Name><Description>Full Ring</Description><Size>90mm-270mm</Size><SupplierCode>JJ</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1237</GroupID><SubGroupID>3405</SubGroupID><ARTGs><ARTG>289708</ARTG><ARTG>326183</ARTG></ARTGs><MinimumBenefit>685</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2008-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SN952</BillingCode><Name>Smith &amp; Nephew External Fixation (Llizarov, Taylor Spatial Frame, Jet-X, Compass)</Name><Description>Full Circular Ring</Description><Size>standard</Size><SupplierCode>SN</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1237</GroupID><SubGroupID>3405</SubGroupID><ARTGs><ARTG>97612</ARTG></ARTGs><MinimumBenefit>685</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SL238</BillingCode><Name>SMART TSF (Taylor Spatial Frame)</Name><Description>Full Circular Ring</Description><Size>105 - 230 mm</Size><SupplierCode>SN</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1237</GroupID><SubGroupID>3405</SubGroupID><ARTGs><ARTG>384817</ARTG></ARTGs><MinimumBenefit>685</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SQ170</BillingCode><Name>Orthex Full Circular Rings</Name><Description>Ring, Full</Description><Size>75-280mm</Size><SupplierCode>SQ</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1237</GroupID><SubGroupID>3405</SubGroupID><ARTGs><ARTG>341661</ARTG></ARTGs><MinimumBenefit>685</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2020-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SN953</BillingCode><Name>Smith &amp; Nephew External Fixation (Llizarov, Taylor Spatial Frame, Jet-X, Compass)</Name><Description>Partial Circular Ring</Description><Size>Standard</Size><SupplierCode>SN</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1237</GroupID><SubGroupID>3406</SubGroupID><ARTGs><ARTG>156686</ARTG><ARTG>97612</ARTG></ARTGs><MinimumBenefit>978</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SL019</BillingCode><Name>Modular Rail System</Name><Description>Rail Arc</Description><Size>Various</Size><SupplierCode>SN</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1237</GroupID><SubGroupID>3406</SubGroupID><ARTGs><ARTG>97612</ARTG></ARTGs><MinimumBenefit>978</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>VK011</BillingCode><Name>Orthopaedic External Fixation System - Xcaliber External Fixator</Name><Description>Hybrid Fixator</Description><Size>One size only</Size><SupplierCode>VK</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1237</GroupID><SubGroupID>3406</SubGroupID><ARTGs><ARTG>118320</ARTG><ARTG>123604</ARTG><ARTG>117273</ARTG></ARTGs><MinimumBenefit>978</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HW846</BillingCode><PriorBillingCodes><PriorBillingCode>WR308</PriorBillingCode></PriorBillingCodes><Name>SALVATION Limb Salvage Partial Ring</Name><Description>Partial Ring</Description><Size>120mm - 200mm</Size><SupplierCode>JV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1237</GroupID><SubGroupID>3406</SubGroupID><ARTGs><ARTG>198486</ARTG></ARTGs><MinimumBenefit>978</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HW478</BillingCode><Name>HOFFMANN LRF - PARTIAL CIRCULAR RING</Name><Description>PARTIAL CIRCULAR RING</Description><Size>DIAMETER - 100-240MM</Size><SupplierCode>JV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1237</GroupID><SubGroupID>3406</SubGroupID><ARTGs><ARTG>197935</ARTG></ARTGs><MinimumBenefit>978</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2013-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ST965</BillingCode><Name>TenXor External Fixation System</Name><Description>Anodized metal alloy, open ring</Description><Size>150, 180, 210, 250mm</Size><SupplierCode>JV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1237</GroupID><SubGroupID>3406</SubGroupID><ARTGs><ARTG>16241</ARTG><ARTG>112434</ARTG></ARTGs><MinimumBenefit>978</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SL239</BillingCode><Name>SMART TSF (Taylor Spatial Frame)</Name><Description>Partial Circular Ring</Description><Size>105 - 230 mm</Size><SupplierCode>SN</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1237</GroupID><SubGroupID>3406</SubGroupID><ARTGs><ARTG>384817</ARTG></ARTGs><MinimumBenefit>978</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>VK029</BillingCode><Name>Orthofix Circular Frame Partial ring</Name><Description>The Orthofix circular frame is a surgeon designed, user-friendly ring fixation system for trauma applications, limb lengthening and deformity correction. It is based on the science, methodology and principles of Prof Ilizarov. The circular frame is simple offering pre-assembled functional components that are easy to connect and operate. The frame is stable with anti-rotational feature on connection elements that prevents any undesirable movement. It's unique wire and half pin fixation elements provide efficient bone segment stabilisation. A biomechanically superior metal-plastic interface is stable both during and between adjustments. The system is versatile, consisting of rings, half-rings, foot plates, 5/8 rings and arches. Full control of bone segments accomplished with orthodox circular frame allows precise movement of segments without compromising stability.</Description><Size>100mm - 300mm partial rings</Size><SupplierCode>VK</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1237</GroupID><SubGroupID>3406</SubGroupID><ARTGs><ARTG>177324</ARTG><ARTG>229624</ARTG></ARTGs><MinimumBenefit>978</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2019-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HW959</BillingCode><PriorBillingCodes><PriorBillingCode>WR449</PriorBillingCode></PriorBillingCodes><Name>SALVATION Partial Ring</Name><Description>Salvation External Fixation Partial Ring</Description><Size>140mm - 220mm</Size><SupplierCode>JV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1237</GroupID><SubGroupID>3406</SubGroupID><ARTGs><ARTG>198486</ARTG></ARTGs><MinimumBenefit>978</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SQ171</BillingCode><Name>Orthex Partial Circular Rings</Name><Description>Ring, 5/8, Half, Toe</Description><Size>75-230mm</Size><SupplierCode>SQ</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1237</GroupID><SubGroupID>3406</SubGroupID><ARTGs><ARTG>341661</ARTG></ARTGs><MinimumBenefit>978</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2020-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>IT024</BillingCode><Name>Frame It Partial Ring</Name><Description>Partial circular ring</Description><Size>2/3 rings and half rings

Diameter 80mm-220mm</Size><SupplierCode>IT</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1237</GroupID><SubGroupID>3406</SubGroupID><ARTGs><ARTG>282764</ARTG></ARTGs><MinimumBenefit>978</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SY422</BillingCode><Name>MAXFRAME Distraction Osteogenesis External Fixation System</Name><Description>Partial Circular Ring, Arch Plate</Description><Size>80-240mm</Size><SupplierCode>JJ</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1237</GroupID><SubGroupID>3406</SubGroupID><ARTGs><ARTG>326183</ARTG><ARTG>383992</ARTG><ARTG>289708</ARTG></ARTGs><MinimumBenefit>978</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2008-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SL235</BillingCode><Name>SMART TSF (Taylor Spatial Frame)</Name><Description>Struts</Description><Size>XX Short – Long</Size><SupplierCode>SN</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1237</GroupID><SubGroupID>4505</SubGroupID><ARTGs><ARTG>384817</ARTG></ARTGs><MinimumBenefit>836</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>VK043</BillingCode><Name>Linear Distractor</Name><Description>Linear Distractor.</Description><Size>70mm to 200mm.</Size><SupplierCode>VK</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1237</GroupID><SubGroupID>4505</SubGroupID><ARTGs><ARTG>177324</ARTG></ARTGs><MinimumBenefit>836</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2023-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HW480</BillingCode><Name>HOFFMANN LRF - STATIC STRUT</Name><Description>STATIC STRUT</Description><Size>LENGTHS - 20 -60MM</Size><SupplierCode>JV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1237</GroupID><SubGroupID>4505</SubGroupID><ARTGs><ARTG>197935</ARTG></ARTGs><MinimumBenefit>836</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2013-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SR096</BillingCode><Name>HOFFMANN LRF - TELESCOPIC STRUT</Name><Description>TELESCOPIC STRUT</Description><Size>LENGTHS - 100-277MM</Size><SupplierCode>JV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1237</GroupID><SubGroupID>4505</SubGroupID><ARTGs><ARTG>197935</ARTG><ARTG>258035</ARTG></ARTGs><MinimumBenefit>836</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2013-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HW481</BillingCode><Name>HOFFMANN LRF - THREADED TELESCOPIC ROD</Name><Description>THREADED TELESCOPIC ROD</Description><Size>DIAMETER - 6MM LENGTHS  - 30-400MM</Size><SupplierCode>JV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1237</GroupID><SubGroupID>4505</SubGroupID><ARTGs><ARTG>197935</ARTG></ARTGs><MinimumBenefit>836</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2013-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MN244</BillingCode><Name>MAXFRAME Distraction Osteogenesis External Fixation System</Name><Description>ASSURE-STRUT™ Quick Adjust Strut - integral locking system, self-adjustment knob</Description><Size>XShort - Long</Size><SupplierCode>JJ</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1237</GroupID><SubGroupID>4505</SubGroupID><Suffix>3D</Suffix><ARTGs><ARTG>326183</ARTG></ARTGs><MinimumBenefit>1235</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2019-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SY793</BillingCode><Name>MAXFRAME Distraction Osteogenesis External Fixation System</Name><Description>Circular frame struts</Description><Size>XX Short - Long</Size><SupplierCode>JJ</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1237</GroupID><SubGroupID>4505</SubGroupID><Suffix>3D</Suffix><ARTGs><ARTG>326183</ARTG></ARTGs><MinimumBenefit>1235</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2014-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>IT026</BillingCode><Name>Frame It Struts</Name><Description>Complex 3D Strut</Description><Size>Standard</Size><SupplierCode>IT</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1237</GroupID><SubGroupID>4505</SubGroupID><Suffix>3D</Suffix><ARTGs><ARTG>282764</ARTG></ARTGs><MinimumBenefit>1235</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SQ172</BillingCode><Name>Orthex Struts</Name><Description>Struts, Telescoping, Quick Lock</Description><Size>70-295mm, small, medium, large</Size><SupplierCode>SQ</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1237</GroupID><SubGroupID>4505</SubGroupID><Suffix>3D</Suffix><ARTGs><ARTG>341661</ARTG></ARTGs><MinimumBenefit>1235</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2020-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SN955</BillingCode><Name>Smith &amp; Nephew External Fixation (Ilizarov, Taylor Spatial Frame, Jet-X, Compass)</Name><Description>Circular Frame Strut Device, 3 Dimensional</Description><Size>standard</Size><SupplierCode>SN</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1237</GroupID><SubGroupID>4505</SubGroupID><ARTGs><ARTG>384817</ARTG><ARTG>97612</ARTG></ARTGs><MinimumBenefit>836</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SQ166</BillingCode><Name>Orthex Distractor Strut</Name><Description>Distractor </Description><Size>100-155mm; Short and Long</Size><SupplierCode>SQ</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1237</GroupID><SubGroupID>4505</SubGroupID><ARTGs><ARTG>341661</ARTG></ARTGs><MinimumBenefit>836</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2020-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HW854</BillingCode><PriorBillingCodes><PriorBillingCode>WR316</PriorBillingCode></PriorBillingCodes><Name>SALVATION Limb Salvage Struts</Name><Description>Struts</Description><Size>60mm - 230mm</Size><SupplierCode>JV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1237</GroupID><SubGroupID>4505</SubGroupID><ARTGs><ARTG>198486</ARTG></ARTGs><MinimumBenefit>836</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HW964</BillingCode><PriorBillingCodes><PriorBillingCode>WR454</PriorBillingCode></PriorBillingCodes><Name>SALVATION Strut</Name><Description>SALVATION External Fixation Strut</Description><Size>60mm - 230mm</Size><SupplierCode>JV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1237</GroupID><SubGroupID>4505</SubGroupID><ARTGs><ARTG>198486</ARTG></ARTGs><MinimumBenefit>836</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>VK032</BillingCode><Name>3D Rapid Adjust Strut</Name><Description>The rapid adjust strut is made of two metal casings encapsulating a threaded rod. It has the ability to correct acutely or gradually. The rapid adjust strut ends have 45 degree locking angulation with 360 degree rotation. The rapid adjust struts have unique ball and claw universal lockable joint at both ends of the strut. Two rapid adjust struts are sufficient for fracture reduction and initial stabilisation, whereas three rapid adjust struts are necessary for walking and weight bearing. Loosening of the ball claw joints allows for verification of the amplitude of angular correction and horizontal translation, magnitude of rotational correction and stability of fixation in coronal, sagittal and horizontal planes.</Description><Size>Short 70 - 104mm range  Medium 98 - 188mm range  Long 163 - 300mm range</Size><SupplierCode>VK</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1237</GroupID><SubGroupID>4505</SubGroupID><Suffix>3D</Suffix><ARTGs><ARTG>207662</ARTG><ARTG>177324</ARTG></ARTGs><MinimumBenefit>1235</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2019-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>VK033</BillingCode><Name>3D Telescopic Strut</Name><Description>Struts consist of two telescopic aluminium tubes, outer tube and an inner tube, which can be locked together at various lengths using the side locking bolt and clamp washer. The inner tube is attached to a spring-loaded, black knurled adjustment knob. The adjustment knob mates with the threaded rod in a manner such that the rod translates relative to the inner tube when the knob is rotated. This will provide gradual changes of overall strut length in 0.5mm increments. A reference arrow with plus sign located on the base of the adjustment knob indicates the direction of turning to perform strut elongation - distraction. Each strut has two special joints and one at the base of the outer tube and the other at the end of the threaded rod. Each joint has a mounting stud, which can be inserted into the mounting holes on the ring tabs and held in place by the locking screw. The rapid adjustment of the strut length is achieved by untightening the side locking bolt, sliding the inner tube relative to the outer tube to the desired length. The rapid adjustment is indicated by the inner tube scale in 1mm increments relative to the orange line mark on the outer tube. The gradual adjustment is achieved by pulling and rotating the adjustment knob resulting in a noticeable detect click every 0.5mm of adjustment. Gradual adjustment is indicated by the scale relative to the green line mark.</Description><Size>Struts are available in four sizes - ultrashort, short, medium and long providing adjustment range from 45mm to 318mm.  Ultrashort strut  45 - 101mm range  Short strut 92 - 122mm range  Medium strut 114 - 184mm range  Long strut 158 - 318mm range</Size><SupplierCode>VK</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1237</GroupID><SubGroupID>4505</SubGroupID><Suffix>3D</Suffix><ARTGs><ARTG>207662</ARTG><ARTG>177324</ARTG></ARTGs><MinimumBenefit>1235</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2019-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HW633</BillingCode><Name>Hoffmann LRF System</Name><Description>Hexapod Strut</Description><Size>XS, S, M, L</Size><SupplierCode>JV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1237</GroupID><SubGroupID>4505</SubGroupID><Suffix>3D</Suffix><ARTGs><ARTG>258035</ARTG></ARTGs><MinimumBenefit>1235</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SQ165</BillingCode><Name>Monoplanar Body</Name><Description>Body</Description><Size>100 - 400 mm  </Size><SupplierCode>SQ</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1237</GroupID><SubGroupID>3756</SubGroupID><ARTGs><ARTG>341661</ARTG></ARTGs><MinimumBenefit>657</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2020-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SL018</BillingCode><Name>Modular Rail System</Name><Description>Rail</Description><Size>Standard; small; small short</Size><SupplierCode>SN</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1237</GroupID><SubGroupID>3756</SubGroupID><ARTGs><ARTG>97612</ARTG></ARTGs><MinimumBenefit>657</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SK567</BillingCode><Name>Monotube External Fixation System</Name><Description>Anodized metal alloy, dynamic tube blue</Description><Size>20mm</Size><SupplierCode>JV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1237</GroupID><SubGroupID>3756</SubGroupID><Suffix>CDD</Suffix><ARTGs><ARTG>112434</ARTG></ARTGs><MinimumBenefit>2410</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SK568</BillingCode><Name>Hoffmann II MRI System</Name><Description>Anodized metal alloy, dynamic tube, MRI</Description><Size>15/20mm</Size><SupplierCode>JV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1237</GroupID><SubGroupID>3756</SubGroupID><Suffix>CDD</Suffix><ARTGs><ARTG>112434</ARTG></ARTGs><MinimumBenefit>2410</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>VK044</BillingCode><Name>LRS</Name><Description>Rails and Compression Distraction Unit.</Description><Size>100mm to 400mm.</Size><SupplierCode>VK</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1237</GroupID><SubGroupID>3756</SubGroupID><Suffix>CDD</Suffix><ARTGs><ARTG>123604</ARTG><ARTG>172152</ARTG><ARTG>197638</ARTG></ARTGs><MinimumBenefit>2410</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2023-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ST948</BillingCode><Name>Monotube External Fixation System</Name><Description>Anodized metal alloy, dynamic tube yellow</Description><Size>15mm</Size><SupplierCode>JV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1237</GroupID><SubGroupID>3756</SubGroupID><Suffix>Small, CDD</Suffix><ARTGs><ARTG>112434</ARTG><ARTG>16241</ARTG></ARTGs><MinimumBenefit>990</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SN950</BillingCode><Name>Smith &amp; Nephew External Fixation (Ilizarov, Taylor Spatial Frame, Jet-X, Compass)</Name><Description>Monoplanar Clamp, compression distraction device</Description><Size>Standard</Size><SupplierCode>SN</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1237</GroupID><SubGroupID>3756</SubGroupID><Suffix>CDD</Suffix><ARTGs><ARTG>97612</ARTG></ARTGs><MinimumBenefit>2410</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HW482</BillingCode><Name>HOFFMANN LRF - WIRE BOLT COUPLINGS</Name><Description>WIRE BOLT COUPLING</Description><Size>SHORT, MEDIUM, LONG</Size><SupplierCode>JV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1237</GroupID><SubGroupID>3757</SubGroupID><ARTGs><ARTG>197935</ARTG></ARTGs><MinimumBenefit>225</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2013-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SN951</BillingCode><Name>Smith &amp; Nephew External Fixation (Ilizarov, Taylor Spatial Frame, Jet-X, Compass)</Name><Description>Monoplanar adaptor</Description><Size>standard</Size><SupplierCode>SN</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1237</GroupID><SubGroupID>3757</SubGroupID><ARTGs><ARTG>97612</ARTG></ARTGs><MinimumBenefit>225</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SN954</BillingCode><Name>Smith &amp; Nephew External Fixation (Llizarov, Taylor Spatial Frame, Jet-X, Compass)</Name><Description>Circular Coupling device</Description><Size>standard</Size><SupplierCode>SN</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1237</GroupID><SubGroupID>3757</SubGroupID><ARTGs><ARTG>108966</ARTG><ARTG>97612</ARTG><ARTG>156686</ARTG></ARTGs><MinimumBenefit>225</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HW474</BillingCode><Name>HOFFMANN LRF</Name><Description>Coupling</Description><Size>SHORT , LONG</Size><SupplierCode>JV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1237</GroupID><SubGroupID>3757</SubGroupID><ARTGs><ARTG>258035</ARTG><ARTG>197935</ARTG><ARTG>112434</ARTG></ARTGs><MinimumBenefit>225</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2013-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>VK049</BillingCode><Name>TrueLok</Name><Description>Coupling devices.</Description><Size>Standard.</Size><SupplierCode>VK</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1237</GroupID><SubGroupID>3757</SubGroupID><ARTGs><ARTG>177324</ARTG></ARTGs><MinimumBenefit>225</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2023-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SL240</BillingCode><Name>SMART TSF (Taylor Spatial Frame)</Name><Description>Circular Coupling Device</Description><Size>Standard</Size><SupplierCode>SN</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1237</GroupID><SubGroupID>3757</SubGroupID><ARTGs><ARTG>384817</ARTG></ARTGs><MinimumBenefit>225</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SY662</BillingCode><Name>Orthopaedic External Fixator Systems</Name><Description>Hybrid Ring Clamps; Combination, Rod, Rod/Wire, Adjustable, Tube/Tube RL MRI</Description><Size>11.0mm</Size><SupplierCode>JJ</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1237</GroupID><SubGroupID>3757</SubGroupID><ARTGs><ARTG>155806</ARTG></ARTGs><MinimumBenefit>225</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>IT025</BillingCode><Name>Frame It Coupling</Name><Description>Coupling devices; Posts, Basic Struts, Plates, Hinges and Extenders</Description><Size>Ranging from 1-12 holes</Size><SupplierCode>IT</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1237</GroupID><SubGroupID>3757</SubGroupID><ARTGs><ARTG>282764</ARTG></ARTGs><MinimumBenefit>225</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HW963</BillingCode><PriorBillingCodes><PriorBillingCode>WR453</PriorBillingCode></PriorBillingCodes><Name>SALVATION L Bracket</Name><Description>L Bracket</Description><Size>1-6 hole. Short and tall</Size><SupplierCode>JV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1237</GroupID><SubGroupID>4512</SubGroupID><ARTGs><ARTG>198486</ARTG></ARTGs><MinimumBenefit>89</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SL250</BillingCode><Name>MAVERICK External Fixation</Name><Description>Straight, 30°, and 90° Posts</Description><Size>Straight, 30°, and 90°</Size><SupplierCode>SN</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1237</GroupID><SubGroupID>4512</SubGroupID><ARTGs><ARTG>401572</ARTG></ARTGs><MinimumBenefit>89</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2023-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SY420</BillingCode><Name>MAXFRAME Distraction Osteogenesis External Fixation System</Name><Description>Wire Post MRI Safe</Description><Size>Short, Tall, Long and 1 to 5 holes</Size><SupplierCode>JJ</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1237</GroupID><SubGroupID>4512</SubGroupID><ARTGs><ARTG>289708</ARTG><ARTG>383992</ARTG></ARTGs><MinimumBenefit>89</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2008-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ST938</BillingCode><Name>Hoffman II External Fixation System</Name><Description>Anodised metal alloy, straight post, stainless steel</Description><Size>One size only</Size><SupplierCode>JV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1237</GroupID><SubGroupID>4512</SubGroupID><Suffix>Small</Suffix><ARTGs><ARTG>16241</ARTG><ARTG>112434</ARTG></ARTGs><MinimumBenefit>79</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ST937</BillingCode><Name>Hoffman II External Fixation System</Name><Description>Anodised metal alloy, 30 deg angled post, stainless steel</Description><Size>One size only</Size><SupplierCode>JV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1237</GroupID><SubGroupID>4512</SubGroupID><Suffix>Small</Suffix><ARTGs><ARTG>112434</ARTG><ARTG>16241</ARTG></ARTGs><MinimumBenefit>79</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HW848</BillingCode><PriorBillingCodes><PriorBillingCode>WR310</PriorBillingCode></PriorBillingCodes><Name>SALVATION Limb Salvage Posts</Name><Description>Posts</Description><Size>1 - 6 hole, short and tall</Size><SupplierCode>JV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1237</GroupID><SubGroupID>4512</SubGroupID><ARTGs><ARTG>198486</ARTG></ARTGs><MinimumBenefit>89</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SK374</BillingCode><Name>Hoffman II External Fixation System</Name><Description>Hoffman II MRI</Description><Size>Posts 8mm and 5mm</Size><SupplierCode>JV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1237</GroupID><SubGroupID>4512</SubGroupID><ARTGs><ARTG>16241</ARTG><ARTG>112434</ARTG></ARTGs><MinimumBenefit>89</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HW479</BillingCode><Name>HOFFMANN LRF - POSTS</Name><Description>POSTS</Description><Size>LENGTHS - 44-88MM</Size><SupplierCode>JV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1237</GroupID><SubGroupID>4512</SubGroupID><ARTGs><ARTG>197935</ARTG></ARTGs><MinimumBenefit>89</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2013-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HW853</BillingCode><PriorBillingCodes><PriorBillingCode>WR315</PriorBillingCode></PriorBillingCodes><Name>SALVATION Limb Salvage Hinges</Name><Description>Hinges</Description><Size>Universal and In-line.</Size><SupplierCode>JV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1237</GroupID><SubGroupID>4513</SubGroupID><Suffix>Mini</Suffix><ARTGs><ARTG>198486</ARTG></ARTGs><MinimumBenefit>2337</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ST888</BillingCode><Name>Howmedica Dynamic Joint Distractor</Name><Description>Complete Y Body Frame - Stainless Steel</Description><Size>One size only</Size><SupplierCode>JV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1237</GroupID><SubGroupID>4513</SubGroupID><Suffix>CDD</Suffix><ARTGs><ARTG>112434</ARTG><ARTG>16241</ARTG></ARTGs><MinimumBenefit>3866</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>VK040</BillingCode><Name>TrueLok Ring Fixation System - Hinges</Name><Description>Universal and inline hinges.</Description><Size>Standard.</Size><SupplierCode>VK</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1237</GroupID><SubGroupID>4513</SubGroupID><ARTGs><ARTG>177324</ARTG></ARTGs><MinimumBenefit>428</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2023-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SQ173</BillingCode><Name>Orthex Articulating Hinge</Name><Description>Universal, Single plane, 90 degree Hinges</Description><Size>standard</Size><SupplierCode>SQ</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1237</GroupID><SubGroupID>4513</SubGroupID><ARTGs><ARTG>341661</ARTG></ARTGs><MinimumBenefit>428</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2020-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SY428</BillingCode><Name>MAXFRAME, Distraction Osteogenesis &amp; External Fixation System</Name><Description>Hinge</Description><Size>One Size</Size><SupplierCode>JJ</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1237</GroupID><SubGroupID>4513</SubGroupID><ARTGs><ARTG>155806</ARTG></ARTGs><MinimumBenefit>428</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2008-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LH557</BillingCode><Name>IOS  Fixator Kit</Name><Description>Complete kit of fixator, 6x bone pins, 6 x set screws, 6 x collets, drill bit.</Description><Size>long, short</Size><SupplierCode>LH</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1237</GroupID><SubGroupID>6401</SubGroupID><ARTGs><ARTG>266632</ARTG></ARTGs><MinimumBenefit>3042</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2016-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SN965</BillingCode><Name>Jet X Distal Radius Kit</Name><Description>Complete Frame, 3 Dimensional &amp; Compression/Distraction Device</Description><Size>Small</Size><SupplierCode>SN</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1237</GroupID><SubGroupID>5508</SubGroupID><ARTGs><ARTG>97612</ARTG></ARTGs><MinimumBenefit>4969</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HW489</BillingCode><Name>HOFFMANN3 external fixation system</Name><Description>Sterile field kit</Description><Size>Standard kit A</Size><SupplierCode>JV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1237</GroupID><SubGroupID>5508</SubGroupID><ARTGs><ARTG>112434</ARTG></ARTGs><MinimumBenefit>4969</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2013-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ZA062</BillingCode><Name>FastFrame External Fixation System</Name><Description>Distal radius - fully assembled, sterile</Description><Size>Length: 150mm</Size><SupplierCode>ZI</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1237</GroupID><SubGroupID>5508</SubGroupID><ARTGs><ARTG>315769</ARTG></ARTGs><MinimumBenefit>4969</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2019-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SK396</BillingCode><Name>Hoffmann II Compact Wrist Sterile Pre-Packs, RL</Name><Description>Bridging &amp; Non-bridging</Description><Size>Sterile Wrist Kit</Size><SupplierCode>JV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1237</GroupID><SubGroupID>5508</SubGroupID><ARTGs><ARTG>112434</ARTG></ARTGs><MinimumBenefit>4969</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>VK006</BillingCode><Name>Orthopaedic External Fixation System - Radiolucent Wrist Fixator</Name><Description>Complete System Sterile</Description><Size>One size only</Size><SupplierCode>VK</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1237</GroupID><SubGroupID>5508</SubGroupID><ARTGs><ARTG>197444</ARTG></ARTGs><MinimumBenefit>4969</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>VK047</BillingCode><Name>Orthofix and CalcFix Plus Calcaneal External Fixator Sterile Kit</Name><Description>The Kits contain the Calcaneal Fixator, T-Wrench, Driver, Screws and Kirschner wire.</Description><Size>One size.</Size><SupplierCode>VK</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1237</GroupID><SubGroupID>5509</SubGroupID><ARTGs><ARTG>257368</ARTG></ARTGs><MinimumBenefit>5397</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2023-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>VK012</BillingCode><Name>Orthofix Limb Reconstruction System</Name><Description>Orthofix Limb Reconstruction System</Description><Size>Adult and paediatric - Short, Standard and Long</Size><SupplierCode>VK</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1237</GroupID><SubGroupID>5509</SubGroupID><ARTGs><ARTG>197364</ARTG></ARTGs><MinimumBenefit>5397</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>VK010</BillingCode><Name>Orthopaedic External Fixation System - Xcaliber External Fixator</Name><Description>Articulated Ankle Fixator</Description><Size>One size only</Size><SupplierCode>VK</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1237</GroupID><SubGroupID>5509</SubGroupID><ARTGs><ARTG>197444</ARTG></ARTGs><MinimumBenefit>5397</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HW962</BillingCode><PriorBillingCodes><PriorBillingCode>WR452</PriorBillingCode></PriorBillingCodes><Name>SALVATION Frame Assembly</Name><Description>Salvation External Frame Assembly</Description><Size>200mm -  220mm</Size><SupplierCode>JV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1237</GroupID><SubGroupID>5509</SubGroupID><ARTGs><ARTG>198486</ARTG></ARTGs><MinimumBenefit>5397</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SK364</BillingCode><Name>Hoffman II External Fixation System</Name><Description>Hoffman II Sterile Pre-pack kit, RL</Description><Size>Standard Tibia</Size><SupplierCode>JV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1237</GroupID><SubGroupID>5509</SubGroupID><ARTGs><ARTG>112434</ARTG></ARTGs><MinimumBenefit>5397</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HW961</BillingCode><PriorBillingCodes><PriorBillingCode>WR451</PriorBillingCode></PriorBillingCodes><Name>SALVATION Frame Assembly</Name><Description>Salvation External Frames Assembly</Description><Size>160mm - 180mm</Size><SupplierCode>JV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1237</GroupID><SubGroupID>5509</SubGroupID><ARTGs><ARTG>198486</ARTG></ARTGs><MinimumBenefit>5397</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HW842</BillingCode><PriorBillingCodes><PriorBillingCode>WR304</PriorBillingCode></PriorBillingCodes><Name>SALVATION Limb Salvage Pre-Assembled Frame Assemblies</Name><Description>Pre - Assembled Frame</Description><Size>120mm - 180mm</Size><SupplierCode>JV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1237</GroupID><SubGroupID>5509</SubGroupID><ARTGs><ARTG>198486</ARTG></ARTGs><MinimumBenefit>5397</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HW490</BillingCode><Name>HOFFMANN3 external fixation system</Name><Description>Sterile field kit</Description><Size>Standard kit B</Size><SupplierCode>JV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1237</GroupID><SubGroupID>5509</SubGroupID><ARTGs><ARTG>112434</ARTG></ARTGs><MinimumBenefit>5397</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2013-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SK365</BillingCode><Name>Hoffman II External Fixation System</Name><Description>Hoffmann II Ankle Sterile Pre-Pack kit, RL</Description><Size>Standard Large Ankle Kit</Size><SupplierCode>JV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1237</GroupID><SubGroupID>5509</SubGroupID><ARTGs><ARTG>112434</ARTG></ARTGs><MinimumBenefit>5397</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HW843</BillingCode><PriorBillingCodes><PriorBillingCode>WR305</PriorBillingCode></PriorBillingCodes><Name>SALVATION Limb Salvage Frame Assemblies</Name><Description>Frame Assemblies</Description><Size>160mm - 200mm</Size><SupplierCode>JV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1237</GroupID><SubGroupID>5509</SubGroupID><ARTGs><ARTG>198486</ARTG></ARTGs><MinimumBenefit>5397</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SN946</BillingCode><Name>Jet X Bar Ankle spanning kit</Name><Description>Complete Frames, 3 Dimensional &amp; Compression/Distraction</Description><Size>Standard</Size><SupplierCode>SN</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1237</GroupID><SubGroupID>5509</SubGroupID><ARTGs><ARTG>112731</ARTG><ARTG>97612</ARTG></ARTGs><MinimumBenefit>5397</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SK378</BillingCode><Name>Hoffman II External Fixation System</Name><Description>Hoffman Pre-pack Pelvic kit</Description><Size>Sterile Pelvic Kit</Size><SupplierCode>JV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1237</GroupID><SubGroupID>5509</SubGroupID><ARTGs><ARTG>112434</ARTG></ARTGs><MinimumBenefit>5397</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SY427</BillingCode><Name>MAXFRAME Distraction Osteogenesis External Fixation System</Name><Description>Foot Rings, Foot Plates Short/Long, Footplate Support Kit - single unit with Left/Right Supports</Description><Size>Rings/Plates 100mm-210mm, Supports One Size - Left &amp; Right</Size><SupplierCode>JJ</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1237</GroupID><SubGroupID>4506</SubGroupID><ARTGs><ARTG>155806</ARTG><ARTG>289708</ARTG></ARTGs><MinimumBenefit>1872</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2008-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SN957</BillingCode><Name>Smith &amp; Nephew External Fixation (Llizarov, Taylor Spatial Frame, Jet-X, Compass)</Name><Description>Foot Plate</Description><Size>Standard</Size><SupplierCode>SN</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1237</GroupID><SubGroupID>4506</SubGroupID><ARTGs><ARTG>97612</ARTG></ARTGs><MinimumBenefit>1872</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SQ167</BillingCode><Name>Orthex Foot Plate</Name><Description>Foot Plate</Description><Size>75-205mm, short</Size><SupplierCode>SQ</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1237</GroupID><SubGroupID>4506</SubGroupID><ARTGs><ARTG>341661</ARTG></ARTGs><MinimumBenefit>1872</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2020-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>IT027</BillingCode><Name>Frame It Foot Plate</Name><Description>Foot plate</Description><Size>Diameter 80mm-220mm</Size><SupplierCode>IT</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1237</GroupID><SubGroupID>4506</SubGroupID><ARTGs><ARTG>282764</ARTG></ARTGs><MinimumBenefit>1872</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SL236</BillingCode><Name>SMART TSF (Taylor Spatial Frame)</Name><Description>Foot Plate</Description><Size>155 - 180 mm</Size><SupplierCode>SN</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1237</GroupID><SubGroupID>4506</SubGroupID><ARTGs><ARTG>384817</ARTG></ARTGs><MinimumBenefit>1872</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HW844</BillingCode><PriorBillingCodes><PriorBillingCode>WR306</PriorBillingCode></PriorBillingCodes><Name>SALVATION Limb Salvage Foot Plates</Name><Description>Foot Plates</Description><Size>120mm - 180mm</Size><SupplierCode>JV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1237</GroupID><SubGroupID>4506</SubGroupID><ARTGs><ARTG>198486</ARTG></ARTGs><MinimumBenefit>1872</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HW475</BillingCode><Name>HOFFMAN LRF</Name><Description>FOOT RING PLATE/ARCH</Description><Size>DIAMETER - 100-210MM</Size><SupplierCode>JV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1237</GroupID><SubGroupID>4506</SubGroupID><ARTGs><ARTG>197935</ARTG><ARTG>112434</ARTG></ARTGs><MinimumBenefit>1872</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2013-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>VK031</BillingCode><Name>Orthofix Circular Frame Foot Plate</Name><Description>The Orthofix circular frame is a surgeon designed, user-friendly ring fixation system for trauma applications, limb lengthening and deformity correction. It is based on the science, methodology and principles of Prof Ilizarov. The circular frame is simple, offering preassembled functional components that are easy to connect and operate. The frame is stable with anti-rotational feature on connection elements that prevents any undesirable movement. Its unique wire and half pin fixation elements provide efficient bone segment stabilisation. A biomechanically superior metal-plastic interface is stable both during and between adjustments. The system is versatile, consisting of rings, half-rings, foot plates, 5/8 rings and arches. Full control of bone segments accomplished with Orthofix circular frame allows precise movement of segments without compromising stability.</Description><Size>100mm - 220mm foot plates</Size><SupplierCode>VK</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1237</GroupID><SubGroupID>4506</SubGroupID><ARTGs><ARTG>229624</ARTG><ARTG>177324</ARTG></ARTGs><MinimumBenefit>1872</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2019-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SL237</BillingCode><Name>SMART TSF (Taylor Spatial Frame)</Name><Description>Bolts, Washers</Description><Size>Standard</Size><SupplierCode>SN</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1237</GroupID><SubGroupID>4507</SubGroupID><ARTGs><ARTG>218416</ARTG><ARTG>384817</ARTG></ARTGs><MinimumBenefit>36</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SY419</BillingCode><Name>MAXFRAME Distraction Osteogenesis External Fixation System</Name><Description>Nuts, Washers &amp; Spacers, Bolts</Description><Size>Various</Size><SupplierCode>JJ</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1237</GroupID><SubGroupID>4507</SubGroupID><ARTGs><ARTG>289708</ARTG><ARTG>305577</ARTG><ARTG>326183</ARTG></ARTGs><MinimumBenefit>36</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2008-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SN958</BillingCode><Name>Smith &amp; Nephew External Fixation (Llizarov, Taylor Spatial Frame, Jet-X, Compass)</Name><Description>Circular Frame, Nuts &amp; Spacer</Description><Size>standard</Size><SupplierCode>SN</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1237</GroupID><SubGroupID>4507</SubGroupID><ARTGs><ARTG>109591</ARTG><ARTG>108966</ARTG><ARTG>164373</ARTG><ARTG>97612</ARTG><ARTG>107550</ARTG><ARTG>156686</ARTG><ARTG>141018</ARTG><ARTG>118355</ARTG></ARTGs><MinimumBenefit>36</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>IT028</BillingCode><Name>Frame It Nuts &amp; Bolts</Name><Description>Nuts, Bolts and spacers</Description><Size>standard</Size><SupplierCode>IT</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1237</GroupID><SubGroupID>4507</SubGroupID><ARTGs><ARTG>282764</ARTG></ARTGs><MinimumBenefit>36</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SQ160</BillingCode><Name>Orthex Threaded Sockets</Name><Description>Nut, Threaded</Description><Size>18-60mm</Size><SupplierCode>SQ</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1237</GroupID><SubGroupID>4507</SubGroupID><ARTGs><ARTG>341661</ARTG></ARTGs><MinimumBenefit>36</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2020-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SQ161</BillingCode><Name>Orthex Frame Components</Name><Description>Circular Frame Components  </Description><Size>Standard</Size><SupplierCode>SQ</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1237</GroupID><SubGroupID>4507</SubGroupID><ARTGs><ARTG>341661</ARTG></ARTGs><MinimumBenefit>36</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2020-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SY228</BillingCode><Name>MAXFRAME Distraction Osteogenesis External Fixation System</Name><Description>Connecting Plate / Spacer</Description><Size>1 - 5 holes</Size><SupplierCode>JJ</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1237</GroupID><SubGroupID>4507</SubGroupID><ARTGs><ARTG>155806</ARTG></ARTGs><MinimumBenefit>36</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SL023</BillingCode><Name>Modular Rail System</Name><Description>Rail Accessories</Description><Size>Various</Size><SupplierCode>SN</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1237</GroupID><SubGroupID>4507</SubGroupID><ARTGs><ARTG>97612</ARTG></ARTGs><MinimumBenefit>36</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HW849</BillingCode><PriorBillingCodes><PriorBillingCode>WR311</PriorBillingCode></PriorBillingCodes><Name>SALVATION Limb Salvage Circular Frame Nuts and Spacers</Name><Description>Circular Frame Nuts and Spacers</Description><Size>1mm - 120mm, 1 hole to 4 hole, Standard - Large</Size><SupplierCode>JV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1237</GroupID><SubGroupID>4507</SubGroupID><ARTGs><ARTG>198486</ARTG></ARTGs><MinimumBenefit>36</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HW477</BillingCode><Name>HOFFMANNLRF - NUTS, WASHERS , SPACERS</Name><Description>NUTS, WASHERS , SPACERS</Description><Size>SHORT, LONG, M6,M8,1-7MM</Size><SupplierCode>JV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1237</GroupID><SubGroupID>4507</SubGroupID><ARTGs><ARTG>258035</ARTG><ARTG>197935</ARTG></ARTGs><MinimumBenefit>36</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2013-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>VK042</BillingCode><Name>TrueLok Ring Fixation System - Spacers, Washers, Nuts, Bolts</Name><Description>Nuts, Spacers, Washers and Bolts.</Description><Size>Length 12 - 30mm, 10mm Hex Heads, Thickness 2 - 4mm.</Size><SupplierCode>VK</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1237</GroupID><SubGroupID>4507</SubGroupID><ARTGs><ARTG>177324</ARTG></ARTGs><MinimumBenefit>36</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2023-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>VK050</BillingCode><Name>TrueLok Wire, Pin Fixators</Name><Description>Wire, Pin Fixators.</Description><Size>4mm to 8mm.</Size><SupplierCode>VK</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1237</GroupID><SubGroupID>4508</SubGroupID><ARTGs><ARTG>177324</ARTG></ARTGs><MinimumBenefit>622</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2023-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ST967</BillingCode><Name>TenXor External Fixation System</Name><Description>Anodized metal alloy, wire post, pin post</Description><Size>One size only</Size><SupplierCode>JV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1237</GroupID><SubGroupID>4508</SubGroupID><ARTGs><ARTG>112434</ARTG><ARTG>16241</ARTG></ARTGs><MinimumBenefit>622</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ST966</BillingCode><Name>TenXor External Fixation System</Name><Description>Anodized metal alloy, ring clamp</Description><Size>One size only</Size><SupplierCode>JV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1237</GroupID><SubGroupID>4508</SubGroupID><ARTGs><ARTG>112434</ARTG><ARTG>16241</ARTG></ARTGs><MinimumBenefit>622</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SY744</BillingCode><Name>MAXFRAME Distraction Osteogenesis External Fixation System</Name><Description>Distractors and lengthening apparatus</Description><Size>20mm-250mm</Size><SupplierCode>JJ</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1237</GroupID><SubGroupID>4508</SubGroupID><ARTGs><ARTG>155806</ARTG></ARTGs><MinimumBenefit>622</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HW847</BillingCode><PriorBillingCodes><PriorBillingCode>WR309</PriorBillingCode></PriorBillingCodes><Name>SALVATION Limb Salvage Wire Fixaters</Name><Description>Wire Fixaters</Description><Size>2mm - 40mm</Size><SupplierCode>JV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1237</GroupID><SubGroupID>4508</SubGroupID><ARTGs><ARTG>198486</ARTG></ARTGs><MinimumBenefit>622</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>VK005</BillingCode><Name>Orthofix External Fixation System Knee Fixator</Name><Description>Anodised aluminium and stainless steel</Description><Size>One size only</Size><SupplierCode>VK</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1237</GroupID><SubGroupID>4508</SubGroupID><ARTGs><ARTG>117273</ARTG><ARTG>118320</ARTG><ARTG>177324</ARTG><ARTG>123604</ARTG></ARTGs><MinimumBenefit>622</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SN964</BillingCode><Name>Smith &amp; Nephew External Fixation (Llizarov, Taylor Spatial Frame, Jet-X, Compass)</Name><Description>Articulating Hinge, 3 Dimensional</Description><Size>Standard</Size><SupplierCode>SN</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1237</GroupID><SubGroupID>4508</SubGroupID><ARTGs><ARTG>156686</ARTG></ARTGs><MinimumBenefit>622</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SN959</BillingCode><Name>Smith &amp; Nephew External Fixation (Llizarov, Taylor Spatial Frame, Jet-X, Compass)</Name><Description>Coupling device, 3 dimensional</Description><Size>Standard</Size><SupplierCode>SN</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1237</GroupID><SubGroupID>4508</SubGroupID><ARTGs><ARTG>156686</ARTG></ARTGs><MinimumBenefit>622</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SL020</BillingCode><Name>Modular Rail System</Name><Description>Caps, clamps (upper, lower &amp; stacked) &amp; hinges, clamp connectors</Description><Size>Various</Size><SupplierCode>SN</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1237</GroupID><SubGroupID>4508</SubGroupID><ARTGs><ARTG>97612</ARTG></ARTGs><MinimumBenefit>622</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SL022</BillingCode><Name>Modular Rail System</Name><Description>Angle Clamps</Description><Size>Various</Size><SupplierCode>SN</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1237</GroupID><SubGroupID>4508</SubGroupID><ARTGs><ARTG>97612</ARTG></ARTGs><MinimumBenefit>622</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SY663</BillingCode><Name>Orthopaedic External Fixator Systems</Name><Description>Medium Frame; Rod, Threaded, Adjustable Clamps RL MRI</Description><Size>5-11.0mm</Size><SupplierCode>JJ</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1237</GroupID><SubGroupID>4508</SubGroupID><ARTGs><ARTG>155806</ARTG></ARTGs><MinimumBenefit>622</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SK390</BillingCode><Name>Hoffman II External Fixation System</Name><Description>Hoffman II MRI</Description><Size>Compression/Dystraction Tube, Dynamisation Tube</Size><SupplierCode>JV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1237</GroupID><SubGroupID>4508</SubGroupID><ARTGs><ARTG>112434</ARTG><ARTG>16241</ARTG></ARTGs><MinimumBenefit>622</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HW448</BillingCode><Name>Hoffmann3 External Fixation system - Posts</Name><Description>Hoffmann3 posts</Description><Size>straight, 30 deg, 90 deg</Size><SupplierCode>JV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1237</GroupID><SubGroupID>4508</SubGroupID><ARTGs><ARTG>112434</ARTG></ARTGs><MinimumBenefit>622</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HW516</BillingCode><Name>HOFFMANN3 EXTERNAL FIXATION SYSTEM</Name><Description>ROD COUPLER</Description><Size>0-120 DEGREES</Size><SupplierCode>JV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1237</GroupID><SubGroupID>4508</SubGroupID><ARTGs><ARTG>112434</ARTG></ARTGs><MinimumBenefit>622</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2013-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SK375</BillingCode><Name>Hoffman II External Fixation System</Name><Description>Hoffman II MRI Coupling</Description><Size>Pin to Rod, Rod to Rod, Tube to Rod, Pin Clamp Assembly</Size><SupplierCode>JV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1237</GroupID><SubGroupID>4508</SubGroupID><ARTGs><ARTG>112434</ARTG><ARTG>16241</ARTG></ARTGs><MinimumBenefit>622</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SK206</BillingCode><Name>Hoffmann II External Fixation System</Name><Description>Hoffmann II Micro - Couplings </Description><Size>Couplings, Rod to rod, Pin to Rod and Multipin</Size><SupplierCode>JV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1237</GroupID><SubGroupID>4508</SubGroupID><Suffix>Mini</Suffix><ARTGs><ARTG>112434</ARTG><ARTG>16241</ARTG></ARTGs><MinimumBenefit>613</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ST950</BillingCode><Name>Monotube External Fixation System</Name><Description>Anodized metal alloy, dynamic tube red</Description><Size>25mm</Size><SupplierCode>JV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1237</GroupID><SubGroupID>4508</SubGroupID><ARTGs><ARTG>16241</ARTG><ARTG>112434</ARTG></ARTGs><MinimumBenefit>622</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SK487</BillingCode><Name>Hoffmann Xpress - 5 Pin Clamp Posts</Name><Description>Hoffmann Xpress External Fixation Device - adapted to fit needs of medically trained staff of such occupations as the Armed Forces</Description><Size>2 categories, a 1 post clamp and a 2 post clamp</Size><SupplierCode>JV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1237</GroupID><SubGroupID>4508</SubGroupID><ARTGs><ARTG>112434</ARTG></ARTGs><MinimumBenefit>622</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2008-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ST935</BillingCode><Name>Hoffman II External Fixation System</Name><Description>Anodised metal alloy, rod to rod coupling</Description><Size>8/8mm</Size><SupplierCode>JV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1237</GroupID><SubGroupID>4508</SubGroupID><Suffix>Small</Suffix><ARTGs><ARTG>16241</ARTG><ARTG>112434</ARTG></ARTGs><MinimumBenefit>622</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HW449</BillingCode><Name>Hoffmann3 External Fixation System</Name><Description>Rod &amp; Pin-Rod couplings</Description><Size>Coupling, 5/8/11mm rods - 4/5/6mm pins</Size><SupplierCode>JV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1237</GroupID><SubGroupID>4508</SubGroupID><ARTGs><ARTG>112434</ARTG></ARTGs><MinimumBenefit>622</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ST952</BillingCode><Name>Monotube External Fixation System</Name><Description>Anodized metal alloy, single pin clamp yellow, blue, red</Description><Size>15, 20, 25mm</Size><SupplierCode>JV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1237</GroupID><SubGroupID>4508</SubGroupID><ARTGs><ARTG>16241</ARTG><ARTG>112434</ARTG></ARTGs><MinimumBenefit>622</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ST951</BillingCode><Name>Monotube External Fixation System</Name><Description>Anodized metal alloy, pin clamp yellow, blue, red</Description><Size>15, 20, 25mm</Size><SupplierCode>JV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1237</GroupID><SubGroupID>4508</SubGroupID><ARTGs><ARTG>112434</ARTG><ARTG>16241</ARTG></ARTGs><MinimumBenefit>622</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>VK003</BillingCode><Name>Orthofix External Fixation System Elbow Fixator</Name><Description>Anodised aluminium and stainless steel</Description><Size>One size only</Size><SupplierCode>VK</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1237</GroupID><SubGroupID>4508</SubGroupID><ARTGs><ARTG>117273</ARTG><ARTG>118320</ARTG><ARTG>123604</ARTG></ARTGs><MinimumBenefit>622</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>VK004</BillingCode><Name>Orthofix External Fixation System Hybrid Fixator</Name><Description>Anodised aluminium and stainless steel</Description><Size>One size only</Size><SupplierCode>VK</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1237</GroupID><SubGroupID>4508</SubGroupID><ARTGs><ARTG>123604</ARTG><ARTG>117273</ARTG><ARTG>118320</ARTG><ARTG>177324</ARTG></ARTGs><MinimumBenefit>622</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ST936</BillingCode><Name>Hoffman II External Fixation System</Name><Description>Anodised metal alloy, pin to rod coupling</Description><Size>8/4, 5mm</Size><SupplierCode>JV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1237</GroupID><SubGroupID>4508</SubGroupID><Suffix>Small</Suffix><ARTGs><ARTG>112434</ARTG><ARTG>16241</ARTG></ARTGs><MinimumBenefit>622</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SY745</BillingCode><Name>Orthopaedic External Fixator Systems</Name><Description>Distractors and lengthening apparatus</Description><Size>≥ 160mm</Size><SupplierCode>JJ</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1237</GroupID><SubGroupID>4508</SubGroupID><Suffix>CDD</Suffix><ARTGs><ARTG>157069</ARTG></ARTGs><MinimumBenefit>622</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ST972</BillingCode><Name>TenXor External Fixation System</Name><Description>Anodized metal alloy,with sliding clamp and spacer</Description><Size>One size only</Size><SupplierCode>JV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1237</GroupID><SubGroupID>4508</SubGroupID><ARTGs><ARTG>16241</ARTG><ARTG>112434</ARTG></ARTGs><MinimumBenefit>622</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ST971</BillingCode><Name>TenXor External Fixation System</Name><Description>Anodized metal alloy, with sliding clamp</Description><Size>One size only</Size><SupplierCode>JV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1237</GroupID><SubGroupID>4508</SubGroupID><ARTGs><ARTG>16241</ARTG><ARTG>112434</ARTG></ARTGs><MinimumBenefit>622</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SK485</BillingCode><Name>Hoffmann Xpress - Universal Pin Clamp</Name><Description>Hoffmann Xpress External Fixation Device - Adapted to fit the needs of medically trained staff of such occupations as the Armed Forces</Description><Size>One size to fit the Rod to Rod</Size><SupplierCode>JV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1237</GroupID><SubGroupID>4508</SubGroupID><ARTGs><ARTG>112434</ARTG></ARTGs><MinimumBenefit>622</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2008-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ST954</BillingCode><Name>Monotube External Fixation System</Name><Description>Anodized metal alloy, tube to tube clamp yellow, blue, red, yellow/blue, blue/red</Description><Size>15, 20, 25mm, 15/20mm, 20/25mm</Size><SupplierCode>JV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1237</GroupID><SubGroupID>4508</SubGroupID><ARTGs><ARTG>16241</ARTG><ARTG>112434</ARTG></ARTGs><MinimumBenefit>622</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SK211</BillingCode><Name>Hoffmann II External Fixation System</Name><Description>Hoffmann II Micro - Carbon Fibre Rods, RL</Description><Size>3mm (30-150mm)</Size><SupplierCode>JV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1237</GroupID><SubGroupID>4509</SubGroupID><Suffix>Mini</Suffix><ARTGs><ARTG>112434</ARTG><ARTG>16241</ARTG></ARTGs><MinimumBenefit>49</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SK212</BillingCode><Name>Hoffmann II External Fixation System</Name><Description>Hoffman II Micro - Stainless Steel Rods</Description><Size>3mm x (30-180mm)</Size><SupplierCode>JV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1237</GroupID><SubGroupID>4509</SubGroupID><Suffix>Mini</Suffix><ARTGs><ARTG>16241</ARTG><ARTG>112434</ARTG></ARTGs><MinimumBenefit>49</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SQ169</BillingCode><Name>Orthex Threaded Rods</Name><Description>Threaded Rods</Description><Size>30-120mm</Size><SupplierCode>SQ</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1237</GroupID><SubGroupID>4509</SubGroupID><Suffix>Mini</Suffix><ARTGs><ARTG>341661</ARTG></ARTGs><MinimumBenefit>49</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2020-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ST962</BillingCode><Name>Monotube External Fixation System</Name><Description>Carbon tube yellow 015, RL</Description><Size>15mm</Size><SupplierCode>JV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1237</GroupID><SubGroupID>4509</SubGroupID><Suffix>Small</Suffix><ARTGs><ARTG>16241</ARTG><ARTG>112434</ARTG></ARTGs><MinimumBenefit>137</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ZI964</BillingCode><Name>XtraFix External Fixation System</Name><Description>Connecting rods</Description><Size>6mm</Size><SupplierCode>ZI</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1237</GroupID><SubGroupID>4509</SubGroupID><Suffix>Small</Suffix><ARTGs><ARTG>270757</ARTG></ARTGs><MinimumBenefit>137</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SY224</BillingCode><Name>MAXFRAME, Distraction Osteogenesis &amp; External Fixation System</Name><Description>External fixator clamp components, angled piece</Description><Size>Oblique, 1.0 - 3.0mm</Size><SupplierCode>JJ</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1237</GroupID><SubGroupID>4509</SubGroupID><Suffix>Small</Suffix><ARTGs><ARTG>289708</ARTG></ARTGs><MinimumBenefit>137</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SY421</BillingCode><Name>MAXFRAME Distraction Osteogenesis External Fixation System</Name><Description>Threaded Rod</Description><Size>60- 400mm</Size><SupplierCode>JJ</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1237</GroupID><SubGroupID>4509</SubGroupID><Suffix>Standard</Suffix><ARTGs><ARTG>155806</ARTG></ARTGs><MinimumBenefit>143</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2008-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SN961</BillingCode><Name>Smith &amp; Nephew External Fixation (Llizarov, Taylor Spatial Frame, Jet-X, Compass)</Name><Description>Rods, telescopic</Description><Size>standard</Size><SupplierCode>SN</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1237</GroupID><SubGroupID>4509</SubGroupID><Suffix>Standard</Suffix><ARTGs><ARTG>156686</ARTG><ARTG>97612</ARTG></ARTGs><MinimumBenefit>143</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SK393</BillingCode><Name>Hoffman II External Fixation System</Name><Description>Hoffmann II MRI Connecting Rods, RL </Description><Size>8mm Connecting rod (100mm - 500mm), 5mm Connecting rod (100mm - 500mm), Semi Circular Curve Rod</Size><SupplierCode>JV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1237</GroupID><SubGroupID>4509</SubGroupID><Suffix>Standard</Suffix><ARTGs><ARTG>112434</ARTG><ARTG>16241</ARTG></ARTGs><MinimumBenefit>143</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ST963</BillingCode><Name>Monotube External Fixation System</Name><Description>Carbon tube blue 015, RL</Description><Size>150, 200, 250, 300mm</Size><SupplierCode>JV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1237</GroupID><SubGroupID>4509</SubGroupID><Suffix>Standard</Suffix><ARTGs><ARTG>112434</ARTG><ARTG>16241</ARTG></ARTGs><MinimumBenefit>143</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SK486</BillingCode><Name>Hoffmann Xpress External Fixation Device</Name><Description>Hoffmann Xpress - Connnecting Tube, RL, MRI</Description><Size>15 mm diameter / 150 to 440 mm in length</Size><SupplierCode>JV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1237</GroupID><SubGroupID>4509</SubGroupID><Suffix>Standard</Suffix><ARTGs><ARTG>112434</ARTG></ARTGs><MinimumBenefit>143</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2008-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HW852</BillingCode><PriorBillingCodes><PriorBillingCode>WR314</PriorBillingCode></PriorBillingCodes><Name>SALVATION Limb Salvage Rods</Name><Description>Rods</Description><Size>60mm - 400mm</Size><SupplierCode>JV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1237</GroupID><SubGroupID>4509</SubGroupID><Suffix>Standard</Suffix><ARTGs><ARTG>198486</ARTG></ARTGs><MinimumBenefit>143</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HW446</BillingCode><Name>Hoffmann3 External Fixation system - MRI Curved and straight rod/coupler - carbon fibre</Name><Description>MRI curved and straight rod/coupler - carbon fibre</Description><Size>Diameter - 11mm, lengths 100-650mm</Size><SupplierCode>JV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1237</GroupID><SubGroupID>4509</SubGroupID><Suffix>Standard</Suffix><ARTGs><ARTG>112434</ARTG></ARTGs><MinimumBenefit>143</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ZI965</BillingCode><Name>XtraFix External Fixation System</Name><Description>Connecting rods</Description><Size>11mm, large</Size><SupplierCode>ZI</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1237</GroupID><SubGroupID>4509</SubGroupID><Suffix>Standard</Suffix><ARTGs><ARTG>270757</ARTG></ARTGs><MinimumBenefit>143</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SY196</BillingCode><Name>Orthopaedic External Fixator Systems</Name><Description>Rod/Bar</Description><Size>8 - 11 mm</Size><SupplierCode>JJ</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1237</GroupID><SubGroupID>4509</SubGroupID><Suffix>Standard</Suffix><ARTGs><ARTG>155806</ARTG></ARTGs><MinimumBenefit>143</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SL248</BillingCode><Name>MAVERICK External Fixation</Name><Description>Bars/ Rods</Description><Size>100 – 600 mm</Size><SupplierCode>SN</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1237</GroupID><SubGroupID>4509</SubGroupID><Suffix>Standard</Suffix><ARTGs><ARTG>401572</ARTG></ARTGs><MinimumBenefit>143</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2023-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SN960</BillingCode><Name>Smith &amp; Nephew External Fixation (Llizarov, Taylor Spatial Frame, Jet-X, Compass)</Name><Description>Rods</Description><Size>Standard</Size><SupplierCode>SN</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1237</GroupID><SubGroupID>4509</SubGroupID><Suffix>Standard</Suffix><ARTGs><ARTG>156686</ARTG><ARTG>97612</ARTG></ARTGs><MinimumBenefit>143</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SY667</BillingCode><Name>Orthopaedic External Fixator Systems</Name><Description>Curved and straight rod, RL, MRI Carbon Fibre</Description><Size>8.0-11.0mm</Size><SupplierCode>JJ</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1237</GroupID><SubGroupID>4509</SubGroupID><Suffix>Standard</Suffix><ARTGs><ARTG>155806</ARTG></ARTGs><MinimumBenefit>143</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>VK041</BillingCode><Name>TrueLok/TL-HEX/EVO Threaded rods</Name><Description>Threaded rods.</Description><Size>60mm - 400mm.</Size><SupplierCode>VK</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1237</GroupID><SubGroupID>4509</SubGroupID><Suffix>Standard</Suffix><ARTGs><ARTG>177324</ARTG></ARTGs><MinimumBenefit>143</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2023-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>IT029</BillingCode><Name>Frame It Rods</Name><Description>Threaded Rods</Description><Size>6mm Diameter
Lengths from 80mm-200mm</Size><SupplierCode>IT</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1237</GroupID><SubGroupID>4509</SubGroupID><Suffix>Standard</Suffix><ARTGs><ARTG>282764</ARTG></ARTGs><MinimumBenefit>143</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SQ168</BillingCode><Name>Orthex Threaded Rods</Name><Description>Threaded Rods</Description><Size>60-450mm</Size><SupplierCode>SQ</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1237</GroupID><SubGroupID>4509</SubGroupID><Suffix>Standard</Suffix><ARTGs><ARTG>341661</ARTG></ARTGs><MinimumBenefit>143</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2020-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SY193</BillingCode><Name>Orthopaedic External Fixator Systems</Name><Description>Rod / Bar</Description><Size>2.0mm - 15mm (diameter)</Size><SupplierCode>JJ</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1237</GroupID><SubGroupID>4509</SubGroupID><Suffix>Small</Suffix><ARTGs><ARTG>155806</ARTG><ARTG>289708</ARTG><ARTG>326183</ARTG></ARTGs><MinimumBenefit>137</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SL255</BillingCode><Name>MAVERICK Mini</Name><Description>Bars/ Rods</Description><Size>6mm x 75-300 mm and 6mm offset</Size><SupplierCode>SN</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1237</GroupID><SubGroupID>4509</SubGroupID><Suffix>Small</Suffix><ARTGs><ARTG>401572</ARTG></ARTGs><MinimumBenefit>137</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2023-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ST964</BillingCode><Name>Monotube External Fixation System</Name><Description>Carbon tube red 015, RL</Description><Size>150, 200, 250, 300mm</Size><SupplierCode>JV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1237</GroupID><SubGroupID>4509</SubGroupID><Suffix>Standard</Suffix><ARTGs><ARTG>16241</ARTG><ARTG>112434</ARTG></ARTGs><MinimumBenefit>143</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ST884</BillingCode><Name>Apex Pins</Name><Description>Stainless Steel Orthopaedic Pins</Description><Size>2 - 6mm</Size><SupplierCode>JV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1237</GroupID><SubGroupID>4510</SubGroupID><ARTGs><ARTG>139621</ARTG><ARTG>16241</ARTG></ARTGs><MinimumBenefit>134</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SK483</BillingCode><Name>HA Apex Pins</Name><Description>HA coated bone screw</Description><Size>4-6mm diameters, various lengths.</Size><SupplierCode>JV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1237</GroupID><SubGroupID>4510</SubGroupID><ARTGs><ARTG>139621</ARTG></ARTGs><MinimumBenefit>134</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2008-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HW851</BillingCode><PriorBillingCodes><PriorBillingCode>WR313</PriorBillingCode></PriorBillingCodes><Name>SALVATION Limb Salvage Pins</Name><Description>Pins</Description><Size>1.8mm - 6mm diameter, 25mm - 180mm length</Size><SupplierCode>JV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1237</GroupID><SubGroupID>4510</SubGroupID><ARTGs><ARTG>198486</ARTG></ARTGs><MinimumBenefit>134</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LM198</BillingCode><Name>MiniFlo pins</Name><Description>Bone pins(screws)for finger mini fixator system</Description><Size>Thread diameter: 1.6,&amp;2.0, 2.5mm</Size><SupplierCode>LM</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1237</GroupID><SubGroupID>4510</SubGroupID><ARTGs><ARTG>222614</ARTG></ARTGs><MinimumBenefit>134</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2015-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LM334</BillingCode><Name>Axis Pin</Name><Description>Axis Pin</Description><Size>2.5mm x 30mm-70mm</Size><SupplierCode>LM</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1237</GroupID><SubGroupID>4510</SubGroupID><ARTGs><ARTG>278692</ARTG></ARTGs><MinimumBenefit>134</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>VK008</BillingCode><Name>Osteotite screw</Name><Description>HA coated screw used for fixation of an external frame</Description><Size>Shaft Dia 3.0 - 6.0mm, Thread Dia 6.0 - 2.0mm, Total Length 40 - 260mm, Thread Length 15 - 90mm</Size><SupplierCode>VK</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1237</GroupID><SubGroupID>4510</SubGroupID><ARTGs><ARTG>117274</ARTG></ARTGs><MinimumBenefit>134</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>VK007</BillingCode><Name>Screw</Name><Description>Frame Component - Pins</Description><Size>Shaft Dia 3.0 - 6.0mm
Thread Dia 6.0 - 2.00mm
Total Length 40 - 260mm
Thread Length 15 - 100mm</Size><SupplierCode>VK</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1237</GroupID><SubGroupID>4510</SubGroupID><ARTGs><ARTG>117274</ARTG></ARTGs><MinimumBenefit>134</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SQ189</BillingCode><Name>Pins</Name><Description>Pin, Half Pin,Transfixation, Large Bone, Small Bone, HA Coated</Description><Size>75-350mm length  2-6mm thickness</Size><SupplierCode>SQ</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1237</GroupID><SubGroupID>4510</SubGroupID><ARTGs><ARTG>345470</ARTG></ARTGs><MinimumBenefit>134</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>IT020</BillingCode><Name>Frame IT - Pins</Name><Description>Fixation Pins used in conjunction with the external fixation frame to adjust the placement of frame to best suit individual patient</Description><Size>6mm</Size><SupplierCode>IT</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1237</GroupID><SubGroupID>4510</SubGroupID><ARTGs><ARTG>282833</ARTG></ARTGs><MinimumBenefit>134</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SL256</BillingCode><Name>MAVERICK Mini</Name><Description>Pins</Description><Size>3-4mm x 80-120 mm x 15-30mm</Size><SupplierCode>SN</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1237</GroupID><SubGroupID>4510</SubGroupID><ARTGs><ARTG>401572</ARTG></ARTGs><MinimumBenefit>134</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2023-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SL233</BillingCode><Name>SMART TSF (Taylor Spatial Frame)</Name><Description>Frame Component - Pins</Description><Size>150-200mm length</Size><SupplierCode>SN</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1237</GroupID><SubGroupID>4510</SubGroupID><ARTGs><ARTG>99767</ARTG></ARTGs><MinimumBenefit>134</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SL249</BillingCode><Name>MAVERICK and JET-X External Fixation</Name><Description>Pins</Description><Size>30 – 275 mm</Size><SupplierCode>SN</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1237</GroupID><SubGroupID>4510</SubGroupID><ARTGs><ARTG>112731</ARTG><ARTG>401572</ARTG></ARTGs><MinimumBenefit>134</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2023-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SL010</BillingCode><Name>Smith &amp; Nephew Ex-Fix</Name><Description>Frame Component - pins</Description><Size>All sizes</Size><SupplierCode>SN</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1237</GroupID><SubGroupID>4510</SubGroupID><ARTGs><ARTG>118355</ARTG><ARTG>131082</ARTG><ARTG>109512</ARTG><ARTG>157919</ARTG><ARTG>99767</ARTG></ARTGs><MinimumBenefit>134</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ZI968</BillingCode><Name>XtraFix External Fixation System</Name><Description>Pins</Description><Size>2.5-6</Size><SupplierCode>ZI</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1237</GroupID><SubGroupID>4510</SubGroupID><ARTGs><ARTG>272132</ARTG></ARTGs><MinimumBenefit>134</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SY051</BillingCode><Name>AO/ASIF Pins</Name><Description>Seldrill, Schanz Screws, Steinmann Pins, Stainless Steel, Titanium Alloy</Description><Size>3mm - 6mm</Size><SupplierCode>JJ</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1237</GroupID><SubGroupID>4510</SubGroupID><ARTGs><ARTG>157068</ARTG><ARTG>133927</ARTG><ARTG>297881</ARTG></ARTGs><MinimumBenefit>134</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SN963</BillingCode><Name>Smith &amp; Nephew External Fixation (Llizarov, Taylor Spatial Frame, Jet-X, Compass)</Name><Description>Pin Clamp Assembly, 3 Dimensional</Description><Size>Standard</Size><SupplierCode>SN</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1237</GroupID><SubGroupID>4511</SubGroupID><ARTGs><ARTG>97612</ARTG><ARTG>156686</ARTG></ARTGs><MinimumBenefit>933</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SY200</BillingCode><Name>Orthopaedic External Fixator Systems</Name><Description>External fixator clamps, transverse clamp</Description><Size>1.25 - 6.0mm</Size><SupplierCode>JJ</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1237</GroupID><SubGroupID>4511</SubGroupID><ARTGs><ARTG>155806</ARTG></ARTGs><MinimumBenefit>933</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ZI966</BillingCode><Name>XtraFix External Fixation System</Name><Description>Pin clamp assembly</Description><Size>large</Size><SupplierCode>ZI</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1237</GroupID><SubGroupID>4511</SubGroupID><ARTGs><ARTG>270757</ARTG></ARTGs><MinimumBenefit>933</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SL234</BillingCode><Name>SMART TSF (Taylor Spatial Frame)</Name><Description>Pin Clamp Assembly – Conversion Clamp</Description><Size>Standard</Size><SupplierCode>SN</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1237</GroupID><SubGroupID>4511</SubGroupID><ARTGs><ARTG>218416</ARTG></ARTGs><MinimumBenefit>933</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HW447</BillingCode><Name>Hoffmann3 External Fixation System - Pin Clamp</Name><Description>Pin clamp Assembly</Description><Size>5 hole with/without posts</Size><SupplierCode>JV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1237</GroupID><SubGroupID>4511</SubGroupID><ARTGs><ARTG>112434</ARTG></ARTGs><MinimumBenefit>933</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SK373</BillingCode><Name>Hoffman II External Fixation system</Name><Description>Hoffman II MRI, Pin Clamp Assembly, MRI</Description><Size>Pelvic Clamp</Size><SupplierCode>JV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1237</GroupID><SubGroupID>4511</SubGroupID><ARTGs><ARTG>16241</ARTG><ARTG>112434</ARTG></ARTGs><MinimumBenefit>933</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ZI967</BillingCode><Name>XtraFix External Fixation System</Name><Description>Clamp, 3D</Description><Size>Large</Size><SupplierCode>ZI</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1237</GroupID><SubGroupID>4511</SubGroupID><Suffix>3D</Suffix><ARTGs><ARTG>270757</ARTG></ARTGs><MinimumBenefit>2900</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ST892</BillingCode><Name>Hoffmann II Compact External Fixation System</Name><Description>Pin clamp assembly with no post</Description><Size>One Size Only</Size><SupplierCode>JV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1237</GroupID><SubGroupID>4511</SubGroupID><Suffix>Small</Suffix><ARTGs><ARTG>16241</ARTG><ARTG>112434</ARTG></ARTGs><MinimumBenefit>552</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SY418</BillingCode><Name>MAXFRAME Distraction Osteogenesis External Fixation System</Name><Description>Bolt-connecting, clamp, eye, wire offset, wire slotted, MRI safe.</Description><Size>One size</Size><SupplierCode>JJ</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1237</GroupID><SubGroupID>4511</SubGroupID><ARTGs><ARTG>155806</ARTG></ARTGs><MinimumBenefit>933</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2008-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SN962</BillingCode><Name>Smith &amp; Nephew External Fixation (Llizarov, Taylor Spatial Frame, Jet-X, Compass)</Name><Description>Pin Clamp Assembly</Description><Size>Standard</Size><SupplierCode>SN</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1237</GroupID><SubGroupID>4511</SubGroupID><ARTGs><ARTG>156686</ARTG><ARTG>97612</ARTG></ARTGs><MinimumBenefit>933</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MU058</BillingCode><Name>Quadra-R Hip Revision Stem</Name><Description>Uncemented revision stem, HA Coated</Description><Size>From size 0 to size 9`</Size><SupplierCode>MU</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>161</SubCategoryID><GroupID>1409</GroupID><SubGroupID>3957</SubGroupID><ARTGs><ARTG>204290</ARTG></ARTGs><MinimumBenefit>4826</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2008-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MA475</BillingCode><Name>twinSys Non Cemented Long Femoral Stem</Name><Description>Titanium, grit blast, fully HA, long</Description><Size>Various offsets and sizes &gt; 200mm length (12-15)</Size><SupplierCode>MA</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>161</SubCategoryID><GroupID>1409</GroupID><SubGroupID>3957</SubGroupID><ARTGs><ARTG>287895</ARTG></ARTGs><MinimumBenefit>4826</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2007-06-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>DY515</BillingCode><Name>Corail Revision Femoral Stem</Name><Description>Titanium, grit blast, full HA coating, fluted distally</Description><Size>Sizes 14 - 20, (length 200mm &amp; greater)</Size><SupplierCode>JJ</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>161</SubCategoryID><GroupID>1409</GroupID><SubGroupID>3957</SubGroupID><ARTGs><ARTG>307520</ARTG></ARTGs><MinimumBenefit>4826</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2009-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LH628</BillingCode><Name>Mutars RS revision system - cementless stem HA long</Name><Description>RS Cementless stem HA long</Description><Size>12 - 22mm dia stems, 200 to 250mm length</Size><SupplierCode>LH</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>161</SubCategoryID><GroupID>1409</GroupID><SubGroupID>3960</SubGroupID><ARTGs><ARTG>236460</ARTG></ARTGs><MinimumBenefit>5371</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ZZ057</BillingCode><Name>cryoICE Cryoablation Surgical Probes</Name><Description>Surgical Cryoablation probes for atrial fibrillation surgery</Description><Size>One size only</Size><SupplierCode>ZZ</SupplierCode><CategoryID>20</CategoryID><SubCategoryID>291</SubCategoryID><GroupID>2949</GroupID><SubGroupID>7358</SubGroupID><Suffix>AA-Med cryoICE</Suffix><ARTGs><ARTG>202110</ARTG><ARTG>311095</ARTG></ARTGs><MinimumBenefit>3800</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2019-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MI311</BillingCode><Name>CryoFlex™ Surgical Ablation Probe</Name><Description>The CryoFlex™ Surgical Ablation Probe utilises a gas for freezing cells in the surgical treatment of cardiac arrhythmias.</Description><Size>One size only</Size><SupplierCode>MI</SupplierCode><CategoryID>20</CategoryID><SubCategoryID>291</SubCategoryID><GroupID>2949</GroupID><SubGroupID>7358</SubGroupID><Suffix>Medtronic - CryoFlex</Suffix><ARTGs><ARTG>158928</ARTG></ARTGs><MinimumBenefit>4695</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2019-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MI307</BillingCode><Name>SurgiFrost 10</Name><Description>SurgiFrost 10 is a malleable, single-use cryosurgical device developed to treat cardiac arrhythmias during heart surgery.  Freezing preserves tissue integrity. SurgiFrost10 features a malleable shaft and flexible tip with adjustable insulation sleeve.</Description><Size>One size ony</Size><SupplierCode>MI</SupplierCode><CategoryID>20</CategoryID><SubCategoryID>291</SubCategoryID><GroupID>2949</GroupID><SubGroupID>7358</SubGroupID><Suffix>Medtronic - SurgiFrost 10</Suffix><ARTGs><ARTG>158928</ARTG></ARTGs><MinimumBenefit>4095</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2019-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MI306</BillingCode><Name>CryoFlex™ Surgical Clamp and Probe</Name><Description>The CryoFlex™ Surgical Clamp and Probe combines the utility of the CryoFlex™ Probe with the delivery of a clamp.</Description><Size>One size only</Size><SupplierCode>MI</SupplierCode><CategoryID>20</CategoryID><SubCategoryID>291</SubCategoryID><GroupID>2949</GroupID><SubGroupID>7359</SubGroupID><Suffix>Medtronic</Suffix><ARTGs><ARTG>158929</ARTG></ARTGs><MinimumBenefit>5095</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2019-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MI309</BillingCode><Name>Cardioblate® Surgical Ablation Pen XL</Name><Description>The Cardioblate® Surgical Ablation Pen XL facilitates cardiac ablation in areas that are difficult to ablate with a bipolar device.</Description><Size>One size only</Size><SupplierCode>MI</SupplierCode><CategoryID>20</CategoryID><SubCategoryID>291</SubCategoryID><GroupID>2948</GroupID><SubGroupID>7354</SubGroupID><Suffix>Medtronic</Suffix><ARTGs><ARTG>140537</ARTG></ARTGs><MinimumBenefit>2876</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2019-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ246</BillingCode><Name>Cardioblate XL Pen VLFT</Name><Description>Monopolar radio-frequency catheter-pen for point-by-point cardiac ablation compatible with the Valleylab FT10 FT series energy platform  </Description><Size>One size only</Size><SupplierCode>MI</SupplierCode><CategoryID>20</CategoryID><SubCategoryID>291</SubCategoryID><GroupID>2948</GroupID><SubGroupID>7354</SubGroupID><Suffix>Medtronic</Suffix><ARTGs><ARTG>377935</ARTG></ARTGs><MinimumBenefit>2876</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2024-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MI487</BillingCode><Name>Cardioblate MAPS </Name><Description>Surgical RF Mapping, Ablation, Pacing and Sensing catheter.</Description><Size>One size only</Size><SupplierCode>MI</SupplierCode><CategoryID>20</CategoryID><SubCategoryID>291</SubCategoryID><GroupID>2948</GroupID><SubGroupID>7354</SubGroupID><Suffix>Medtronic - MAPS</Suffix><ARTGs><ARTG>155379</ARTG></ARTGs><MinimumBenefit>2000</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ZZ056</BillingCode><Name>Isolator Synergy Access</Name><Description>Articulating Surgical Radio Frequency (RF) Clamp for Atrial Fibrillation Surgery</Description><Size>One size only</Size><SupplierCode>ZZ</SupplierCode><CategoryID>20</CategoryID><SubCategoryID>291</SubCategoryID><GroupID>2948</GroupID><SubGroupID>7355</SubGroupID><Suffix>AA-Med - Isolator Synergy</Suffix><ARTGs><ARTG>167710</ARTG><ARTG>297560</ARTG></ARTGs><MinimumBenefit>4200</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2019-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ZZ055</BillingCode><Name>ATRICURE ISOLATOR SYNERGY RF CLAMPS</Name><Description>Surgical Radio Frequency (RF) Clamps for Atrial Fibrillation surgery</Description><Size>Short, Long</Size><SupplierCode>ZZ</SupplierCode><CategoryID>20</CategoryID><SubCategoryID>291</SubCategoryID><GroupID>2948</GroupID><SubGroupID>7355</SubGroupID><Suffix>AA-Med - Isolator Synergy</Suffix><ARTGs><ARTG>163534</ARTG></ARTGs><MinimumBenefit>4200</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2019-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ZZ064</BillingCode><Name>ATRICURE COOLRAIL LINEAR PEN</Name><Description>Surgical Radio Frequency (RF) Irrigated Linear Pen for Atrial Fibrillation surgery</Description><Size>One size only</Size><SupplierCode>ZZ</SupplierCode><CategoryID>20</CategoryID><SubCategoryID>291</SubCategoryID><GroupID>2948</GroupID><SubGroupID>7355</SubGroupID><Suffix>AA-Med - Coolrail</Suffix><ARTGs><ARTG>326625</ARTG></ARTGs><MinimumBenefit>2600</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2020-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MI308</BillingCode><Name>Cardioblate BP2 RF Surgical Ablation Device</Name><Description>The Cardioblate BP2 RF Surgical Ablation devices feature dual electrodes for the delivery of irrigated RF energy.  iRF technology combines saline to facilitate treatment</Description><Size>Standard, Low Profile</Size><SupplierCode>MI</SupplierCode><CategoryID>20</CategoryID><SubCategoryID>291</SubCategoryID><GroupID>2948</GroupID><SubGroupID>7355</SubGroupID><Suffix>Medtronic</Suffix><ARTGs><ARTG>140537</ARTG></ARTGs><MinimumBenefit>3523</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2019-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ243</BillingCode><Name>Cardioblate BP2 surgical ablation device</Name><Description>Valleylab FT10 FT series energy platform compatible bipolar RF ablation catheter with saline irrigation and choice of standard or low-profile jaw designs</Description><Size>Standard, Low Profile</Size><SupplierCode>MI</SupplierCode><CategoryID>20</CategoryID><SubCategoryID>291</SubCategoryID><GroupID>2948</GroupID><SubGroupID>7355</SubGroupID><Suffix>Medtronic</Suffix><ARTGs><ARTG>378230</ARTG><ARTG>378231</ARTG></ARTGs><MinimumBenefit>3523</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2024-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ZZ065</BillingCode><Name>Atricure Isolator Linear Pen</Name><Description>Surgical Radio Frequency (RF) Isolator Linear Pen for Atrial Fibrillation surgery</Description><Size>One size only</Size><SupplierCode>ZZ</SupplierCode><CategoryID>20</CategoryID><SubCategoryID>291</SubCategoryID><GroupID>2948</GroupID><SubGroupID>7355</SubGroupID><Suffix>AA-Med - Isolator Linear Pen</Suffix><ARTGs><ARTG>326627</ARTG><ARTG>326626</ARTG></ARTGs><MinimumBenefit>2000</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2020-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ZZ080</BillingCode><Name>EPi-Sense Guided Coagulation System with VisiTrax Device CDK-1413 </Name><Description>Surgical Radio Frequency (RF) catheter for Atrial Fibrillation surgery</Description><Size>EPi-Sense Probe: 3cm (end effector) </Size><SupplierCode>ZZ</SupplierCode><CategoryID>20</CategoryID><SubCategoryID>291</SubCategoryID><GroupID>2948</GroupID><SubGroupID>7356</SubGroupID><Suffix>AA-Med Episense</Suffix><ARTGs><ARTG>347670</ARTG></ARTGs><MinimumBenefit>6040</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ244</BillingCode><Name>Cardioblate BP2/PEN FT System</Name><Description>The Cardioblate BP2/PEN FT System includes both the FT-10 energy platform compatible Cardioblate BP2 surgical ablation device and Cardioblate PEN FT. This system features dual electrodes for the delivery of saline irrigated RF energy</Description><Size>One size only</Size><SupplierCode>MI</SupplierCode><CategoryID>20</CategoryID><SubCategoryID>291</SubCategoryID><GroupID>2948</GroupID><SubGroupID>7356</SubGroupID><Suffix>Medtronic - Cardioblate BP2</Suffix><ARTGs><ARTG>377936</ARTG></ARTGs><MinimumBenefit>4614</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2024-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MI312</BillingCode><Name>Cardioblate® BP2 RF Surgical Ablation System</Name><Description>The Cardioblate® BP2 RF Surgical Ablation system features dual electrodes for the delivery of irrigated RF energy.  iRF technology combines saline to facilitate treatment</Description><Size>One size only</Size><SupplierCode>MI</SupplierCode><CategoryID>20</CategoryID><SubCategoryID>291</SubCategoryID><GroupID>2948</GroupID><SubGroupID>7356</SubGroupID><Suffix>Medtronic - Cardioblate BP2</Suffix><ARTGs><ARTG>146949</ARTG></ARTGs><MinimumBenefit>4614</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2019-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MI310</BillingCode><Name>Cardioblate® Gemini® Surgical Ablation System</Name><Description>The Cardioblate® Gemini® Surgical Ablation System is designed for minimally invasive ablation procedures. Gemini-s combines the efficacy of irrigated RF energy through a bipolar jaw, to facilitate deeper energy penetration, with real time measured customised energy delivery for greater confidence in achieving transmural cardiac lesions.</Description><Size>One size only</Size><SupplierCode>MI</SupplierCode><CategoryID>20</CategoryID><SubCategoryID>291</SubCategoryID><GroupID>2948</GroupID><SubGroupID>7356</SubGroupID><Suffix>Medtronic - Cardioblate Gemini</Suffix><ARTGs><ARTG>153878</ARTG></ARTGs><MinimumBenefit>6040</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2019-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ245</BillingCode><Name>Cardioblate Gemini-S FT Clamp</Name><Description>Valleylab FT10 FT series energy platform compatible bipolar RF ablation catheter with saline irrigation designed for minimally invasive ablation procedures</Description><Size>One size only</Size><SupplierCode>MI</SupplierCode><CategoryID>20</CategoryID><SubCategoryID>291</SubCategoryID><GroupID>2948</GroupID><SubGroupID>7356</SubGroupID><Suffix>Medtronic - Cardioblate Gemini</Suffix><ARTGs><ARTG>377933</ARTG></ARTGs><MinimumBenefit>6040</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2024-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MV020</BillingCode><Name>BVital Form RCM </Name><Description>Resorbable Collagen Dental Membrane</Description><Size>(15-30)mm x (20-40)mm sheet</Size><SupplierCode>MV</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>199</SubCategoryID><GroupID>1588</GroupID><SubGroupID>4253</SubGroupID><ARTGs><ARTG>376528</ARTG></ARTGs><MinimumBenefit>224</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>GI019</BillingCode><Name>Geistlich Bio-Gide Perio / Geistlich Bio-Gide Compressed</Name><Description>Geistlich Bio-Gide Perio and Geistlich Bio-Gide Compressed are collagen membranes containing porcine collagen in a bilayer structure. Geistlich Bio-Gide Perio is used for guided bone regeneration and is especially indicated for periodontal bone defects in oral and maxillofacial surgery.
Geistlich Bio-Gide Compressed is intended to be used as a barrier membrane in the regeneration of bone defects.</Description><Size>16 x 22 mm, 13 x 25 mm, 20 x 30 mm</Size><SupplierCode>GI</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>199</SubCategoryID><GroupID>1588</GroupID><SubGroupID>4253</SubGroupID><ARTGs><ARTG>230085</ARTG><ARTG>294333</ARTG></ARTGs><MinimumBenefit>224</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>OK007</BillingCode><Name>Neomem FLEXPLUS</Name><Description>Resorbable Collagen Membrane</Description><Size>15 x 20mm, 20 x 30mm, 30 x 40mm  </Size><SupplierCode>OK</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>199</SubCategoryID><GroupID>1588</GroupID><SubGroupID>4253</SubGroupID><ARTGs><ARTG>317977</ARTG></ARTGs><MinimumBenefit>224</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2020-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>FV011</BillingCode><Name>Ossix Plus</Name><Description>Ossix Plus is a resorbable collagen membrane intended for use during the process of guided bone regeneration (GBR) and guided tissue regeneration (GTR) as a biodegradable barrier.     </Description><Size>15 x 25mm, 25 x 30mm, 30 x 40mm</Size><SupplierCode>FV</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>199</SubCategoryID><GroupID>1588</GroupID><SubGroupID>4253</SubGroupID><ARTGs><ARTG>380301</ARTG></ARTGs><MinimumBenefit>224</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SB014</BillingCode><Name>Jason membrane</Name><Description>Resorbable collagen membrane for dental regeneration</Description><Size>15 x 20mm, 20 x 30mm, 30 x 40mm</Size><SupplierCode>SB</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>199</SubCategoryID><GroupID>1588</GroupID><SubGroupID>4253</SubGroupID><ARTGs><ARTG>307644</ARTG></ARTGs><MinimumBenefit>224</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2019-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>KT033</BillingCode><Name>Martin Level One Fixation Resorb x &amp; SonicWeld</Name><Description>Reconstruction sheet not mesh PDLLA (resorbable)</Description><Size>25x25mm-0.1mm</Size><SupplierCode>KT</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>199</SubCategoryID><GroupID>1588</GroupID><SubGroupID>4253</SubGroupID><ARTGs><ARTG>143326</ARTG></ARTGs><MinimumBenefit>224</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2015-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>GI014</BillingCode><Name>Geistlich Mucograft,  Geistlich Mucograft Seal</Name><Description>Collagen Matrix</Description><Size>15mm x 20mm, 20mm x 30mm, diameter 8mm, diameter 12mm</Size><SupplierCode>GI</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>199</SubCategoryID><GroupID>1588</GroupID><SubGroupID>4253</SubGroupID><ARTGs><ARTG>229991</ARTG><ARTG>229995</ARTG></ARTGs><MinimumBenefit>224</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2015-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>NJ013</BillingCode><Name>NeoGen Collagen membrane</Name><Description>NeoGen Collagen Flex is a bioresorbable, implantable collagen material that is intended for use in oral surgical procedures as a resorbable membrane material for use in simultaneous use of guided bine regeneration (GBR) - membrane and implants; augmentation around implants placed in immediate extraction sockets; augmentation around implants placed in delayed extraction sockets; localized ridge augmentation for later implantation; alveolar ridge reconstruction for prosthetic treatment; filling of bone defects after root resection, cystectomy or removal of retained teeth; guided bone regeneration in dehiscence defects and guided tissue regeneration procedures in periodontal defects</Description><Size>Small 20mm x15mm  Medium 30mm x 20mm  Large 40mm x 30mm</Size><SupplierCode>NJ</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>199</SubCategoryID><GroupID>1588</GroupID><SubGroupID>4253</SubGroupID><ARTGs><ARTG>372711</ARTG></ARTGs><MinimumBenefit>224</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>IF003</BillingCode><Name>Regaurde Resorbable Collagen Membrane</Name><Description>Collagen dental regeneration membrane</Description><Size>15x20mm, 20x30mm, 30x40mm</Size><SupplierCode>IF</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>199</SubCategoryID><GroupID>1588</GroupID><SubGroupID>4253</SubGroupID><ARTGs><ARTG>216324</ARTG></ARTGs><MinimumBenefit>224</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2020-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>NR015</BillingCode><Name>creos xenoprotect</Name><Description>creos xenoprotect is a resorbable dental membrane. A resorbable collagen membrane is used for guided bone regeneration (GBR) and guided tissue regeneration (GTR) procedures.  It's composed of a network of interwoven, highly purified porcine collagen and elastin fibers, providing the membrane with high mechanical strength.</Description><Size>15 x 20mm  25 x 30mm  30 x 40mm</Size><SupplierCode>NR</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>199</SubCategoryID><GroupID>1588</GroupID><SubGroupID>4253</SubGroupID><ARTGs><ARTG>297240</ARTG></ARTGs><MinimumBenefit>224</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2019-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>IC004</BillingCode><Name>ZenGuard</Name><Description>ZenGuard Resorbable Membrane is a conformable Collagen Membrane derived from purified porcine peritoneum to aid in wound healing</Description><Size>15x 20mm
20x 30mm
30x 40mm</Size><SupplierCode>IC</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>199</SubCategoryID><GroupID>1588</GroupID><SubGroupID>4253</SubGroupID><ARTGs><ARTG>300185</ARTG></ARTGs><MinimumBenefit>224</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2019-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SB034</BillingCode><Name>mucoderm®</Name><Description>mucoderm® is a collagen matrix of porcine derived dermis indicated for dental regeneration of soft tissue defects and regenerating soft tissues around teeth or dental implants to act as a scaffold and assist in the revascularisation of the tissue.    </Description><Size>15x20mm  20x30mm  30x40mm  </Size><SupplierCode>SB</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>199</SubCategoryID><GroupID>1588</GroupID><SubGroupID>4253</SubGroupID><ARTGs><ARTG>353073</ARTG></ARTGs><MinimumBenefit>224</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2023-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>FV014</BillingCode><Name>OSSIX Agile</Name><Description>OSSIX Agile is a resorbable collagen membrane intended for use during the process of guided bone regeneration (GBR) and guided tissue regeneration (GTR) as a biodegradable barrier.   
</Description><Size>10 x 12mm, 15 x 25mm, 25 x 30mm, 30 x 40mm</Size><SupplierCode>FV</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>199</SubCategoryID><GroupID>1588</GroupID><SubGroupID>4253</SubGroupID><ARTGs><ARTG>473445</ARTG></ARTGs><ChangeExplanation>New listing</ChangeExplanation><MinimumBenefit>224</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2025-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>VQ001</BillingCode><Name>CelGro Dental and Striate+</Name><Description>Resorbable collagen barrier membrane</Description><Size>15mm x 20mm, 20 x 30mm, 30mm x 40mm, 40mm x 50mm</Size><SupplierCode>VQ</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>199</SubCategoryID><GroupID>1588</GroupID><SubGroupID>4253</SubGroupID><ARTGs><ARTG>352137</ARTG><ARTG>384272</ARTG></ARTGs><MinimumBenefit>224</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HD029</BillingCode><Name>BioHorions Mem-Lok RCM</Name><Description>Mem-Lok Resorbable Collagen Matrix is engineered from highly purified, Type I bovine collagen to provide a predictable resorption period and ensure optimal bone regeneration in periodontal, implantology or maxillofacial surgery.</Description><Size>15mm x 20mm  20mm x 30mm  30mm x 40mm</Size><SupplierCode>HD</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>199</SubCategoryID><GroupID>1588</GroupID><SubGroupID>4253</SubGroupID><ARTGs><ARTG>196055</ARTG></ARTGs><MinimumBenefit>224</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HD027</BillingCode><Name>BioHorizons Mem-Lok Pliable </Name><Description>Mem-Lok Pliable is a strong, conformable collagen barrier membrane manufactured from highly purified porcine tissue. Predictable resorption time is 12-16 weeks. Used for guided bone regeneration and periodontal tissue regeneration in oral and maxillofacial surgery.</Description><Size>15mm x 20mm  20mm x 30mm  30mm x 40mm</Size><SupplierCode>HD</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>199</SubCategoryID><GroupID>1588</GroupID><SubGroupID>4253</SubGroupID><ARTGs><ARTG>300312</ARTG></ARTGs><MinimumBenefit>224</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>NW005</BillingCode><Name>OsseoGuard Resorbable Collagen Membrane</Name><Description>Dental Resorbable Collagen Membrane</Description><Size>15mm x 20mm, 20mm x 30mm, 30mm x 40mm</Size><SupplierCode>NW</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>199</SubCategoryID><GroupID>1588</GroupID><SubGroupID>4253</SubGroupID><ARTGs><ARTG>154041</ARTG></ARTGs><MinimumBenefit>224</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2010-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>NW009</BillingCode><Name>Biomend &amp; Biomend Extend Collagen Membrane</Name><Description>Absorbable Collagen membrane</Description><Size>15mm x 20mm
20mm x 30mm
30mm x 40mm</Size><SupplierCode>NW</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>199</SubCategoryID><GroupID>1588</GroupID><SubGroupID>4253</SubGroupID><ARTGs><ARTG>159199</ARTG><ARTG>159200</ARTG></ARTGs><MinimumBenefit>224</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>GI021</BillingCode><Name>Geistlich Bio-Gide</Name><Description>Geistlich Bio-Gide is a collagen membrane containing porcine collagen in a bilayer structure. It is used for guided bone regeneration and peridontal tissue regeneration in oral and maxillofacial surgery.</Description><Size>13 x 25 mm, 25 x 25 mm, 30 x 40 mm</Size><SupplierCode>GI</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>199</SubCategoryID><GroupID>1588</GroupID><SubGroupID>4253</SubGroupID><ARTGs><ARTG>230084</ARTG></ARTGs><MinimumBenefit>224</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>GI020</BillingCode><Name>Geistlich Bio-Gide Shape</Name><Description>Geistlich Bio-Gide Shape is intended to be used as a barrier membrane in the regeneration of bone defects and used after bone grafting procedures in extraction sockets.
Because of its elasticity, Geistlich Bio-Gide Shape should be used in combination with void-filling bone graft materials such as autologous bone or bone substitutes (e.g. Geistlich Bio-Oss / Geistlich Bio-Oss Collagen) whenever possible.
The porous surface, facing the bone, allows the ingrowth of bone-forming cells. The dense surface, facing the soft tissue, prevents the ingrowth of fibrous tissue into the bone defect.</Description><Size>14 x 24 mm</Size><SupplierCode>GI</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>199</SubCategoryID><GroupID>1588</GroupID><SubGroupID>4253</SubGroupID><ARTGs><ARTG>287902</ARTG></ARTGs><MinimumBenefit>224</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>FV012</BillingCode><Name>OSSIX Volumax</Name><Description>A resorbable collagen membrane intended for use during the process of guided bone regeneration (GBR) and guided tissue regeneration (GTR) as a biodegradable barrier.</Description><Size>10 x 12.5mm  15 x 25mm  25 x 30mm  10 x 40mm</Size><SupplierCode>FV</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>199</SubCategoryID><GroupID>1588</GroupID><SubGroupID>4253</SubGroupID><ARTGs><ARTG>380302</ARTG></ARTGs><MinimumBenefit>224</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HW672</BillingCode><PriorBillingCodes><PriorBillingCode>HW426</PriorBillingCode><PriorBillingCode>HW427</PriorBillingCode><PriorBillingCode>SK513</PriorBillingCode><PriorBillingCode>SK516</PriorBillingCode></PriorBillingCodes><Name>Ultra Thin Sheet</Name><Description>Porus Polyethylene</Description><Size>38-127 x 50-178 x 0.85mm</Size><SupplierCode>JV</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>199</SubCategoryID><GroupID>1588</GroupID><SubGroupID>4254</SubGroupID><ARTGs><ARTG>257032</ARTG></ARTGs><MinimumBenefit>234</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2020-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SK517</BillingCode><Name>Sheet - Barrier Single Channel Sheet.</Name><Description>Porus Polyethylene. Barrier Single Channel Sheet, Model 9527.</Description><Size>Barrier Single Channel: 38 x 50 x 0.85mm</Size><SupplierCode>JV</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>199</SubCategoryID><GroupID>1588</GroupID><SubGroupID>4254</SubGroupID><ARTGs><ARTG>257016</ARTG></ARTGs><MinimumBenefit>234</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2011-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SY696</BillingCode><Name>SynPOR</Name><Description>Porous Polyethylene</Description><Size>0.45mm - 3.0mm thick</Size><SupplierCode>JJ</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>199</SubCategoryID><GroupID>1588</GroupID><SubGroupID>4254</SubGroupID><ARTGs><ARTG>190454</ARTG></ARTGs><MinimumBenefit>234</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HW416</BillingCode><Name>Micro Thin Sheet</Name><Description>Model/s 8438, 83020, 83022, 83029</Description><Size>8438: 30 x 50 x 0.4mm,  83020: 38 x 50 x 0.25mm, 83022: 38 x 50 x 0.35mm, 83029: 38 x 50 x 0.45mm</Size><SupplierCode>JV</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>199</SubCategoryID><GroupID>1588</GroupID><SubGroupID>4254</SubGroupID><ARTGs><ARTG>152165</ARTG></ARTGs><MinimumBenefit>234</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2011-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HW417</BillingCode><Name>Sheet</Name><Description>Porus Polyethylene. Models 6330, 6331, 8662, 9562. Micro single channel sheet, model 9528. Barrier microplate single channel sheet, model 9527 Medpor Titan Implant Sheets Plain, Barrier &amp; Double Barrier, and Medpor Titan Orbital floor and wall sheets 8102</Description><Size>Sheets 6330: 38 x 50 x 1.5mm, 6331: 50 x 76 x 1.5mm, 8662: 76 x 127 x 1.5mm, 9862: 38 x 50 x 3mm. Microplate single channel Sheet 9528: 38 x 50 x 0.85mm. Barrier microplate single channel Sheet 9527: 38 x 50 x 0.85mm. Titan implant sheets 81020: 76 x 50 x</Size><SupplierCode>JV</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>199</SubCategoryID><GroupID>1588</GroupID><SubGroupID>4254</SubGroupID><ARTGs><ARTG>152165</ARTG></ARTGs><MinimumBenefit>234</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2011-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HW418</BillingCode><Name>Barrier Sheet: Barrier Sheet - Orbital Floor</Name><Description>Porus Polyethylene. Barrier  sheet - Rectangle, models 8312 and 9312. Orbital floor implants, models 8305 and 9305</Description><Size> Barrier  sheet - Rectangle: 50 x 76  x 1mm, 50 x 76 x 1.6mm: 50 x 76 x 1mm, 50 x 76 x 1.6mm.  Orbital Floor: 38 x 50 x 1mm, 38 x 50 x 1.6mm</Size><SupplierCode>JV</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>199</SubCategoryID><GroupID>1588</GroupID><SubGroupID>4254</SubGroupID><ARTGs><ARTG>257032</ARTG></ARTGs><MinimumBenefit>234</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2011-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>DE812</BillingCode><PriorBillingCodes><PriorBillingCode>VL009</PriorBillingCode></PriorBillingCodes><Name>Su-Por Ultra Thin, Membrane, Flor-Tec, Channel Sheet</Name><Description>An implantable device intended to support, contour, and provide structure for the craniofacial anatomy during reconstructive and plastic surgery procedures. 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>2.5mm, 3.5mm. 4.0mm, 0.85mm, 1.5mm, 3.0mm</Size><SupplierCode>DE</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>199</SubCategoryID><GroupID>1588</GroupID><SubGroupID>4254</SubGroupID><ARTGs><ARTG>335454</ARTG></ARTGs><MinimumBenefit>234</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2023-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HT018</BillingCode><PriorBillingCodes><PriorBillingCode>TZ026</PriorBillingCode></PriorBillingCodes><Name>Genus Uni Tibial Tray Cementless</Name><Description>Genus Uni Tibial Tray for cementless fixation using Ti-Por powder printed monolithic construct with HA Coating.</Description><Size>Sizes 1-6 RM/LL and LM/RL</Size><SupplierCode>HT</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>152</SubCategoryID><GroupID>1367</GroupID><SubGroupID>3925</SubGroupID><ARTGs><ARTG>287899</ARTG></ARTGs><MinimumBenefit>1570</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ZI027</BillingCode><Name>ZCA Acetabular Cup</Name><Description>UHMPE unmodified</Description><Size>47 - 61</Size><SupplierCode>ZI</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>163</SubCategoryID><GroupID>1425</GroupID><SubGroupID>4006</SubGroupID><ARTGs><ARTG>230915</ARTG><ARTG>212781</ARTG><ARTG>209894</ARTG></ARTGs><MinimumBenefit>629</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LC020</BillingCode><Name>Lima Cemented Cup</Name><Description>UHMWPE Cemented Cup Unmodified</Description><Size>28-36mm OD x 44-58mm OD 20*</Size><SupplierCode>LC</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>163</SubCategoryID><GroupID>1425</GroupID><SubGroupID>4006</SubGroupID><ARTGs><ARTG>213029</ARTG></ARTGs><MinimumBenefit>629</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2009-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MA027</BillingCode><Name>CCB Cemented UHMWPE Cup</Name><Description>UHMWPE, low &amp; full profile</Description><Size>28/32 ID - 42/64 OD</Size><SupplierCode>MA</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>163</SubCategoryID><GroupID>1425</GroupID><SubGroupID>4006</SubGroupID><ARTGs><ARTG>211096</ARTG></ARTGs><MinimumBenefit>629</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LH677</BillingCode><PriorBillingCodes><PriorBillingCode>OO138</PriorBillingCode></PriorBillingCodes><Name>IC Muller PE Cup</Name><Description>PE acetabulum cup with 0 and10 degree lip - cemented</Description><Size>44-62mm, 28-32mm</Size><SupplierCode>LH</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>163</SubCategoryID><GroupID>1425</GroupID><SubGroupID>4006</SubGroupID><ARTGs><ARTG>234879</ARTG></ARTGs><MinimumBenefit>629</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BB236</BillingCode><Name>Polyethylene Acetabular Cup</Name><Description>Unmodified Polyethylene</Description><Size>22.2mm-32mm articulations; 40mm-64mm diameters</Size><SupplierCode>BB</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>163</SubCategoryID><GroupID>1425</GroupID><SubGroupID>4006</SubGroupID><ARTGs><ARTG>297032</ARTG></ARTGs><MinimumBenefit>629</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MU144</BillingCode><Name>APRICOT full PE Cemented Cup</Name><Description>Flat edge full PE cemented cup</Description><Size>002, 028, 032</Size><SupplierCode>MU</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>163</SubCategoryID><GroupID>1425</GroupID><SubGroupID>4006</SubGroupID><ARTGs><ARTG>230649</ARTG></ARTGs><MinimumBenefit>629</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2015-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ZI384</BillingCode><Name>Low Profile Cup - Cups cemented</Name><Description>UHMPE unmodified</Description><Size>22/36 to 32/64</Size><SupplierCode>ZI</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>163</SubCategoryID><GroupID>1425</GroupID><SubGroupID>4006</SubGroupID><Suffix>SCP</Suffix><ARTGs><ARTG>230852</ARTG></ARTGs><MinimumBenefit>629</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>GG003</BillingCode><Name>Contile Fin II Acetabular, Mueller Cup 28mm and 32mm</Name><Description>Mueller Cup</Description><Size>28mm Neutral and 10 Degree, 32mm Neutral and 10 Degree</Size><SupplierCode>GG</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>163</SubCategoryID><GroupID>1425</GroupID><SubGroupID>4006</SubGroupID><ARTGs><ARTG>284657</ARTG><ARTG>285462</ARTG></ARTGs><MinimumBenefit>629</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LO018</BillingCode><Name>LINK IP Acetabular Cup</Name><Description>UHMWPE unmodified</Description><Size>40 - 64mm</Size><SupplierCode>LO</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>163</SubCategoryID><GroupID>1425</GroupID><SubGroupID>4006</SubGroupID><ARTGs><ARTG>223527</ARTG></ARTGs><MinimumBenefit>629</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ317</BillingCode><Name>RingLoc Bi-Polar Hip System</Name><Description>RingLoc Bi-Polar Acetabular Cup</Description><Size>ID 22mm, 28mm/ OD 41mm-61mm</Size><SupplierCode>ZI</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>163</SubCategoryID><GroupID>1425</GroupID><SubGroupID>4007</SubGroupID><ARTGs><ARTG>451008</ARTG></ARTGs><MinimumBenefit>786</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2024-08-08</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HW030</BillingCode><Name>Contemporary Hip System Range</Name><Description>Exeter Contemporary Flanged modified  Enhanced Polyethylene </Description><Size>ID: 26, 28, 32.  OD 46, 48, 50, 52, 54, 56, 58, 60</Size><SupplierCode>JV</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>163</SubCategoryID><GroupID>1425</GroupID><SubGroupID>4007</SubGroupID><Suffix>Flange</Suffix><ARTGs><ARTG>205344</ARTG></ARTGs><MinimumBenefit>425</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MU143</BillingCode><Name>APRICOT full PE HC Cemented Cup</Name><Description>Flat Edge full High-Cross PE cemented Cup</Description><Size>022, 028, 032, 036</Size><SupplierCode>MU</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>163</SubCategoryID><GroupID>1425</GroupID><SubGroupID>4007</SubGroupID><ARTGs><ARTG>281575</ARTG></ARTGs><MinimumBenefit>786</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2015-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ZI314</BillingCode><Name>ZCA All Poly Acetabular Cup - XLPE</Name><Description>UHMPE modified </Description><Size>22, 26, 28 &amp; 32 mm heads; 47-61mm diameter; flanged and non-flanged</Size><SupplierCode>ZI</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>163</SubCategoryID><GroupID>1425</GroupID><SubGroupID>4007</SubGroupID><ARTGs><ARTG>213175</ARTG></ARTGs><MinimumBenefit>786</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ZI957</BillingCode><Name>Exceed ABT Cemented Cup</Name><Description>Polyethylene - E1 Non-Flanged Cup</Description><Size>46-60 outer diameter</Size><SupplierCode>ZI</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>163</SubCategoryID><GroupID>1425</GroupID><SubGroupID>4007</SubGroupID><ARTGs><ARTG>233757</ARTG></ARTGs><MinimumBenefit>786</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SK460</BillingCode><Name>Exeter Rim Fit Flanged X3 Cup</Name><Description>X3 Highly crosslinked Cup</Description><Size>40-60mm OD, 22.2-40mm ID</Size><SupplierCode>JV</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>163</SubCategoryID><GroupID>1425</GroupID><SubGroupID>4007</SubGroupID><ARTGs><ARTG>224769</ARTG></ARTGs><MinimumBenefit>786</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2007-06-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HW029</BillingCode><Name>Duration Polyethelene cemented acetabular component</Name><Description>Duration Poly Cup -  Enhanced Polyethylene</Description><Size>26 - 32 mm ID</Size><SupplierCode>JV</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>163</SubCategoryID><GroupID>1425</GroupID><SubGroupID>4007</SubGroupID><ARTGs><ARTG>205343</ARTG></ARTGs><MinimumBenefit>786</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>JJ689</BillingCode><Name>MARATHON XLPE Cemented Cup</Name><Description>Cemented cross-linked polyethylene acetabular cup with flange</Description><Size>Inner diameter 22-36mm, outer diameter 38-53mm</Size><SupplierCode>JJ</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>163</SubCategoryID><GroupID>1425</GroupID><SubGroupID>4007</SubGroupID><ARTGs><ARTG>210127</ARTG></ARTGs><MinimumBenefit>786</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2009-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SN696</BillingCode><Name>Reflection</Name><Description>Acetabular Cup - XLPE</Description><Size>22-64mm</Size><SupplierCode>SN</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>163</SubCategoryID><GroupID>1425</GroupID><SubGroupID>4007</SubGroupID><ARTGs><ARTG>218147</ARTG></ARTGs><MinimumBenefit>786</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LO019</BillingCode><Name>Lubinus Eccentric Acetabular Cup</Name><Description>UHMWPE constrained</Description><Size>44 - 68mm</Size><SupplierCode>LO</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>163</SubCategoryID><GroupID>1425</GroupID><SubGroupID>4008</SubGroupID><ARTGs><ARTG>223210</ARTG><ARTG>223209</ARTG><ARTG>234119</ARTG></ARTGs><MinimumBenefit>699</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SK430</BillingCode><Name>Trident Constrained All Poly Acetabular Cup</Name><Description>UHMWPE constrained cemented cup</Description><Size>40-70mm</Size><SupplierCode>JV</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>163</SubCategoryID><GroupID>1425</GroupID><SubGroupID>4008</SubGroupID><ARTGs><ARTG>225310</ARTG></ARTGs><MinimumBenefit>699</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2007-06-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LH676</BillingCode><Name>IC Muller PE snap lock cup</Name><Description>PE acetabulum cup , constrained</Description><Size>44 – 64mm, 32mm</Size><SupplierCode>LH</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>163</SubCategoryID><GroupID>1425</GroupID><SubGroupID>4008</SubGroupID><ARTGs><ARTG>234880</ARTG></ARTGs><MinimumBenefit>699</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ222</BillingCode><Name>Versacem Double Mobility cemented cup</Name><Description>Cemented metal acetabular dual mobility cup designed to be used with a polyethylene liner</Description><Size>from 38 to 56 mm diameter in 2mm increments</Size><SupplierCode>MU</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>163</SubCategoryID><GroupID>1425</GroupID><SubGroupID>4009</SubGroupID><ARTGs><ARTG>208703</ARTG></ARTGs><MinimumBenefit>1511</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2024-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MN349</BillingCode><Name>BI-MENTUM Dual Mobility System</Name><Description>Cemented metal acetabular dual mobility cup designed to be used with a polyethylene liner</Description><Size>43-63 mm diameter in 2mm increments</Size><SupplierCode>JJ</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>163</SubCategoryID><GroupID>1425</GroupID><SubGroupID>4009</SubGroupID><ARTGs><ARTG>363211</ARTG></ARTGs><MinimumBenefit>1511</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SM133</BillingCode><Name>Polar Cup Cemented Acetabular Shell</Name><Description>Stainless steel, cemented shell that has polished inner surface for dual mobility with constrained UHMWPE liner/head</Description><Size>43-63MM</Size><SupplierCode>SN</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>163</SubCategoryID><GroupID>1425</GroupID><SubGroupID>4009</SubGroupID><ARTGs><ARTG>231321</ARTG></ARTGs><MinimumBenefit>1511</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2008-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>UK026</BillingCode><PriorBillingCodes><PriorBillingCode>GO282</PriorBillingCode></PriorBillingCodes><Name>Novae STICK Dual Mobility Cup</Name><Description>A cemented metal acetabular dual mobility cup designed to be used with a polyethylene liner</Description><Size>43-69mm diameter in 2mm increments</Size><SupplierCode>UK</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>163</SubCategoryID><GroupID>1425</GroupID><SubGroupID>4009</SubGroupID><ARTGs><ARTG>298114</ARTG></ARTGs><MinimumBenefit>1511</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LI059</BillingCode><Name>Saturne Cemented Tripolar Cup</Name><Description>Stainless steel cemented acetabular cup with an anatomical anti-disloction profile</Description><Size>Sizes 44 - 60 in 2mm increments</Size><SupplierCode>LI</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>163</SubCategoryID><GroupID>1425</GroupID><SubGroupID>4009</SubGroupID><ARTGs><ARTG>210137</ARTG></ARTGs><MinimumBenefit>1511</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2013-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BH040</BillingCode><Name>Avantage Dual Mobility Cemented Acetabular Cup</Name><Description>Acetabular shell, polished inner surface, Stainless Steel</Description><Size>44mm - 60mm</Size><SupplierCode>ZI</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>163</SubCategoryID><GroupID>1425</GroupID><SubGroupID>4009</SubGroupID><ARTGs><ARTG>223850</ARTG></ARTGs><MinimumBenefit>1511</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2010-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>XL001</BillingCode><Name>Symbol Dual Mobility Acetabular Shell Cemented</Name><Description>Dual Mobility Cemented Cup</Description><Size>44mm to 68mm</Size><SupplierCode>XL</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>163</SubCategoryID><GroupID>1425</GroupID><SubGroupID>4009</SubGroupID><ARTGs><ARTG>417507</ARTG></ARTGs><ChangeExplanation>New listing</ChangeExplanation><MinimumBenefit>1511</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2025-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>CR232</BillingCode><Name>Dual Mobility Cup (MobiliT), Shell Cemented</Name><Description>Acetabular Shell, Cemented stainless steel with groove, internal mirror polished</Description><Size>42mm to 60mm</Size><SupplierCode>CR</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>163</SubCategoryID><GroupID>1425</GroupID><SubGroupID>4009</SubGroupID><ARTGs><ARTG>383311</ARTG></ARTGs><MinimumBenefit>1511</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-02-01</CycleStartDate><CycleEndDate>2025-03-01</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>ZI</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ZI297</BillingCode><Name>Cable Ready Cable Grip System</Name><Description>Titanium</Description><Size>5 hole GTR with 4 cables</Size><SupplierCode>ZI</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5303</SubGroupID><ARTGs><ARTG>108377</ARTG></ARTGs><MinimumBenefit>2470</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HW306</BillingCode><Name>Dall Miles Cable Grip System - Stainless Steel</Name><Description>Stainless Steel Plate:7 hole -  Stainless Steel</Description><Size>8 inches</Size><SupplierCode>JV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5303</SubGroupID><ARTGs><ARTG>312160</ARTG></ARTGs><MinimumBenefit>2470</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ZI298</BillingCode><Name>Cable Ready Cable Grip System</Name><Description>Titanium</Description><Size>2 hole GTR with 4 cables</Size><SupplierCode>ZI</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5303</SubGroupID><ARTGs><ARTG>108377</ARTG></ARTGs><MinimumBenefit>2470</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ZI299</BillingCode><Name>Cable Ready Cable Grip System</Name><Description>Titanium</Description><Size>4 hole GTR with 4 cables</Size><SupplierCode>ZI</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5303</SubGroupID><ARTGs><ARTG>108377</ARTG></ARTGs><MinimumBenefit>2470</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SK402</BillingCode><Name>Trochanteric Grip</Name><Description>Trochanteric Grip Plate with 2 cables</Description><Size>Medium 100 - 200mm, 2 -6 Holes</Size><SupplierCode>JV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5303</SubGroupID><ARTGs><ARTG>312160</ARTG></ARTGs><MinimumBenefit>2470</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2006-11-30</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SN730</BillingCode><Name>Accord</Name><Description>Orthopaedic Cable System, Titanium Plate</Description><Size>150-250mm</Size><SupplierCode>SN</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5303</SubGroupID><ARTGs><ARTG>108428</ARTG></ARTGs><MinimumBenefit>2470</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>PB018</BillingCode><Name>Calcaneal Locking Plate MIPO System - Locking Plates</Name><Description>Posterior Tuberosity Calcaneal Locking Plate II, Anterior Process Calcaneal Locking Plate, Posterior Tuberosity Calcaneal Locking Plate</Description><Size>5 &amp; 6 Holes</Size><SupplierCode>PB</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5295</SubGroupID><Suffix>LK</Suffix><ARTGs><ARTG>261562</ARTG></ARTGs><MinimumBenefit>1149</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2016-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MO405</BillingCode><Name>Acumed Locking Calcaneal Plates</Name><Description>Locking Calcaneal Plates</Description><Size>&lt;6 Hole LK</Size><SupplierCode>MO</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5295</SubGroupID><Suffix>LK</Suffix><ARTGs><ARTG>99824</ARTG></ARTGs><MinimumBenefit>1149</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2013-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SY188</BillingCode><Name>AO/ASIF Plates</Name><Description>Calcaneal, Locking</Description><Size>7 - 15 holes</Size><SupplierCode>JJ</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5296</SubGroupID><Suffix>LK</Suffix><ARTGs><ARTG>157069</ARTG></ARTGs><MinimumBenefit>1149</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HU202</BillingCode><PriorBillingCodes><PriorBillingCode>DE464</PriorBillingCode></PriorBillingCodes><Name>Calcaneal Fracture Plate</Name><Description>Calcaneal Fracture Plate for fixation of Calcaneal fractures</Description><Size>X-small, small, Medium, Large - LEFT and RIGHT side specific plates</Size><SupplierCode>HU</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5296</SubGroupID><Suffix>VAL</Suffix><ARTGs><ARTG>350871</ARTG><ARTG>351000</ARTG></ARTGs><MinimumBenefit>1373</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SN984</BillingCode><Name>Peri-Loc</Name><Description>Calcaneal Plates</Description><Size>&gt;7 to &lt;15 holes</Size><SupplierCode>SN</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5296</SubGroupID><Suffix>VAL</Suffix><ARTGs><ARTG>108428</ARTG></ARTGs><MinimumBenefit>1373</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HW895</BillingCode><PriorBillingCodes><PriorBillingCode>WR369</PriorBillingCode></PriorBillingCodes><Name>MaxLock Extreme System - CalcLock Extreme Plate</Name><Description>Calcaneal variable angle locking plate, Titanium</Description><Size>Standard, Large, Extra Large, Right and Left</Size><SupplierCode>JV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5296</SubGroupID><Suffix>LK</Suffix><ARTGs><ARTG>214671</ARTG></ARTGs><MinimumBenefit>1149</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MO404</BillingCode><Name>Acumed Locking Calcaneal Plates</Name><Description>Locking Calcaneal Plates</Description><Size>≥ 7 to ≤ 15 LK</Size><SupplierCode>MO</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5296</SubGroupID><Suffix>LK</Suffix><ARTGs><ARTG>99824</ARTG></ARTGs><MinimumBenefit>1149</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2013-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SF121</BillingCode><Name>Islay Calaneal Locking Plate</Name><Description>Islay Calaneal Locking Plate 3.5</Description><Size>Islay Calaneal Locking Plate 3.5, large
Islay Calaneal Locking Plate 3.5, medium
Islay Calaneal Locking Plate 3.5, small</Size><SupplierCode>SF</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5296</SubGroupID><Suffix>LK</Suffix><ARTGs><ARTG>208160</ARTG></ARTGs><MinimumBenefit>1149</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2016-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SN983</BillingCode><Name>Peri-Loc</Name><Description>Calcaneal Plates</Description><Size>&gt;7 to &lt;15 holes</Size><SupplierCode>SN</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5296</SubGroupID><Suffix>LK</Suffix><ARTGs><ARTG>108428</ARTG></ARTGs><MinimumBenefit>1149</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ213</BillingCode><Name>Colink Cfx Calcaneal Plates</Name><Description>Titanium Locking Calcaneal Plates Various Designs </Description><Size>Small, Medium, Large 9-13 Holes</Size><SupplierCode>LV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5296</SubGroupID><Suffix>LK</Suffix><ARTGs><ARTG>338649</ARTG></ARTGs><MinimumBenefit>1149</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2024-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>OX013</BillingCode><Name>ARMAR 3.5mm Meril Locking Plate System - Calcaneal Plate</Name><Description>TiCP calcaneal locking plates</Description><Size>15 Holes
64-81mm Length
Left and Right</Size><SupplierCode>OX</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5296</SubGroupID><Suffix>LK</Suffix><ARTGs><ARTG>286842</ARTG></ARTGs><MinimumBenefit>1149</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>PB080</BillingCode><Name>Marathon VAL Calcaneal Plate</Name><Description>Variable Angle Calcaneal Plates</Description><Size>7 - 15 Holes</Size><SupplierCode>PB</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5296</SubGroupID><Suffix>VAL</Suffix><ARTGs><ARTG>261562</ARTG></ARTGs><MinimumBenefit>1373</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>EO056</BillingCode><Name>Aptus Foot</Name><Description>Calcaneus Plates</Description><Size>Left and right plates, small, medium and large</Size><SupplierCode>EO</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5296</SubGroupID><Suffix>VAL</Suffix><ARTGs><ARTG>141170</ARTG></ARTGs><MinimumBenefit>1373</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ492</BillingCode><PriorBillingCodes><PriorBillingCode>ER424</PriorBillingCode></PriorBillingCodes><Name>Paragon 28 Gorilla Plating System-Plate, Calcaneal ( ≥ 7 to ≤ 15 holes)</Name><Description>Paragon 28 Gorilla Plating System-Plate, Calcaneus fracture, MTP various shapes, Titanium,</Description><Size>thickness 1.1mm; multi screw diameter purchase 2.7/3.5/4.2mm</Size><SupplierCode>KQ</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5296</SubGroupID><Suffix>VAL</Suffix><ARTGs><ARTG>289248</ARTG></ARTGs><MinimumBenefit>1373</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HW807</BillingCode><PriorBillingCodes><PriorBillingCode>WR231</PriorBillingCode></PriorBillingCodes><Name>Calcaneus Plate</Name><Description>Titanium locking plate, Tab &amp; Perimeter</Description><Size>14 holes</Size><SupplierCode>JV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5296</SubGroupID><Suffix>VAL</Suffix><ARTGs><ARTG>326629</ARTG></ARTGs><MinimumBenefit>1373</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ351</BillingCode><PriorBillingCodes><PriorBillingCode>LM306</PriorBillingCode></PriorBillingCodes><Name>Osteomed FPS</Name><Description>Calcaneal Plates</Description><Size>7 to 15 holes</Size><SupplierCode>LH</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5296</SubGroupID><Suffix>VAL</Suffix><ARTGs><ARTG>202319</ARTG></ARTGs><MinimumBenefit>1373</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2016-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BH243</BillingCode><Name>ALPS Foot System</Name><Description>Calcaneal foot plate</Description><Size>small to large</Size><SupplierCode>ZI</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5296</SubGroupID><Suffix>VAL</Suffix><ARTGs><ARTG>153056</ARTG></ARTGs><MinimumBenefit>1373</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2013-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SK094</BillingCode><Name>Stryker Plating System Small Fragment Set</Name><Description>Calcaneal Plate</Description><Size>70-80mm</Size><SupplierCode>JV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5296</SubGroupID><ARTGs><ARTG>139635</ARTG></ARTGs><MinimumBenefit>509</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>PB019</BillingCode><Name>Calcaneal Locking Plate -  Locking Plates</Name><Description>Calcaneal Locking Plate I, Calcaneal Locking Plate II, Compound Calcaneal Locking Plate II, Anterior Process Calcaneal Locking Plate II, Anatomical Calcaneal Locking Plate II, Anterior Process and Posterior Tuberosity Calcaneal Locking Plate</Description><Size>≥ 7 to ≤ 15 holes, 
Large, medium and small</Size><SupplierCode>PB</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5296</SubGroupID><Suffix>LK</Suffix><ARTGs><ARTG>261562</ARTG></ARTGs><MinimumBenefit>1149</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2016-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SR092</BillingCode><Name>Stryker Locking Plate System</Name><Description>Calcaneus Locking Plates</Description><Size>12 Hole</Size><SupplierCode>JV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5296</SubGroupID><Suffix>VAL</Suffix><ARTGs><ARTG>124319</ARTG></ARTGs><MinimumBenefit>1373</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SR093</BillingCode><Name>Stryker Locking Plate System</Name><Description>Calcaneus Locking Plates</Description><Size>16 Hole</Size><SupplierCode>JV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5297</SubGroupID><Suffix>VAL</Suffix><ARTGs><ARTG>124319</ARTG></ARTGs><MinimumBenefit>956</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HW808</BillingCode><PriorBillingCodes><PriorBillingCode>WR232</PriorBillingCode></PriorBillingCodes><Name>Calcaneus Plate</Name><Description>Titanium locking plate, Tab &amp; Perimeter</Description><Size>16 &amp; 17 holes</Size><SupplierCode>JV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5297</SubGroupID><Suffix>VAL</Suffix><ARTGs><ARTG>326629</ARTG></ARTGs><MinimumBenefit>956</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HW796</BillingCode><PriorBillingCodes><PriorBillingCode>WR082</PriorBillingCode></PriorBillingCodes><Name>Ortholoc 3Di Plates</Name><Description>Osteosynthesis Bone Plate System</Description><Size>2-7 holes</Size><SupplierCode>JV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5298</SubGroupID><Suffix>VAL</Suffix><ARTGs><ARTG>326629</ARTG></ARTGs><MinimumBenefit>1007</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HW834</BillingCode><PriorBillingCodes><PriorBillingCode>WR292</PriorBillingCode></PriorBillingCodes><Name>SALVATION 3Di Plating System - Plates</Name><Description>Bridge plates and recon plates</Description><Size>Small, medium and large</Size><SupplierCode>JV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5298</SubGroupID><Suffix>VAL</Suffix><ARTGs><ARTG>326629</ARTG></ARTGs><MinimumBenefit>1007</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HW459</BillingCode><Name>Variax 2 Foot Plates</Name><Description>Polyaxial Locking plates with compressions holes</Description><Size>Broad Straight – 2-7 Hole  Slim Straight – 2-7 Hole  Broad Y-Plate – 2-7 Shaft Holes  Slim Y-Plate – 2-7 Holes</Size><SupplierCode>JV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5298</SubGroupID><Suffix>VAL</Suffix><ARTGs><ARTG>162776</ARTG><ARTG>269713</ARTG></ARTGs><MinimumBenefit>1007</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ036</BillingCode><PriorBillingCodes><PriorBillingCode>LM339</PriorBillingCode><PriorBillingCode>LM339</PriorBillingCode></PriorBillingCodes><Name>Orthopaedic Fixation Plate</Name><Description>Orthopaedic Fixation Plates</Description><Size>2 - 8 holes and/or Small, Medium, Large</Size><SupplierCode>LV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5298</SubGroupID><Suffix>VAL</Suffix><ARTGs><ARTG>338649</ARTG></ARTGs><MinimumBenefit>1007</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HW816</BillingCode><PriorBillingCodes><PriorBillingCode>WR244</PriorBillingCode></PriorBillingCodes><Name>Charlotte Claw Locking Plate</Name><Description>Straight, U, T Plates - 2, 3, &amp; 4 Hole</Description><Size>15, 20, 25, 30mm, Sm, Med, Lge</Size><SupplierCode>JV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5298</SubGroupID><Suffix>VAL</Suffix><ARTGs><ARTG>326629</ARTG></ARTGs><MinimumBenefit>1007</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MO381</BillingCode><Name>Acumed Congruent Plate system</Name><Description>Foort and Ankle Plate titanium</Description><Size>≥7 to ≤15 hole</Size><SupplierCode>MO</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5298</SubGroupID><Suffix>LK</Suffix><ARTGs><ARTG>99824</ARTG></ARTGs><MinimumBenefit>693</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MO380</BillingCode><Name>Acumed Congruent Plate System</Name><Description>Foot and Ankle Plate Titanium</Description><Size>≤ 6 hole</Size><SupplierCode>MO</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5298</SubGroupID><Suffix>LK</Suffix><ARTGs><ARTG>99824</ARTG></ARTGs><MinimumBenefit>693</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SL197</BillingCode><PriorBillingCodes><PriorBillingCode>IG081</PriorBillingCode></PriorBillingCodes><Name>Hallu-Fix Plates</Name><Description>Hallu-C and Hallu-S titanium plates for first MTP arthrodesis </Description><Size>Length: 40 - 55mm 3 sizes: 1, 2, 3 for left or right </Size><SupplierCode>SN</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5298</SubGroupID><ARTGs><ARTG>173932</ARTG></ARTGs><MinimumBenefit>428</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MO379</BillingCode><Name>Acumed Congruent Plate System</Name><Description>Foot and Ankle Plate itianium</Description><Size>≤ 6 hole</Size><SupplierCode>MO</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5298</SubGroupID><ARTGs><ARTG>98244</ARTG></ARTGs><MinimumBenefit>428</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HW709</BillingCode><PriorBillingCodes><PriorBillingCode>WR052</PriorBillingCode></PriorBillingCodes><Name>Charlotte MTP Fusion System</Name><Description>MTP plate, stainless steel, SLIM LINE</Description><Size>Left &amp; right</Size><SupplierCode>JV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5298</SubGroupID><Suffix>LK</Suffix><ARTGs><ARTG>326629</ARTG></ARTGs><MinimumBenefit>693</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HW714</BillingCode><PriorBillingCodes><PriorBillingCode>WR065</PriorBillingCode></PriorBillingCodes><Name>Rearfoot Plate - RPS</Name><Description>Unique extended plate geometry for plating complex rearfoot reconstructions, uses 3.5mm locked screws for optimal bone purchase.</Description><Size>6 hole - 37mm, 8 hole - 50mm, 14 hole - 66mm</Size><SupplierCode>JV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5298</SubGroupID><Suffix>LK</Suffix><ARTGs><ARTG>326629</ARTG></ARTGs><MinimumBenefit>693</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ZI167</BillingCode><Name>Zimmer Internal Fixation Systems: Cable System</Name><Description>Cable-Ready 6 Hole Plate - Stainless Steel</Description><Size>187mm long</Size><SupplierCode>ZI</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5299</SubGroupID><ARTGs><ARTG>108377</ARTG></ARTGs><MinimumBenefit>637</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SN731</BillingCode><Name>Accord</Name><Description>Orthopaedic Cable System, Sm Cable Grip</Description><Size>75-255mm</Size><SupplierCode>SN</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5299</SubGroupID><ARTGs><ARTG>140705</ARTG></ARTGs><MinimumBenefit>637</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SN735</BillingCode><Name>Accord</Name><Description>Orthopaedic Cable System, Std Cable Grip</Description><Size>85-265mm</Size><SupplierCode>SN</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5300</SubGroupID><ARTGs><ARTG>140705</ARTG></ARTGs><MinimumBenefit>751</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ZI169</BillingCode><Name>Zimmer Internal Fixation Systems: Cable System</Name><Description>Cable-Ready 10 Hole Plate - Stainless Steel</Description><Size>305mm long</Size><SupplierCode>ZI</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5300</SubGroupID><ARTGs><ARTG>108377</ARTG></ARTGs><MinimumBenefit>751</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LM135</BillingCode><Name>TriMed Hook Plate</Name><Description>Hook Plate</Description><Size>≤ 6 holes</Size><SupplierCode>LM</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5289</SubGroupID><Suffix>LK</Suffix><ARTGs><ARTG>182677</ARTG></ARTGs><MinimumBenefit>1184</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HU129</BillingCode><PriorBillingCodes><PriorBillingCode>DE556</PriorBillingCode></PriorBillingCodes><Name>Posterolateral Anatomic Distal Fibula Plate</Name><Description>Plate for fracture fixation</Description><Size>4-6 Holes Left and Right Side Specific</Size><SupplierCode>HU</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5289</SubGroupID><Suffix>LK</Suffix><ARTGs><ARTG>351000</ARTG></ARTGs><MinimumBenefit>1184</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SL129</BillingCode><Name>Smith &amp; Nephew Plate and Screw System - EVOS</Name><Description>VAL Periarticular Anatomical Small Fragment plate - Fibula</Description><Size>≤ 6 holes</Size><SupplierCode>SN</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5289</SubGroupID><Suffix>VAL</Suffix><ARTGs><ARTG>108428</ARTG></ARTGs><MinimumBenefit>1362</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2019-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HW813</BillingCode><Name>Ortholoc Fracture System - Plates</Name><Description>Syndesmosis</Description><Size>4 Holes, Right and Left</Size><SupplierCode>JV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5289</SubGroupID><Suffix>VAL</Suffix><ARTGs><ARTG>326629</ARTG></ARTGs><MinimumBenefit>1362</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SK580</BillingCode><Name>Stryker Locked Plate system</Name><Description>Periarticular variable angle locking plate - fibula</Description><Size>1-6 Holes</Size><SupplierCode>JV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5289</SubGroupID><Suffix>VAL</Suffix><ARTGs><ARTG>119848</ARTG><ARTG>139635</ARTG></ARTGs><MinimumBenefit>1362</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BH307</BillingCode><Name>ALPS Fibula Plating System</Name><Description>Anatomic Fibular Plating System</Description><Size>≤ 6 holes</Size><SupplierCode>ZI</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5289</SubGroupID><Suffix>VAL</Suffix><ARTGs><ARTG>275084</ARTG></ARTGs><MinimumBenefit>1362</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2013-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ493</BillingCode><PriorBillingCodes><PriorBillingCode>ER421</PriorBillingCode></PriorBillingCodes><Name>Paragon 28 Gorilla Plating System-Plate, fibular (≤ 6 holes)</Name><Description>Paragon 28 Gorilla Plating System-Plate, fibular, tubular,anatomic, titanium</Description><Size>thickness 1.5mm; multi screw diameter purchase 2.7/3.5/4.2mm</Size><SupplierCode>KQ</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5289</SubGroupID><Suffix>VAL</Suffix><ARTGs><ARTG>289248</ARTG></ARTGs><MinimumBenefit>1362</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>TN006</BillingCode><Name>Newclip Activ Ankle Plate</Name><Description>Variable Angle Locking Fibular Plate</Description><Size>7 to 15 holes</Size><SupplierCode>TN</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5290</SubGroupID><Suffix>VAL</Suffix><ARTGs><ARTG>260229</ARTG><ARTG>260232</ARTG></ARTGs><MinimumBenefit>1238</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2016-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LM136</BillingCode><Name>TriMed Periarticular Ankle Plates</Name><Description>TriMed Periarticular Ankle Plates</Description><Size>≥ 7 to ≤ 15 holes</Size><SupplierCode>LM</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5290</SubGroupID><Suffix>LK</Suffix><ARTGs><ARTG>182677</ARTG></ARTGs><MinimumBenefit>1194</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HU190</BillingCode><PriorBillingCodes><PriorBillingCode>DE421</PriorBillingCode></PriorBillingCodes><Name>Locking distal Fibula plate</Name><Description>Locking Distal Fibula Plate For Fracture Fixation</Description><Size>4-6 Holes ( Left and Right Specific)</Size><SupplierCode>HU</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5290</SubGroupID><Suffix>LK</Suffix><ARTGs><ARTG>351000</ARTG><ARTG>350871</ARTG></ARTGs><MinimumBenefit>1194</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SY811</BillingCode><Name>AO/ASIF Plates</Name><Description>Distal fibula; lateral, posterolateral locking plates</Description><Size>7 to 15 Holes</Size><SupplierCode>JJ</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5290</SubGroupID><Suffix>LK</Suffix><ARTGs><ARTG>157069</ARTG></ARTGs><MinimumBenefit>1194</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2016-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HU130</BillingCode><PriorBillingCodes><PriorBillingCode>DE578</PriorBillingCode></PriorBillingCodes><Name>Posterolateral Anatomic Distal Fibula Plate</Name><Description>Plate for fracture fixation</Description><Size>8-10 holes Left and Right Side Specific</Size><SupplierCode>HU</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5290</SubGroupID><Suffix>LK</Suffix><ARTGs><ARTG>351000</ARTG></ARTGs><MinimumBenefit>1194</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HU189</BillingCode><Name>Locking Distal Fibula Plate</Name><Description>Locking Distal Fibula Plate for Fracture Fixation</Description><Size>8 -14 Holes ( Left and Right Specific)</Size><SupplierCode>HU</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5290</SubGroupID><Suffix>LK</Suffix><ARTGs><ARTG>350871</ARTG><ARTG>351000</ARTG></ARTGs><MinimumBenefit>1194</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>EO102</BillingCode><Name>APTUS Foot &amp; Ankle</Name><Description>Fibula Plates</Description><Size>7 to 15 holes</Size><SupplierCode>EO</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5290</SubGroupID><Suffix>VAL</Suffix><ARTGs><ARTG>206157</ARTG></ARTGs><MinimumBenefit>1238</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2020-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SY815</BillingCode><Name>AO/ASIF Plates</Name><Description>LCP Lateral Distal Fibula</Description><Size>7 to 15 Holes</Size><SupplierCode>JJ</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5290</SubGroupID><Suffix>VAL</Suffix><ARTGs><ARTG>157069</ARTG></ARTGs><MinimumBenefit>1238</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2016-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SL146</BillingCode><Name>Smith &amp; Nephew Plate and Screw System - EVOS</Name><Description>VAL Periarticular Anatomical Small Fragment plate - Fibula</Description><Size>≥ 7 to ≤ 15 holes</Size><SupplierCode>SN</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5290</SubGroupID><Suffix>VAL</Suffix><ARTGs><ARTG>108428</ARTG></ARTGs><MinimumBenefit>1238</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2019-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BH308</BillingCode><Name>ALPS Fibula Plating System</Name><Description>Anatomic Fibular Locking Plate</Description><Size>7-15 holes</Size><SupplierCode>ZI</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5290</SubGroupID><Suffix>VAL</Suffix><ARTGs><ARTG>275084</ARTG></ARTGs><MinimumBenefit>1238</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2013-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ353</BillingCode><PriorBillingCodes><PriorBillingCode>LM308</PriorBillingCode></PriorBillingCodes><Name>Osteomed FPS</Name><Description>Fibular Fracture Plates</Description><Size>7 to 15 holes</Size><SupplierCode>LH</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5290</SubGroupID><Suffix>VAL</Suffix><ARTGs><ARTG>202319</ARTG></ARTGs><MinimumBenefit>1238</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2016-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ495</BillingCode><PriorBillingCodes><PriorBillingCode>ER422</PriorBillingCode></PriorBillingCodes><Name>Paragon 28 Gorilla Plating System-Plate, fibular (≥ 7 to ≤ 15 holes)</Name><Description>Paragon 28 Gorilla Plating System-Plate, fibular, tubular, anatomic, titanium</Description><Size>thickness 1.5mm; multi screw diameter purchase 2.7/3.5/4.2mm</Size><SupplierCode>KQ</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5290</SubGroupID><Suffix>VAL</Suffix><ARTGs><ARTG>289248</ARTG></ARTGs><MinimumBenefit>1238</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HW812</BillingCode><Name>Ortholoc Fracture System - Plates</Name><Description>Lateral Fibula, Posterior Fibula</Description><Size>8-15 Holes, Right and Left</Size><SupplierCode>JV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5290</SubGroupID><Suffix>VAL</Suffix><ARTGs><ARTG>326629</ARTG></ARTGs><MinimumBenefit>1238</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HW898</BillingCode><PriorBillingCodes><PriorBillingCode>WR374</PriorBillingCode></PriorBillingCodes><Name>MaxLock Extreme System - Distal Fibula Plate</Name><Description>Distal Fibula variable angle locking plate, Titanium</Description><Size>Long, Medium, Short, Right and Left</Size><SupplierCode>JV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5290</SubGroupID><Suffix>LK</Suffix><ARTGs><ARTG>214671</ARTG></ARTGs><MinimumBenefit>1194</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SK581</BillingCode><Name>Stryker Locked Plate System</Name><Description>Periartiicular variable angle locking plate - fibula</Description><Size>7-15 holes</Size><SupplierCode>JV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5290</SubGroupID><Suffix>VAL</Suffix><ARTGs><ARTG>139635</ARTG></ARTGs><MinimumBenefit>1238</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>JD004</BillingCode><Name>CarboFix Piccolo Distal Fibula Plate System – Plate component</Name><Description>CFR-PEEK distal fibula plate</Description><Size>Left 72mm, 83mm, 96mm, 112mm, 153mm, 182mm
Right 72mm, 83mm, 96mm, 112mm, 153mm, 182mm</Size><SupplierCode>JD</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5290</SubGroupID><Suffix>VAL</Suffix><ARTGs><ARTG>222648</ARTG></ARTGs><MinimumBenefit>1238</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>XT046</BillingCode><PriorBillingCodes><PriorBillingCode>GW060</PriorBillingCode></PriorBillingCodes><Name>WEGO Trauma Systems</Name><Description>Periarticular Fibula Plating System</Description><Size>7 - 15 Holes</Size><SupplierCode>XT</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5290</SubGroupID><Suffix>LK</Suffix><ARTGs><ARTG>324402</ARTG></ARTGs><ChangeExplanation>
Billing code transferred from GW060
Sponsor transferred from EQUINOX MEDICAL PTY LTD</ChangeExplanation><MinimumBenefit>1194</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2020-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MO443</BillingCode><Name>Acumed Ankle 3 Plating System</Name><Description>Periarticular variable angle locking plate fibula</Description><Size>7-15 holes, left and right</Size><SupplierCode>MO</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5290</SubGroupID><Suffix>VAL</Suffix><ARTGs><ARTG>99824</ARTG></ARTGs><MinimumBenefit>1238</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2019-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MO449</BillingCode><Name>Acumed Ankle 3 Plating System</Name><Description>Periarticular variable angle locking plate fibula</Description><Size>16-18 holes</Size><SupplierCode>MO</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5291</SubGroupID><Suffix>VAL</Suffix><ARTGs><ARTG>99824</ARTG></ARTGs><MinimumBenefit>1102</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2020-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ494</BillingCode><PriorBillingCodes><PriorBillingCode>ER423</PriorBillingCode></PriorBillingCodes><Name>Paragon 28 Gorilla Plating System-Plate, fibular (≥ 16 holes)</Name><Description>Paragon 28 Gorilla Plating System-Plate, fibular, tubular, anatomic, titanium</Description><Size>thickness 1.5mm; multi screw diameter purchase 2.7/3.5/4.2mm</Size><SupplierCode>KQ</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5291</SubGroupID><Suffix>VAL</Suffix><ARTGs><ARTG>289248</ARTG></ARTGs><MinimumBenefit>1102</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SL134</BillingCode><Name>Smith &amp; Nephew Plate and Screw System - EVOS</Name><Description>VAL Periarticular Anatomical Small Fragment plate - Fibula</Description><Size>≥ 16 holes</Size><SupplierCode>SN</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5291</SubGroupID><Suffix>VAL</Suffix><ARTGs><ARTG>108428</ARTG></ARTGs><MinimumBenefit>1102</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2019-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>EO104</BillingCode><Name>APTUS Foot &amp; Ankle</Name><Description>Fibula Plates</Description><Size>≥ 16 holes</Size><SupplierCode>EO</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5291</SubGroupID><Suffix>VAL</Suffix><ARTGs><ARTG>206157</ARTG></ARTGs><MinimumBenefit>1102</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2020-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>XT047</BillingCode><PriorBillingCodes><PriorBillingCode>GW061</PriorBillingCode></PriorBillingCodes><Name>WEGO Trauma Systems</Name><Description>Periarticular Fibula Plating Systems</Description><Size>≥ 16 Holes</Size><SupplierCode>XT</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5291</SubGroupID><Suffix>LK</Suffix><ARTGs><ARTG>324402</ARTG></ARTGs><ChangeExplanation>
Billing code transferred from GW061
Sponsor transferred from EQUINOX MEDICAL PTY LTD</ChangeExplanation><MinimumBenefit>892</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2020-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SY816</BillingCode><Name>AO/ASIF Plates</Name><Description>LCP Lateral Distal Fibula</Description><Size>&gt;16 Holes</Size><SupplierCode>JJ</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5291</SubGroupID><Suffix>VAL</Suffix><ARTGs><ARTG>157069</ARTG></ARTGs><MinimumBenefit>1102</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2016-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LM375</BillingCode><Name>Cluster Plates</Name><Description>Cluster Plates</Description><Size>18 holes</Size><SupplierCode>LM</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5291</SubGroupID><Suffix>LK</Suffix><ARTGs><ARTG>182677</ARTG></ARTGs><MinimumBenefit>892</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2019-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>TN037</BillingCode><Name>Newclip Activ Ankle Plate</Name><Description>Periarticular distal fibular VAL Plate</Description><Size>L75-187mm</Size><SupplierCode>TN</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5291</SubGroupID><Suffix>VAL</Suffix><ARTGs><ARTG>260232</ARTG><ARTG>260229</ARTG></ARTGs><MinimumBenefit>1102</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SY812</BillingCode><Name>AO/ASIF Plates</Name><Description>Distal fibula; lateral, posterolateral locking plates</Description><Size>&gt;16 Holes</Size><SupplierCode>JJ</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5291</SubGroupID><Suffix>LK</Suffix><ARTGs><ARTG>157069</ARTG></ARTGs><MinimumBenefit>892</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2016-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HW809</BillingCode><Name>Ortholoc Ankle Plating</Name><Description>Anterior, Posterior, Lateral or Medial</Description><Size>4-6 holes  50-155mm Length</Size><SupplierCode>JV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5292</SubGroupID><Suffix>VAL</Suffix><ARTGs><ARTG>326629</ARTG></ARTGs><MinimumBenefit>1474</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SL230</BillingCode><Name>Smith &amp; Nephew Plate and Screw System - EVOS</Name><Description>Large and Periprosthetic Tibia Plate – Variable Angle Locking</Description><Size>≤ 6 holes</Size><SupplierCode>SN</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5292</SubGroupID><Suffix>VAL</Suffix><ARTGs><ARTG>108428</ARTG><ARTG>368492</ARTG></ARTGs><MinimumBenefit>1474</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SN975</BillingCode><Name>Peri-Loc</Name><Description>Tibia Plates</Description><Size>≤6 holes</Size><SupplierCode>SN</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5292</SubGroupID><Suffix>VAL</Suffix><ARTGs><ARTG>108428</ARTG></ARTGs><MinimumBenefit>1474</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SL132</BillingCode><Name>Smith &amp; Nephew Plate and Screw System - EVOS</Name><Description>VAL Periarticular Anatomical Small Fragment plate - Tibia</Description><Size>≤ 6 holes</Size><SupplierCode>SN</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5292</SubGroupID><Suffix>VAL</Suffix><ARTGs><ARTG>108428</ARTG></ARTGs><MinimumBenefit>1474</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2019-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MO442</BillingCode><Name>Acumed Ankle 3 Plating System</Name><Description>Periarticular Anatomic variable angle locking tibial plates</Description><Size>2 to 6 Holes</Size><SupplierCode>MO</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5292</SubGroupID><Suffix>VAL</Suffix><ARTGs><ARTG>99824</ARTG></ARTGs><MinimumBenefit>1474</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2019-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ337</BillingCode><PriorBillingCodes><PriorBillingCode>LM305</PriorBillingCode></PriorBillingCodes><Name>Extremilock FPS</Name><Description>Ankle Plating System</Description><Size>3.5mm and 4mm</Size><SupplierCode>LH</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5292</SubGroupID><Suffix>VAL</Suffix><ARTGs><ARTG>202319</ARTG></ARTGs><MinimumBenefit>1474</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2016-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ233</BillingCode><Name>Colink Afx Posterior Tibia Plates</Name><Description>Periarticular VAL Posterior Tibia Plates</Description><Size>3, 5 Hole</Size><SupplierCode>LV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5292</SubGroupID><Suffix>VAL</Suffix><ARTGs><ARTG>338649</ARTG></ARTGs><MinimumBenefit>1474</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2024-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SY732</BillingCode><Name>AO/ASIF Plates</Name><Description>Anatomic Locking Tibial Plates</Description><Size>≤ 6 Holes</Size><SupplierCode>JJ</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5292</SubGroupID><Suffix>LK</Suffix><ARTGs><ARTG>157069</ARTG></ARTGs><MinimumBenefit>1365</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>TN052</BillingCode><Name>Periarticular anatomic tibia VAL ≤ 6 holes</Name><Description>Periarticular anatomic tibia VAL ≤ 6 holes</Description><Size>≤ 6 holes</Size><SupplierCode>TN</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5292</SubGroupID><Suffix>VAL</Suffix><ARTGs><ARTG>260229</ARTG><ARTG>260232</ARTG></ARTGs><MinimumBenefit>1474</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>EO105</BillingCode><Name>APTUS Foot &amp; Ankle</Name><Description>Tibia Plates</Description><Size>≤ 6 holes</Size><SupplierCode>EO</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5292</SubGroupID><Suffix>VAL</Suffix><ARTGs><ARTG>206157</ARTG></ARTGs><MinimumBenefit>1474</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2020-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>XT017</BillingCode><PriorBillingCodes><PriorBillingCode>GW018</PriorBillingCode></PriorBillingCodes><Name>WEGO Trauma Systems</Name><Description>Periarticular Tibia Plating Systems</Description><Size>≤ 6 Holes</Size><SupplierCode>XT</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5292</SubGroupID><Suffix>LK</Suffix><ARTGs><ARTG>324402</ARTG></ARTGs><ChangeExplanation>
Billing code transferred from GW018
Sponsor transferred from EQUINOX MEDICAL PTY LTD</ChangeExplanation><MinimumBenefit>1365</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2020-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SL101</BillingCode><PriorBillingCodes><PriorBillingCode>SN985</PriorBillingCode></PriorBillingCodes><Name>Peri-Loc</Name><Description>Tibia Plates</Description><Size>≤6 holes</Size><SupplierCode>SN</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5292</SubGroupID><Suffix>LK</Suffix><ARTGs><ARTG>108428</ARTG></ARTGs><MinimumBenefit>1365</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>DZ027</BillingCode><Name>Valetis Ankle - Tibial</Name><Description>Distal Tibial Anatomical Locking Plates</Description><Size>3 to 6 hole, left and right</Size><SupplierCode>DZ</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5292</SubGroupID><Suffix>LK</Suffix><ARTGs><ARTG>284755</ARTG></ARTGs><MinimumBenefit>1365</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HU134</BillingCode><PriorBillingCodes><PriorBillingCode>DE557</PriorBillingCode></PriorBillingCodes><Name>Medial Distal Tibia Plate</Name><Description>Plate for Fracture Fixation</Description><Size>4-6 Holes Left and Right Side Specific</Size><SupplierCode>HU</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5292</SubGroupID><Suffix>LK</Suffix><ARTGs><ARTG>351000</ARTG></ARTGs><MinimumBenefit>1365</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HU133</BillingCode><PriorBillingCodes><PriorBillingCode>DE552</PriorBillingCode></PriorBillingCodes><Name>Anterolateral Distal Tibia Plate</Name><Description>Plate for Fracture Fixation</Description><Size>4-6 Holes Left and Right Side Specific</Size><SupplierCode>HU</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5292</SubGroupID><Suffix>LK</Suffix><ARTGs><ARTG>351000</ARTG></ARTGs><MinimumBenefit>1365</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HU132</BillingCode><PriorBillingCodes><PriorBillingCode>DE549</PriorBillingCode></PriorBillingCodes><Name>Posterior Distal Tibia Plate</Name><Description>Plate for Fracture Fixation</Description><Size>3-5 Holes</Size><SupplierCode>HU</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5292</SubGroupID><Suffix>LK</Suffix><ARTGs><ARTG>351000</ARTG></ARTGs><MinimumBenefit>1365</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>PB024</BillingCode><Name>Low Profile Distal Medial Tibial Locking Plate - ≤ 6 Holes</Name><Description>Low Profile Distal Medial Tibial Locking Plate</Description><Size>≤ 6 Holes</Size><SupplierCode>PB</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5292</SubGroupID><Suffix>LK</Suffix><ARTGs><ARTG>261562</ARTG></ARTGs><MinimumBenefit>1365</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2016-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>PJ022</BillingCode><Name>Lateral closing wedge Tibial</Name><Description>Shifting the mechanical axis from the lateral to the medial compartment in patients with lateral Osteoarthritis in combination with Valgus deformity</Description><Size>61mm-24mm</Size><SupplierCode>PJ</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5292</SubGroupID><Suffix>LK</Suffix><ARTGs><ARTG>276245</ARTG></ARTGs><MinimumBenefit>1365</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>TN031</BillingCode><Name>Newclip Activ Ankle Plate</Name><Description>Locking Tibial Plate</Description><Size>≤ 6 holes</Size><SupplierCode>TN</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5292</SubGroupID><Suffix>LK</Suffix><ARTGs><ARTG>260229</ARTG><ARTG>260232</ARTG></ARTGs><MinimumBenefit>1365</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>OX047</BillingCode><Name>ARMAR 4.5mm Meril Locking Plate System - Proximal Tibial Plates ≤ 6 holes</Name><Description>TAN Proximal Tibial Locking Plates</Description><Size>5 Holes
140mm Length
Left and Right</Size><SupplierCode>OX</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5292</SubGroupID><Suffix>LK</Suffix><ARTGs><ARTG>286842</ARTG></ARTGs><MinimumBenefit>1365</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HU131</BillingCode><PriorBillingCodes><PriorBillingCode>DE529</PriorBillingCode></PriorBillingCodes><Name>Anterior Distal Tibia Plate</Name><Description>Plate for Fracture Fixation</Description><Size>3-5 Holes</Size><SupplierCode>HU</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5292</SubGroupID><Suffix>LK</Suffix><ARTGs><ARTG>351000</ARTG></ARTGs><MinimumBenefit>1365</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>OX042</BillingCode><Name>ARMAR 3.5 LPS Tibial Plates</Name><Description>3.5 mm anatomical tibial plates</Description><Size>4 - 6 holes</Size><SupplierCode>OX</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5292</SubGroupID><Suffix>LK</Suffix><ARTGs><ARTG>286842</ARTG></ARTGs><MinimumBenefit>1365</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LH445</BillingCode><Name>Hinge Pediatric Plating System - Hinge Plate</Name><Description>Articulated growth-correction fixation plate</Description><Size>12mm, 16mm, 20mm (distance between anchoring points)</Size><SupplierCode>LH</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5292</SubGroupID><ARTGs><ARTG>161505</ARTG></ARTGs><MinimumBenefit>929</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2010-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SK530</BillingCode><Name>Stryker Plating System.</Name><Description>T-Plate, pre-shaped</Description><Size>5-6 hole</Size><SupplierCode>JV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5292</SubGroupID><ARTGs><ARTG>139635</ARTG></ARTGs><MinimumBenefit>929</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SN581</BillingCode><Name>TC-100</Name><Description>Tibia Plates, L:/E 6 Holes</Description><Size>≤ 6 holes</Size><SupplierCode>SN</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5292</SubGroupID><ARTGs><ARTG>108428</ARTG></ARTGs><MinimumBenefit>929</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>AE099</BillingCode><Name>Active Knee Tibial Baseplate</Name><Description>Tibial Baseplate, HA, uncemented, beaded, stemmed , CoCr</Description><Size>Sizes 1 to 5 (A-Narrow &amp; B-Wide)</Size><SupplierCode>AE</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>151</SubCategoryID><GroupID>1360</GroupID><SubGroupID>3923</SubGroupID><ARTGs><ARTG>276963</ARTG></ARTGs><MinimumBenefit>2356</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2007-12-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SK326</BillingCode><Name>Triathlon Knee System Tibial Baseplate</Name><Description>Tibial baseplate, uncemented, beaded with PA (Hydroxyapatite), without screw holes, CoCr</Description><Size>Sizes 1 to 8</Size><SupplierCode>JV</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>151</SubCategoryID><GroupID>1360</GroupID><SubGroupID>3923</SubGroupID><ARTGs><ARTG>146115</ARTG></ARTGs><MinimumBenefit>2356</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>CR273</BillingCode><PriorBillingCodes><PriorBillingCode>GO193</PriorBillingCode></PriorBillingCodes><Name>Apex Knee, Tibial Base Plate - Porous</Name><Description>Tibial Baseplate, Cementless</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><SupplierCode>CR</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>151</SubCategoryID><GroupID>1360</GroupID><SubGroupID>3923</SubGroupID><ARTGs><ARTG>287595</ARTG></ARTGs><MinimumBenefit>2356</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HW669</BillingCode><PriorBillingCodes><PriorBillingCode>ST648</PriorBillingCode><PriorBillingCode>ST031</PriorBillingCode></PriorBillingCodes><Name>Scorpio Knee System - Tibial Baseplate</Name><Description>Tibial baseplate, uncemented, alloy, hydroxyapatite (HA) coating.</Description><Size>Sizes 3 - 13</Size><SupplierCode>JV</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>151</SubCategoryID><GroupID>1360</GroupID><SubGroupID>3923</SubGroupID><ARTGs><ARTG>145648</ARTG><ARTG>146120</ARTG></ARTGs><MinimumBenefit>2356</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2020-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SF140</BillingCode><Name>Active Knee Tibial Baseplate </Name><Description>Tibial Baseplate, HA, uncemented, beaded, stemmed , CoCr</Description><Size>Sizes 1 to 5 (A-Narrow &amp; B-Wide)</Size><SupplierCode>SF</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>151</SubCategoryID><GroupID>1360</GroupID><SubGroupID>3923</SubGroupID><ARTGs><ARTG>276963</ARTG></ARTGs><MinimumBenefit>2356</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2016-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SN861</BillingCode><Name>Genesis II Knee System Tibial Baseplate</Name><Description>Tibial baseplate, cementless, titanium, beaded, HA for fixed insert</Description><Size>Left / Right 1 - 8</Size><SupplierCode>SN</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>151</SubCategoryID><GroupID>1360</GroupID><SubGroupID>3923</SubGroupID><ARTGs><ARTG>242855</ARTG></ARTGs><MinimumBenefit>2356</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2008-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>OH426</BillingCode><Name>Trekking Knee System, tibial component</Name><Description>Tibial component uncemented</Description><Size>1 - 5</Size><SupplierCode>OH</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>151</SubCategoryID><GroupID>1360</GroupID><SubGroupID>3923</SubGroupID><ARTGs><ARTG>165471</ARTG></ARTGs><MinimumBenefit>2356</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MU067</BillingCode><Name>GMK Uncemented Fixed Tibia Tray</Name><Description>Asymmetric uncemented fixed tibial component</Description><Size>1 to 6, left and right</Size><SupplierCode>MU</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>151</SubCategoryID><GroupID>1360</GroupID><SubGroupID>3923</SubGroupID><ARTGs><ARTG>225045</ARTG></ARTGs><MinimumBenefit>2356</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2008-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>IC008</BillingCode><Name>Southern Implant IE Osseointegrated Implant</Name><Description>Titanium implant for the treatment of patients with craniofacial defects</Description><Size>Width 3.75mm - 4.0mm  Length 3.0mm - 6.0mm</Size><SupplierCode>IC</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>200</SubCategoryID><GroupID>1599</GroupID><SubGroupID>4373</SubGroupID><Suffix>Concave</Suffix><ARTGs><ARTG>225923</ARTG></ARTGs><MinimumBenefit>1055</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2023-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>PW003</BillingCode><Name>NovoSorb® BTM 5cm x 5cm</Name><Description>NovoSorb® BTM is a synthetic biocompatible and biodegradable temporary skin substitute and scaffold, intended to temporise dermal injuries and facilitate dermal repair.</Description><Size>5cm x 5cm</Size><SupplierCode>PW</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>203</SubCategoryID><GroupID>1607</GroupID><SubGroupID>4419</SubGroupID><ARTGs><ARTG>308217</ARTG></ARTGs><MinimumBenefit>877</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>IG034</BillingCode><Name>Integra Artificial Skin (IDRT) Terminally Sterile</Name><Description>INTEGRA  Dermal Regeneration Template is a bilayer membrane system for skin replacement made of a porous matrix of fibers of cross-linked bovine tendon collagen and glycosaminoglycan and polysiloxane layer.</Description><Size>5cm x 5cm</Size><SupplierCode>IG</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>203</SubCategoryID><GroupID>1607</GroupID><SubGroupID>4419</SubGroupID><ARTGs><ARTG>158795</ARTG></ARTGs><MinimumBenefit>877</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2010-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>DE802</BillingCode><PriorBillingCodes><PriorBillingCode>FC018</PriorBillingCode></PriorBillingCodes><Name>MatriDerm Dermal Matrix</Name><Description>Dermal Matrix Scaffold for tissue regeneration and modulation of scar tissue formation.</Description><Size>Width (mm) 37-52 (mm) Length (mm) 52-74 (mm) Thickness 1(mm)</Size><SupplierCode>DE</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>203</SubCategoryID><GroupID>1607</GroupID><SubGroupID>4419</SubGroupID><ARTGs><ARTG>370020</ARTG></ARTGs><MinimumBenefit>877</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2023-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>PW002</BillingCode><Name>NovoSorb® BTM 10cm x 10cm</Name><Description>NovoSorb® BTM is a synthetic biocompatible and biodegradable temporary skin substitute and scaffold, intended to temporise dermal injuries and facilitate dermal repair.</Description><Size>10cm x 10cm</Size><SupplierCode>PW</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>203</SubCategoryID><GroupID>1607</GroupID><SubGroupID>4420</SubGroupID><ARTGs><ARTG>308217</ARTG></ARTGs><MinimumBenefit>1112</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2019-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>IG035</BillingCode><Name>Integra Artificial Skin (IDRT) Terminally Sterile</Name><Description>INTEGRA  Dermal Regeneration Template is a bilayer membrane system for skin replacement made of a porous matrix of fibers of cross-linked bovine tendon collagen and glycosaminoglycan and polysiloxane layer.</Description><Size>10cm x 12.5cm</Size><SupplierCode>IG</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>203</SubCategoryID><GroupID>1607</GroupID><SubGroupID>4420</SubGroupID><ARTGs><ARTG>158795</ARTG></ARTGs><MinimumBenefit>1112</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2010-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>DE803</BillingCode><PriorBillingCodes><PriorBillingCode>FC017</PriorBillingCode></PriorBillingCodes><Name>MatriDerm Dermal Matrix</Name><Description>Dermal Matrix Scaffold for tissue regeneration and modulation of scar tissue formation. </Description><Size>Width (mm) 148 (mm)  Length (mm) 105 (mm)  Thickness 1 -2(mm)</Size><SupplierCode>DE</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>203</SubCategoryID><GroupID>1607</GroupID><SubGroupID>4421</SubGroupID><ARTGs><ARTG>370020</ARTG></ARTGs><MinimumBenefit>1697</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2023-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>IG036</BillingCode><Name>Integra Artificial Skin (IDRT) Terminally Sterile</Name><Description>INTEGRA  Dermal Regeneration Template is a bilayer membrane system for skin replacement made of a porous matrix of fibers of cross-linked bovine tendon collagen and glycosaminoglycan and polysiloxane layer.</Description><Size>10cm x 25cm</Size><SupplierCode>IG</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>203</SubCategoryID><GroupID>1607</GroupID><SubGroupID>4421</SubGroupID><ARTGs><ARTG>158795</ARTG></ARTGs><MinimumBenefit>1697</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2010-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>PW001</BillingCode><Name>NovoSorb® BTM 10cm x 20cm</Name><Description>NovoSorb® BTM is a synthetic biocompatible and biodegradable temporary skin substitute and scaffold, intended to temporise dermal injuries and facilitate dermal repair.</Description><Size>10cm x 20cm</Size><SupplierCode>PW</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>203</SubCategoryID><GroupID>1607</GroupID><SubGroupID>4421</SubGroupID><ARTGs><ARTG>308217</ARTG></ARTGs><MinimumBenefit>1697</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2019-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>DE804</BillingCode><PriorBillingCodes><PriorBillingCode>FC019</PriorBillingCode></PriorBillingCodes><Name>MatriDerm Dermal Matrix</Name><Description>Dermal Matrix Scaffold for tissue regeneration and modulation of scar tissue formation</Description><Size>Width (mm) 210 (mm) Length (mm) 297 (mm) Thickness 1-2 (mm)</Size><SupplierCode>DE</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>203</SubCategoryID><GroupID>1607</GroupID><SubGroupID>4422</SubGroupID><ARTGs><ARTG>370020</ARTG></ARTGs><MinimumBenefit>3296</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2023-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>PW004</BillingCode><Name>NovoSorb® BTM 20cm x 25cm</Name><Description>NovoSorb® BTM is a synthetic biocompatible and biodegradable temporary skin substitute and scaffold, intended to temporise dermal injuries and facilitate dermal repair.</Description><Size>20cm x 25cm</Size><SupplierCode>PW</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>203</SubCategoryID><GroupID>1607</GroupID><SubGroupID>4422</SubGroupID><ARTGs><ARTG>308217</ARTG></ARTGs><MinimumBenefit>3296</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>IG037</BillingCode><Name>Integra Artificial Skin (IDRT) Terminally Sterile</Name><Description>INTEGRA  Dermal Regeneration Template is a bilayer membrane system for skin replacement made of a porous matrix of fibers of cross-linked bovine tendon collagen and glycosaminoglycan and polysiloxane layer.</Description><Size>20cm x 25cm</Size><SupplierCode>IG</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>203</SubCategoryID><GroupID>1607</GroupID><SubGroupID>4422</SubGroupID><ARTGs><ARTG>158795</ARTG></ARTGs><MinimumBenefit>3296</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2010-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ZA027</BillingCode><Name>TM Ankle</Name><Description>Talar Component</Description><Size>6 sizes of left and right</Size><SupplierCode>ZI</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>124</SubCategoryID><GroupID>1460</GroupID><SubGroupID>4040</SubGroupID><ARTGs><ARTG>202429</ARTG></ARTGs><MinimumBenefit>2185</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2019-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>KQ011</BillingCode><PriorBillingCodes><PriorBillingCode>QQ079</PriorBillingCode><PriorBillingCode>ER383</PriorBillingCode><PriorBillingCode>AE266</PriorBillingCode></PriorBillingCodes><Name>Hintermann Series H3™ Total Ankle Prosthesis-Talar Component</Name><Description>Hintermann Series H3™ Total Ankle Prosthesis-Talar component, left or right, primary or revision, CoCr, plasma sprayed titanium coating and a hydroxyapatite coating</Description><Size>0-6</Size><SupplierCode>KQ</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>124</SubCategoryID><GroupID>1460</GroupID><SubGroupID>4040</SubGroupID><ARTGs><ARTG>289321</ARTG></ARTGs><ChangeExplanation>
Billing code transferred from QQ079
Sponsor transferred from ALLEGRA INNOVATIONS PTY LTD</ChangeExplanation><MinimumBenefit>2185</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2023-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HW965</BillingCode><PriorBillingCodes><PriorBillingCode>WR456</PriorBillingCode></PriorBillingCodes><Name>INVISION Talar Component</Name><Description>Talar Dome</Description><Size>Size 1, 2, 3, 4, 5  - Standard and Thick (+3mm)</Size><SupplierCode>JV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>124</SubCategoryID><GroupID>1460</GroupID><SubGroupID>4040</SubGroupID><ARTGs><ARTG>168052</ARTG></ARTGs><MinimumBenefit>2185</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HW892</BillingCode><PriorBillingCodes><PriorBillingCode>WR365</PriorBillingCode></PriorBillingCodes><Name>Salto Talaris Ankle Prosthesis - Talar component</Name><Description>Talar compoment, CrCo + Ti</Description><Size>Sizes 0, 1, 2, 3, Left and Right</Size><SupplierCode>JV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>124</SubCategoryID><GroupID>1460</GroupID><SubGroupID>4040</SubGroupID><ARTGs><ARTG>198095</ARTG></ARTGs><MinimumBenefit>2185</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HW984</BillingCode><PriorBillingCodes><PriorBillingCode>WR321</PriorBillingCode></PriorBillingCodes><Name>INFINITY Total Ankle System: Talar Component</Name><Description>Talar dome</Description><Size>Sizes 1-5</Size><SupplierCode>JV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>124</SubCategoryID><GroupID>1460</GroupID><SubGroupID>4040</SubGroupID><ARTGs><ARTG>168052</ARTG></ARTGs><MinimumBenefit>2185</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HW860</BillingCode><PriorBillingCodes><PriorBillingCode>WR328</PriorBillingCode></PriorBillingCodes><Name>INVISION Talar Component</Name><Description>Talar Dome</Description><Size>Size 1, 2, 3, 4, 5</Size><SupplierCode>JV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>124</SubCategoryID><GroupID>1460</GroupID><SubGroupID>4040</SubGroupID><ARTGs><ARTG>168052</ARTG></ARTGs><MinimumBenefit>2185</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>FA030</BillingCode><Name>Vantage Total Ankle System - Talar component</Name><Description>Talar component, left and right, uncemented, plasma sprayed titanium coating</Description><Size>Left and Right, size 1-5</Size><SupplierCode>FA</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>124</SubCategoryID><GroupID>1460</GroupID><SubGroupID>4040</SubGroupID><ARTGs><ARTG>308700</ARTG></ARTGs><MinimumBenefit>2185</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HW827</BillingCode><PriorBillingCodes><PriorBillingCode>WR273</PriorBillingCode></PriorBillingCodes><Name>INBONE® II Total Ankle System: Talar Component</Name><Description>Modular Talar Dome and Talar Stem</Description><Size>Sizes 1-6</Size><SupplierCode>JV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>124</SubCategoryID><GroupID>1460</GroupID><SubGroupID>4040</SubGroupID><ARTGs><ARTG>168052</ARTG></ARTGs><MinimumBenefit>2185</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HW883</BillingCode><PriorBillingCodes><PriorBillingCode>WR355</PriorBillingCode></PriorBillingCodes><Name>Salto Ankle Prostheses</Name><Description>Talar component mobile bearing CoCr, Ti, HA</Description><Size>Sizes 0,1,2,3 left and right</Size><SupplierCode>JV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>124</SubCategoryID><GroupID>1460</GroupID><SubGroupID>4040</SubGroupID><ARTGs><ARTG>198095</ARTG></ARTGs><MinimumBenefit>2185</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>FA032</BillingCode><Name>Vantage Total Ankle System - Tibial Component</Name><Description>Tibial component, mobile bearing, CoCr, plasma sprayed titanium coating</Description><Size>Left and right, size 1-4</Size><SupplierCode>FA</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>124</SubCategoryID><GroupID>1460</GroupID><SubGroupID>4041</SubGroupID><ARTGs><ARTG>308700</ARTG></ARTGs><MinimumBenefit>1900</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SK629</BillingCode><Name>STAR Ankle Prosthesis</Name><Description>Revision Tibial Component, Cemented</Description><Size>Extra small - Extra large</Size><SupplierCode>JV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>124</SubCategoryID><GroupID>1460</GroupID><SubGroupID>4041</SubGroupID><ARTGs><ARTG>167057</ARTG></ARTGs><MinimumBenefit>1900</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2015-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HW882</BillingCode><PriorBillingCodes><PriorBillingCode>WR354</PriorBillingCode></PriorBillingCodes><Name>Cheville Salto Ankle Prostheses</Name><Description>Tibial component mobile bearing CoCr, Ti, HA</Description><Size>Sizes 0,1,2,3 left and right</Size><SupplierCode>JV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>124</SubCategoryID><GroupID>1460</GroupID><SubGroupID>4041</SubGroupID><ARTGs><ARTG>134055</ARTG></ARTGs><MinimumBenefit>1900</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>KQ012</BillingCode><PriorBillingCodes><PriorBillingCode>QQ080</PriorBillingCode><PriorBillingCode>ER384</PriorBillingCode><PriorBillingCode>AE267</PriorBillingCode></PriorBillingCodes><Name>Hintermann Series H3™ Total Ankle Prosthesis-Tibial Component</Name><Description>Hintermann Series H3™ Total Ankle Prosthesis-Tibial Component, left or right, primary or revision, CoCr, plasma sprayed titanium coating and a hydroxyapatite coating</Description><Size>0-6, 8 or 12mm thickness (revision)</Size><SupplierCode>KQ</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>124</SubCategoryID><GroupID>1460</GroupID><SubGroupID>4041</SubGroupID><ARTGs><ARTG>289424</ARTG></ARTGs><ChangeExplanation>
Billing code transferred from QQ080
Sponsor transferred from ALLEGRA INNOVATIONS PTY LTD</ChangeExplanation><MinimumBenefit>1900</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2023-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HW983</BillingCode><PriorBillingCodes><PriorBillingCode>WR320</PriorBillingCode></PriorBillingCodes><Name>INFINITY Total Ankle System: Tibial Component</Name><Description>Tibial tray</Description><Size>Sizes 1-5 and 3 Long, 4 Long, 5 Long</Size><SupplierCode>JV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>124</SubCategoryID><GroupID>1460</GroupID><SubGroupID>4042</SubGroupID><ARTGs><ARTG>168052</ARTG></ARTGs><MinimumBenefit>1638</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HW828</BillingCode><PriorBillingCodes><PriorBillingCode>WR274</PriorBillingCode></PriorBillingCodes><Name>INBONE® II Total Ankle System: Tibial Component</Name><Description>Modular Tibial Tray, Tibial Base Stem, Tibial Top Stem</Description><Size>Sizes 2-5</Size><SupplierCode>JV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>124</SubCategoryID><GroupID>1460</GroupID><SubGroupID>4042</SubGroupID><ARTGs><ARTG>168052</ARTG></ARTGs><MinimumBenefit>1638</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ZA024</BillingCode><Name>TM Ankle</Name><Description>tibial base component</Description><Size>6 sizes</Size><SupplierCode>ZI</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>124</SubCategoryID><GroupID>1460</GroupID><SubGroupID>4042</SubGroupID><ARTGs><ARTG>202429</ARTG></ARTGs><MinimumBenefit>1638</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2019-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HW859</BillingCode><PriorBillingCodes><PriorBillingCode>WR327</PriorBillingCode></PriorBillingCodes><Name>INVISION Tibial Component</Name><Description>Tibial Tray, Standard or Long</Description><Size>Sizes 2, 3, 4, 5; Standard or Long; +4mm; +8mm</Size><SupplierCode>JV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>124</SubCategoryID><GroupID>1460</GroupID><SubGroupID>4042</SubGroupID><ARTGs><ARTG>168052</ARTG></ARTGs><MinimumBenefit>1638</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HW893</BillingCode><PriorBillingCodes><PriorBillingCode>WR366</PriorBillingCode></PriorBillingCodes><Name>Salto Talaris Ankle Prosthesis - Tibial component</Name><Description>Tibial component, fixed bearing, CrCo + Ti</Description><Size>Sizes 0, 1,2,3</Size><SupplierCode>JV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>124</SubCategoryID><GroupID>1460</GroupID><SubGroupID>4042</SubGroupID><ARTGs><ARTG>134055</ARTG></ARTGs><MinimumBenefit>1638</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HW980</BillingCode><Name>INBONE II Total Ankle System: Tibial Stem Extender</Name><Description>Modular Tibial Segments</Description><Size>12mm, 14mm, 16mm, 18mm</Size><SupplierCode>JV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>124</SubCategoryID><GroupID>1460</GroupID><SubGroupID>6021</SubGroupID><ARTGs><ARTG>168052</ARTG></ARTGs><MinimumBenefit>706</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HW862</BillingCode><PriorBillingCodes><PriorBillingCode>WR330</PriorBillingCode></PriorBillingCodes><Name>INVISION Talar Plate</Name><Description>Talar Plate</Description><Size>Sizes 1 – 5, Left or right, standard or long, 3mm, 6mm</Size><SupplierCode>JV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>124</SubCategoryID><GroupID>1460</GroupID><SubGroupID>6021</SubGroupID><ARTGs><ARTG>168052</ARTG></ARTGs><MinimumBenefit>706</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HW861</BillingCode><PriorBillingCodes><PriorBillingCode>WR329</PriorBillingCode></PriorBillingCodes><Name>INVISION Talar Augment</Name><Description>Talar Augment</Description><Size>15, 20, 25, 30, 35mm Diameter; 6mm and 10mm Depth</Size><SupplierCode>JV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>124</SubCategoryID><GroupID>1460</GroupID><SubGroupID>6021</SubGroupID><ARTGs><ARTG>168052</ARTG></ARTGs><MinimumBenefit>706</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>US019</BillingCode><Name>Vibrant Soundbridge System - Vibroplasty Couplers</Name><Description>Middle ear prostheses used with the Vibrant Soundbridge System VORP implant.  Facilitate coupling between the FMT and a vibratory structure of the middle ear.</Description><Size>Functional length:  Vibroplasty-OW-Coupler - 2.50, 3.00, 3.50, 4.00mm  Vibroplasty-CliP-Coupler - 0.20, 0.50, 1.00, 1.50mm  Vibroplasty-Bell-Coupler - 0.20, 0.50, 1.00, 1.50mm  Vibroplasty-RW-Coupler - 0.85mm  Incus-Symphonix-Coupler - Left and Right (2.5 x 3.3mm)  Incus-LP-Coupler - Left and Right (2.8 x 3.8mm)   Incus-SP-Coupler (2.9 x 4.4mm)  RW-Soft-Coupler (1 x 1.5mm)  Stapes-SH-Coupler (3.5 x 4.1mm)</Size><SupplierCode>US</SupplierCode><CategoryID>22</CategoryID><SubCategoryID>196</SubCategoryID><GroupID>1565</GroupID><SubGroupID>6521</SubGroupID><Suffix>Coupler</Suffix><ARTGs><ARTG>185533</ARTG></ARTGs><MinimumBenefit>350</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>US021</BillingCode><Name>Vibrant Soundbridge System - Vibrating Ossicular Prosthesis VORP503</Name><Description>Part of the Vibrant Soundbridge System, VORP503 is an active implant, which is implanted into the temporal bone under the skin. The VORP 503 consists of the Floating Mass Transducer (FMT), a conductor link, the electronics (demodulator), fixation wings and a magnet surrounded by a receiver coil.</Description><Size>One size (left and right) Length: 118mm, Width: 28mm, Thickness: 4.4mm, Weight: 10.1g</Size><SupplierCode>US</SupplierCode><CategoryID>22</CategoryID><SubCategoryID>196</SubCategoryID><GroupID>1565</GroupID><SubGroupID>6521</SubGroupID><ARTGs><ARTG>389014</ARTG></ARTGs><MinimumBenefit>7470</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>US020</BillingCode><Name>Vibrant Soundbridge System - Samba Audio Processor</Name><Description>Middle ear implant audio processor.   The Samba audio processor is the externally worn component of the Vibrant Soundbridge System and connects to the implant through magnetic attraction.  Fitting the Samba audio processor activates the Soundbridge.</Description><Size>Samba Lo, Samba Hi left and right versions, length = 35mm, width = 30mm, height = 10mm, weight &lt;9g (inc battery</Size><SupplierCode>US</SupplierCode><CategoryID>22</CategoryID><SubCategoryID>196</SubCategoryID><GroupID>1565</GroupID><SubGroupID>6521</SubGroupID><Suffix>Programmable, wireless - enabled</Suffix><ARTGs><ARTG>271112</ARTG></ARTGs><MinimumBenefit>6825</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>US029</BillingCode><Name>SAMBA 2 Audio Processor</Name><Description>Single Unit audio processor for the Vibrant Soundbridge System, worn off the ear it is held in place by magnetic attraction over the implant. Designed to function similarly as the SAMBA audio processor but with improved battery life, noise reduction, ingress protection and Intelligent Sound Adapter 2.0</Description><Size>One Size - Lo/Hi, left/right versions with various magnet strengths, length = 36.4mm, width = 30.4mm, height = 10.2mm, weight 9.3g (inc battery)</Size><SupplierCode>US</SupplierCode><CategoryID>22</CategoryID><SubCategoryID>196</SubCategoryID><GroupID>1565</GroupID><SubGroupID>6521</SubGroupID><Suffix>Programmable, Wireless-enabled, Autoscan</Suffix><ARTGs><ARTG>353970</ARTG></ARTGs><MinimumBenefit>7166</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MI079</BillingCode><Name>Middle ear prostheses</Name><Description>Stapes</Description><Size>0.4-1.17mm x 0.9-4.0 x 4.0 x4.0-10.2mm; 4.0 - 4.75mm</Size><SupplierCode>MI</SupplierCode><CategoryID>22</CategoryID><SubCategoryID>196</SubCategoryID><GroupID>1565</GroupID><SubGroupID>4154</SubGroupID><ARTGs><ARTG>125831</ARTG></ARTGs><MinimumBenefit>94</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2013-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MC918</BillingCode><Name>The Big Easy Piston</Name><Description>Big Easy Range - MRI Safe, Triple Width Platinum Band, Double Width Platinum Shaft with Offset Versions</Description><Size>0.4 - 1.17mm x 0.9 - 4.0mm x 4.0 x 10.2mm; 4.0 - 4.75mm</Size><SupplierCode>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>2025-03-01</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>2025-03-01</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>OL014</BillingCode><Name>Ossicular Prosthesis</Name><Description>Attic Defect Plate, HA</Description><Size>7-14mm</Size><SupplierCode>OL</SupplierCode><CategoryID>22</CategoryID><SubCategoryID>196</SubCategoryID><GroupID>1565</GroupID><SubGroupID>4154</SubGroupID><ARTGs><ARTG>123372</ARTG></ARTGs><MinimumBenefit>94</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2010-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ET072</BillingCode><Name>Eclipse Piston</Name><Description>Stapes: Nitinol, Fluroplastic</Description><Size>Diameter 0.4mm: 3.75mm - 6.00mm; Diameter 0.5mm: 3.75mm - 6.00mm;  Diameter 0.6mm: 3.75mm - 6.00mm</Size><SupplierCode>ET</SupplierCode><CategoryID>22</CategoryID><SubCategoryID>196</SubCategoryID><GroupID>1565</GroupID><SubGroupID>4154</SubGroupID><ARTGs><ARTG>170281</ARTG></ARTGs><MinimumBenefit>94</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2013-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MC919</BillingCode><Name>Middle Ear Prosthesis</Name><Description>Malleus</Description><Size>0.6 - 4.0mm x 2.7 - 5.0mm x 1.5 - 10.0mm</Size><SupplierCode>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>2025-03-01</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>LX</SupplierCode><CategoryID>22</CategoryID><SubCategoryID>196</SubCategoryID><GroupID>1565</GroupID><SubGroupID>4156</SubGroupID><ARTGs><ARTG>290802</ARTG></ARTGs><MinimumBenefit>227</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2019-03-01</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MI076</BillingCode><Name>Middle Ear Prostheses</Name><Description>Partial Ossicular Reconstruction Implant - malleus + incus</Description><Size>0.6-2.5 x 2.2-8.8 x 3.5 -10mm</Size><SupplierCode>MI</SupplierCode><CategoryID>22</CategoryID><SubCategoryID>196</SubCategoryID><GroupID>1565</GroupID><SubGroupID>4156</SubGroupID><ARTGs><ARTG>125831</ARTG></ARTGs><MinimumBenefit>227</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2013-02-01</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>UP002</BillingCode><PriorBillingCodes><PriorBillingCode>LM329</PriorBillingCode></PriorBillingCodes><Name>Partial Ossicle Replacement</Name><Description>a) TTP Tuebingen Type bell   b) CliP Dresden Type   c) Malleus   d) Angular Plester   e) Angular CliP   f) TTP - Vario Bell TTP - Variac System, Partial  g) CliP Partial FlexBAL  h) Duesseldorf Type Partial</Description><Size>a) length 1.75 to 3.5mm  b) length 1.75 to 3.5mm   c) length 1.75 to 3.5mm   d) length 2.25 or 3.25mm   e) length 2.25 or 3.25mm   f) one size  g) length 1.75 to 3.5mm  h) length 1.75 to 4.5mm</Size><SupplierCode>UP</SupplierCode><CategoryID>22</CategoryID><SubCategoryID>196</SubCategoryID><GroupID>1565</GroupID><SubGroupID>4156</SubGroupID><ARTGs><ARTG>119746</ARTG></ARTGs><MinimumBenefit>227</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2019-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>UP004</BillingCode><PriorBillingCodes><PriorBillingCode>LM338</PriorBillingCode></PriorBillingCodes><Name>Stapes</Name><Description>Stapes Prosthesis</Description><Size>Ø 0.4mm, Ø 0.5mm &amp; Ø 0.6mm  Lengths 3.50mm - 5.50mm</Size><SupplierCode>UP</SupplierCode><CategoryID>22</CategoryID><SubCategoryID>196</SubCategoryID><GroupID>1565</GroupID><SubGroupID>4156</SubGroupID><ARTGs><ARTG>119746</ARTG></ARTGs><MinimumBenefit>227</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2019-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ET073</BillingCode><Name>Eclipse Malleus Piston</Name><Description>Malleus &amp; Stapes: Nitinol, Fluoroplastic</Description><Size>Diamater 0.6mm: 5.5mm-8.00mm</Size><SupplierCode>ET</SupplierCode><CategoryID>22</CategoryID><SubCategoryID>196</SubCategoryID><GroupID>1565</GroupID><SubGroupID>4156</SubGroupID><ARTGs><ARTG>170281</ARTG></ARTGs><MinimumBenefit>227</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2013-02-01</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</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>LX</SupplierCode><CategoryID>22</CategoryID><SubCategoryID>196</SubCategoryID><GroupID>1565</GroupID><SubGroupID>4156</SubGroupID><ARTGs><ARTG>290802</ARTG></ARTGs><MinimumBenefit>227</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-08-01</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MI075</BillingCode><Name>Middle Ear Prostheses</Name><Description>Total Ossicular Reconstruction Implants</Description><Size>0.6-0.8mm x 3.0-4.0mm x 7.0-8.0mm</Size><SupplierCode>MI</SupplierCode><CategoryID>22</CategoryID><SubCategoryID>196</SubCategoryID><GroupID>1565</GroupID><SubGroupID>4157</SubGroupID><ARTGs><ARTG>125831</ARTG></ARTGs><MinimumBenefit>343</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2013-02-01</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</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>LX</SupplierCode><CategoryID>22</CategoryID><SubCategoryID>196</SubCategoryID><GroupID>1565</GroupID><SubGroupID>4157</SubGroupID><ARTGs><ARTG>290802</ARTG></ARTGs><MinimumBenefit>343</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2019-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>KG014</BillingCode><Name>ALTO Prosthesis</Name><Description>Adjustable Length Titanium Ossicular Chain Reconstruction Prosthesis</Description><Size>Head Size: 1.5mm x 2.5mm / 2mm x 2.5mm / 2mm x 3.3mm / 2.5mm x 3.5mm / 4mm x 3.25mm.  Length: 0.75mm -  8.6mm.  Distal Diameter: 0.4mm - 1.45mm.</Size><SupplierCode>KG</SupplierCode><CategoryID>22</CategoryID><SubCategoryID>196</SubCategoryID><GroupID>1565</GroupID><SubGroupID>4157</SubGroupID><ARTGs><ARTG>170281</ARTG></ARTGs><MinimumBenefit>343</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>UP001</BillingCode><PriorBillingCodes><PriorBillingCode>LM328</PriorBillingCode></PriorBillingCodes><Name>Total Ossicle Replacement</Name><Description>a) TTP Tuebingen Type Aerial Type   b) TTB-Vario Aerial    c) TTP Variac System Total   d) Malleus Notch Prosthesis   e) Regensburg Type Total Prosthesis  f) Malleus Replacement  g) Duesseldorf Type Total  h) Omega Connector</Description><Size>a) Length - 3 to to 7mm   b) one size only  c) one size only   d) Length - 3 to 7mm   e) Length - 4 to 5mm  f) one size only  g) lengths - 3 to 7mm  h) length - 0.5mm</Size><SupplierCode>UP</SupplierCode><CategoryID>22</CategoryID><SubCategoryID>196</SubCategoryID><GroupID>1565</GroupID><SubGroupID>4157</SubGroupID><ARTGs><ARTG>119747</ARTG></ARTGs><MinimumBenefit>343</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2019-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ZI249</BillingCode><Name>Trabecular Metal Reconstruction Shell</Name><Description>Porous tantalum, reconstruction shell</Description><Size>OD: 48 – 80mm and ID: 22.25 mm and 28mm</Size><SupplierCode>ZI</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>163</SubCategoryID><GroupID>1432</GroupID><SubGroupID>4034</SubGroupID><ARTGs><ARTG>216639</ARTG></ARTGs><MinimumBenefit>2658</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LC022</BillingCode><Name>Delta Revision TT Acetabular Cup</Name><Description>Delta Revision TT Acetabular Cup Ti</Description><Size>50 - 66mm</Size><SupplierCode>LC</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>163</SubCategoryID><GroupID>1432</GroupID><SubGroupID>4034</SubGroupID><ARTGs><ARTG>210779</ARTG></ARTGs><MinimumBenefit>2658</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2009-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LO013</BillingCode><Name>Link Acetabular Reconstruction Cup System</Name><Description>Acetabular reconstruction shell</Description><Size>45 - 66 mm  Small, Medium, Large</Size><SupplierCode>LO</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>163</SubCategoryID><GroupID>1432</GroupID><SubGroupID>4034</SubGroupID><ARTGs><ARTG>212130</ARTG><ARTG>212102</ARTG><ARTG>212118</ARTG></ARTGs><MinimumBenefit>2658</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HW586</BillingCode><Name>METS Coned Hemi-Pelvis Shell</Name><Description>METS Coned Hemi-Pelvis Shell</Description><Size>Diameters: 9,10,12,16</Size><SupplierCode>JV</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>163</SubCategoryID><GroupID>1432</GroupID><SubGroupID>4034</SubGroupID><Suffix>Tumour</Suffix><ARTGs><ARTG>277434</ARTG></ARTGs><MinimumBenefit>8351</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LH694</BillingCode><PriorBillingCodes><PriorBillingCode>OO146</PriorBillingCode></PriorBillingCodes><Name>MUTARS LUMiC Cup</Name><Description>Modular partial pelvic replacement and acetabular reconstruction device in case of large bone defects</Description><Size>50, 54 and 60mm</Size><SupplierCode>LH</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>163</SubCategoryID><GroupID>1432</GroupID><SubGroupID>4034</SubGroupID><Suffix>Tumour</Suffix><ARTGs><ARTG>227162</ARTG><ARTG>284582</ARTG></ARTGs><MinimumBenefit>8351</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ765</BillingCode><Name>REDAPT Fully Porous Cup</Name><Description>Fully Porous Cup, variable holes</Description><Size>48 - 80mm</Size><SupplierCode>SN</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>163</SubCategoryID><GroupID>1432</GroupID><SubGroupID>4034</SubGroupID><ARTGs><ARTG>463125</ARTG></ARTGs><MinimumBenefit>2658</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2024-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LO029</BillingCode><Name>LINK Partial Pelvis Replacement</Name><Description>Acetabular reconstruction cage with inferior flange</Description><Size>48-67mm</Size><SupplierCode>LO</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>163</SubCategoryID><GroupID>1432</GroupID><SubGroupID>4035</SubGroupID><ARTGs><ARTG>237076</ARTG></ARTGs><MinimumBenefit>1197</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LC021</BillingCode><Name>Acetabular Plate</Name><Description>Acetabular Reconstruction Plate Ti</Description><Size>50 - 66mm x Standard or Long</Size><SupplierCode>LC</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>163</SubCategoryID><GroupID>1432</GroupID><SubGroupID>4035</SubGroupID><ARTGs><ARTG>210762</ARTG></ARTGs><MinimumBenefit>1197</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2009-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ST557</BillingCode><Name>Restoration  gap cup II acetabular cage</Name><Description>Acetabular reconstruction cage with extended plates </Description><Size>48-72mm OD in 2mm increments </Size><SupplierCode>JV</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>163</SubCategoryID><GroupID>1432</GroupID><SubGroupID>4035</SubGroupID><ARTGs><ARTG>242314</ARTG></ARTGs><MinimumBenefit>1197</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ZI391</BillingCode><Name>Acetabular Reinforcement</Name><Description>Roof Ring with Hook - Ti alloy</Description><Size>36/23 to 64/23mm</Size><SupplierCode>ZI</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>163</SubCategoryID><GroupID>1432</GroupID><SubGroupID>4035</SubGroupID><ARTGs><ARTG>274914</ARTG></ARTGs><MinimumBenefit>1197</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LH624</BillingCode><PriorBillingCodes><PriorBillingCode>OO037</PriorBillingCode></PriorBillingCodes><Name>IC Reinforcement cage</Name><Description>Acetabular Reinforcement cage</Description><Size>Left and Right. 44mm, 50mm, 56mm, 62mm</Size><SupplierCode>LH</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>163</SubCategoryID><GroupID>1432</GroupID><SubGroupID>4035</SubGroupID><ARTGs><ARTG>169691</ARTG></ARTGs><MinimumBenefit>1197</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LH625</BillingCode><PriorBillingCodes><PriorBillingCode>OO038</PriorBillingCode></PriorBillingCodes><Name>IC titanium ring</Name><Description>Acetabular recontrusction ring</Description><Size>42mm, 44mm, 46mm, 48mm, 50mm, 52mm, 54mm, 56mm, 58mm</Size><SupplierCode>LH</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>163</SubCategoryID><GroupID>1432</GroupID><SubGroupID>4035</SubGroupID><ARTGs><ARTG>169691</ARTG></ARTGs><MinimumBenefit>1197</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>OH431</BillingCode><Name>Samo Revision Hip System acetabular</Name><Description>Acetabular reinforcement ring with hook</Description><Size>44 - 64 mm</Size><SupplierCode>OH</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>163</SubCategoryID><GroupID>1432</GroupID><SubGroupID>4035</SubGroupID><ARTGs><ARTG>165470</ARTG></ARTGs><MinimumBenefit>1197</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SN265</BillingCode><Name>Contour</Name><Description>Acetabular  Reinforcement cage</Description><Size>44 - 74mm OD</Size><SupplierCode>SN</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>163</SubCategoryID><GroupID>1432</GroupID><SubGroupID>4035</SubGroupID><ARTGs><ARTG>141017</ARTG></ARTGs><MinimumBenefit>1197</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ZI540</BillingCode><Name>Trabecular metal acetabular revision system modular cup-cage</Name><Description>Modular cup-cage titanium alloy</Description><Size>56-80 Long &amp; short flanged left &amp; right</Size><SupplierCode>ZI</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>163</SubCategoryID><GroupID>1432</GroupID><SubGroupID>4035</SubGroupID><ARTGs><ARTG>117219</ARTG></ARTGs><MinimumBenefit>1197</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2007-06-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>OH432</BillingCode><Name>Samo Revision Hip System acetabular</Name><Description>Acetabular reinforcement ring</Description><Size>44 - 64 mm</Size><SupplierCode>OH</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>163</SubCategoryID><GroupID>1432</GroupID><SubGroupID>4035</SubGroupID><ARTGs><ARTG>165470</ARTG></ARTGs><MinimumBenefit>1197</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MU139</BillingCode><Name>Reinforcement Cages</Name><Description>Acetabular Reinforcement Cage</Description><Size>Internal diameter from 40 to 62 mm</Size><SupplierCode>MU</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>163</SubCategoryID><GroupID>1432</GroupID><SubGroupID>4035</SubGroupID><ARTGs><ARTG>237104</ARTG></ARTGs><MinimumBenefit>1197</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2015-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ZI392</BillingCode><Name>Burch-Schneider Reinforcement Cage</Name><Description>Reinforcement Cages</Description><Size>46-68mm outer diameter</Size><SupplierCode>ZI</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>163</SubCategoryID><GroupID>1432</GroupID><SubGroupID>4035</SubGroupID><ARTGs><ARTG>274914</ARTG></ARTGs><MinimumBenefit>1197</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MA024</BillingCode><Name>CCE Acetabular Reinforcing Ring</Name><Description>Titanium, grit blast, acetabular reconstruction cage with proximal rim</Description><Size>Dia 42 - 58mm</Size><SupplierCode>MA</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>163</SubCategoryID><GroupID>1432</GroupID><SubGroupID>4035</SubGroupID><ARTGs><ARTG>211196</ARTG></ARTGs><MinimumBenefit>1197</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HW506</BillingCode><Name>Stryker MEDPOR Implant</Name><Description>Porous Polyethylene Mesh</Description><Size>Block</Size><SupplierCode>JV</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>199</SubCategoryID><GroupID>1588</GroupID><SubGroupID>4255</SubGroupID><ARTGs><ARTG>152165</ARTG></ARTGs><MinimumBenefit>804</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2013-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>DE805</BillingCode><PriorBillingCodes><PriorBillingCode>VL001</PriorBillingCode></PriorBillingCodes><Name>Su-Por Flexible Block</Name><Description>An implantable device intended to support, contour, and provide structure for the craniofacial anatomy during reconstructive and plastic surgery procedures. 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>13 x 38 x 3mm, 25 x 50 x 6mm, 13 x 38 x 9.5mm  25 x 50 x 3mm, 25 x 50 x 6mm, 25 x 50 x 9.5mm  38 x 63 x 3mm, 38 x 63 x 6mm, 38 x 63 x 9.5mm</Size><SupplierCode>DE</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>199</SubCategoryID><GroupID>1588</GroupID><SubGroupID>4255</SubGroupID><ARTGs><ARTG>335454</ARTG></ARTGs><MinimumBenefit>804</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2023-07-01</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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><MinimumBenefit>1728</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2020-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ER709</BillingCode><Name>SIGNUS COSY Cervicothoracic Occipital Rod-Screw System - Occipital Plate</Name><Description>SIGNUS COSY Cervicothoracic Occipital Rod-Screw System - Occipital Plate; non-sterile or sterile, incl. set screws</Description><Size>32x56 mm</Size><SupplierCode>ER</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>169</SubCategoryID><GroupID>1477</GroupID><SubGroupID>4129</SubGroupID><ARTGs><ARTG>464686</ARTG><ARTG>464685</ARTG></ARTGs><ChangeExplanation>New listing</ChangeExplanation><MinimumBenefit>1728</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2025-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>EY042</BillingCode><Name>VERTICALE Cervical Occiput Plates</Name><Description>Occipital Plates made of titanium alloy.</Description><Size>Lat 4 &amp; 5  Midl 3</Size><SupplierCode>EY</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>169</SubCategoryID><GroupID>1477</GroupID><SubGroupID>4129</SubGroupID><ARTGs><ARTG>462979</ARTG></ARTGs><ChangeExplanation>New listing</ChangeExplanation><MinimumBenefit>1728</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2025-03-01</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</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>2025-03-01</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><MinimumBenefit>1728</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2023-03-01</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>JJ</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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><MinimumBenefit>1179</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2015-08-01</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>JJ</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>2025-03-01</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>2025-03-01</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>XB</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>169</SubCategoryID><GroupID>1477</GroupID><SubGroupID>4127</SubGroupID><Suffix>&gt;55mm</Suffix><ARTGs><ARTG>346450</ARTG><ARTG>346439</ARTG><ARTG>346438</ARTG></ARTGs><MinimumBenefit>908</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-03-01</CycleStartDate><CycleEndDate>2025-03-01</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><MinimumBenefit>1179</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2024-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>GK010</BillingCode><Name>3DFusion Cervical Plate</Name><Description>Custom-made associated device (plate) </Description><Size>Small, Medium, Large</Size><SupplierCode>GK</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>169</SubCategoryID><GroupID>1477</GroupID><SubGroupID>4127</SubGroupID><ARTGs><ARTG>406173</ARTG></ARTGs><ChangeExplanation>New listing</ChangeExplanation><MinimumBenefit>1179</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2025-03-01</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</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>WY</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>169</SubCategoryID><GroupID>1477</GroupID><SubGroupID>4127</SubGroupID><ARTGs><ARTG>461026</ARTG></ARTGs><MinimumBenefit>1179</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2024-11-01</CycleStartDate><CycleEndDate>2025-03-01</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>XB</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>169</SubCategoryID><GroupID>1477</GroupID><SubGroupID>4127</SubGroupID><ARTGs><ARTG>346450</ARTG><ARTG>346438</ARTG><ARTG>346439</ARTG></ARTGs><MinimumBenefit>1179</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-07-01</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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><MinimumBenefit>908</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2015-08-01</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</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><MinimumBenefit>1179</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2024-11-01</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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><MinimumBenefit>1179</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2023-03-01</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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><MinimumBenefit>1179</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-03-01</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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><MinimumBenefit>908</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-03-01</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</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><MinimumBenefit>908</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2023-03-01</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>JJ</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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><MinimumBenefit>2039</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2024-11-01</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>Prescribed List reimbursement is only payable for the billing code when the device is 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><ChangeExplanation>Change to Condition</ChangeExplanation><MinimumBenefit>1297</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Update</ActionFlag><CycleStartDate>2019-03-01</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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><MinimumBenefit>1419</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2020-11-01</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>JJ</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>160750</ARTG><ARTG>159605</ARTG><ARTG>170220</ARTG></ARTGs><MinimumBenefit>1297</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2020-11-01</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SY520</BillingCode><Name>Vectra Anterior Spinal System</Name><Description>Cervical Plate</Description><Size>≤55</Size><SupplierCode>JJ</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>Prescribed List reimbursement is only payable for the billing code when the device is 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><ChangeExplanation>Change to Condition</ChangeExplanation><MinimumBenefit>1419</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Update</ActionFlag><CycleStartDate>2019-03-01</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>JJ518</BillingCode><Name>AEGIS ALP</Name><Description>Curved anterior lumbar plate</Description><Size>4-25mm</Size><SupplierCode>JJ</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>Prescribed List reimbursement of the billing code is restricted to the use of the device with posterior supplemental fixation with other implants</Note><ChangeExplanation>Change to Condition</ChangeExplanation><MinimumBenefit>2039</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Update</ActionFlag><CycleStartDate>2021-07-01</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SA175</BillingCode><Name>VNS Therapy Lead</Name><Description>Model 302</Description><Size>One size only</Size><SupplierCode>SA</SupplierCode><CategoryID>25</CategoryID><SubCategoryID>224</SubCategoryID><GroupID>1685</GroupID><SubGroupID>5351</SubGroupID><ARTGs><ARTG>131047</ARTG></ARTGs><MinimumBenefit>3069</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2016-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SA187</BillingCode><Name>VNS Therapy PerenniaFLEX Model 304.2 &amp; 304.3</Name><Description>Model 304 lead is a silicone insulated implantable patient lead, delivering the electrical signal from the Pulse Generator to the Vagus Nerve.</Description><Size>Lead Body 
Diameter : 2mm (.08 in)
Insulation: Silicone
Overall Length: 43cm

Inner Diameter of Helix
Model 304.20 ; 2mm (.08 in) inner diameter
Model 304.30 ; 3mm (.12 in) inner diameter</Size><SupplierCode>SA</SupplierCode><CategoryID>25</CategoryID><SubCategoryID>224</SubCategoryID><GroupID>1685</GroupID><SubGroupID>5351</SubGroupID><ARTGs><ARTG>192081</ARTG></ARTGs><MinimumBenefit>3069</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SA191</BillingCode><Name>LivaNova PerenniaDURA Lead Model 303 for Vagus Nerve Stimulation</Name><Description>The PerenniaDURA Lead Model 303 is a silicone insulated implantable patient lead, delivering the electrical signal from the VNS Generators to the left vagus nerve.</Description><Size>Available in two sizes: Model 303.20 (2.0 millimeter inner diameter of helical coil) and Model 303.30 (3.0 millimeter inner diameter of helical coil).</Size><SupplierCode>SA</SupplierCode><CategoryID>25</CategoryID><SubCategoryID>224</SubCategoryID><GroupID>1685</GroupID><SubGroupID>5351</SubGroupID><ARTGs><ARTG>192080</ARTG></ARTGs><MinimumBenefit>3069</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SA186</BillingCode><Name>Aspire SR Pulse Generator Model 106</Name><Description>The 106 VNS therapy system is indicated for use as a adjunctive therapy in reducing the frequency of seizures in patients whose epileptic disorder is dominated by partial seizures (with or without secondary generalization) or generalized seizures that are refractory to seizure medications. Model 106 has the added feature of Autostim. In patients who experience Ictal Tachycardia which is defined as an increase in heart rate during a seizure specifically from baseline to a rate greater than 100 BPM and is at least 55% increase or 35 BPM increase from baseline delivering a therapeutic stimulation automatically delivered on detection of a physiological signal indicative of the onset of a seizure.</Description><Size>Lead receptacle -  0.126 in (3.2 mm) nominal
Dimensions -2.0 in x 2.0 in x 0.27 in (52 mm x 52 mm x 6.9 mm)
Weight- 0.88 oz (25 g)</Size><SupplierCode>SA</SupplierCode><CategoryID>25</CategoryID><SubCategoryID>224</SubCategoryID><GroupID>1685</GroupID><SubGroupID>4493</SubGroupID><ARTGs><ARTG>275135</ARTG></ARTGs><MinimumBenefit>11435</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SA190</BillingCode><Name>LivaNova Demipulse Duo Model 104 Generator for Vagus Nerve Stimulation</Name><Description>The LivaNova Demipulse Duo Model 104 is an implantable, dual pin lead compatible and multiprogrammable pulse generator that delivers electrical signals to the vagus nerve.</Description><Size>one size only</Size><SupplierCode>SA</SupplierCode><CategoryID>25</CategoryID><SubCategoryID>224</SubCategoryID><GroupID>1685</GroupID><SubGroupID>4493</SubGroupID><ARTGs><ARTG>169837</ARTG></ARTGs><MinimumBenefit>11435</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SA174</BillingCode><Name>VNS Therapy Pulse/Pulse Duo</Name><Description>Model 102/102R Generator</Description><Size>One size only</Size><SupplierCode>SA</SupplierCode><CategoryID>25</CategoryID><SubCategoryID>224</SubCategoryID><GroupID>1685</GroupID><SubGroupID>4493</SubGroupID><ARTGs><ARTG>131047</ARTG><ARTG>192080</ARTG><ARTG>131046</ARTG><ARTG>131045</ARTG><ARTG>168817</ARTG><ARTG>192081</ARTG><ARTG>130202</ARTG><ARTG>130203</ARTG><ARTG>169837</ARTG><ARTG>131044</ARTG></ARTGs><MinimumBenefit>11435</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2016-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SA185</BillingCode><Name>VNS Therapy Demipulse Generator 103</Name><Description>The generator is an implantable multiprogrammable pulse generator that delivers electrical signals to the vagus nerve. The pulse generator is housed in a hermetically sealed titanium case and is powered by a single battery. Electrical signals are transmitted from the pulse generator to the vagus nerve
by the lead. The VNS Therapy System is indicated for use as an adjunctive
therapy in reducing the frequency of seizures in patients whose epileptic disorder is dominated by partial seizures (with or without secondary generalization) or generalized seizures that are refractory to seizure medications.</Description><Size>Lead Receptacle 0.126 in (3.2 mm)
Dimension 1.8 in x 1.3 in x 0.27 in (45 mm x 32 mm x 6.9mm)
Weight 0.56 oz (16 g)

The 103 is smaller than previous devices, and fits in the palm of your hand and may be used in pediatric patients</Size><SupplierCode>SA</SupplierCode><CategoryID>25</CategoryID><SubCategoryID>224</SubCategoryID><GroupID>1685</GroupID><SubGroupID>4493</SubGroupID><ARTGs><ARTG>168817</ARTG></ARTGs><MinimumBenefit>11435</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BS431</BillingCode><Name>FARAWAVE NAV</Name><Description>Navigation enabled FARAWAVE Pulsed Field Ablation catheter</Description><Size>Distal Diameter 31 - 35 mm</Size><SupplierCode>BS</SupplierCode><CategoryID>27</CategoryID><SubCategoryID>290</SubCategoryID><GroupID>2966</GroupID><SubGroupID>7379</SubGroupID><Suffix>Boston Scientific</Suffix><ARTGs><ARTG>469731</ARTG></ARTGs><ChangeExplanation>New listing</ChangeExplanation><MinimumBenefit>6399</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2025-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ764</BillingCode><Name>PulseSelect Pulsed Field Ablation (PFA) catheter</Name><Description>Pulse Select is a 9Fr catheter with 25mm diameter circular end with fixed electrode spacing which allows for uniform waveform distribution</Description><Size>Distal Diameter 25 mm</Size><SupplierCode>MI</SupplierCode><CategoryID>27</CategoryID><SubCategoryID>290</SubCategoryID><GroupID>2966</GroupID><SubGroupID>7379</SubGroupID><Suffix>Medtronic</Suffix><ARTGs><ARTG>461995</ARTG></ARTGs><MinimumBenefit>6399</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2024-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ750</BillingCode><Name>Sphere-9 Catheter</Name><Description>The Sphere-9 Catheter is a sterile, single-use, bi-directional, 8F deflectable dual energy catheter (pulsed-field and radiofrequency) for cardiac ablation and mapping</Description><Size>Distal Diameter 9 mm</Size><SupplierCode>MI</SupplierCode><CategoryID>27</CategoryID><SubCategoryID>290</SubCategoryID><GroupID>2966</GroupID><SubGroupID>7379</SubGroupID><Suffix>Medtronic</Suffix><ARTGs><ARTG>461805</ARTG></ARTGs><MinimumBenefit>6399</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2024-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BS415</BillingCode><Name>FARAPULSE Pulsed Field Ablation System</Name><Description>Pulsed Field Ablation (PFA) System - FARAWAVE PFA Catheter</Description><Size>Distal Diameter 31 - 35 mm</Size><SupplierCode>BS</SupplierCode><CategoryID>27</CategoryID><SubCategoryID>290</SubCategoryID><GroupID>2966</GroupID><SubGroupID>7379</SubGroupID><Suffix>Boston Scientific</Suffix><ARTGs><ARTG>407397</ARTG><ARTG>443310</ARTG></ARTGs><ChangeExplanation>Change to ARTG</ChangeExplanation><MinimumBenefit>6399</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Update</ActionFlag><CycleStartDate>2023-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>JJ977</BillingCode><Name>VARIPULSE Pulsed Field Ablation System</Name><Description>VARIPULSE variable-loop multielectrode bi-directional catheter</Description><Size>Variable loop diameter, 25- 35 mm</Size><SupplierCode>JJ</SupplierCode><CategoryID>27</CategoryID><SubCategoryID>290</SubCategoryID><GroupID>2966</GroupID><SubGroupID>7379</SubGroupID><Suffix>Johnson and Johnson</Suffix><ARTGs><ARTG>472885</ARTG></ARTGs><ChangeExplanation>New listing</ChangeExplanation><MinimumBenefit>6399</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2025-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BS421</BillingCode><Name>AMS 700 Series Inflatable Penile Prostheses Cylinders  </Name><Description>700 Series (Non InhibiZone)  </Description><Size>10, 12, 14, 15, 16, 18, 21, 24cm  </Size><SupplierCode>BS</SupplierCode><CategoryID>26</CategoryID><SubCategoryID>230</SubCategoryID><GroupID>1710</GroupID><SubGroupID>5330</SubGroupID><ARTGs><ARTG>390412</ARTG></ARTGs><MinimumBenefit>3344</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2023-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BS411</BillingCode><Name>AMS 700 Series Inflatable Penile Prostheses with Inhibizone Cylinders</Name><Description>700 Series with InhibiZone</Description><Size>12, 14, 15, 16, 18, 21, 24cm</Size><SupplierCode>BS</SupplierCode><CategoryID>26</CategoryID><SubCategoryID>230</SubCategoryID><GroupID>1710</GroupID><SubGroupID>5330</SubGroupID><Suffix>A</Suffix><ARTGs><ARTG>125444</ARTG><ARTG>352831</ARTG></ARTGs><MinimumBenefit>3638</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2023-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>CT008</BillingCode><Name>Titan Inflatable Penile Prosthesis (Resist Coated) - Cylinders</Name><Description>Cylinders for three component penile prosthesis (Resist Coated)</Description><Size>10, 12, 14,  16, 18, 20, 22cm</Size><SupplierCode>CT</SupplierCode><CategoryID>26</CategoryID><SubCategoryID>230</SubCategoryID><GroupID>1710</GroupID><SubGroupID>5330</SubGroupID><Suffix>A</Suffix><ARTGs><ARTG>140111</ARTG></ARTGs><MinimumBenefit>3638</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2007-12-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BS414</BillingCode><Name>AMS 700 Series Inflatable Penile Prostheses InhibiZone Reservoir</Name><Description>700 Series InhibiZone</Description><Size>50, 65, 100ml</Size><SupplierCode>BS</SupplierCode><CategoryID>26</CategoryID><SubCategoryID>230</SubCategoryID><GroupID>1710</GroupID><SubGroupID>5331</SubGroupID><Suffix>A</Suffix><ARTGs><ARTG>125444</ARTG><ARTG>352831</ARTG></ARTGs><MinimumBenefit>1881</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2023-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>CT010</BillingCode><Name>Titan Inflatable Penile Prosthesis (Resist Coated) - Lock-out Valve Reservoir</Name><Description>Reservoir for three component penile prosthesis (Resist Coated)</Description><Size>60, 75, 100ml</Size><SupplierCode>CT</SupplierCode><CategoryID>26</CategoryID><SubCategoryID>230</SubCategoryID><GroupID>1710</GroupID><SubGroupID>5331</SubGroupID><Suffix>A</Suffix><ARTGs><ARTG>140111</ARTG></ARTGs><MinimumBenefit>1881</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2007-12-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>VO005</BillingCode><Name>Infla10 Inflatable Penile Prosthesis - Reservoir (HydroShield coated)</Name><Description>Reservoir for Infla10 Inflatable Penile Prosthesis (HydroShield Coated)</Description><Size>65ml, 70ml, 110ml</Size><SupplierCode>VO</SupplierCode><CategoryID>26</CategoryID><SubCategoryID>230</SubCategoryID><GroupID>1710</GroupID><SubGroupID>5331</SubGroupID><Suffix>A</Suffix><ARTGs><ARTG>337611</ARTG></ARTGs><MinimumBenefit>1881</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BS422</BillingCode><Name>AMS 700 Series Inflatable Penile Prostheses Reservoir non Inhibizone  </Name><Description>700 Series (Non InhibiZone)  </Description><Size>100ml  </Size><SupplierCode>BS</SupplierCode><CategoryID>26</CategoryID><SubCategoryID>230</SubCategoryID><GroupID>1710</GroupID><SubGroupID>5331</SubGroupID><ARTGs><ARTG>390412</ARTG></ARTGs><MinimumBenefit>1705</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2023-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>AM042</BillingCode><Name>AMS 700 Series Inflatable Penile Prostheses Pump</Name><Description>700 Series (Non InhibiZone)</Description><Size>One Size</Size><SupplierCode>BS</SupplierCode><CategoryID>26</CategoryID><SubCategoryID>230</SubCategoryID><GroupID>1710</GroupID><SubGroupID>5332</SubGroupID><ARTGs><ARTG>106606</ARTG></ARTGs><MinimumBenefit>4076</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>CT011</BillingCode><Name>Titan Inflatable Penile Prosthesis (Resist Coated) - Pump</Name><Description>Pump for three component penile prosthesis (Resist Coated)</Description><Size>One Size</Size><SupplierCode>CT</SupplierCode><CategoryID>26</CategoryID><SubCategoryID>230</SubCategoryID><GroupID>1710</GroupID><SubGroupID>5332</SubGroupID><Suffix>A</Suffix><ARTGs><ARTG>140111</ARTG></ARTGs><MinimumBenefit>4432</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2007-12-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BS412</BillingCode><Name>AMS 700 Series Inflatable Penile Prostheses with InhibiZone Pump</Name><Description>700 Series with InhibiZone</Description><Size>One Size</Size><SupplierCode>BS</SupplierCode><CategoryID>26</CategoryID><SubCategoryID>230</SubCategoryID><GroupID>1710</GroupID><SubGroupID>5332</SubGroupID><Suffix>A</Suffix><ARTGs><ARTG>352831</ARTG><ARTG>125444</ARTG></ARTGs><MinimumBenefit>4432</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2023-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BS420</BillingCode><Name>AMS 700 Series Inflatable Penile Prostheses with InhibiZone Deactivation Package</Name><Description>700 Series with InhibiZone</Description><Size>One Size</Size><SupplierCode>BS</SupplierCode><CategoryID>26</CategoryID><SubCategoryID>230</SubCategoryID><GroupID>1710</GroupID><SubGroupID>5333</SubGroupID><ARTGs><ARTG>390412</ARTG></ARTGs><MinimumBenefit>128</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2023-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>CT012</BillingCode><Name>Titan Inflatable Penile Prosthesis (Resist Coated) - True-lock Plug</Name><Description>True Lock Plug for deactivation of three component penile prosthesis (Resist Coated)</Description><Size>One Size</Size><SupplierCode>CT</SupplierCode><CategoryID>26</CategoryID><SubCategoryID>230</SubCategoryID><GroupID>1710</GroupID><SubGroupID>5333</SubGroupID><ARTGs><ARTG>140111</ARTG></ARTGs><MinimumBenefit>128</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2007-12-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BS423</BillingCode><Name>AMS 700 Series Inflatable Penile Prostheses Accessory Kit  </Name><Description>700 Series (Non InhibiZone)  </Description><Size>One Size  </Size><SupplierCode>BS</SupplierCode><CategoryID>26</CategoryID><SubCategoryID>230</SubCategoryID><GroupID>1710</GroupID><SubGroupID>5334</SubGroupID><ARTGs><ARTG>390412</ARTG></ARTGs><MinimumBenefit>655</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2023-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>VO006</BillingCode><Name>Infla10 Inflatable Penile Prosthesis - Accessory Kit</Name><Description>Accessory Kit for Infla10 Inflatable Penile Prosthesis (HydroShield Coated). Accessory kit includes Easy-Click Connectors and ConnectSecure Extenders.</Description><Size>Standard &amp; Narrow </Size><SupplierCode>VO</SupplierCode><CategoryID>26</CategoryID><SubCategoryID>230</SubCategoryID><GroupID>1710</GroupID><SubGroupID>5334</SubGroupID><Suffix>A</Suffix><ARTGs><ARTG>337611</ARTG></ARTGs><MinimumBenefit>655</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>CT005</BillingCode><Name>Titan Inflatable Penile Prosthesis (Resist Coated) - Assembly Kit</Name><Description>Assembly kit for three component penile prosthesis (Resist Coated)</Description><Size>Standard &amp; Narrow -base</Size><SupplierCode>CT</SupplierCode><CategoryID>26</CategoryID><SubCategoryID>230</SubCategoryID><GroupID>1710</GroupID><SubGroupID>5334</SubGroupID><Suffix>A</Suffix><ARTGs><ARTG>140111</ARTG></ARTGs><MinimumBenefit>655</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2007-12-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>VO007</BillingCode><Name>Infla10 Inflatable Penile Prosthesis - Pump &amp; Cylinder (HydroShield coated)</Name><Description>Preconnected Cylinders &amp; Pump for three piece penile prosthesis (Hydrophilic Coated).</Description><Size>10, 12, 14, 15, 16, 18, 22, 24cm (in both infrapubic &amp; scrotal models)</Size><SupplierCode>VO</SupplierCode><CategoryID>26</CategoryID><SubCategoryID>230</SubCategoryID><GroupID>1710</GroupID><SubGroupID>5335</SubGroupID><Suffix>A</Suffix><ARTGs><ARTG>337611</ARTG></ARTGs><MinimumBenefit>8070</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BS413</BillingCode><Name>AMS 700 Series Inflatable Penile Prostheses with InhibiZone Pump &amp; Cylinders  Preconnected</Name><Description>700 Series with InhibiZone</Description><Size>12-24cm</Size><SupplierCode>BS</SupplierCode><CategoryID>26</CategoryID><SubCategoryID>230</SubCategoryID><GroupID>1710</GroupID><SubGroupID>5335</SubGroupID><Suffix>A</Suffix><ARTGs><ARTG>125444</ARTG><ARTG>352831</ARTG></ARTGs><MinimumBenefit>8070</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2023-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>CT009</BillingCode><Name>Titan Inflatable Penile Prosthesis (Resist Coated) - Cylinders &amp; Pump Preconnected</Name><Description>Preconnected Cylinders &amp; pump for three component penile prosthesis (Resist Coated)</Description><Size>10, 12, 14, 16, 18, 20, 22cm (in both infrapubic &amp; scrotal models)</Size><SupplierCode>CT</SupplierCode><CategoryID>26</CategoryID><SubCategoryID>230</SubCategoryID><GroupID>1710</GroupID><SubGroupID>5335</SubGroupID><Suffix>A</Suffix><ARTGs><ARTG>140111</ARTG></ARTGs><MinimumBenefit>8070</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2007-12-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BS410</BillingCode><Name>AMS 700 Series Inflatable Penile Prostheses Pump &amp; Cylinders Preconnected</Name><Description>700 Series (Non InhibiZone)</Description><Size>12, 14, 15, 16, 18, 21, 24cm</Size><SupplierCode>BS</SupplierCode><CategoryID>26</CategoryID><SubCategoryID>230</SubCategoryID><GroupID>1710</GroupID><SubGroupID>5335</SubGroupID><ARTGs><ARTG>106606</ARTG><ARTG>390412</ARTG></ARTGs><MinimumBenefit>7419</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2023-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>XT048</BillingCode><PriorBillingCodes><PriorBillingCode>GW062</PriorBillingCode></PriorBillingCodes><Name>WEGO Trauma Systems </Name><Description>Periarticular Tibia Plating Systems</Description><Size>7 - 15 Holes</Size><SupplierCode>XT</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5293</SubGroupID><Suffix>LK</Suffix><ARTGs><ARTG>324402</ARTG></ARTGs><ChangeExplanation>
Billing code transferred from GW062
Sponsor transferred from EQUINOX MEDICAL PTY LTD</ChangeExplanation><MinimumBenefit>1182</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2020-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>PB081</BillingCode><Name>Marathon VAL Tibia Plates</Name><Description>Variable angle periarticular tibia plates </Description><Size>7 - 15 Holes</Size><SupplierCode>PB</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5293</SubGroupID><Suffix>VAL</Suffix><ARTGs><ARTG>261562</ARTG></ARTGs><MinimumBenefit>1489</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>EO106</BillingCode><Name>APTUS Foot &amp; Ankle</Name><Description>Tibia Plates</Description><Size>7 - 15 holes</Size><SupplierCode>EO</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5293</SubGroupID><Suffix>VAL</Suffix><ARTGs><ARTG>206157</ARTG></ARTGs><MinimumBenefit>1489</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2020-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>TN054</BillingCode><Name>Periarticular anatomic tibia VAL ≥ 16 holes</Name><Description>Periarticular anatomic tibia VAL ≥ 16 holes</Description><Size>≥ 16 holes</Size><SupplierCode>TN</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5293</SubGroupID><Suffix>VAL</Suffix><ARTGs><ARTG>260232</ARTG><ARTG>260229</ARTG></ARTGs><MinimumBenefit>1489</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>TN040</BillingCode><Name>Newclip Activ Ankle Plate</Name><Description>Locking Tibial Plate</Description><Size>7 to 15 holes</Size><SupplierCode>TN</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5293</SubGroupID><Suffix>VAL</Suffix><ARTGs><ARTG>260229</ARTG><ARTG>260232</ARTG></ARTGs><MinimumBenefit>1489</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ554</BillingCode><Name>Pangea – VAP Tibia </Name><Description>Tibial Plates</Description><Size>8-15 holes, Left and Right</Size><SupplierCode>JV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5293</SubGroupID><Suffix>VAL</Suffix><ARTGs><ARTG>237797</ARTG></ARTGs><MinimumBenefit>1489</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2024-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>OX048</BillingCode><Name>ARMAR 4.5mm Meril Locking Plate System - Proximal Tibial Plates ≥ 7 to ≤ 15 holes</Name><Description>TAN Proximal Tibial Locking Plates</Description><Size>7-13 Holes
180-300 Length
Left and Right</Size><SupplierCode>OX</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5293</SubGroupID><Suffix>LK</Suffix><ARTGs><ARTG>286842</ARTG></ARTGs><MinimumBenefit>1182</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HW897</BillingCode><PriorBillingCodes><PriorBillingCode>WR373</PriorBillingCode></PriorBillingCodes><Name>MaxLock Extreme System - Medial Distal Tibia Plate</Name><Description>Medial distal tibia variable angle locking plate, Titanium</Description><Size>Short, Medium, Long, Left and Right</Size><SupplierCode>JV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5293</SubGroupID><Suffix>LK</Suffix><ARTGs><ARTG>214671</ARTG></ARTGs><MinimumBenefit>1182</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LQ003</BillingCode><Name>SALTI 2.5/3.5MM Ankle System</Name><Description>Distal Tibia Plate</Description><Size>7-15 holes, Left and Right, Length 65mm to 293mm</Size><SupplierCode>LQ</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5293</SubGroupID><Suffix>VAL</Suffix><ARTGs><ARTG>468027</ARTG></ARTGs><ChangeExplanation>New listing</ChangeExplanation><MinimumBenefit>1489</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2025-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HU137</BillingCode><PriorBillingCodes><PriorBillingCode>DE569</PriorBillingCode></PriorBillingCodes><Name>Posterior Distal Tibia Plate</Name><Description>Plate for Fracture Fixation</Description><Size>7-9 Holes</Size><SupplierCode>HU</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5293</SubGroupID><Suffix>LK</Suffix><ARTGs><ARTG>351000</ARTG></ARTGs><MinimumBenefit>1182</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HU138</BillingCode><PriorBillingCodes><PriorBillingCode>DE571</PriorBillingCode></PriorBillingCodes><Name>Anterior Distal Tibia Plate</Name><Description>Plate for Fracture Fixation</Description><Size>7-9 Holes</Size><SupplierCode>HU</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5293</SubGroupID><Suffix>LK</Suffix><ARTGs><ARTG>351000</ARTG></ARTGs><MinimumBenefit>1182</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HU135</BillingCode><PriorBillingCodes><PriorBillingCode>DE547</PriorBillingCode></PriorBillingCodes><Name>Medial Distal Tibia Plate</Name><Description>Plate for Fracture Fixation</Description><Size>8-14 Holes Left and Right Side Specific</Size><SupplierCode>HU</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5293</SubGroupID><Suffix>LK</Suffix><ARTGs><ARTG>351000</ARTG></ARTGs><MinimumBenefit>1182</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HU136</BillingCode><PriorBillingCodes><PriorBillingCode>DE562</PriorBillingCode></PriorBillingCodes><Name>Anterolateral Distal Tibia Plate</Name><Description>Plate for Fracture Fixation</Description><Size>8-14 Holes Left and Right Side Specific</Size><SupplierCode>HU</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5293</SubGroupID><Suffix>LK</Suffix><ARTGs><ARTG>351000</ARTG></ARTGs><MinimumBenefit>1182</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SL102</BillingCode><PriorBillingCodes><PriorBillingCode>SN985</PriorBillingCode></PriorBillingCodes><Name>Peri-Loc</Name><Description>Tibia Plates</Description><Size>≥ 7 to ≤ 15 holes</Size><SupplierCode>SN</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5293</SubGroupID><Suffix>LK</Suffix><ARTGs><ARTG>108428</ARTG></ARTGs><MinimumBenefit>1182</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>TN053</BillingCode><Name>Periarticular anatomic tibia VAL ≥ 7 to ≤ 15 holes</Name><Description>Periarticular anatomic tibia VAL ≥ 7 to ≤ 15 holes</Description><Size>≥ 7 to ≤ 15 holes</Size><SupplierCode>TN</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5293</SubGroupID><Suffix>VAL</Suffix><ARTGs><ARTG>260232</ARTG><ARTG>260229</ARTG></ARTGs><MinimumBenefit>1489</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MO444</BillingCode><Name>Acumed Ankle 3 Plating System</Name><Description>Periarticular Anatomic variable angle locking tibial plates</Description><Size>7 to 15 holes</Size><SupplierCode>MO</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5293</SubGroupID><Suffix>VAL</Suffix><ARTGs><ARTG>99824</ARTG></ARTGs><MinimumBenefit>1489</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2019-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>DZ028</BillingCode><Name>Austofix Tibial Plates</Name><Description>Anterolateral Distal and Distal Medial</Description><Size>7-15 holes</Size><SupplierCode>DZ</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5293</SubGroupID><Suffix>VAL</Suffix><ARTGs><ARTG>284755</ARTG></ARTGs><MinimumBenefit>1489</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SL154</BillingCode><Name>Smith &amp; Nephew Plate and Screw System- EVOS</Name><Description>VAL Periarticular Anatomical Small Fragment plate - Tibia</Description><Size>≥ 7 to ≤ 15 holes</Size><SupplierCode>SN</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5293</SubGroupID><Suffix>VAL</Suffix><ARTGs><ARTG>108428</ARTG></ARTGs><MinimumBenefit>1489</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2019-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SN986</BillingCode><Name>Peri-Loc</Name><Description>Tibia Plates</Description><Size>&gt;7 to &lt;15 holes</Size><SupplierCode>SN</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5293</SubGroupID><Suffix>VAL</Suffix><ARTGs><ARTG>108428</ARTG></ARTGs><MinimumBenefit>1489</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>DZ103</BillingCode><Name>Austofix Proximal Tibia L&amp;C Plates</Name><Description>Posterior, Lateral, Medial Proximal Tibial Plates</Description><Size>7 to 15 holes </Size><SupplierCode>DZ</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5293</SubGroupID><Suffix>LK</Suffix><ARTGs><ARTG>284755</ARTG></ARTGs><MinimumBenefit>1182</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2023-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>RV006</BillingCode><Name>PS High Tibial Osteotomy Plate</Name><Description>High Tibial Osteotomy Anatomic VAL Plate </Description><Size>Left - Medial  Right - Medial</Size><SupplierCode>RV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5293</SubGroupID><Suffix>VAL</Suffix><ARTGs><ARTG>330187</ARTG></ARTGs><MinimumBenefit>1489</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2020-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SY758</BillingCode><Name>AO/ASIF Plates</Name><Description>Anatomic Locking Tibial Plates</Description><Size>7 to 15 Holes</Size><SupplierCode>JJ</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5293</SubGroupID><Suffix>LK</Suffix><ARTGs><ARTG>286609</ARTG><ARTG>157069</ARTG></ARTGs><MinimumBenefit>1182</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2013-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BH287</BillingCode><Name>ALPS Anatomic Locked plating system</Name><Description>Distal and Proximal Tibial Plates, Titanium</Description><Size>7 to 15 holes</Size><SupplierCode>ZI</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5293</SubGroupID><Suffix>VAL</Suffix><ARTGs><ARTG>153056</ARTG><ARTG>97981</ARTG></ARTGs><MinimumBenefit>1489</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2013-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ264</BillingCode><Name>POYA 3.5mm Lateral Proximal Tibia Plate</Name><Description>Lateral Proximal Tibia Plate</Description><Size>4 to 9 holes</Size><SupplierCode>LQ</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5293</SubGroupID><Suffix>VAL</Suffix><ARTGs><ARTG>433150</ARTG></ARTGs><MinimumBenefit>1489</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2024-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>JV028</BillingCode><Name>Pangea – VAP Tibia </Name><Description>Tibial Plates</Description><Size>11-15 holes, Left and Right </Size><SupplierCode>JV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5293</SubGroupID><Suffix>VAL</Suffix><ARTGs><ARTG>237797</ARTG></ARTGs><ChangeExplanation>New listing</ChangeExplanation><MinimumBenefit>1489</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2025-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ265</BillingCode><Name>POYA 3.5mm Medial and Posteromedial Tibia Plate</Name><Description>Medial and Posteromedial Tibia Plate</Description><Size>Left and Right, 3 to 10 holes, Length 80mm to 215mm</Size><SupplierCode>LQ</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5293</SubGroupID><Suffix>VAL</Suffix><ARTGs><ARTG>433150</ARTG></ARTGs><ChangeExplanation>Change to Product name, Description, Size</ChangeExplanation><MinimumBenefit>1489</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Update</ActionFlag><CycleStartDate>2024-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SY759</BillingCode><Name>AO/ASIF Plates</Name><Description>Anatomic Variable Angle Locking Tibial Plates</Description><Size>7 to 15 Holes</Size><SupplierCode>JJ</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5293</SubGroupID><Suffix>VAL</Suffix><ARTGs><ARTG>157069</ARTG><ARTG>286609</ARTG></ARTGs><MinimumBenefit>1489</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2013-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SL231</BillingCode><Name>Smith &amp; Nephew Plate and Screw System - EVOS</Name><Description>Large and Periprosthetic Tibia Plate – Variable Angle Locking</Description><Size>≥ 7 to ≤ 15 holes</Size><SupplierCode>SN</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5293</SubGroupID><Suffix>VAL</Suffix><ARTGs><ARTG>108428</ARTG><ARTG>368492</ARTG></ARTGs><MinimumBenefit>1489</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SN582</BillingCode><Name>TC-100</Name><Description>Tibia Plates</Description><Size>7 to ≤ 15 holes</Size><SupplierCode>SN</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5293</SubGroupID><ARTGs><ARTG>108428</ARTG></ARTGs><MinimumBenefit>925</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SK531</BillingCode><Name>Stryker Plating System</Name><Description>T-Plate, pre-shaped</Description><Size>7-13 hole</Size><SupplierCode>JV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5293</SubGroupID><ARTGs><ARTG>139635</ARTG><ARTG>119848</ARTG></ARTGs><MinimumBenefit>925</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ506</BillingCode><PriorBillingCodes><PriorBillingCode>ER502</PriorBillingCode></PriorBillingCodes><Name>Paragon 28 Gorilla Plating System-Plate, tibial ( ≥ 7 to ≤ 15 holes)</Name><Description>Paragon 28 Gorilla Silverback tibiotalar (TT) anterior or lateral ankle fusion plate, left or right</Description><Size>( ≥ 7 to ≤ 15 holes); 65-109 mm</Size><SupplierCode>KQ</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5293</SubGroupID><Suffix>VAL</Suffix><ARTGs><ARTG>289308</ARTG></ARTGs><MinimumBenefit>1489</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2019-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>PB025</BillingCode><Name>Low Profile Distal Medial Tibial Locking Plate - 7 to 15 Holes</Name><Description>Low Profile Distal Medial Tibial Locking Plate</Description><Size>7 to 15 Holes</Size><SupplierCode>PB</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5293</SubGroupID><Suffix>LK</Suffix><ARTGs><ARTG>261562</ARTG></ARTGs><MinimumBenefit>1182</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2016-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>OX043</BillingCode><Name>ARMAR 3.5 LPS Tibial Plates</Name><Description>3.5mm anatomical tibial plates</Description><Size>7-15 holes</Size><SupplierCode>OX</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5293</SubGroupID><Suffix>LK</Suffix><ARTGs><ARTG>286842</ARTG></ARTGs><MinimumBenefit>1182</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ352</BillingCode><PriorBillingCodes><PriorBillingCode>LM307</PriorBillingCode></PriorBillingCodes><Name>Osteomed FPS</Name><Description>Anterior Lateral Plates</Description><Size>7 to 15 holes</Size><SupplierCode>LH</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5293</SubGroupID><Suffix>VAL</Suffix><ARTGs><ARTG>202319</ARTG></ARTGs><MinimumBenefit>1489</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2016-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ422</BillingCode><PriorBillingCodes><PriorBillingCode>LM537</PriorBillingCode></PriorBillingCodes><Name>Omni Stable AF Plating System</Name><Description>Tibia Plates</Description><Size>7 to 15 holes</Size><SupplierCode>LH</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5293</SubGroupID><Suffix>VAL</Suffix><ARTGs><ARTG>306780</ARTG></ARTGs><MinimumBenefit>1489</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2023-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HW810</BillingCode><Name>Ortholoc Fracture System - Plates</Name><Description>Anterolateral Tibia, Medial Tibia Plates or 1/3 Tubular</Description><Size>7-13 Holes</Size><SupplierCode>JV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5293</SubGroupID><Suffix>VAL</Suffix><ARTGs><ARTG>326629</ARTG></ARTGs><MinimumBenefit>1489</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SK561</BillingCode><PriorBillingCodes><PriorBillingCode>SK383</PriorBillingCode></PriorBillingCodes><Name>AxSOS 3 Titanium 4.0mm System</Name><Description>Proximal lateral tibia plates, Distal medial tibia plates, Distal anterolateral tibia plates and Proximal medial tibia plates</Description><Size>7-15 hole</Size><SupplierCode>JV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5293</SubGroupID><Suffix>LK</Suffix><ARTGs><ARTG>352531</ARTG><ARTG>352530</ARTG></ARTGs><ChangeExplanation>Change to Product name, ARTG, Description</ChangeExplanation><MinimumBenefit>1182</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Update</ActionFlag><CycleStartDate>2012-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HU139</BillingCode><PriorBillingCodes><PriorBillingCode>DE534</PriorBillingCode></PriorBillingCodes><Name>Anterolateral Distal Tibia Plate</Name><Description>Plate for Fracture Fixation</Description><Size>16-18 Holes Left and Right Side Specific</Size><SupplierCode>HU</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5294</SubGroupID><Suffix>LK</Suffix><ARTGs><ARTG>351000</ARTG></ARTGs><MinimumBenefit>1338</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SK562</BillingCode><PriorBillingCodes><PriorBillingCode>SK383</PriorBillingCode></PriorBillingCodes><Name>AxSOS 3 Titanium 4.0mm System </Name><Description>Proximal lateral tibia plates, Distal medial tibia plates, Distal anterolateral tibia plates and Proximal medial tibia plates</Description><Size>16-30 hole</Size><SupplierCode>JV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5294</SubGroupID><Suffix>LK</Suffix><ARTGs><ARTG>352531</ARTG><ARTG>352530</ARTG></ARTGs><ChangeExplanation>Change to Product name, ARTG, Description, Size</ChangeExplanation><MinimumBenefit>1338</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Update</ActionFlag><CycleStartDate>2012-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>OX044</BillingCode><Name>ARMAR 3.5 LPS Tibial Plates</Name><Description>3.5mm tibial anatomical plates</Description><Size>16-21 holes</Size><SupplierCode>OX</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5294</SubGroupID><Suffix>LK</Suffix><ARTGs><ARTG>286842</ARTG></ARTGs><MinimumBenefit>1338</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SN976</BillingCode><Name>Peri-Loc</Name><Description>Tibia Plates</Description><Size>≥ 16 Holes</Size><SupplierCode>SN</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5294</SubGroupID><Suffix>LK</Suffix><ARTGs><ARTG>108428</ARTG></ARTGs><MinimumBenefit>1338</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SY756</BillingCode><Name>AO/ASIF Plates</Name><Description>Anatomic Locking Tibial Plates</Description><Size>≥16 Holes</Size><SupplierCode>JJ</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5294</SubGroupID><Suffix>LK</Suffix><ARTGs><ARTG>286609</ARTG><ARTG>157069</ARTG></ARTGs><MinimumBenefit>1338</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2013-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>DZ104</BillingCode><Name>Austofix Proximal Tibia L&amp;C Plates</Name><Description>Lateral, Medial Proximal Tibial Plates</Description><Size>≥16 Holes</Size><SupplierCode>DZ</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5294</SubGroupID><Suffix>LK</Suffix><ARTGs><ARTG>284755</ARTG></ARTGs><MinimumBenefit>1338</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2023-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LQ001</BillingCode><Name>SALTI 2.5/3.5MM Ankle System</Name><Description>Medial Distal Tibia Plate</Description><Size>16 or 19 holes, Left and Right, Length 233mm to 293mm</Size><SupplierCode>LQ</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5294</SubGroupID><Suffix>VAL</Suffix><ARTGs><ARTG>468027</ARTG></ARTGs><ChangeExplanation>New listing</ChangeExplanation><MinimumBenefit>1636</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2025-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ423</BillingCode><PriorBillingCodes><PriorBillingCode>LM538</PriorBillingCode></PriorBillingCodes><Name>Omni Stable AF Plating System</Name><Description>Tibia Plates</Description><Size>17 holes</Size><SupplierCode>LH</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5294</SubGroupID><Suffix>VAL</Suffix><ARTGs><ARTG>306780</ARTG></ARTGs><MinimumBenefit>1636</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2023-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BH288</BillingCode><Name>ALPS-Anatomic Locked Plating system</Name><Description>Distal and Proximal Tibial Plates, Titanium</Description><Size>16 - 25 holes</Size><SupplierCode>ZI</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5294</SubGroupID><Suffix>VAL</Suffix><ARTGs><ARTG>153056</ARTG><ARTG>97981</ARTG></ARTGs><MinimumBenefit>1636</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2013-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SK560</BillingCode><Name>Stryker Plating System</Name><Description>Distal Tibia Anatomical Locking Plates</Description><Size>16-23 hole</Size><SupplierCode>JV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5294</SubGroupID><Suffix>VAL</Suffix><ARTGs><ARTG>119848</ARTG></ARTGs><MinimumBenefit>1636</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ513</BillingCode><PriorBillingCodes><PriorBillingCode>ER503</PriorBillingCode></PriorBillingCodes><Name>Paragon 28 Gorilla Plating System-Plate, tibial (≥ 16 holes)</Name><Description>Paragon 28 Gorilla Silverback Plating System-Plate, tibial, lateral TTC, left or right</Description><Size>≥ 16 holes, 113-154 mm</Size><SupplierCode>KQ</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5294</SubGroupID><Suffix>VAL</Suffix><ARTGs><ARTG>289248</ARTG></ARTGs><MinimumBenefit>1636</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2019-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>EO103</BillingCode><Name>APTUS Foot &amp; Ankle</Name><Description>Tibia Plates</Description><Size>≥ 16 holes</Size><SupplierCode>EO</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5294</SubGroupID><Suffix>VAL</Suffix><ARTGs><ARTG>206157</ARTG></ARTGs><MinimumBenefit>1636</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2020-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SL232</BillingCode><Name>Smith &amp; Nephew Plate and Screw System - EVOS</Name><Description>Large and Periprosthetic Tibia Plate – Variable Angle Locking</Description><Size>≥ 16 holes</Size><SupplierCode>SN</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5294</SubGroupID><Suffix>VAL</Suffix><ARTGs><ARTG>368492</ARTG><ARTG>108428</ARTG></ARTGs><MinimumBenefit>1636</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SL147</BillingCode><Name>Smith &amp; Nephew Plate and Screw System- EVOS</Name><Description>VAL Periarticular Anatomical Small Fragment plate - Tibia</Description><Size>≥ 16 holes</Size><SupplierCode>SN</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5294</SubGroupID><Suffix>VAL</Suffix><ARTGs><ARTG>108428</ARTG></ARTGs><MinimumBenefit>1636</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2019-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SY757</BillingCode><Name>AO/ASIF Plates</Name><Description>Anatomic Variable Locking Tibial Plates</Description><Size>≥16 Holes</Size><SupplierCode>JJ</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5294</SubGroupID><Suffix>VAL</Suffix><ARTGs><ARTG>157069</ARTG></ARTGs><MinimumBenefit>1636</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2013-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>JV027</BillingCode><Name>Pangea – VAP Tibia</Name><Description>Tibial Plates</Description><Size>16 holes, Left and Right </Size><SupplierCode>JV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5294</SubGroupID><Suffix>VAL</Suffix><ARTGs><ARTG>237797</ARTG></ARTGs><ChangeExplanation>New listing</ChangeExplanation><MinimumBenefit>1636</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2025-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ263</BillingCode><Name>POYA 3.5mm Lateral and Posteromedial Proximal Tibia Plate</Name><Description>Lateral and Posteromedial Proximal Tibia Plate</Description><Size>13 to 18 holes</Size><SupplierCode>LQ</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5294</SubGroupID><Suffix>VAL</Suffix><ARTGs><ARTG>433150</ARTG></ARTGs><ChangeExplanation>Change to Product name, Description, Size</ChangeExplanation><MinimumBenefit>1636</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Update</ActionFlag><CycleStartDate>2024-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>XT049</BillingCode><PriorBillingCodes><PriorBillingCode>GW063</PriorBillingCode></PriorBillingCodes><Name>WEGO Trauma Systems</Name><Description>Periarticular Tibia Plating Systems</Description><Size>≥ 16 Holes</Size><SupplierCode>XT</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5294</SubGroupID><Suffix>LK</Suffix><ARTGs><ARTG>324402</ARTG></ARTGs><ChangeExplanation>
Billing code transferred from GW063
Sponsor transferred from EQUINOX MEDICAL PTY LTD</ChangeExplanation><MinimumBenefit>1338</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2020-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HU140</BillingCode><PriorBillingCodes><PriorBillingCode>DE566</PriorBillingCode></PriorBillingCodes><Name>Medial Distal Tibia Plate</Name><Description>Plate for Fracture Fixation</Description><Size>16 Holes</Size><SupplierCode>HU</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5294</SubGroupID><Suffix>LK</Suffix><ARTGs><ARTG>351000</ARTG></ARTGs><MinimumBenefit>1338</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ555</BillingCode><Name>Pangea – VAP Tibia </Name><Description>Tibial Plates</Description><Size>Greater than 16 holes, Left and Right</Size><SupplierCode>JV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5294</SubGroupID><Suffix>VAL</Suffix><ARTGs><ARTG>237797</ARTG></ARTGs><MinimumBenefit>1636</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2024-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ556</BillingCode><Name>Pangea – VAP Tibia </Name><Description>Tibial Plates</Description><Size>16-24 holes, Left and Right </Size><SupplierCode>JV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5294</SubGroupID><Suffix>VAL</Suffix><ARTGs><ARTG>237797</ARTG></ARTGs><MinimumBenefit>1636</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2024-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SY725</BillingCode><Name>AO/ASIF Plates</Name><Description>Non-Locking Anatomical Pelvic Plates</Description><Size>≤6 Holes</Size><SupplierCode>JJ</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5283</SubGroupID><ARTGs><ARTG>157069</ARTG></ARTGs><MinimumBenefit>679</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>KT101</BillingCode><Name>Nexos Anatomic Pelvic Plates</Name><Description>Nexos Anatomic Pelvic Plates</Description><Size>6 holes or less</Size><SupplierCode>KT</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5283</SubGroupID><ARTGs><ARTG>236206</ARTG></ARTGs><MinimumBenefit>679</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2023-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SK577</BillingCode><Name>Stryker Plating System</Name><Description>Matta Pelvic Plates</Description><Size>2-6 Holes</Size><SupplierCode>JV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5283</SubGroupID><ARTGs><ARTG>119848</ARTG></ARTGs><MinimumBenefit>679</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SY623</BillingCode><Name>AO/ASIF Plates</Name><Description>Anatomical Pelvic Locking Plates</Description><Size>≤ 6 Holes</Size><SupplierCode>JJ</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5283</SubGroupID><Suffix>LK</Suffix><ARTGs><ARTG>157069</ARTG></ARTGs><MinimumBenefit>809</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>KT102</BillingCode><Name>Nexos Anatomic Pelvic Plates</Name><Description>Nexos Anatomic Pelvic Plates</Description><Size>7-15 Holes</Size><SupplierCode>KT</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5284</SubGroupID><ARTGs><ARTG>236206</ARTG></ARTGs><MinimumBenefit>727</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2023-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SK578</BillingCode><Name>Stryker Plating System</Name><Description>Matta Pelvic Plates</Description><Size>7-15 Holes</Size><SupplierCode>JV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5284</SubGroupID><ARTGs><ARTG>119848</ARTG></ARTGs><MinimumBenefit>727</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>KT100</BillingCode><Name>Nexos Anatomic Pelvic Plates</Name><Description>Nexos Anatomic Pelvic Plates</Description><Size>16 holes or more  </Size><SupplierCode>KT</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5285</SubGroupID><ARTGs><ARTG>236206</ARTG></ARTGs><MinimumBenefit>760</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2023-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SK579</BillingCode><Name>Stryker Plating System</Name><Description>ocking Compression Anatomical Shape</Description><Size>16-22 Hole</Size><SupplierCode>JV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5285</SubGroupID><ARTGs><ARTG>119848</ARTG></ARTGs><MinimumBenefit>760</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HW532</BillingCode><Name>Pelvis II Plating System</Name><Description>Quadrilateral Surface Plates</Description><Size>Small/Large</Size><SupplierCode>JV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5285</SubGroupID><ARTGs><ARTG>139635</ARTG></ARTGs><MinimumBenefit>760</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2014-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ667</BillingCode><Name>PRO Plating System</Name><Description>Quadrilateral Surface Plates</Description><Size>16-18 Holes</Size><SupplierCode>JV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5285</SubGroupID><ARTGs><ARTG>237797</ARTG></ARTGs><MinimumBenefit>760</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2024-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SL186</BillingCode><Name>Smith &amp; Nephew Plate and Screw System - EVOS</Name><Description>Periarticular Anatomical Plate - Femur</Description><Size>≤ 6 holes</Size><SupplierCode>SN</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5286</SubGroupID><Suffix>LK</Suffix><ARTGs><ARTG>368492</ARTG><ARTG>108428</ARTG></ARTGs><MinimumBenefit>1143</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SQ133</BillingCode><Name>PediLoc - Plating System, ≤ 6 Holes, Periarticular Femoral Plates</Name><Description>Periarticular Femoral Plates</Description><Size>3.5mm-4.5mm, 4-6 Holes</Size><SupplierCode>SQ</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5286</SubGroupID><Suffix>LK</Suffix><ARTGs><ARTG>191586</ARTG></ARTGs><MinimumBenefit>1143</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SL079</BillingCode><Name>Conquest FN</Name><Description>Anatomic Locking Femur Plate</Description><Size>≤ 6 holes</Size><SupplierCode>SN</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5286</SubGroupID><Suffix>LK</Suffix><ARTGs><ARTG>108428</ARTG></ARTGs><MinimumBenefit>1143</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>OX045</BillingCode><Name>ARMAR 4.5mm Meril Locking Plate System - Distal Femur Plate 5 Holes</Name><Description>TAN Distal Femur Locking Plates</Description><Size>5 Holes
156mm Length
Left and Right Variants</Size><SupplierCode>OX</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5286</SubGroupID><Suffix>LK</Suffix><ARTGs><ARTG>286842</ARTG></ARTGs><MinimumBenefit>1143</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>XT015</BillingCode><PriorBillingCodes><PriorBillingCode>GW016</PriorBillingCode></PriorBillingCodes><Name>WEGO Trauma Systems</Name><Description>Periarticular Femur Plates</Description><Size>≤ 6 holes</Size><SupplierCode>XT</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5286</SubGroupID><Suffix>LK</Suffix><ARTGs><ARTG>324402</ARTG></ARTGs><ChangeExplanation>
Billing code transferred from GW016
Sponsor transferred from EQUINOX MEDICAL PTY LTD</ChangeExplanation><MinimumBenefit>1143</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2020-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HW305</BillingCode><Name>Dall Miles Cable Grip System - Stainless Steel</Name><Description>Stainless Steel Plate:5 hole -  Stainless Steel</Description><Size>6 inches</Size><SupplierCode>JV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5286</SubGroupID><ARTGs><ARTG>312160</ARTG></ARTGs><MinimumBenefit>643</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SM180</BillingCode><Name>Peri-Loc</Name><Description>Proximal Femur Plates</Description><Size>&lt; 6 holes</Size><SupplierCode>SN</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5286</SubGroupID><Suffix>LK</Suffix><ARTGs><ARTG>108428</ARTG></ARTGs><MinimumBenefit>1143</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SN972</BillingCode><Name>Peri-Loc</Name><Description>Distal Femur Plates</Description><Size>≤6 holes</Size><SupplierCode>SN</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5286</SubGroupID><Suffix>LK</Suffix><ARTGs><ARTG>108428</ARTG></ARTGs><MinimumBenefit>1143</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SY711</BillingCode><Name>AO/ASIF Plates</Name><Description>Anatomic Locking Femur Plates</Description><Size>≤6 holes</Size><SupplierCode>JJ</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5286</SubGroupID><Suffix>LK</Suffix><ARTGs><ARTG>157069</ARTG></ARTGs><MinimumBenefit>1143</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SY682</BillingCode><Name>AO/ASIF Plates</Name><Description>Anatomic Non-Locking Femur Plates</Description><Size>≤ 6 holes</Size><SupplierCode>JJ</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5286</SubGroupID><ARTGs><ARTG>157069</ARTG></ARTGs><MinimumBenefit>643</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SL175</BillingCode><Name>Smith &amp; Nephew Plate and Screw System - EVOS</Name><Description>Large and Periprosthetic Femur Plate – Variable Angle Locking</Description><Size>≤ 6 holes</Size><SupplierCode>SN</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5286</SubGroupID><Suffix>VAL</Suffix><ARTGs><ARTG>108428</ARTG><ARTG>368492</ARTG></ARTGs><MinimumBenefit>1710</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ZI746</BillingCode><Name>NCB Polyaxial Locking Plate System</Name><Description>NCB Variable Angle Locking Plate - Femur - Ti Alloy</Description><Size>5 holes Left &amp; Right</Size><SupplierCode>ZI</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5286</SubGroupID><Suffix>VAL</Suffix><ARTGs><ARTG>100349</ARTG><ARTG>100337</ARTG></ARTGs><MinimumBenefit>1710</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HW308</BillingCode><Name>Dall Miles Cable Grip System - Stainless Steel</Name><Description>Stainless Steel Plate:11 hole -  Stainless Steel</Description><Size>12 inches</Size><SupplierCode>JV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5287</SubGroupID><ARTGs><ARTG>312160</ARTG></ARTGs><MinimumBenefit>864</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ZI749</BillingCode><Name>NCB Polyaxial Locking Plate System</Name><Description>NCB Variable Angle Locking Plate - Femur - Ti Alloy</Description><Size>9 holes - 13 holes Left &amp; Right</Size><SupplierCode>ZI</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5287</SubGroupID><Suffix>LK</Suffix><ARTGs><ARTG>100349</ARTG><ARTG>100337</ARTG></ARTGs><MinimumBenefit>1171</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ770</BillingCode><Name>Pangea – VAP Distal Femur</Name><Description>Distal Femur Plates 

</Description><Size>7-15 holes, Left and Right </Size><SupplierCode>JV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5287</SubGroupID><Suffix>VAL</Suffix><ARTGs><ARTG>237797</ARTG></ARTGs><MinimumBenefit>1710</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2024-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HU197</BillingCode><PriorBillingCodes><PriorBillingCode>DE078</PriorBillingCode></PriorBillingCodes><Name>Osteotomy Plates</Name><Description>Osteotomy, Femoral - Stainless Steel</Description><Size>7.5mm - 17.5 mm</Size><SupplierCode>HU</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5287</SubGroupID><ARTGs><ARTG>350871</ARTG><ARTG>351000</ARTG></ARTGs><MinimumBenefit>864</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SK557</BillingCode><PriorBillingCodes><PriorBillingCode>SK377</PriorBillingCode></PriorBillingCodes><Name>AxSOS 3 Titanium 5.0mm System</Name><Description>Femur Locking Plates, used with 5.0mm screws </Description><Size>12-14 hole</Size><SupplierCode>JV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5287</SubGroupID><Suffix>LK</Suffix><ARTGs><ARTG>352531</ARTG><ARTG>352530</ARTG></ARTGs><ChangeExplanation>Change to Product name, ARTG, Description</ChangeExplanation><MinimumBenefit>1171</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Update</ActionFlag><CycleStartDate>2012-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ZI747</BillingCode><Name>NCB Polyaxial Locking Plate System</Name><Description>NCB Periprosthetic Variable Angle Locking Plate - Femur - Ti Alloy</Description><Size>7 holes - 15 holes Left &amp; Right</Size><SupplierCode>ZI</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5287</SubGroupID><Suffix>VAL</Suffix><ARTGs><ARTG>100337</ARTG><ARTG>100349</ARTG></ARTGs><MinimumBenefit>1710</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MN337</BillingCode><Name>AO/ASIF Plates</Name><Description>Anatomic Locking Femur Plates Titanium</Description><Size>7-15 Holes</Size><SupplierCode>JJ</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5287</SubGroupID><Suffix>VAL</Suffix><ARTGs><ARTG>157069</ARTG></ARTGs><MinimumBenefit>1710</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>JD008</BillingCode><Name>Distal Femur Plate</Name><Description>Distal Femoral Locking Plates</Description><Size>≥7 to  ≤15 holes</Size><SupplierCode>JD</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5287</SubGroupID><Suffix>VAL</Suffix><ARTGs><ARTG>222648</ARTG></ARTGs><MinimumBenefit>1710</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>OX046</BillingCode><Name>ARMAR 4.5mm Meril Locking Plate System - Distal Femur Plate ≥ 7 to ≤ 15 holes LK</Name><Description>TAN Distal Femur Locking Plates</Description><Size>7-13 Holes
196-316 mm Length
Left and Right variants</Size><SupplierCode>OX</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5287</SubGroupID><Suffix>LK</Suffix><ARTGs><ARTG>286842</ARTG></ARTGs><MinimumBenefit>1171</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>RV007</BillingCode><Name>PS Distal Femoral Osteotomy Plate</Name><Description>Distal Femoral Osteotomy Anatomic VAL Plate</Description><Size>Medial - Left     Medial - Right    Lateral - Left    Lateral - Right</Size><SupplierCode>RV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5287</SubGroupID><Suffix>VAL</Suffix><ARTGs><ARTG>330187</ARTG></ARTGs><MinimumBenefit>1710</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2020-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>XT042</BillingCode><PriorBillingCodes><PriorBillingCode>GW056</PriorBillingCode></PriorBillingCodes><Name>WEGO Trauma Systems </Name><Description>Periarticular Femur Plates</Description><Size>≥ 7 to ≤ 15 holes</Size><SupplierCode>XT</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5287</SubGroupID><Suffix>LK</Suffix><ARTGs><ARTG>324402</ARTG></ARTGs><ChangeExplanation>
Billing code transferred from GW056
Sponsor transferred from EQUINOX MEDICAL PTY LTD</ChangeExplanation><MinimumBenefit>1171</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2020-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SL187</BillingCode><Name>Smith &amp; Nephew Plate and Screw System - EVOS</Name><Description>Periarticular Anatomical Plate - Femur</Description><Size> ≥ 7 to ≤ 15 holes</Size><SupplierCode>SN</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5287</SubGroupID><Suffix>LK</Suffix><ARTGs><ARTG>368492</ARTG><ARTG>108428</ARTG></ARTGs><MinimumBenefit>1171</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SY710</BillingCode><Name>AO/ASIF Plates</Name><Description>Anatomic Locking Femur Plates</Description><Size>7-15 Holes</Size><SupplierCode>JJ</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5287</SubGroupID><Suffix>VAL</Suffix><ARTGs><ARTG>157069</ARTG></ARTGs><MinimumBenefit>1710</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>PJ023</BillingCode><Name>Femoral Closing Wedge Osteotomy</Name><Description>Symmetric plate, with locking screw technology for femoral distal closing wedge Osteotomy.</Description><Size>87.5mm x 27.5mm</Size><SupplierCode>PJ</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5287</SubGroupID><Suffix>LK</Suffix><ARTGs><ARTG>276245</ARTG></ARTGs><MinimumBenefit>1171</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SL173</BillingCode><Name>Smith &amp; Nephew Plate and Screw System - EVOS</Name><Description>Large and Periprosthetic Femur Plate – Variable Angle Locking</Description><Size>≥ 7 to ≤ 15 holes</Size><SupplierCode>SN</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5287</SubGroupID><Suffix>VAL</Suffix><ARTGs><ARTG>368492</ARTG><ARTG>108428</ARTG></ARTGs><MinimumBenefit>1710</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SN973</BillingCode><Name>Peri-Loc</Name><Description>Distal Femur Plates</Description><Size>≥7 to  ≤15 holes</Size><SupplierCode>SN</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5287</SubGroupID><Suffix>LK</Suffix><ARTGs><ARTG>108428</ARTG></ARTGs><MinimumBenefit>1171</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SM181</BillingCode><Name>Peri-Loc</Name><Description>Proximal Femur Plates</Description><Size>≥ 7 to ≤ 15 holes</Size><SupplierCode>SN</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5287</SubGroupID><Suffix>LK</Suffix><ARTGs><ARTG>108428</ARTG></ARTGs><MinimumBenefit>1171</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HW307</BillingCode><Name>Dall Miles Cable Grip System - Stainless Steel</Name><Description>Stainless Steel Plate:9 hole -  Stainless Steel</Description><Size>10 inches</Size><SupplierCode>JV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5287</SubGroupID><ARTGs><ARTG>312160</ARTG></ARTGs><MinimumBenefit>864</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SY709</BillingCode><Name>AO/ASIF Plates</Name><Description>Anatomic Locking Femur Plates</Description><Size>7-15 holes</Size><SupplierCode>JJ</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5287</SubGroupID><Suffix>LK</Suffix><ARTGs><ARTG>157069</ARTG></ARTGs><MinimumBenefit>1171</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SQ134</BillingCode><Name>PediLoc - Plating System, ≥ 7 to ≤ 15 holes, Periarticular Femoral Plates</Name><Description>Periarticular Femoral Plates</Description><Size>3.5mm-4.5mm, 8-14 Holes</Size><SupplierCode>SQ</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5287</SubGroupID><Suffix>LK</Suffix><ARTGs><ARTG>191586</ARTG></ARTGs><MinimumBenefit>1171</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>XT043</BillingCode><PriorBillingCodes><PriorBillingCode>GW057</PriorBillingCode></PriorBillingCodes><Name>WEGO Trauma Systems </Name><Description>Periarticular Femur Plates</Description><Size>≥ 16 holes</Size><SupplierCode>XT</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5288</SubGroupID><Suffix>LK</Suffix><ARTGs><ARTG>324402</ARTG></ARTGs><ChangeExplanation>
Billing code transferred from GW057
Sponsor transferred from EQUINOX MEDICAL PTY LTD</ChangeExplanation><MinimumBenefit>1498</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2020-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>JV030</BillingCode><Name>Pangea – VAP Distal Femur</Name><Description>Distal Femur Plates</Description><Size>16 holes, Left and Right</Size><SupplierCode>JV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5288</SubGroupID><Suffix>VAL</Suffix><ARTGs><ARTG>237797</ARTG></ARTGs><ChangeExplanation>New listing</ChangeExplanation><MinimumBenefit>1947</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2025-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MN338</BillingCode><Name>AO/ASIF Plates</Name><Description>Anatomic Locking Femur Plates Titanium</Description><Size>≥16 Holes</Size><SupplierCode>JJ</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5288</SubGroupID><Suffix>VAL</Suffix><ARTGs><ARTG>157069</ARTG></ARTGs><MinimumBenefit>1947</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>JD009</BillingCode><Name>Distal Femur Plate</Name><Description>Distal Femoral Locking Plates</Description><Size>≥16 Holes</Size><SupplierCode>JD</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5288</SubGroupID><Suffix>VAL</Suffix><ARTGs><ARTG>222648</ARTG></ARTGs><MinimumBenefit>1947</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ822</BillingCode><Name>Pangea – VAP Distal Femur</Name><Description>Distal Femur Plates </Description><Size>Greater than 16 holes, Left and Right</Size><SupplierCode>JV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5288</SubGroupID><Suffix>VAL</Suffix><ARTGs><ARTG>237797</ARTG></ARTGs><MinimumBenefit>1947</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2024-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ823</BillingCode><Name>Pangea – VAP Distal Femur</Name><Description>Distal Femur Plates</Description><Size>Greater than or equal to 16 holes, Left and Right </Size><SupplierCode>JV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5288</SubGroupID><Suffix>VAL</Suffix><ARTGs><ARTG>237797</ARTG></ARTGs><MinimumBenefit>1947</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2024-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SY769</BillingCode><Name>AO/ASIF Plates</Name><Description>Anatomic Locking Femur Plates</Description><Size>≥16 Holes</Size><SupplierCode>JJ</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5288</SubGroupID><Suffix>VAL</Suffix><ARTGs><ARTG>157069</ARTG></ARTGs><MinimumBenefit>1947</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2013-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ZI748</BillingCode><Name>NCB Polyaxial Locking Plate System</Name><Description>NCB Periprosthetic Variable Angle Locking Plate - Femur - Ti Alloy</Description><Size>Over 16 holes Left &amp; Right</Size><SupplierCode>ZI</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5288</SubGroupID><Suffix>VAL</Suffix><ARTGs><ARTG>100349</ARTG><ARTG>100337</ARTG></ARTGs><MinimumBenefit>1947</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SL174</BillingCode><Name>Smith &amp; Nephew Plate and Screw System - EVOS</Name><Description>Large and Periprosthetic Femur Plate – Variable Angle Locking</Description><Size>≥ 16 holes</Size><SupplierCode>SN</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5288</SubGroupID><Suffix>VAL</Suffix><ARTGs><ARTG>108428</ARTG><ARTG>368492</ARTG></ARTGs><MinimumBenefit>1947</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SK558</BillingCode><PriorBillingCodes><PriorBillingCode>SK377</PriorBillingCode></PriorBillingCodes><Name>AxSOS 3 Titanium 5.0mm System</Name><Description>Femur Locking Plates, used with 5.0mm screws </Description><Size>16-28 hole</Size><SupplierCode>JV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5288</SubGroupID><Suffix>LK</Suffix><ARTGs><ARTG>352530</ARTG><ARTG>352531</ARTG></ARTGs><ChangeExplanation>Change to Product name, ARTG, Description, Size</ChangeExplanation><MinimumBenefit>1498</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Update</ActionFlag><CycleStartDate>2012-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SN974</BillingCode><Name>Peri-Loc</Name><Description>Distal Femur Plates</Description><Size>≥ 16 holes</Size><SupplierCode>SN</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5288</SubGroupID><Suffix>LK</Suffix><ARTGs><ARTG>108428</ARTG></ARTGs><MinimumBenefit>1498</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SQ135</BillingCode><Name>PediLoc - Plating System ≥ 16 holes, Periarticular Femoral Plates</Name><Description>Periarticular Femoral Plates</Description><Size>3.5mm-4.5mm, 16-20 Holes</Size><SupplierCode>SQ</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5288</SubGroupID><Suffix>LK</Suffix><ARTGs><ARTG>191586</ARTG></ARTGs><MinimumBenefit>1498</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SM182</BillingCode><Name>Peri-Loc</Name><Description>Proximal Femur Plates</Description><Size>&gt;16 holes</Size><SupplierCode>SN</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5288</SubGroupID><Suffix>LK</Suffix><ARTGs><ARTG>108428</ARTG></ARTGs><MinimumBenefit>1498</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SY768</BillingCode><Name>AO/ASIF Plates</Name><Description>Anatomic Locking Femur Plates</Description><Size>≥16 Holes</Size><SupplierCode>JJ</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5288</SubGroupID><Suffix>LK</Suffix><ARTGs><ARTG>157069</ARTG></ARTGs><MinimumBenefit>1498</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2013-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SL188</BillingCode><Name>Smith &amp; Nephew Plate and Screw System - EVOS</Name><Description>Periarticular Anatomical Plate - Femur</Description><Size>≥ 16 holes</Size><SupplierCode>SN</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5288</SubGroupID><Suffix>LK</Suffix><ARTGs><ARTG>108428</ARTG><ARTG>368492</ARTG></ARTGs><MinimumBenefit>1498</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SL027</BillingCode><Name>D-RAD SMART PACK</Name><Description>D-RAD SMART PACK Plate Kit</Description><Size>Standard, Wide</Size><SupplierCode>SN</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5277</SubGroupID><Suffix>VAL</Suffix><ARTGs><ARTG>214894</ARTG><ARTG>104369</ARTG></ARTGs><MinimumBenefit>1183</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2014-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>KT070</BillingCode><PriorBillingCodes><PriorBillingCode>OH470</PriorBillingCode></PriorBillingCodes><Name>IXOS Radius Plating System</Name><Description>Titanium Radial Plates</Description><Size>23-27mm x 43-71mm - &gt;7 to &amp;lt;15 Holes</Size><SupplierCode>KT</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5277</SubGroupID><Suffix>VAL</Suffix><ARTGs><ARTG>276674</ARTG><ARTG>236206</ARTG></ARTGs><MinimumBenefit>1183</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ546</BillingCode><Name>VariAx 2 Distal Radius Volar Plate</Name><Description>Volar Plate</Description><Size>7 hole</Size><SupplierCode>JV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5277</SubGroupID><Suffix>VAL</Suffix><ARTGs><ARTG>237797</ARTG></ARTGs><MinimumBenefit>1183</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2024-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ545</BillingCode><Name>VariAx 2 Distal Radius Volar Plate</Name><Description>Volar Plate</Description><Size>Radius 7-15 holes</Size><SupplierCode>JV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5277</SubGroupID><Suffix>VAL</Suffix><ARTGs><ARTG>237797</ARTG></ARTGs><MinimumBenefit>1183</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2024-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SY678</BillingCode><Name>AO/ASIF Plates</Name><Description>Anatomical Variable Angle Locking Radial Plates</Description><Size>7-15 holes</Size><SupplierCode>JJ</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5277</SubGroupID><Suffix>VAL</Suffix><ARTGs><ARTG>157069</ARTG></ARTGs><MinimumBenefit>1183</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>XT018</BillingCode><PriorBillingCodes><PriorBillingCode>GW022</PriorBillingCode></PriorBillingCodes><Name>WEGO Trauma Systems</Name><Description>Periarticular Radius Plating Systems</Description><Size>7 - 15 Holes</Size><SupplierCode>XT</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5277</SubGroupID><Suffix>VAL</Suffix><ARTGs><ARTG>324402</ARTG></ARTGs><ChangeExplanation>
Billing code transferred from GW022
Sponsor transferred from EQUINOX MEDICAL PTY LTD</ChangeExplanation><MinimumBenefit>1183</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2020-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>XT031</BillingCode><PriorBillingCodes><PriorBillingCode>GW041</PriorBillingCode></PriorBillingCodes><Name>WEGO Trauma Systems</Name><Description>Periarticular Radius Plating Systems</Description><Size>7 - 15 Holes</Size><SupplierCode>XT</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5277</SubGroupID><Suffix>LK</Suffix><ARTGs><ARTG>324402</ARTG></ARTGs><ChangeExplanation>
Billing code transferred from GW041
Sponsor transferred from EQUINOX MEDICAL PTY LTD</ChangeExplanation><MinimumBenefit>1126</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2020-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>XU016</BillingCode><PriorBillingCodes><PriorBillingCode>QQ803</PriorBillingCode></PriorBillingCodes><Name>ARIX Wrist System - Volar Distal Radius Plates </Name><Description>Volar Distal Radius Plates </Description><Size>8-11 holes</Size><SupplierCode>XU</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5277</SubGroupID><Suffix>VAL</Suffix><ARTGs><ARTG>409165</ARTG></ARTGs><ChangeExplanation>
Billing code transferred from QQ803
Sponsor transferred from AA-Med Pty Ltd</ChangeExplanation><MinimumBenefit>1183</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2024-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LM318</BillingCode><Name>PROTEAN Plate</Name><Description>Plate</Description><Size>One size</Size><SupplierCode>LM</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5277</SubGroupID><Suffix>LK</Suffix><ARTGs><ARTG>278692</ARTG></ARTGs><MinimumBenefit>1126</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>OX027</BillingCode><Name>ARMAR 2.4 Locking Distal Radial Plate System - ≥ 7 to ≤ 15 holes</Name><Description>TiCP Distal Radial Locking Plates</Description><Size>7-15 Holes
43-120mm Length
Left, Straight and Right</Size><SupplierCode>OX</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5277</SubGroupID><Suffix>LK</Suffix><ARTGs><ARTG>286842</ARTG></ARTGs><MinimumBenefit>1126</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HW973</BillingCode><PriorBillingCodes><PriorBillingCode>WR048</PriorBillingCode></PriorBillingCodes><Name>Evolve Radial Head Plate</Name><Description>Evolve Radial Plate System Stainless Steel</Description><Size>32mm x 20-26mm in 2mm increments, 7 &amp; 8 hole</Size><SupplierCode>JV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5277</SubGroupID><Suffix>LK</Suffix><ARTGs><ARTG>326629</ARTG></ARTGs><MinimumBenefit>1126</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LM212</BillingCode><Name>Trimed Volar &amp; Dorsal Hook Plate</Name><Description>Wrist Fixation System - Volar &amp; Dorsal Hook Plate</Description><Size>≥ 7 to ≤ 15 holes</Size><SupplierCode>LM</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5277</SubGroupID><Suffix>LK</Suffix><ARTGs><ARTG>182677</ARTG></ARTGs><MinimumBenefit>1126</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2015-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MO363</BillingCode><Name>Anatomic Midshaft Forearm Plates</Name><Description>Internal Fixation Plate Anatomic Forearm, Radius</Description><Size>≥7 to ≤15 holes</Size><SupplierCode>MO</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5277</SubGroupID><Suffix>LK</Suffix><ARTGs><ARTG>99824</ARTG></ARTGs><MinimumBenefit>1126</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>TN075</BillingCode><Name>Newclip distal radius plates</Name><Description>Pariarticular anatomic radius plates</Description><Size>≥ 7 to ≤ 15 holes</Size><SupplierCode>TN</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5277</SubGroupID><Suffix>VAL</Suffix><ARTGs><ARTG>260229</ARTG><ARTG>260232</ARTG></ARTGs><MinimumBenefit>1183</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LM057</BillingCode><Name>Ascension Radial Head Locking Plate and Screws</Name><Description>Titanium pre-formed anatomical radial head plate</Description><Size>small and large</Size><SupplierCode>LM</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5277</SubGroupID><Suffix>VAL</Suffix><ARTGs><ARTG>118638</ARTG></ARTGs><MinimumBenefit>1183</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>KT099</BillingCode><Name>Recos Radial Plating System</Name><Description>Titanium Volar Locking Radius Plates</Description><Size>21mm - 24mm (Width) x 70mm (Length): 7-15 Holes</Size><SupplierCode>KT</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5277</SubGroupID><Suffix>VAL</Suffix><ARTGs><ARTG>236206</ARTG></ARTGs><MinimumBenefit>1183</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2023-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>DZ022</BillingCode><Name>VRP Distal Radius Fixation System</Name><Description>Volar Distal Radius Plate</Description><Size>Standard, wide, narrow, long, short - left, right and universal</Size><SupplierCode>DZ</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5277</SubGroupID><Suffix>VAL</Suffix><ARTGs><ARTG>149433</ARTG></ARTGs><MinimumBenefit>1183</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>EO068</BillingCode><Name>APTUS Wrist</Name><Description>2.5 TriLock Distal Radius Plates, Adaptive, Volar, Dorsal, Correction, Extra-articular</Description><Size>2.5mm diameter system</Size><SupplierCode>EO</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5277</SubGroupID><Suffix>VAL</Suffix><ARTGs><ARTG>141170</ARTG></ARTGs><MinimumBenefit>1183</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>TN057</BillingCode><Name>Periarticular radius plate</Name><Description>Periarticular VAL radius plate</Description><Size>≥7 to ≤15 holes</Size><SupplierCode>TN</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5277</SubGroupID><Suffix>VAL</Suffix><ARTGs><ARTG>260229</ARTG><ARTG>260232</ARTG></ARTGs><MinimumBenefit>1183</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2019-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LM322</BillingCode><Name>GEMINUS Volar Plating System</Name><Description>Plates</Description><Size>7 hole, Long (207mm) and Short (160mm)</Size><SupplierCode>LM</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5277</SubGroupID><Suffix>VAL</Suffix><ARTGs><ARTG>278692</ARTG></ARTGs><MinimumBenefit>1183</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>TN035</BillingCode><Name>Newclip Radius Plates</Name><Description>Variable Angle plates for the radius</Description><Size>7-15 holes</Size><SupplierCode>TN</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5277</SubGroupID><Suffix>VAL</Suffix><ARTGs><ARTG>260229</ARTG><ARTG>260232</ARTG></ARTGs><MinimumBenefit>1183</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>PB057</BillingCode><Name>Distal Radius Plate</Name><Description>Distal Radius Plating System</Description><Size>7 - 15 holes</Size><SupplierCode>PB</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5277</SubGroupID><Suffix>VAL</Suffix><ARTGs><ARTG>261562</ARTG></ARTGs><MinimumBenefit>1183</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2019-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HU153</BillingCode><PriorBillingCodes><PriorBillingCode>DE471</PriorBillingCode></PriorBillingCodes><Name>Titanium Volar Radius Plating System</Name><Description>Fixation Plate for Distal Radius Fractures</Description><Size>7- 15 holes</Size><SupplierCode>HU</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5277</SubGroupID><Suffix>VAL</Suffix><ARTGs><ARTG>350871</ARTG><ARTG>351000</ARTG></ARTGs><MinimumBenefit>1183</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HU358</BillingCode><Name>Titanium Volar Distal Radius Plating System</Name><Description>Plate for fracture fixation</Description><Size>10 and 13 holes, Narrow, Standard and Wide, Left and Right</Size><SupplierCode>HU</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5277</SubGroupID><Suffix>VAL</Suffix><ARTGs><ARTG>284416</ARTG></ARTGs><MinimumBenefit>1183</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2023-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MO407</BillingCode><Name>Acu-Loc Distal Radius Plating System</Name><Description>Volar, Dorsal, Distal Ulna, Standard, Long, Extra long, wide, narrow, left, right, extra articular plates</Description><Size>≥ 7 to ≤ 15</Size><SupplierCode>MO</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5277</SubGroupID><Suffix>VAL</Suffix><ARTGs><ARTG>99824</ARTG></ARTGs><MinimumBenefit>1183</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2013-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HU373</BillingCode><Name>2.4mm Sterile Distal Radius Plate    </Name><Description>2.4 Volar Distal Radius Kit Convenience Packs include the Volar plate, screws, and other accessories for insertion </Description><Size>2.4mm</Size><SupplierCode>HU</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5277</SubGroupID><Suffix>VAL</Suffix><ARTGs><ARTG>350871</ARTG></ARTGs><MinimumBenefit>1183</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2023-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>JD005</BillingCode><Name>CarboFix Piccolo Distal Radius Plate System – Plate component</Name><Description>CFR-PEEK distal volar radius plate</Description><Size>Right 52mm, 60mm, 90mm
Left 52mm, 60mm, 90mm
Narrow Right 50mm, 58mm
Narrow Left 50mm, 58mm</Size><SupplierCode>JD</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5277</SubGroupID><Suffix>VAL</Suffix><ARTGs><ARTG>222648</ARTG></ARTGs><MinimumBenefit>1183</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SK573</BillingCode><Name>Universal Distal Radius System</Name><Description>Universal SMARTLock Locking plates</Description><Size>9-15 Hole</Size><SupplierCode>JV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5277</SubGroupID><Suffix>VAL</Suffix><ARTGs><ARTG>119848</ARTG></ARTGs><MinimumBenefit>1183</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ024</BillingCode><PriorBillingCodes><PriorBillingCode>LM365</PriorBillingCode></PriorBillingCodes><Name>Distal Radius Plates</Name><Description>Distal Radius Plates</Description><Size>Multiple Sizes</Size><SupplierCode>LV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5277</SubGroupID><Suffix>VAL</Suffix><ARTGs><ARTG>266216</ARTG></ARTGs><MinimumBenefit>1183</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2019-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SK572</BillingCode><Name>Universal Distal Radius System</Name><Description>SMARTLock Column Locking Plates</Description><Size>7 hole</Size><SupplierCode>JV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5277</SubGroupID><Suffix>VAL</Suffix><ARTGs><ARTG>124319</ARTG></ARTGs><MinimumBenefit>1183</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LM118</BillingCode><Name>TriMed Radial Column Plates</Name><Description>Radial Column Plate</Description><Size>7 hole</Size><SupplierCode>LM</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5277</SubGroupID><ARTGs><ARTG>182677</ARTG></ARTGs><MinimumBenefit>869</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BH253</BillingCode><Name>Distal Radius Plating System</Name><Description>DVR titanium radius plates</Description><Size>7 to 15 holes</Size><SupplierCode>ZI</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5277</SubGroupID><Suffix>VAL</Suffix><ARTGs><ARTG>209306</ARTG></ARTGs><MinimumBenefit>1183</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2013-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MO406</BillingCode><Name>Acu-Loc Distal Radius Plating System</Name><Description>Volar, Dorsal, Distal Ulna, Standard, Long, Extra long, wide, narrow, left, right, extra-articular plates</Description><Size>&gt;7 - &gt;15</Size><SupplierCode>MO</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5277</SubGroupID><Suffix>LK</Suffix><ARTGs><ARTG>99824</ARTG></ARTGs><MinimumBenefit>1126</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2013-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SN921</BillingCode><Name>Peri-Loc</Name><Description>Radius Plates</Description><Size>≥7 to ≤15 holes</Size><SupplierCode>SN</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5277</SubGroupID><Suffix>LK</Suffix><ARTGs><ARTG>108428</ARTG></ARTGs><MinimumBenefit>1126</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LM120</BillingCode><Name>TriMed Ulna Column Plates</Name><Description>Ulna Column Plate</Description><Size>7 hole</Size><SupplierCode>LM</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5277</SubGroupID><ARTGs><ARTG>182677</ARTG></ARTGs><MinimumBenefit>869</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LM033</BillingCode><Name>Trimed Wrist Fixation System,</Name><Description> Volar Fixed Angle Plates</Description><Size>Narrow, standard and wide plates, 10 to 14 hole</Size><SupplierCode>LM</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5277</SubGroupID><ARTGs><ARTG>182677</ARTG></ARTGs><MinimumBenefit>869</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LM141</BillingCode><Name>TriMed Wrist Fixation System</Name><Description>TriMed Volar Bearing Plate</Description><Size>Narrow, Standard, Wide; 3, 5, and 7 Holes</Size><SupplierCode>LM</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5277</SubGroupID><Suffix>VAL</Suffix><ARTGs><ARTG>182677</ARTG></ARTGs><MinimumBenefit>1183</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>JV003</BillingCode><Name>VariAx Wrist Plating System – Distal Radius</Name><Description>VAL Fixation Plates for Distal Radius Fractures</Description><Size>≥ 7 to ≤ 15 holes</Size><SupplierCode>JV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5277</SubGroupID><Suffix>VAL</Suffix><ARTGs><ARTG>340042</ARTG><ARTG>357433</ARTG></ARTGs><MinimumBenefit>1183</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ER558</BillingCode><Name>Osteomed ExtremiLock Plate (≥ 7 to ≤ 15 holes)</Name><Description>VDR Narrow, standard, PQ sparing plates, left or right    </Description><Size>≥ 7 to ≤ 15 holes</Size><SupplierCode>ER</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5277</SubGroupID><Suffix>VAL</Suffix><ARTGs><ARTG>337239</ARTG></ARTGs><MinimumBenefit>1183</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2020-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SL149</BillingCode><Name>Smith &amp; Nephew Plate and Screw System - EVOS</Name><Description>VAL Periarticular anatomic Radius Plate</Description><Size>≥ 7 to ≤ 15 holes</Size><SupplierCode>SN</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5277</SubGroupID><Suffix>VAL</Suffix><ARTGs><ARTG>108428</ARTG></ARTGs><MinimumBenefit>1183</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2019-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SL076</BillingCode><Name>VLP</Name><Description>Distal Radius Plates</Description><Size>≥ 7 to ≤ 15 holes</Size><SupplierCode>SN</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5277</SubGroupID><Suffix>VAL</Suffix><ARTGs><ARTG>108428</ARTG></ARTGs><MinimumBenefit>1183</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ280</BillingCode><Name>SALGINA 2.5mm Distal Radius Plate</Name><Description>Volar and Dorsal Distal Radius Plate</Description><Size>Narrow, wide, long narrow, long wide, standard, distal narrow, and distal wide, Left and Right</Size><SupplierCode>LQ</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5277</SubGroupID><Suffix>VAL</Suffix><ARTGs><ARTG>468027</ARTG><ARTG>433150</ARTG></ARTGs><ChangeExplanation>Change to Product name, ARTG, Description, Size</ChangeExplanation><MinimumBenefit>1183</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Update</ActionFlag><CycleStartDate>2024-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SK632</BillingCode><Name>VariAx Volar plates</Name><Description>Volar Plate Polyaxial Locking</Description><Size>Radius 7-15 holes</Size><SupplierCode>JV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5277</SubGroupID><Suffix>VAL</Suffix><ARTGs><ARTG>119848</ARTG><ARTG>155633</ARTG></ARTGs><MinimumBenefit>1183</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2016-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SY677</BillingCode><Name>AO/ASIF Plates</Name><Description>Anatomical Locking Radial Plates</Description><Size>7-15 holes</Size><SupplierCode>JJ</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5277</SubGroupID><Suffix>LK</Suffix><ARTGs><ARTG>157069</ARTG></ARTGs><MinimumBenefit>1126</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>XU014</BillingCode><PriorBillingCodes><PriorBillingCode>QQ693</PriorBillingCode></PriorBillingCodes><Name>ARIX Elbow System- Proximal Radius Plates </Name><Description>Proximal Radius Plates </Description><Size>7-10 holes </Size><SupplierCode>XU</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5277</SubGroupID><Suffix>VAL</Suffix><ARTGs><ARTG>409165</ARTG></ARTGs><ChangeExplanation>
Billing code transferred from QQ693
Sponsor transferred from AA-Med Pty Ltd</ChangeExplanation><MinimumBenefit>1183</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2024-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SY679</BillingCode><Name>AO/ASIF Plates</Name><Description>Anatomical Locking Radial Plates</Description><Size>≥ 16 Holes</Size><SupplierCode>JJ</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5278</SubGroupID><Suffix>LK</Suffix><ARTGs><ARTG>157069</ARTG></ARTGs><MinimumBenefit>1234</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>KT071</BillingCode><PriorBillingCodes><PriorBillingCode>OH471</PriorBillingCode></PriorBillingCodes><Name>IXOS Radius Plating System</Name><Description>Titanium Radial Plates</Description><Size>23mm - 32mm x 60mm - 95mm</Size><SupplierCode>KT</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5278</SubGroupID><Suffix>VAL</Suffix><ARTGs><ARTG>276674</ARTG><ARTG>236206</ARTG></ARTGs><MinimumBenefit>1513</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>EO069</BillingCode><Name>APTUS Wrist</Name><Description>2.5 TriLock Distal Radius Plates, Volar, Dorsal, Correction</Description><Size>2.5mm diameter system</Size><SupplierCode>EO</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5278</SubGroupID><Suffix>VAL</Suffix><ARTGs><ARTG>141170</ARTG></ARTGs><MinimumBenefit>1513</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>TN047</BillingCode><Name>Periarticular anatomic plates VAL Radius &gt;=16 holes</Name><Description>Periarticular anatomic plates VAL Radius</Description><Size>≥16 holes</Size><SupplierCode>TN</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5278</SubGroupID><Suffix>VAL</Suffix><ARTGs><ARTG>260232</ARTG><ARTG>260229</ARTG></ARTGs><MinimumBenefit>1513</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MN201</BillingCode><Name>AO/ASIF Plates</Name><Description>Anatomical  Radial Plates</Description><Size>≥ 16 Holes</Size><SupplierCode>JJ</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5278</SubGroupID><Suffix>VAL</Suffix><ARTGs><ARTG>157069</ARTG></ARTGs><MinimumBenefit>1513</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SK576</BillingCode><Name>VariAx Plate</Name><Description>Volar Plate, Polyaxial Locking</Description><Size>16-22 Hole</Size><SupplierCode>JV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5278</SubGroupID><Suffix>VAL</Suffix><ARTGs><ARTG>124319</ARTG></ARTGs><MinimumBenefit>1513</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>JV031</BillingCode><Name>VariAx 2 Distal Radius System </Name><Description>Volar Plate</Description><Size>Radius, greater than or equal to 16 holes</Size><SupplierCode>JV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5278</SubGroupID><Suffix>VAL</Suffix><ARTGs><ARTG>237797</ARTG></ARTGs><ChangeExplanation>New listing</ChangeExplanation><MinimumBenefit>1513</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2025-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LM382</BillingCode><Name>Volar Distal Radius Plates</Name><Description>Fixation Plate for Distal Radius Fractures</Description><Size>16 holes or more</Size><SupplierCode>LM</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5278</SubGroupID><Suffix>VAL</Suffix><ARTGs><ARTG>278692</ARTG></ARTGs><MinimumBenefit>1513</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2019-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SK574</BillingCode><Name>Universal Distal Radius System</Name><Description>Universal SMARTLock Locking Plates</Description><Size>17 Hole</Size><SupplierCode>JV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5278</SubGroupID><Suffix>VAL</Suffix><ARTGs><ARTG>124319</ARTG></ARTGs><MinimumBenefit>1513</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MO364</BillingCode><Name>Acumed Acu-Loc Radius Plating system</Name><Description>Volar, Dorsal, Distal Ulna, Standard, Long, Extra long, wide, narrow, left, right, extra-articular plates</Description><Size>≥16 holes</Size><SupplierCode>MO</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5278</SubGroupID><Suffix>LK</Suffix><ARTGs><ARTG>99824</ARTG></ARTGs><MinimumBenefit>1234</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>OX030</BillingCode><Name>ARMAR 2.4 Locking Distal Radial Plate System - ≥ 16 holes</Name><Description>TiCP Distal Radial Locking Plate</Description><Size>16 Holes
140mm Length</Size><SupplierCode>OX</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5278</SubGroupID><Suffix>LK</Suffix><ARTGs><ARTG>286842</ARTG></ARTGs><MinimumBenefit>1234</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>XT022</BillingCode><PriorBillingCodes><PriorBillingCode>GW030</PriorBillingCode></PriorBillingCodes><Name>WEGO Trauma Systems</Name><Description>Periarticular Radius Plating Systems</Description><Size>≥ 16 Holes</Size><SupplierCode>XT</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5278</SubGroupID><Suffix>LK</Suffix><ARTGs><ARTG>324402</ARTG></ARTGs><ChangeExplanation>
Billing code transferred from GW030
Sponsor transferred from EQUINOX MEDICAL PTY LTD</ChangeExplanation><MinimumBenefit>1234</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2020-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BH254</BillingCode><Name>Distal Radius Fracture Repair System</Name><Description>DVR-A, distal volar radius locking plate, titanium</Description><Size>16 to 20 holes</Size><SupplierCode>ZI</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5278</SubGroupID><Suffix>VAL</Suffix><ARTGs><ARTG>153056</ARTG></ARTGs><MinimumBenefit>1513</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2013-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BH292</BillingCode><Name>ALPS Elbow System</Name><Description>Ulna Titanium Plates</Description><Size>Small – Large, 3 to 6 holes</Size><SupplierCode>ZI</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5279</SubGroupID><Suffix>VAL</Suffix><ARTGs><ARTG>153056</ARTG></ARTGs><MinimumBenefit>1287</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2013-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>EO059</BillingCode><Name>APTUS</Name><Description>Ulna Plates</Description><Size>&lt;  or = 6 holes</Size><SupplierCode>EO</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5279</SubGroupID><Suffix>VAL</Suffix><ARTGs><ARTG>206157</ARTG></ARTGs><MinimumBenefit>1287</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SL144</BillingCode><Name>Smith &amp; Nephew Plate and Screw System - EVOS</Name><Description>VAL Periarticular Anatomical Small Fragment plate - Ulna</Description><Size>≤ 6 holes</Size><SupplierCode>SN</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5279</SubGroupID><Suffix>VAL</Suffix><ARTGs><ARTG>108428</ARTG></ARTGs><MinimumBenefit>1287</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2019-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MO361</BillingCode><Name>Anatomic Midshaft Forearm Plates</Name><Description>Internal Fixation Plate Anatomic Forearm, Ulna</Description><Size>≤6 holes</Size><SupplierCode>MO</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5279</SubGroupID><Suffix>LK</Suffix><ARTGs><ARTG>99824</ARTG></ARTGs><MinimumBenefit>778</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>OX020</BillingCode><Name>ARMAR 3.5 LPS Olecranon Plates</Name><Description>3.5 mm anatomical olecranon locking plates</Description><Size>2- 6 holes</Size><SupplierCode>OX</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5279</SubGroupID><Suffix>LK</Suffix><ARTGs><ARTG>286842</ARTG></ARTGs><MinimumBenefit>778</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SY743</BillingCode><Name>AO/ASIF Plates</Name><Description>Anatomic Locking Ulna Plates</Description><Size>≤6  Holes</Size><SupplierCode>JJ</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5279</SubGroupID><Suffix>LK</Suffix><ARTGs><ARTG>157069</ARTG></ARTGs><MinimumBenefit>778</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MO349</BillingCode><Name>Acumed Tap Loc Elbow plates</Name><Description>Variable angle locking plates</Description><Size>≤6 holes Coronoid</Size><SupplierCode>MO</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5279</SubGroupID><ARTGs><ARTG>99824</ARTG></ARTGs><MinimumBenefit>869</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>XT032</BillingCode><PriorBillingCodes><PriorBillingCode>GW042</PriorBillingCode></PriorBillingCodes><Name>WEGO Trauma Systems</Name><Description>Periarticular Ulna Plating System</Description><Size>≤ 6 Holes</Size><SupplierCode>XT</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5279</SubGroupID><Suffix>LK</Suffix><ARTGs><ARTG>324402</ARTG></ARTGs><ChangeExplanation>
Billing code transferred from GW042
Sponsor transferred from EQUINOX MEDICAL PTY LTD</ChangeExplanation><MinimumBenefit>778</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2020-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SN918</BillingCode><Name>Peri-Loc</Name><Description>Olecranon Plates</Description><Size>≤6 holes</Size><SupplierCode>SN</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5279</SubGroupID><Suffix>LK</Suffix><ARTGs><ARTG>108428</ARTG></ARTGs><MinimumBenefit>778</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>XU011</BillingCode><PriorBillingCodes><PriorBillingCode>QQ332</PriorBillingCode></PriorBillingCodes><Name>ARIX Elbow System- Olecranon</Name><Description>Olecranon, Medial, Lateral, Posterolateral</Description><Size>5-17 holes </Size><SupplierCode>XU</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5280</SubGroupID><Suffix>VAL</Suffix><ARTGs><ARTG>409165</ARTG></ARTGs><ChangeExplanation>
Billing code transferred from QQ332
Sponsor transferred from AA-Med Pty Ltd</ChangeExplanation><MinimumBenefit>1198</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2024-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SY766</BillingCode><Name>AO/ASIF Plates</Name><Description>Variable Angle Locking Perarticular Ulna Plates</Description><Size>≥7 to ≤15 holes</Size><SupplierCode>JJ</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5280</SubGroupID><Suffix>VAL</Suffix><ARTGs><ARTG>157069</ARTG></ARTGs><MinimumBenefit>1198</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2013-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SL145</BillingCode><Name>Smith &amp; Nephew Plate and Screw System - EVOS</Name><Description>VAL Periarticular Anatomical Small Fragment plate - Ulna</Description><Size>≥ 7 to ≤ 15 holes</Size><SupplierCode>SN</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5280</SubGroupID><Suffix>VAL</Suffix><ARTGs><ARTG>108428</ARTG></ARTGs><MinimumBenefit>1198</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2019-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>DZ004</BillingCode><Name>Valens Shoulder and Elbow - Elbow</Name><Description>Ulna Hook Locking Compression Plate</Description><Size>7 Holes</Size><SupplierCode>DZ</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5280</SubGroupID><Suffix>VAL</Suffix><ARTGs><ARTG>276915</ARTG></ARTGs><MinimumBenefit>1198</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MO350</BillingCode><Name>Acumed Tap Loc Elbow plates</Name><Description>Variable angle locking plate system</Description><Size>≥7 to ≤15 holes Olecranon</Size><SupplierCode>MO</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5280</SubGroupID><Suffix>VAL</Suffix><ARTGs><ARTG>99824</ARTG></ARTGs><MinimumBenefit>1198</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LM525</BillingCode><Name>Proximal Ulna Plate</Name><Description>Proximal Ulna Plate</Description><Size>73 to 151 mm</Size><SupplierCode>LM</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5280</SubGroupID><Suffix>VAL</Suffix><ARTGs><ARTG>278692</ARTG></ARTGs><MinimumBenefit>1198</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SK499</BillingCode><Name>Stryker Locking Plate system</Name><Description>Variable angle locking plate for olecranon fractures</Description><Size>7-15 Hole</Size><SupplierCode>JV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5280</SubGroupID><Suffix>VAL</Suffix><ARTGs><ARTG>119848</ARTG></ARTGs><MinimumBenefit>1198</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2009-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BH293</BillingCode><Name>ALPS Elbow System</Name><Description>Ulna Titanium Plates</Description><Size>10-13 holes</Size><SupplierCode>ZI</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5280</SubGroupID><Suffix>VAL</Suffix><ARTGs><ARTG>209306</ARTG></ARTGs><MinimumBenefit>1198</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2013-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>EO063</BillingCode><Name>Aptus Elbow</Name><Description>Olecranon Plates Right, Left, Straight and Tension</Description><Size>&gt; 7 to &lt; 15 holes</Size><SupplierCode>EO</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5280</SubGroupID><Suffix>VAL</Suffix><ARTGs><ARTG>141170</ARTG></ARTGs><MinimumBenefit>1198</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>EO070</BillingCode><Name>APTUS Wrist</Name><Description>2.5 TriLock Y Plate</Description><Size>2.5mm diameter system</Size><SupplierCode>EO</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5280</SubGroupID><Suffix>VAL</Suffix><ARTGs><ARTG>141170</ARTG></ARTGs><MinimumBenefit>1198</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>XU008</BillingCode><PriorBillingCodes><PriorBillingCode>QQ212</PriorBillingCode></PriorBillingCodes><Name>ARIX Elbow System- Olecranon</Name><Description>Olecranon, Medial, Lateral, Posterolateral</Description><Size>5-17 holes </Size><SupplierCode>XU</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5280</SubGroupID><Suffix>VAL</Suffix><ARTGs><ARTG>409165</ARTG></ARTGs><ChangeExplanation>
Billing code transferred from QQ212
Sponsor transferred from AA-Med Pty Ltd</ChangeExplanation><MinimumBenefit>1198</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2024-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>TN010</BillingCode><Name>Alians Elbow System - Plates</Name><Description>Plates for fixation of fractures of the elbow and/or ulna</Description><Size>Periarticular anatomic - Ulna greater than or equal to 7 to less than or equal to 15 holes</Size><SupplierCode>TN</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5280</SubGroupID><Suffix>VAL</Suffix><ARTGs><ARTG>260232</ARTG><ARTG>260229</ARTG></ARTGs><MinimumBenefit>1198</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2016-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>XT020</BillingCode><PriorBillingCodes><PriorBillingCode>GW025</PriorBillingCode></PriorBillingCodes><Name>WEGO Trauma Systems</Name><Description>Perarticular Ulna Plating Systems</Description><Size>7 - 15 holes</Size><SupplierCode>XT</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5280</SubGroupID><Suffix>LK</Suffix><ARTGs><ARTG>324402</ARTG></ARTGs><ChangeExplanation>
Billing code transferred from GW025
Sponsor transferred from EQUINOX MEDICAL PTY LTD</ChangeExplanation><MinimumBenefit>1126</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2020-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>OX021</BillingCode><Name>ARMAR 3.5 LPS Olecranon Plates</Name><Description>3.5mm anatomical olecranon locking plates</Description><Size>7-15 holes</Size><SupplierCode>OX</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5280</SubGroupID><Suffix>LK</Suffix><ARTGs><ARTG>286842</ARTG></ARTGs><MinimumBenefit>1126</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HW802</BillingCode><PriorBillingCodes><PriorBillingCode>WR221</PriorBillingCode></PriorBillingCodes><Name>Evolve Ortholoc EPS System - Olecranon Plate</Name><Description>Stainless Steel, Polyaxial Locking Plate, Olecranon, Right &amp; Left</Description><Size>Right &amp; Left, 2.7 &amp; 3.5mm, 9-16 holes</Size><SupplierCode>JV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5280</SubGroupID><Suffix>LK</Suffix><ARTGs><ARTG>326629</ARTG></ARTGs><MinimumBenefit>1126</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ257</BillingCode><Name>LEPORELLO 3.5mm Olecranon Plate</Name><Description>3.5mm Olecranon Plate</Description><Size>7, 9 and 11 holes</Size><SupplierCode>LQ</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5280</SubGroupID><Suffix>VAL</Suffix><ARTGs><ARTG>433150</ARTG></ARTGs><ChangeExplanation>Change to Size</ChangeExplanation><MinimumBenefit>1198</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Update</ActionFlag><CycleStartDate>2024-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SY767</BillingCode><Name>AO/ASIF Plates</Name><Description>Locking Periarticular Ulna Plates</Description><Size>≥7 to ≤15 holes</Size><SupplierCode>JJ</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5280</SubGroupID><Suffix>LK</Suffix><ARTGs><ARTG>157069</ARTG></ARTGs><MinimumBenefit>1126</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2013-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SN919</BillingCode><Name>Peri-Loc</Name><Description>Olecranon Plates</Description><Size>≥7 to ≤15 holes</Size><SupplierCode>SN</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5280</SubGroupID><Suffix>LK</Suffix><ARTGs><ARTG>108428</ARTG></ARTGs><MinimumBenefit>1126</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MO360</BillingCode><Name>Anatomic Midshaft Forearm Plates</Name><Description>Internal Fixation Plate Anatomic Forearm, Ulna</Description><Size>≥7 to ≤15 holes</Size><SupplierCode>MO</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5280</SubGroupID><Suffix>LK</Suffix><ARTGs><ARTG>99824</ARTG></ARTGs><MinimumBenefit>1126</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>DZ107</BillingCode><Name>Austofix L&amp;C Olecranon Plates</Name><Description>Olecranon Locking Plates </Description><Size>17, 19 and 21 holes (8, 10, 12 screw holes in the shaft and 9 holes at the curved end)</Size><SupplierCode>DZ</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5281</SubGroupID><Suffix>LK</Suffix><ARTGs><ARTG>276915</ARTG></ARTGs><ChangeExplanation>New listing</ChangeExplanation><MinimumBenefit>1159</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2025-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>EO137</BillingCode><Name>Medartis APTUS Elbow Dorsal Olecranon plates &gt;= 16 holes</Name><Description>Olecranon plates</Description><Size>&gt;=16 holes</Size><SupplierCode>EO</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5281</SubGroupID><Suffix>VAL</Suffix><ARTGs><ARTG>206157</ARTG></ARTGs><ChangeExplanation>New listing</ChangeExplanation><MinimumBenefit>1433</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2025-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ZA118</BillingCode><Name>ALPS Elbow System</Name><Description>Ulna Titanium Plates</Description><Size>≥16 holes  </Size><SupplierCode>ZI</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5281</SubGroupID><Suffix>VAL</Suffix><ARTGs><ARTG>209306</ARTG></ARTGs><MinimumBenefit>1433</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2023-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>XT045</BillingCode><PriorBillingCodes><PriorBillingCode>GW059</PriorBillingCode></PriorBillingCodes><Name>WEGO Trauma Systems</Name><Description>Periarticular Ulan Plating System</Description><Size>≥ 16 Holes</Size><SupplierCode>XT</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5281</SubGroupID><Suffix>LK</Suffix><ARTGs><ARTG>324402</ARTG></ARTGs><ChangeExplanation>
Billing code transferred from GW059
Sponsor transferred from EQUINOX MEDICAL PTY LTD</ChangeExplanation><MinimumBenefit>1159</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2020-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MO351</BillingCode><Name>Acumed Tap Loc Elbow plates</Name><Description>Variable angle locking plate system</Description><Size>≥16 holes Olecranon</Size><SupplierCode>MO</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5281</SubGroupID><Suffix>VAL</Suffix><ARTGs><ARTG>99824</ARTG></ARTGs><MinimumBenefit>1433</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SY765</BillingCode><Name>AO/ASIF Plates</Name><Description>Anatomic Locking Ulna Plates</Description><Size>≥16 holes</Size><SupplierCode>JJ</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5281</SubGroupID><Suffix>VAL</Suffix><ARTGs><ARTG>157069</ARTG></ARTGs><MinimumBenefit>1433</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2013-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>KO013</BillingCode><PriorBillingCodes><PriorBillingCode>LM484</PriorBillingCode></PriorBillingCodes><Name>Periarticular Hand Plates</Name><Description>Periarticular Hand Plates</Description><Size>Multiple sizes to suit patient anatomy</Size><SupplierCode>KO</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5282</SubGroupID><Suffix>VAL</Suffix><ARTGs><ARTG>337193</ARTG></ARTGs><MinimumBenefit>2238</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2023-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MO385</BillingCode><PriorBillingCodes><PriorBillingCode>MO211</PriorBillingCode></PriorBillingCodes><Name>Acumed Locking Clavical Plating System</Name><Description>Locking Clavicle Plates Mid Shaft, Anterior and Distal</Description><Size>= &gt; 7  to  = &lt; 15 holes</Size><SupplierCode>MO</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5271</SubGroupID><Suffix>LK</Suffix><ARTGs><ARTG>99824</ARTG></ARTGs><ChangeExplanation>Change to Size</ChangeExplanation><MinimumBenefit>1260</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Update</ActionFlag><CycleStartDate>2012-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MO372</BillingCode><Name>Acumed Locking Scapula plate System</Name><Description>Locking Bone Plate, Scapula</Description><Size>≥7 to ≤15 holes</Size><SupplierCode>MO</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5271</SubGroupID><Suffix>LK</Suffix><ARTGs><ARTG>99824</ARTG></ARTGs><MinimumBenefit>1260</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>DZ101</BillingCode><Name>Austofix Clavicle L&amp;C Plates</Name><Description>Hook Clavicle Locking Plates</Description><Size>7-15 Holes</Size><SupplierCode>DZ</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5271</SubGroupID><Suffix>LK</Suffix><ARTGs><ARTG>276915</ARTG></ARTGs><MinimumBenefit>1260</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2023-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SY618</BillingCode><Name>AO/ASIF Plates</Name><Description>LCP Clavicle - superior, anterior, hook</Description><Size>7-15 holes</Size><SupplierCode>JJ</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5271</SubGroupID><Suffix>LK</Suffix><ARTGs><ARTG>157069</ARTG></ARTGs><MinimumBenefit>1260</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>XT036</BillingCode><PriorBillingCodes><PriorBillingCode>GW049</PriorBillingCode></PriorBillingCodes><Name>WEGO Trauma Systems</Name><Description>Clavicle Plating System</Description><Size>7 - 15 Holes</Size><SupplierCode>XT</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5271</SubGroupID><Suffix>LK</Suffix><ARTGs><ARTG>324402</ARTG></ARTGs><ChangeExplanation>
Billing code transferred from GW049
Sponsor transferred from EQUINOX MEDICAL PTY LTD</ChangeExplanation><MinimumBenefit>1260</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2020-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SL088</BillingCode><Name>PERI-LOC</Name><Description>Clavicle plates</Description><Size>≥ 7 to ≤ 15 holes</Size><SupplierCode>SN</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5271</SubGroupID><Suffix>LK</Suffix><ARTGs><ARTG>108428</ARTG></ARTGs><MinimumBenefit>1260</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>TN019</BillingCode><Name>NewClip Clavicle Plate</Name><Description>Locking Clavicle plates</Description><Size>7 to 15 holes</Size><SupplierCode>TN</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5271</SubGroupID><Suffix>LK</Suffix><ARTGs><ARTG>260229</ARTG><ARTG>260232</ARTG><ARTG>260233</ARTG><ARTG>260234</ARTG></ARTGs><MinimumBenefit>1260</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2016-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HW597</BillingCode><Name>Stryker Locked Plate System</Name><Description>Periarticular variable angle locking plate - clavicle</Description><Size>7-15 holes</Size><SupplierCode>JV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5271</SubGroupID><Suffix>VAL</Suffix><ARTGs><ARTG>196764</ARTG></ARTGs><MinimumBenefit>1320</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HW907</BillingCode><PriorBillingCodes><PriorBillingCode>WR384</PriorBillingCode></PriorBillingCodes><Name>MaxLock Extreme System - Clavicle Plates</Name><Description>Clavicle Variable angle locking plates, Titanium</Description><Size>9 to 13 holes</Size><SupplierCode>JV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5271</SubGroupID><Suffix>VAL</Suffix><ARTGs><ARTG>214671</ARTG></ARTGs><MinimumBenefit>1320</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SL153</BillingCode><Name>Smith &amp; Nephew Plate and Screw System - EVOS</Name><Description>VAL Periarticular Anatomical Small Fragment plate - Clavicle</Description><Size>≥ 7 to ≤ 15 holes</Size><SupplierCode>SN</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5271</SubGroupID><Suffix>VAL</Suffix><ARTGs><ARTG>108428</ARTG></ARTGs><MinimumBenefit>1320</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2019-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MN327</BillingCode><Name>AO/ASIF Plates</Name><Description>VA-LCP Clavicle Plate 2.7 System - Short and Long Hook Plates</Description><Size>9, 11  holes; 9-, 12- and 15-mm hook depths</Size><SupplierCode>JJ</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5271</SubGroupID><Suffix>VAL</Suffix><ARTGs><ARTG>157069</ARTG></ARTGs><MinimumBenefit>1320</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MN308</BillingCode><Name>AO/ASIF Plates</Name><Description>VA-LCP Clavicle Plates, Lateral &amp; Medial</Description><Size>≥ 7 to ≤ 15 holes</Size><SupplierCode>JJ</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5271</SubGroupID><Suffix>VAL</Suffix><ARTGs><ARTG>157069</ARTG><ARTG>286609</ARTG></ARTGs><MinimumBenefit>1320</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>TN062</BillingCode><Name>Newclip Clavicle plates</Name><Description>Locking Clavicle plates</Description><Size>7 to 15 holes</Size><SupplierCode>TN</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5271</SubGroupID><Suffix>VAL</Suffix><ARTGs><ARTG>260232</ARTG><ARTG>260229</ARTG></ARTGs><MinimumBenefit>1320</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2019-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>EO126</BillingCode><Name>APTUS Shoulder Clavicle</Name><Description>Lateral clavicle plates</Description><Size>≥ 7 to ≤ 15 holes</Size><SupplierCode>EO</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5271</SubGroupID><Suffix>VAL</Suffix><ARTGs><ARTG>206157</ARTG></ARTGs><MinimumBenefit>1320</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>PB083</BillingCode><Name>VA Clavicle Plate</Name><Description>VA Clavicle Plating System</Description><Size>7 - 15 holes</Size><SupplierCode>PB</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5271</SubGroupID><Suffix>VAL</Suffix><ARTGs><ARTG>261562</ARTG></ARTGs><MinimumBenefit>1320</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2023-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ073</BillingCode><PriorBillingCodes><PriorBillingCode>AE153</PriorBillingCode><PriorBillingCode>AE153</PriorBillingCode></PriorBillingCodes><Name>ADSM Clavicle Plating System - Plates</Name><Description>Clavicle fracture plating system consisting of anatomic pre-contoured stainless steel locking compression plates and screws (cortical, cancellous &amp; locking)</Description><Size>8-13 holes (L &amp; R),</Size><SupplierCode>KR</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5271</SubGroupID><Suffix>LK</Suffix><ARTGs><ARTG>258572</ARTG></ARTGs><MinimumBenefit>1260</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>OX025</BillingCode><Name>ARMAR Superior Anterior Clavicle Plate</Name><Description>3.5mm anatomical clavicle plate</Description><Size>7-8 holes</Size><SupplierCode>OX</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5271</SubGroupID><Suffix>LK</Suffix><ARTGs><ARTG>286842</ARTG></ARTGs><MinimumBenefit>1260</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LM184</BillingCode><Name>Trimed Clavicle Fixation Plates</Name><Description>Plates for fixation of fractures of the clavicle</Description><Size>7-15 holes</Size><SupplierCode>LM</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5271</SubGroupID><Suffix>LK</Suffix><ARTGs><ARTG>182677</ARTG></ARTGs><MinimumBenefit>1260</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2013-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MN295</BillingCode><Name>AO/ASIF Plates</Name><Description>LCP Clavicle Hook Plates</Description><Size>≥7 to ≤ 15 holes</Size><SupplierCode>JJ</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5271</SubGroupID><Suffix>LK</Suffix><ARTGs><ARTG>157069</ARTG></ARTGs><MinimumBenefit>1260</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>OX024</BillingCode><Name>ARMAR LPS Clavicle Hook Plates</Name><Description>3.5mm anatomical clavicle hook plates</Description><Size>7 holes</Size><SupplierCode>OX</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5271</SubGroupID><Suffix>LK</Suffix><ARTGs><ARTG>286842</ARTG></ARTGs><MinimumBenefit>1260</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MO386</BillingCode><Name>Acumed Locking Clavical Plating System</Name><Description>Lockinh Clavicle Plates Mid Shaft, Anterior and Distal.</Description><Size>≥ 16 holes</Size><SupplierCode>MO</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5272</SubGroupID><Suffix>LK</Suffix><ARTGs><ARTG>99824</ARTG></ARTGs><MinimumBenefit>1338</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-02-01</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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><MinimumBenefit>4370</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-08-01</CycleStartDate><CycleEndDate>2025-03-01</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>LR</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>2025-03-01</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>LR</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>2025-03-01</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>JJ</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1241</GroupID><SubGroupID>4094</SubGroupID><Suffix>AUG</Suffix><ARTGs><ARTG>387411</ARTG><ARTG>387410</ARTG></ARTGs><MinimumBenefit>4370</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MN346</BillingCode><Name>FIBERGRAFT</Name><Description>Bioactive Glass (BG) Bone Graft Morsels</Description><Size>11cc</Size><SupplierCode>JJ</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>2025-03-01</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>KW</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1241</GroupID><SubGroupID>4094</SubGroupID><ARTGs><ARTG>451205</ARTG></ARTGs><MinimumBenefit>1425</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2024-11-01</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>VK055</BillingCode><PriorBillingCodes><PriorBillingCode>VG003</PriorBillingCode></PriorBillingCodes><Name>CERAMENT BVF</Name><Description>Bone substitute with hydroxyapatite and iohexal</Description><Size>18ml</Size><SupplierCode>VK</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1241</GroupID><SubGroupID>4094</SubGroupID><Suffix>AUG</Suffix><ARTGs><ARTG>372270</ARTG></ARTGs><ChangeExplanation>
Billing code transferred from VG003
Sponsor transferred from MAXX PHARMA PTY LTD</ChangeExplanation><MinimumBenefit>4370</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2021-11-01</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>XV004</BillingCode><PriorBillingCodes><PriorBillingCode>LM242</PriorBillingCode></PriorBillingCodes><Name>Exabone Paste</Name><Description>Preloaded Paste in Syringe</Description><Size>15cc</Size><SupplierCode>XV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1241</GroupID><SubGroupID>4094</SubGroupID><ARTGs><ARTG>232998</ARTG></ARTGs><ChangeExplanation>
Billing code transferred from LM242
Sponsor transferred from LMT SURGICAL PTY LTD</ChangeExplanation><MinimumBenefit>1425</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2015-08-01</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>173514</ARTG><ARTG>173515</ARTG></ARTGs><MinimumBenefit>1482</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-07-01</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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><MinimumBenefit>1321</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2024-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>PB045</BillingCode><Name>Subtalar Implant</Name><Description>Conical tapered titanium implant to treat flat foot and stabilise subtalar joint</Description><Size>7 – 12mm</Size><SupplierCode>PB</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>124</SubCategoryID><GroupID>1219</GroupID><SubGroupID>3261</SubGroupID><ARTGs><ARTG>223188</ARTG></ARTGs><MinimumBenefit>1321</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2016-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HW912</BillingCode><PriorBillingCodes><PriorBillingCode>WR389</PriorBillingCode></PriorBillingCodes><Name>Futura Conical Subtalar Implant</Name><Description>The Conical Subtalar Implant (CSI) is designed to treat hyperpronated foot and to stabilize the subtalar joint. It is intended to block forward, downward and medial displacement of the talus, allowing for normal subtalar joint motion while simultaneously </Description><Size>7 - 12</Size><SupplierCode>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>2025-03-01</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>2025-03-01</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><MinimumBenefit>1321</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2010-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HW681</BillingCode><PriorBillingCodes><PriorBillingCode>WR001</PriorBillingCode></PriorBillingCodes><Name>BioArch Subtalar Arthroereisis Implant</Name><Description>Conical, tapered, titanium implant with blunt thread design.</Description><Size>8, 9, 10, 11, 12mm</Size><SupplierCode>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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SF090</BillingCode><Name>R2 Subtalar Implant</Name><Description>R2 Subtalar Implant</Description><Size>Size 7/13mm to 12/18mm</Size><SupplierCode>SF</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>124</SubCategoryID><GroupID>1219</GroupID><SubGroupID>3261</SubGroupID><ARTGs><ARTG>184460</ARTG></ARTGs><MinimumBenefit>1321</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2015-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HU103</BillingCode><PriorBillingCodes><PriorBillingCode>DE293</PriorBillingCode></PriorBillingCodes><Name>Prostop</Name><Description>Arthroereisis Subtalar implant</Description><Size>7x12mm 8x12mm 9x14mm 10x14mm 11x16mm 12x16mm</Size><SupplierCode>HU</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>124</SubCategoryID><GroupID>1219</GroupID><SubGroupID>3261</SubGroupID><ARTGs><ARTG>350870</ARTG></ARTGs><MinimumBenefit>1321</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>IT035</BillingCode><Name>Fuse It Healing Screw</Name><Description>Fenestrated conical fusion cage - intended to be used in situations where an aid is required to help facilitate bone fusion and alignment generally following an osteotomy but also in the instance of large bone deformities and complex fusion procedures.</Description><Size>Diameters from 6mm-16mm, lengths from 10mm-30mm</Size><SupplierCode>IT</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>124</SubCategoryID><GroupID>1219</GroupID><SubGroupID>3261</SubGroupID><ARTGs><ARTG>308601</ARTG></ARTGs><MinimumBenefit>1321</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2019-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>IT017</BillingCode><Name>Arch It</Name><Description>Subtalar Arthroereisis Implant</Description><Size>8mm, 9mm, 10mm, 11mm &amp; 12mm</Size><SupplierCode>IT</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>124</SubCategoryID><GroupID>1219</GroupID><SubGroupID>3261</SubGroupID><ARTGs><ARTG>266192</ARTG></ARTGs><MinimumBenefit>1321</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2016-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SL189</BillingCode><PriorBillingCodes><PriorBillingCode>IG053</PriorBillingCode></PriorBillingCodes><Name>MBA Titanium Subtalar Implant</Name><Description>Implant for subtalar joint arthroereisis</Description><Size>6, 8, 9, 10, 12mm and guide pin 2mm</Size><SupplierCode>SN</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LH667</BillingCode><PriorBillingCodes><PriorBillingCode>OO128</PriorBillingCode></PriorBillingCodes><Name>MUTARS Humerus connecting part</Name><Description>MUTARS Humerus connecting part</Description><Size>80mm</Size><SupplierCode>LH</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1778</GroupID><SubGroupID>5414</SubGroupID><ARTGs><ARTG>244561</ARTG><ARTG>284241</ARTG></ARTGs><MinimumBenefit>4351</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LH669</BillingCode><PriorBillingCodes><PriorBillingCode>OO130</PriorBillingCode></PriorBillingCodes><Name>MUTARS humerus reducer</Name><Description>MUTARS humerus reducer</Description><Size>10/100mm</Size><SupplierCode>LH</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1778</GroupID><SubGroupID>5414</SubGroupID><ARTGs><ARTG>284590</ARTG><ARTG>244561</ARTG></ARTGs><MinimumBenefit>4351</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HW218</BillingCode><Name>Howmedica Modular Resection System</Name><Description>Humerus Connection Piece -  Vitallium</Description><Size>One size only</Size><SupplierCode>JV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1778</GroupID><SubGroupID>5414</SubGroupID><ARTGs><ARTG>242296</ARTG></ARTGs><MinimumBenefit>4351</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BR001</BillingCode><Name>OPRA System</Name><Description>Central screw - titanium</Description><Size>One size only</Size><SupplierCode>BR</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1778</GroupID><SubGroupID>5404</SubGroupID><ARTGs><ARTG>145488</ARTG></ARTGs><MinimumBenefit>1767</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LH670</BillingCode><PriorBillingCodes><PriorBillingCode>OO131</PriorBillingCode></PriorBillingCodes><Name>MUTARS humerus screw</Name><Description>MUTARS humerus screw</Description><Size>15mm,35mm,55mm,75mm</Size><SupplierCode>LH</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1778</GroupID><SubGroupID>5404</SubGroupID><ARTGs><ARTG>246973</ARTG><ARTG>250513</ARTG></ARTGs><MinimumBenefit>1767</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BR002</BillingCode><Name>OPRA System</Name><Description>Healing cylinder - titanium</Description><Size>One size only</Size><SupplierCode>BR</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1778</GroupID><SubGroupID>5405</SubGroupID><ARTGs><ARTG>145488</ARTG></ARTGs><MinimumBenefit>2993</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BR003</BillingCode><Name>OPRA System</Name><Description>Healing screw - titanium</Description><Size>One size only</Size><SupplierCode>BR</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1778</GroupID><SubGroupID>5406</SubGroupID><ARTGs><ARTG>145488</ARTG></ARTGs><MinimumBenefit>2337</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>OY011</BillingCode><Name>Healing Plug Unidirectional Locking</Name><Description>Unidirectional locking
Highly polished to minimise soft tissue irritation
Fixation of offset Antirotational bushing, Taper sleeve into the stem &amp; cone
An elongated deep groove to prevent rotation
Composed of a forged CoCrMo alloy accordingto ISO 5832-12, the M14 male thread of the
screw locks with the M 14 female thread of the abutment.</Description><Size>3 size</Size><SupplierCode>OY</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1778</GroupID><SubGroupID>5406</SubGroupID><ARTGs><ARTG>229716</ARTG></ARTGs><MinimumBenefit>2337</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2016-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>WK002</BillingCode><Name>PLASTI-MED Multi-Length</Name><Description>Multi-Length Ureteral Stent</Description><Size>3Fr / 3.5Fr / 4Fr / 4.7Fr / 4.8Fr / 6Fr / 7Fr ( 8cm - 32cm )</Size><SupplierCode>WK</SupplierCode><CategoryID>26</CategoryID><SubCategoryID>227</SubCategoryID><GroupID>1702</GroupID><SubGroupID>5324</SubGroupID><Suffix>P</Suffix><ARTGs><ARTG>389186</ARTG></ARTGs><MinimumBenefit>241</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2023-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BA044</BillingCode><Name>Ureteral Stent</Name><Description>Hydrophilic coated ureteral stent</Description><Size>Fr 4.7 – 8.0, Length 22-32cm</Size><SupplierCode>BA</SupplierCode><CategoryID>26</CategoryID><SubCategoryID>227</SubCategoryID><GroupID>1702</GroupID><SubGroupID>5324</SubGroupID><ARTGs><ARTG>235658</ARTG></ARTGs><MinimumBenefit>189</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>WC282</BillingCode><Name>Universa Soft Ureteral Stent Set</Name><Description>Universa Soft Ureteral Stent Set, with or without the TFE WireGuide, multi-length</Description><Size>5, 6, 7 and 8FR in multi-length (22-32CM)</Size><SupplierCode>WC</SupplierCode><CategoryID>26</CategoryID><SubCategoryID>227</SubCategoryID><GroupID>1702</GroupID><SubGroupID>5324</SubGroupID><ARTGs><ARTG>216072</ARTG></ARTGs><MinimumBenefit>189</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2010-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>WC219</BillingCode><Name>C-Flex Double Pigtail Ureteric Stent Set</Name><Description>Set includes: Paediatric Stent, Wire and Positioner</Description><Size>3.7 Fr, Multilple Lengths</Size><SupplierCode>WC</SupplierCode><CategoryID>26</CategoryID><SubCategoryID>227</SubCategoryID><GroupID>1702</GroupID><SubGroupID>5324</SubGroupID><Suffix>P</Suffix><ARTGs><ARTG>216072</ARTG></ARTGs><MinimumBenefit>241</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>WC218</BillingCode><Name>C-Flex Multilength Ureteric Stent Set</Name><Description>Set includes: Paediatric Stent, Wire, Positioner</Description><Size>3.7 Fr, Multiple Lengths</Size><SupplierCode>WC</SupplierCode><CategoryID>26</CategoryID><SubCategoryID>227</SubCategoryID><GroupID>1702</GroupID><SubGroupID>5324</SubGroupID><Suffix>P</Suffix><ARTGs><ARTG>216072</ARTG></ARTGs><MinimumBenefit>241</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>WC003</BillingCode><Name>Sof-Flex Multi-length Ureteric Stent Set</Name><Description>Stent and Positioner only</Description><Size>Multiple French Sizes, Multi-length</Size><SupplierCode>WC</SupplierCode><CategoryID>26</CategoryID><SubCategoryID>227</SubCategoryID><GroupID>1702</GroupID><SubGroupID>5325</SubGroupID><ARTGs><ARTG>216072</ARTG></ARTGs><MinimumBenefit>154</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>WC150</BillingCode><Name>Sof-Flex Double Pigtail Ureteric Stent Set</Name><Description>Set includes: Stent, Wire, Positioner</Description><Size>Multiple French Sizes and Lengths</Size><SupplierCode>WC</SupplierCode><CategoryID>26</CategoryID><SubCategoryID>227</SubCategoryID><GroupID>1702</GroupID><SubGroupID>5325</SubGroupID><ARTGs><ARTG>216072</ARTG></ARTGs><MinimumBenefit>154</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>WJ001</BillingCode><Name>Roca Multi-Length</Name><Description>Soft / Firm Ureteral Stent &amp; Simple / Connectable Pusher &amp; Without / With GuideWire</Description><Size>4.8Fr / 6Fr / 7Fr ( 22cm-32cm )</Size><SupplierCode>WJ</SupplierCode><CategoryID>26</CategoryID><SubCategoryID>227</SubCategoryID><GroupID>1702</GroupID><SubGroupID>5325</SubGroupID><Suffix>Therm</Suffix><ARTGs><ARTG>381055</ARTG></ARTGs><MinimumBenefit>180</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>WC104</BillingCode><Name>Cook Ureteral Stent - Sof-Flex Double Pigtail Stent Set - Special</Name><Description>Radiopaque Sof-Flex Stent, Stainless Steel Wire Guide, Radiopaque Polyurethane Catheter and Radiolucent Vinyl Positioner</Description><Size>Multiple French Sizes and Lengths</Size><SupplierCode>WC</SupplierCode><CategoryID>26</CategoryID><SubCategoryID>227</SubCategoryID><GroupID>1702</GroupID><SubGroupID>5325</SubGroupID><ARTGs><ARTG>216072</ARTG></ARTGs><MinimumBenefit>154</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BS094</BillingCode><Name>Contour VL; Stretch VL Flexima; Ureteral Stents</Name><Description>Ureteral stent with attached suture</Description><Size>Diameters up to 14Fr &amp; lengths up to 40cm</Size><SupplierCode>BS</SupplierCode><CategoryID>26</CategoryID><SubCategoryID>227</SubCategoryID><GroupID>1702</GroupID><SubGroupID>5325</SubGroupID><Suffix>Therm</Suffix><ARTGs><ARTG>129376</ARTG></ARTGs><MinimumBenefit>180</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2006-11-30</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>OL077</BillingCode><Name>Ureteral Stents</Name><Description>Double J Ureteric stent, silicone</Description><Size>6-8.5 F, 12 - 30 cm</Size><SupplierCode>OL</SupplierCode><CategoryID>26</CategoryID><SubCategoryID>227</SubCategoryID><GroupID>1702</GroupID><SubGroupID>5325</SubGroupID><ARTGs><ARTG>130442</ARTG></ARTGs><MinimumBenefit>154</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2011-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>WC002</BillingCode><Name>Sof-Flex Multi-length Ureteric Stent Set</Name><Description>Set includes Stent, Wire, Positioner</Description><Size>Multiple French Sizes, Multi-length</Size><SupplierCode>WC</SupplierCode><CategoryID>26</CategoryID><SubCategoryID>227</SubCategoryID><GroupID>1702</GroupID><SubGroupID>5325</SubGroupID><ARTGs><ARTG>216072</ARTG></ARTGs><MinimumBenefit>154</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>WC272</BillingCode><Name>Ureteric Stent Set</Name><Description>Set includes soft Aqueous Coated (AQ) ureteric stent, positioner, with or without wire guide</Description><Size>Multiple French Sizes, multi-length</Size><SupplierCode>WC</SupplierCode><CategoryID>26</CategoryID><SubCategoryID>227</SubCategoryID><GroupID>1702</GroupID><SubGroupID>5325</SubGroupID><ARTGs><ARTG>216072</ARTG></ARTGs><MinimumBenefit>154</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2009-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>WC035</BillingCode><Name>Ureteric Stent Set</Name><Description>Set includes Aqueous Coated (AQ) firm multilength ureteric stent, positioner, with or without wire guide</Description><Size>Multiple French Sizes, Multi-Length</Size><SupplierCode>WC</SupplierCode><CategoryID>26</CategoryID><SubCategoryID>227</SubCategoryID><GroupID>1702</GroupID><SubGroupID>5325</SubGroupID><Suffix>Therm</Suffix><ARTGs><ARTG>216072</ARTG></ARTGs><MinimumBenefit>180</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>WC023</BillingCode><Name>Greene Renal Transplant Stent Set</Name><Description>Transplant stent set</Description><Size>Multiple French Sizes, Multi-length</Size><SupplierCode>WC</SupplierCode><CategoryID>26</CategoryID><SubCategoryID>227</SubCategoryID><GroupID>1702</GroupID><SubGroupID>5325</SubGroupID><Suffix>SP</Suffix><ARTGs><ARTG>216072</ARTG></ARTGs><MinimumBenefit>231</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>WC138</BillingCode><Name>Filiform Double Pigtail Silicone Stent Set</Name><Description>Stent, Positioner</Description><Size>6-8.5Fr, 20-28cm length</Size><SupplierCode>WC</SupplierCode><CategoryID>26</CategoryID><SubCategoryID>227</SubCategoryID><GroupID>1702</GroupID><SubGroupID>5325</SubGroupID><Suffix>T</Suffix><ARTGs><ARTG>216072</ARTG></ARTGs><MinimumBenefit>252</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>WC217</BillingCode><Name>Sof-Flex Multilength Ureteric Stent Set</Name><Description>Set includes: Paediatric Stent, Wire, Positioner</Description><Size>3 Fr, Multiple Lengths</Size><SupplierCode>WC</SupplierCode><CategoryID>26</CategoryID><SubCategoryID>227</SubCategoryID><GroupID>1702</GroupID><SubGroupID>5325</SubGroupID><Suffix>P</Suffix><ARTGs><ARTG>216072</ARTG></ARTGs><MinimumBenefit>246</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>WC220</BillingCode><Name>Sof-Flex Double Pigtail Ureteric Stent Set</Name><Description>Set includes: Paediatric Stent, Wire, Positioner</Description><Size>3 Fr, Multiple Lengths</Size><SupplierCode>WC</SupplierCode><CategoryID>26</CategoryID><SubCategoryID>227</SubCategoryID><GroupID>1702</GroupID><SubGroupID>5325</SubGroupID><Suffix>P</Suffix><ARTGs><ARTG>216072</ARTG></ARTGs><MinimumBenefit>246</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>OL080</BillingCode><Name>Ureteral Stents</Name><Description>Tecoflex polymer, hydrophilic coating/PTFE coating</Description><Size>4.5F-8.5F x length 8 - 32cm</Size><SupplierCode>OL</SupplierCode><CategoryID>26</CategoryID><SubCategoryID>227</SubCategoryID><GroupID>1702</GroupID><SubGroupID>5325</SubGroupID><ARTGs><ARTG>130442</ARTG></ARTGs><MinimumBenefit>154</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2011-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>CT023</BillingCode><Name>Biosoft Duo Multi Length Hydro-Coated Ureteral Stents</Name><Description>Biosoft Duo Multi Length Hydro-Coated Stents for drainage of upper urinary tract.</Description><Size>4.8, 6. 7 Fr</Size><SupplierCode>CT</SupplierCode><CategoryID>26</CategoryID><SubCategoryID>227</SubCategoryID><GroupID>1702</GroupID><SubGroupID>5325</SubGroupID><ARTGs><ARTG>142925</ARTG></ARTGs><MinimumBenefit>154</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2016-08-01</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SY794</BillingCode><Name>XRL</Name><Description>Expandable Vertebral Body</Description><Size>22 - 121mm Height</Size><SupplierCode>JJ</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SY795</BillingCode><Name>XRL</Name><Description>Endplate</Description><Size>-10˚/+15˚ Degrees</Size><SupplierCode>JJ</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MA462</BillingCode><Name>twinSys Non Cemented Femoral Stem</Name><Description>Titanium, grit blast, fully HA</Description><Size>Various offsets and sizes under 200mm length</Size><SupplierCode>MA</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>161</SubCategoryID><GroupID>1407</GroupID><SubGroupID>3949</SubGroupID><ARTGs><ARTG>274437</ARTG></ARTGs><MinimumBenefit>3174</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2006-03-24</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MN256</BillingCode><Name>Corail Femoral Stem</Name><Description>Titanium, grit blast, full HA coating</Description><Size>Size 11 to 14; Offset Low, Standard; Angle (In degrees) 125-135</Size><SupplierCode>JJ</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>161</SubCategoryID><GroupID>1407</GroupID><SubGroupID>3949</SubGroupID><ARTGs><ARTG>306751</ARTG></ARTGs><MinimumBenefit>3174</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2020-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>FD006</BillingCode><PriorBillingCodes><PriorBillingCode>LI108</PriorBillingCode></PriorBillingCodes><Name>HACTIV Uncemented Stem</Name><Description>Titanium, gritblast, HA coated, collared, collarless and high offset</Description><Size>Sizes 7 to 20</Size><SupplierCode>FD</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>161</SubCategoryID><GroupID>1407</GroupID><SubGroupID>3949</SubGroupID><ARTGs><ARTG>232289</ARTG><ARTG>268272</ARTG></ARTGs><MinimumBenefit>3174</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>FD005</BillingCode><Name>Stemsys Cementless HA Coated Stems</Name><Description>Uncemented Femoral Stem with HA Coating - Collared and Collarless</Description><Size>Sizes 7 to 20 - Standard and Laterlised</Size><SupplierCode>FD</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>161</SubCategoryID><GroupID>1407</GroupID><SubGroupID>3949</SubGroupID><ARTGs><ARTG>356300</ARTG><ARTG>356301</ARTG></ARTGs><MinimumBenefit>3174</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>CR117</BillingCode><Name>Metafix Femoral Stem</Name><Description>Titanium femoral stem striated and fully coated with HA</Description><Size>standard, lateralised, short neck and 125 and 135 degree</Size><SupplierCode>CR</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>161</SubCategoryID><GroupID>1407</GroupID><SubGroupID>3949</SubGroupID><ARTGs><ARTG>207831</ARTG><ARTG>281110</ARTG></ARTGs><MinimumBenefit>3174</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2007-12-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>DY514</BillingCode><Name>Corail Revision Femoral Stem</Name><Description>Titanium, grit blast, full HA coating, fluted distally</Description><Size>Size ≤13, (length less than 200mm)</Size><SupplierCode>JJ</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>161</SubCategoryID><GroupID>1407</GroupID><SubGroupID>3949</SubGroupID><ARTGs><ARTG>173831</ARTG></ARTGs><MinimumBenefit>3174</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2009-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LC144</BillingCode><Name>ColloMis Femoral Stem</Name><Description>The COLLO-MIS Femoral Stem</Description><Size>Sizes 1 to 9</Size><SupplierCode>LC</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>161</SubCategoryID><GroupID>1407</GroupID><SubGroupID>3949</SubGroupID><ARTGs><ARTG>219427</ARTG></ARTGs><MinimumBenefit>3174</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2013-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LC013</BillingCode><Name>FIT Femoral Stem</Name><Description>FIT Femoral Stem 12/14 Taper Ti6AI4V HA Coated</Description><Size>Size 1-7, Left &amp; Right</Size><SupplierCode>LC</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>161</SubCategoryID><GroupID>1407</GroupID><SubGroupID>3949</SubGroupID><ARTGs><ARTG>210717</ARTG></ARTGs><MinimumBenefit>3174</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2009-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MU003</BillingCode><Name>Quadra Hip Femoral Stem</Name><Description>Titanium, grit blast, fully HA,</Description><Size>Std 0 to 10
Std (shortneck) 00 to 10
Lat 1 to 7
Lat (shortneck) 1 to 7</Size><SupplierCode>MU</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>161</SubCategoryID><GroupID>1407</GroupID><SubGroupID>3949</SubGroupID><ARTGs><ARTG>204336</ARTG></ARTGs><MinimumBenefit>3174</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2007-06-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>GG009</BillingCode><Name>Cementless Korus Stem</Name><Description>A straight femoral stem, with or without collar, for use in hip prostheses systems.</Description><Size>125 and 135 degrees; sizes 1 to 9; ; offset 37 to 50 mm; with and without collar</Size><SupplierCode>GG</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>161</SubCategoryID><GroupID>1407</GroupID><SubGroupID>3949</SubGroupID><ARTGs><ARTG>312760</ARTG></ARTGs><MinimumBenefit>3174</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2019-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LC159</BillingCode><Name>H-Max S Femoral Stem</Name><Description>H-Max S Femoral Stem HA Coated Ti6AI4V</Description><Size>9 - 18</Size><SupplierCode>LC</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>161</SubCategoryID><GroupID>1407</GroupID><SubGroupID>3949</SubGroupID><ARTGs><ARTG>218784</ARTG></ARTGs><MinimumBenefit>3174</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2013-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BB405</BillingCode><Name>Trend Hip Cementless Femoral Stem</Name><Description>Trend Hip Cementless Femoral Stem</Description><Size>1 - 8, Stem Length 134mm - 169mm</Size><SupplierCode>BB</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>161</SubCategoryID><GroupID>1407</GroupID><SubGroupID>3949</SubGroupID><ARTGs><ARTG>392930</ARTG></ARTGs><MinimumBenefit>3174</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LI056</BillingCode><Name>Integrale Femoral Stem</Name><Description>Anodised titanium, fully HA Coated,straight stem and used with separate neck</Description><Size>7 Sizes</Size><SupplierCode>LI</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>161</SubCategoryID><GroupID>1407</GroupID><SubGroupID>3949</SubGroupID><Suffix>Removable Neck</Suffix><ARTGs><ARTG>210194</ARTG><ARTG>210195</ARTG></ARTGs><MinimumBenefit>3174</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2013-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BV031</BillingCode><Name>Profemur L</Name><Description>Profemur L Hip Stem</Description><Size>1 - 11
Standard, Extended</Size><SupplierCode>BV</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>161</SubCategoryID><GroupID>1407</GroupID><SubGroupID>3949</SubGroupID><ARTGs><ARTG>234444</ARTG><ARTG>218787</ARTG></ARTGs><MinimumBenefit>3174</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2016-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LO111</BillingCode><Name>Beta-Cone Cementless Hip Prosthesis</Name><Description>Titanium, grit blast, with HA</Description><Size>9 Stem sizes 1-9 plus additional 9 stems with XL neck length.  Total 18 Sizes</Size><SupplierCode>LO</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>161</SubCategoryID><GroupID>1407</GroupID><SubGroupID>3949</SubGroupID><ARTGs><ARTG>114169</ARTG><ARTG>51002</ARTG></ARTGs><MinimumBenefit>3174</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LO034</BillingCode><Name>CFP Hip Stem</Name><Description>Titanium, grit blast,  HA</Description><Size>Extra small to Extra Large</Size><SupplierCode>LO</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>161</SubCategoryID><GroupID>1407</GroupID><SubGroupID>3949</SubGroupID><ARTGs><ARTG>223134</ARTG></ARTGs><MinimumBenefit>3174</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MU128</BillingCode><Name>AMIStem H Femoral Stem</Name><Description>Titanium, grit blast, HA coated</Description><Size>STD 00 to 9; LAT 0 to 8</Size><SupplierCode>MU</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>161</SubCategoryID><GroupID>1407</GroupID><SubGroupID>3949</SubGroupID><ARTGs><ARTG>218795</ARTG><ARTG>287484</ARTG></ARTGs><MinimumBenefit>3174</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2014-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HT001</BillingCode><PriorBillingCodes><PriorBillingCode>TZ016</PriorBillingCode></PriorBillingCodes><Name>Hydra Hip Stem</Name><Description>Tapered, Titanium, HA Coated, Modular Uncemented Femoral Stem</Description><Size>Sizes 9 - 18</Size><SupplierCode>HT</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>161</SubCategoryID><GroupID>1407</GroupID><SubGroupID>3949</SubGroupID><ARTGs><ARTG>315264</ARTG></ARTGs><MinimumBenefit>3174</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SF029</BillingCode><Name>Origin™ Stem</Name><Description>Cementless Stems are inteded for press-fit fixation and manufactured from titanium 6AI-4V and are fully HA coated</Description><Size>collarless: standard offset, 12/14, sizes 8-18 Extended offset 12/14, sizes 8-18, reduced offset 8-18, collared: standard offset 12/14, sizes 8-18, reduced offset sizes 8-18 Extended offset, all available in collared option and coxa vera 125 degree</Size><SupplierCode>SF</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>161</SubCategoryID><GroupID>1407</GroupID><SubGroupID>3949</SubGroupID><ARTGs><ARTG>277417</ARTG></ARTGs><MinimumBenefit>3174</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>DP943</BillingCode><Name>Corail Femoral Stem</Name><Description>Titanium, grit blast, full HA coating,</Description><Size>Size 8 to 18; Offset Standard, High; Angle (in degrees) 125-135</Size><SupplierCode>JJ</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>161</SubCategoryID><GroupID>1407</GroupID><SubGroupID>3949</SubGroupID><Suffix>SCP</Suffix><ARTGs><ARTG>306751</ARTG></ARTGs><ChangeExplanation>Change to ARTG, Size</ChangeExplanation><MinimumBenefit>3174</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Update</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ZI556</BillingCode><Name>Avenir- Muller Stem</Name><Description>Titanium, grit blast, with HA</Description><Size>Standard sizes 1-8;  Lateral sizes 1-8</Size><SupplierCode>ZI</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>161</SubCategoryID><GroupID>1407</GroupID><SubGroupID>3949</SubGroupID><ARTGs><ARTG>216175</ARTG></ARTGs><MinimumBenefit>3174</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2007-12-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LI119</BillingCode><Name>EVOK Stem</Name><Description>Cementless Stem with HA</Description><Size>Sizes 7 to 20  Collared and Collarless</Size><SupplierCode>LI</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>161</SubCategoryID><GroupID>1407</GroupID><SubGroupID>3949</SubGroupID><ARTGs><ARTG>315774</ARTG><ARTG>315775</ARTG></ARTGs><MinimumBenefit>3174</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2019-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MN275</BillingCode><Name>ACTIS Femoral Stem</Name><Description>Collared, proximal beaded with HA </Description><Size>Size 0-12</Size><SupplierCode>JJ</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>161</SubCategoryID><GroupID>1407</GroupID><SubGroupID>3950</SubGroupID><ARTGs><ARTG>346130</ARTG></ARTGs><MinimumBenefit>2933</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>DY134</BillingCode><Name>Summit Femoral Stem</Name><Description>Titanium, beaded proximally with HA, duofix distal grit blast</Description><Size>Size 1-10</Size><SupplierCode>JJ</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>161</SubCategoryID><GroupID>1407</GroupID><SubGroupID>3950</SubGroupID><Suffix>SCP</Suffix><ARTGs><ARTG>215936</ARTG></ARTGs><MinimumBenefit>2933</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SN303</BillingCode><Name>Synergy</Name><Description>Femoral Stem HA Coated beaded Titanium Alloy, Std and High offset</Description><Size>9 - 18</Size><SupplierCode>SN</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>161</SubCategoryID><GroupID>1407</GroupID><SubGroupID>3950</SubGroupID><Suffix>SCP</Suffix><ARTGs><ARTG>225532</ARTG></ARTGs><MinimumBenefit>2933</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SN678</BillingCode><Name>Echelon with HA</Name><Description>Cobalt Chromium with Hyrdoxyapetite Coating, beaded</Description><Size>11-20</Size><SupplierCode>SN</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>161</SubCategoryID><GroupID>1407</GroupID><SubGroupID>3950</SubGroupID><ARTGs><ARTG>222602</ARTG><ARTG>253854</ARTG><ARTG>262521</ARTG><ARTG>262520</ARTG><ARTG>257395</ARTG><ARTG>262974</ARTG></ARTGs><MinimumBenefit>2933</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SN843</BillingCode><Name>Anthology Hip System</Name><Description>Titanium, Beaded and HA</Description><Size>0-20</Size><SupplierCode>SN</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>161</SubCategoryID><GroupID>1407</GroupID><SubGroupID>3950</SubGroupID><ARTGs><ARTG>218143</ARTG></ARTGs><MinimumBenefit>2933</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2006-11-30</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ZI493</BillingCode><Name>M/L Taper   Stem</Name><Description>Plasma sprayed titanium with HA </Description><Size>Sizes 5 to 22 with standard and extended offsets</Size><SupplierCode>ZI</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>161</SubCategoryID><GroupID>1407</GroupID><SubGroupID>3952</SubGroupID><ARTGs><ARTG>207912</ARTG></ARTGs><MinimumBenefit>3263</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BB295</BillingCode><Name>Metha - modular short stem</Name><Description>Short stem, plasma, HA</Description><Size>1 -6</Size><SupplierCode>BB</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>161</SubCategoryID><GroupID>1407</GroupID><SubGroupID>3952</SubGroupID><Suffix>Removable Neck</Suffix><ARTGs><ARTG>126457</ARTG></ARTGs><MinimumBenefit>3263</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2007-12-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LH627</BillingCode><Name>Mutars RS revision system - cementless stem HA</Name><Description>RS Cementless stem HA</Description><Size>12 - 22mm dia stems, 150 - 190mm length</Size><SupplierCode>LH</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>161</SubCategoryID><GroupID>1407</GroupID><SubGroupID>3952</SubGroupID><ARTGs><ARTG>236460</ARTG></ARTGs><MinimumBenefit>3263</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>WN001</BillingCode><PriorBillingCodes><PriorBillingCode>RL004</PriorBillingCode></PriorBillingCodes><Name>Permedica Exacta Femoral Stem HaX-Pore -Press-fit hip femur</Name><Description>The Permedica Exacta HaX-Pore Femoral stem is a press-fit stem with pure titanium and hydroxyapatite coating.  It is a self-locking stem with longitudinal and transverse grooves on the anterior and posterior surface to provide axial and rotational stability.  The stem is manufactured using Titanium Aluminium Niobium forged alloy (Ti6AI7Nb) ISO5832/11 with a surface finish of 300 micron pure Titanium and a 50 micron hydroxyapatite plasma sprayed coating.</Description><Size>Sized 1-12  Angle (in degrees) 127 degrees and 135 degrees</Size><SupplierCode>WN</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>161</SubCategoryID><GroupID>1407</GroupID><SubGroupID>3952</SubGroupID><Suffix>SCP</Suffix><ARTGs><ARTG>220150</ARTG></ARTGs><MinimumBenefit>3263</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2023-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ST574</BillingCode><Name>SecurFit HA Max Hip Stem</Name><Description>Titanium, plasma coated, HA</Description><Size>Stem sizes 4-14 in 127 and 132 degree neck angles</Size><SupplierCode>JV</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>161</SubCategoryID><GroupID>1407</GroupID><SubGroupID>3952</SubGroupID><Suffix>SCP</Suffix><ARTGs><ARTG>152397</ARTG></ARTGs><MinimumBenefit>3263</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ST541</BillingCode><Name>SecurFit Plus Max</Name><Description>Titanium, plasma, HA </Description><Size>Stem sizes 7-14</Size><SupplierCode>JV</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>161</SubCategoryID><GroupID>1407</GroupID><SubGroupID>3952</SubGroupID><Suffix>SCP</Suffix><ARTGs><ARTG>152399</ARTG></ARTGs><MinimumBenefit>3263</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BI075</BillingCode><Name>Biomet Taperloc Hip System</Name><Description>titanium, plasma, HA</Description><Size>4mm - 25mm</Size><SupplierCode>ZI</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>161</SubCategoryID><GroupID>1407</GroupID><SubGroupID>3952</SubGroupID><Suffix>SCP</Suffix><ARTGs><ARTG>257353</ARTG><ARTG>257355</ARTG><ARTG>222180</ARTG></ARTGs><MinimumBenefit>3263</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MU202</BillingCode><Name>Quadra-P collared</Name><Description>Titanium stem proximally coated with plasma spray and HA - collared version</Description><Size>Std 00 to 10 Lat 0 to 10</Size><SupplierCode>MU</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>161</SubCategoryID><GroupID>1407</GroupID><SubGroupID>3952</SubGroupID><ARTGs><ARTG>356197</ARTG></ARTGs><MinimumBenefit>3263</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2023-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MA541</BillingCode><Name>optimys Stem</Name><Description>Ti with Ti Plasma spray and CaP coating</Description><Size>XS, 0 to 12, standard and lateral</Size><SupplierCode>MA</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>161</SubCategoryID><GroupID>1407</GroupID><SubGroupID>3952</SubGroupID><ARTGs><ARTG>287920</ARTG></ARTGs><MinimumBenefit>3263</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2014-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>CR294</BillingCode><PriorBillingCodes><PriorBillingCode>GO285</PriorBillingCode></PriorBillingCodes><Name>Paragon Hip Stem PCHA</Name><Description>Paragon Femoral Stem, Porous and HA coated</Description><Size>1-12, STD, High Offset, Coxa Vara, Collared</Size><SupplierCode>CR</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>161</SubCategoryID><GroupID>1407</GroupID><SubGroupID>3952</SubGroupID><ARTGs><ARTG>296134</ARTG><ARTG>296139</ARTG></ARTGs><MinimumBenefit>3263</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>CR086</BillingCode><Name>TriFit  System</Name><Description>Titanium stem proximally coated with plasma spray and HA</Description><Size>Sizes 1- 11</Size><SupplierCode>CR</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>161</SubCategoryID><GroupID>1407</GroupID><SubGroupID>3952</SubGroupID><ARTGs><ARTG>207830</ARTG><ARTG>342332</ARTG></ARTGs><MinimumBenefit>3263</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MU188</BillingCode><Name>Masterloc Stems - Ti + HA</Name><Description>Cementless Femoral Stem - Ti + HA 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>1407</GroupID><SubGroupID>3952</SubGroupID><ARTGs><ARTG>286795</ARTG></ARTGs><MinimumBenefit>3263</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2023-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>WQ009</BillingCode><Name>Individual Hip TiHA </Name><Description>Uncemented Collarless Femoral Stem</Description><Size>Patient-Specific Collarless Hip</Size><SupplierCode>WQ</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>161</SubCategoryID><GroupID>1407</GroupID><SubGroupID>3952</SubGroupID><ARTGs><ARTG>404155</ARTG></ARTGs><MinimumBenefit>3263</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2023-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HW529</BillingCode><Name>Accolade II Femoral Hip System</Name><Description>Femoral Hip Stem (127 &amp; 132 neck angle)</Description><Size>Size 0 - 11</Size><SupplierCode>JV</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>161</SubCategoryID><GroupID>1407</GroupID><SubGroupID>3952</SubGroupID><ARTGs><ARTG>198383</ARTG></ARTGs><MinimumBenefit>3263</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2014-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>PF018</BillingCode><Name>Hip and Go</Name><Description>Femoral Stem Component</Description><Size>Size 1-10, standard and lateralized</Size><SupplierCode>PF</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>161</SubCategoryID><GroupID>1407</GroupID><SubGroupID>3952</SubGroupID><ARTGs><ARTG>141168</ARTG></ARTGs><MinimumBenefit>3263</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2015-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>CR157</BillingCode><Name>MiniHip Stem</Name><Description>Short stem, Titanium, Plasma Spray with HA</Description><Size>9 sizes</Size><SupplierCode>CR</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>161</SubCategoryID><GroupID>1407</GroupID><SubGroupID>3952</SubGroupID><ARTGs><ARTG>106747</ARTG></ARTGs><MinimumBenefit>3263</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2009-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ644</BillingCode><Name>Avenir Complete</Name><Description>Collared Standard Offset, High Offset, and Coxa Vara Stems 

</Description><Size>Sizes 0 - 9</Size><SupplierCode>ZI</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>161</SubCategoryID><GroupID>1407</GroupID><SubGroupID>3952</SubGroupID><ARTGs><ARTG>464034</ARTG></ARTGs><MinimumBenefit>3263</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2024-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MU201</BillingCode><Name>Quadra-P collarless</Name><Description>Titanium stem proximally coated with plasma spray and HA - collarless version</Description><Size>Std 00 to 10  Lat 0 to 10</Size><SupplierCode>MU</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>161</SubCategoryID><GroupID>1407</GroupID><SubGroupID>3952</SubGroupID><ARTGs><ARTG>314889</ARTG></ARTGs><MinimumBenefit>3263</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2023-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SM127</BillingCode><Name>SL Plus MIA Femoral Stem</Name><Description>Titanium, Plasma spray, proximal HA coating</Description><Size>01-12, various offsets</Size><SupplierCode>SN</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>161</SubCategoryID><GroupID>1407</GroupID><SubGroupID>3952</SubGroupID><ARTGs><ARTG>225534</ARTG></ARTGs><MinimumBenefit>3263</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2008-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LC015</BillingCode><Name>Sam-Fit modular stem</Name><Description>Modular stem</Description><Size>1 - 7</Size><SupplierCode>LC</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>161</SubCategoryID><GroupID>1407</GroupID><SubGroupID>3952</SubGroupID><ARTGs><ARTG>210760</ARTG></ARTGs><MinimumBenefit>3263</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2009-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SN900</BillingCode><Name>NANOS Neck Preserving Stem</Name><Description>.Neck preserving femoral stem with vacuum plasma spray titanium porous coating and Calcium Phosphate electro chemical deposition process coating (Bonit Coating) for use without modular femoral neck choices</Description><Size>Size 0 to Size 9</Size><SupplierCode>SN</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>161</SubCategoryID><GroupID>1407</GroupID><SubGroupID>3952</SubGroupID><ARTGs><ARTG>233103</ARTG></ARTGs><MinimumBenefit>3263</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2009-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BB274</BillingCode><Name>Excia Hip System</Name><Description>plasma titanium, HA</Description><Size>8mm-18mm</Size><SupplierCode>BB</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>161</SubCategoryID><GroupID>1407</GroupID><SubGroupID>3952</SubGroupID><ARTGs><ARTG>123313</ARTG></ARTGs><MinimumBenefit>3263</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2006-03-24</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SM122</BillingCode><Name>Polarstem</Name><Description>Titanium Stem, Plasma Spray &amp; Full HA coating</Description><Size>01-11, various offsets</Size><SupplierCode>SN</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>161</SubCategoryID><GroupID>1407</GroupID><SubGroupID>3952</SubGroupID><ARTGs><ARTG>225533</ARTG><ARTG>302532</ARTG></ARTGs><MinimumBenefit>3263</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2008-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HT028</BillingCode><PriorBillingCodes><PriorBillingCode>TZ032</PriorBillingCode></PriorBillingCodes><Name>Hydra-Fix  </Name><Description>Forged titanium alloy stems with HA coating 12/14 taper  </Description><Size>8 - 18, standard, offset </Size><SupplierCode>HT</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>161</SubCategoryID><GroupID>1407</GroupID><SubGroupID>3952</SubGroupID><ARTGs><ARTG>325181</ARTG></ARTGs><MinimumBenefit>3263</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MU199</BillingCode><Name>AMIStem-P collarless</Name><Description>Titanium, Plasma spray, proximal HA coating - collarless version</Description><Size>Std 00 to 9   Lat 0 to 8 </Size><SupplierCode>MU</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>161</SubCategoryID><GroupID>1407</GroupID><SubGroupID>3952</SubGroupID><ARTGs><ARTG>314187</ARTG></ARTGs><MinimumBenefit>3263</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2023-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MU203</BillingCode><Name>AMIStem-P collared</Name><Description>Titanium, Plasma spray, proximal HA coating, collared version</Description><Size>Std 00 to 9 Lat 0 to 8</Size><SupplierCode>MU</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>161</SubCategoryID><GroupID>1407</GroupID><SubGroupID>3952</SubGroupID><ARTGs><ARTG>388451</ARTG></ARTGs><MinimumBenefit>3263</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2023-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ723</BillingCode><Name>SPS Stem System</Name><Description>Cementless anatomic femoral stem (SPS Evolution and SPS HA)</Description><Size>Size B to H, Right and Left</Size><SupplierCode>WQ</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>161</SubCategoryID><GroupID>1407</GroupID><SubGroupID>3952</SubGroupID><ARTGs><ARTG>462194</ARTG></ARTGs><MinimumBenefit>3263</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2024-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ZA023</BillingCode><Name>Arcus Staple System</Name><Description>Compression Staple</Description><Size>8-20mm width</Size><SupplierCode>ZI</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1773</GroupID><SubGroupID>5514</SubGroupID><Suffix>COMP</Suffix><ARTGs><ARTG>308503</ARTG></ARTGs><MinimumBenefit>396</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2019-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ023</BillingCode><PriorBillingCodes><PriorBillingCode>LM247</PriorBillingCode><PriorBillingCode>LM247</PriorBillingCode></PriorBillingCodes><Name>Compression Staples</Name><Description>Compression Staples</Description><Size>Multiple sizes</Size><SupplierCode>LV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1773</GroupID><SubGroupID>5514</SubGroupID><Suffix>COMP</Suffix><ARTGs><ARTG>236772</ARTG></ARTGs><MinimumBenefit>396</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2015-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LM386</BillingCode><PriorBillingCodes><PriorBillingCode>PB061</PriorBillingCode></PriorBillingCodes><Name>Compression Staple</Name><Description>Compression Staple</Description><Size>Multiple Sizes</Size><SupplierCode>LM</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1773</GroupID><SubGroupID>5514</SubGroupID><Suffix>COMP</Suffix><ARTGs><ARTG>328461</ARTG></ARTGs><MinimumBenefit>396</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2020-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LV025</BillingCode><Name>Staplizer Bone Staple Cartridge</Name><Description>5 Titanium staples per cartridge</Description><Size>7 x 7mm, 7 x 10mm, 10 x 7mm, 10 x 10mm, 10 x 15mm, 13 x 7mm, 13 x 10mm, 13 x 15mm, 13 x 20mm, 16 x 10mm, 16 x 15mm, 16 x 20mm, 16 x 25mm</Size><SupplierCode>LV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1773</GroupID><SubGroupID>5514</SubGroupID><Suffix>MI</Suffix><ARTGs><ARTG>93500</ARTG></ARTGs><MinimumBenefit>255</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>PB061</BillingCode><Name>Compression Staple</Name><Description>Compression Staple</Description><Size>Multiple Sizes</Size><SupplierCode>PB</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1773</GroupID><SubGroupID>5514</SubGroupID><Suffix>COMP</Suffix><ARTGs><ARTG>319175</ARTG></ARTGs><MinimumBenefit>396</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2019-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SN464</BillingCode><Name>Bone Staple</Name><Description>Fixation - Short Leg</Description><Size>Xsmall - large</Size><SupplierCode>SN</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1773</GroupID><SubGroupID>5514</SubGroupID><ARTGs><ARTG>120322</ARTG></ARTGs><MinimumBenefit>127</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HW557</BillingCode><Name>Stryker Memometal Varisation Staple</Name><Description>Varisation Staple Stainless Steel</Description><Size>26-90Deg x 8-10mm</Size><SupplierCode>JV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1773</GroupID><SubGroupID>5514</SubGroupID><ARTGs><ARTG>149534</ARTG></ARTGs><MinimumBenefit>127</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2015-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HW318</BillingCode><Name>Rutherford Staple</Name><Description>Ellison Flat Staple, Vitallium</Description><Size>8,11,14 x 23mm</Size><SupplierCode>JV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1773</GroupID><SubGroupID>5514</SubGroupID><ARTGs><ARTG>16229</ARTG><ARTG>139631</ARTG></ARTGs><MinimumBenefit>127</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HW317</BillingCode><Name>Rutherford Staple</Name><Description>Ellison Arched Staple, Vitallium</Description><Size>9,12,15mm x 23mm</Size><SupplierCode>JV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1773</GroupID><SubGroupID>5514</SubGroupID><ARTGs><ARTG>139631</ARTG></ARTGs><MinimumBenefit>127</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HW920</BillingCode><PriorBillingCodes><PriorBillingCode>WR400</PriorBillingCode></PriorBillingCodes><Name>NexFix Compression Staples</Name><Description>The NexFix Compression Staple is made of stailess steel and is used for internal fixation of fractures, fusions, bone grafts and osteotomies in the bones of the hand and foot. It is designed so the surgeon can control the amount of compression depending on the type of osteotomy and on the patient’s bone quality</Description><Size>10 mm in width, leg length varies 13 mm - 20 mm</Size><SupplierCode>JV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1773</GroupID><SubGroupID>5514</SubGroupID><ARTGs><ARTG>219433</ARTG></ARTGs><MinimumBenefit>127</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ818</BillingCode><Name>Revolution Surgical Spiked Ligament Staple</Name><Description>Ligament Staples</Description><Size>18mm x 6mm x 1.9mm</Size><SupplierCode>XF</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1773</GroupID><SubGroupID>5514</SubGroupID><ARTGs><ARTG>421633</ARTG></ARTGs><MinimumBenefit>127</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2024-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>DE823</BillingCode><PriorBillingCodes><PriorBillingCode>CR118</PriorBillingCode></PriorBillingCodes><Name>LARS Ligament Staple</Name><Description>CoCr synthetic ligament anchor</Description><Size>Width 8mm &amp; length 20mm</Size><SupplierCode>DE</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1773</GroupID><SubGroupID>5514</SubGroupID><ARTGs><ARTG>138574</ARTG></ARTGs><ChangeExplanation>
Billing code transferred from CR118
Sponsor transferred from Corin (Australia) Pty Limited</ChangeExplanation><MinimumBenefit>127</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2007-12-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MN363</BillingCode><Name>Nitinol Implant System</Name><Description>Bone staples</Description><Size>Bridge size: 18-30</Size><SupplierCode>JJ</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1773</GroupID><SubGroupID>5514</SubGroupID><Suffix>MM</Suffix><ARTGs><ARTG>387415</ARTG></ARTGs><MinimumBenefit>507</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2023-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BU015</BillingCode><Name>Arcad osteosynthesis memory staples</Name><Description>Stainless steel static staples</Description><Size>8 to 10 mm</Size><SupplierCode>BU</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1773</GroupID><SubGroupID>5514</SubGroupID><ARTGs><ARTG>235764</ARTG></ARTGs><MinimumBenefit>127</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2016-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SN463</BillingCode><Name>Bone Staple</Name><Description>Fixation - Osteotomy</Description><Size>Fixation Staple 5mm- 14mm.  McConnel HTO PF 15mm 0-S</Size><SupplierCode>SN</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1773</GroupID><SubGroupID>5514</SubGroupID><ARTGs><ARTG>120322</ARTG></ARTGs><MinimumBenefit>127</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HU160</BillingCode><PriorBillingCodes><PriorBillingCode>DE646</PriorBillingCode></PriorBillingCodes><Name>DynaNite</Name><Description>Nitinol Staple for Osteotomy Fixation</Description><Size>Width (9mm-25mm)    Length (7mm-20mm)</Size><SupplierCode>HU</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1773</GroupID><SubGroupID>5514</SubGroupID><Suffix>MM</Suffix><ARTGs><ARTG>350734</ARTG></ARTGs><MinimumBenefit>507</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HJ006</BillingCode><Name>MEMODYN Hot Shape Memory Bipode Staple</Name><Description>Nitinol Memory Staple</Description><Size>6mm - 30mm </Size><SupplierCode>HJ</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1773</GroupID><SubGroupID>5514</SubGroupID><Suffix>MM</Suffix><ARTGs><ARTG>340094</ARTG></ARTGs><MinimumBenefit>507</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HW832</BillingCode><PriorBillingCodes><PriorBillingCode>WR290</PriorBillingCode></PriorBillingCodes><Name>Eleos staple</Name><Description>Foot staple</Description><Size>4-34/38mm</Size><SupplierCode>JV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1773</GroupID><SubGroupID>5514</SubGroupID><Suffix>MM</Suffix><ARTGs><ARTG>122968</ARTG></ARTGs><MinimumBenefit>507</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ518</BillingCode><PriorBillingCodes><PriorBillingCode>ER439</PriorBillingCode></PriorBillingCodes><Name>Paragon 28 JAWS Nitinol Staple System</Name><Description>Paragon 28 JAWS Nitinol Staple System</Description><Size>bridge width 8-25 mm, angle 0 or 30, step height 4-12 mm</Size><SupplierCode>KQ</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1773</GroupID><SubGroupID>5514</SubGroupID><Suffix>MM</Suffix><ARTGs><ARTG>291681</ARTG></ARTGs><MinimumBenefit>507</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HW462</BillingCode><Name>Memometal Memory Staples</Name><Description>Memory Metal Implants</Description><Size>10 mm to 25 mm</Size><SupplierCode>JV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1773</GroupID><SubGroupID>5514</SubGroupID><Suffix>MM</Suffix><ARTGs><ARTG>149534</ARTG></ARTGs><MinimumBenefit>507</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ022</BillingCode><PriorBillingCodes><PriorBillingCode>LM355</PriorBillingCode><PriorBillingCode>LM355</PriorBillingCode></PriorBillingCodes><Name>Compression Staple</Name><Description>Memory Metal Compression Staple</Description><Size>Multiple Sizes</Size><SupplierCode>LV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1773</GroupID><SubGroupID>5514</SubGroupID><Suffix>MM</Suffix><ARTGs><ARTG>338955</ARTG></ARTGs><MinimumBenefit>507</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HU263</BillingCode><PriorBillingCodes><PriorBillingCode>DE292</PriorBillingCode></PriorBillingCodes><Name>QuickFix Staple System</Name><Description>Compression Staple for Fusion</Description><Size>8mm 10mm</Size><SupplierCode>HU</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1773</GroupID><SubGroupID>5514</SubGroupID><ARTGs><ARTG>367491</ARTG></ARTGs><MinimumBenefit>127</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SQ071</BillingCode><Name>Mini Staple</Name><Description>Varisation Staple
Straight, Angled</Description><Size>26° - 90°
8 x 10 mm</Size><SupplierCode>SQ</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1773</GroupID><SubGroupID>5514</SubGroupID><ARTGs><ARTG>167049</ARTG></ARTGs><MinimumBenefit>127</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>EO101</BillingCode><Name>Medartis All-in-One Staples</Name><Description>Orthopaedic Stainless Steel Bone Staple</Description><Size>8 - 10 mm</Size><SupplierCode>EO</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1773</GroupID><SubGroupID>5514</SubGroupID><ARTGs><ARTG>322413</ARTG></ARTGs><MinimumBenefit>127</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2020-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ043</BillingCode><PriorBillingCodes><PriorBillingCode>LM248</PriorBillingCode><PriorBillingCode>LM248</PriorBillingCode></PriorBillingCodes><Name>OS2®-V Varisation Staple</Name><Description>Varisation Staple</Description><Size>8 &amp; 10mm, 26 degrees &amp; 90 degrees</Size><SupplierCode>LV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1773</GroupID><SubGroupID>5514</SubGroupID><ARTGs><ARTG>236772</ARTG></ARTGs><MinimumBenefit>127</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2015-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ342</BillingCode><PriorBillingCodes><PriorBillingCode>LM214</PriorBillingCode></PriorBillingCodes><Name>Highly Elastic Staples</Name><Description>Nitinol Staples</Description><Size>8-25mm</Size><SupplierCode>LH</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1773</GroupID><SubGroupID>5514</SubGroupID><Suffix>MM</Suffix><ARTGs><ARTG>229705</ARTG></ARTGs><MinimumBenefit>507</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2015-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SN465</BillingCode><Name>Bone Staple</Name><Description>Fixation - Table</Description><Size>Small -Medium  13mm - 16mm. </Size><SupplierCode>SN</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1773</GroupID><SubGroupID>5514</SubGroupID><ARTGs><ARTG>120322</ARTG></ARTGs><MinimumBenefit>127</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SL207</BillingCode><PriorBillingCodes><PriorBillingCode>IG103</PriorBillingCode></PriorBillingCodes><Name>Uni-Clip Compression Staple</Name><Description>Stainless Steel, Notched and Non-Notched</Description><Size>Width 11-30mm, Length 13-32mm</Size><SupplierCode>SN</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1773</GroupID><SubGroupID>5514</SubGroupID><ARTGs><ARTG>173961</ARTG></ARTGs><MinimumBenefit>127</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SN466</BillingCode><Name>Bone Staple</Name><Description>Krackow HTO</Description><Size>12,14,16mm</Size><SupplierCode>SN</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1773</GroupID><SubGroupID>5514</SubGroupID><ARTGs><ARTG>120322</ARTG></ARTGs><MinimumBenefit>127</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SF125</BillingCode><Name>Speyside STAPLE</Name><Description>STAPLE 90° 10MM, STAPLE 26° 10MM, STAPLE 90° 8MM, STAPLE 26° 8MM</Description><Size>STAPLE 90° 10MM WIDE, STAPLE 26° 10MM WIDE, STAPLE 90° 8MM WIDE, STAPLE 26° 8MM WIDE</Size><SupplierCode>SF</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1773</GroupID><SubGroupID>5514</SubGroupID><ARTGs><ARTG>184460</ARTG></ARTGs><MinimumBenefit>127</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2016-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SL196</BillingCode><PriorBillingCodes><PriorBillingCode>IG075</PriorBillingCode></PriorBillingCodes><Name>Solustaple Standard Staple</Name><Description>Stainless steel 90 deg &amp; 26 degree</Description><Size>8 &amp; 10mm length</Size><SupplierCode>SN</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1773</GroupID><SubGroupID>5514</SubGroupID><ARTGs><ARTG>173961</ARTG></ARTGs><MinimumBenefit>127</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>PB070</BillingCode><Name>Static Staple</Name><Description>Static Staple</Description><Size>8mm - 10mm</Size><SupplierCode>PB</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1773</GroupID><SubGroupID>5514</SubGroupID><ARTGs><ARTG>332960</ARTG></ARTGs><MinimumBenefit>127</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2020-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LM362</BillingCode><Name>X-Clips</Name><Description>X-Clips</Description><Size>Multiple sizes</Size><SupplierCode>LM</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1773</GroupID><SubGroupID>5514</SubGroupID><ARTGs><ARTG>164980</ARTG></ARTGs><MinimumBenefit>127</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>JV035</BillingCode><Name>EasyFuse</Name><Description>EasyFuse is a dynamic compression staple system used for internal fixation of fractures, osteotomies, and joint arthrodesis of the foot.</Description><Size>Length 15-30mm, Height 12-25mm</Size><SupplierCode>JV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1773</GroupID><SubGroupID>5514</SubGroupID><Suffix>MM</Suffix><ARTGs><ARTG>464387</ARTG></ARTGs><ChangeExplanation>New listing</ChangeExplanation><MinimumBenefit>507</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2025-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HW833</BillingCode><PriorBillingCodes><PriorBillingCode>WR291</PriorBillingCode></PriorBillingCodes><Name>Fuseforce Fixation System</Name><Description>Osteosynthesis Staple Memory Alloy</Description><Size>8-25mm</Size><SupplierCode>JV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1773</GroupID><SubGroupID>5514</SubGroupID><Suffix>MM</Suffix><ARTGs><ARTG>122968</ARTG></ARTGs><MinimumBenefit>507</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HW700</BillingCode><PriorBillingCodes><PriorBillingCode>WR037</PriorBillingCode></PriorBillingCodes><Name>Charlotte Foot &amp; Ankle System</Name><Description>Compression Staple, Stainless Steel</Description><Size>13, 15, 20, 25mm interaxis, leg lengths 11, 13, 15, 17, 20 &amp; 25mm, 10 Sizes in Total</Size><SupplierCode>JV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1773</GroupID><SubGroupID>5514</SubGroupID><ARTGs><ARTG>122968</ARTG></ARTGs><MinimumBenefit>127</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HW921</BillingCode><PriorBillingCodes><PriorBillingCode>WR401</PriorBillingCode></PriorBillingCodes><Name>NexFix Closing Wedge Osteotomy Staples</Name><Description>The NexFix Closing wedge osteotomy staples are made of stainless steel and are intended to be used for internal fixation of fusions, bone grafts and osteotomies in the bones of the hand and foot following alignment correction</Description><Size>8mm x 90 deg, 8mm x 64 deg</Size><SupplierCode>JV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1773</GroupID><SubGroupID>5514</SubGroupID><ARTGs><ARTG>219433</ARTG></ARTGs><MinimumBenefit>127</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HW701</BillingCode><PriorBillingCodes><PriorBillingCode>WR038</PriorBillingCode></PriorBillingCodes><Name>Charlotte Foot &amp; Ankle System</Name><Description>Quick Staple, Stainless Steel</Description><Size>One Size Only</Size><SupplierCode>JV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1773</GroupID><SubGroupID>5514</SubGroupID><ARTGs><ARTG>122968</ARTG></ARTGs><MinimumBenefit>127</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LM364</BillingCode><PriorBillingCodes><PriorBillingCode>LH518</PriorBillingCode></PriorBillingCodes><Name>Clover Staple</Name><Description>Plate Staple, 3 or 4 leg</Description><Size>(10-16)mm x (8-16)mm plate x (10-15)mm leg length x (3 or 4) leg</Size><SupplierCode>LM</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1773</GroupID><SubGroupID>5514</SubGroupID><Suffix>MM</Suffix><ARTGs><ARTG>218346</ARTG></ARTGs><MinimumBenefit>507</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SF089</BillingCode><Name>Speyside Memory Staple</Name><Description>Speyside Memory Staple  - Medium</Description><Size>Width 11-20 mm</Size><SupplierCode>SF</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1773</GroupID><SubGroupID>5514</SubGroupID><Suffix>MM</Suffix><ARTGs><ARTG>184460</ARTG></ARTGs><MinimumBenefit>507</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2015-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BU008</BillingCode><Name>Arcad osteosynthesis memory staples</Name><Description>Memory metal implants</Description><Size>8 to 25mm</Size><SupplierCode>BU</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1773</GroupID><SubGroupID>5514</SubGroupID><Suffix>MM</Suffix><ARTGs><ARTG>235764</ARTG></ARTGs><MinimumBenefit>507</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2016-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SY837</BillingCode><Name>Nitinol Implant System</Name><Description>Bone staples</Description><Size>Bridge size 9-30</Size><SupplierCode>JJ</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1773</GroupID><SubGroupID>5514</SubGroupID><Suffix>MM</Suffix><ARTGs><ARTG>95685</ARTG></ARTGs><MinimumBenefit>507</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SK621</BillingCode><Name>StaFIX</Name><Description>The StaFIX Staples are retained implants and removable used primarily for the following applications: Synthesis of fractures; Synthesis of osteotomies; Arthrodesis; Reattachment of ligaments ot tendons.  The aim of the StaFIX staple is to provide a effective fixation of the bone fragments during healing.</Description><Size>6x6, 6x12,8x8, 8x16, 10x10, 10x20, 12x24</Size><SupplierCode>JV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1773</GroupID><SubGroupID>5514</SubGroupID><ARTGs><ARTG>140683</ARTG></ARTGs><MinimumBenefit>127</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2015-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HU240</BillingCode><PriorBillingCodes><PriorBillingCode>DE062</PriorBillingCode></PriorBillingCodes><Name>Ligament Staples</Name><Description>Cobalt Chromium Molybdenium Alloy</Description><Size>6mm - 16mm</Size><SupplierCode>HU</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1773</GroupID><SubGroupID>5514</SubGroupID><ARTGs><ARTG>354063</ARTG></ARTGs><MinimumBenefit>127</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HW319</BillingCode><Name>Rutherford Staple</Name><Description>Ellison Soft Tissue Retainer,  Vitallium</Description><Size>8,11,14mm </Size><SupplierCode>JV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1773</GroupID><SubGroupID>5514</SubGroupID><ARTGs><ARTG>139631</ARTG><ARTG>16229</ARTG></ARTGs><MinimumBenefit>127</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SK614</BillingCode><Name>M-Fix</Name><Description>Nitinol</Description><Size>10-19mm</Size><SupplierCode>JV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1773</GroupID><SubGroupID>5514</SubGroupID><Suffix>MM</Suffix><ARTGs><ARTG>140683</ARTG></ARTGs><MinimumBenefit>507</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2015-08-01</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MN233</BillingCode><Name>Chronos</Name><Description>Bone Graft Substitute</Description><Size>0-5cc</Size><SupplierCode>JJ</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MN232</BillingCode><Name>Chronos</Name><Description>Bone Graft Substitute</Description><Size>0-5cc</Size><SupplierCode>JJ</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>2025-03-01</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>173514</ARTG><ARTG>173515</ARTG></ARTGs><MinimumBenefit>722</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MV024</BillingCode><Name>Augma Bone Substitute</Name><Description>Biphasic calcium sulphate-based synthetic bone graft substitute.</Description><Size>0.5cc, 1cc</Size><SupplierCode>MV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1241</GroupID><SubGroupID>4092</SubGroupID><ARTGs><ARTG>470129</ARTG><ARTG>470130</ARTG><ARTG>470131</ARTG></ARTGs><ChangeExplanation>New listing</ChangeExplanation><MinimumBenefit>722</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2025-03-01</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</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>LR</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>302473</ARTG><ARTG>320170</ARTG><ARTG>302472</ARTG></ARTGs><MinimumBenefit>1026</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>VK053</BillingCode><PriorBillingCodes><PriorBillingCode>VG001</PriorBillingCode></PriorBillingCodes><Name>CERAMENT BVF</Name><Description>Bone substitute with hydroxyapatite and iohexal</Description><Size>5ml</Size><SupplierCode>VK</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1241</GroupID><SubGroupID>4092</SubGroupID><Suffix>AUG</Suffix><ARTGs><ARTG>372270</ARTG></ARTGs><ChangeExplanation>
Billing code transferred from VG001
Sponsor transferred from MAXX PHARMA PTY LTD</ChangeExplanation><MinimumBenefit>1026</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2021-11-01</CycleStartDate><CycleEndDate>2025-03-01</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>LR</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>2025-03-01</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MU208</BillingCode><Name>MectaGlass Injectable Putty 1cc-5cc</Name><Description>Injectable putty for bone grafting</Description><Size>1cc - 5cc</Size><SupplierCode>MU</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1241</GroupID><SubGroupID>4092</SubGroupID><Suffix>AUG</Suffix><ARTGs><ARTG>452645</ARTG></ARTGs><ChangeExplanation>New listing</ChangeExplanation><MinimumBenefit>1026</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2025-03-01</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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><MinimumBenefit>1026</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2015-02-01</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</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>2025-03-01</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>ZI</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>140557</ARTG><ARTG>77710</ARTG></ARTGs><MinimumBenefit>722</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</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>KW</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1241</GroupID><SubGroupID>4092</SubGroupID><ARTGs><ARTG>451205</ARTG></ARTGs><MinimumBenefit>722</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2024-11-01</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>XV001</BillingCode><PriorBillingCodes><PriorBillingCode>LM239</PriorBillingCode></PriorBillingCodes><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>XV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1241</GroupID><SubGroupID>4092</SubGroupID><ARTGs><ARTG>232997</ARTG></ARTGs><ChangeExplanation>
Billing code transferred from LM239
Sponsor transferred from LMT SURGICAL PTY LTD</ChangeExplanation><MinimumBenefit>722</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2015-08-01</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</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>2025-03-01</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>ZI</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>2025-03-01</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>XV002</BillingCode><PriorBillingCodes><PriorBillingCode>LM240</PriorBillingCode></PriorBillingCodes><Name>Exabone Paste</Name><Description>Preloaded Paste in Syringe</Description><Size>0.5cc, 1cc, 2cc, 2.5cc, 5cc</Size><SupplierCode>XV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1241</GroupID><SubGroupID>4092</SubGroupID><ARTGs><ARTG>232998</ARTG></ARTGs><ChangeExplanation>
Billing code transferred from LM240
Sponsor transferred from LMT SURGICAL PTY LTD</ChangeExplanation><MinimumBenefit>722</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2015-08-01</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MN344</BillingCode><Name>FIBERGRAFT</Name><Description>Bioactive Glass (BG) Bone Graft Morsels</Description><Size>2cc</Size><SupplierCode>JJ</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>2025-03-01</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>ZI</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HW856</BillingCode><PriorBillingCodes><PriorBillingCode>WR323</PriorBillingCode><PriorBillingCode>BM008</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 Prescribed List reimbursement is restricted 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><ChangeExplanation>Change to Condition</ChangeExplanation><MinimumBenefit>1026</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Update</ActionFlag><CycleStartDate>2021-11-01</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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><MinimumBenefit>1026</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2015-02-01</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</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>2025-03-01</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>317427</ARTG><ARTG>317449</ARTG><ARTG>317260</ARTG></ARTGs><MinimumBenefit>1026</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2019-07-01</CycleStartDate><CycleEndDate>2025-03-01</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>JJ</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1241</GroupID><SubGroupID>4092</SubGroupID><Suffix>AUG</Suffix><ARTGs><ARTG>387411</ARTG><ARTG>387410</ARTG></ARTGs><MinimumBenefit>1026</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-07-01</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>VK054</BillingCode><PriorBillingCodes><PriorBillingCode>VG002</PriorBillingCode></PriorBillingCodes><Name>CERAMENT BVF</Name><Description>Bone substitute with hydroxyapatite and iohexal</Description><Size>10ml</Size><SupplierCode>VK</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1241</GroupID><SubGroupID>4093</SubGroupID><Suffix>AUG</Suffix><ARTGs><ARTG>372270</ARTG></ARTGs><ChangeExplanation>
Billing code transferred from VG002
Sponsor transferred from MAXX PHARMA PTY LTD</ChangeExplanation><MinimumBenefit>2185</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2021-11-01</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MN231</BillingCode><Name>Chronos</Name><Description>Bone Graft Substitute</Description><Size>5 - 10cc</Size><SupplierCode>JJ</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SY002</BillingCode><Name>Chronos</Name><Description>Bone Graft Substitute</Description><Size>5 - 10cc</Size><SupplierCode>JJ</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>2025-03-01</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>2025-03-01</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><MinimumBenefit>2185</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2015-02-01</CycleStartDate><CycleEndDate>2025-03-01</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><MinimumBenefit>2185</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2015-02-01</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</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>2025-03-01</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>JJ</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1241</GroupID><SubGroupID>4093</SubGroupID><Suffix>AUG</Suffix><ARTGs><ARTG>387410</ARTG><ARTG>387411</ARTG></ARTGs><MinimumBenefit>2185</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-07-01</CycleStartDate><CycleEndDate>2025-03-01</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>317260</ARTG><ARTG>317427</ARTG><ARTG>317449</ARTG></ARTGs><MinimumBenefit>2185</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2019-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MN345</BillingCode><Name>FIBERGRAFT</Name><Description>Bioactive Glass (BG) Bone Graft Morsels</Description><Size>6cc</Size><SupplierCode>JJ</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>2025-03-01</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>LR</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>2025-03-01</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>2025-03-01</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MU207</BillingCode><Name>MectaGlass Injectable Putty 10cc</Name><Description>Injectable putty for bone grafting</Description><Size>10cc</Size><SupplierCode>MU</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1241</GroupID><SubGroupID>4093</SubGroupID><Suffix>AUG</Suffix><ARTGs><ARTG>452645</ARTG></ARTGs><ChangeExplanation>New listing</ChangeExplanation><MinimumBenefit>2185</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2025-03-01</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</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>2025-03-01</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>LR</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>223957</ARTG><ARTG>219764</ARTG></ARTGs><MinimumBenefit>1140</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2019-03-01</CycleStartDate><CycleEndDate>2025-03-01</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>223957</ARTG><ARTG>219764</ARTG><ARTG>220245</ARTG></ARTGs><MinimumBenefit>1140</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2019-03-01</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>XV003</BillingCode><PriorBillingCodes><PriorBillingCode>LM241</PriorBillingCode></PriorBillingCodes><Name>Exabone Paste</Name><Description>Preloaded Paste in Syringe</Description><Size>10cc</Size><SupplierCode>XV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1241</GroupID><SubGroupID>4093</SubGroupID><ARTGs><ARTG>232998</ARTG></ARTGs><ChangeExplanation>
Billing code transferred from LM241
Sponsor transferred from LMT SURGICAL PTY LTD</ChangeExplanation><MinimumBenefit>1140</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2015-08-01</CycleStartDate><CycleEndDate>2025-03-01</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>KW</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1241</GroupID><SubGroupID>4093</SubGroupID><ARTGs><ARTG>451205</ARTG></ARTGs><MinimumBenefit>1140</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2024-11-01</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BS248</BillingCode><Name>OR Cable</Name><Description>OR Cable</Description><Size>Lengths up to 65cm</Size><SupplierCode>BS</SupplierCode><CategoryID>25</CategoryID><SubCategoryID>222</SubCategoryID><GroupID>1690</GroupID><SubGroupID>5484</SubGroupID><ARTGs><ARTG>157994</ARTG></ARTGs><MinimumBenefit>181</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2013-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SJ372</BillingCode><Name>St Jude neurostimulation trial header connector</Name><Description>Trial System Header Connector</Description><Size>one size only</Size><SupplierCode>SJ</SupplierCode><CategoryID>25</CategoryID><SubCategoryID>222</SubCategoryID><GroupID>1690</GroupID><SubGroupID>5484</SubGroupID><ARTGs><ARTG>342819</ARTG><ARTG>238692</ARTG></ARTGs><MinimumBenefit>181</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2016-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SJ371</BillingCode><Name>St Jude neurostimulation screening cable</Name><Description>MultiLead screening cable</Description><Size>one size only</Size><SupplierCode>SJ</SupplierCode><CategoryID>25</CategoryID><SubCategoryID>222</SubCategoryID><GroupID>1690</GroupID><SubGroupID>5484</SubGroupID><ARTGs><ARTG>133958</ARTG><ARTG>343673</ARTG></ARTGs><MinimumBenefit>181</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2016-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>UY002</BillingCode><Name>Evoke Lead Adapter Kit  </Name><Description>Sterile cable to connect the Evoke 12C Lead to an external stimulator. </Description><Size>N/A</Size><SupplierCode>UY</SupplierCode><CategoryID>25</CategoryID><SubCategoryID>222</SubCategoryID><GroupID>1690</GroupID><SubGroupID>5484</SubGroupID><ARTGs><ARTG>323488</ARTG></ARTGs><MinimumBenefit>181</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2020-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>UY006</BillingCode><Name>Evoke Spares Kit</Name><Description>A sterile revision kit for the Evoke 12C Lead. </Description><Size>N/A</Size><SupplierCode>UY</SupplierCode><CategoryID>25</CategoryID><SubCategoryID>222</SubCategoryID><GroupID>1690</GroupID><SubGroupID>4499</SubGroupID><ARTGs><ARTG>336575</ARTG></ARTGs><MinimumBenefit>492</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2020-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SJ475</BillingCode><Name>DRG Large Needle and Sheath Kit</Name><Description>Lead Accessories Kit  </Description><Size>1 size  </Size><SupplierCode>SJ</SupplierCode><CategoryID>25</CategoryID><SubCategoryID>222</SubCategoryID><GroupID>1690</GroupID><SubGroupID>4499</SubGroupID><ARTGs><ARTG>329428</ARTG></ARTGs><MinimumBenefit>492</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MI140</BillingCode><Name>Revision kit Surescan MRI leads</Name><Description>Sterile Revision Kit for Surescan MRI leads</Description><Size>60cm, 75cm, 90cm</Size><SupplierCode>MI</SupplierCode><CategoryID>25</CategoryID><SubCategoryID>222</SubCategoryID><GroupID>1690</GroupID><SubGroupID>4499</SubGroupID><ARTGs><ARTG>240576</ARTG></ARTGs><MinimumBenefit>492</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2014-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SJ356</BillingCode><Name>Axium Neurostimulator System - Lead accessories kit</Name><Description>Lead accessories kit.</Description><Size>1 size (1 presentation)</Size><SupplierCode>SJ</SupplierCode><CategoryID>25</CategoryID><SubCategoryID>222</SubCategoryID><GroupID>1690</GroupID><SubGroupID>4499</SubGroupID><ARTGs><ARTG>329428</ARTG><ARTG>197024</ARTG><ARTG>297581</ARTG></ARTGs><MinimumBenefit>492</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2015-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BS121</BillingCode><Name>Precision SCS IPG Port</Name><Description>IPG Port Plug</Description><Size>One Size Only</Size><SupplierCode>BS</SupplierCode><CategoryID>25</CategoryID><SubCategoryID>222</SubCategoryID><GroupID>1690</GroupID><SubGroupID>4500</SubGroupID><ARTGs><ARTG>156761</ARTG></ARTGs><MinimumBenefit>152</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2007-06-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>WW012</BillingCode><PriorBillingCodes><PriorBillingCode>ER042</PriorBillingCode></PriorBillingCodes><Name>Nevro Spinal Cord Stimulation System (SCSS) - IPG Port Plug Kit</Name><Description>The Implantable Pulse Generator (IPG) Port Plug is provided to seal the port of the IPG that is not is use.</Description><Size>N/A</Size><SupplierCode>WW</SupplierCode><CategoryID>25</CategoryID><SubCategoryID>222</SubCategoryID><GroupID>1690</GroupID><SubGroupID>4500</SubGroupID><ARTGs><ARTG>190837</ARTG></ARTGs><MinimumBenefit>152</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2023-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MC825</BillingCode><Name>Medtronic Percutaneous Quad extension</Name><Description>Percutaneous extension (in line connector for quadripolar leads only)</Description><Size>One size only</Size><SupplierCode>MI</SupplierCode><CategoryID>25</CategoryID><SubCategoryID>222</SubCategoryID><GroupID>1690</GroupID><SubGroupID>4500</SubGroupID><ARTGs><ARTG>239412</ARTG></ARTGs><MinimumBenefit>152</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2009-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MC687</BillingCode><Name>Neurostimulation System - Accessory Kits</Name><Description>Lead Accessory Plug and Closed Boot Kit Model 3550-29</Description><Size>.</Size><SupplierCode>MI</SupplierCode><CategoryID>25</CategoryID><SubCategoryID>222</SubCategoryID><GroupID>1690</GroupID><SubGroupID>4500</SubGroupID><ARTGs><ARTG>121280</ARTG></ARTGs><MinimumBenefit>152</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2006-03-24</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MI529</BillingCode><Name>Connector Plug</Name><Description>The Model B31060 Connector Plug is a sterile device used to cover the unused socket of a dual channel neurostimulator for unilateral implants in which only one socket on the internal neurostimulator is used.</Description><Size>Overall length = 17.1 mm</Size><SupplierCode>MI</SupplierCode><CategoryID>25</CategoryID><SubCategoryID>222</SubCategoryID><GroupID>1690</GroupID><SubGroupID>4500</SubGroupID><ARTGs><ARTG>386869</ARTG></ARTGs><ChangeExplanation>New listing</ChangeExplanation><MinimumBenefit>152</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2025-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MI067</BillingCode><Name>Injex Anchor Kit</Name><Description>Neurostimulation Anchor Kit</Description><Size>One Size</Size><SupplierCode>MI</SupplierCode><CategoryID>25</CategoryID><SubCategoryID>222</SubCategoryID><GroupID>1690</GroupID><SubGroupID>4501</SubGroupID><ARTGs><ARTG>133358</ARTG></ARTGs><MinimumBenefit>152</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2013-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>WW014</BillingCode><PriorBillingCodes><PriorBillingCode>ER044</PriorBillingCode></PriorBillingCodes><Name>Nevro Spinal Cord Stimulation System (SCSS) - Stylet Kit</Name><Description>The Stylets are used to push and "steer" the stimulation Lead into place. These are standard configurations offered across industry offering the implanter the flexibility to maneuver the leads through the epidural space to the desired implant location.</Description><Size>Offered in Straight, Curved or Tapered versions.  Diameter:  0.35, 0.40 mm   Length: 50,70,90 cm;   Angle: 15-30 degrees </Size><SupplierCode>WW</SupplierCode><CategoryID>25</CategoryID><SubCategoryID>222</SubCategoryID><GroupID>1690</GroupID><SubGroupID>4501</SubGroupID><ARTGs><ARTG>180653</ARTG></ARTGs><MinimumBenefit>152</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2023-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>UY008</BillingCode><Name>Evoke Tunneling Tool  </Name><Description>Surgical tool to aid the implantation of an SCS system.</Description><Size>N/A</Size><SupplierCode>UY</SupplierCode><CategoryID>25</CategoryID><SubCategoryID>222</SubCategoryID><GroupID>1690</GroupID><SubGroupID>4501</SubGroupID><ARTGs><ARTG>323171</ARTG></ARTGs><MinimumBenefit>152</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2020-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>WW004</BillingCode><PriorBillingCodes><PriorBillingCode>ER038</PriorBillingCode></PriorBillingCodes><Name>Nevro Spinal Cord Stimulation System (SCSS) - Tunneling Tool Kit</Name><Description>The Tunneling Tool creates a subcutaneous tunnel from the Implantable Pulse Generator (IPG) site to the midline incision. The tunneling tool is passed subcutanously to deliver the leads from needle insertion site to the IPG site</Description><Size>Length: 20-50cm, in increments of 1cm</Size><SupplierCode>WW</SupplierCode><CategoryID>25</CategoryID><SubCategoryID>222</SubCategoryID><GroupID>1690</GroupID><SubGroupID>4501</SubGroupID><ARTGs><ARTG>180556</ARTG></ARTGs><MinimumBenefit>152</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2023-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BS257</BillingCode><Name>Wrenches</Name><Description>Used to secure leads and anchors.</Description><Size>One size only</Size><SupplierCode>BS</SupplierCode><CategoryID>25</CategoryID><SubCategoryID>222</SubCategoryID><GroupID>1690</GroupID><SubGroupID>4501</SubGroupID><ARTGs><ARTG>157487</ARTG></ARTGs><MinimumBenefit>152</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2014-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BS256</BillingCode><Name>Tunnelling Tools</Name><Description>Aid in placement of leads.</Description><Size>Various</Size><SupplierCode>BS</SupplierCode><CategoryID>25</CategoryID><SubCategoryID>222</SubCategoryID><GroupID>1690</GroupID><SubGroupID>4501</SubGroupID><ARTGs><ARTG>156757</ARTG></ARTGs><MinimumBenefit>152</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2014-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SJ307</BillingCode><Name>Straight and Curved Stylet</Name><Description>A tool used to aid in positioning and repositioning the lead intra-operatively to ensure accurate placement.</Description><Size>30cm - 90cm</Size><SupplierCode>SJ</SupplierCode><CategoryID>25</CategoryID><SubCategoryID>222</SubCategoryID><GroupID>1690</GroupID><SubGroupID>4501</SubGroupID><ARTGs><ARTG>353082</ARTG><ARTG>124057</ARTG></ARTGs><MinimumBenefit>152</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>WW010</BillingCode><PriorBillingCodes><PriorBillingCode>ER039</PriorBillingCode></PriorBillingCodes><Name>Nevro Spinal Cord Stimulation System (SCSS) - Cable Kit</Name><Description>The cables are used during the Lead implant procedure and patient trial to make electrical and mechanical connections between the Trial Stimulator and the Lead or Lead extension. There is a separate adaptor cable that allows the use of the Medtronic lead with the Nevro Senza System</Description><Size>N/A</Size><SupplierCode>WW</SupplierCode><CategoryID>25</CategoryID><SubCategoryID>222</SubCategoryID><GroupID>1690</GroupID><SubGroupID>4501</SubGroupID><ARTGs><ARTG>181180</ARTG></ARTGs><MinimumBenefit>152</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2023-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>WW018</BillingCode><PriorBillingCodes><PriorBillingCode>ER557</PriorBillingCode></PriorBillingCodes><Name>Nevro Passing Elevator Tool</Name><Description>Passing elevator tool</Description><Size>One size only</Size><SupplierCode>WW</SupplierCode><CategoryID>25</CategoryID><SubCategoryID>222</SubCategoryID><GroupID>1690</GroupID><SubGroupID>4501</SubGroupID><ARTGs><ARTG>337490</ARTG></ARTGs><MinimumBenefit>152</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2023-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BS259</BillingCode><Name>Passing Elevators and Paddle Blanks</Name><Description>Aid in placement of leads, helps verify that the epidural space is cleared.</Description><Size>Various</Size><SupplierCode>BS</SupplierCode><CategoryID>25</CategoryID><SubCategoryID>222</SubCategoryID><GroupID>1690</GroupID><SubGroupID>4501</SubGroupID><ARTGs><ARTG>156762</ARTG><ARTG>218730</ARTG></ARTGs><MinimumBenefit>152</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2014-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MI051</BillingCode><Name>Medtronic Neurostimulation Tunnelling Tools</Name><Description>Tunnelling Tools</Description><Size>Various</Size><SupplierCode>MI</SupplierCode><CategoryID>25</CategoryID><SubCategoryID>222</SubCategoryID><GroupID>1690</GroupID><SubGroupID>4501</SubGroupID><ARTGs><ARTG>121281</ARTG></ARTGs><MinimumBenefit>152</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>PQ006</BillingCode><Name>Mainstay Tunneller</Name><Description>Catheter tunnellng tool to establish subcutaneous lead delivery pathway</Description><Size>One size</Size><SupplierCode>PQ</SupplierCode><CategoryID>25</CategoryID><SubCategoryID>222</SubCategoryID><GroupID>1690</GroupID><SubGroupID>4501</SubGroupID><ARTGs><ARTG>283718</ARTG></ARTGs><MinimumBenefit>152</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2020-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>WW009</BillingCode><PriorBillingCodes><PriorBillingCode>ER036</PriorBillingCode></PriorBillingCodes><Name>Nevro Spinal Cord Stimulation System (SCSS) - Coiled Lead Blank Kit</Name><Description>The Coiled Lead Blank made out of stainless steel is optionally used during surgery to clear a path for the introduction of the SCS Lead into the epidural space. The coiled lead blank is a tool used to help clear obstructions within the cannula of the insertion needle and may be used by the physician to verify access to the epidural space.</Description><Size>N/A</Size><SupplierCode>WW</SupplierCode><CategoryID>25</CategoryID><SubCategoryID>222</SubCategoryID><GroupID>1690</GroupID><SubGroupID>4501</SubGroupID><ARTGs><ARTG>181179</ARTG></ARTGs><MinimumBenefit>152</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2023-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SJ304</BillingCode><Name>Introde-AK Lead Introducer</Name><Description>A flexible tool passed over a partially-implanted lead or guide wire in order to establish the appropriate pathway for a lead to follow in the epidural space despite obstructions.</Description><Size>4" and 9"</Size><SupplierCode>SJ</SupplierCode><CategoryID>25</CategoryID><SubCategoryID>222</SubCategoryID><GroupID>1690</GroupID><SubGroupID>4501</SubGroupID><ARTGs><ARTG>133910</ARTG></ARTGs><MinimumBenefit>152</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MC951</BillingCode><Name>Multi-Lead Trialing Cable</Name><Description>Connector for implanted lead to External Neurostimulator</Description><Size>One size only</Size><SupplierCode>MI</SupplierCode><CategoryID>25</CategoryID><SubCategoryID>222</SubCategoryID><GroupID>1690</GroupID><SubGroupID>4501</SubGroupID><ARTGs><ARTG>119991</ARTG></ARTGs><MinimumBenefit>152</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2010-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SJ470</BillingCode><Name>DRG Torque Wrench</Name><Description>A tool to set or release the IPG setscrew that connects an implanted lead to the IPG header.  </Description><Size>One Size</Size><SupplierCode>SJ</SupplierCode><CategoryID>25</CategoryID><SubCategoryID>222</SubCategoryID><GroupID>1690</GroupID><SubGroupID>4501</SubGroupID><ARTGs><ARTG>353637</ARTG></ARTGs><MinimumBenefit>152</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BS258</BillingCode><Name>Insertion Needles</Name><Description>Aid in placement of leads.</Description><Size>Various</Size><SupplierCode>BS</SupplierCode><CategoryID>25</CategoryID><SubCategoryID>222</SubCategoryID><GroupID>1690</GroupID><SubGroupID>4501</SubGroupID><ARTGs><ARTG>254954</ARTG><ARTG>156758</ARTG></ARTGs><MinimumBenefit>152</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2014-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SJ360</BillingCode><Name>Axium Neurostimulator System - Tunneling Tool</Name><Description>Tunneling tool.</Description><Size>30cm or 51cm</Size><SupplierCode>SJ</SupplierCode><CategoryID>25</CategoryID><SubCategoryID>222</SubCategoryID><GroupID>1690</GroupID><SubGroupID>4501</SubGroupID><ARTGs><ARTG>296964</ARTG><ARTG>197024</ARTG><ARTG>329360</ARTG></ARTGs><MinimumBenefit>152</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2015-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BS120</BillingCode><Name>Clik Anchor Kit</Name><Description>Clik, Clik X, Clik X MRI Anchors</Description><Size>Two anchors</Size><SupplierCode>BS</SupplierCode><CategoryID>25</CategoryID><SubCategoryID>222</SubCategoryID><GroupID>1690</GroupID><SubGroupID>4501</SubGroupID><ARTGs><ARTG>156760</ARTG></ARTGs><MinimumBenefit>303</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2007-06-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>WW017</BillingCode><PriorBillingCodes><PriorBillingCode>ER562</PriorBillingCode></PriorBillingCodes><Name>Nevro Spinal Cord Stimulation System (SCSS) – Lead Anchor Kit</Name><Description>The Lead Anchors are used to anchor the lead to the fascia or supraspinous ligament. Lead Anchors are designed to slide freely over the lead length to the required fixation position and sutures are then tied around the anchor clamping the sleeve in place on the lead or a torque wrench is used to tighten the anchor to the lead.</Description><Size>One size only</Size><SupplierCode>WW</SupplierCode><CategoryID>25</CategoryID><SubCategoryID>222</SubCategoryID><GroupID>1690</GroupID><SubGroupID>4501</SubGroupID><ARTGs><ARTG>180541</ARTG></ARTGs><MinimumBenefit>152</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2023-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>WW013</BillingCode><PriorBillingCodes><PriorBillingCode>ER043</PriorBillingCode></PriorBillingCodes><Name>Nevro Spinal Cord Stimulation System (SCSS) - IPG Template Kit</Name><Description>The Implantable Pulse Generator (IPG) Template is an aid for the physician to assist in the proper sizing of the IPG pocket.</Description><Size>N/A</Size><SupplierCode>WW</SupplierCode><CategoryID>25</CategoryID><SubCategoryID>222</SubCategoryID><GroupID>1690</GroupID><SubGroupID>4501</SubGroupID><ARTGs><ARTG>185414</ARTG></ARTGs><MinimumBenefit>152</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2023-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>WW011</BillingCode><PriorBillingCodes><PriorBillingCode>ER041</PriorBillingCode></PriorBillingCodes><Name>Nevro Spinal Cord Stimulation System (SCSS) - Torque Wrench Kit</Name><Description>The Torque Wrench is used to tighten the set screws that lock the lead into the Implantable Pulse Generator or to lock the lead into a lead extension</Description><Size>N/A</Size><SupplierCode>WW</SupplierCode><CategoryID>25</CategoryID><SubCategoryID>222</SubCategoryID><GroupID>1690</GroupID><SubGroupID>4501</SubGroupID><ARTGs><ARTG>181181</ARTG></ARTGs><MinimumBenefit>152</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2023-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>UY001</BillingCode><Name>Evoke Epidural Needle 6.5"</Name><Description>Epidural needle for the introduction of percutaneous leads.  </Description><Size> 6.5"</Size><SupplierCode>UY</SupplierCode><CategoryID>25</CategoryID><SubCategoryID>222</SubCategoryID><GroupID>1690</GroupID><SubGroupID>4501</SubGroupID><ARTGs><ARTG>323172</ARTG></ARTGs><MinimumBenefit>152</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2020-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BS246</BillingCode><Name>Introducer Kit</Name><Description>Introducer intended for the percutaneous introduction and placement of leads.</Description><Size>Length: 13cm; 23cm.</Size><SupplierCode>BS</SupplierCode><CategoryID>25</CategoryID><SubCategoryID>222</SubCategoryID><GroupID>1690</GroupID><SubGroupID>4501</SubGroupID><ARTGs><ARTG>166195</ARTG></ARTGs><MinimumBenefit>152</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2013-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>WW002</BillingCode><PriorBillingCodes><PriorBillingCode>ER511</PriorBillingCode></PriorBillingCodes><Name>Senza II IPG Template</Name><Description>Aid for physicians in proper sizing of the IPG implant pocket</Description><Size>One size only</Size><SupplierCode>WW</SupplierCode><CategoryID>25</CategoryID><SubCategoryID>222</SubCategoryID><GroupID>1690</GroupID><SubGroupID>4501</SubGroupID><ARTGs><ARTG>186043</ARTG></ARTGs><MinimumBenefit>152</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2023-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BS247</BillingCode><Name>Stylet Kit</Name><Description>Stylet Kit with steering cap and stiffer stylet</Description><Size>Stiffer stylet length: Up to 74cm</Size><SupplierCode>BS</SupplierCode><CategoryID>25</CategoryID><SubCategoryID>222</SubCategoryID><GroupID>1690</GroupID><SubGroupID>4501</SubGroupID><ARTGs><ARTG>156759</ARTG></ARTGs><MinimumBenefit>152</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2013-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SJ289</BillingCode><Name>Anchor (long)</Name><Description>Lead Anchor (Long)</Description><Size>One size only</Size><SupplierCode>SJ</SupplierCode><CategoryID>25</CategoryID><SubCategoryID>222</SubCategoryID><GroupID>1690</GroupID><SubGroupID>4501</SubGroupID><ARTGs><ARTG>129858</ARTG></ARTGs><MinimumBenefit>152</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SJ305</BillingCode><Name>Tunneling Tool</Name><Description>A tool used to creat a subcutaneous passage to pass the lead from the lead implant site to the IPG pocket site.</Description><Size>12", 20"</Size><SupplierCode>SJ</SupplierCode><CategoryID>25</CategoryID><SubCategoryID>222</SubCategoryID><GroupID>1690</GroupID><SubGroupID>4501</SubGroupID><ARTGs><ARTG>353157</ARTG><ARTG>134305</ARTG></ARTGs><MinimumBenefit>152</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SJ471</BillingCode><Name>Hex Key</Name><Description>Hex Key</Description><Size>One Size</Size><SupplierCode>SJ</SupplierCode><CategoryID>25</CategoryID><SubCategoryID>222</SubCategoryID><GroupID>1690</GroupID><SubGroupID>4501</SubGroupID><ARTGs><ARTG>329360</ARTG></ARTGs><MinimumBenefit>152</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SJ285</BillingCode><Name>Strain Relief</Name><Description>Strain Relief</Description><Size>One size only</Size><SupplierCode>SJ</SupplierCode><CategoryID>25</CategoryID><SubCategoryID>222</SubCategoryID><GroupID>1690</GroupID><SubGroupID>4501</SubGroupID><ARTGs><ARTG>354001</ARTG></ARTGs><MinimumBenefit>152</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SJ357</BillingCode><Name>Axium Neurostimulator System - Connector Cable Kit</Name><Description>Connector cable kit.</Description><Size>1 size (1 presentation)</Size><SupplierCode>SJ</SupplierCode><CategoryID>25</CategoryID><SubCategoryID>222</SubCategoryID><GroupID>1690</GroupID><SubGroupID>4501</SubGroupID><ARTGs><ARTG>296963</ARTG><ARTG>197025</ARTG><ARTG>329119</ARTG></ARTGs><MinimumBenefit>152</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2015-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BS249</BillingCode><Name>Medical Adhesive</Name><Description>Medical adhesive is used to assist in fixing the lead to the suture sleeve.</Description><Size>One size</Size><SupplierCode>BS</SupplierCode><CategoryID>25</CategoryID><SubCategoryID>222</SubCategoryID><GroupID>1690</GroupID><SubGroupID>4501</SubGroupID><ARTGs><ARTG>156755</ARTG></ARTGs><MinimumBenefit>152</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2013-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>PQ002</BillingCode><Name>Reactiv8 Torque Wrench</Name><Description>A tool used to set or release the Implantable Pulse Generator (IPG) set screw  that connects an implanted lead to the IPG header.</Description><Size>One size</Size><SupplierCode>PQ</SupplierCode><CategoryID>25</CategoryID><SubCategoryID>222</SubCategoryID><GroupID>1690</GroupID><SubGroupID>4501</SubGroupID><ARTGs><ARTG>284000</ARTG></ARTGs><MinimumBenefit>152</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2020-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SJ361</BillingCode><Name>Axium Neurostimulator System - Curved Needle</Name><Description>A curved needle (one size 14G,4.5in), a single use accessory, providing access to the epidural space during the surgical procedure of inserting a Neurostimulation System.</Description><Size>One Size - (14G, 4.5in)</Size><SupplierCode>SJ</SupplierCode><CategoryID>25</CategoryID><SubCategoryID>222</SubCategoryID><GroupID>1690</GroupID><SubGroupID>4501</SubGroupID><ARTGs><ARTG>296962</ARTG><ARTG>338752</ARTG></ARTGs><MinimumBenefit>152</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2015-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SJ469</BillingCode><Name>DRG Tunneling Tool</Name><Description>Tunneling Tool </Description><Size>30cm</Size><SupplierCode>SJ</SupplierCode><CategoryID>25</CategoryID><SubCategoryID>222</SubCategoryID><GroupID>1690</GroupID><SubGroupID>4501</SubGroupID><ARTGs><ARTG>329360</ARTG></ARTGs><MinimumBenefit>152</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SJ472</BillingCode><Name> Straight Stylet</Name><Description>Straight Stylet</Description><Size>50-90 cm</Size><SupplierCode>SJ</SupplierCode><CategoryID>25</CategoryID><SubCategoryID>222</SubCategoryID><GroupID>1690</GroupID><SubGroupID>4501</SubGroupID><ARTGs><ARTG>353082</ARTG></ARTGs><MinimumBenefit>152</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>WW001</BillingCode><PriorBillingCodes><PriorBillingCode>ER037</PriorBillingCode></PriorBillingCodes><Name>Nevro Spinal Cord Stimulation System (SCSS) - Insertion Needle Kit</Name><Description>The Insertion Needle is used during implant surgery to introduce the Lead between the vetebra into the epidural space. The insertion needle is a two part needle that contains a cannula and stylet to facilitate access to the spinal canal for lead placement</Description><Size>Length: 5-15cm, in increments of 1cm</Size><SupplierCode>WW</SupplierCode><CategoryID>25</CategoryID><SubCategoryID>222</SubCategoryID><GroupID>1690</GroupID><SubGroupID>4501</SubGroupID><ARTGs><ARTG>180426</ARTG></ARTGs><MinimumBenefit>152</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2023-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MI039</BillingCode><Name>Medtronic Neurostimulation Accessories (Needles)</Name><Description>Accessories for implant of neurostimulation lead</Description><Size>Various</Size><SupplierCode>MI</SupplierCode><CategoryID>25</CategoryID><SubCategoryID>222</SubCategoryID><GroupID>1690</GroupID><SubGroupID>4501</SubGroupID><ARTGs><ARTG>405626</ARTG></ARTGs><MinimumBenefit>152</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SJ315</BillingCode><Name>Standard Trial Cable Octrode and Quattrode</Name><Description>Connector which connects implanted lead to external stimulator</Description><Size>One size</Size><SupplierCode>SJ</SupplierCode><CategoryID>25</CategoryID><SubCategoryID>222</SubCategoryID><GroupID>1690</GroupID><SubGroupID>4501</SubGroupID><ARTGs><ARTG>133958</ARTG></ARTGs><MinimumBenefit>152</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2013-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SJ428</BillingCode><Name>Guide Wire for Percutaneous Leads</Name><Description>A tool used to establish and/or access the appropriate pathway in the epidural space before implanting the lead. </Description><Size>One size only</Size><SupplierCode>SJ</SupplierCode><CategoryID>25</CategoryID><SubCategoryID>222</SubCategoryID><GroupID>1690</GroupID><SubGroupID>4501</SubGroupID><ARTGs><ARTG>196837</ARTG><ARTG>352921</ARTG></ARTGs><MinimumBenefit>152</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SJ476</BillingCode><Name>DRG Anchor</Name><Description>Lead Anchor</Description><Size>One size only</Size><SupplierCode>SJ</SupplierCode><CategoryID>25</CategoryID><SubCategoryID>222</SubCategoryID><GroupID>1690</GroupID><SubGroupID>4501</SubGroupID><ARTGs><ARTG>329428</ARTG></ARTGs><MinimumBenefit>152</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SJ473</BillingCode><Name>DRG guidewire</Name><Description>Guide Wire for Percutaneous Leads</Description><Size>one size</Size><SupplierCode>SJ</SupplierCode><CategoryID>25</CategoryID><SubCategoryID>222</SubCategoryID><GroupID>1690</GroupID><SubGroupID>4501</SubGroupID><ARTGs><ARTG>352921</ARTG></ARTGs><MinimumBenefit>152</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SJ477</BillingCode><Name>DRG Straight Needle</Name><Description>Straight needle  </Description><Size>4.5 inch  </Size><SupplierCode>SJ</SupplierCode><CategoryID>25</CategoryID><SubCategoryID>222</SubCategoryID><GroupID>1690</GroupID><SubGroupID>4501</SubGroupID><ARTGs><ARTG>329428</ARTG></ARTGs><MinimumBenefit>152</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SJ302</BillingCode><Name>Epidural Needle</Name><Description>A tool used to introduce a lead percutaneously.</Description><Size>14-15 Gauge, 4-6 inch</Size><SupplierCode>SJ</SupplierCode><CategoryID>25</CategoryID><SubCategoryID>222</SubCategoryID><GroupID>1690</GroupID><SubGroupID>4501</SubGroupID><ARTGs><ARTG>133910</ARTG><ARTG>352928</ARTG></ARTGs><MinimumBenefit>152</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SJ288</BillingCode><Name>Anchor (Butterfly)</Name><Description>Lead Anchor (Butterfly)</Description><Size>One size only</Size><SupplierCode>SJ</SupplierCode><CategoryID>25</CategoryID><SubCategoryID>222</SubCategoryID><GroupID>1690</GroupID><SubGroupID>4501</SubGroupID><ARTGs><ARTG>129858</ARTG></ARTGs><MinimumBenefit>152</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SJ308</BillingCode><Name>Torque Wrench</Name><Description>A tool to set or release the IPG setscrew that connects an implanted lead to the IPG header.</Description><Size>One size</Size><SupplierCode>SJ</SupplierCode><CategoryID>25</CategoryID><SubCategoryID>222</SubCategoryID><GroupID>1690</GroupID><SubGroupID>4501</SubGroupID><ARTGs><ARTG>353637</ARTG></ARTGs><MinimumBenefit>152</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SJ286</BillingCode><Name>Anchor</Name><Description>Butterfly &amp; Long lead anchors; Cinch &amp; Swift Lock Anchors</Description><Size>One size only for each anchor type</Size><SupplierCode>SJ</SupplierCode><CategoryID>25</CategoryID><SubCategoryID>222</SubCategoryID><GroupID>1690</GroupID><SubGroupID>4501</SubGroupID><ARTGs><ARTG>353993</ARTG></ARTGs><MinimumBenefit>152</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SJ287</BillingCode><Name>Anchor (Cinch)</Name><Description>Cinch Anchor</Description><Size>One size only</Size><SupplierCode>SJ</SupplierCode><CategoryID>25</CategoryID><SubCategoryID>222</SubCategoryID><GroupID>1690</GroupID><SubGroupID>4501</SubGroupID><ARTGs><ARTG>129858</ARTG></ARTGs><MinimumBenefit>152</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SJ283</BillingCode><Name>Epiducer - Lead Delivery System</Name><Description>Lead Delivery System</Description><Size>13cm, 19cm</Size><SupplierCode>SJ</SupplierCode><CategoryID>25</CategoryID><SubCategoryID>222</SubCategoryID><GroupID>1690</GroupID><SubGroupID>4502</SubGroupID><ARTGs><ARTG>352928</ARTG></ARTGs><MinimumBenefit>658</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SJ468</BillingCode><Name>DRG Delivery Sheath  </Name><Description>Small and Big Curve</Description><Size>22cm</Size><SupplierCode>SJ</SupplierCode><CategoryID>25</CategoryID><SubCategoryID>222</SubCategoryID><GroupID>1690</GroupID><SubGroupID>4502</SubGroupID><ARTGs><ARTG>329301</ARTG><ARTG>329240</ARTG></ARTGs><MinimumBenefit>658</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SJ354</BillingCode><Name>Axium Neurostimulator System - 22cm Delivery Sheath Kit - small curve and big curve</Name><Description>22cm delivery sheath kit - small curve and big curve.</Description><Size>2 sizes (2 presentations)  1 x Big Curve -MN23950AU  1 x Small Curve - MN23850AU</Size><SupplierCode>SJ</SupplierCode><CategoryID>25</CategoryID><SubCategoryID>222</SubCategoryID><GroupID>1690</GroupID><SubGroupID>4502</SubGroupID><ARTGs><ARTG>329301</ARTG><ARTG>329240</ARTG><ARTG>197024</ARTG><ARTG>296964</ARTG></ARTGs><MinimumBenefit>658</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2015-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BS046</BillingCode><Name>Ultraflex Oesophageal Stent; Ultraflex Oesophageal NG Stent</Name><Description>Nitinol, self expanding stent</Description><Size>Diameters up to 30mm &amp; lengths up to 150mm</Size><SupplierCode>BS</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>192</SubCategoryID><GroupID>1558</GroupID><SubGroupID>4237</SubGroupID><ARTGs><ARTG>120176</ARTG></ARTGs><MinimumBenefit>2256</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ET001</BillingCode><Name>Ferx Ella Esophageal Stent</Name><Description>Kit includes esophageal stent, introducer, balloon catheter</Description><Size>Diam 20mm, Length 80 - 160mm</Size><SupplierCode>ET</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>192</SubCategoryID><GroupID>1558</GroupID><SubGroupID>4238</SubGroupID><ARTGs><ARTG>95573</ARTG></ARTGs><MinimumBenefit>3159</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ET045</BillingCode><Name>Boubella Esophageal Stent</Name><Description>Self expandable stainless steel wire stent with anti-reflux valve</Description><Size>Length 90 - 210mm</Size><SupplierCode>ET</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>192</SubCategoryID><GroupID>1558</GroupID><SubGroupID>4238</SubGroupID><ARTGs><ARTG>95573</ARTG></ARTGs><MinimumBenefit>3159</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BS381</BillingCode><Name>Agile Esophageal Stent</Name><Description>Nitinol, Self-expanding</Description><Size>Diameters up to 23mm &amp; lengths up to 15cm</Size><SupplierCode>BS</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>192</SubCategoryID><GroupID>1558</GroupID><SubGroupID>4238</SubGroupID><ARTGs><ARTG>339843</ARTG></ARTGs><MinimumBenefit>3159</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BS089</BillingCode><Name>WallFlex Oesophageal Stent, WallFlex RMV Oesophageal Stent</Name><Description>Nitinol, self expanding stent</Description><Size>Diameters up to 30mm &amp; lengths up to 155mm</Size><SupplierCode>BS</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>192</SubCategoryID><GroupID>1558</GroupID><SubGroupID>4238</SubGroupID><ARTGs><ARTG>120176</ARTG></ARTGs><MinimumBenefit>3159</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2006-03-24</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>DE691</BillingCode><PriorBillingCodes><PriorBillingCode>PY022</PriorBillingCode></PriorBillingCodes><Name>Niti-S Oesophageal Double Stent &amp; Beta Double &amp; D-Double Stent</Name><Description>Niti-S Oesophageal covered Double Stent &amp; Beta Double and D-Double self-expanding metal stent made from Nitinol, with an anti-migration outer uncovered wire construction to allow the mesh to embed in the oesophageal wall. Also with anti reflux valve inner polyurethane layer, PTFE &amp; silicone covering to prevent tumor ingrowth.  String for retrieval or re-positioning.</Description><Size>Diameter: 10mm to 28mm  Length: 40mm to 200mm</Size><SupplierCode>DE</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>192</SubCategoryID><GroupID>1558</GroupID><SubGroupID>4238</SubGroupID><ARTGs><ARTG>130535</ARTG></ARTGs><MinimumBenefit>3159</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2019-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ET070</BillingCode><Name>SX- ELLA Stent Danis</Name><Description>The Danis Procedure Pack Basic contains the SX-ELLA Stent Danis, a nitinol wire that is compressed &amp; preloaded within a delivery system, along with various instruments necessary for the stent implantation. The Stent Denis is a removable stent system for the treatment of bleeding esophageal varices. It is intended to be implanted and then removed within seven days of the date of implantation in order to avoid the risk of in-growth into the stent mesh</Description><Size>One size: Stent flares diameter 30mm; Stent body diameter 25mm; Nominal length 135mm</Size><SupplierCode>ET</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>192</SubCategoryID><GroupID>1558</GroupID><SubGroupID>4238</SubGroupID><ARTGs><ARTG>95573</ARTG></ARTGs><MinimumBenefit>3159</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BS298</BillingCode><Name>Ultraflex Oesophageal NG Covered Stent</Name><Description>Translucent polyurethane covered nitinol, self expanding stent</Description><Size>Diameters up to 30mm &amp; lengths up to 150mm</Size><SupplierCode>BS</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>192</SubCategoryID><GroupID>1558</GroupID><SubGroupID>4238</SubGroupID><ARTGs><ARTG>120176</ARTG></ARTGs><MinimumBenefit>3159</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2016-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>UK018</BillingCode><Name>HANAROSTENT</Name><Description>HANAROSTENT Esophagus, Esophagus Valve, Esophagus Benign BS, Bariatric Surgery, Esophagus TTS, Esophagus Skidproof, Esophagus Asymmetric,  Esophagus Bone Shape Partial Covered, Esophagus Valve Partial covered. Covered esophagus stent, self-expanding nitinol</Description><Size>Diameter 18-30mm, Length 50-240mm</Size><SupplierCode>UK</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>192</SubCategoryID><GroupID>1558</GroupID><SubGroupID>4238</SubGroupID><ARTGs><ARTG>272685</ARTG><ARTG>336712</ARTG></ARTGs><MinimumBenefit>3159</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2019-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ET069</BillingCode><Name>SX - ELLA Stent Esophageal HV (HV Stent Plus)</Name><Description>The SX-ELLA Atent Esophageal HV (HV Stent Plus) is a self-expandable, fully covered nitinol stent, pre-loaded on a delivery system. The stent is designed to provide relief from malignant or benign strictures in the oesophagus, or treating anastomic leaks. HV Stent Plus includes an anti-migration collar &amp; is also available with an anti-reflux valve</Description><Size>Stent Body Diameter = 18 - 20mm  Stent Flare Diameter = 24 - 25mm  Stent nominal length = 85/110/135/150mm  </Size><SupplierCode>ET</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>192</SubCategoryID><GroupID>1558</GroupID><SubGroupID>4238</SubGroupID><ARTGs><ARTG>95573</ARTG></ARTGs><MinimumBenefit>3159</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>UK017</BillingCode><Name>CHOOSTENT</Name><Description>CHOOSTENT Esophagus, Esophagus Valve, Esophagus Asymmetric, Esophagus Upper. Covered esophageal stent, self-expanding nitinol</Description><Size>Diameter 18-24mm, Length 50-220mm</Size><SupplierCode>UK</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>192</SubCategoryID><GroupID>1558</GroupID><SubGroupID>4238</SubGroupID><ARTGs><ARTG>272685</ARTG></ARTGs><MinimumBenefit>3159</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2019-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>WC310</BillingCode><Name>Evolution Oesophageal Stent System (Fully covered)</Name><Description>Oesophageal self expanding metal stent with controlled release delivery system</Description><Size>Diameters:18 - 20mm
Lengths: 80 - 120mm</Size><SupplierCode>WC</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>192</SubCategoryID><GroupID>1558</GroupID><SubGroupID>4238</SubGroupID><ARTGs><ARTG>200836</ARTG></ARTGs><MinimumBenefit>3159</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2013-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>WC246</BillingCode><Name>Evolution Oesophageal Metal Stent</Name><Description>Oesophogeal Self Expanding Metal Stent with controlled release delivery system</Description><Size>8, 10, 12.5 and 15cm Lengths, 25mm flared ends with 20mm body or 23mm flared ends with 18mm body</Size><SupplierCode>WC</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>192</SubCategoryID><GroupID>1558</GroupID><SubGroupID>4238</SubGroupID><ARTGs><ARTG>153840</ARTG></ARTGs><MinimumBenefit>3159</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2009-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>DE690</BillingCode><PriorBillingCodes><PriorBillingCode>PY021</PriorBillingCode></PriorBillingCodes><Name>Niti-S Oesophageal Fully Covered Stent</Name><Description>Niti-S Oesophageal fully covered self expanding nitinol stent with covering of PTFE, silicone, a polyurethane layer. Nylon drawstring for removal or repositiong</Description><Size>Diameter: 10mm to 36mm  Length: 60mm to 230mm</Size><SupplierCode>DE</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>192</SubCategoryID><GroupID>1558</GroupID><SubGroupID>4238</SubGroupID><ARTGs><ARTG>130535</ARTG></ARTGs><MinimumBenefit>3159</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2019-07-01</CycleStartDate><CycleEndDate>2025-03-01</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>145601</ARTG><ARTG>145602</ARTG><ARTG>145600</ARTG><ARTG>145603</ARTG></ARTGs><MinimumBenefit>3793</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2013-08-01</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>CZ043</BillingCode><Name>COMBIVISC</Name><Description>COMBIVISC consists of two ophthalmic viscoelastic devices. One prefilled syringe of dispersive viscoelastic 3% (0.85ml) and one prefilled syringe of cohesive viscoleastic 1.5% (1.0ml),  along with one 25 gauge Viscoflow cannula and one 27 gauge Viscoflow cannula, that can be used jointly or independently in surgical interventions to remove cataracts and implant a prosthetic lens.</Description><Size>COMBIVISC dispersive 3% 0.85ml 25G cannula
COMBIVISC cohesive 1.5% 1ml 27G cannula
Supplied as a single unit pack, comprising a single syringe of the COMBIVISC Dispersive and a single syringe of the COMBIVISC Cohesive 
Also supplied as a multipack containing five sealed pouched units</Size><SupplierCode>CZ</SupplierCode><CategoryID>1</CategoryID><SubCategoryID>142</SubCategoryID><GroupID>1329</GroupID><SubGroupID>3897</SubGroupID><ARTGs><ARTG>293592</ARTG></ARTGs><MinimumBenefit>66</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>CZ019</BillingCode><Name>TWINVISC Viscoelastic</Name><Description>TWINVISC includes a cohesive and a dispersive viscoelastic in one syringe, separated by a valve.  Dispersive: sodium hyaluronate (2.2%).  Cohesive: sodium hyaluronate (1%)</Description><Size>Total volume 1.4 ml</Size><SupplierCode>CZ</SupplierCode><CategoryID>1</CategoryID><SubCategoryID>142</SubCategoryID><GroupID>1329</GroupID><SubGroupID>3897</SubGroupID><ARTGs><ARTG>160685</ARTG></ARTGs><MinimumBenefit>66</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2009-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>AL005</BillingCode><Name>DUOVISC VISCOELASTIC SYSTEM</Name><Description>ProVisc contains sodium hyaluronate, Viscoat contains chondroitin sulfate and sodium hyaluronate</Description><Size>1 unit 0.50ml Viscoat and 1 unit 0.55ml ProVisc</Size><SupplierCode>AL</SupplierCode><CategoryID>1</CategoryID><SubCategoryID>142</SubCategoryID><GroupID>1329</GroupID><SubGroupID>3897</SubGroupID><ARTGs><ARTG>141482</ARTG></ARTGs><MinimumBenefit>66</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>AL003</BillingCode><Name>MTA2UO - MTA6UO</Name><Description>PMMA</Description><Size>+5 to +30 D</Size><SupplierCode>AL</SupplierCode><CategoryID>1</CategoryID><SubCategoryID>140</SubCategoryID><GroupID>1324</GroupID><SubGroupID>3887</SubGroupID><ARTGs><ARTG>144332</ARTG></ARTGs><MinimumBenefit>126</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BL005</BillingCode><Name>Storz (Coburn) Intraocular Lens  121UV; L122UV PMMA Anterior Chamber Lens</Name><Description>PMMA Anterior Chamber Intraocular lens 1 piece</Description><Size>13.75mm length. 6.0mm optic size, diopter range 3-30d. L122UV: 6.0mm optic, 13.75mm length, power range; 5.0 to 30.0 Diopters</Size><SupplierCode>LL</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LL004</BillingCode><Name>Loop Guardian PMMA AC IOL Model B60130S</Name><Description>PMMA, 1-piece, anterior chamber IOL</Description><Size>+6.0 D to +30.0 D (0.5 D increments)</Size><SupplierCode>LL</SupplierCode><CategoryID>1</CategoryID><SubCategoryID>140</SubCategoryID><GroupID>1324</GroupID><SubGroupID>3887</SubGroupID><ARTGs><ARTG>460868</ARTG></ARTGs><ChangeExplanation>New listing</ChangeExplanation><MinimumBenefit>126</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2025-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>IQ029</BillingCode><PriorBillingCodes><PriorBillingCode>EG009</PriorBillingCode></PriorBillingCodes><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>IQ</SupplierCode><CategoryID>1</CategoryID><SubCategoryID>140</SubCategoryID><GroupID>1324</GroupID><SubGroupID>3887</SubGroupID><Suffix>ifc</Suffix><ARTGs><ARTG>92476</ARTG></ARTGs><ChangeExplanation>
Billing code transferred from EG009
Sponsor transferred from Emagin Pty Ltd</ChangeExplanation><MinimumBenefit>203</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>JW016</BillingCode><PriorBillingCodes><PriorBillingCode>DO007</PriorBillingCode></PriorBillingCodes><Name>Palmaz Genesis Peripheral Stent on Opta Pro (Large)</Name><Description>Stainless steel balloon expandable stent mounted on an Opta Pro Balloon.</Description><Size>Diameter 4-12mm, length 11-79mm</Size><SupplierCode>JW</SupplierCode><CategoryID>24</CategoryID><SubCategoryID>206</SubCategoryID><GroupID>1622</GroupID><SubGroupID>4439</SubGroupID><ARTGs><ARTG>188675</ARTG></ARTGs><MinimumBenefit>1053</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BS059</BillingCode><Name>Express Vascular LD Stent; Express Vascular SD Stent</Name><Description>Stainless Steel, Balloon Expanding Stent</Description><Size>Stent Diameters up to 10mm and lengths up to 60mm</Size><SupplierCode>BS</SupplierCode><CategoryID>24</CategoryID><SubCategoryID>206</SubCategoryID><GroupID>1622</GroupID><SubGroupID>4439</SubGroupID><ARTGs><ARTG>153169</ARTG></ARTGs><MinimumBenefit>1053</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BA218</BillingCode><Name>Lifestent Valeo</Name><Description>Stainless Steel Balloon Expandable Peripheral Stent</Description><Size>6-10mm diameter 17-56mm length</Size><SupplierCode>BA</SupplierCode><CategoryID>24</CategoryID><SubCategoryID>206</SubCategoryID><GroupID>1622</GroupID><SubGroupID>4439</SubGroupID><ARTGs><ARTG>161500</ARTG></ARTGs><MinimumBenefit>1053</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>JW012</BillingCode><PriorBillingCodes><PriorBillingCode>DO016</PriorBillingCode></PriorBillingCodes><Name>Palmaz Genesis Peripheral Stent on Opta Pro (Medium)</Name><Description>Stainless steel balloon expandable stent mounted on an Opta Pro Balloon</Description><Size>Diameter 4-8mm, length 12-39mm</Size><SupplierCode>JW</SupplierCode><CategoryID>24</CategoryID><SubCategoryID>206</SubCategoryID><GroupID>1622</GroupID><SubGroupID>4439</SubGroupID><ARTGs><ARTG>188675</ARTG></ARTGs><MinimumBenefit>1053</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>JW014</BillingCode><PriorBillingCodes><PriorBillingCode>DO018</PriorBillingCode></PriorBillingCodes><Name>Palmaz Blue .014 Renal Stent System (on Aviator Plus)</Name><Description>CoCr balloon expandable stent</Description><Size>12, 15, 18, 24mm Lengths  40, 50, 60, 70mm diameters  80, 142cm shaft lengths</Size><SupplierCode>JW</SupplierCode><CategoryID>24</CategoryID><SubCategoryID>206</SubCategoryID><GroupID>1622</GroupID><SubGroupID>4439</SubGroupID><ARTGs><ARTG>190149</ARTG></ARTGs><MinimumBenefit>1053</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>JW018</BillingCode><PriorBillingCodes><PriorBillingCode>DO003</PriorBillingCode></PriorBillingCodes><Name>PALMAZ® BLUE™ .018 Peripheral Stent System</Name><Description>L605 Cobalt Chromium Alloy Balloon Expandable Stent</Description><Size>12, 15, 18, 24mm length 4, 5, 6, 7mm diameter</Size><SupplierCode>JW</SupplierCode><CategoryID>24</CategoryID><SubCategoryID>206</SubCategoryID><GroupID>1622</GroupID><SubGroupID>4439</SubGroupID><ARTGs><ARTG>187122</ARTG></ARTGs><MinimumBenefit>1053</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BT249</BillingCode><Name>Dynetic-35 Peripheral Balloon-Expandable Stent System</Name><Description> Dynetic-35 is a balloon-expandable  cobalt chromium alloy (L-605) stent pre-mounted on an over-the-wire PTA balloon catheter delivery system.</Description><Size>Diameter: 5-10mm; Length: 18-78mm; Catheter length: 90-170 cm</Size><SupplierCode>BT</SupplierCode><CategoryID>24</CategoryID><SubCategoryID>206</SubCategoryID><GroupID>1622</GroupID><SubGroupID>4439</SubGroupID><ARTGs><ARTG>209440</ARTG></ARTGs><MinimumBenefit>1053</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SJ441</BillingCode><PriorBillingCodes><PriorBillingCode>AY024</PriorBillingCode></PriorBillingCodes><Name>Omnilink Stainless Steel Balloon Deployable Peripheral Stent</Name><Description>Stainless Steel Balloon Expandable Peripheral Stent on 018/035 system</Description><Size>018 &amp; 035 system: 5-10mm diameter by 12, 16, 18, 28, 38, 58mm length</Size><SupplierCode>SJ</SupplierCode><CategoryID>24</CategoryID><SubCategoryID>206</SubCategoryID><GroupID>1622</GroupID><SubGroupID>4439</SubGroupID><ARTGs><ARTG>146848</ARTG></ARTGs><MinimumBenefit>1053</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SJ464</BillingCode><PriorBillingCodes><PriorBillingCode>AY022</PriorBillingCode></PriorBillingCodes><Name>Cobalt Chromium Balloon Expandable Peripheral Stent</Name><Description>Cobalt Chromium</Description><Size>Diameter 4-10mm, Length 12-58mm</Size><SupplierCode>SJ</SupplierCode><CategoryID>24</CategoryID><SubCategoryID>206</SubCategoryID><GroupID>1622</GroupID><SubGroupID>4439</SubGroupID><ARTGs><ARTG>146848</ARTG></ARTGs><MinimumBenefit>1053</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SJ442</BillingCode><PriorBillingCodes><PriorBillingCode>AY046</PriorBillingCode></PriorBillingCodes><Name>Omnilink Elite Vascular Balloon-Expandable Stent System</Name><Description>Omnilink Elite Vascular Balloon-Expandable Stent System is a balloon- expandable stent system  indicated for the treatment of atherosclerotic iliac artery lesions with reference vessel diameters of ≥ 5.0 mm and ≤ 11.0 mm, and lesion lengths up to 50 mm.</Description><Size>6.0mm x (12,16,19,29,39,59)mm x 80cm                       7.0mm x (12,16,19,29,39,59)mm x 80cm                      8.0mm x (19,29,39,59)mm x 80cm                                 9.0mm x (19,29,39,59)mm x 80cm                                10.0mm x (19,29,39,59)mm x 80cm                              6.0mm x (12, 16,19,29,39,59)mm x 135cm                 7.0mm x (12, 16,19,29,39,59)mm x 135cm                  8.0mm x (19,29,39,59)mm x 135cm                              9.0mm x (19,29,39,59)mm x 135cm                              10.0mm x (19,29,39,59)mm x 135cm</Size><SupplierCode>SJ</SupplierCode><CategoryID>24</CategoryID><SubCategoryID>206</SubCategoryID><GroupID>1622</GroupID><SubGroupID>4439</SubGroupID><ARTGs><ARTG>269609</ARTG></ARTGs><MinimumBenefit>1053</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>PY043</BillingCode><Name>sinus-XL Stent</Name><Description>Self expanding Nitinol Stents</Description><Size>Diameter:  14mm to 24mm
Length:  30mm to &lt;150mm</Size><SupplierCode>PY</SupplierCode><CategoryID>24</CategoryID><SubCategoryID>206</SubCategoryID><GroupID>1622</GroupID><SubGroupID>4440</SubGroupID><ARTGs><ARTG>187326</ARTG></ARTGs><MinimumBenefit>1201</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>DL005</BillingCode><Name>CGuard</Name><Description>Carotid Stent System</Description><Size>Diameters: 6-10mm
Lengths: 20mm-60mm</Size><SupplierCode>DL</SupplierCode><CategoryID>24</CategoryID><SubCategoryID>206</SubCategoryID><GroupID>1622</GroupID><SubGroupID>4440</SubGroupID><ARTGs><ARTG>311660</ARTG></ARTGs><MinimumBenefit>1201</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2019-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>DL001</BillingCode><Name>iVolution</Name><Description>Self-expanding nitinol stent system</Description><Size>Diameters: 5-10mm 
Lengths: 40-100mm
Catheter Length: 80-140cm</Size><SupplierCode>DL</SupplierCode><CategoryID>24</CategoryID><SubCategoryID>206</SubCategoryID><GroupID>1622</GroupID><SubGroupID>4440</SubGroupID><ARTGs><ARTG>281201</ARTG></ARTGs><MinimumBenefit>1201</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>PY042</BillingCode><Name>sinus-XL Flex Stent</Name><Description>Self expanding Nitinol Stents</Description><Size>Diameter:  14mm to 24mm
Length:  30mm to &lt;150mm</Size><SupplierCode>PY</SupplierCode><CategoryID>24</CategoryID><SubCategoryID>206</SubCategoryID><GroupID>1622</GroupID><SubGroupID>4440</SubGroupID><ARTGs><ARTG>281019</ARTG></ARTGs><MinimumBenefit>1201</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>PY036</BillingCode><Name>Sinus-Venous and Sinus-Obliquus Stents</Name><Description>Sinus-Venous and Sinus-Obliquus Stents used for treating venous insufficiency, occlusion and stenosis</Description><Size>Diameter: 10, 12, 14, 16, 18mm 
Length: 60, 80, 100, 120mm</Size><SupplierCode>PY</SupplierCode><CategoryID>24</CategoryID><SubCategoryID>206</SubCategoryID><GroupID>1622</GroupID><SubGroupID>4440</SubGroupID><ARTGs><ARTG>201852</ARTG></ARTGs><MinimumBenefit>1201</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2013-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BA178</BillingCode><Name>Peripheral Vascular Bare Metal Stent</Name><Description>Nitonol self expanding stent</Description><Size>4mm - 14mm diameters,
2cm - 12cm lengths</Size><SupplierCode>BA</SupplierCode><CategoryID>24</CategoryID><SubCategoryID>206</SubCategoryID><GroupID>1622</GroupID><SubGroupID>4440</SubGroupID><ARTGs><ARTG>52136</ARTG></ARTGs><MinimumBenefit>1201</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2006-11-30</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BA271</BillingCode><Name>Bard Venous Stent</Name><Description>Self Expanding Venous Stent</Description><Size>Length: &lt;150mm</Size><SupplierCode>BA</SupplierCode><CategoryID>24</CategoryID><SubCategoryID>206</SubCategoryID><GroupID>1622</GroupID><SubGroupID>4440</SubGroupID><ARTGs><ARTG>409902</ARTG></ARTGs><MinimumBenefit>1201</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BA216</BillingCode><Name>Lifestent</Name><Description>Lifestent cut nitinol self expanding stent</Description><Size>6-10mm diameter 20mm-120mm length</Size><SupplierCode>BA</SupplierCode><CategoryID>24</CategoryID><SubCategoryID>206</SubCategoryID><GroupID>1622</GroupID><SubGroupID>4440</SubGroupID><ARTGs><ARTG>160453</ARTG></ARTGs><MinimumBenefit>1201</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>PY031</BillingCode><Name>Optimed Sinus Stents</Name><Description>Sinus-wave nitinol stent</Description><Size>Diameter: 3mm to 14mm   Length:  20mm to 130mm</Size><SupplierCode>PY</SupplierCode><CategoryID>24</CategoryID><SubCategoryID>206</SubCategoryID><GroupID>1622</GroupID><SubGroupID>4440</SubGroupID><ARTGs><ARTG>178915</ARTG></ARTGs><MinimumBenefit>1201</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>PY044</BillingCode><Name>sinus-XL 6F Stents</Name><Description>Self expanding Nitinol Stents</Description><Size>Diameter:  14mm to 24mm
Length:  30mm to &lt;150mm</Size><SupplierCode>PY</SupplierCode><CategoryID>24</CategoryID><SubCategoryID>206</SubCategoryID><GroupID>1622</GroupID><SubGroupID>4440</SubGroupID><ARTGs><ARTG>281020</ARTG></ARTGs><MinimumBenefit>1201</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BS137</BillingCode><Name>EPIC Nitinol Stent</Name><Description>Nitinol self expanding stent</Description><Size>Stent diameters up to 14mm and lengths up to 120mm</Size><SupplierCode>BS</SupplierCode><CategoryID>24</CategoryID><SubCategoryID>206</SubCategoryID><GroupID>1622</GroupID><SubGroupID>4440</SubGroupID><ARTGs><ARTG>104281</ARTG></ARTGs><MinimumBenefit>1201</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2009-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MI530</BillingCode><Name>EverFlex Peripheral Stent</Name><Description>EverFlex is a self expanding Nitinol stent premounted on an OTW delivery system.</Description><Size>Diameter 5-8, Length 20-120mm</Size><SupplierCode>MI</SupplierCode><CategoryID>24</CategoryID><SubCategoryID>206</SubCategoryID><GroupID>1622</GroupID><SubGroupID>4440</SubGroupID><ARTGs><ARTG>452685</ARTG></ARTGs><ChangeExplanation>New listing</ChangeExplanation><MinimumBenefit>1201</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2025-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BS196</BillingCode><Name>Innova Self-Expanding Stent</Name><Description>Nitinol, self expanding stent</Description><Size>Diameters up to 8mm, lengths less than 150mm</Size><SupplierCode>BS</SupplierCode><CategoryID>24</CategoryID><SubCategoryID>206</SubCategoryID><GroupID>1622</GroupID><SubGroupID>4440</SubGroupID><ARTGs><ARTG>104281</ARTG></ARTGs><MinimumBenefit>1201</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2011-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BS056</BillingCode><Name>Carotid WALLSTENT</Name><Description>Elgiloy self expanding stent</Description><Size>Stent diameters up to 10mm and lengths up to 40mm</Size><SupplierCode>BS</SupplierCode><CategoryID>24</CategoryID><SubCategoryID>206</SubCategoryID><GroupID>1622</GroupID><SubGroupID>4440</SubGroupID><ARTGs><ARTG>166856</ARTG></ARTGs><MinimumBenefit>1201</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SJ445</BillingCode><PriorBillingCodes><PriorBillingCode>AY041</PriorBillingCode></PriorBillingCodes><Name>Absolute Self Expanding Peripheral stent</Name><Description>Laser cut nitinol self expanding stent, 20mm - 120mm lengths</Description><Size>Size ranges from:  5.0X20MM, 80CM - 8.0x120MM, 135CM</Size><SupplierCode>SJ</SupplierCode><CategoryID>24</CategoryID><SubCategoryID>206</SubCategoryID><GroupID>1622</GroupID><SubGroupID>4440</SubGroupID><ARTGs><ARTG>146848</ARTG></ARTGs><MinimumBenefit>1201</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>JW011</BillingCode><PriorBillingCodes><PriorBillingCode>DO015</PriorBillingCode></PriorBillingCodes><Name>SMART Nitinol Stent System</Name><Description>Long 120mm Stent, 6F compatible</Description><Size>6-8mm diameter, 120mm stent length, 120cm delivery system</Size><SupplierCode>JW</SupplierCode><CategoryID>24</CategoryID><SubCategoryID>206</SubCategoryID><GroupID>1622</GroupID><SubGroupID>4440</SubGroupID><ARTGs><ARTG>151011</ARTG></ARTGs><MinimumBenefit>1201</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>WC287</BillingCode><Name>Zilver® Flex 35™ Vascular Stent</Name><Description>The Zilver® Flew 35™ Stent (ZFV) is a self-expandable stent made of nitinol.  The special laser-cut pattern of the nitinol tube provides a construction with a strong radial force and high flexibility.  The stent has radiopaque markers at both ends.  The stent is supplied preloaded in a 6.0 French inducer catheter. A radiopaque marker on the distal tip of the sheath is used to visualize deployment of the stent. Stent deployment is controlled by means of a hand held device.</Description><Size>The Zilver®  Flex 35™ Stent is available in the following sizes: stent outer diameters of 5 -10mm and stent lengths of 20 -140mm.</Size><SupplierCode>WC</SupplierCode><CategoryID>24</CategoryID><SubCategoryID>206</SubCategoryID><GroupID>1622</GroupID><SubGroupID>4440</SubGroupID><ARTGs><ARTG>183865</ARTG></ARTGs><MinimumBenefit>1201</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2011-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>WC290</BillingCode><Name>Zilver®  Vena ™ Venous Stent</Name><Description>The Zilver® Vena™ Venous Stent is a self-expanding, flexible, slotted-tube nitinol stent. Post-deployment, the stent is designed to impart an outward radial force upon the inner lumen of the vessel, establishing patency in the stented region.</Description><Size>14mm and 16mm diameters, and 60mm/100mm/140mm lengths.</Size><SupplierCode>WC</SupplierCode><CategoryID>24</CategoryID><SubCategoryID>206</SubCategoryID><GroupID>1622</GroupID><SubGroupID>4440</SubGroupID><ARTGs><ARTG>183864</ARTG></ARTGs><MinimumBenefit>1201</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>JW007</BillingCode><PriorBillingCodes><PriorBillingCode>DO011</PriorBillingCode></PriorBillingCodes><Name>SMART Control Peripheral Stent System</Name><Description>SMART Control is a laser cut nitinol self expanding stent, used to treat peripheral vessel disease.</Description><Size>Dia 6 – 14mm; Length 20 – 100mm</Size><SupplierCode>JW</SupplierCode><CategoryID>24</CategoryID><SubCategoryID>206</SubCategoryID><GroupID>1622</GroupID><SubGroupID>4440</SubGroupID><ARTGs><ARTG>151010</ARTG></ARTGs><MinimumBenefit>1201</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BT126</BillingCode><Name>Pulsar 18 Peripheral self expanding Nitinol stent system</Name><Description>Pulsar 18  self expanding Nitinol stent system</Description><Size>Stent: Ø 4- 7mm length: 20-120mm Catheter length: 90-135mm</Size><SupplierCode>BT</SupplierCode><CategoryID>24</CategoryID><SubCategoryID>206</SubCategoryID><GroupID>1622</GroupID><SubGroupID>4440</SubGroupID><ARTGs><ARTG>169368</ARTG><ARTG>313356</ARTG></ARTGs><MinimumBenefit>1201</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>JW006</BillingCode><PriorBillingCodes><PriorBillingCode>DO010</PriorBillingCode></PriorBillingCodes><Name>Precise Pro Rx Nitinol Stent System</Name><Description>Nitinol self expanding stent</Description><Size>Diameter:  5, 6, 7, 8, 9, 10mm;  Length:  20, 30, 40mm</Size><SupplierCode>JW</SupplierCode><CategoryID>24</CategoryID><SubCategoryID>206</SubCategoryID><GroupID>1622</GroupID><SubGroupID>4440</SubGroupID><ARTGs><ARTG>149399</ARTG></ARTGs><MinimumBenefit>1201</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SJ462</BillingCode><PriorBillingCodes><PriorBillingCode>AY015</PriorBillingCode></PriorBillingCodes><Name>Xact/ Xact Flex Carotid Stent</Name><Description>Nitinol Self-Expanding stent on rapid exchange delivery system</Description><Size>Diameter 7-10mm Length 20 + 30mm Straight; Diameter 8-6, 9-7, 10-8mm Length 20 + 30mm Tapered</Size><SupplierCode>SJ</SupplierCode><CategoryID>24</CategoryID><SubCategoryID>206</SubCategoryID><GroupID>1622</GroupID><SubGroupID>4440</SubGroupID><ARTGs><ARTG>168620</ARTG></ARTGs><MinimumBenefit>1201</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MI414</BillingCode><Name>Abre venous stent system</Name><Description>The Abre stent system consists of a stent and stent delivery system designed specifically for implantation in the peripheral venous system. The system consists of a flexible self expanding stent made of a nickel-titanium alloy (nitinol) provided in multiple lengths and diameters and an over-the wire stent delivery system.</Description><Size>Length: 40mm-120mm.  Diameter: 10mm-20mm</Size><SupplierCode>MI</SupplierCode><CategoryID>24</CategoryID><SubCategoryID>206</SubCategoryID><GroupID>1622</GroupID><SubGroupID>4440</SubGroupID><ARTGs><ARTG>448908</ARTG></ARTGs><ChangeExplanation>Change to ARTG</ChangeExplanation><MinimumBenefit>1201</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Update</ActionFlag><CycleStartDate>2021-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>AS194</BillingCode><Name>EverFlex Peripheral Stent</Name><Description>EverFlex is a self expanding Nitinol stent premounted on an OTW delivery system.</Description><Size>Diameter 5-8, Length 20-120mm</Size><SupplierCode>MI</SupplierCode><CategoryID>24</CategoryID><SubCategoryID>206</SubCategoryID><GroupID>1622</GroupID><SubGroupID>4440</SubGroupID><ARTGs><ARTG>215979</ARTG></ARTGs><MinimumBenefit>1201</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2013-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SJ446</BillingCode><PriorBillingCodes><PriorBillingCode>AY043</PriorBillingCode></PriorBillingCodes><Name>Supera Peripheral Stent System</Name><Description>Interwoven Self-Expanding Nitnol Stent</Description><Size>Stent inner diameter: 4.0 mm - 8.0 mm  Stent outer diameter: 4.5 mm - 7.5 mm  Stent length: 20 mm - 120 mm</Size><SupplierCode>SJ</SupplierCode><CategoryID>24</CategoryID><SubCategoryID>206</SubCategoryID><GroupID>1622</GroupID><SubGroupID>4440</SubGroupID><ARTGs><ARTG>227976</ARTG></ARTGs><MinimumBenefit>1201</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>AS189</BillingCode><Name>Protege RX Self-expanding Carotid Stent</Name><Description>Protege RX Carotid Stent with delivery system.</Description><Size>Diameter 6-10mm, Length 20-60mm</Size><SupplierCode>MI</SupplierCode><CategoryID>24</CategoryID><SubCategoryID>206</SubCategoryID><GroupID>1622</GroupID><SubGroupID>4440</SubGroupID><ARTGs><ARTG>443617</ARTG></ARTGs><MinimumBenefit>1201</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2013-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>JW001</BillingCode><PriorBillingCodes><PriorBillingCode>DO002</PriorBillingCode></PriorBillingCodes><Name>S.M.A.R.T. Flex Vascular Stent System</Name><Description>A fully connected, laser cut nitinol stent </Description><Size>5-8mm diameter, 30-120mm length</Size><SupplierCode>JW</SupplierCode><CategoryID>24</CategoryID><SubCategoryID>206</SubCategoryID><GroupID>1622</GroupID><SubGroupID>4440</SubGroupID><ARTGs><ARTG>223910</ARTG></ARTGs><MinimumBenefit>1201</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>PY029</BillingCode><Name>Sinus-XL Stent ≥25mm Ø</Name><Description>Self-expanding Nitinol stent</Description><Size>Diameter: 25mm to 36mm  Length: 30 to 100mm</Size><SupplierCode>PY</SupplierCode><CategoryID>24</CategoryID><SubCategoryID>206</SubCategoryID><GroupID>1622</GroupID><SubGroupID>4440</SubGroupID><Suffix>LD (large diameter, &gt;25mm)</Suffix><ARTGs><ARTG>187326</ARTG></ARTGs><MinimumBenefit>2434</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BT127</BillingCode><Name>Pulsar 18 Peripheral self expanding Nitinol stent system</Name><Description>Pulsar 18  self expanding Nitinol stent system</Description><Size>Stent: 4-7mm Stent length: 150-200mm Catheter length: 90-135mm</Size><SupplierCode>BT</SupplierCode><CategoryID>24</CategoryID><SubCategoryID>206</SubCategoryID><GroupID>1622</GroupID><SubGroupID>4441</SubGroupID><ARTGs><ARTG>169368</ARTG><ARTG>313356</ARTG></ARTGs><MinimumBenefit>1394</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>JW002</BillingCode><PriorBillingCodes><PriorBillingCode>DO004</PriorBillingCode></PriorBillingCodes><Name>S.M.A.R.T. Flex Vascular Stent System</Name><Description>A fully connected, laser cut nitinol stent </Description><Size>5-8mm diameter, 150-200mm length</Size><SupplierCode>JW</SupplierCode><CategoryID>24</CategoryID><SubCategoryID>206</SubCategoryID><GroupID>1622</GroupID><SubGroupID>4441</SubGroupID><ARTGs><ARTG>223910</ARTG></ARTGs><MinimumBenefit>1394</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>JW009</BillingCode><PriorBillingCodes><PriorBillingCode>DO013</PriorBillingCode></PriorBillingCodes><Name>SMART Nitinol Stent System</Name><Description>Long 150mm stent, 6F compatible</Description><Size>6-8mm diameter, 150mm length, 120cm delivery system</Size><SupplierCode>JW</SupplierCode><CategoryID>24</CategoryID><SubCategoryID>206</SubCategoryID><GroupID>1622</GroupID><SubGroupID>4441</SubGroupID><ARTGs><ARTG>151011</ARTG></ARTGs><MinimumBenefit>1394</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>WC285</BillingCode><Name>Zilver® Flex35™ Vascular Stent</Name><Description>The Zilver® Flex35™ Stent (ZFV) is a self-expandable stent made of nitinol.  The special laser-cut pattern of the nitinol tube provides a construction with a strong radial force and high flexibility.  The stent has radiopaque markers at both ends.</Description><Size>Diameter: 5-8mm; Length:170mm and 200mm</Size><SupplierCode>WC</SupplierCode><CategoryID>24</CategoryID><SubCategoryID>206</SubCategoryID><GroupID>1622</GroupID><SubGroupID>4441</SubGroupID><ARTGs><ARTG>183865</ARTG></ARTGs><MinimumBenefit>1394</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2011-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>AS195</BillingCode><Name>EverFlex Peripheral Stent</Name><Description>EverFlex is a self expanding Nitinol stent premounted on an OTW delivery system.</Description><Size>Diameter 5-8mm, Length 150mm</Size><SupplierCode>MI</SupplierCode><CategoryID>24</CategoryID><SubCategoryID>206</SubCategoryID><GroupID>1622</GroupID><SubGroupID>4441</SubGroupID><ARTGs><ARTG>215979</ARTG></ARTGs><MinimumBenefit>1394</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2013-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BS197</BillingCode><Name>Innova Self-Expanding Stent</Name><Description>Nitinol, self expanding stent</Description><Size>Diameters up to 8mm, Lengths greater than 150mm</Size><SupplierCode>BS</SupplierCode><CategoryID>24</CategoryID><SubCategoryID>206</SubCategoryID><GroupID>1622</GroupID><SubGroupID>4441</SubGroupID><ARTGs><ARTG>104281</ARTG></ARTGs><MinimumBenefit>1394</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2011-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SJ447</BillingCode><PriorBillingCodes><PriorBillingCode>AY036</PriorBillingCode></PriorBillingCodes><Name>Absolute Pro (Long Length)</Name><Description>Laser cut nitinol self expanding stent ≥150</Description><Size>Diameter 5mm to 10mm; length 150mm, 170mm, 200mm</Size><SupplierCode>SJ</SupplierCode><CategoryID>24</CategoryID><SubCategoryID>206</SubCategoryID><GroupID>1622</GroupID><SubGroupID>4441</SubGroupID><ARTGs><ARTG>146848</ARTG></ARTGs><MinimumBenefit>1394</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BA270</BillingCode><Name>Bard Venous Stent</Name><Description>Self Expanding Venous Stent</Description><Size>Length ≥150mm</Size><SupplierCode>BA</SupplierCode><CategoryID>24</CategoryID><SubCategoryID>206</SubCategoryID><GroupID>1622</GroupID><SubGroupID>4441</SubGroupID><ARTGs><ARTG>409902</ARTG></ARTGs><MinimumBenefit>1394</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SJ448</BillingCode><PriorBillingCodes><PriorBillingCode>AY042</PriorBillingCode></PriorBillingCodes><Name>Supera Peripheral Stent System</Name><Description>Interwooven Self-Expanding Nitinol Stent</Description><Size>Stent inner diameter: 4.0 mm - 6.0 mm  Stent outer diameter: 4.5 mm - 6.5 mm  Stent length: 150 mm - 200mm</Size><SupplierCode>SJ</SupplierCode><CategoryID>24</CategoryID><SubCategoryID>206</SubCategoryID><GroupID>1622</GroupID><SubGroupID>4441</SubGroupID><ARTGs><ARTG>227976</ARTG></ARTGs><MinimumBenefit>1394</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MI531</BillingCode><Name>EverFlex Peripheral Stent</Name><Description>EverFlex is a self expanding Nitinol stent premounted on an OTW delivery system.</Description><Size>Diameter 5-8mm, Length 150mm</Size><SupplierCode>MI</SupplierCode><CategoryID>24</CategoryID><SubCategoryID>206</SubCategoryID><GroupID>1622</GroupID><SubGroupID>4441</SubGroupID><ARTGs><ARTG>452685</ARTG></ARTGs><ChangeExplanation>New listing</ChangeExplanation><MinimumBenefit>1394</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2025-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>PY037</BillingCode><Name>Sinus-Venous and Sinus-Obliquus Stents</Name><Description>Sinus-Venous and Sinus-Obliquus Stents used for treating venous insufficiency, occlusion and stenosis</Description><Size>Diameter: 10, 12, 14, 16, 18mm
Length: 150mm</Size><SupplierCode>PY</SupplierCode><CategoryID>24</CategoryID><SubCategoryID>206</SubCategoryID><GroupID>1622</GroupID><SubGroupID>4441</SubGroupID><ARTGs><ARTG>201852</ARTG></ARTGs><MinimumBenefit>1394</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2013-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>PY041</BillingCode><Name>sinus-XL Flex Stent</Name><Description>Flexible Nitinol Stent with diameters up to 24mm</Description><Size>Diameter:  14mm to 24mm
Length:  &gt;150mm</Size><SupplierCode>PY</SupplierCode><CategoryID>24</CategoryID><SubCategoryID>206</SubCategoryID><GroupID>1622</GroupID><SubGroupID>4441</SubGroupID><ARTGs><ARTG>281019</ARTG></ARTGs><MinimumBenefit>1394</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>PY016</BillingCode><Name>Optimed Iliac Sinus Stent - extra long</Name><Description>Sinus-wave nitinol stent - extra long</Description><Size>Diameter: 3mm to 8 mm
Length:  150mm to 200mm</Size><SupplierCode>PY</SupplierCode><CategoryID>24</CategoryID><SubCategoryID>206</SubCategoryID><GroupID>1622</GroupID><SubGroupID>4441</SubGroupID><ARTGs><ARTG>178915</ARTG></ARTGs><MinimumBenefit>1394</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2011-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>DL002</BillingCode><Name>iVolution  ≥150mm</Name><Description>Self-expanding nitinol stent system</Description><Size>Diameters: 5-8mm   Lengths: 150-200mm  Catheter Length: 80-140cm</Size><SupplierCode>DL</SupplierCode><CategoryID>24</CategoryID><SubCategoryID>206</SubCategoryID><GroupID>1622</GroupID><SubGroupID>4441</SubGroupID><ARTGs><ARTG>281201</ARTG></ARTGs><MinimumBenefit>1394</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BA217</BillingCode><Name>Lifestent</Name><Description>Laser cut nitinol self expanding stent</Description><Size>Diameter 5mm to 10mm; length 150mm - 200mm</Size><SupplierCode>BA</SupplierCode><CategoryID>24</CategoryID><SubCategoryID>206</SubCategoryID><GroupID>1622</GroupID><SubGroupID>4441</SubGroupID><ARTGs><ARTG>160453</ARTG></ARTGs><MinimumBenefit>1394</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MI415</BillingCode><Name>Abre venous stent system</Name><Description>The Abre stent system consists of a stent and stent delivery system designed specifically for implantation in the peripheral venous system. The system consists of a flexible self expanding stent made of a nickel-titanium alloy (nitinol) provided in multiple lengths and diameters and an over-the wire stent delivery system.</Description><Size>Length: 150mm.  Diameter: 10mm-20mm</Size><SupplierCode>MI</SupplierCode><CategoryID>24</CategoryID><SubCategoryID>206</SubCategoryID><GroupID>1622</GroupID><SubGroupID>4441</SubGroupID><ARTGs><ARTG>448908</ARTG></ARTGs><ChangeExplanation>Change to ARTG</ChangeExplanation><MinimumBenefit>1394</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Update</ActionFlag><CycleStartDate>2021-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ER542</BillingCode><Name>Tack Endovascular System</Name><Description>The Tack Endovascular System is a dissection repair device that is purpose-built to provide precision treatment of peripheral arterial dissections following balloon angioplasty. </Description><Size>Diameter: 5.7-9.8mm (unconstrained); Diameter treatment range: 1.5-8.0 mm;  Length: ~6-8mm</Size><SupplierCode>ER</SupplierCode><CategoryID>24</CategoryID><SubCategoryID>206</SubCategoryID><GroupID>1622</GroupID><SubGroupID>7364</SubGroupID><ARTGs><ARTG>352394</ARTG></ARTGs><MinimumBenefit>1119</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2020-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>WC316</BillingCode><Name>Zenith Dissection Endovascular Stent with the Z-Trak Plus Introduction System</Name><Description>Dissection Endovascular Stent</Description><Size>Diameter: 36mm and 46mm
Lengths: 80mm, 120mm, 180mm, 185mm</Size><SupplierCode>WC</SupplierCode><CategoryID>24</CategoryID><SubCategoryID>206</SubCategoryID><GroupID>1622</GroupID><SubGroupID>5471</SubGroupID><ARTGs><ARTG>208854</ARTG></ARTGs><MinimumBenefit>4197</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2013-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HW996</BillingCode><PriorBillingCodes><PriorBillingCode>WR272</PriorBillingCode></PriorBillingCodes><Name>INBONE® Total Ankle System: Poly Insert</Name><Description>Poly Insert, Standard or Plus</Description><Size>Sizes 1-6, 6-20mm thick</Size><SupplierCode>JV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>124</SubCategoryID><GroupID>1269</GroupID><SubGroupID>3645</SubGroupID><ARTGs><ARTG>168052</ARTG></ARTGs><MinimumBenefit>627</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ZA022</BillingCode><Name>TM Ankle</Name><Description>Tibial Polyethylene Insert</Description><Size>6 sizes of the polyethylene insert with standard, +2 mm and +4 mm offsets</Size><SupplierCode>ZI</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>124</SubCategoryID><GroupID>1269</GroupID><SubGroupID>3645</SubGroupID><ARTGs><ARTG>202429</ARTG></ARTGs><MinimumBenefit>627</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2019-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HW894</BillingCode><PriorBillingCodes><PriorBillingCode>WR367</PriorBillingCode></PriorBillingCodes><Name>Salto Talaris Ankle Prosthesis - Tibial insert</Name><Description>Tibial insert, fixed, UHMWPE</Description><Size>Sizes 0,1,2,3, Left and Right, each size available in the following thicknesses, 8mm, 9mm,10mm,11mm, 13mm,15mm, 17mm, 19mm, 21mm.  Sizes 00, Left and Right, available in the following thicknesses, 8mm,9mm,10mm,11mm.</Size><SupplierCode>JV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>124</SubCategoryID><GroupID>1269</GroupID><SubGroupID>3645</SubGroupID><ARTGs><ARTG>198095</ARTG><ARTG>134055</ARTG></ARTGs><MinimumBenefit>627</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HW995</BillingCode><PriorBillingCodes><PriorBillingCode>WR322</PriorBillingCode></PriorBillingCodes><Name>INFINITY Total Ankle System: Poly Insert</Name><Description>UHMWPE poly insert, Standard or Plus</Description><Size>Sizes 1-5; 6-13mm thick</Size><SupplierCode>JV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>124</SubCategoryID><GroupID>1269</GroupID><SubGroupID>3645</SubGroupID><ARTGs><ARTG>168052</ARTG></ARTGs><MinimumBenefit>627</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>KQ010</BillingCode><PriorBillingCodes><PriorBillingCode>QQ078</PriorBillingCode><PriorBillingCode>ER385</PriorBillingCode><PriorBillingCode>AE265</PriorBillingCode></PriorBillingCodes><Name>Hintermann Series H3™ Total Ankle Prosthesis-Inlay</Name><Description>Hintermann Series H3™ Total Ankle Prosthesis-Inlay, UHMW Polyethylene</Description><Size>0-6, thickness 5-9 mm</Size><SupplierCode>KQ</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>124</SubCategoryID><GroupID>1269</GroupID><SubGroupID>3646</SubGroupID><ARTGs><ARTG>289319</ARTG></ARTGs><ChangeExplanation>
Billing code transferred from QQ078
Sponsor transferred from ALLEGRA INNOVATIONS PTY LTD</ChangeExplanation><MinimumBenefit>591</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2023-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HW884</BillingCode><PriorBillingCodes><PriorBillingCode>WR356</PriorBillingCode></PriorBillingCodes><Name>Cheville Salto Ankle Prostheses</Name><Description>Mobile insert UHMWPE</Description><Size>Sizes 0,1,2,3. Each size has thickness 4,5,6 &amp; 7mm</Size><SupplierCode>JV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>124</SubCategoryID><GroupID>1269</GroupID><SubGroupID>3646</SubGroupID><ARTGs><ARTG>198095</ARTG></ARTGs><MinimumBenefit>591</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>FA031</BillingCode><Name>Vantage Total Ankle System - Tibial Insert</Name><Description>Inlay, Mobile Bearing, UHMWPE</Description><Size>Left and Right, size 1-5, thickness 6mm - 12mm</Size><SupplierCode>FA</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>124</SubCategoryID><GroupID>1269</GroupID><SubGroupID>3646</SubGroupID><ARTGs><ARTG>308700</ARTG></ARTGs><MinimumBenefit>591</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SO012</BillingCode><Name>FCI Scleral Buckling Devices</Name><Description>Sponge/Cord: Silicone</Description><Size>Cord: 1.0 to 5.0mm O.D. x 150mm length; Half Cord: 3.0mm to width x1.5mm to 2.5mm height x150mm; Circular Sponge: 3 to 5mm; Oval Sponge: 2 to 5.5mm x 4 to 12mm; Half Sponge: 2 to 3.1mm x 4 to 7.5mm; Grooved Sponge: 3 to 5mm x 5 to  12mm; Gain Sponge: 6 x </Size><SupplierCode>SO</SupplierCode><CategoryID>1</CategoryID><SubCategoryID>148</SubCategoryID><GroupID>1342</GroupID><SubGroupID>3905</SubGroupID><ARTGs><ARTG>143211</ARTG></ARTGs><MinimumBenefit>82</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>AP002</BillingCode><Name>Mira: Scleral Implants</Name><Description>Silicone Sponge- Retinal Implant Used in Scleral Buckling (Silicone Elastomer Sponge)</Description><Size>Sponge- Mira 502 Cylinder 2mm, Mira 5025 Cylinder 2.5mm, Mira 503 Cylinder 3mm, Mira 504 Cylinder 4mm, Mira 505 Cylinder 5mm, Mira 505G Grooved cylinder 5mm, Mira 505T Packer tunnel cylinder 5mm, Mira 510 Half cylinder 5mm, Mira 515 Brucker two-thirds cylinder 5mm, Mira 501 Masciulli oval 2.5mm by 4mm, Mira 506 Vaiser oval 3mm by 5mm, Mira 506G Vaiser grooved oval 3mm by 5mm, Mira 507 oval 5.5mm by 7.5mm, Mira 507G Grooved oval 5.5mm by 7.5mm, Mira 507T Packer tunnel oval 5.5mm by 7.5mm, Mira 511 Half oval 7.5mm, Mira 517 Brucker two-thirds oval 7.5mm, Mira 509 Fuller flat oval 3.5mm by 7.5mm, Mira 509G Fuller grooved flat oval 3.5mm by 7.5mm, Mira 518 Frederick grooved flat oval 2.5mm by 12mm, Mira 508 Frederick flat oval 4mm by 12mm, Mira 508G Frederick grooved flat oval 4mm by 12mm, Mira 513 Snyder 3+ meridional 7mm by 4mm, Mira 514 Snyder 4+ meridional 8mm by 5mm, Mira 516G Tapered groove 6.4mm, Mira 519G Tapered groove 7.5mm by 3.2mm.</Size><SupplierCode>AP</SupplierCode><CategoryID>1</CategoryID><SubCategoryID>148</SubCategoryID><GroupID>1342</GroupID><SubGroupID>3905</SubGroupID><ARTGs><ARTG>143682</ARTG></ARTGs><MinimumBenefit>82</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>KG031</BillingCode><Name>Labtician Retinal Implants - Sponges</Name><Description>Silicone Sponge- Retinal Implant Used in Scleral Buckling (Silicone Elastomer Sponge)</Description><Size>S 1981-4 Oval Sponge,  S 1981-5 Oval Sponge,  S 1981-7 Oval Sponge,  S 1981-7.5 Oval Sponge,  S 1982-1.5 Round Sponge 1.5mm,  S 1982-2 Round Sponge 2mm,  S 1982-2.5 Round Sponge 2.5mm,  S 1982-3 Round Sponge 3mm,  S 1982-4 Round Sponge 4mm,  S 1982-5 Round Sponge 5mm,  S 1982-5T Round Tunnel Sponge 5mm,  S 1982-7 Round Sponge 7mm,  S 1982-7.5 Round Sponge 7.5mm x 50mm,  S 1983-2.3 Grooved Sponge,  S 1983-2.5 Grooved Part Thickness Sponge,  S 1983-2.8 Grooved Part Thickness Sponge,  S 1983-3 Grooved Sponge,  S 1983-3.2 Grooved Sponge,  S 1983-3.5 Grooved Sponge,  S 1983-4 Grooved Sponge,  S 1983-5 Grooved Sponge,  S 1983-7.5 Grooved Sponge,  S 1984-2.5 Part Thickness Sponge,  S 1984-3 Partial Thickness Sponge,  S 1984-3.3 Partial Thickness Sponge,  S 1984-5 Partial Thickness Sponge,  S 1984-7.5 Partial Thickness Sponge,  S 1986-3.5 Oblong Sponge,  S 1986-4 Oblong Sponge,  S 1987-7 Accessory Sponge,  S 1987-8 Accessory Sponge</Size><SupplierCode>KG</SupplierCode><CategoryID>1</CategoryID><SubCategoryID>148</SubCategoryID><GroupID>1342</GroupID><SubGroupID>3905</SubGroupID><ARTGs><ARTG>337137</ARTG></ARTGs><MinimumBenefit>82</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2020-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ET077</BillingCode><Name>ELLA BD Stent</Name><Description>The ELLA BD Stent is a self-expanding biodegradable stent made of polydiaxanone designed to slowly degrade when in contact with living tissue. Full degradation of stent occurs within 11-12 weeks of implantation. It is designed for dilation and treatment of benign oesophageal lesions.</Description><Size>Stent body diameters = 18mm - 25mm;   Stent flares diameters = 23mm - 31mm;   Stent nominal length = 60/80/100/135mm.</Size><SupplierCode>ET</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>192</SubCategoryID><GroupID>1558</GroupID><SubGroupID>6025</SubGroupID><ARTGs><ARTG>232514</ARTG></ARTGs><MinimumBenefit>4513</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2015-08-01</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</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>2025-03-01</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>WY</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>174</SubCategoryID><GroupID>1485</GroupID><SubGroupID>5485</SubGroupID><ARTGs><ARTG>462217</ARTG><ARTG>457425</ARTG></ARTGs><MinimumBenefit>4161</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2024-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MI482</BillingCode><PriorBillingCodes><PriorBillingCode>NK152</PriorBillingCode></PriorBillingCodes><Name>C-Curve Cage</Name><Description>C-Curve Cage with fixation screws</Description><Size>Width: 17 - 19mm; Length: 12 - 14mm; Height: 5 - 8mm  </Size><SupplierCode>MI</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>174</SubCategoryID><GroupID>1485</GroupID><SubGroupID>5485</SubGroupID><ARTGs><ARTG>340293</ARTG></ARTGs><ChangeExplanation>Change to Product name, Description, Size</ChangeExplanation><MinimumBenefit>4161</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Update</ActionFlag><CycleStartDate>2021-11-01</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</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>2025-03-01</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>XG</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>2022-03-01</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</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>JJ</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>174</SubCategoryID><GroupID>1485</GroupID><SubGroupID>5485</SubGroupID><ARTGs><ARTG>293275</ARTG><ARTG>231839</ARTG><ARTG>293276</ARTG></ARTGs><MinimumBenefit>4161</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2013-02-01</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MI327</BillingCode><PriorBillingCodes><PriorBillingCode>ER470</PriorBillingCode><PriorBillingCode>OH524</PriorBillingCode></PriorBillingCodes><Name>Endoskeleton TCS</Name><Description>Endoskeleton TCS Interbody device with fixation screws</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>126313</ARTG></ARTGs><ChangeExplanation>Change to ARTG, Description</ChangeExplanation><MinimumBenefit>4161</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Update</ActionFlag><CycleStartDate>2020-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MI154</BillingCode><Name>Divergence Anterior Cervical Fusion Standalone System</Name><Description>Divergence Standalone Interbody Cage and fixation screws</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><ChangeExplanation>Change to Description</ChangeExplanation><MinimumBenefit>4161</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Update</ActionFlag><CycleStartDate>2015-02-01</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</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>2025-03-01</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>WY</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>174</SubCategoryID><GroupID>1485</GroupID><SubGroupID>5485</SubGroupID><ARTGs><ARTG>462217</ARTG><ARTG>457425</ARTG></ARTGs><MinimumBenefit>4161</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2024-11-01</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</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>XG</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>2022-03-01</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>159146</ARTG><ARTG>193652</ARTG></ARTGs><MinimumBenefit>4161</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-07-01</CycleStartDate><CycleEndDate>2025-03-01</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><MinimumBenefit>4161</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2020-03-01</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</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>217033</ARTG><ARTG>217031</ARTG></ARTGs><MinimumBenefit>4161</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2015-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BF022</BillingCode><Name>Redmond Cervical Cage with cap and screws</Name><Description>Stand-alone cervical interbody fusion cage with locking cap and screws</Description><Size>Cages Angles 5, 8 degrees, W 14 - 20 mm; L 12 - 18; H 5 - 10mm; Screws diam 4 - 4.5 mm; L 12 - 18 mm; Cap Diam. 8.6mm, L 6.5mm</Size><SupplierCode>BF</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>174</SubCategoryID><GroupID>1485</GroupID><SubGroupID>5485</SubGroupID><ARTGs><ARTG>211536</ARTG></ARTGs><ChangeExplanation>Change to Product name, Description, Size</ChangeExplanation><MinimumBenefit>4161</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Update</ActionFlag><CycleStartDate>2016-08-01</CycleStartDate><CycleEndDate>2025-03-01</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><MinimumBenefit>4161</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2014-08-01</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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><MinimumBenefit>4161</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2013-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>IY029</BillingCode><PriorBillingCodes><PriorBillingCode>EV033</PriorBillingCode></PriorBillingCodes><Name>HRCc Cervical Locking Cage</Name><Description>Cervical Locking Cage - no screws required for fixation</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><ChangeExplanation>Change to Description</ChangeExplanation><MinimumBenefit>4161</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Update</ActionFlag><CycleStartDate>2021-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>RI049</BillingCode><Name>Fortilink SC </Name><Description>Cervical standalone fusion cage with self drilling and self tapping screws 
</Description><Size>Cage - Width: (16-20)mm  Length: (12-16)mm  Height: (6-12)mm  Screws - Diameter: (3.4-3.9)mm  Length: (12-16)mm</Size><SupplierCode>RI</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>174</SubCategoryID><GroupID>1485</GroupID><SubGroupID>5485</SubGroupID><ARTGs><ARTG>346071</ARTG></ARTGs><ChangeExplanation>Compressed from RI041, RI042</ChangeExplanation><MinimumBenefit>4161</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2025-03-01</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</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>XG</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>2022-03-01</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LH762</BillingCode><PriorBillingCodes><PriorBillingCode>LM411</PriorBillingCode><PriorBillingCode>NK030</PriorBillingCode></PriorBillingCodes><Name>IRIX - C Implants</Name><Description>Cervical integrated fusion system with screws</Description><Size>16-18 x 13-14 x 5-12mm </Size><SupplierCode>LH</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>174</SubCategoryID><GroupID>1485</GroupID><SubGroupID>5485</SubGroupID><ARTGs><ARTG>170220</ARTG></ARTGs><ChangeExplanation>Change to ARTG, Description, Size</ChangeExplanation><MinimumBenefit>4161</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Update</ActionFlag><CycleStartDate>2023-07-01</CycleStartDate><CycleEndDate>2025-03-01</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><MinimumBenefit>4161</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-07-01</CycleStartDate><CycleEndDate>2025-03-01</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><MinimumBenefit>4161</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-08-01</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</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>2025-03-01</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>WY</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>174</SubCategoryID><GroupID>1485</GroupID><SubGroupID>5485</SubGroupID><ARTGs><ARTG>457425</ARTG><ARTG>462235</ARTG></ARTGs><MinimumBenefit>4161</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2024-11-01</CycleStartDate><CycleEndDate>2025-03-01</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><MinimumBenefit>5948</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-02-01</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>NV170</BillingCode><Name>Modulus ALIF</Name><Description>Integrated fixation lumbar fusion cage including bolts (screws)</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><ChangeExplanation>Change to Description</ChangeExplanation><MinimumBenefit>5948</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Update</ActionFlag><CycleStartDate>2021-07-01</CycleStartDate><CycleEndDate>2025-03-01</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>XG</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>2022-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MI326</BillingCode><PriorBillingCodes><PriorBillingCode>ER469</PriorBillingCode><PriorBillingCode>OH492</PriorBillingCode></PriorBillingCodes><Name>Endoskeleton TAS</Name><Description>Endoskeleton TAS Interbody device with fixation screws</Description><Size>10-20mm 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>126313</ARTG></ARTGs><ChangeExplanation>Change to ARTG, Description, Size</ChangeExplanation><MinimumBenefit>5948</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Update</ActionFlag><CycleStartDate>2020-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MC987</BillingCode><Name>Sovereign Spinal System - Interbody Spacer</Name><Description>Interbody Spacer with Coverplate and fixation screws</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><ChangeExplanation>Change to Description</ChangeExplanation><MinimumBenefit>5948</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Update</ActionFlag><CycleStartDate>2011-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LB171</BillingCode><Name>ELSA Expandable Lateral Interbody Fusion Spacer</Name><Description>Expandable lateral interbody fusion spacer with integrated fixation and bone screws</Description><Size>Height (unexpanded): 7-11mmHeight (expanded): 14-20mmLength: 40-65mmWidth: 20mm</Size><SupplierCode>LB</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>174</SubCategoryID><GroupID>1485</GroupID><SubGroupID>5486</SubGroupID><ARTGs><ARTG>190968</ARTG></ARTGs><ChangeExplanation>Change to Product name, ARTG, Description, Size</ChangeExplanation><MinimumBenefit>5948</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Update</ActionFlag><CycleStartDate>2018-02-01</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</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>427190</ARTG><ARTG>207288</ARTG><ARTG>222456</ARTG></ARTGs><ChangeExplanation>Change to ARTG</ChangeExplanation><MinimumBenefit>5948</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Update</ActionFlag><CycleStartDate>2014-02-01</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</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><MinimumBenefit>5948</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2023-11-01</CycleStartDate><CycleEndDate>2025-03-01</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>322720</ARTG><ARTG>320878</ARTG></ARTGs><MinimumBenefit>5948</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2020-03-01</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>IY031</BillingCode><PriorBillingCodes><PriorBillingCode>EV016</PriorBillingCode></PriorBillingCodes><Name>Evolution TM2 Cage</Name><Description>Thoraco Lumbar ALIF cage - no screws required for fixation</Description><Size>standard</Size><SupplierCode>IY</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>174</SubCategoryID><GroupID>1485</GroupID><SubGroupID>5486</SubGroupID><ARTGs><ARTG>248234</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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><ChangeExplanation>Change to Condition</ChangeExplanation><MinimumBenefit>5948</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Update</ActionFlag><CycleStartDate>2021-07-01</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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><MinimumBenefit>5948</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2014-08-01</CycleStartDate><CycleEndDate>2025-03-01</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><MinimumBenefit>5948</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-08-01</CycleStartDate><CycleEndDate>2025-03-01</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><MinimumBenefit>5948</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-03-01</CycleStartDate><CycleEndDate>2025-03-01</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>XG</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>2022-03-01</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</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><MinimumBenefit>5948</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2020-11-01</CycleStartDate><CycleEndDate>2025-03-01</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>WY</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>174</SubCategoryID><GroupID>1485</GroupID><SubGroupID>5486</SubGroupID><ARTGs><ARTG>457425</ARTG><ARTG>462235</ARTG></ARTGs><MinimumBenefit>5948</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2024-11-01</CycleStartDate><CycleEndDate>2025-03-01</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>188175</ARTG><ARTG>188176</ARTG></ARTGs><MinimumBenefit>5948</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>RI050</BillingCode><Name>Fortilink SA </Name><Description>Interbody fusion device with integrated locking mechanism and screws
</Description><Size>Cage- Width (32-40)mm  Length (25-29)mm  Height (10-22)mm Screws- Diameter (4.5-5.5)mm  Length (20-35)mm</Size><SupplierCode>RI</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>174</SubCategoryID><GroupID>1485</GroupID><SubGroupID>5486</SubGroupID><ARTGs><ARTG>346071</ARTG></ARTGs><ChangeExplanation>Compressed from RI033, RI032</ChangeExplanation><MinimumBenefit>5948</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2025-03-01</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</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>2025-03-01</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>445955</ARTG><ARTG>445950</ARTG><ARTG>445956</ARTG></ARTGs><MinimumBenefit>5948</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2024-07-01</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LB175</BillingCode><Name>ELSA ATP</Name><Description>Anterior-to-Psoas Expandable Lumbar Spacer and bone screws</Description><Size>Width: 20mmLength - 40mm-65mmUnexpanded Height - 7-10mmExpanded Height - 14mm-17mm</Size><SupplierCode>LB</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>174</SubCategoryID><GroupID>1485</GroupID><SubGroupID>5486</SubGroupID><ARTGs><ARTG>190968</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>2025-03-01</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>2025-03-01</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>JJ</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>174</SubCategoryID><GroupID>1485</GroupID><SubGroupID>5486</SubGroupID><ARTGs><ARTG>231840</ARTG><ARTG>293276</ARTG></ARTGs><MinimumBenefit>5948</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2015-08-01</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>WY</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>174</SubCategoryID><GroupID>1485</GroupID><SubGroupID>5486</SubGroupID><ARTGs><ARTG>462217</ARTG><ARTG>457425</ARTG></ARTGs><MinimumBenefit>5948</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2024-11-01</CycleStartDate><CycleEndDate>2025-03-01</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><MinimumBenefit>5948</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2015-02-01</CycleStartDate><CycleEndDate>2025-03-01</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>WY</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>174</SubCategoryID><GroupID>1485</GroupID><SubGroupID>5486</SubGroupID><ARTGs><ARTG>462217</ARTG><ARTG>457425</ARTG></ARTGs><MinimumBenefit>5948</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2024-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>DE585</BillingCode><Name>OCULFIT Orbital Implant</Name><Description>Porous polyethylene spherical orbital implant</Description><Size>14, 16, 18, 19, 20, 21, 22, 23 mm</Size><SupplierCode>DE</SupplierCode><CategoryID>1</CategoryID><SubCategoryID>147</SubCategoryID><GroupID>1340</GroupID><SubGroupID>3903</SubGroupID><Suffix>vp</Suffix><ARTGs><ARTG>290198</ARTG></ARTGs><MinimumBenefit>1741</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ315</BillingCode><PriorBillingCodes><PriorBillingCode>RJ007</PriorBillingCode><PriorBillingCode>VL002</PriorBillingCode></PriorBillingCodes><Name>Su-Por Sphere</Name><Description>An implantable device made of high-density polyethylene material with an interconnecting pore structure that supports tissue ingrowth. The device is available in sizes to meet the patient's specific needs.  Used for orbital reconstruction following enucleation and evisceration procedure.</Description><Size>14mm, 16mm, 18mm, 20mm, 22mm, 24mm (diameter)</Size><SupplierCode>DE</SupplierCode><CategoryID>1</CategoryID><SubCategoryID>147</SubCategoryID><GroupID>1340</GroupID><SubGroupID>3903</SubGroupID><Suffix>vp</Suffix><ARTGs><ARTG>335454</ARTG></ARTGs><MinimumBenefit>1741</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2020-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SO006</BillingCode><Name>FCI Orbital Implants</Name><Description>Orbital Implant, Bioceramic (Aluminium Oxide)/Hydroxyapatite (Synthetic)</Description><Size>Bioceramic diameter, 12, 14, 16, 18, 20, 21, 22mm; Synthetic Diameter, 10, 12, 14, 16, 18, 20, 22mm</Size><SupplierCode>SO</SupplierCode><CategoryID>1</CategoryID><SubCategoryID>147</SubCategoryID><GroupID>1340</GroupID><SubGroupID>3903</SubGroupID><Suffix>vp</Suffix><ARTGs><ARTG>143210</ARTG></ARTGs><MinimumBenefit>1741</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SO007</BillingCode><Name>FCI Orbital Implants</Name><Description>Mesh wrapped orbital implant: mesh wrapped bioceramic (aluminium oxide), mesh wrapped hydroxyapatite (synthetic), mesh wrap (polyglycolic acid)</Description><Size>Bioceramic diameter: 16, 18, 20, 22mm; Synthetic Hydroxyapatite diameter: 16, 18, 20, 22mm</Size><SupplierCode>SO</SupplierCode><CategoryID>1</CategoryID><SubCategoryID>147</SubCategoryID><GroupID>1340</GroupID><SubGroupID>3903</SubGroupID><Suffix>vp</Suffix><ARTGs><ARTG>143210</ARTG></ARTGs><MinimumBenefit>1741</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SO085</BillingCode><Name>Ezypor</Name><Description>High density porous polyethylene orbital implant</Description><Size>12mm to 22mm</Size><SupplierCode>SO</SupplierCode><CategoryID>1</CategoryID><SubCategoryID>147</SubCategoryID><GroupID>1340</GroupID><SubGroupID>3903</SubGroupID><Suffix>vp</Suffix><ARTGs><ARTG>143210</ARTG></ARTGs><MinimumBenefit>1741</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SK521</BillingCode><Name>Sphere</Name><Description>Orbital Sphere Models 6316, 6326, 6327, 6317 and 6322 8702-8704. COI implant, models 7222, 7223 &amp; 80026. MCOI implant, models 7207 - 7209 Quad Motility Implants 9866 - 9868 &amp; 80022</Description><Size>Orbital Sphere Models 6316: 14mm, 6326: 16mm, 6327: 18mm, 6317: 20mm, 6322: 22mm, 8702: 19mm, 8703: 21mm, 8704: 23mm, COI Implants 7222: Approx 4ml, 7223: Approx 5ml, 80026: Approx 6ml, MCOI 7207: Approx 3ml, 7208: Approx 4.2ml,  7209: Approx 5.6ml, QUAD Motility Small 16ml, Medium: 18ml, Large: 20ml, Extra Large: 22ml.</Size><SupplierCode>JV</SupplierCode><CategoryID>1</CategoryID><SubCategoryID>147</SubCategoryID><GroupID>1340</GroupID><SubGroupID>3903</SubGroupID><ARTGs><ARTG>257435</ARTG><ARTG>189075</ARTG><ARTG>189074</ARTG></ARTGs><MinimumBenefit>709</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2011-08-01</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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><MinimumBenefit>92</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2024-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BU024</BillingCode><Name>Tuoren Infusion Pump</Name><Description>Non electronic, elastomeric balloon driven, ambulatory infusion pump, which can be supplied in a variety of volumes and flow rates to meet different clinical applications.  Its primary purpose is for continuous delivery of fluids/medications.</Description><Size>60ml - 300ml</Size><SupplierCode>BU</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>188</SubCategoryID><GroupID>1524</GroupID><SubGroupID>5358</SubGroupID><Suffix>Set</Suffix><ARTGs><ARTG>323586</ARTG></ARTGs><MinimumBenefit>92</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2020-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BX328</BillingCode><Name>Infusor</Name><Description>Sterile Infusor Devices, Elastomeric Driven</Description><Size>LV 2, 2ml/hr, 275 ml vol;  LV 1.5, 1.5ml/hr, 275 ml vol.</Size><SupplierCode>BX</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>188</SubCategoryID><GroupID>1524</GroupID><SubGroupID>5358</SubGroupID><Suffix>Set</Suffix><ARTGs><ARTG>168893</ARTG></ARTGs><MinimumBenefit>92</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2014-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>UX001</BillingCode><PriorBillingCodes><PriorBillingCode>AH006</PriorBillingCode></PriorBillingCodes><Name>DOSI-FUSER</Name><Description>Non electronic, elastomeric balloon driven, ambulatory infusion pump, which can be supplied in a variety of volumes and flow rates to meet different clinical applications.  Its primary purpose is for continuous delivery of fluids/medications.</Description><Size>65ml - 140mm x 45mm x 40mm; 100ml - 140mm x 52mm x 50mm; 150 - 140mm x 55mm x 55mm; 250ml - 140mm x 60mm x 60mm; 400ml, 500ml, 600ml</Size><SupplierCode>UX</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>188</SubCategoryID><GroupID>1524</GroupID><SubGroupID>5358</SubGroupID><Suffix>Set</Suffix><ARTGs><ARTG>324361</ARTG></ARTGs><MinimumBenefit>92</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2019-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ714</BillingCode><Name>Elasto-Q Infusion Pump and consumables (Strap, Silicon liquid storage device, Single-way filling port, Tubing, Clamp, Vent filter, Self-control device (PCA), Multiple regulator device, Transparent three way stopcock, Luer lock, Protective cap)</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>Change to Product name</ChangeExplanation><MinimumBenefit>92</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Update</ActionFlag><CycleStartDate>2024-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>TX057</BillingCode><Name>Autofuser Fixed Rate w/Bolus</Name><Description>Fixed rate elastomeric infusion pump. Several basal rate options. Bolus volume options with several refill times available. Rigid, rounded, low profile housing. Front low pressure port for ease of filling. Graduated markings for monitoring infusion.    The Arrow  AutoFuser  Disposable Pain Pump from Teleflex is designed to safely and reliably deliver regional anaesthesia medications to help effectively manage post-operative pain in patients following surgery involving implanted prosthesis such as knee, hip or shoulder reconstructions. Effective management of postoperative pain in the immediate and early postoperative period facilitates early patient mobilisation and reduces the likelihood of implanted prosthesis failure. The device is also used to facilitate the delivery of epidural medical during labour in expectant mothers and can also be used for the delivery of medications necessary in the treatment of oncology patients.    The Arrow  AutoFuser  Disposable Pain Pump offers multiple  reservoir sizes and configurations to meet a variety of clinical demands. The AutoSelector  Variable Rate Selector gives the clinician the ability to adjust the basal infusion rate to meet the individualized needs of each patient to help control their post-operative pain. The patient controlled bolus gives patients the ability to address breakthrough pain without interrupting the basal rate.</Description><Size>275ml, 550ml</Size><SupplierCode>TX</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>188</SubCategoryID><GroupID>1524</GroupID><SubGroupID>5358</SubGroupID><Suffix>Bolus</Suffix><ARTGs><ARTG>288197</ARTG></ARTGs><MinimumBenefit>28</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2019-11-01</CycleStartDate><CycleEndDate>2025-03-01</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>LU</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>188</SubCategoryID><GroupID>1524</GroupID><SubGroupID>5358</SubGroupID><ARTGs><ARTG>396632</ARTG></ARTGs><MinimumBenefit>28</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2024-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>RN006</BillingCode><Name>Surefuser+ Fixed Flow</Name><Description>Elastomeric balloon driven, ambulatory infusion pump with a variety fixed infusion rates.</Description><Size>50ml, 100ml, 250ml</Size><SupplierCode>RN</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>188</SubCategoryID><GroupID>1524</GroupID><SubGroupID>5358</SubGroupID><ARTGs><ARTG>92233</ARTG></ARTGs><MinimumBenefit>28</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2013-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SI049</BillingCode><Name>Neofuser Pump</Name><Description>Neofuser® is a single-use, portable elastomeric  infusion pump that provides medication at  accurate continuous pre-fixed flow.</Description><Size>60mL, 100mL, 275mL, 450mL</Size><SupplierCode>SI</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>188</SubCategoryID><GroupID>1524</GroupID><SubGroupID>5358</SubGroupID><ARTGs><ARTG>306862</ARTG></ARTGs><MinimumBenefit>28</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BB349</BillingCode><Name>Easypump</Name><Description>Disposable Elastomeric infusion pump system</Description><Size>LT: Filling Volume: 60ml - 400ml, Flow Rate: 0.5ml/h - 10ml/h
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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>TX058</BillingCode><Name>Autofuser Fixed Rate</Name><Description>Fixed rate elastomeric infusion pump. Several basal rate options. Rigid, rounded, low profile housing. Front low pressure port for ease of filling. Graduated markings for monitoring infusion.      The Arrow  AutoFuser  Disposable Pain Pump from Teleflex is designed to safely and reliably deliver regional anaesthesia medications to help effectively manage post-operative pain in patients following surgery involving implanted prosthesis such as knee, hip or shoulder reconstructions. Effective management of postoperative pain in the immediate and early postoperative period facilitates early patient mobilisation and reduces the likelihood of implanted prosthesis failure. The device is also used to facilitate the delivery of epidural medical during labour in expectant mothers and can also be used for the delivery of medications necessary in the treatment of oncology patients.    The Arrow  AutoFuser  Disposable Pain Pump offers multiple  reservoir sizes and configurations to meet a variety of clinical demands. The AutoSelector  Variable Rate Selector gives the clinician the ability to adjust the basal infusion rate to meet the individualized needs of each patient to help control their post-operative pain. The patient controlled bolus gives patients the ability to address breakthrough pain without interrupting the continuous basal infusion.</Description><Size>100ml, 150ml, 275ml</Size><SupplierCode>TX</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>188</SubCategoryID><GroupID>1524</GroupID><SubGroupID>5358</SubGroupID><ARTGs><ARTG>288197</ARTG></ARTGs><MinimumBenefit>28</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2019-11-01</CycleStartDate><CycleEndDate>2025-03-01</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><MinimumBenefit>28</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2024-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BX287</BillingCode><Name>Intermate XLV 250</Name><Description>Sterile infusor devices, elastomeric driven.  The Intermate XLV 250 is an ambulatory device utilising elastomeric technology to deliver continuous infusion of parenteral therapy to patients in an ambulatory setting. The device is specifically suitable for patients requiring intravenous immunoglobulin therapy. The nominal flow rate of the Intermate XLV 250 is 250mL/hr, however when used for the administration of IVIG the flow rate is reduced to approximately 120mL/hr.</Description><Size>Volume 500mL. Approximate infusion time for IVIG solutions is 4.2 hrs.</Size><SupplierCode>BX</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>188</SubCategoryID><GroupID>1524</GroupID><SubGroupID>5358</SubGroupID><Suffix>Set</Suffix><ARTGs><ARTG>168893</ARTG></ARTGs><MinimumBenefit>92</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2013-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BX327</BillingCode><Name>Infusor</Name><Description>Sterile Infusor Devices, Elastomeric Driven</Description><Size>LV 10, 10ml/hr, 240ml vol  LV 5, 5ml/hr, 240ml vol</Size><SupplierCode>BX</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>188</SubCategoryID><GroupID>1524</GroupID><SubGroupID>5358</SubGroupID><Suffix>Set</Suffix><ARTGs><ARTG>168893</ARTG></ARTGs><MinimumBenefit>92</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2014-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BX247</BillingCode><Name>Intermate</Name><Description>Sterile infusor devices, elastomeric driven</Description><Size>SV 200 - 200ml/hr, nominal 100ml vol. max 105 mL. SV 100 - 100ml/hr, nominal 100ml vol. max 105 mL. LV 250, 250ml/hr, 275ml vol. SV 50 - 50ml/hr, nominal 100ml vol. max 105mL.  LV 100  - 100ml/hr, 275ml vol. LV 50, 50ml/hr, 275ml vol</Size><SupplierCode>BX</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>188</SubCategoryID><GroupID>1524</GroupID><SubGroupID>5358</SubGroupID><Suffix>Set</Suffix><ARTGs><ARTG>168893</ARTG></ARTGs><MinimumBenefit>92</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BX281</BillingCode><Name>Baxter Folfusor</Name><Description>Sterile infusor devices, elastomeric driven.  Folfusor SV 0.5mL/hr 120mL (Baxter Code 2C4700K), Folfusor SV 2.5mL/hr 120mL (Baxter Code 2C4711K), Folfusor SV 5mL/hr 120mL (Baxter Code 2C4705K). The Baxter Folfusor is a disposable infusion pump used in an ambulatory setting for the continuous infusion of intravenous medications. The codes listed above represent three separate flow rates specific to Chemotherapy protocols.</Description><Size>120mL Maximum Volume</Size><SupplierCode>BX</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>188</SubCategoryID><GroupID>1524</GroupID><SubGroupID>5358</SubGroupID><Suffix>Set</Suffix><ARTGs><ARTG>168893</ARTG></ARTGs><MinimumBenefit>92</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2010-08-01</CycleStartDate><CycleEndDate>2025-03-01</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>LU</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>188</SubCategoryID><GroupID>1524</GroupID><SubGroupID>5358</SubGroupID><ARTGs><ARTG>396632</ARTG></ARTGs><MinimumBenefit>28</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2024-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>TY001</BillingCode><Name>mobiFUSER</Name><Description>Disposable sterile non electronic elastomeric infusion device. Variable flow rates available. For continuous fluid/medication delivery</Description><Size>Maximum Capacity 275ml</Size><SupplierCode>TY</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>188</SubCategoryID><GroupID>1524</GroupID><SubGroupID>5358</SubGroupID><Suffix>Bolus</Suffix><ARTGs><ARTG>188661</ARTG></ARTGs><MinimumBenefit>28</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-08-01</CycleStartDate><CycleEndDate>2025-03-01</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>LU</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>188</SubCategoryID><GroupID>1524</GroupID><SubGroupID>5358</SubGroupID><ARTGs><ARTG>396632</ARTG></ARTGs><MinimumBenefit>28</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2024-11-01</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</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>LU</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>188</SubCategoryID><GroupID>1524</GroupID><SubGroupID>5358</SubGroupID><ARTGs><ARTG>396632</ARTG></ARTGs><MinimumBenefit>28</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2024-11-01</CycleStartDate><CycleEndDate>2025-03-01</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><MinimumBenefit>28</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2024-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>RN004</BillingCode><Name>Surefuser+</Name><Description>Elastomeric balloon driven, ambulatory infusion pump with variable infusion rate</Description><Size>100ml, 250ml</Size><SupplierCode>RN</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>188</SubCategoryID><GroupID>1524</GroupID><SubGroupID>5359</SubGroupID><ARTGs><ARTG>92233</ARTG></ARTGs><MinimumBenefit>142</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2013-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>TX060</BillingCode><Name>Autofuser Autoselector Variable Rate</Name><Description>Fixed rate elastomeric infusion pump. Several basal rate options. Bolus volume options with several refill times available. Rigid, rounded, low profile housing. Front low pressure port for ease of filling. Graduated markings for monitoring infusion.  The Arrow  AutoFuser  Disposable Pain Pump from Teleflex is designed to safely and reliably deliver regional anaesthesia medications to help effectively manage post-operative pain in patients following surgery involving implanted prosthesis such as knee, hip or shoulder reconstructions. Effective management of postoperative pain in the immediate and early postoperative period facilitates early patient mobilisation and reduces the likelihood of implanted prosthesis failure. The device is also used to facilitate the delivery of epidural medical during labour in expectant mothers and can also be used for the delivery of medications necessary in the treatment of oncology patients. The Arrow  AutoFuser  Disposable Pain Pump offers multiple  reservoir sizes and configurations to meet a variety of clinical demands. The AutoSelector  Variable Rate Selector gives the clinician the ability to adjust the basal infusion rate to meet the individualized needs of each patient to help control their post-operative pain. The patient controlled bolus gives patients the ability to address breakthrough pain without interrupting the continuous basal rate</Description><Size>100ml, 275ml, 400ml.</Size><SupplierCode>TX</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>188</SubCategoryID><GroupID>1524</GroupID><SubGroupID>5359</SubGroupID><ARTGs><ARTG>288197</ARTG></ARTGs><MinimumBenefit>142</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2019-11-01</CycleStartDate><CycleEndDate>2025-03-01</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><MinimumBenefit>142</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2024-11-01</CycleStartDate><CycleEndDate>2025-03-01</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><MinimumBenefit>142</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2024-11-01</CycleStartDate><CycleEndDate>2025-03-01</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>LU</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>188</SubCategoryID><GroupID>1524</GroupID><SubGroupID>5359</SubGroupID><ARTGs><ARTG>396632</ARTG></ARTGs><MinimumBenefit>142</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2024-11-01</CycleStartDate><CycleEndDate>2025-03-01</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>LU</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>188</SubCategoryID><GroupID>1524</GroupID><SubGroupID>5359</SubGroupID><Suffix>Bolus</Suffix><ARTGs><ARTG>396632</ARTG></ARTGs><MinimumBenefit>367</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2024-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BU025</BillingCode><Name>Tuoren Infusion Pump</Name><Description>Non electronic, elastomeric balloon driven, ambulatory infusion pump, which can be supplied in a variety of volumes and flow rates to meet different clinical applications.  Its primary purpose is for continuous delivery of fluids/medications.</Description><Size>60ml - 300ml</Size><SupplierCode>BU</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>188</SubCategoryID><GroupID>1524</GroupID><SubGroupID>5359</SubGroupID><Suffix>Bolus</Suffix><ARTGs><ARTG>323586</ARTG></ARTGs><MinimumBenefit>367</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2020-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>TX059</BillingCode><Name>Autofuser Autoselector Variable Rate w/Bolus</Name><Description>Fixed rate elastomeric infusion pump. Several basal rate options. Bolus volume options with several refill times available. Rigid, rounded, low profile housing. Front low pressure port for ease of filling. Graduated markings for monitoring infusion. The Arrow  AutoFuser  Disposable Pain Pump from Teleflex is designed to safely and reliably deliver regional anaesthesia medications to help effectively manage post-operative pain in patients following surgery involving implanted prosthesis such as knee, hip or shoulder reconstructions. Effective management of postoperative pain in the immediate and early postoperative period facilitates early patient mobilisation and reduces the likelihood of implanted prosthesis failure. The device is also used to facilitate the delivery of epidural medical during labour in expectant mothers and can also be used for the delivery of medications necessary in the treatment of oncology patients.    The Arrow  AutoFuser  Disposable Pain Pump offers multiple  reservoir sizes and configurations to meet a variety of clinical demands. The AutoSelector  Variable Rate Selector gives the clinician the ability to adjust the basal infusion rate to meet the individualized needs of each patient to help control their post-operative pain. The patient controlled bolus gives patients the ability to address breakthrough pain without interrupting the basal rate.</Description><Size>275ml, 550ml</Size><SupplierCode>TX</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>188</SubCategoryID><GroupID>1524</GroupID><SubGroupID>5359</SubGroupID><Suffix>Bolus</Suffix><ARTGs><ARTG>288197</ARTG></ARTGs><MinimumBenefit>367</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2019-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>RN007</BillingCode><Name>Surefuser+ PCA</Name><Description>Elastomeric balloon pump with variable infusion rate and a patient-controlled analgesia (PCA) infuser.</Description><Size>50ml, 100ml, 150ml, 250ml, 300ml</Size><SupplierCode>RN</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>188</SubCategoryID><GroupID>1524</GroupID><SubGroupID>5359</SubGroupID><Suffix>Bolus</Suffix><ARTGs><ARTG>92233</ARTG></ARTGs><MinimumBenefit>367</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2019-07-01</CycleStartDate><CycleEndDate>2025-03-01</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><MinimumBenefit>367</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2024-11-01</CycleStartDate><CycleEndDate>2025-03-01</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><MinimumBenefit>367</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2024-11-01</CycleStartDate><CycleEndDate>2025-03-01</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><MinimumBenefit>367</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2024-11-01</CycleStartDate><CycleEndDate>2025-03-01</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><MinimumBenefit>319</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2024-11-01</CycleStartDate><CycleEndDate>2025-03-01</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><MinimumBenefit>142</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2024-11-01</CycleStartDate><CycleEndDate>2025-03-01</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><MinimumBenefit>142</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2024-11-01</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BX330</BillingCode><Name>Basal Bolus Infusor</Name><Description>Sterile Infusor Devices, Balloon based</Description><Size>Basal/Bolus 60, Basal 0.5ml/hr, Bolus 0.5 x 65ml
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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BX249</BillingCode><Name>Multirate with PCM</Name><Description>Sterile infusor devices, elastomeric driven</Description><Size>Multirate 5, 7 or 12 ml/hr with PCM</Size><SupplierCode>BX</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>188</SubCategoryID><GroupID>1524</GroupID><SubGroupID>5359</SubGroupID><Suffix>Bolus</Suffix><ARTGs><ARTG>168893</ARTG></ARTGs><MinimumBenefit>367</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>UX004</BillingCode><PriorBillingCodes><PriorBillingCode>AH012</PriorBillingCode></PriorBillingCodes><Name>DOSI-FUSER Multiflow System</Name><Description>Elastomeric pump providing drug infusion at a constant flow. Facilitates the ability for a clinician to adjust the infusion rate of the contents of the infuser. Offers a wide range of flow rates from 1ml/h to 7ml/h in steps of 1ml/h, and from 2ml/h to 14ml/h in steps of 2ml/h.</Description><Size>65ml, 100ml, 150ml, and 250ml.</Size><SupplierCode>UX</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>188</SubCategoryID><GroupID>1524</GroupID><SubGroupID>5359</SubGroupID><Suffix>Set</Suffix><ARTGs><ARTG>324361</ARTG></ARTGs><MinimumBenefit>319</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2019-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BA264</BillingCode><Name>LifeStream Balloon Expandable Covered Stent</Name><Description>The LifeStream Balloon Expandable Vascular Covered Stent is comprised of an ectropolished balloon-expandable stent made from 316L stainless steel, encapsulated between two layers of ePTFE.</Description><Size>Implant Length: 16mm, 26mm, 37/38mm*,58mm
Implant Diameter: 5mm, 6mm, 7mm, 8mm, 9mm, 10mm, 12mm
* Diameters 5-8mm are offered in 37mm length, and diameters 9-12 are offered in 38mm length</Size><SupplierCode>BA</SupplierCode><CategoryID>24</CategoryID><SubCategoryID>207</SubCategoryID><GroupID>1634</GroupID><SubGroupID>4449</SubGroupID><ARTGs><ARTG>265593</ARTG></ARTGs><MinimumBenefit>3258</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2016-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>PY039</BillingCode><Name>BeGraft Peripheral Stent Graft System</Name><Description>Balloon Expandable "One layer" Biocompatible CoCr Alloy and Micro-porous ePTFE Peripheral Vascular Stent</Description><Size>Diameter: 5mm to 12mm
Length: 18mm to 58mm</Size><SupplierCode>PY</SupplierCode><CategoryID>24</CategoryID><SubCategoryID>207</SubCategoryID><GroupID>1634</GroupID><SubGroupID>4449</SubGroupID><ARTGs><ARTG>280061</ARTG></ARTGs><MinimumBenefit>3258</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2014-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>GT296</BillingCode><Name>GORE® VIABAHN® VBX Balloon Expandable Endoprosthesis</Name><Description>The GORE® VIABAHN® VBX Balloon Expandable Endoprosthesis consists of a 316L surgical grade stainless steel balloon expandable stent and a fluoropolymer graft. The CBAS® Heparin Surface on the GORE® VIABAHN® VBX Balloon Expandable Endoprosthesis consists of stable, covalent, end-point attached heparin of porcine origin. The endoprosthesis is premounted on a delivery system equipped with a balloon. The delivery system has two radiopaque balloon markers embedded in the shaft (denoting the effective balloon length) to aid in the placement of the endoprosthesis. The delivery system is compatible with 0.035" (0.89 mm) guidewires. The delivery system can be used for initial stent placement and post stent dilatation. The premounted stent system is available in a variety of endoprosthesis lengths from 15 to 79 mm and in a variety of diameters from 5 to 11 mm (See Table 1). The premounted endoprosthesis system balloon catheter is also offered in two shaft lengths. This product is supplied sterile. It should not be resterilized.</Description><Size>5mm-11mm diameter 
15mm, 19mm, 29mm, 39mm &amp; 59mm lengths</Size><SupplierCode>GT</SupplierCode><CategoryID>24</CategoryID><SubCategoryID>207</SubCategoryID><GroupID>1634</GroupID><SubGroupID>4449</SubGroupID><Suffix>H (heparin)</Suffix><ARTGs><ARTG>311474</ARTG></ARTGs><MinimumBenefit>3867</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2019-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>GT295</BillingCode><Name>GORE® VIABAHN® VBX Balloon Expandable Endoprosthesis</Name><Description>The GORE® VIABAHN® VBX Balloon Expandable Endoprosthesis consists of a 316L surgical grade stainless steel balloon expandable stent and a fluoropolymer graft. The CBAS® Heparin Surface on the GORE® VIABAHN® VBX Balloon Expandable Endoprosthesis consists of stable, covalent, end-point attached heparin of porcine origin. The endoprosthesis is premounted on a delivery system equipped with a balloon. The delivery system has two radiopaque balloon markers embedded in the shaft (denoting the effective balloon length) to aid in the placement of the endoprosthesis. The delivery system is compatible with 0.035" (0.89 mm) guidewires. The delivery system can be used for initial stent placement and post stent dilatation. The premounted stent system is available in a variety of endoprosthesis lengths from 15 to 79 mm and in a variety of diameters from 5 to 11 mm (See Table 1). The premounted endoprosthesis system balloon catheter is also offered in two shaft lengths. This product is supplied sterile. It should not be resterilized.</Description><Size>5mm-11mm diameter
79mm length</Size><SupplierCode>GT</SupplierCode><CategoryID>24</CategoryID><SubCategoryID>207</SubCategoryID><GroupID>1634</GroupID><SubGroupID>4449</SubGroupID><Suffix>H (heparin)</Suffix><ARTGs><ARTG>311474</ARTG></ARTGs><MinimumBenefit>3867</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2019-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>GX009</BillingCode><PriorBillingCodes><PriorBillingCode>MQ006</PriorBillingCode></PriorBillingCodes><Name>Advant PTFE V12 Stent Graft System</Name><Description>Balloon Expandable PTFE Encapsulated Stainless Steel Peripheral Vascular Stent</Description><Size>5mm - 12mm Diameter</Size><SupplierCode>GX</SupplierCode><CategoryID>24</CategoryID><SubCategoryID>207</SubCategoryID><GroupID>1634</GroupID><SubGroupID>4449</SubGroupID><ARTGs><ARTG>156635</ARTG><ARTG>200244</ARTG></ARTGs><MinimumBenefit>3258</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2020-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>NJ010</BillingCode><Name>Neoss Ti Reinforced Membrane - S I, Neoss Ti Reinforced Membrane - M I, Neoss Non- Reinforced Membra</Name><Description>Neoss Ti Reinforced membrane NeoGen is an implantable temporary non-resorbable device (membrane) for use as a spacer creation barrier in the treatment of local defects in the oral cavity in conjunction with tissue regeneration or augmentation. Neoss membranes are intended to be submerged and clinically implanted more than 30 days with an expected duration of implantation up of 6 months.</Description><Size>28.7mm x 18mm, 0.3mm thick (Reinforced S I)
30.4mm x 19.4mm, 0.3 thick (Reinforced M I)
29mm x 14mm, 0.3mm thick (Non-reinforced)</Size><SupplierCode>NJ</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>199</SubCategoryID><GroupID>1901</GroupID><SubGroupID>6201</SubGroupID><ARTGs><ARTG>235233</ARTG></ARTGs><MinimumBenefit>159</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2016-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HQ002</BillingCode><Name>SURGITIME PTFE</Name><Description>Surgitime PTFE is a synthetic non-absorbable membrane that is 100% biocompatible and not derived from animal source. This Membrane is considered to be a barrier for tissue regeneration. polytetraflouroethylene membranes or mechanical barriers for guided bone regeneration are used to prevent migration of cells from epithelial and connective tissues, thus providing a proper space for the formation of a natural fibrin structure which is the bone tissue precursor. Surgitime PTFE  are a high-density sheet with a surface structure and porosity suitable to prevent intergration and passage of bacteria within the interstices of the material, and simultaneously facilitate adhesion of the host cells and the material.</Description><Size>30x20mm- Thickness 0,10mm  30x20mm- Thickness 0,25mm</Size><SupplierCode>HQ</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>199</SubCategoryID><GroupID>1901</GroupID><SubGroupID>6201</SubGroupID><ARTGs><ARTG>247014</ARTG></ARTGs><MinimumBenefit>159</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>NJ011</BillingCode><Name>Neoss Ti Reinforced Membrane - L I, Neoss Ti Reinforced Membrane - M</Name><Description>Neoss Ti Reinforced membrane NeoGen is an implantable temporary non-resorbable device (membrane) for use as a spacer creation barrier in the treatment of local defects in the oral cavity in conjunction with tissue regeneration or augmentation. Neoss membranes are intended to be submerged and clinically implanted more than 30 days with an expected duration of implantation up of 6 months.</Description><Size>35.9mm x 21.2mm, 0.3mm thick (L I) 
32.2mm x 22mm, 0.3mm thick (M)</Size><SupplierCode>NJ</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>199</SubCategoryID><GroupID>1901</GroupID><SubGroupID>6202</SubGroupID><ARTGs><ARTG>235233</ARTG></ARTGs><MinimumBenefit>215</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2016-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>NJ012</BillingCode><Name>Neoss Non-Reinforced Membrane, Neoss Ti Reinforced Membrane - L, XL</Name><Description>Neoss Ti Reinforced membrane NeoGen is an implantable temporary non-resorbable device (membrane) for use as a spacer creation barrier in the treatment of local defects in the oral cavity in conjunction with tissue regeneration or augmentation. Neoss membranes are intended to be submerged and clinically implanted more than 30 days with an expected duration of implantation up of 6 months.</Description><Size>34mm x 25mm, 0.3mm thick and 46mm  x 32mm, 0.3mm thick</Size><SupplierCode>NJ</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>199</SubCategoryID><GroupID>1901</GroupID><SubGroupID>6203</SubGroupID><ARTGs><ARTG>235233</ARTG></ARTGs><MinimumBenefit>285</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2016-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>UK025</BillingCode><Name>HANAROSTENT Pancreatic Stent</Name><Description>Pancreatic Covered Stent</Description><Size>Diameter 10-12mm, Length 20-40mm</Size><SupplierCode>UK</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>192</SubCategoryID><GroupID>1561</GroupID><SubGroupID>6011</SubGroupID><ARTGs><ARTG>336713</ARTG></ARTGs><MinimumBenefit>3124</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>DE694</BillingCode><PriorBillingCodes><PriorBillingCode>PY040</PriorBillingCode></PriorBillingCodes><Name>Niti-S Nagi and Spaxus Pancreatic, Pseudocyst and Gall Bladder Drainage Stent</Name><Description>Fully Covered, self-expanding metal pancreatic pseudocyst intra-luminal drainage stent</Description><Size>Diameter: 8, 10,12,14,16mm  Length: 1,2,3cm</Size><SupplierCode>DE</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>192</SubCategoryID><GroupID>1561</GroupID><SubGroupID>6011</SubGroupID><ARTGs><ARTG>226438</ARTG></ARTGs><MinimumBenefit>3124</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2019-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BS317</BillingCode><Name>HOT AXIOS</Name><Description>Stent with Electrocautery Enhanced Delivery System for use in pseudocyst drainage. Self-expanding nitinol stent</Description><Size>Length 8-15mm, Lumen Diameter 6-20mm</Size><SupplierCode>BS</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>192</SubCategoryID><GroupID>1561</GroupID><SubGroupID>6011</SubGroupID><Suffix>Electrocautery</Suffix><ARTGs><ARTG>282177</ARTG></ARTGs><MinimumBenefit>4345</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2016-08-01</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>DE709</BillingCode><Name>Hot Spaxus</Name><Description>Hot Spaxus is a self-expanding nitinol stent that maintains an anastomotic conduit between two adjacent organs. It has an Electrocautery Enhanced Delivery System.</Description><Size>Length 20mm, Lumen Diameter 8 - 16mm</Size><SupplierCode>DE</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>192</SubCategoryID><GroupID>1561</GroupID><SubGroupID>6011</SubGroupID><Suffix>Electrocautery</Suffix><ARTGs><ARTG>226438</ARTG></ARTGs><MinimumBenefit>4345</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2020-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>DL004</BillingCode><Name>VenaBlock Venous Closure System</Name><Description>VenaBlock is an n-Butyy Cyanoacrylate-polymer structure which was modified by adding a monomer synthesized by the producing company. It is a ready for use, blue colored, transparent liquid. The product exhibits a polymerization effect with embolization. When in contact with living tissue and in humid environments, it rapidly polymerises  by forming a thin, flexible membrane with high tension resistance that adheres firmly to the tissues.</Description><Size>One size</Size><SupplierCode>DL</SupplierCode><CategoryID>24</CategoryID><SubCategoryID>213</SubCategoryID><GroupID>1692</GroupID><SubGroupID>7041</SubGroupID><ARTGs><ARTG>283020</ARTG></ARTGs><MinimumBenefit>713</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2019-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MI285</BillingCode><Name>VenaSeal™ Closure System</Name><Description>A system including the cyanoacrylate liquid embolic material and accessories (delivery catheter, dispensing gun, adhesive (bottle), syringe, dispenser tip, introducer, dilator, straight tip guide)</Description><Size>One system</Size><SupplierCode>MI</SupplierCode><CategoryID>24</CategoryID><SubCategoryID>213</SubCategoryID><GroupID>1692</GroupID><SubGroupID>7041</SubGroupID><ARTGs><ARTG>421297</ARTG></ARTGs><MinimumBenefit>713</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BB418</BillingCode><Name>Histoacryl GI</Name><Description>Histoacryl GI is a sterile liquid which polymerises into a solid substance when in contact with body fluids, living tissues or blood.
Histoacryl GI is indicated as embolic agent in sclerotherapy of large oesophageal or fundal varices.</Description><Size>ONE SIZE - Histoacryl GI 0.5mL Ampoules (Box 5)</Size><SupplierCode>BB</SupplierCode><CategoryID>24</CategoryID><SubCategoryID>213</SubCategoryID><GroupID>1692</GroupID><SubGroupID>7041</SubGroupID><ARTGs><ARTG>431394</ARTG></ARTGs><ChangeExplanation>New listing</ChangeExplanation><MinimumBenefit>713</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2025-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>VU023</BillingCode><PriorBillingCodes><PriorBillingCode>IS039</PriorBillingCode></PriorBillingCodes><Name>AddOn Spherical</Name><Description>Add on hydrophilic spherical intraocular lens</Description><Size>Optic Diameter: 6mm  Length: 13mm</Size><SupplierCode>VU</SupplierCode><CategoryID>1</CategoryID><SubCategoryID>141</SubCategoryID><GroupID>1328</GroupID><SubGroupID>3895</SubGroupID><ARTGs><ARTG>280510</ARTG></ARTGs><MinimumBenefit>262</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>VU021</BillingCode><PriorBillingCodes><PriorBillingCode>IS046</PriorBillingCode></PriorBillingCodes><Name>AddOn SML</Name><Description>Add-on hydrophilic lens for macular degeneration</Description><Size>Central Optic Diameter - 1.5mm  Optic Diameter - 6mm  Length - 13mm</Size><SupplierCode>VU</SupplierCode><CategoryID>1</CategoryID><SubCategoryID>141</SubCategoryID><GroupID>1328</GroupID><SubGroupID>3895</SubGroupID><Suffix>hm</Suffix><ARTGs><ARTG>280510</ARTG></ARTGs><MinimumBenefit>634</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>KG007</BillingCode><Name>Rayner Sulcoflex Aspheric Toric Pseudophakic Secondary IOL (Premium)</Name><Description>Acrylic, Aspheric, Toric Pseudophakic Secondary IOL: Sulcus fixated with undulating Haptics and Posterior Haptic Angulation (Premium)</Description><Size>SE -7.00 to +7.00 in 0.5 D steps; Cyl +1.00 to +6.00 in 0.5D steps</Size><SupplierCode>KG</SupplierCode><CategoryID>1</CategoryID><SubCategoryID>141</SubCategoryID><GroupID>1328</GroupID><SubGroupID>3895</SubGroupID><Suffix>at, t1</Suffix><ARTGs><ARTG>100926</ARTG></ARTGs><MinimumBenefit>567</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2009-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>KG024</BillingCode><Name>Rayner Sulcoflex Ashperic (Premium) I.O.L.</Name><Description>Pseudophakic Supplementary I.O.L.O.L.</Description><Size>-10.0D to -5.50D in 0.5D increments.                +5.50D to 10.00D in 0.5D increments</Size><SupplierCode>KG</SupplierCode><CategoryID>1</CategoryID><SubCategoryID>141</SubCategoryID><GroupID>1328</GroupID><SubGroupID>3895</SubGroupID><Suffix>at</Suffix><ARTGs><ARTG>100926</ARTG></ARTGs><MinimumBenefit>296</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2019-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>VU022</BillingCode><PriorBillingCodes><PriorBillingCode>IS041</PriorBillingCode></PriorBillingCodes><Name>AddOn Toric</Name><Description>Add on hydrophilic toric lens</Description><Size>Optic Diameter: 6mm  Length:13mm</Size><SupplierCode>VU</SupplierCode><CategoryID>1</CategoryID><SubCategoryID>141</SubCategoryID><GroupID>1328</GroupID><SubGroupID>3895</SubGroupID><Suffix>t1</Suffix><ARTGs><ARTG>280510</ARTG></ARTGs><MinimumBenefit>551</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>KG008</BillingCode><Name>Rayner "Sulcoflex" Pseudophakic I.O.L.</Name><Description>Sulcoflex Aspheric Pseudophakic I.O.L</Description><Size>-5D to +5D</Size><SupplierCode>KG</SupplierCode><CategoryID>1</CategoryID><SubCategoryID>141</SubCategoryID><GroupID>1328</GroupID><SubGroupID>3895</SubGroupID><Suffix>at</Suffix><ARTGs><ARTG>100926</ARTG></ARTGs><MinimumBenefit>296</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2009-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>KG005</BillingCode><Name>Rayner Sulcoflex Aspheric Toric Pseudophakic Secondary I.O.L - Standard</Name><Description>Acrylic, Aspheric, Toric Pseudophakic Secondary IOL :  Sulcus fixated with undulating Haptics and Posterior Haptic Angulation (Standard)</Description><Size>SE -3 to +3 in 0.5 D steps
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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>VU015</BillingCode><PriorBillingCodes><PriorBillingCode>IS038</PriorBillingCode></PriorBillingCodes><Name>Scharioth Macula Lens</Name><Description>Add-on hydrophilic lens for maculopathies such as macula degeneration</Description><Size>Central Optic Diameter - 1.5mm    Optic Diameter - 6mm    Length - 13mm</Size><SupplierCode>VU</SupplierCode><CategoryID>1</CategoryID><SubCategoryID>141</SubCategoryID><GroupID>1328</GroupID><SubGroupID>3896</SubGroupID><ARTGs><ARTG>221834</ARTG></ARTGs><MinimumBenefit>634</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>VU024</BillingCode><PriorBillingCodes><PriorBillingCode>IS049</PriorBillingCode></PriorBillingCodes><Name>1stQ addon progressive toric lens</Name><Description>One piece, foldable intraocular lens (IOL), biocompatible hydrophilic acrylic (25% water content), as additional IOL in combination with a Basis IOL.  Fixation is in the sulcus.</Description><Size>-3.0D to +3.0D spherical equivalent in 0.5D steps and +1.0D to +4.5D cylindrical in 0.5D steps and +3.0D add</Size><SupplierCode>VU</SupplierCode><CategoryID>1</CategoryID><SubCategoryID>141</SubCategoryID><GroupID>1328</GroupID><SubGroupID>3896</SubGroupID><Suffix>at, t1</Suffix><ARTGs><ARTG>280510</ARTG></ARTGs><MinimumBenefit>973</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>KG022</BillingCode><Name>Sulcoflex Trifocal</Name><Description>Acrylic, aberration-neutral, trifocal pseudophakic secondary IOL; sulcus-fixated with undulating and rounded C-loop haptics.</Description><Size>Power range: -3.0 D to +3.0 D (increments 0.5 D). -1.0 D to +1.0 D (increments 0.25 D)
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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>VU025</BillingCode><PriorBillingCodes><PriorBillingCode>IS040</PriorBillingCode></PriorBillingCodes><Name>AddOn Progressive</Name><Description>Add on hydrophillic progressive lens</Description><Size>Optic Diameter: 6mm  Length 13mm</Size><SupplierCode>VU</SupplierCode><CategoryID>1</CategoryID><SubCategoryID>141</SubCategoryID><GroupID>1328</GroupID><SubGroupID>3896</SubGroupID><ARTGs><ARTG>280510</ARTG></ARTGs><MinimumBenefit>634</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>JJ687</BillingCode><Name>PDS Plates</Name><Description>Absorbable synthetic (poly-p-dioxanone) plate/foil</Description><Size>0.25 x 30 x 40mm
0.5 x 30 x 40mm
0.25 x 40 x 50mm
0.5 x 40 x 50mm
0.15 x 30 x 40mm
0.15 x 40 x 50mm</Size><SupplierCode>JJ</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>199</SubCategoryID><GroupID>1586</GroupID><SubGroupID>4220</SubGroupID><ARTGs><ARTG>165926</ARTG></ARTGs><MinimumBenefit>502</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2009-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>KT032</BillingCode><Name>Martin Level One Fixation Resorb x &amp; SonicWeld</Name><Description>Mesh PDLLA (resorbable)</Description><Size>0.20 to 0.49mm thick, 1 to 10 cm2 area</Size><SupplierCode>KT</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>199</SubCategoryID><GroupID>1586</GroupID><SubGroupID>4221</SubGroupID><ARTGs><ARTG>143326</ARTG></ARTGs><MinimumBenefit>432</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2015-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>WU003</BillingCode><PriorBillingCodes><PriorBillingCode>VK019</PriorBillingCode></PriorBillingCodes><Name>Inion GTR Biodegradable System</Name><Description>PLGA/TMC Copolymer: membrane &amp; tacks</Description><Size>a) 30 x 40mm membrane kit; b) 6 tack kit and applicator</Size><SupplierCode>WU</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>199</SubCategoryID><GroupID>1586</GroupID><SubGroupID>4222</SubGroupID><ARTGs><ARTG>95697</ARTG></ARTGs><MinimumBenefit>654</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2023-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>KT013</BillingCode><Name>Martin Level One Fixation Resorb x &amp; SonicWeld Rx</Name><Description>Mesh, PDLLA (resorbable)</Description><Size>0.20 to 0.49mm thick, 26 to 50cm² area</Size><SupplierCode>KT</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>199</SubCategoryID><GroupID>1586</GroupID><SubGroupID>4223</SubGroupID><ARTGs><ARTG>143326</ARTG></ARTGs><MinimumBenefit>992</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2015-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>WM002</BillingCode><Name>Osteomesh</Name><Description>A scaffold bone void filler used to fill cranial defects</Description><Size>Length (mm): 35-60 Height (mm): 1-5 Width (mm): 15-50</Size><SupplierCode>WM</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>199</SubCategoryID><GroupID>1586</GroupID><SubGroupID>4231</SubGroupID><ARTGs><ARTG>334285</ARTG></ARTGs><MinimumBenefit>617</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>KT015</BillingCode><Name>Martin Level One Fixation Resorb x &amp; SonicWeld Rx</Name><Description>Mesh, PDLLA (resorbable)</Description><Size>&gt;0.80mm thick, 11 to 25cm² area</Size><SupplierCode>KT</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>199</SubCategoryID><GroupID>1586</GroupID><SubGroupID>4231</SubGroupID><ARTGs><ARTG>143326</ARTG></ARTGs><MinimumBenefit>617</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2015-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>WM003</BillingCode><Name>Osteomesh</Name><Description>A scaffold bone void filler used to fill cranial defects.</Description><Size>Length (mm): 80-100 Height (mm): 1-5 Width (mm): 30-60</Size><SupplierCode>WM</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>199</SubCategoryID><GroupID>1586</GroupID><SubGroupID>4232</SubGroupID><ARTGs><ARTG>334285</ARTG></ARTGs><MinimumBenefit>987</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ST516</BillingCode><Name>Stryker Leibinger Resorbable Fixation System</Name><Description>Resorbable plate: blank panel Tripolymer</Description><Size>55x55mm </Size><SupplierCode>JV</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>199</SubCategoryID><GroupID>1586</GroupID><SubGroupID>4232</SubGroupID><ARTGs><ARTG>151009</ARTG></ARTGs><MinimumBenefit>987</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>KT045</BillingCode><Name>Martin Level One Fixation</Name><Description>Mesh PDLLA resorbable</Description><Size>&gt;0.8mm thick, 26-50cm²</Size><SupplierCode>KT</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>199</SubCategoryID><GroupID>1586</GroupID><SubGroupID>4232</SubGroupID><ARTGs><ARTG>143326</ARTG></ARTGs><MinimumBenefit>987</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2015-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>WM006</BillingCode><Name>Osteomesh</Name><Description>A scaffold bone void filler used to fill cranial defects</Description><Size>Length 100 (mm): Height 1-5(mm):  Width 100(mm): </Size><SupplierCode>WM</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>199</SubCategoryID><GroupID>1586</GroupID><SubGroupID>4233</SubGroupID><ARTGs><ARTG>334285</ARTG></ARTGs><MinimumBenefit>1130</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>KT049</BillingCode><Name>Martin Level One Fixation</Name><Description>Mesh PDLLA resorbable</Description><Size>&gt;0.8mm thick, 101-200cm2</Size><SupplierCode>KT</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>199</SubCategoryID><GroupID>1586</GroupID><SubGroupID>4496</SubGroupID><ARTGs><ARTG>143326</ARTG></ARTGs><MinimumBenefit>1953</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2015-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>KT058</BillingCode><Name>Martin Level One Fixation Resorb X &amp; SonicWeld RX</Name><Description>Mesh, PDLLA (resorbable)</Description><Size>0.50 to 0.80mm thick, 1 to 10cm²</Size><SupplierCode>KT</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>199</SubCategoryID><GroupID>1586</GroupID><SubGroupID>4225</SubGroupID><ARTGs><ARTG>14336</ARTG></ARTGs><MinimumBenefit>577</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2015-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SY544</BillingCode><Name>PolyMax Rapid-Resorbable Fixation System</Name><Description>Mesh Plate</Description><Size>0.5-0.8mm</Size><SupplierCode>JJ</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>199</SubCategoryID><GroupID>1586</GroupID><SubGroupID>4226</SubGroupID><ARTGs><ARTG>167547</ARTG></ARTGs><MinimumBenefit>907</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2010-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>WU004</BillingCode><PriorBillingCodes><PriorBillingCode>VK023</PriorBillingCode></PriorBillingCodes><Name>CPS Bioabsorbable Fixation System</Name><Description>CPS Systems and Baby System Plates.  Polylactic Acid Trimethylene Carbonate Copolymer</Description><Size>1.5-2.5 mesh plate, 7 x 7 holes; 1.5mm baby mesh plate 7 x 7 holes</Size><SupplierCode>WU</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>199</SubCategoryID><GroupID>1586</GroupID><SubGroupID>4226</SubGroupID><ARTGs><ARTG>154546</ARTG></ARTGs><MinimumBenefit>907</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2023-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SY790</BillingCode><Name>AO/ASIF Intramedullary Nails</Name><Description>Femoral Nail</Description><Size>9-15mm D &lt;220mm length</Size><SupplierCode>JJ</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SQ158</BillingCode><Name>PediNail Platform</Name><Description>Pediatric Nailing Platform Femur</Description><Size>7mm x 200mm  Child  Left, Right</Size><SupplierCode>SQ</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1228</GroupID><SubGroupID>3326</SubGroupID><ARTGs><ARTG>191587</ARTG></ARTGs><MinimumBenefit>910</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2019-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>DZ058</BillingCode><Name>F1 Proximal Femoral Nail</Name><Description>F1 Femoral Nail, Titanium</Description><Size>170mm, 200mm
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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BH313</BillingCode><Name>Affixus Hip Fracture Nail System</Name><Description>Short Hip fracture nails</Description><Size>9-13mm diameter, 180mm length</Size><SupplierCode>ZI</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SN763</BillingCode><Name>IMHS CP</Name><Description>Intramedullary Hip Nail, stainless steel</Description><Size>10 - 16mm x 19.5cm left and right</Size><SupplierCode>SN</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1228</GroupID><SubGroupID>3326</SubGroupID><ARTGs><ARTG>104370</ARTG></ARTGs><MinimumBenefit>910</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>XT037</BillingCode><PriorBillingCodes><PriorBillingCode>GW051</PriorBillingCode></PriorBillingCodes><Name>WEGO Nailing Systems</Name><Description>Femoral Nail</Description><Size>≤ 200mm</Size><SupplierCode>XT</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1228</GroupID><SubGroupID>3326</SubGroupID><ARTGs><ARTG>324374</ARTG></ARTGs><ChangeExplanation>
Billing code transferred from GW051
Sponsor transferred from EQUINOX MEDICAL PTY LTD</ChangeExplanation><MinimumBenefit>910</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2020-07-01</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SK246</BillingCode><Name>Gamma LN</Name><Description>Standard - Titanium</Description><Size>120, 125, 130 Deg; Diameter 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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ZI723</BillingCode><Name>Zimmer Natural Nail System</Name><Description>Cephalomedullary, Short Nails, Titanium</Description><Size>10mm to 14.5mm (in 1.5mm increments) x 21.5cm 125 to 135 CCD (in 5 CCD increments) Left and Right.</Size><SupplierCode>ZI</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1228</GroupID><SubGroupID>3326</SubGroupID><ARTGs><ARTG>112735</ARTG></ARTGs><MinimumBenefit>910</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2010-02-01</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SN838</BillingCode><Name>Trigen InterTAN Nail</Name><Description>Nail, Titanium</Description><Size>diameter 10-13mm
length 18-46cm
Angle 125°-135°</Size><SupplierCode>SN</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1228</GroupID><SubGroupID>3326</SubGroupID><ARTGs><ARTG>104370</ARTG></ARTGs><MinimumBenefit>910</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2006-11-30</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BH314</BillingCode><Name>Affixus Hip Fracture Nail System</Name><Description>Long Hip fracture nails</Description><Size>9-15mm diameter, 260-460mm length</Size><SupplierCode>ZI</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ZI722</BillingCode><Name>Zimmer Natural Nail System</Name><Description>Antegrade Femoral Nails, Greater Trochanter, Titanium</Description><Size>8 to 14mm x 24 to 48cm (in 2cm increments) Left and Right</Size><SupplierCode>ZI</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1228</GroupID><SubGroupID>3327</SubGroupID><ARTGs><ARTG>112735</ARTG></ARTGs><MinimumBenefit>1188</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2010-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SY791</BillingCode><Name>AO/ASIF Intramedullary Nails</Name><Description>Femoral Nail</Description><Size>9-15mm D ≥ 220mm length</Size><SupplierCode>JJ</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SL065</BillingCode><Name>Trigen</Name><Description>Femoral Nail, Titanium</Description><Size>9, 10, 11.5 &amp; 13mm diameter</Size><SupplierCode>SN</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SK244</BillingCode><Name>Stryker Intramedullary Nailing System</Name><Description>Gamma Long</Description><Size>120, 125, 130 Deg; Diameter 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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SK214</BillingCode><Name>Stryker Trauma Locking Nail System</Name><Description>Reconstruction Nail</Description><Size>Recon Nail Left/RightDiameter 9-15mm, Length 240-480mm</Size><SupplierCode>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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ZI715</BillingCode><Name>Zimmer Natural Nail System</Name><Description>Cephalomedullary, Femoral Long Nails, Titanium</Description><Size>10mm to 14.5mm (in 1.5mm increments) x 30 to 48cm (in 2cm increments) x 125 &amp; 130 CCD Left and Right.</Size><SupplierCode>ZI</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1228</GroupID><SubGroupID>3327</SubGroupID><ARTGs><ARTG>112735</ARTG></ARTGs><MinimumBenefit>1188</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2010-02-01</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SQ086</BillingCode><Name>PediNail System</Name><Description>Intramedullary Femoral Nail</Description><Size>7-10mm x 12-42cm
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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>DZ007</BillingCode><Name>F3 Femoral Nail</Name><Description>F3 Femoral Nail Titanium</Description><Size>Length 320mm to 440mm, left and right</Size><SupplierCode>DZ</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1228</GroupID><SubGroupID>3327</SubGroupID><ARTGs><ARTG>111818</ARTG></ARTGs><MinimumBenefit>1188</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-02-01</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SN764</BillingCode><Name>IMHS CP</Name><Description>Intramedullary Hip Nail, stainless steel</Description><Size>10 - 14mm x 32 - 44cm left and right</Size><SupplierCode>SN</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1228</GroupID><SubGroupID>3327</SubGroupID><ARTGs><ARTG>104370</ARTG></ARTGs><MinimumBenefit>1188</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SN521</BillingCode><Name>TriGen</Name><Description>Femoral Nail</Description><Size>8-18mm D ≥ 220mm length</Size><SupplierCode>SN</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1228</GroupID><SubGroupID>3327</SubGroupID><ARTGs><ARTG>104370</ARTG></ARTGs><MinimumBenefit>1188</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>DZ067</BillingCode><Name>F1 Proximal Femoral Nail</Name><Description>F1 Femoral Nail - Long</Description><Size>340mm - 460mm
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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SQ157</BillingCode><Name>PediNail Platform</Name><Description>Pediatric Nailing Platform Femur</Description><Size>7-12mm x 220-420mm  Left, Right  Child, Adolescent</Size><SupplierCode>SQ</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1228</GroupID><SubGroupID>3327</SubGroupID><ARTGs><ARTG>191587</ARTG></ARTGs><MinimumBenefit>1188</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2019-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>XT038</BillingCode><PriorBillingCodes><PriorBillingCode>GW052</PriorBillingCode></PriorBillingCodes><Name>WEGO Nailing Systems</Name><Description>Femoral Nail</Description><Size>≥220mm</Size><SupplierCode>XT</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1228</GroupID><SubGroupID>3327</SubGroupID><ARTGs><ARTG>324374</ARTG></ARTGs><ChangeExplanation>
Billing code transferred from GW052
Sponsor transferred from EQUINOX MEDICAL PTY LTD</ChangeExplanation><MinimumBenefit>1188</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2020-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>DZ064</BillingCode><Name>S2 Nail System</Name><Description>Cannulated supracondylar nail, stainless steel</Description><Size>11/13mm x 160-380mm</Size><SupplierCode>DZ</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1228</GroupID><SubGroupID>3328</SubGroupID><ARTGs><ARTG>111818</ARTG></ARTGs><MinimumBenefit>995</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SK202</BillingCode><Name>Stryker Trauma Locking Nail System</Name><Description>SCN</Description><Size>Diameter 8mm - 15mm,   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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MN299</BillingCode><Name>AO/ASIF Intramedullary Nails</Name><Description>Retrograde Femoral Nail</Description><Size>9-15mm / 160-420mm Length</Size><SupplierCode>JJ</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SN522</BillingCode><Name>TriGen</Name><Description>Femoral nail</Description><Size>8.5-13mm x 15-50cm</Size><SupplierCode>SN</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1228</GroupID><SubGroupID>3328</SubGroupID><ARTGs><ARTG>104370</ARTG></ARTGs><MinimumBenefit>995</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>JD019</BillingCode><Name>Femoral Nail</Name><Description>Femoral Nail</Description><Size>Diameter 10 - 12mm</Size><SupplierCode>JD</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1228</GroupID><SubGroupID>3328</SubGroupID><ARTGs><ARTG>222647</ARTG></ARTGs><MinimumBenefit>995</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>AX020</BillingCode><Name>S2 Nail System</Name><Description>Cannulated supracondylar nail, stainless steel</Description><Size>11/13mm x 160-380mm</Size><SupplierCode>AX</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1228</GroupID><SubGroupID>3328</SubGroupID><ARTGs><ARTG>119002</ARTG></ARTGs><MinimumBenefit>995</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2006-03-24</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ZI721</BillingCode><Name>Zimmer Natural Nail System</Name><Description>Retrograde Femoral Nail - Titanium</Description><Size>10mm to 13mm x 16, 20, 24, 28, 30, 32, 34, 36, 38, 40, 42, 44cm Universal.  </Size><SupplierCode>ZI</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>DZ012</BillingCode><Name>Austofix Femoral and Tibial Nailing System</Name><Description>Universal Tibial Nail (UTN) 4.0/4.8, stainless steel or titanium</Description><Size>Diameter 8 – 11mm, Lengths 260mm – 420mm</Size><SupplierCode>DZ</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1228</GroupID><SubGroupID>3329</SubGroupID><ARTGs><ARTG>111818</ARTG></ARTGs><MinimumBenefit>963</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HU149</BillingCode><PriorBillingCodes><PriorBillingCode>DE684</PriorBillingCode></PriorBillingCodes><Name>Fibulock, Fibular Nail System</Name><Description>Fibular Nail for Fibular Fracture Fixation</Description><Size>4 Sizes (Left &amp; Right Side Specific)</Size><SupplierCode>HU</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1228</GroupID><SubGroupID>3329</SubGroupID><ARTGs><ARTG>350831</ARTG></ARTGs><MinimumBenefit>963</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SY788</BillingCode><Name>AO/ASIF Intramedullary Nails</Name><Description>Tibial Nail</Description><Size>7-19; 200-600mm</Size><SupplierCode>JJ</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1228</GroupID><SubGroupID>3329</SubGroupID><ARTGs><ARTG>161138</ARTG></ARTGs><MinimumBenefit>963</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2013-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ZI719</BillingCode><Name>Zimmer Natural Nail System</Name><Description>Tibial Nails - Titanium</Description><Size>8.3mm; 9.3mm; 10mm; 11mm; 12mm; 14mm x 24 to 44cm in 2cm increments</Size><SupplierCode>ZI</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1228</GroupID><SubGroupID>3329</SubGroupID><ARTGs><ARTG>112735</ARTG></ARTGs><MinimumBenefit>963</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2010-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SN841</BillingCode><Name>Trigen META</Name><Description>Metaphyseal Nail, Titanium</Description><Size>8.5-13mm
15x50cm</Size><SupplierCode>SN</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1228</GroupID><SubGroupID>3329</SubGroupID><ARTGs><ARTG>117591</ARTG></ARTGs><MinimumBenefit>963</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2006-11-30</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>JD020</BillingCode><Name>Tibial Nail</Name><Description>Tibial Nail</Description><Size>10 - 11mm diameter</Size><SupplierCode>JD</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1228</GroupID><SubGroupID>3329</SubGroupID><ARTGs><ARTG>222647</ARTG></ARTGs><MinimumBenefit>963</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MO280</BillingCode><Name>Acumed Fibula Rod System</Name><Description>Intramedullary Nail, fibula lower limb specific</Description><Size>3.00mm &amp; 3.6mm diameter left and right specific rods with lengths of 110mm, 145mm, 180mm</Size><SupplierCode>MO</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1228</GroupID><SubGroupID>3329</SubGroupID><ARTGs><ARTG>99822</ARTG></ARTGs><MinimumBenefit>963</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2009-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>XT001</BillingCode><PriorBillingCodes><PriorBillingCode>GW002</PriorBillingCode></PriorBillingCodes><Name>WEGO Nailing Systems</Name><Description>Tibial Nail</Description><Size>&gt; 220mm</Size><SupplierCode>XT</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1228</GroupID><SubGroupID>3329</SubGroupID><ARTGs><ARTG>324375</ARTG></ARTGs><ChangeExplanation>
Billing code transferred from GW002
Sponsor transferred from EQUINOX MEDICAL PTY LTD</ChangeExplanation><MinimumBenefit>963</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2020-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>PB078</BillingCode><Name>Mini Nailing System</Name><Description>Mini Nailing System</Description><Size>Diameter 3mm - 4mm, Length 130mm - 230mm</Size><SupplierCode>PB</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1228</GroupID><SubGroupID>3329</SubGroupID><ARTGs><ARTG>229660</ARTG></ARTGs><MinimumBenefit>963</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HW537</BillingCode><Name>Stryker Intramedullary Nailing System</Name><Description>Tibial nails</Description><Size>8-15mm Diameter, 240- 420mm lengths</Size><SupplierCode>JV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1228</GroupID><SubGroupID>3329</SubGroupID><ARTGs><ARTG>139722</ARTG></ARTGs><MinimumBenefit>963</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2014-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HW536</BillingCode><Name>Stryker Intermedullary Nailing System</Name><Description>Femoral Nails</Description><Size>7-15mm Diameter , 140 to 480 lengths</Size><SupplierCode>JV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1228</GroupID><SubGroupID>3329</SubGroupID><ARTGs><ARTG>95185</ARTG></ARTGs><MinimumBenefit>963</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2014-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LH367</BillingCode><Name>Fassier-Duval Telescopic IM System Component: Male</Name><Description>The Fassier-Dual Telescopic IM System is an endomedular nail designed for patients suffering from Osteogenesis Impecfecta (OI), Skeletal Displasia, Congenital Tibial Pseudoarthrosis, Limb lengthening over nail, Segmental Tumour removal and other bone deformities</Description><Size>The system is composed of a total of 108 rods in 9 different diameters per type.  The nail is manufactured in both Ti alloy (Ti6A14V ASTM-136) and medical grade Stainless Steel (315L, ASTM 138).  It is available in five diameters: 3.2, 4,4.8,5.6 and 6.4 mm</Size><SupplierCode>LH</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1228</GroupID><SubGroupID>3330</SubGroupID><Suffix>Gth</Suffix><ARTGs><ARTG>141020</ARTG></ARTGs><MinimumBenefit>3348</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2009-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LH368</BillingCode><Name>Fassier-Duval Telescopic IM System Component: Female</Name><Description>The Fassier-Duval Telescopic IM System is an endomedular nail designed for patients suffering from Osteogenesis Imperfecta (OI), Skeletal Displasia, Congenital Tibial Pseudoarthrosis, Limb lengthening over nail, Segmental Tumor removal and other bone defo</Description><Size>The system is composed of a total of 108 rods in 9 different diameters per type.  The nail is manufactured in both Ti alloy (Ti6A14V ASTM-136) and medical grade stainless steel (316L, ASTM 138).  It is available in five diameters: 3.2,4.4,8,5.6 and 6.4mm;</Size><SupplierCode>LH</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1228</GroupID><SubGroupID>3330</SubGroupID><Suffix>Gth</Suffix><ARTGs><ARTG>141020</ARTG></ARTGs><MinimumBenefit>3348</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2009-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>VK035</BillingCode><Name>Telescopic Nail</Name><Description>The Telescopic Nail consists of two parts, D profile bar (male nail) and suitable D profile tube (female nail) with threaded end. It is made of high grade medical stainless steel. The male and female nails have five different diameter choices. The male nail comes in one length for each diameter. The female nails have five different length choices for each diameter. The Telescopic Nail includes a special designed corkscrew end on the distal part of the male nail that holds the nail firmly in the bone and prevents damage to the growth plate. The Telescopic Nail is indicated for children with long bone deformity corrections, fracture stabilisation, patients with osteoporotic bone and for children older than 18 months who are diagnosed with osteogenesis imperfecta.</Description><Size>Female Nail 3.5mm diameter 110, 120, 130, 140, 150mm lengths.  Angled Female Nail 3.5mm diameter 110, 130, 150mm lengths.  Male Nail 2.0mm diameter 180mm length.    Female Nail 4.0mm diameter 150, 170, 180, 190, 200mm lengths.  Angled Female Nail 4.0mm diameter 150, 180, 200mm lengths.  Male Nail 2.5mm diameter 250mm length.    Female Nail 5.0mm diameter 150, 200, 210, 230, 250mm lengths.  Angled Female Nail 5.0mm diameter 150, 210, 250mm lengths.  Male Nail 3.5mm diameter 300mm length.    Female Nail 6.0mm diameter 250, 270, 280, 290, 300mm lengths.  Angled Female Nail 6.0mm diameter 150, 210, 250mm lengths.  Male Nail 4.0mm diameter 350mm length.    Female Nail 6.5mm diameter 190, 200, 250, 280, 300mm lengths.  Angled Female Nail 6.5mm diameter 150, 210, 250mm lengths.  Male Nail 5.0mm diameter 350mm length.</Size><SupplierCode>VK</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1228</GroupID><SubGroupID>3330</SubGroupID><Suffix>Gth</Suffix><ARTGs><ARTG>305115</ARTG><ARTG>307686</ARTG><ARTG>307748</ARTG><ARTG>308017</ARTG><ARTG>310263</ARTG></ARTGs><MinimumBenefit>3348</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SN740</BillingCode><Name>Trigen</Name><Description>Humeral Nail</Description><Size>7-11cm x 16-30cm</Size><SupplierCode>SN</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1228</GroupID><SubGroupID>3330</SubGroupID><ARTGs><ARTG>117600</ARTG></ARTGs><MinimumBenefit>878</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SY689</BillingCode><Name>MultiLoc Humeral Nail</Name><Description>Humeral Nail</Description><Size>7.0mm-9.5mm D, 160mm-315mm L</Size><SupplierCode>JJ</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1228</GroupID><SubGroupID>3330</SubGroupID><ARTGs><ARTG>161139</ARTG></ARTGs><MinimumBenefit>878</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SY416</BillingCode><Name>AO/ASIF Intramedullary Nails ASLS</Name><Description>Intramedullary Angular Stable Locking System</Description><Size>4-6mm</Size><SupplierCode>JJ</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1228</GroupID><SubGroupID>3330</SubGroupID><ARTGs><ARTG>168395</ARTG></ARTGs><MinimumBenefit>878</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2007-12-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>DZ075</BillingCode><Name>Cannulated Humeral Nail</Name><Description>Humeral Nail</Description><Size>Diameter: 7mm to 9mm  Length: 170mm to 280mm</Size><SupplierCode>DZ</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1228</GroupID><SubGroupID>3330</SubGroupID><ARTGs><ARTG>111818</ARTG></ARTGs><MinimumBenefit>878</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2020-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MO424</BillingCode><Name>ACUMED POLARUS® 3 Solution Nails</Name><Description>ACUMED POLARUS 3 SOLUTION HUMERAL NAILS</Description><Size>A range of proximal and distal nails, 150mm, 200mm, 220mm, 240mm, 260mm, 280mm</Size><SupplierCode>MO</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1228</GroupID><SubGroupID>3330</SubGroupID><ARTGs><ARTG>99822</ARTG></ARTGs><MinimumBenefit>878</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2015-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SK006</BillingCode><Name>Stryker Trauma Locking Nail System</Name><Description>Titanium - Humeral Nail</Description><Size>Dia 7,8,9mm length 140 - 320mm</Size><SupplierCode>JV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1228</GroupID><SubGroupID>3330</SubGroupID><ARTGs><ARTG>139723</ARTG></ARTGs><MinimumBenefit>878</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HW876</BillingCode><PriorBillingCodes><PriorBillingCode>WR346</PriorBillingCode></PriorBillingCodes><Name>Aequalis Humeral Nail</Name><Description>Humeral Nail, straight, cannulated, Ti</Description><Size>Right/Left, dia 7mm and 8mm, Lg 130mm, 210mm, 230mm, 250mm and 270mm</Size><SupplierCode>JV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1228</GroupID><SubGroupID>3330</SubGroupID><ARTGs><ARTG>164794</ARTG></ARTGs><MinimumBenefit>878</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ZA071</BillingCode><Name>Affixus Humeral Nail System</Name><Description>Humeral Nails, Universal and Proximal, Titanium, Locking, cannulated</Description><Size>7-11mm x 160-280mm</Size><SupplierCode>ZI</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1228</GroupID><SubGroupID>3330</SubGroupID><ARTGs><ARTG>124766</ARTG></ARTGs><MinimumBenefit>878</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2019-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SK199</BillingCode><Name>Stryker Trauma Locking Nail System</Name><Description>Proximal Humeral Nail</Description><Size>Nail Left/Right</Size><SupplierCode>JV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1228</GroupID><SubGroupID>3330</SubGroupID><ARTGs><ARTG>139723</ARTG><ARTG>76714</ARTG></ARTGs><MinimumBenefit>878</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SK337</BillingCode><Name>Stryker Trauma Locking Nail System</Name><Description>Arthrodesis Nail - Knee</Description><Size>Arthrodesis Nail Left/Right; 11.5mm and 13mm</Size><SupplierCode>JV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1228</GroupID><SubGroupID>3331</SubGroupID><ARTGs><ARTG>139633</ARTG></ARTGs><MinimumBenefit>4464</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LO100</BillingCode><Name>LINK Knee Fusion Nail</Name><Description>Cobalt Chromium</Description><Size>180mm, 220mm, 260mm</Size><SupplierCode>LO</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1228</GroupID><SubGroupID>3331</SubGroupID><ARTGs><ARTG>140663</ARTG><ARTG>140661</ARTG></ARTGs><MinimumBenefit>4464</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SN497</BillingCode><Name>Intramedullary Nailing System</Name><Description>Knee Fusion Nail</Description><Size>Diameter 11- 13 mm</Size><SupplierCode>SN</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1228</GroupID><SubGroupID>3331</SubGroupID><ARTGs><ARTG>104370</ARTG></ARTGs><MinimumBenefit>4464</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MO451</BillingCode><Name>ToeGrip</Name><Description>toe interphalangeal joint arthrodesis implant</Description><Size>Extra-small, small, medium, large, extra large</Size><SupplierCode>MO</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1228</GroupID><SubGroupID>6561</SubGroupID><Suffix>Interphalangeal</Suffix><ARTGs><ARTG>369250</ARTG></ARTGs><MinimumBenefit>548</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>DZ079</BillingCode><Name>Austofix Orthofuse</Name><Description>Titanium Intramedullary Fusion Devices</Description><Size>3.3mm Prox, 4.3mm Mid  2.8mm Prox, 3.8mm Mid  </Size><SupplierCode>DZ</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1228</GroupID><SubGroupID>6561</SubGroupID><Suffix>Interphalangeal</Suffix><ARTGs><ARTG>284755</ARTG></ARTGs><MinimumBenefit>548</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2020-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HU219</BillingCode><PriorBillingCodes><PriorBillingCode>DE715</PriorBillingCode></PriorBillingCodes><Name>Dynanite PIP Hammertoe Implant</Name><Description>PIP Arthrodesis Implant</Description><Size>12mm, 14mm, 16mm</Size><SupplierCode>HU</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1228</GroupID><SubGroupID>6561</SubGroupID><Suffix>Interphalangeal</Suffix><ARTGs><ARTG>354292</ARTG></ARTGs><MinimumBenefit>548</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>PB073</BillingCode><Name>Hammer Fusion System</Name><Description>Interphalangeal Arthrodesis Implant</Description><Size>2.0mm - 4.0mm</Size><SupplierCode>PB</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1228</GroupID><SubGroupID>6561</SubGroupID><Suffix>Interphalangeal</Suffix><ARTGs><ARTG>229660</ARTG></ARTGs><MinimumBenefit>548</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2020-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ428</BillingCode><PriorBillingCodes><PriorBillingCode>LM545</PriorBillingCode></PriorBillingCodes><Name>Reduct Arthrodesis Screw System</Name><Description>The REDUCT® Arthrodesis Screw System is intended for fixation of osseous fragments or fractures, arthrodesis of small joints, and osteotomies, with the appropriately sized screw.</Description><Size>• 2.0mm non-cannulated screws: 20mm - 44mm in 2mm increments.  • 2.5mm cannulated screws: 26mm - 40mm in 2mm increments.  • 3.5mm cannulated screws: 32mm - 46mm in 2mm increments.</Size><SupplierCode>LH</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1228</GroupID><SubGroupID>6561</SubGroupID><Suffix>Interphalangeal</Suffix><ARTGs><ARTG>279795</ARTG></ARTGs><MinimumBenefit>548</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2023-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>PF025</BillingCode><Name>TicTac</Name><Description>Interphalangeal implant</Description><Size>Straight and angled</Size><SupplierCode>PF</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1228</GroupID><SubGroupID>6561</SubGroupID><Suffix>Interphalangeal</Suffix><ARTGs><ARTG>290541</ARTG></ARTGs><MinimumBenefit>548</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MN205</BillingCode><Name>Hammerlock</Name><Description>Intramedulary Nitinol Implant</Description><Size>Small to large</Size><SupplierCode>JJ</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1228</GroupID><SubGroupID>6561</SubGroupID><Suffix>Interphalangeal</Suffix><ARTGs><ARTG>95685</ARTG></ARTGs><MinimumBenefit>548</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HW981</BillingCode><Name>SALVATION Limb Salvage System Intramedullary Fusion Bolts</Name><Description>Intramedullary Fusion Bolts</Description><Size>5 - 7mm x 50 - 170mm</Size><SupplierCode>JV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1228</GroupID><SubGroupID>5474</SubGroupID><ARTGs><ARTG>198549</ARTG></ARTGs><MinimumBenefit>548</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HW839</BillingCode><PriorBillingCodes><PriorBillingCode>WR298</PriorBillingCode></PriorBillingCodes><Name>Phalinx / Pro-toe VO*</Name><Description>Hammertoe Fixation System Implants</Description><Size>Extra Small - Large, Straight &amp; Angled</Size><SupplierCode>JV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1228</GroupID><SubGroupID>5474</SubGroupID><ARTGs><ARTG>326629</ARTG></ARTGs><MinimumBenefit>548</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>TN045</BillingCode><Name>Newclip Hammertoe</Name><Description>Proximal Interphalangeal Implant</Description><Size>XS, S, M, L</Size><SupplierCode>TN</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1228</GroupID><SubGroupID>5474</SubGroupID><ARTGs><ARTG>299344</ARTG></ARTGs><MinimumBenefit>548</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HW821</BillingCode><PriorBillingCodes><PriorBillingCode>WR252</PriorBillingCode></PriorBillingCodes><Name>Pro-toe VO</Name><Description>Hammertoe Fixation System</Description><Size>Small, Large, Straight &amp; Angled</Size><SupplierCode>JV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1228</GroupID><SubGroupID>5474</SubGroupID><ARTGs><ARTG>198485</ARTG></ARTGs><MinimumBenefit>548</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ025</BillingCode><PriorBillingCodes><PriorBillingCode>LM246</PriorBillingCode><PriorBillingCode>LM246</PriorBillingCode></PriorBillingCodes><Name>Duafit</Name><Description>Interphalangeal implant</Description><Size>11 - 20 mm implant length, zero, 10.0 or 17.0 degrees of plantarflexion</Size><SupplierCode>LV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1228</GroupID><SubGroupID>5474</SubGroupID><ARTGs><ARTG>236773</ARTG></ARTGs><MinimumBenefit>548</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2015-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ466</BillingCode><PriorBillingCodes><PriorBillingCode>ER387</PriorBillingCode></PriorBillingCodes><Name>Paragon 28 Hammer Tube System</Name><Description>Paragon 28 Hammer tube, proximal interphalangeal joint arthrodesis; solid or cannulated, Peek, sterile</Description><Size>dia (2.50-3.75 mm); angle 0-10°; length (14-16mm)</Size><SupplierCode>KQ</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1228</GroupID><SubGroupID>5474</SubGroupID><ARTGs><ARTG>290441</ARTG></ARTGs><MinimumBenefit>548</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>TN061</BillingCode><Name>Interphalangeal implants</Name><Description>Interphalangeal implants</Description><Size>XS, S, M, L</Size><SupplierCode>TN</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1228</GroupID><SubGroupID>5474</SubGroupID><ARTGs><ARTG>299344</ARTG></ARTGs><MinimumBenefit>548</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2019-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>VK038</BillingCode><Name>Fusion Beaming System</Name><Description>The Fusion Beaming System has been designed to address the specific demands of advanced deformity and trauma reconstructions of foot and ankle applications. The system was developed for the treatment of neuropathic deformities, such as Charcot, requiring fusion of the medial and/or lateral columns, with or without corrective osteotomies as well as for joint fusions within the mid and hindfoot. The Fusion Beaming System consists of two different diameter implant ranges, designed for optimal implant selection for wide ranging patient anatomies, and an instrumentation including the dedicated Sterilization Tray. The Fusion Beaming System is designed with an instrumentation and technique that have been developed to simplify the surgery.</Description><Size>5.4mm diameter implants: Lengths - 50mm, 55mm, 60mm, 65mm, 70mm, 75mm, 80mm, 85mm, 90mm, 95mm, 100mm, 105mm, 110mm, 115mm, 120mm, 125mm, 130mm, 135mm, 140mm, 145mm, 150mm, 155mm, 160mm, 165mm, 170mm.  7.4mm diameter implants: Lengths - 50mm, 55mm, 60mm, 65mm, 70mm, 75mm, 80mm, 85mm, 90mm, 95mm, 100mm, 105mm, 110mm, 115mm, 120mm, 125mm, 130mm, 135mm, 140mm, 145mm, 150mm, 155mm, 160mm, 165mm, 170mm, 175mm, 180mm, 185mm, 190mm, 195mm, 200mm.</Size><SupplierCode>VK</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1228</GroupID><SubGroupID>5474</SubGroupID><ARTGs><ARTG>295285</ARTG><ARTG>307583</ARTG><ARTG>307749</ARTG></ARTGs><MinimumBenefit>548</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HW787</BillingCode><Name>SALVATION 2 Midfoot Nail</Name><Description>Intramedullary Nail</Description><Size>60-160mm</Size><SupplierCode>JV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1228</GroupID><SubGroupID>5474</SubGroupID><ARTGs><ARTG>328561</ARTG></ARTGs><MinimumBenefit>548</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ476</BillingCode><PriorBillingCodes><PriorBillingCode>ER380</PriorBillingCode></PriorBillingCodes><Name>Paragon 28 Phantom Lapidus Nail System-Intramedullary nail, foot</Name><Description>Phantom Lapidus intramedullary nail, foot, left or right</Description><Size>dia 5.5 mmx length (38-60 mm)</Size><SupplierCode>KQ</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1228</GroupID><SubGroupID>5474</SubGroupID><ARTGs><ARTG>290443</ARTG></ARTGs><MinimumBenefit>548</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>PB051</BillingCode><Name>HN Intramedullary Nail</Name><Description>The HN Intramedullary Nail</Description><Size>Length 10mm - 26mm, Diameter 5.5mm</Size><SupplierCode>PB</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1228</GroupID><SubGroupID>5474</SubGroupID><ARTGs><ARTG>229660</ARTG></ARTGs><MinimumBenefit>548</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ZI980</BillingCode><Name>Nextra hammertoe Correction Prosthesis</Name><Description>Interdigital Fusion Implant</Description><Size>3.5mm MPI / 3.2mm PI  4.5mm MPI / 3.2mm PI  5.5mm MPI / 3.2mm PI  4.5mm MPI / 4.5mm PI  5.5mm MPI / 4.5mm PI</Size><SupplierCode>ZI</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1228</GroupID><SubGroupID>5474</SubGroupID><ARTGs><ARTG>293060</ARTG></ARTGs><MinimumBenefit>548</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LM300</BillingCode><Name>Hammerfix</Name><Description>Implant for small joint Arthrodesis</Description><Size>Small, Medium, Large  </Size><SupplierCode>LM</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1228</GroupID><SubGroupID>5474</SubGroupID><ARTGs><ARTG>164980</ARTG></ARTGs><ChangeExplanation>Change to Product name, Size</ChangeExplanation><MinimumBenefit>548</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Update</ActionFlag><CycleStartDate>2016-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HU157</BillingCode><PriorBillingCodes><PriorBillingCode>DE550</PriorBillingCode></PriorBillingCodes><Name>RetroFusion</Name><Description>Implant for PIP Arthrodesis for Hammertoe and Clawtoe Deformity</Description><Size>20mm Length  24mm Length</Size><SupplierCode>HU</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1228</GroupID><SubGroupID>5474</SubGroupID><ARTGs><ARTG>350672</ARTG></ARTGs><MinimumBenefit>548</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BU013</BillingCode><Name>Lync Intramedullary Implant</Name><Description>Lync is a titanium intramedullary implant</Description><Size>12mm to 20mm Length, Angled 0 degrees and 10 degrees</Size><SupplierCode>BU</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1228</GroupID><SubGroupID>5474</SubGroupID><ARTGs><ARTG>235763</ARTG></ARTGs><MinimumBenefit>548</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2016-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>PB087</BillingCode><Name>BR Subtalar Compression Nail </Name><Description>BR Subtalar Compression Nail </Description><Size>Diameter : 8.0 - 9.5 mm ; Length : 70 - 95 mm</Size><SupplierCode>PB</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1228</GroupID><SubGroupID>7362</SubGroupID><ARTGs><ARTG>229660</ARTG></ARTGs><ChangeExplanation>New listing</ChangeExplanation><MinimumBenefit>1119</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2025-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>PF022</BillingCode><Name>Calcanail</Name><Description>Subtalar fusion and fracture nail</Description><Size>10-12mm Diameter, 45-85mm length</Size><SupplierCode>PF</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1228</GroupID><SubGroupID>7362</SubGroupID><ARTGs><ARTG>274577</ARTG></ARTGs><MinimumBenefit>1119</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2016-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>PB064</BillingCode><Name>C Nail</Name><Description>Intramedullary Nail</Description><Size>60mm - 100mm </Size><SupplierCode>PB</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1228</GroupID><SubGroupID>7362</SubGroupID><ARTGs><ARTG>229660</ARTG></ARTGs><MinimumBenefit>1119</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2020-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>VK039</BillingCode><Name>C-Nail</Name><Description>C-Nail is an intramedullary nail for minimal-invasive fixation of intraarticular calcaneal fractures. The principle is to stabilise with the nail the four to five main fragments of the fractured calcaneus in conjunction with up to seven interlocking screws and thus creating angular stable fixation. The maximum stability is achieved by fixing the sustentacular fragment towards the nail with two interlocking screws guided by a very precise aiming devise. The design of the nail is clearly marked "L" for left foot and "R" for right foot. The nail length is 65mm with a diameter of 8mm. The nail can be extended and closed with an end cap that comes in 0mm, 5mm, 10mm, 15mm and 20mm sizes.</Description><Size>C-Nail: 65mm length x 8mm diameter (Left and Right option).</Size><SupplierCode>VK</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1228</GroupID><SubGroupID>7362</SubGroupID><ARTGs><ARTG>301836</ARTG><ARTG>308210</ARTG><ARTG>308208</ARTG><ARTG>308209</ARTG><ARTG>308207</ARTG><ARTG>305133</ARTG></ARTGs><MinimumBenefit>1119</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SK506</BillingCode><Name>T2 Kids Paediatric Nail</Name><Description>Paediatric Flexible Nail</Description><Size>1.5-4mm, 300-450mm</Size><SupplierCode>JV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1228</GroupID><SubGroupID>5360</SubGroupID><ARTGs><ARTG>169585</ARTG></ARTGs><MinimumBenefit>223</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2010-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SY064</BillingCode><Name>Elastic Nail</Name><Description>Elastic bone nail</Description><Size>1.5mm - 4.0mm</Size><SupplierCode>JJ</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1228</GroupID><SubGroupID>5360</SubGroupID><ARTGs><ARTG>303666</ARTG><ARTG>303674</ARTG></ARTGs><MinimumBenefit>223</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SQ094</BillingCode><Name>PediFlex System</Name><Description>Intramedullary Flexible Nail, Titanium, Stainless Steel, Standard, Tapered Tip, Round Tip</Description><Size>1.5-4.5mm x 300-450mm</Size><SupplierCode>SQ</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1228</GroupID><SubGroupID>5360</SubGroupID><ARTGs><ARTG>191587</ARTG></ARTGs><MinimumBenefit>223</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2014-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MO161</BillingCode><Name>Polarus Humeral Rod System</Name><Description>Polarus Radius Rod Titanium</Description><Size>190 to 230mm length</Size><SupplierCode>MO</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1228</GroupID><SubGroupID>5361</SubGroupID><ARTGs><ARTG>99822</ARTG></ARTGs><MinimumBenefit>1381</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MO159</BillingCode><Name>Polarus Humeral Rod System</Name><Description>Polarus Ulna Rod Titanium</Description><Size>210 to 270mm length</Size><SupplierCode>MO</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1228</GroupID><SubGroupID>5361</SubGroupID><ARTGs><ARTG>99822</ARTG></ARTGs><MinimumBenefit>1381</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ465</BillingCode><Name>Fitbone Intramedullary Limb Lengthening</Name><Description>Fitbone IM Lengthening Nail and Receiver.</Description><Size>Diameter 9mm - 13mm. Length 200 - 245mm.</Size><SupplierCode>VK</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1228</GroupID><SubGroupID>5362</SubGroupID><ARTGs><ARTG>457877</ARTG></ARTGs><MinimumBenefit>16741</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2024-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>VK015</BillingCode><Name>ISKD Internal Limb Lengthening System</Name><Description>Titanium Alloy</Description><Size>Diameter 12.5 - 14.5mm</Size><SupplierCode>VK</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1228</GroupID><SubGroupID>5362</SubGroupID><ARTGs><ARTG>189941</ARTG><ARTG>118320</ARTG><ARTG>189940</ARTG></ARTGs><MinimumBenefit>16741</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LH542</BillingCode><Name>Precice Intramedullary Limb Lengthening System , Nail</Name><Description>Precice Intramedullary Nail</Description><Size>(8.5-14)mm diameter x (130-375)mm length</Size><SupplierCode>LH</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1228</GroupID><SubGroupID>5362</SubGroupID><ARTGs><ARTG>244568</ARTG><ARTG>290819</ARTG><ARTG>244569</ARTG></ARTGs><MinimumBenefit>16741</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2016-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HW929</BillingCode><PriorBillingCodes><PriorBillingCode>WR411</PriorBillingCode></PriorBillingCodes><Name>611 Ankle Fusion Nail</Name><Description>The 611 ankle arthrodesis nail is made out of titanium alloy (Ti6AI4V) and is associated with self locking screws, a plug and an internal screw. The nail is delivered sterile. The self locking screws, plug and internal locking screw are delivered non-sterile with the instrumentation</Description><Size>10mm x 180mm, 6 deg left, 10mm x 180mm, 6 deg right  12mm x 180mm, 6 deg left, 12mm x 180mm, 6 deg right  10mm x 180mm, 11 deg left, 10mm x 180mm, 11 deg right  12mm x 180mm, 11 deg left, 12mmx180mm, 11 right</Size><SupplierCode>JV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1228</GroupID><SubGroupID>3332</SubGroupID><ARTGs><ARTG>198776</ARTG></ARTGs><MinimumBenefit>3300</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>PF019</BillingCode><Name>Tylos</Name><Description>Ankle arthrodesis nail for Tibial Talo Calcaneal fusion</Description><Size>10 - 12mm diameter</Size><SupplierCode>PF</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1228</GroupID><SubGroupID>3332</SubGroupID><ARTGs><ARTG>274577</ARTG></ARTGs><MinimumBenefit>3300</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2016-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HW798</BillingCode><PriorBillingCodes><PriorBillingCode>WR208</PriorBillingCode></PriorBillingCodes><Name>Valor Hindfoot Fusion System</Name><Description>Valor Hindfoot Fusion Nail, Titanium Alloy</Description><Size>10 &amp; 11.5mm diameter, 150, 200 &amp; 250mm length, left and right</Size><SupplierCode>JV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1228</GroupID><SubGroupID>3332</SubGroupID><ARTGs><ARTG>198549</ARTG></ARTGs><MinimumBenefit>3300</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SN772</BillingCode><Name>Trigen</Name><Description>Hindfoot Fusion Nail, Titanium</Description><Size>10 - 11.5mm Diameter</Size><SupplierCode>SN</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1228</GroupID><SubGroupID>3332</SubGroupID><ARTGs><ARTG>116509</ARTG></ARTGs><MinimumBenefit>3300</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2006-03-24</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SL205</BillingCode><PriorBillingCodes><PriorBillingCode>IG100</PriorBillingCode></PriorBillingCodes><Name>Panta Arthrodesis Nail</Name><Description>Ankle Nail, Titanium</Description><Size>Diameter 10 -13 mm  Length - 150-240 mm</Size><SupplierCode>SN</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1228</GroupID><SubGroupID>3332</SubGroupID><ARTGs><ARTG>173962</ARTG></ARTGs><MinimumBenefit>3300</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BH044</BillingCode><Name>Biomet Phoenix Nail Arthrodesis Nailing System - Nail</Name><Description>Ankle Arthrodesis Locking Nail, Titanium Alloy</Description><Size>10 - 12mm diameter x 150 - 300mm length</Size><SupplierCode>ZI</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1228</GroupID><SubGroupID>3332</SubGroupID><ARTGs><ARTG>212594</ARTG></ARTGs><MinimumBenefit>3300</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2010-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SK450</BillingCode><Name>T2 Ankle Arthrodesis Nail</Name><Description>T2 Ankle Arthrodesis Type II Anodized Titanium Alloy (Ti6A14V)</Description><Size>10, 11, 12mm Diameters &amp; 150,200 &amp; 300mm Lengths</Size><SupplierCode>JV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1228</GroupID><SubGroupID>3332</SubGroupID><ARTGs><ARTG>139633</ARTG><ARTG>16221</ARTG></ARTGs><MinimumBenefit>3300</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2007-06-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HU356</BillingCode><Name>DualCompression Hindfoot Nail</Name><Description>Hindfoot Nail for Arthrodesis</Description><Size>Diameters: 10.5mm, 11.5mm, 12.5mm      Lengths: 180mm, 210mm, 240mm, 300mm</Size><SupplierCode>HU</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1228</GroupID><SubGroupID>3332</SubGroupID><ARTGs><ARTG>409312</ARTG></ARTGs><MinimumBenefit>3300</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2023-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ016</BillingCode><PriorBillingCodes><PriorBillingCode>LM369</PriorBillingCode></PriorBillingCodes><Name>Ankle Arthrodesis Nail</Name><Description>Ankle Arthrodesis Nail</Description><Size>Multiple sizes to suit patient anatomy</Size><SupplierCode>LV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1228</GroupID><SubGroupID>3332</SubGroupID><ARTGs><ARTG>308941</ARTG></ARTGs><MinimumBenefit>3300</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2019-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>JD010</BillingCode><Name>Ankle Arthrodesis Nail</Name><Description>Arthrodesis Nail</Description><Size>10 &amp; 12mm diameter</Size><SupplierCode>JD</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1228</GroupID><SubGroupID>3332</SubGroupID><ARTGs><ARTG>222647</ARTG></ARTGs><MinimumBenefit>3300</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SY130</BillingCode><Name>AO/ASIF Arthrodesis system</Name><Description>Arthrodesis</Description><Size>26 - 240mm</Size><SupplierCode>JJ</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1228</GroupID><SubGroupID>3332</SubGroupID><ARTGs><ARTG>141931</ARTG></ARTGs><MinimumBenefit>3300</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>VK051</BillingCode><Name>Orthofix AHN</Name><Description>Hindfoot Fusion Nailing System, titanium.</Description><Size>10, 11, 12mm diameter.  150 - 300mm length.</Size><SupplierCode>VK</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1228</GroupID><SubGroupID>3332</SubGroupID><ARTGs><ARTG>377916</ARTG></ARTGs><MinimumBenefit>3300</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2023-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>PB074</BillingCode><Name>Ankle Arthrodesis Nail</Name><Description>Ankle Arthrodesis Nail</Description><Size>10mm - 12mm diameter</Size><SupplierCode>PB</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1228</GroupID><SubGroupID>3332</SubGroupID><ARTGs><ARTG>229660</ARTG></ARTGs><MinimumBenefit>3300</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-03-01</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</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>2025-03-01</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>132458</ARTG><ARTG>211169</ARTG></ARTGs><MinimumBenefit>688</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2007-06-01</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>383312</ARTG><ARTG>312410</ARTG></ARTGs><MinimumBenefit>688</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-02-01</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>ZI</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>ZI</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>2025-03-01</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>SN</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>163</SubCategoryID><GroupID>1428</GroupID><SubGroupID>4021</SubGroupID><Suffix>SCP</Suffix><ARTGs><ARTG>230903</ARTG><ARTG>218151</ARTG></ARTGs><MinimumBenefit>930</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</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>ZI</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>163</SubCategoryID><GroupID>1428</GroupID><SubGroupID>4021</SubGroupID><Suffix>SCP</Suffix><ARTGs><ARTG>230651</ARTG><ARTG>226717</ARTG></ARTGs><MinimumBenefit>930</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</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>ZI</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>163</SubCategoryID><GroupID>1428</GroupID><SubGroupID>4021</SubGroupID><Suffix>SCP</Suffix><ARTGs><ARTG>230853</ARTG><ARTG>240575</ARTG><ARTG>231596</ARTG><ARTG>226197</ARTG><ARTG>284918</ARTG></ARTGs><MinimumBenefit>930</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2019-07-01</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</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>JJ</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>SN</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>163</SubCategoryID><GroupID>1428</GroupID><SubGroupID>4021</SubGroupID><ARTGs><ARTG>222567</ARTG><ARTG>342565</ARTG><ARTG>342564</ARTG><ARTG>222566</ARTG></ARTGs><MinimumBenefit>930</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2008-07-01</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</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>2025-03-01</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>285959</ARTG><ARTG>285483</ARTG></ARTGs><MinimumBenefit>930</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-02-01</CycleStartDate><CycleEndDate>2025-03-01</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>219398</ARTG><ARTG>220404</ARTG><ARTG>230931</ARTG></ARTGs><MinimumBenefit>930</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</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>JJ</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>ZI</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>163</SubCategoryID><GroupID>1428</GroupID><SubGroupID>4021</SubGroupID><ARTGs><ARTG>231319</ARTG><ARTG>231010</ARTG><ARTG>231320</ARTG></ARTGs><MinimumBenefit>930</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2009-08-01</CycleStartDate><CycleEndDate>2025-03-01</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>SN</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>163</SubCategoryID><GroupID>1428</GroupID><SubGroupID>4021</SubGroupID><ARTGs><ARTG>463427</ARTG></ARTGs><MinimumBenefit>930</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2024-11-01</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</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>2025-03-01</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>220404</ARTG><ARTG>219398</ARTG><ARTG>230931</ARTG></ARTGs><MinimumBenefit>930</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2007-12-01</CycleStartDate><CycleEndDate>2025-03-01</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>ZI</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>ZI</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>163</SubCategoryID><GroupID>1428</GroupID><SubGroupID>4022</SubGroupID><ARTGs><ARTG>231256</ARTG></ARTGs><MinimumBenefit>1636</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>ZI</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>ZI</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>2025-03-01</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>2025-03-01</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>JJ</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>2025-03-01</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><MinimumBenefit>1540</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2023-11-01</CycleStartDate><CycleEndDate>2025-03-01</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>SN</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>2025-03-01</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>ZI</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>2025-03-01</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>2025-03-01</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>ZI</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>XL002</BillingCode><Name>Symbol Dual Mobility Polyethylene Liner</Name><Description>UHMWPE DM Liner</Description><Size>Head Diameter 22.2mm and 28mm, 44mm to 68mm</Size><SupplierCode>XL</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>163</SubCategoryID><GroupID>1428</GroupID><SubGroupID>4024</SubGroupID><ARTGs><ARTG>417506</ARTG></ARTGs><ChangeExplanation>New listing</ChangeExplanation><MinimumBenefit>1540</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2025-03-01</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</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>ZI</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>163</SubCategoryID><GroupID>1428</GroupID><SubGroupID>4024</SubGroupID><ARTGs><ARTG>294052</ARTG><ARTG>230317</ARTG><ARTG>230318</ARTG></ARTGs><MinimumBenefit>1540</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2010-02-01</CycleStartDate><CycleEndDate>2025-03-01</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>ZI</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>163</SubCategoryID><GroupID>1428</GroupID><SubGroupID>4024</SubGroupID><ARTGs><ARTG>225460</ARTG><ARTG>231253</ARTG><ARTG>223315</ARTG></ARTGs><MinimumBenefit>1540</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</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>ZI</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MU098</BillingCode><Name>HX UHMWPE Constrained Liner</Name><Description>Double Mobility Liner, Highcross Liner for Dual Mobility Acetabular Shell. </Description><Size>From diameter 42 to diameter 64mm for head diameter 22.2mm. From diameter 48 to diameter 64mm for head diameter 28mm.</Size><SupplierCode>MU</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>163</SubCategoryID><GroupID>1428</GroupID><SubGroupID>4024</SubGroupID><ARTGs><ARTG>208705</ARTG></ARTGs><ChangeExplanation>Change to Product name, Description, Size</ChangeExplanation><MinimumBenefit>1540</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Update</ActionFlag><CycleStartDate>2011-08-01</CycleStartDate><CycleEndDate>2025-03-01</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>SN</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>2025-03-01</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>2025-03-01</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>ZI</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>2025-03-01</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>205711</ARTG><ARTG>211464</ARTG></ARTGs><MinimumBenefit>1540</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2009-08-01</CycleStartDate><CycleEndDate>2025-03-01</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>SN</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>140177</ARTG><ARTG>205457</ARTG></ARTGs><MinimumBenefit>1690</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2007-06-01</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>JJ</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>2025-03-01</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>SN</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>2025-03-01</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>ZI</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SN855</BillingCode><Name>R3 Acetabular system</Name><Description>Delta Ceramic Liner</Description><Size>40-78mm</Size><SupplierCode>SN</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>ZI</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>2025-03-01</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>JJ</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>2025-03-01</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>2025-03-01</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SN308</BillingCode><Name>Unipolar Head</Name><Description>Co Cr</Description><Size>12/14, 40-61mm</Size><SupplierCode>SN</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SN809</BillingCode><Name>Femoral head</Name><Description>CoCr</Description><Size>&gt;32mm</Size><SupplierCode>SN</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>162</SubCategoryID><GroupID>1420</GroupID><SubGroupID>3995</SubGroupID><ARTGs><ARTG>218139</ARTG><ARTG>218142</ARTG></ARTGs><MinimumBenefit>632</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</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>JJ</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>2025-03-01</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>JJ</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>2025-03-01</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>2025-03-01</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ZI054</BillingCode><Name>Femoral Head</Name><Description>Cobalt Chrome Femoral Head</Description><Size>36-57mm</Size><SupplierCode>ZI</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>162</SubCategoryID><GroupID>1420</GroupID><SubGroupID>3995</SubGroupID><ARTGs><ARTG>241232</ARTG><ARTG>346245</ARTG><ARTG>274713</ARTG><ARTG>344990</ARTG><ARTG>228449</ARTG><ARTG>241192</ARTG></ARTGs><MinimumBenefit>632</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>IG185</BillingCode><PriorBillingCodes><PriorBillingCode>MN108</PriorBillingCode></PriorBillingCodes><Name>Codman Certas Programmable Valve - with reservoir and catheter</Name><Description>Programmable valve with reservoir and catheters</Description><Size>30-210mmH2O</Size><SupplierCode>IG</SupplierCode><CategoryID>25</CategoryID><SubCategoryID>220</SubCategoryID><GroupID>1666</GroupID><SubGroupID>4468</SubGroupID><Suffix>Distal catheter, Reservoir/Priming function</Suffix><ARTGs><ARTG>373431</ARTG></ARTGs><ChangeExplanation>Change to ARTG</ChangeExplanation><MinimumBenefit>2306</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Update</ActionFlag><CycleStartDate>2018-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>IG166</BillingCode><PriorBillingCodes><PriorBillingCode>JJ436</PriorBillingCode></PriorBillingCodes><Name>Codman Hakim Programmable Valves</Name><Description>Micro, regular and burr hole valves</Description><Size>30mm H2O - 200mm H2O</Size><SupplierCode>IG</SupplierCode><CategoryID>25</CategoryID><SubCategoryID>220</SubCategoryID><GroupID>1666</GroupID><SubGroupID>4468</SubGroupID><Suffix>Reservoir/Priming function</Suffix><ARTGs><ARTG>378355</ARTG></ARTGs><ChangeExplanation>Change to ARTG, Description, Size</ChangeExplanation><MinimumBenefit>2139</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Update</ActionFlag><CycleStartDate>2018-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>IG188</BillingCode><PriorBillingCodes><PriorBillingCode>MN111</PriorBillingCode></PriorBillingCodes><Name>Codman Certas Programmable Valve - with reservoir</Name><Description>Programmable valve with reservoir</Description><Size>30-210mmH2O</Size><SupplierCode>IG</SupplierCode><CategoryID>25</CategoryID><SubCategoryID>220</SubCategoryID><GroupID>1666</GroupID><SubGroupID>4468</SubGroupID><Suffix>Reservoir/Priming function</Suffix><ARTGs><ARTG>373427</ARTG></ARTGs><ChangeExplanation>Change to ARTG</ChangeExplanation><MinimumBenefit>2139</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Update</ActionFlag><CycleStartDate>2018-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MC646</BillingCode><Name>Strata Valve Assembly NSC (non siphon control) PSM range</Name><Description>Adjustable CSF valve with five symmetrical performance level steps. Includes a strata valve, an integral distal peritoneal catheter and catheter passer, and a female leur adaptor and prefill tubing.</Description><Size>One size</Size><SupplierCode>MI</SupplierCode><CategoryID>25</CategoryID><SubCategoryID>220</SubCategoryID><GroupID>1666</GroupID><SubGroupID>4468</SubGroupID><Suffix>Distal catheter, Reservoir/Priming function</Suffix><ARTGs><ARTG>134740</ARTG></ARTGs><MinimumBenefit>2306</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2006-03-24</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MC963</BillingCode><Name>Strata NSC Burr Hole Shunt Assembly</Name><Description>Adjustable cerebrospinal fluid (CSF) flow valve. Polypropylene and acetal plastic base. Silicone elastomer dome. With integral catheter.</Description><Size>One size only</Size><SupplierCode>MI</SupplierCode><CategoryID>25</CategoryID><SubCategoryID>220</SubCategoryID><GroupID>1666</GroupID><SubGroupID>4468</SubGroupID><Suffix>Distal catheter, Reservoir/Priming function</Suffix><ARTGs><ARTG>169061</ARTG></ARTGs><MinimumBenefit>2306</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2010-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>IG153</BillingCode><PriorBillingCodes><PriorBillingCode>JJ158</PriorBillingCode></PriorBillingCodes><Name>Hakim Programmable Valve System</Name><Description>Valve only &amp; Valve System (catheters included)</Description><Size> 30mm H2O - 200mm H2O</Size><SupplierCode>IG</SupplierCode><CategoryID>25</CategoryID><SubCategoryID>220</SubCategoryID><GroupID>1666</GroupID><SubGroupID>4468</SubGroupID><ARTGs><ARTG>378355</ARTG><ARTG>378354</ARTG></ARTGs><ChangeExplanation>Change to ARTG, Description, Size</ChangeExplanation><MinimumBenefit>1823</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Update</ActionFlag><CycleStartDate>2018-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>IG187</BillingCode><PriorBillingCodes><PriorBillingCode>MN110</PriorBillingCode></PriorBillingCodes><Name>Codman Certas Programmable Valve - with Reservoir, Siphonguard and catheter</Name><Description>Programmable valve with reservoir, siphonguard and catheters</Description><Size>30-210mmH2O</Size><SupplierCode>IG</SupplierCode><CategoryID>25</CategoryID><SubCategoryID>220</SubCategoryID><GroupID>1666</GroupID><SubGroupID>4468</SubGroupID><Suffix>Antisyphon function, Distal catheter, Reservoir/Priming function</Suffix><ARTGs><ARTG>373429</ARTG><ARTG>373430</ARTG></ARTGs><ChangeExplanation>Change to ARTG</ChangeExplanation><MinimumBenefit>2757</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Update</ActionFlag><CycleStartDate>2018-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MI082</BillingCode><Name>Strata Valve NSC PSM Range</Name><Description>Strata NSC, Strata NSC Burr Hole Valve. Adjustable cerebrospinal fluid (CSF) flow valve. Polypropylene and acetal plastic base. Silicone elastomer dome.</Description><Size>13-20mm x 23-35mm</Size><SupplierCode>MI</SupplierCode><CategoryID>25</CategoryID><SubCategoryID>220</SubCategoryID><GroupID>1666</GroupID><SubGroupID>4468</SubGroupID><Suffix>Reservoir/Priming function</Suffix><ARTGs><ARTG>129681</ARTG><ARTG>169054</ARTG></ARTGs><MinimumBenefit>2139</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2013-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>IG154</BillingCode><PriorBillingCodes><PriorBillingCode>JJ159</PriorBillingCode></PriorBillingCodes><Name>Hakim Programmable Valve System</Name><Description>Micro valve system with 120cm distal catheter and 14cm ventricular catheter</Description><Size>30mm H2O - 200mm H2O</Size><SupplierCode>IG</SupplierCode><CategoryID>25</CategoryID><SubCategoryID>220</SubCategoryID><GroupID>1666</GroupID><SubGroupID>4468</SubGroupID><Suffix>Distal catheter, Proximal catheter, Reservoir/Priming function</Suffix><ARTGs><ARTG>378354</ARTG></ARTGs><ChangeExplanation>Change to ARTG, Description, Size</ChangeExplanation><MinimumBenefit>2437</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Update</ActionFlag><CycleStartDate>2018-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BB339</BillingCode><Name>Miethke adjustable gratitational unit with differential pressure unit (miniNAV) and distal catheter</Name><Description>proSA and M.blue adjustable gravitational units for the treatment of hydracephalus. The valve can be combined with any differential pressure valve. miniNAV is a very small differential pressure unit, which is often used. The valves are made from titanium and are MR safe up to 3 tesla. The distal catheter is made of silicone.</Description><Size>Adjustable gravitational unit: height 4.5mm, diameter 18mm, opening pressure 0-40 cmH2O.  Differential pressure unit (miniNAV): length 14.7mm, diameter 2.8mm.  Distal catheter: length 1200mm, inside diameter 1.2mm, outside diameter 2.5mm.</Size><SupplierCode>BB</SupplierCode><CategoryID>25</CategoryID><SubCategoryID>220</SubCategoryID><GroupID>1666</GroupID><SubGroupID>4468</SubGroupID><Suffix>Antisyphon function, Distal catheter, Reservoir/Priming function</Suffix><ARTGs><ARTG>181718</ARTG></ARTGs><MinimumBenefit>2757</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2014-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MC928</BillingCode><Name>Strata NSC L-P Shunt</Name><Description>Lumboperitoneal Shunt</Description><Size>44mm x 23mm x 12mm</Size><SupplierCode>MI</SupplierCode><CategoryID>25</CategoryID><SubCategoryID>220</SubCategoryID><GroupID>1666</GroupID><SubGroupID>4468</SubGroupID><Suffix>Lumboperitoneal, Reservoir/Priming function</Suffix><ARTGs><ARTG>129681</ARTG></ARTGs><MinimumBenefit>2437</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2009-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BB332</BillingCode><Name>Miethke proGAV</Name><Description>Adjustable valve with intergrated gravitational unit.  Titanium, MR safe up to 3 tesla.</Description><Size>Adjustable valve: Diameter 18mm, Opening pressure 0-20 cmH2O, Height 4.5mm.  Gravitational unit: Length 14.9mm, Height 4.6mm.</Size><SupplierCode>BB</SupplierCode><CategoryID>25</CategoryID><SubCategoryID>220</SubCategoryID><GroupID>1666</GroupID><SubGroupID>4468</SubGroupID><Suffix>Antisyphon function, Reservoir/Priming function</Suffix><ARTGs><ARTG>181718</ARTG></ARTGs><MinimumBenefit>2591</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2013-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MI086</BillingCode><Name>Strata Shunt Assembly</Name><Description>Assembly: Strata Shunt, Strata Burr Hole Shunt, Strata Snap Shunt. Adjustable CSF Valve with five symmetric performance level steps, includes integral (distal) peritoneal catheter.</Description><Size>90-120cm, 35-50mm</Size><SupplierCode>MI</SupplierCode><CategoryID>25</CategoryID><SubCategoryID>220</SubCategoryID><GroupID>1666</GroupID><SubGroupID>4468</SubGroupID><Suffix>Antisyphon function, Distal catheter, Reservoir/Priming function</Suffix><ARTGs><ARTG>129681</ARTG><ARTG>134740</ARTG><ARTG>169061</ARTG></ARTGs><MinimumBenefit>2757</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2013-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>IG186</BillingCode><PriorBillingCodes><PriorBillingCode>MN109</PriorBillingCode></PriorBillingCodes><Name>Codman Certas Programmable Valve - with Reservoir and Siphonguard</Name><Description>Programmable valve with Reservoir and Siphonguard</Description><Size>30-210mmH2O</Size><SupplierCode>IG</SupplierCode><CategoryID>25</CategoryID><SubCategoryID>220</SubCategoryID><GroupID>1666</GroupID><SubGroupID>4468</SubGroupID><Suffix>Antisyphon function, Reservoir/Priming function</Suffix><ARTGs><ARTG>373428</ARTG></ARTGs><ChangeExplanation>Change to ARTG</ChangeExplanation><MinimumBenefit>2591</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Update</ActionFlag><CycleStartDate>2018-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BB340</BillingCode><Name>Miethke adjustable gratitational unit with differential pressure unit (miniNAV)</Name><Description>proSA and M.blue are adjustable gravitational units for the treatment of hydrocephalus. They can be combined with any differential pressure valve. miniNAV is a very small differential pressure unit, which is often used. The valves are made from titanium and are MR safe up to 3 tesla.</Description><Size>Adjustable gravitational unit: height 4.5mm, diameter 18mm, opening pressure 0-40 cmH2O.  Differential pressure unit (miniNAV): length 14.7mm, diameter 2.8mm.</Size><SupplierCode>BB</SupplierCode><CategoryID>25</CategoryID><SubCategoryID>220</SubCategoryID><GroupID>1666</GroupID><SubGroupID>4468</SubGroupID><Suffix>Antisyphon function, Reservoir/Priming function</Suffix><ARTGs><ARTG>181718</ARTG></ARTGs><MinimumBenefit>2591</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2014-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BB337</BillingCode><Name>Miethke proGAV Shunt System</Name><Description>Shunt system containing an adjustable valve with a gravitational unit, a distal catheter, a ventricular catheter and a reservoir.</Description><Size>Adjustable valve: diameter 18mm, opening pressure 0-20 cmH2O, height 4.5mm.  Gravitational unit: length 14.9mm, height 4.6mm, opening pressure 0-35 cmH2O.  Distal catheter: length 1200mm, inside diameter 1200mm, inside diameter 1.2mm, outside diameter 2.5mm.  Reservoir: diameter 14/20mm.  Ventricular catheter: 180/250mm.</Size><SupplierCode>BB</SupplierCode><CategoryID>25</CategoryID><SubCategoryID>220</SubCategoryID><GroupID>1666</GroupID><SubGroupID>4468</SubGroupID><Suffix>Antisyphon function, Distal catheter, Proximal catheter, Reservoir/Priming function</Suffix><ARTGs><ARTG>181718</ARTG><ARTG>375143</ARTG></ARTGs><MinimumBenefit>2888</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2014-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>IG167</BillingCode><PriorBillingCodes><PriorBillingCode>JJ437</PriorBillingCode></PriorBillingCodes><Name>Codman Hakim Programmable Valves with Siphonguard</Name><Description>18 different pressure settings and SIPHONGUARD technology</Description><Size>30mm H2O - 200mm H2O</Size><SupplierCode>IG</SupplierCode><CategoryID>25</CategoryID><SubCategoryID>220</SubCategoryID><GroupID>1666</GroupID><SubGroupID>4468</SubGroupID><Suffix>Antisyphon function, Reservoir/Priming function</Suffix><ARTGs><ARTG>378355</ARTG></ARTGs><ChangeExplanation>Change to ARTG, Size</ChangeExplanation><MinimumBenefit>2591</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Update</ActionFlag><CycleStartDate>2018-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MI499</BillingCode><Name>StrataMR II Valve</Name><Description>Adjustable CSF Valve with five symmetric performance level steps</Description><Size>Small, Regular</Size><SupplierCode>MI</SupplierCode><CategoryID>25</CategoryID><SubCategoryID>220</SubCategoryID><GroupID>1666</GroupID><SubGroupID>4468</SubGroupID><Suffix>Antisyphon function, Reservoir/Priming function</Suffix><ARTGs><ARTG>389073</ARTG></ARTGs><MinimumBenefit>2591</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MI087</BillingCode><Name>Strata Valve</Name><Description>Strata Valve, Strata Burr Hole Valve,. Adjustable CSF Valve with five symmetric performance level steps.</Description><Size>13-20mm x 35-50mm</Size><SupplierCode>MI</SupplierCode><CategoryID>25</CategoryID><SubCategoryID>220</SubCategoryID><GroupID>1666</GroupID><SubGroupID>4468</SubGroupID><Suffix>Antisyphon function, Reservoir/Priming function</Suffix><ARTGs><ARTG>169054</ARTG><ARTG>129681</ARTG></ARTGs><MinimumBenefit>2591</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2013-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MI019</BillingCode><Name>Strata Valve with Bioglide</Name><Description>Adjustable CSF Valve with five symmetric performance level steps, surface of valve bonded with hydrogel</Description><Size>13-16mm x 35-47mm</Size><SupplierCode>MI</SupplierCode><CategoryID>25</CategoryID><SubCategoryID>220</SubCategoryID><GroupID>1666</GroupID><SubGroupID>4468</SubGroupID><Suffix>Antisyphon function, Coating, Reservoir/Priming function</Suffix><ARTGs><ARTG>129681</ARTG></ARTGs><MinimumBenefit>2689</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2011-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MI080</BillingCode><Name>Strata NSC LP Shunt Kit</Name><Description>Strata NSC LP Shunt Kit with Lumbar Catheter and Peritoneal Catheter, Small Lumen</Description><Size>One size only</Size><SupplierCode>MI</SupplierCode><CategoryID>25</CategoryID><SubCategoryID>220</SubCategoryID><GroupID>1666</GroupID><SubGroupID>4468</SubGroupID><Suffix>Distal catheter, Lumboperitoneal, Proximal catheter, Reservoir/Priming function</Suffix><ARTGs><ARTG>165018</ARTG></ARTGs><MinimumBenefit>2734</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2013-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BB335</BillingCode><Name>Miethke proGAV with distal catheter</Name><Description>Adjustable valve with a gravitational unit and a distal catheter</Description><Size>Adjustable valve: diameter 18mm, opening pressure 0-20 cmH2O, height 4.5mm  Gravitational unit: length 14.9mm, height 4.6mm, opening pressure 0-35 cm H2O  Distal catheter: length 1200mm, inside diameter 1.2mm, outside diameter 2.5mm</Size><SupplierCode>BB</SupplierCode><CategoryID>25</CategoryID><SubCategoryID>220</SubCategoryID><GroupID>1666</GroupID><SubGroupID>4468</SubGroupID><Suffix>Antisyphon function, Distal catheter, Reservoir/Priming function</Suffix><ARTGs><ARTG>181718</ARTG></ARTGs><MinimumBenefit>2757</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2013-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BB338</BillingCode><Name>Miethke proGAV with pre-attached reservoir</Name><Description>Shunt system containing an adjustable valve with a gravitational unit and a reservoir.</Description><Size>Adjustable valve: diameter 18mm, opening pressure 0-20 cmH20, height 4.5mm.  Gravitational unit: length 14.9mm, height 4.6mm, opening pressure 0-35 cmH2O  Reservoir: diameter 14/20mm.</Size><SupplierCode>BB</SupplierCode><CategoryID>25</CategoryID><SubCategoryID>220</SubCategoryID><GroupID>1666</GroupID><SubGroupID>4468</SubGroupID><Suffix>Antisyphon function, Distal catheter, Reservoir/Priming function</Suffix><ARTGs><ARTG>181718</ARTG><ARTG>375143</ARTG></ARTGs><MinimumBenefit>2757</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2014-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>IG158</BillingCode><PriorBillingCodes><PriorBillingCode>JJ219</PriorBillingCode></PriorBillingCodes><Name>Hakim Programmable Valve System</Name><Description>Burr hole and regular valve system with SiphonGuard, 120cm distal catheter and 14cm ventricular catheter</Description><Size>30mm H2O - 200mm H2O</Size><SupplierCode>IG</SupplierCode><CategoryID>25</CategoryID><SubCategoryID>220</SubCategoryID><GroupID>1666</GroupID><SubGroupID>4468</SubGroupID><Suffix>Antisyphon function, Distal catheter, Proximal catheter, Reservoir/Priming function</Suffix><ARTGs><ARTG>378354</ARTG></ARTGs><ChangeExplanation>Change to ARTG, Description, Size</ChangeExplanation><MinimumBenefit>2888</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Update</ActionFlag><CycleStartDate>2018-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MC640</BillingCode><Name>Strata Shunt, Unitised</Name><Description>Adjustable CSF valve with five symmetric performance level steps.  Includes strata valve, pre-attached ventricular catheter, and a pre-attached peritoneal catheter. Right Angle Clip. Disposable Quick Release Ventricular Catheter Introducer. Disposable Sub</Description><Size>8-13.5cm x 9-120cm</Size><SupplierCode>MI</SupplierCode><CategoryID>25</CategoryID><SubCategoryID>220</SubCategoryID><GroupID>1666</GroupID><SubGroupID>4468</SubGroupID><Suffix>Antisyphon function, Distal catheter, Proximal catheter, Reservoir/Priming function</Suffix><ARTGs><ARTG>129681</ARTG><ARTG>145335</ARTG></ARTGs><MinimumBenefit>2888</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2006-03-24</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MC642</BillingCode><Name>Strata Valve Assembly with Bioglide PSM range</Name><Description>CSF Flow Valves. Polypropylene and acetal plastic base. Silicone elastomer dome.</Description><Size>One size</Size><SupplierCode>MI</SupplierCode><CategoryID>25</CategoryID><SubCategoryID>220</SubCategoryID><GroupID>1666</GroupID><SubGroupID>4468</SubGroupID><Suffix>Antisyphon function, Coating, Distal catheter, Reservoir/Priming function</Suffix><ARTGs><ARTG>169061</ARTG></ARTGs><MinimumBenefit>2857</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2006-03-24</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>IG168</BillingCode><PriorBillingCodes><PriorBillingCode>JJ440</PriorBillingCode></PriorBillingCodes><Name>Codman Hakim Precision System - Valve only</Name><Description>features 5 operating pressures</Description><Size>10, 40, 70, 100, and 130mmH2O</Size><SupplierCode>IG</SupplierCode><CategoryID>25</CategoryID><SubCategoryID>220</SubCategoryID><GroupID>1666</GroupID><SubGroupID>4469</SubGroupID><Suffix>Reservoir/Priming function</Suffix><ARTGs><ARTG>375410</ARTG><ARTG>375411</ARTG></ARTGs><ChangeExplanation>Change to Product name, ARTG</ChangeExplanation><MinimumBenefit>898</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Update</ActionFlag><CycleStartDate>2018-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LH743</BillingCode><PriorBillingCodes><PriorBillingCode>LM527</PriorBillingCode></PriorBillingCodes><Name>Sophy Valves - hydrocephalic</Name><Description>Monopressure Valve with Antechamber or Burr-Hole Reservoir  </Description><Size>50 - 170mmH2O</Size><SupplierCode>LH</SupplierCode><CategoryID>25</CategoryID><SubCategoryID>220</SubCategoryID><GroupID>1666</GroupID><SubGroupID>4469</SubGroupID><Suffix>Reservoir/Priming function</Suffix><ARTGs><ARTG>143218</ARTG></ARTGs><MinimumBenefit>898</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2023-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>IG018</BillingCode><Name>Precision Flow-OSV II Valve System </Name><Description>Ventricular/Atrial OSV11-Ventricular /Atrial Hydrocephalus Shunt</Description><Size>Drainage Cath 110 cm, F7. Ventricular Catheters 7,9,13 &amp; 15 cm</Size><SupplierCode>IG</SupplierCode><CategoryID>25</CategoryID><SubCategoryID>220</SubCategoryID><GroupID>1666</GroupID><SubGroupID>4469</SubGroupID><Suffix>Distal catheter, Proximal catheter</Suffix><ARTGs><ARTG>151647</ARTG></ARTGs><MinimumBenefit>1300</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2010-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BB324</BillingCode><Name>Aesculap-Miethke gravitational shunt</Name><Description>Single valve, anti-siphon gravitational shunt, titanium construction (MRI safe to 3 tesla)</Description><Size>24mm and 27mm long, 4.0mm and 4.6mm diameter, 4cmH2O and 5cmH2O-40cmH2O</Size><SupplierCode>BB</SupplierCode><CategoryID>25</CategoryID><SubCategoryID>220</SubCategoryID><GroupID>1666</GroupID><SubGroupID>4469</SubGroupID><Suffix>Antisyphon function</Suffix><ARTGs><ARTG>375142</ARTG><ARTG>181718</ARTG><ARTG>375141</ARTG></ARTGs><MinimumBenefit>1083</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MC650</BillingCode><Name>Delta Shunt Assembly</Name><Description>Delta valve is a fixed CSF pressure valve, available in four performance levels. Includes an Integral (distal) Peritoneal Catheter, Disposable Peritoneal Catheter Passer, Female Luer Adapter and Prefill Tubing.</Description><Size>90-120cm (0.5 - 2.0)</Size><SupplierCode>MI</SupplierCode><CategoryID>25</CategoryID><SubCategoryID>220</SubCategoryID><GroupID>1666</GroupID><SubGroupID>4469</SubGroupID><Suffix>Antisyphon function, Distal catheter, Reservoir/Priming function</Suffix><ARTGs><ARTG>134740</ARTG></ARTGs><MinimumBenefit>1563</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2006-03-24</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MC647</BillingCode><Name>Delta Valve with Bioglide PSM range</Name><Description>CSF Flow Valve. Polypropylene and acetal plastic base. Silicone elastomer dome. Surface of valve bonded with hydrogel (Bioglide surface modification).</Description><Size>36-40mm x 9-20mm (0.5-2.0)</Size><SupplierCode>MI</SupplierCode><CategoryID>25</CategoryID><SubCategoryID>220</SubCategoryID><GroupID>1666</GroupID><SubGroupID>4469</SubGroupID><Suffix>Antisyphon function, Coating, Reservoir/Priming function</Suffix><ARTGs><ARTG>129681</ARTG></ARTGs><MinimumBenefit>1268</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2006-03-24</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MC531</BillingCode><Name>Hydrocephalus Shunt</Name><Description>Ventricular/Peritoneal. CSF Flow Control Valves, BioGlide Contoured, Ventriculostomy Kit-E, Neonatal Delta Snap Shunt</Description><Size>12mm-90cm</Size><SupplierCode>MI</SupplierCode><CategoryID>25</CategoryID><SubCategoryID>220</SubCategoryID><GroupID>1666</GroupID><SubGroupID>4469</SubGroupID><Suffix>Distal catheter, Reservoir/Priming function</Suffix><ARTGs><ARTG>129681</ARTG></ARTGs><MinimumBenefit>1286</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2006-03-24</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MC530</BillingCode><Name>Hydrocephalus Shunt</Name><Description>Ventricular/Atrial, CSF Flow Control Shunts, Cont Small Valve</Description><Size>38cm-90cm</Size><SupplierCode>MI</SupplierCode><CategoryID>25</CategoryID><SubCategoryID>220</SubCategoryID><GroupID>1666</GroupID><SubGroupID>4469</SubGroupID><Suffix>Reservoir/Priming function</Suffix><ARTGs><ARTG>129681</ARTG></ARTGs><MinimumBenefit>898</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2006-03-24</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MC651</BillingCode><Name>Delta Valve Assembly with Bioglide PSM range</Name><Description>CSF Flow Valves. Polypropylene and acetal plastic base. Silicone elastomer dome. Assembly system includes the valve, integral peritoneal catheter, female luer adapter and prefill tubing. Surface of the valve bonded with hydrogel (Bioglide surface modifica</Description><Size>90-120cm (0.5, 1.0, 1.5, 2.0)</Size><SupplierCode>MI</SupplierCode><CategoryID>25</CategoryID><SubCategoryID>220</SubCategoryID><GroupID>1666</GroupID><SubGroupID>4469</SubGroupID><Suffix>Antisyphon function, Coating, Distal catheter, Reservoir/Priming function</Suffix><ARTGs><ARTG>134740</ARTG></ARTGs><MinimumBenefit>1409</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2006-03-24</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>IG160</BillingCode><PriorBillingCodes><PriorBillingCode>JJ221</PriorBillingCode></PriorBillingCodes><Name>Codman Hakim Precision System - Valves</Name><Description>Fixed Pressure Valve - Valve System Unitized – Without Rickham Reservoir - Without SiphonGuard  -with connectors/adaptors, stylet, ventricular catheter, distal catheter</Description><Size>Very Low - high pressure</Size><SupplierCode>IG</SupplierCode><CategoryID>25</CategoryID><SubCategoryID>220</SubCategoryID><GroupID>1666</GroupID><SubGroupID>4469</SubGroupID><Suffix>Distal catheter, Proximal catheter, Reservoir/Priming function</Suffix><ARTGs><ARTG>375410</ARTG></ARTGs><ChangeExplanation>Change to Product name, ARTG, Description, Size</ChangeExplanation><MinimumBenefit>1616</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Update</ActionFlag><CycleStartDate>2018-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>IG017</BillingCode><Name>Precision Flow-OSV II Valve System</Name><Description>Lumbar peritoneal OSV11-Lumboperitoneal System Hydrocephalus Shunt</Description><Size>Lumber Catheter 80cm, F5  Peritoneal Catheter 110cm, F7</Size><SupplierCode>IG</SupplierCode><CategoryID>25</CategoryID><SubCategoryID>220</SubCategoryID><GroupID>1666</GroupID><SubGroupID>4469</SubGroupID><Suffix>Distal catheter, Lumboperitoneal</Suffix><ARTGs><ARTG>151647</ARTG></ARTGs><MinimumBenefit>1242</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2010-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>IG159</BillingCode><PriorBillingCodes><PriorBillingCode>JJ220</PriorBillingCode></PriorBillingCodes><Name>Codman Hakim Precision System - Valves</Name><Description>Fixed Pressure Valve - with/without Valve System Unitized – With SiphonGuard with connectors/adaptors, stylet, ventricular catheter, distal catheter</Description><Size>Very Low - High pressure</Size><SupplierCode>IG</SupplierCode><CategoryID>25</CategoryID><SubCategoryID>220</SubCategoryID><GroupID>1666</GroupID><SubGroupID>4469</SubGroupID><Suffix>Antisyphon function, Distal catheter, Proximal catheter, Reservoir/Priming function</Suffix><ARTGs><ARTG>375410</ARTG></ARTGs><ChangeExplanation>Change to Product name, ARTG, Description, Size</ChangeExplanation><MinimumBenefit>1697</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Update</ActionFlag><CycleStartDate>2018-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BB403</BillingCode><Name>Aesculap-Miethke GAV Shunt System  </Name><Description>Single valve, (anti-siphon) gravitational shunt, titanium construction (MRI safe to 3 tesla), with incorporated reservoir, distal catheter and ventricular catheter.      </Description><Size>Valve: do=4.2 mm, Connector: do=1.9 mm  Catheter: di=1.2 mm, do=2.5 mm,  5cmH2O-30cmH2O</Size><SupplierCode>BB</SupplierCode><CategoryID>25</CategoryID><SubCategoryID>220</SubCategoryID><GroupID>1666</GroupID><SubGroupID>4469</SubGroupID><Suffix>Antisyphon function, Distal catheter, Proximal catheter, Reservoir/Priming function</Suffix><ARTGs><ARTG>181718</ARTG><ARTG>375142</ARTG></ARTGs><MinimumBenefit>1697</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MC649</BillingCode><Name>Delta Shunt Unitised</Name><Description>Delta valve is a fixed pressure CSF valve, available in four performance levels. Delta Unitised shunt includes a delta valve, pre-attached ventricular catheter, and a pre-attached peritoneal catheter. Right Angle Clip. Disposable Quick Release Ventricular</Description><Size>Delta Unitised Shunt small (Distal 65cm-90cm, ventricular 11cm) - 0.5, 1.0, 1.5 and 2.0. Delta Unitised Shunt regular (Distal 90cm, ventricular catheter 13cm) - 0.5, 1.0, 1.5 and 2.0</Size><SupplierCode>MI</SupplierCode><CategoryID>25</CategoryID><SubCategoryID>220</SubCategoryID><GroupID>1666</GroupID><SubGroupID>4469</SubGroupID><Suffix>Antisyphon function, Distal catheter, Proximal catheter, Reservoir/Priming function</Suffix><ARTGs><ARTG>139696</ARTG></ARTGs><MinimumBenefit>1697</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2006-03-24</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MC532</BillingCode><Name>Hydrocephalus Shunt</Name><Description>With Hydrostatic Valve, Delta Valves/Shunts/BioGlide, Vent Catheters</Description><Size>12mm-90cm</Size><SupplierCode>MI</SupplierCode><CategoryID>25</CategoryID><SubCategoryID>220</SubCategoryID><GroupID>1666</GroupID><SubGroupID>4469</SubGroupID><Suffix>Antisyphon function, Reservoir/Priming function</Suffix><ARTGs><ARTG>129681</ARTG></ARTGs><MinimumBenefit>1399</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2006-03-24</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>IG152</BillingCode><PriorBillingCodes><PriorBillingCode>JJ157</PriorBillingCode></PriorBillingCodes><Name>Hakim Precision Valve System</Name><Description>Precision cylindrical, micro and regular valve system with 120cm distal silicone catheter and 14cm ventricular silicone catheter</Description><Size>10mm H2O - 130mm H2O (very low to high)</Size><SupplierCode>IG</SupplierCode><CategoryID>25</CategoryID><SubCategoryID>220</SubCategoryID><GroupID>1666</GroupID><SubGroupID>4469</SubGroupID><Suffix>Distal catheter, Proximal catheter, Reservoir/Priming function</Suffix><ARTGs><ARTG>375410</ARTG><ARTG>375411</ARTG></ARTGs><ChangeExplanation>Change to ARTG, Description, Size</ChangeExplanation><MinimumBenefit>1616</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Update</ActionFlag><CycleStartDate>2018-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>IG032</BillingCode><Name>Burr Hole Valve Shunt Assemblies</Name><Description>Shunt Assembly: silicone encased valve, silicone ventricular and peritoneal catheters</Description><Size>16mm or 12mm base; low, medium or high pressure, various kit configurations</Size><SupplierCode>IG</SupplierCode><CategoryID>25</CategoryID><SubCategoryID>220</SubCategoryID><GroupID>1666</GroupID><SubGroupID>4469</SubGroupID><ARTGs><ARTG>152728</ARTG></ARTGs><MinimumBenefit>1001</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2010-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>IG019</BillingCode><Name>Precision Flow-OSV II Valve System</Name><Description>Ventricular/Peritoneal OSV11-  Ventricular/Peritoneal Hydrocephalus Shunt</Description><Size>Drainage Cath 110 cm, F7. Ventricular Catheters 7,9,13 &amp; 15 cm</Size><SupplierCode>IG</SupplierCode><CategoryID>25</CategoryID><SubCategoryID>220</SubCategoryID><GroupID>1666</GroupID><SubGroupID>4469</SubGroupID><ARTGs><ARTG>151647</ARTG></ARTGs><MinimumBenefit>1001</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2010-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BB325</BillingCode><Name>Aesculap-Miethke DualSwitch shunt</Name><Description>Non-adjustable valve with preset values for treatment of patients susceptible to complication due to tumour cells or high protein levels. Treats patients in both supine and upright position. Titanium construction MRI compatible to 3 tesla</Description><Size>28mm diameter, 5.7mm profile, 510-50cmH2O pressure setting</Size><SupplierCode>BB</SupplierCode><CategoryID>25</CategoryID><SubCategoryID>220</SubCategoryID><GroupID>1666</GroupID><SubGroupID>4469</SubGroupID><ARTGs><ARTG>181718</ARTG></ARTGs><MinimumBenefit>1001</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>IG175</BillingCode><PriorBillingCodes><PriorBillingCode>JJ858</PriorBillingCode></PriorBillingCodes><Name>Codman Hakim Precision Valves</Name><Description>Regular and burr hole Valves with Siphonguard</Description><Size>Pressure 10-130mm H2O</Size><SupplierCode>IG</SupplierCode><CategoryID>25</CategoryID><SubCategoryID>220</SubCategoryID><GroupID>1666</GroupID><SubGroupID>4469</SubGroupID><Suffix>Antisyphon function, Reservoir/Priming function</Suffix><ARTGs><ARTG>375411</ARTG></ARTGs><ChangeExplanation>Change to ARTG, Description, Size</ChangeExplanation><MinimumBenefit>1399</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Update</ActionFlag><CycleStartDate>2018-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BB341</BillingCode><Name>Miethke adjustable gravitational unit with proGAV and distal catheter</Name><Description>proSA and M.blue are adjustable gravitational units. proGAV is an adjustable differential pressure unit. They are combined to treat pediatric and adult hydrocephalus. The valves are made from titanium and are MR safe up to 3 tesla. The distal catheters are made of silicone.</Description><Size>Adjustable gravitational unit: diameter 18mm  Adjustable differential pressure unit (proGAV): diameter 18mm  Distal catheter: length 1200mm, inside diameter 1.2mm, outside diameter 2.5mm  Distal catheter (connection between both valves): inside diameter 1.2mm, outside diameter 2.5mm  FV783T:   proSA adjustable between 0-40 cmH2O, proGAV adjustable between 0-20 cmH2O</Size><SupplierCode>BB</SupplierCode><CategoryID>25</CategoryID><SubCategoryID>220</SubCategoryID><GroupID>1666</GroupID><SubGroupID>5978</SubGroupID><Suffix>Distal Catheter</Suffix><ARTGs><ARTG>181718</ARTG></ARTGs><MinimumBenefit>3813</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2014-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BB342</BillingCode><Name>Miethke adjustable gravitational unit with proGAV</Name><Description>proSA and M.blue are adjustable gravitational units. proGAV is an adjustable differential pressure unit. They are combined to treat pediatric and adult hydrocephalus. The valves are made from titanium and are MR safe up to 3 tesla. They are connected by a distal catheter, which is made of silicone.</Description><Size>Adjustable gravitational unit: diameter 18mm Adjustable differential pressure unit (proGAV): diameter 18mm Distal catheter: inside diameter 1.2mm, outside diameter 2.5mm  FV782T: gravitational unit adjustable between 0-40 cmH2O  proGAV adjustable between 0-20 cmH2O</Size><SupplierCode>BB</SupplierCode><CategoryID>25</CategoryID><SubCategoryID>220</SubCategoryID><GroupID>1666</GroupID><SubGroupID>5978</SubGroupID><ARTGs><ARTG>181718</ARTG></ARTGs><MinimumBenefit>3646</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2014-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BB343</BillingCode><Name>Miethke shunt system with reservoir and distal catheter</Name><Description>Shunt system containing an adjustable gravitational unit and an adjustable differential pressure unit with distal catheters and a ventircular catheter, combined with a deflector, a pediatric prechamber or a reservoir.  There are two types of reservoirs: Control reservoir and pediatric Burrhole reservoir. The shunt system is used for the treatment of pediatric and adult hydrocephalus. The valves, the prechamber, the deflector and the reservoirs are made from titanium. The catheters are made from silicone. The shunt system is MR safe up to 3 tesla.</Description><Size>Adjustable gravitational unit: height 4.5mm, diameter 18mm  Adjustable differential pressure unit: diameter 18mm  Distal catheter: length 1200mm, inside diameter 1.2mm, outside diameter 2.5mm  Distal catheter for connections: inside diameter 1.2mm, outside diameter 2.5mm, adjustable between 0-40 cmH2O, 0-20 cmH2O.</Size><SupplierCode>BB</SupplierCode><CategoryID>25</CategoryID><SubCategoryID>220</SubCategoryID><GroupID>1666</GroupID><SubGroupID>5978</SubGroupID><Suffix>Distal Catheter, Reservoir/Priming Function</Suffix><ARTGs><ARTG>181718</ARTG><ARTG>375150</ARTG></ARTGs><MinimumBenefit>4129</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2014-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>VO008</BillingCode><Name>Conti Artificial Urinary Sphincter Control Pump (HydroShield coated)</Name><Description>Conti Artificial Urinary Sphincter Control Pump with HydroShield Hydrophilic coating for Conti Artificial Urinary Sphincter</Description><Size>Two models.</Size><SupplierCode>VO</SupplierCode><CategoryID>26</CategoryID><SubCategoryID>226</SubCategoryID><GroupID>1696</GroupID><SubGroupID>5306</SubGroupID><Suffix>A</Suffix><ARTGs><ARTG>338270</ARTG></ARTGs><MinimumBenefit>5076</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BS409</BillingCode><Name>AMS 800 Urinary Control System Pump</Name><Description>Pump with InhibiZone Antibiotic Surface Treatment</Description><Size>One size only</Size><SupplierCode>BS</SupplierCode><CategoryID>26</CategoryID><SubCategoryID>226</SubCategoryID><GroupID>1696</GroupID><SubGroupID>5306</SubGroupID><Suffix>A</Suffix><ARTGs><ARTG>352830</ARTG><ARTG>165326</ARTG></ARTGs><MinimumBenefit>5076</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2023-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BS427</BillingCode><Name>AMS 800 Artificial Urinary Sphincter Pump</Name><Description>Control Pump</Description><Size>One size</Size><SupplierCode>BS</SupplierCode><CategoryID>26</CategoryID><SubCategoryID>226</SubCategoryID><GroupID>1696</GroupID><SubGroupID>5306</SubGroupID><ARTGs><ARTG>390349</ARTG></ARTGs><MinimumBenefit>4700</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2023-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>VO003</BillingCode><Name>Conti Artificial Urinary Sphincter Occlusive Cuff (HydroShield coated)</Name><Description>Conti Artificial Urinary Sphincter Occlusive Cuff with HydroShield Hydrophilic coating for Conti Artificial Urinary Sphincter</Description><Size>3.5, 3.75, 4.0, 4.25, 4.5, 4.75. 5.0, 5.5, 6.0, 6.5, 7.0, 7.5, 8.0, 8.5, 9.0, 9.5, 10, 11, 12, 13cm.</Size><SupplierCode>VO</SupplierCode><CategoryID>26</CategoryID><SubCategoryID>226</SubCategoryID><GroupID>1696</GroupID><SubGroupID>5307</SubGroupID><Suffix>A</Suffix><ARTGs><ARTG>338270</ARTG></ARTGs><MinimumBenefit>2708</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BS408</BillingCode><Name>AMS 800 Urinary Control System with InhibiZone - cuff</Name><Description>Occlusive Cuff with InhibiZone Antibiotic Surface Treatment</Description><Size>13 Cuff sizes from 3.5 to 11.0 cm</Size><SupplierCode>BS</SupplierCode><CategoryID>26</CategoryID><SubCategoryID>226</SubCategoryID><GroupID>1696</GroupID><SubGroupID>5307</SubGroupID><Suffix>A</Suffix><ARTGs><ARTG>165326</ARTG><ARTG>352830</ARTG></ARTGs><MinimumBenefit>2708</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2023-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BS425</BillingCode><Name>AMS 800 Artificial Urinary Sphincter Cuff</Name><Description>Occlusive Cuff</Description><Size>13 Cuff sizes from 3.5 to 11.0 cm: Size: 3.5, 4, 4.5, 5, 5.5, 6, 6.5, 7, 7.5, 8, 9, 10, 11cm  </Size><SupplierCode>BS</SupplierCode><CategoryID>26</CategoryID><SubCategoryID>226</SubCategoryID><GroupID>1696</GroupID><SubGroupID>5307</SubGroupID><ARTGs><ARTG>390349</ARTG></ARTGs><MinimumBenefit>2483</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2023-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>VO009</BillingCode><Name>Conti Artificial Urinary Sphincter Pressure Regulating Balloon (HydroShield coated) </Name><Description>Conti Artificial Urinary Sphincter Pressure Regulating Balloon with HydroShield Hydrophilic coating for Conti Artificial Urinary Sphincter</Description><Size>40-49cm, 50-59cm, 60-69cm, 70-79cm, 80-89cm.</Size><SupplierCode>VO</SupplierCode><CategoryID>26</CategoryID><SubCategoryID>226</SubCategoryID><GroupID>1696</GroupID><SubGroupID>5308</SubGroupID><ARTGs><ARTG>338270</ARTG></ARTGs><MinimumBenefit>1954</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BS426</BillingCode><Name>AMS 800 Artificial urinary sphincter Pressure Regulating Balloon</Name><Description>Pressure Regulating Balloon</Description><Size>51 - 60cm, 61 -70cm, 71 - 80cm</Size><SupplierCode>BS</SupplierCode><CategoryID>26</CategoryID><SubCategoryID>226</SubCategoryID><GroupID>1696</GroupID><SubGroupID>5308</SubGroupID><ARTGs><ARTG>390349</ARTG></ARTGs><MinimumBenefit>1954</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2023-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>CO087</BillingCode><Name>Cochlear™ Baha® 6 Max Sound Processor </Name><Description>The Baha 6 Max is Cochlear’s next generation off-the-ear (OTE) sound processor for use with Cochlear Baha 'Connect' and 'Attract' Implantable Bone Conduction Hearing Systems with a fitting range up to 55dB HL. Baha 6 Max has broader bandwidth at higher frequencies, iOS and Android smartphone direct streaming and smaller, lighter and more discreet OTE technology.</Description><Size>1 x SP size with 2 options of the snap coupling sizes</Size><SupplierCode>CO</SupplierCode><CategoryID>22</CategoryID><SubCategoryID>196</SubCategoryID><GroupID>1560</GroupID><SubGroupID>4150</SubGroupID><Suffix>Programmable, Wireless-enabled</Suffix><ARTGs><ARTG>123987</ARTG></ARTGs><MinimumBenefit>6484</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>US030</BillingCode><Name>SAMBA 2 BB Audio Processor</Name><Description>Single Unit audio processor for the Bonebridge System, worn off the ear it is held in place by magnetic attraction over the implant. Designed to function similarly as the SAMBA BB audio processor with improved battery life, noise reduction, ingress protection  and Intelligent Sound Adapter 2.0</Description><Size>One Size - left/right versions with various magnet strengths, length = 36.4mm, width = 30.4mm, height = 10.2mm, weight 9.3g (inc battery)</Size><SupplierCode>US</SupplierCode><CategoryID>22</CategoryID><SubCategoryID>196</SubCategoryID><GroupID>1560</GroupID><SubGroupID>4150</SubGroupID><Suffix>Programmable, Wireless-enabled, Autoscan</Suffix><ARTGs><ARTG>353072</ARTG></ARTGs><MinimumBenefit>6808</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>CO077</BillingCode><Name>Cochlear Baha 5 Power Sound Processor</Name><Description>The Cochlear Baha 5 Power sound processor is a powerful (up to 55dB HL), wireless-enabled, smartphone compatible, fully programmable, digital sound processor for the Cochlear Baha 'Connect' and 'Attract' Implantable Bone Conduction Hearing Systems.</Description><Size>One size</Size><SupplierCode>CO</SupplierCode><CategoryID>22</CategoryID><SubCategoryID>196</SubCategoryID><GroupID>1560</GroupID><SubGroupID>4150</SubGroupID><Suffix>Programmable, Wireless-enabled</Suffix><ARTGs><ARTG>123987</ARTG></ARTGs><MinimumBenefit>6484</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2016-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>CO076</BillingCode><Name>Cochlear Baha 5 SuperPower Sound Processor</Name><Description>The Cochlear Baha 5 SuperPower sound processor is a powerful (up to 65dB HL) wireless-enabled, smartphone compatible, fully programmable, digital sound processor for the Baha Implantable Bone Conduction Hearing System. It is intended to be fitted as a head worn split system - it comprises a behind-the-ear (BTE) Sound Processing Unit, an Actuator unit, and a Cable between the BTE and the Actuator unit.</Description><Size>One size</Size><SupplierCode>CO</SupplierCode><CategoryID>22</CategoryID><SubCategoryID>196</SubCategoryID><GroupID>1560</GroupID><SubGroupID>4150</SubGroupID><Suffix>Programmable, Wireless-enabled</Suffix><ARTGs><ARTG>123987</ARTG></ARTGs><MinimumBenefit>6484</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2016-02-01</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>OI038</BillingCode><Name>Ponto 4 </Name><Description>A wireless enabled - fully programmable head worn sound processor for bone conduction hearing systems with directionality paradigm offering analysis, balancing &amp; noise removal, IFTTT; together with programmable &amp; direct to smart phone capacity.</Description><Size>One size (26 x 19 x 11 mm)</Size><SupplierCode>OI</SupplierCode><CategoryID>22</CategoryID><SubCategoryID>196</SubCategoryID><GroupID>1560</GroupID><SubGroupID>4150</SubGroupID><Suffix>Programmable, Wireless-enabled</Suffix><ARTGs><ARTG>198860</ARTG></ARTGs><MinimumBenefit>6484</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2020-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>OI032</BillingCode><Name>Ponto 3 Sound Processor</Name><Description>A wireless enabled - fully programmable head worn sound processor for bone conduction hearing systems with full smart phone capabilities. Optional Superpower model, delivering higher output across the entire bandwidth.</Description><Size>Ponto 3: 34x21x11mm
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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>CO075</BillingCode><Name>Cochlear Baha 5 Sound Processor</Name><Description>The Cochlear Baha 5 Sound Processor (26,mm x 19mm x12mm) is a wireless-enabled smartphone compatible fully programmable head-word digital sound processor for the Baha Implantable Bone Conduction Hearing System</Description><Size>One size (26mm x 19 mm x 12 mm)</Size><SupplierCode>CO</SupplierCode><CategoryID>22</CategoryID><SubCategoryID>196</SubCategoryID><GroupID>1560</GroupID><SubGroupID>4150</SubGroupID><Suffix>Programmable, Wireless-enabled</Suffix><ARTGs><ARTG>123987</ARTG></ARTGs><MinimumBenefit>6484</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2015-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>US017</BillingCode><Name>Bonebridge Samba BB Audio Processor</Name><Description>The Samba BB is a wireless enabled audio processor and the externally worn component of the Bonebridge System.  It connects to the implant through magnetic attraction. Fitting the Samba BB audio processor activates the Bonebridge.</Description><Size>left and right versions, length = 35mm, width = 30mm, height = 10mm, weight &lt;9g (inc battery)</Size><SupplierCode>US</SupplierCode><CategoryID>22</CategoryID><SubCategoryID>196</SubCategoryID><GroupID>1560</GroupID><SubGroupID>4150</SubGroupID><Suffix>Programmable, Wireless-enabled</Suffix><ARTGs><ARTG>270912</ARTG></ARTGs><MinimumBenefit>6484</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2016-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>CO063</BillingCode><Name>Cochlear ™ Baha® BIA400 Implant with Abutment</Name><Description>Pre-mounted self-tapping titanium implant with TiOblast™ surface and coated Abutment with hydroxyapatite (HA) coating for Baha FAST surgery</Description><Size>4mm implant with pre-mounted 6mm, 8mm, 10mm, or 12mm , or 14mm abutment</Size><SupplierCode>CO</SupplierCode><CategoryID>22</CategoryID><SubCategoryID>196</SubCategoryID><GroupID>1560</GroupID><SubGroupID>4151</SubGroupID><Suffix>Abutment &amp; Fixture, HA</Suffix><ARTGs><ARTG>123984</ARTG></ARTGs><MinimumBenefit>2087</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2013-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>CO062</BillingCode><Name>Cochlear™ Baha®  BA400 DermaLock™ Abutment</Name><Description>Titanium abutment with hydroxyapatite (HA) coating</Description><Size>6mm, 8mm, 10mm, 12mm, 14mm</Size><SupplierCode>CO</SupplierCode><CategoryID>22</CategoryID><SubCategoryID>196</SubCategoryID><GroupID>1560</GroupID><SubGroupID>4151</SubGroupID><Suffix>HA</Suffix><ARTGs><ARTG>123984</ARTG></ARTGs><MinimumBenefit>1059</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2013-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>OI031</BillingCode><Name>Ponto BHX Implant and Abutment</Name><Description>A laser-ablated titanium surface implant using Biohelix™ (BHX) and abutment
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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>CO051</BillingCode><Name>Baha® BI300 Implant</Name><Description>Titanium self-tapping implant with TiOblast surface of the Baha 3 system</Description><Size>3mm and 4 mm</Size><SupplierCode>CO</SupplierCode><CategoryID>22</CategoryID><SubCategoryID>196</SubCategoryID><GroupID>1560</GroupID><SubGroupID>4151</SubGroupID><Suffix>Fixture &amp; Concave</Suffix><ARTGs><ARTG>123984</ARTG></ARTGs><MinimumBenefit>1028</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2010-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>OI030</BillingCode><Name>Ponto BHX Implant</Name><Description>A laser-ablated titanium surface implant using Biohelix™ (BHX).</Description><Size>Length: 3mm, 4mm</Size><SupplierCode>OI</SupplierCode><CategoryID>22</CategoryID><SubCategoryID>196</SubCategoryID><GroupID>1560</GroupID><SubGroupID>4151</SubGroupID><Suffix>Fixture &amp; Concave</Suffix><ARTGs><ARTG>198759</ARTG></ARTGs><MinimumBenefit>1028</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2016-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>OI024</BillingCode><Name>Ponto Implant</Name><Description>Bone anchor implant</Description><Size>Diameter: 3.75 - 4.5mm
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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>OI025</BillingCode><Name>Ponto Abutment</Name><Description>Bone anchor abutment with connection screw</Description><Size>Length: 6 - 14mm
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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>CO050</BillingCode><Name>Baha BA210 Abutment</Name><Description>Titanium abutments compatible with hexagonal coupling Baha implants</Description><Size>5.5mm and 8.5mm</Size><SupplierCode>CO</SupplierCode><CategoryID>22</CategoryID><SubCategoryID>196</SubCategoryID><GroupID>1560</GroupID><SubGroupID>4151</SubGroupID><Suffix>Abutment</Suffix><ARTGs><ARTG>123984</ARTG></ARTGs><MinimumBenefit>850</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2010-08-01</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>OI026</BillingCode><Name>Ponto Abutment and Implant</Name><Description>Bone anchor implant and abutment with connection screw</Description><Size>Diameter: 3.75 - 4.5mm
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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>CO068</BillingCode><Name>Cochlear™ Baha® BIM400 Implant Magnet</Name><Description>The Cochlear Baha BIM400 is an implantable magnet that lies completely under the skin</Description><Size>One size</Size><SupplierCode>CO</SupplierCode><CategoryID>22</CategoryID><SubCategoryID>196</SubCategoryID><GroupID>1560</GroupID><SubGroupID>4151</SubGroupID><Suffix>Magnetic Coupling</Suffix><ARTGs><ARTG>123984</ARTG></ARTGs><MinimumBenefit>1059</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2014-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>US026</BillingCode><Name>BCI 602 Lifts (1mm)</Name><Description>BCI 602 Lifts (1mm) can be implanted together with the Bonebridge BCI 602, attached to the fixation wings of the BCI 602, serving as a spacer to increase distance between the fixation wings and the skull bone.</Description><Size>1mm</Size><SupplierCode>US</SupplierCode><CategoryID>22</CategoryID><SubCategoryID>196</SubCategoryID><GroupID>1560</GroupID><SubGroupID>4151</SubGroupID><Suffix>Lifts</Suffix><ARTGs><ARTG>329049</ARTG></ARTGs><MinimumBenefit>196</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2020-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>OI028</BillingCode><Name>Ponto Cover Screw</Name><Description>Cover screw</Description><Size>One size only</Size><SupplierCode>OI</SupplierCode><CategoryID>22</CategoryID><SubCategoryID>196</SubCategoryID><GroupID>1560</GroupID><SubGroupID>4152</SubGroupID><ARTGs><ARTG>198759</ARTG></ARTGs><MinimumBenefit>135</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2013-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>OI027</BillingCode><Name>Ponto Healing Cap</Name><Description>Cover screw</Description><Size>One size only</Size><SupplierCode>OI</SupplierCode><CategoryID>22</CategoryID><SubCategoryID>196</SubCategoryID><GroupID>1560</GroupID><SubGroupID>4152</SubGroupID><ARTGs><ARTG>198868</ARTG></ARTGs><MinimumBenefit>135</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2013-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>CO054</BillingCode><Name>Baha Cover Screw conical</Name><Description>Titanium cover screw of the Baha BI300 implant system used in the two-stage surgery.</Description><Size>One size</Size><SupplierCode>CO</SupplierCode><CategoryID>22</CategoryID><SubCategoryID>196</SubCategoryID><GroupID>1560</GroupID><SubGroupID>4152</SubGroupID><ARTGs><ARTG>123984</ARTG></ARTGs><MinimumBenefit>135</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2010-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>DE814</BillingCode><PriorBillingCodes><PriorBillingCode>VL011</PriorBillingCode></PriorBillingCodes><Name>Su-Por Inferior 2/3 Orbit, Complete Orbit, 3D Orbital Floor</Name><Description>An implantable device intended to support, contour, and provide structure for the face including the cheeks and eye socket. Made of high-density polyethylene material with an interconnecting pore structure that supports tissue ingrowth. Includes Inferior 2/3 Orbit (left, right); left complete orbit (left, right)</Description><Size>various sizes, left, right</Size><SupplierCode>DE</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>200</SubCategoryID><GroupID>1598</GroupID><SubGroupID>4366</SubGroupID><ARTGs><ARTG>335454</ARTG></ARTGs><MinimumBenefit>1892</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2023-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HW411</BillingCode><Name>Complete Orbital Shape</Name><Description>Porus Polyethylene. Complete and 2 / 3 orbit shapes. Inferior 2 / 3 left and right. Models 9567, 9568</Description><Size>Inferior: 83 x 78mm</Size><SupplierCode>JV</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>200</SubCategoryID><GroupID>1598</GroupID><SubGroupID>4366</SubGroupID><ARTGs><ARTG>257032</ARTG></ARTGs><MinimumBenefit>1892</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2011-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>EO122</BillingCode><Name>MODUS Orbital Plating System</Name><Description>Orbital Floor Plate </Description><Size>Small - Large </Size><SupplierCode>EO</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>200</SubCategoryID><GroupID>1598</GroupID><SubGroupID>4367</SubGroupID><ARTGs><ARTG>350270</ARTG><ARTG>350271</ARTG></ARTGs><MinimumBenefit>868</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>JK042</BillingCode><PriorBillingCodes><PriorBillingCode>UQ040</PriorBillingCode></PriorBillingCodes><Name>Plates</Name><Description>Micro, Mini</Description><Size>Orbital Plate, Orbital Plate Large</Size><SupplierCode>JK</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>200</SubCategoryID><GroupID>1598</GroupID><SubGroupID>4367</SubGroupID><ARTGs><ARTG>130508</ARTG></ARTGs><MinimumBenefit>868</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HW522</BillingCode><Name>Stryker Leibinger 3D Orbital Floor Plate</Name><Description>Stryker Leibinger 3D Orbital Floor Plate</Description><Size>Small, Right  Small, Left  Large, Right  Large, Left</Size><SupplierCode>JV</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>200</SubCategoryID><GroupID>1598</GroupID><SubGroupID>4367</SubGroupID><ARTGs><ARTG>257032</ARTG><ARTG>295882</ARTG><ARTG>200615</ARTG></ARTGs><MinimumBenefit>868</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2013-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BH363</BillingCode><Name>Lorenz Plating System</Name><Description>Orbital Floor Plate, Titanium</Description><Size>Small to Large</Size><SupplierCode>ZI</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>200</SubCategoryID><GroupID>1598</GroupID><SubGroupID>4367</SubGroupID><ARTGs><ARTG>128458</ARTG></ARTGs><MinimumBenefit>868</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2014-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ588</BillingCode><Name>Facial iD Orbital</Name><Description>Custom Maxillofacial Meshes</Description><Size>Custom</Size><SupplierCode>JV</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>200</SubCategoryID><GroupID>1598</GroupID><SubGroupID>4367</SubGroupID><Suffix>Biomodelled</Suffix><ARTGs><ARTG>331521</ARTG></ARTGs><MinimumBenefit>4095</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2024-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>DE813</BillingCode><PriorBillingCodes><PriorBillingCode>VL010</PriorBillingCode></PriorBillingCodes><Name>Su-Por Orbital Floor</Name><Description>An implantable device intended to support, contour, and provide structure for the face including the cheeks and eye socket. Made of high-density polyethylene material with an interconnecting pore structure that supports tissue ingrowth. The device is available in various size and can be cut by the surgeon to meet the patient's specific needs.</Description><Size>24mm, 30mm, 34mm, 35mm, 40mm</Size><SupplierCode>DE</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>200</SubCategoryID><GroupID>1598</GroupID><SubGroupID>4367</SubGroupID><ARTGs><ARTG>335454</ARTG></ARTGs><MinimumBenefit>868</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2023-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SY391</BillingCode><Name>Orbital Fixation System</Name><Description>Orbital Floor Plate</Description><Size>S, M, L</Size><SupplierCode>JJ</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>200</SubCategoryID><GroupID>1598</GroupID><SubGroupID>4367</SubGroupID><ARTGs><ARTG>167547</ARTG></ARTGs><MinimumBenefit>868</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2007-06-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SY698</BillingCode><Name>SynPOR</Name><Description>Anatomical Porous Polyethylene</Description><Size>0.8mm - 1.5mm thick</Size><SupplierCode>JJ</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>200</SubCategoryID><GroupID>1598</GroupID><SubGroupID>4367</SubGroupID><ARTGs><ARTG>190454</ARTG></ARTGs><MinimumBenefit>868</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HW433</BillingCode><Name>E-POR Biomaterial/ Orbital Wall and Floor Porous Polyethylene Titanium Mesh Composite (large)</Name><Description>Orbital Wall and Floor Porous Polyethylene Titanium Mesh Composite</Description><Size>41 x 42 x 0.6-1.0mm</Size><SupplierCode>JV</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>200</SubCategoryID><GroupID>1598</GroupID><SubGroupID>4367</SubGroupID><Suffix>Coated</Suffix><ARTGs><ARTG>257032</ARTG></ARTGs><MinimumBenefit>960</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2011-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>KT001</BillingCode><Name>UNIQOS Biomodelled Customised Orbital Floor Mesh</Name><Description>UNIQOS Biomodelled Customised Orbital Floor Mesh</Description><Size>Customised - patient specific</Size><SupplierCode>KT</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>200</SubCategoryID><GroupID>1598</GroupID><SubGroupID>4367</SubGroupID><Suffix>Biomodelled</Suffix><ARTGs><ARTG>109878</ARTG></ARTGs><MinimumBenefit>4095</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2015-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ011</BillingCode><PriorBillingCodes><PriorBillingCode>AT087</PriorBillingCode><PriorBillingCode>AT087</PriorBillingCode></PriorBillingCodes><Name>Anatomics Patient Specific Orbital Floor Implant</Name><Description>A custom, patient specific implant intended for the reconstruction of the patient's orbital floor manufactured with titanium or porous polyethylene.</Description><Size>The device is custom made so the size will vary.</Size><SupplierCode>KU</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>200</SubCategoryID><GroupID>1598</GroupID><SubGroupID>4367</SubGroupID><Suffix>Biomodelled</Suffix><ARTGs><ARTG>288564</ARTG></ARTGs><MinimumBenefit>4095</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ZZ101</BillingCode><PriorBillingCodes><PriorBillingCode>WH006</PriorBillingCode></PriorBillingCodes><Name>Materialise PorousiTi - Orbital</Name><Description>Patient specific Titanium 3D printed implant for orbital reconstruction</Description><Size>Personalized so the size is variable</Size><SupplierCode>ZZ</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>200</SubCategoryID><GroupID>1598</GroupID><SubGroupID>4367</SubGroupID><Suffix>Biomodelled</Suffix><ARTGs><ARTG>377044</ARTG></ARTGs><MinimumBenefit>4095</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MN355</BillingCode><Name>TRUMATCH® CMF Orbital</Name><Description>Patient matched, orbital floor reconstruction implants, Titanium  </Description><Size>Custom sized</Size><SupplierCode>JJ</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>200</SubCategoryID><GroupID>1598</GroupID><SubGroupID>4367</SubGroupID><Suffix>Biomodelled</Suffix><ARTGs><ARTG>276733</ARTG></ARTGs><MinimumBenefit>4095</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>JK043</BillingCode><PriorBillingCodes><PriorBillingCode>UQ049</PriorBillingCode></PriorBillingCodes><Name>OsteoMed Orbital Floor Plates</Name><Description>Preformed titanium mesh orbital floor plates</Description><Size>Small Left,  Small Right,  Large Left,  Large Right</Size><SupplierCode>JK</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>200</SubCategoryID><GroupID>1598</GroupID><SubGroupID>4367</SubGroupID><ARTGs><ARTG>130508</ARTG></ARTGs><MinimumBenefit>868</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>DE808</BillingCode><PriorBillingCodes><PriorBillingCode>VL005</PriorBillingCode></PriorBillingCodes><Name>Su-Por Orbital Rim, Extended</Name><Description>An implantable device intended to support, contour, and provide structure for the face including the cheeks and eye socket. 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>Left and Right (44mm x 38mm)</Size><SupplierCode>DE</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>200</SubCategoryID><GroupID>1598</GroupID><SubGroupID>4370</SubGroupID><ARTGs><ARTG>335454</ARTG></ARTGs><MinimumBenefit>385</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2023-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SK511</BillingCode><Name>Orbital Rim</Name><Description>Orbital rims, left and right extended. Models 9539, 9540 Orbital Rim Onlay Implants 81001, 81002</Description><Size>Left &amp; right extended models 47 x 40mm Oribtal Rim Onlay Implants left &amp; right 40 x 40mm</Size><SupplierCode>JV</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>200</SubCategoryID><GroupID>1598</GroupID><SubGroupID>4370</SubGroupID><ARTGs><ARTG>257035</ARTG><ARTG>257037</ARTG></ARTGs><MinimumBenefit>385</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2011-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ012</BillingCode><PriorBillingCodes><PriorBillingCode>AT082</PriorBillingCode><PriorBillingCode>AT082</PriorBillingCode></PriorBillingCodes><Name>Anatomics Patient Specific Orbital Rim</Name><Description>Custom, 3D-printed orbital rim constructed of porous polyethylene.</Description><Size>The device is custom made so the size will vary.</Size><SupplierCode>KU</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>200</SubCategoryID><GroupID>1598</GroupID><SubGroupID>4370</SubGroupID><Suffix>Biomodelled</Suffix><ARTGs><ARTG>288564</ARTG></ARTGs><MinimumBenefit>4095</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HW410</BillingCode><Name>Enophthalmos Wedge</Name><Description>Regular left and right. Large left and right. (Models 9541 - 9544)</Description><Size>Regular: 22 x 31 x 7mm. Large: 28 x 40 x 7.5mm</Size><SupplierCode>JV</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>200</SubCategoryID><GroupID>1598</GroupID><SubGroupID>4371</SubGroupID><ARTGs><ARTG>257032</ARTG></ARTGs><MinimumBenefit>325</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2011-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>DE816</BillingCode><PriorBillingCodes><PriorBillingCode>VL013</PriorBillingCode></PriorBillingCodes><Name>Su-Por Enophthalmos Wedge</Name><Description>The Su-Por Enophthalmos Wedge is contoured in the shape of the orbital floor and provides volume to restore the orbit to its normal shape and size. </Description><Size>24mm x 33.5mm x 7mm (left,right)  28mm x 40mm x 7.5mm (left, right)    </Size><SupplierCode>DE</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>200</SubCategoryID><GroupID>1598</GroupID><SubGroupID>4371</SubGroupID><ARTGs><ARTG>335454</ARTG></ARTGs><MinimumBenefit>325</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2023-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SY830</BillingCode><PriorBillingCodes><PriorBillingCode>ZZ006</PriorBillingCode></PriorBillingCodes><Name>Surgical Guide for OBL PorousiTi® PSI System – Orbital Floor</Name><Description>Patient specific surgical guide for orbital floor implant</Description><Size>The model is custom made so size will vary</Size><SupplierCode>JJ</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>200</SubCategoryID><GroupID>1598</GroupID><SubGroupID>6023</SubGroupID><Suffix>Biomodelled</Suffix><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 dental 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.</Note><ChangeExplanation>Change to Condition</ChangeExplanation><MinimumBenefit>2584</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Update</ActionFlag><CycleStartDate>2016-09-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ013</BillingCode><PriorBillingCodes><PriorBillingCode>AT088</PriorBillingCode></PriorBillingCodes><Name>Anatomics Patient Specific Surgical Guide</Name><Description>The Surgical Guide component of the system is created from the patient's CT scan data to assist the surgeon with pre- and intraoperative planning.</Description><Size>The device is custom made so the size will vary.</Size><SupplierCode>KU</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>200</SubCategoryID><GroupID>1598</GroupID><SubGroupID>6023</SubGroupID><Suffix>Biomodelled</Suffix><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 dental 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.</Note><ChangeExplanation>Change to Condition</ChangeExplanation><MinimumBenefit>2584</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Update</ActionFlag><CycleStartDate>2017-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>WW025</BillingCode><Name>HFX iQ Patient Remote (PTRC3000)</Name><Description>External patient programmer for HFX spinal cord stimulation system</Description><Size>One size only</Size><SupplierCode>WW</SupplierCode><CategoryID>25</CategoryID><SubCategoryID>222</SubCategoryID><GroupID>1678</GroupID><SubGroupID>4483</SubGroupID><ARTGs><ARTG>476084</ARTG></ARTGs><ChangeExplanation>New listing</ChangeExplanation><MinimumBenefit>1354</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2025-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SJ388</BillingCode><Name>Patient Programmer</Name><Description>Patient Programmer - bluetooth</Description><Size>iPod Touch</Size><SupplierCode>SJ</SupplierCode><CategoryID>25</CategoryID><SubCategoryID>222</SubCategoryID><GroupID>1678</GroupID><SubGroupID>4483</SubGroupID><Suffix>Bluetooth</Suffix><ARTGs><ARTG>364131</ARTG></ARTGs><MinimumBenefit>632</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ661</BillingCode><Name>Patient Programmer</Name><Description>Patient programmer for use with Eterna rechargeable implantable pulse generator</Description><Size>One size only</Size><SupplierCode>SJ</SupplierCode><CategoryID>25</CategoryID><SubCategoryID>222</SubCategoryID><GroupID>1678</GroupID><SubGroupID>4483</SubGroupID><ARTGs><ARTG>440133</ARTG></ARTGs><MinimumBenefit>1354</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2024-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MI276</BillingCode><Name>Intellis Rechargeable Neurostimulation System - PTM Patient Programmer</Name><Description>External Patient Programmer Model 97745</Description><Size>One Size Only</Size><SupplierCode>MI</SupplierCode><CategoryID>25</CategoryID><SubCategoryID>222</SubCategoryID><GroupID>1678</GroupID><SubGroupID>4483</SubGroupID><ARTGs><ARTG>298760</ARTG></ARTGs><MinimumBenefit>1354</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SJ177</BillingCode><Name>ANS Spinal Cord Stimulation System (SCS) GENESIS</Name><Description>QuikLink Patient Programmer Model 3860</Description><Size>One Size Only</Size><SupplierCode>SJ</SupplierCode><CategoryID>25</CategoryID><SubCategoryID>222</SubCategoryID><GroupID>1678</GroupID><SubGroupID>4483</SubGroupID><ARTGs><ARTG>106669</ARTG></ARTGs><MinimumBenefit>1354</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2009-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MI138</BillingCode><Name>Surescan MRI Patient programmer</Name><Description>Patient controller for Surescan MRI Neurostimulators</Description><Size>One size only</Size><SupplierCode>MI</SupplierCode><CategoryID>25</CategoryID><SubCategoryID>222</SubCategoryID><GroupID>1678</GroupID><SubGroupID>4483</SubGroupID><ARTGs><ARTG>214421</ARTG></ARTGs><MinimumBenefit>1354</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2014-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>PQ005</BillingCode><Name>Reactiv8 Activator</Name><Description>Patient Activator for use with Reactiv8 Implantable Pulse Generator </Description><Size>One size only</Size><SupplierCode>PQ</SupplierCode><CategoryID>25</CategoryID><SubCategoryID>222</SubCategoryID><GroupID>1678</GroupID><SubGroupID>4483</SubGroupID><ARTGs><ARTG>327090</ARTG></ARTGs><MinimumBenefit>1354</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2020-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MI496</BillingCode><Name>Vanta Neurostimulator System Patient Programmer (Handset +App)</Name><Description>The patient programmer consists of a handset that hosts the MyStim PC Therapy Application (App) </Description><Size>One size only</Size><SupplierCode>MI</SupplierCode><CategoryID>25</CategoryID><SubCategoryID>222</SubCategoryID><GroupID>1678</GroupID><SubGroupID>4483</SubGroupID><ARTGs><ARTG>391675</ARTG><ARTG>386871</ARTG></ARTGs><MinimumBenefit>1354</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>UY007</BillingCode><Name>Evoke Pocket Console </Name><Description>A handheld remote control for an implantable closed-loop stimulator.  </Description><Size>N/A</Size><SupplierCode>UY</SupplierCode><CategoryID>25</CategoryID><SubCategoryID>222</SubCategoryID><GroupID>1678</GroupID><SubGroupID>4483</SubGroupID><ARTGs><ARTG>336570</ARTG></ARTGs><MinimumBenefit>1354</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2020-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BS253</BillingCode><Name>Precision Spectra Patient Remote Programmer</Name><Description>Hand held remote control External Patient Programmer</Description><Size>One size only</Size><SupplierCode>BS</SupplierCode><CategoryID>25</CategoryID><SubCategoryID>222</SubCategoryID><GroupID>1678</GroupID><SubGroupID>4483</SubGroupID><ARTGs><ARTG>206306</ARTG><ARTG>206305</ARTG></ARTGs><MinimumBenefit>1354</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2013-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>WW005</BillingCode><PriorBillingCodes><PriorBillingCode>ER608</PriorBillingCode></PriorBillingCodes><Name>Nevro PTRC2300 Patient Remote Control </Name><Description>External patient programmer for Senza spinal cord stimulation system</Description><Size>One size only</Size><SupplierCode>WW</SupplierCode><CategoryID>25</CategoryID><SubCategoryID>222</SubCategoryID><GroupID>1678</GroupID><SubGroupID>4483</SubGroupID><ARTGs><ARTG>330707</ARTG></ARTGs><MinimumBenefit>1354</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2023-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BS106</BillingCode><Name>Precision Plus Remote Patient Programmer; Precision Plus with MultiwaveTechnology Remote Patient Programmer</Name><Description>Hand held remote control External Patient Programmer</Description><Size>One Size Only</Size><SupplierCode>BS</SupplierCode><CategoryID>25</CategoryID><SubCategoryID>222</SubCategoryID><GroupID>1678</GroupID><SubGroupID>4483</SubGroupID><ARTGs><ARTG>166929</ARTG><ARTG>231196</ARTG><ARTG>128681</ARTG></ARTGs><MinimumBenefit>1354</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2007-06-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BS325</BillingCode><Name>FreeLink Remote Control Kit</Name><Description>Hand held remote control/external patient programmer</Description><Size>One size only</Size><SupplierCode>BS</SupplierCode><CategoryID>25</CategoryID><SubCategoryID>222</SubCategoryID><GroupID>1678</GroupID><SubGroupID>4483</SubGroupID><ARTGs><ARTG>287237</ARTG><ARTG>287738</ARTG><ARTG>318330</ARTG><ARTG>362991</ARTG><ARTG>283694</ARTG><ARTG>318331</ARTG><ARTG>362974</ARTG></ARTGs><MinimumBenefit>1354</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MC694</BillingCode><Name>Restore Rechargeable Neurostimulation System</Name><Description>External Patient Programmer Antenna Model 37092</Description><Size>One size only</Size><SupplierCode>MI</SupplierCode><CategoryID>25</CategoryID><SubCategoryID>222</SubCategoryID><GroupID>1678</GroupID><SubGroupID>4484</SubGroupID><ARTGs><ARTG>146936</ARTG></ARTGs><MinimumBenefit>161</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2006-03-24</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MI497</BillingCode><Name>Patient Communicator</Name><Description>The communicator allows the MyStim PC Therapy Application on the Patient Handset (Programmer) connect to the implantable neurostimulator</Description><Size>One size only</Size><SupplierCode>MI</SupplierCode><CategoryID>25</CategoryID><SubCategoryID>222</SubCategoryID><GroupID>1678</GroupID><SubGroupID>4484</SubGroupID><ARTGs><ARTG>386870</ARTG><ARTG>391675</ARTG></ARTGs><MinimumBenefit>161</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>PQ001</BillingCode><Name>Reactiv8 Magnet</Name><Description>Communication Magnet</Description><Size>One size</Size><SupplierCode>PQ</SupplierCode><CategoryID>25</CategoryID><SubCategoryID>222</SubCategoryID><GroupID>1678</GroupID><SubGroupID>4485</SubGroupID><ARTGs><ARTG>327094</ARTG></ARTGs><MinimumBenefit>1264</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2020-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SJ433</BillingCode><Name>ANS Spinal Cord Stimulation System (SCS) GENESIS</Name><Description>Communication Magnet 1210</Description><Size> One type only</Size><SupplierCode>SJ</SupplierCode><CategoryID>25</CategoryID><SubCategoryID>222</SubCategoryID><GroupID>1678</GroupID><SubGroupID>4485</SubGroupID><ARTGs><ARTG>267026</ARTG><ARTG>342820</ARTG></ARTGs><MinimumBenefit>1264</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>WW020</BillingCode><PriorBillingCodes><PriorBillingCode>ER536</PriorBillingCode></PriorBillingCodes><Name>Senza Omnia Patient Remote</Name><Description>Handheld, battery operated unit able to communicate via radiofrequency with the Senza Omnia IPG,  </Description><Size>One size only</Size><SupplierCode>WW</SupplierCode><CategoryID>25</CategoryID><SubCategoryID>222</SubCategoryID><GroupID>1678</GroupID><SubGroupID>4485</SubGroupID><ARTGs><ARTG>330708</ARTG></ARTGs><MinimumBenefit>1264</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2023-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>WW008</BillingCode><PriorBillingCodes><PriorBillingCode>ER009</PriorBillingCode></PriorBillingCodes><Name>Nevro Spinal Cord Stimulation System (SCSS) - Patient Remote Kit</Name><Description>The patient remote control is a handheld, battery operated unit able to communicate via radiofrequency (RF) with the Implantable Pulse Generator and trial stimulator</Description><Size>N/A</Size><SupplierCode>WW</SupplierCode><CategoryID>25</CategoryID><SubCategoryID>222</SubCategoryID><GroupID>1678</GroupID><SubGroupID>4485</SubGroupID><ARTGs><ARTG>185994</ARTG></ARTGs><MinimumBenefit>1264</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2023-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MI502</BillingCode><Name>Medtronic Patient Wireless Recharger System</Name><Description>Recharging system for rechargeable implantable neurostimulators (model RS7200) that comprises a Wireless Recharger and Charging Dock</Description><Size>One size only</Size><SupplierCode>MI</SupplierCode><CategoryID>25</CategoryID><SubCategoryID>222</SubCategoryID><GroupID>1678</GroupID><SubGroupID>4497</SubGroupID><ARTGs><ARTG>387302</ARTG></ARTGs><MinimumBenefit>1215</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2023-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MI277</BillingCode><Name>Intellis Rechargeable Neurostimulation System - RTM Recharger</Name><Description>External Patient Recharger Model 97755</Description><Size>One size only</Size><SupplierCode>MI</SupplierCode><CategoryID>25</CategoryID><SubCategoryID>222</SubCategoryID><GroupID>1678</GroupID><SubGroupID>4497</SubGroupID><ARTGs><ARTG>397990</ARTG></ARTGs><MinimumBenefit>1215</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SJ352</BillingCode><Name>Eon Charging System 3726</Name><Description>Eon Charging System </Description><Size>One size</Size><SupplierCode>SJ</SupplierCode><CategoryID>25</CategoryID><SubCategoryID>222</SubCategoryID><GroupID>1678</GroupID><SubGroupID>4497</SubGroupID><ARTGs><ARTG>233616</ARTG></ARTGs><MinimumBenefit>1215</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2015-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SJ342</BillingCode><Name>Eon Mini Charger </Name><Description>Charger to recharge Implantable Pulse Generator</Description><Size>One size</Size><SupplierCode>SJ</SupplierCode><CategoryID>25</CategoryID><SubCategoryID>222</SubCategoryID><GroupID>1678</GroupID><SubGroupID>4497</SubGroupID><ARTGs><ARTG>221544</ARTG></ARTGs><MinimumBenefit>1215</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2014-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ659</BillingCode><Name>Eterna Charger</Name><Description>Eterna charger for use with Eterna IPG</Description><Size>One size</Size><SupplierCode>SJ</SupplierCode><CategoryID>25</CategoryID><SubCategoryID>222</SubCategoryID><GroupID>1678</GroupID><SubGroupID>4497</SubGroupID><ARTGs><ARTG>440131</ARTG></ARTGs><MinimumBenefit>1215</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2024-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>WW019</BillingCode><PriorBillingCodes><PriorBillingCode>ER540</PriorBillingCode></PriorBillingCodes><Name>Senza Omnia Charger</Name><Description>Battery powered rechargeable device intended to recharge the Senza Omnia IPG battery transcutaneously</Description><Size>One size only</Size><SupplierCode>WW</SupplierCode><CategoryID>25</CategoryID><SubCategoryID>222</SubCategoryID><GroupID>1678</GroupID><SubGroupID>4497</SubGroupID><ARTGs><ARTG>328684</ARTG></ARTGs><MinimumBenefit>1215</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2023-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>UY005</BillingCode><Name>Evoke Charger (AU)</Name><Description>External recharging system for an implantable closed-loop stimulator.  </Description><Size>N/A</Size><SupplierCode>UY</SupplierCode><CategoryID>25</CategoryID><SubCategoryID>222</SubCategoryID><GroupID>1678</GroupID><SubGroupID>4497</SubGroupID><ARTGs><ARTG>338061</ARTG></ARTGs><MinimumBenefit>1215</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2020-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BS143</BillingCode><Name>Precision SCS External Patient Recharger System</Name><Description>External Patient Recharging System: Base Station, Charger, Cradle power supply, charger base station.</Description><Size>One size only</Size><SupplierCode>BS</SupplierCode><CategoryID>25</CategoryID><SubCategoryID>222</SubCategoryID><GroupID>1678</GroupID><SubGroupID>4497</SubGroupID><ARTGs><ARTG>149462</ARTG><ARTG>155857</ARTG><ARTG>155859</ARTG><ARTG>155924</ARTG></ARTGs><MinimumBenefit>1215</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2009-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>WW007</BillingCode><PriorBillingCodes><PriorBillingCode>ER008</PriorBillingCode></PriorBillingCodes><Name>Nevro Spinal Cord Stimulation System (SCSS) - Charger Kit</Name><Description>The Charger is a battery powered rechargeable device intended to recharge the Implantable Pulse Generator (IPG) battery transcutaneously</Description><Size>N/A</Size><SupplierCode>WW</SupplierCode><CategoryID>25</CategoryID><SubCategoryID>222</SubCategoryID><GroupID>1678</GroupID><SubGroupID>4497</SubGroupID><ARTGs><ARTG>181182</ARTG></ARTGs><MinimumBenefit>1215</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2023-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MI280</BillingCode><Name>Intellis Wireless External Neurostimulator</Name><Description>Wireless External Neurostimulator</Description><Size>One size only</Size><SupplierCode>MI</SupplierCode><CategoryID>25</CategoryID><SubCategoryID>222</SubCategoryID><GroupID>1678</GroupID><SubGroupID>5854</SubGroupID><ARTGs><ARTG>293256</ARTG></ARTGs><MinimumBenefit>1083</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>WW015</BillingCode><PriorBillingCodes><PriorBillingCode>ER649</PriorBillingCode></PriorBillingCodes><Name>Nevro® Senza® Bluetooth® Trial Stimulator</Name><Description>Sterile, single-use trial stimulator device </Description><Size>One size only</Size><SupplierCode>WW</SupplierCode><CategoryID>25</CategoryID><SubCategoryID>222</SubCategoryID><GroupID>1678</GroupID><SubGroupID>5854</SubGroupID><ARTGs><ARTG>388432</ARTG></ARTGs><MinimumBenefit>1083</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2023-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SC001</BillingCode><Name>BULKAMID Urethral Bulking System</Name><Description>Transparent polyacrylamide gel for female urinary incontinence. Kit comprises 2 syringe, 2 needles, 1 applicator</Description><Size>2 x 1ml syringes, 2 x BULKAMID 23G needles, 1 x disposable sheath</Size><SupplierCode>SC</SupplierCode><CategoryID>26</CategoryID><SubCategoryID>226</SubCategoryID><GroupID>1699</GroupID><SubGroupID>5318</SubGroupID><ARTGs><ARTG>152085</ARTG></ARTGs><MinimumBenefit>1009</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2014-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ET053</BillingCode><Name>Macroplastique</Name><Description>Sterile, textured, highly cross linked polydimethylsiloxane elastomer implants suspended in a bio-excretable carrier gel.</Description><Size>2.5ml Implants</Size><SupplierCode>ET</SupplierCode><CategoryID>26</CategoryID><SubCategoryID>226</SubCategoryID><GroupID>1699</GroupID><SubGroupID>5319</SubGroupID><ARTGs><ARTG>146732</ARTG></ARTGs><MinimumBenefit>1262</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2007-12-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ET050</BillingCode><Name>ARGUS</Name><Description>Adjustable Male Sling made of silicone adjustable self fixating columns and urethral cushion</Description><Size>One size only</Size><SupplierCode>ET</SupplierCode><CategoryID>26</CategoryID><SubCategoryID>226</SubCategoryID><GroupID>1698</GroupID><SubGroupID>5314</SubGroupID><ARTGs><ARTG>118082</ARTG></ARTGs><MinimumBenefit>5432</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>AM048</BillingCode><Name>AdVance XP Male Sling System</Name><Description>Sub-urethral sling implant for treatment of male stress urinary incontinence. Made from polypropylene monofilament mesh</Description><Size>Arm width: 1.2cm, Centre width: 3.55cm, Total Length: 35.5cm, 43.5cm</Size><SupplierCode>BS</SupplierCode><CategoryID>26</CategoryID><SubCategoryID>226</SubCategoryID><GroupID>1698</GroupID><SubGroupID>5314</SubGroupID><ARTGs><ARTG>388078</ARTG><ARTG>388082</ARTG></ARTGs><MinimumBenefit>5432</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2007-12-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MN039</BillingCode><Name>GYNECARE TVT™ ABBREVO™ Continence System</Name><Description>Female stress urinary incontinence surgical mesh</Description><Size>459.91 mm X 545.9 mm</Size><SupplierCode>JJ</SupplierCode><CategoryID>26</CategoryID><SubCategoryID>226</SubCategoryID><GroupID>1698</GroupID><SubGroupID>5315</SubGroupID><ARTGs><ARTG>351638</ARTG></ARTGs><MinimumBenefit>822</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2011-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BS402</BillingCode><Name>Advantage </Name><Description>Transvaginal Mid-Urethral Sling System with Blue Prolene Polypropylene Mesh</Description><Size>One size only</Size><SupplierCode>BS</SupplierCode><CategoryID>26</CategoryID><SubCategoryID>226</SubCategoryID><GroupID>1698</GroupID><SubGroupID>5315</SubGroupID><ARTGs><ARTG>373424</ARTG></ARTGs><MinimumBenefit>822</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BS403</BillingCode><Name>Obtryx II </Name><Description>Transobturator Mid-Urethral Sling System with Blue Prolene Polypropylene Mesh</Description><Size>One size only</Size><SupplierCode>BS</SupplierCode><CategoryID>26</CategoryID><SubCategoryID>226</SubCategoryID><GroupID>1698</GroupID><SubGroupID>5315</SubGroupID><ARTGs><ARTG>373426</ARTG></ARTGs><MinimumBenefit>822</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BS404</BillingCode><Name>Advantage Fit</Name><Description>Transvaginal Mid-Urethral Sling System with Blue Prolene Polypropylene Mesh    </Description><Size>One size only</Size><SupplierCode>BS</SupplierCode><CategoryID>26</CategoryID><SubCategoryID>226</SubCategoryID><GroupID>1698</GroupID><SubGroupID>5315</SubGroupID><ARTGs><ARTG>373425</ARTG></ARTGs><MinimumBenefit>822</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>JJ070</BillingCode><Name>GYNECARE TVT™: Device Tension Free Vaginal Tape / EXACT™ Continence System</Name><Description>Female stress urinary incontinence surgical mesh</Description><Size>Tape - 133 mm (W) x 190 mm (H); EXACT™ - Flat:460 mm (W) x 546 mm (H)</Size><SupplierCode>JJ</SupplierCode><CategoryID>26</CategoryID><SubCategoryID>226</SubCategoryID><GroupID>1698</GroupID><SubGroupID>5315</SubGroupID><ARTGs><ARTG>351636</ARTG><ARTG>351635</ARTG></ARTGs><MinimumBenefit>822</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>JJ442</BillingCode><Name>GYNECARE TVT™ Obturator System</Name><Description>Female stress urinary incontinence surgical mesh</Description><Size>461.86 mm X 548.96 mm</Size><SupplierCode>JJ</SupplierCode><CategoryID>26</CategoryID><SubCategoryID>226</SubCategoryID><GroupID>1698</GroupID><SubGroupID>5315</SubGroupID><ARTGs><ARTG>351637</ARTG></ARTGs><MinimumBenefit>822</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>KT046</BillingCode><Name>Martin Level One Fixation</Name><Description>Mesh PDLLA resorbable</Description><Size>0.5-0.8mm thick, 26-50cm²</Size><SupplierCode>KT</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>199</SubCategoryID><GroupID>1586</GroupID><SubGroupID>4227</SubGroupID><ARTGs><ARTG>143326</ARTG></ARTGs><MinimumBenefit>1182</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2015-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SY547</BillingCode><Name>PolyMax Rapid-Resorbable Fixation System</Name><Description>Mesh Plate</Description><Size>0.5-0.8mm</Size><SupplierCode>JJ</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>199</SubCategoryID><GroupID>1586</GroupID><SubGroupID>4228</SubGroupID><ARTGs><ARTG>167547</ARTG></ARTGs><MinimumBenefit>1865</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2010-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>KT048</BillingCode><Name>Martin Level One Fixation</Name><Description>Mesh PDLLA resorbable</Description><Size>0.5-0.8mm thick, 101-200cm²</Size><SupplierCode>KT</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>199</SubCategoryID><GroupID>1586</GroupID><SubGroupID>4229</SubGroupID><ARTGs><ARTG>143326</ARTG></ARTGs><MinimumBenefit>2018</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2015-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>WM005</BillingCode><Name>Osteoplug-C</Name><Description>A Bone void filler indicated for the repair of neurosurgical burr holes.</Description><Size>Length 8-15 (mm):  Width 8-15 (mm):Height 4-5 (mm)</Size><SupplierCode>WM</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>199</SubCategoryID><GroupID>1586</GroupID><SubGroupID>4230</SubGroupID><ARTGs><ARTG>334287</ARTG></ARTGs><MinimumBenefit>569</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>KT044</BillingCode><Name>Martin Level One Fixation</Name><Description>Mesh PDLLA resorbable</Description><Size>&gt;0.8mm thick, 1-10cm²</Size><SupplierCode>KT</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>199</SubCategoryID><GroupID>1586</GroupID><SubGroupID>4230</SubGroupID><ARTGs><ARTG>143326</ARTG></ARTGs><MinimumBenefit>569</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2015-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>WM004</BillingCode><Name>Osteoplug</Name><Description>A bone void filler indicated for the repair of neurosurgical burr holes and other cranial  defects. It is used to aid closure of post trephination burr hole defects.</Description><Size> Length 8-100(mm): Width 2-10(mm) Height 4-5 (mm)</Size><SupplierCode>WM</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>199</SubCategoryID><GroupID>1586</GroupID><SubGroupID>4230</SubGroupID><ARTGs><ARTG>334286</ARTG></ARTGs><MinimumBenefit>569</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>WM001</BillingCode><Name>Osteomesh</Name><Description>A scaffold bone void filler used to fill cranial defects.</Description><Size>Length (mm) 20-60 Height (mm) 1-5 Width (mm) 10-30  </Size><SupplierCode>WM</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>199</SubCategoryID><GroupID>1586</GroupID><SubGroupID>4230</SubGroupID><ARTGs><ARTG>334285</ARTG></ARTGs><MinimumBenefit>569</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-11-01</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>IG184</BillingCode><PriorBillingCodes><PriorBillingCode>JJ934</PriorBillingCode></PriorBillingCodes><Name>Codman Hydrocephalus Connectors</Name><Description>Metal and plastic connectors</Description><Size>8mm to 20mm length</Size><SupplierCode>IG</SupplierCode><CategoryID>25</CategoryID><SubCategoryID>220</SubCategoryID><GroupID>1671</GroupID><SubGroupID>4470</SubGroupID><ARTGs><ARTG>150104</ARTG><ARTG>140901</ARTG></ARTGs><MinimumBenefit>34</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BB334</BillingCode><Name>Miethke Titanium connectors - right angled / shaped</Name><Description>In general, titanium connectors are preferably used with catheters of internal diameter 1.2m and external diameter 2.5mm.  Step-down connectors are designed for connecting standard catheters to lumbar catheters.  L-P connectors are designed for connecting two lumbar catheters to each other.</Description><Size>1.9mm</Size><SupplierCode>BB</SupplierCode><CategoryID>25</CategoryID><SubCategoryID>220</SubCategoryID><GroupID>1671</GroupID><SubGroupID>4470</SubGroupID><ARTGs><ARTG>194850</ARTG></ARTGs><MinimumBenefit>34</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2013-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MI022</BillingCode><Name>Shunt Component Connector</Name><Description>Connectors, fixation tabs</Description><Size>Various</Size><SupplierCode>MI</SupplierCode><CategoryID>25</CategoryID><SubCategoryID>220</SubCategoryID><GroupID>1671</GroupID><SubGroupID>4470</SubGroupID><ARTGs><ARTG>128403</ARTG><ARTG>128523</ARTG><ARTG>95539</ARTG><ARTG>134760</ARTG></ARTGs><MinimumBenefit>34</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2011-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BB328</BillingCode><Name>Miethke Titanium connectors &amp; deflectors</Name><Description>Titanium, (MRI safe 3 tesla), deflector allows 90 degree deflection of the ventricular catheter in the burr hole without kinking, adjustable on length of catheter, suture fixture hole</Description><Size>Radio-opaque titanium, connector diameter: 1,9mm for use with catheters of id = 1.2mm; of id 1.2mm; od = 2.5mm</Size><SupplierCode>BB</SupplierCode><CategoryID>25</CategoryID><SubCategoryID>220</SubCategoryID><GroupID>1671</GroupID><SubGroupID>4470</SubGroupID><ARTGs><ARTG>181719</ARTG></ARTGs><MinimumBenefit>34</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>IG022</BillingCode><Name>Connectors</Name><Description>Silicone and Stainless Steel</Description><Size>Straight, right angle, Y, T</Size><SupplierCode>IG</SupplierCode><CategoryID>25</CategoryID><SubCategoryID>220</SubCategoryID><GroupID>1671</GroupID><SubGroupID>4470</SubGroupID><ARTGs><ARTG>151592</ARTG></ARTGs><MinimumBenefit>34</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2010-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>IG052</BillingCode><Name>Electa right angle guide</Name><Description>Silicone</Description><Size>One Size Only</Size><SupplierCode>IG</SupplierCode><CategoryID>25</CategoryID><SubCategoryID>220</SubCategoryID><GroupID>1671</GroupID><SubGroupID>4471</SubGroupID><ARTGs><ARTG>151661</ARTG></ARTGs><MinimumBenefit>181</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2010-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>KG032</BillingCode><PriorBillingCodes><PriorBillingCode>DE183</PriorBillingCode></PriorBillingCodes><Name>Lid Load Gold Eyelid Weights;</Name><Description>Gold</Description><Size>0.6, 0.8, 1.0, 1.2, 1.4, 1.6 grams</Size><SupplierCode>KG</SupplierCode><CategoryID>1</CategoryID><SubCategoryID>145</SubCategoryID><GroupID>1336</GroupID><SubGroupID>3900</SubGroupID><ARTGs><ARTG>337652</ARTG></ARTGs><MinimumBenefit>384</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2020-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SO047</BillingCode><Name>Meddev Eyelid Weight, Implantable</Name><Description>Thin Profile eyelid implants for patients with facial palsy</Description><Size>Gold Thin 0.6, 0.8, 1.0, 1.2, 1.4, 1.6g</Size><SupplierCode>SO</SupplierCode><CategoryID>1</CategoryID><SubCategoryID>145</SubCategoryID><GroupID>1336</GroupID><SubGroupID>3900</SubGroupID><ARTGs><ARTG>212173</ARTG></ARTGs><MinimumBenefit>384</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2014-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>KG033</BillingCode><PriorBillingCodes><PriorBillingCode>DE182</PriorBillingCode></PriorBillingCodes><Name>Lid Load Gold Eyelid Weights;</Name><Description>Gold</Description><Size>1.8, 2.0, 2.2, 2.4, 2.6, 2.8 grams</Size><SupplierCode>KG</SupplierCode><CategoryID>1</CategoryID><SubCategoryID>145</SubCategoryID><GroupID>1336</GroupID><SubGroupID>3901</SubGroupID><ARTGs><ARTG>337652</ARTG></ARTGs><MinimumBenefit>722</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2020-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SO046</BillingCode><Name>Meddev Eyelid Weight, Implantable</Name><Description>Contour eyelid implants for patients with facial palsy.</Description><Size>Contour Gold 1.8, 2.0, 2.2, 2.4, 2.6, 2.8g</Size><SupplierCode>SO</SupplierCode><CategoryID>1</CategoryID><SubCategoryID>145</SubCategoryID><GroupID>1336</GroupID><SubGroupID>3901</SubGroupID><ARTGs><ARTG>212173</ARTG></ARTGs><MinimumBenefit>722</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2014-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SO048</BillingCode><Name>Meddev Eyelid Weight, Implantable Platinum</Name><Description>Platinum Contour and Thin Profile eyelid implants for patients with facial palsy</Description><Size>Platinum Thin 0.6, 0.8, 1.0, 1.2, 1.4, 1.6, 1.8g  Contour Platinum 1.8, 2.0, 2.2, 2.4, 2.6, 2.8g</Size><SupplierCode>SO</SupplierCode><CategoryID>1</CategoryID><SubCategoryID>145</SubCategoryID><GroupID>1336</GroupID><SubGroupID>3902</SubGroupID><ARTGs><ARTG>212173</ARTG></ARTGs><MinimumBenefit>1173</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2014-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>DE584</BillingCode><Name>ALOS Eyelid Implants - Platinum</Name><Description>Platinum Eyelid Implants</Description><Size>0.6, 0.8, 1.0, 1.2, 1.4, 1.6, 1.8 grams</Size><SupplierCode>DE</SupplierCode><CategoryID>1</CategoryID><SubCategoryID>145</SubCategoryID><GroupID>1336</GroupID><SubGroupID>3902</SubGroupID><ARTGs><ARTG>290117</ARTG></ARTGs><MinimumBenefit>1173</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ431</BillingCode><PriorBillingCodes><PriorBillingCode>RC001</PriorBillingCode></PriorBillingCodes><Name>LIDCHAIN Platinum Eyelid Implant</Name><Description>Platinum</Description><Size>Weights - 0.8, 1.0, 1.2, 1.4, 1.6, 1.8 grams</Size><SupplierCode>LX</SupplierCode><CategoryID>1</CategoryID><SubCategoryID>145</SubCategoryID><GroupID>1336</GroupID><SubGroupID>3902</SubGroupID><ARTGs><ARTG>182945</ARTG></ARTGs><MinimumBenefit>1173</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2011-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>IQ033</BillingCode><PriorBillingCodes><PriorBillingCode>EG019</PriorBillingCode><PriorBillingCode>EG008</PriorBillingCode></PriorBillingCodes><Name>Artisan Toric (Custom) T1</Name><Description>AC Iris clip IOL Toric</Description><Size>5.00mm Optic Diameter x 7.5 Overall</Size><SupplierCode>IQ</SupplierCode><CategoryID>1</CategoryID><SubCategoryID>140</SubCategoryID><GroupID>1325</GroupID><SubGroupID>3888</SubGroupID><Suffix>t1, ifc</Suffix><ARTGs><ARTG>92476</ARTG></ARTGs><ChangeExplanation>
Billing code transferred from EG019
Sponsor transferred from Emagin Pty Ltd</ChangeExplanation><MinimumBenefit>934</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2015-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>IQ034</BillingCode><PriorBillingCodes><PriorBillingCode>EG020</PriorBillingCode><PriorBillingCode>EG008</PriorBillingCode></PriorBillingCodes><Name>Artisan Toric (Custom) T2</Name><Description>AC Iris clip IOL Toric</Description><Size>5.00mm Optic Diameter x 7.5 Overall</Size><SupplierCode>IQ</SupplierCode><CategoryID>1</CategoryID><SubCategoryID>140</SubCategoryID><GroupID>1325</GroupID><SubGroupID>3888</SubGroupID><Suffix>t2, ifc</Suffix><ARTGs><ARTG>92476</ARTG></ARTGs><ChangeExplanation>
Billing code transferred from EG020
Sponsor transferred from Emagin Pty Ltd</ChangeExplanation><MinimumBenefit>1180</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2015-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>IQ031</BillingCode><PriorBillingCodes><PriorBillingCode>EG012</PriorBillingCode></PriorBillingCodes><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>IQ</SupplierCode><CategoryID>1</CategoryID><SubCategoryID>140</SubCategoryID><GroupID>1325</GroupID><SubGroupID>3888</SubGroupID><ARTGs><ARTG>92476</ARTG></ARTGs><ChangeExplanation>
Billing code transferred from EG012
Sponsor transferred from Emagin Pty Ltd</ChangeExplanation><MinimumBenefit>552</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2010-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>IQ030</BillingCode><PriorBillingCodes><PriorBillingCode>EG010</PriorBillingCode></PriorBillingCodes><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>IQ</SupplierCode><CategoryID>1</CategoryID><SubCategoryID>140</SubCategoryID><GroupID>1325</GroupID><SubGroupID>3889</SubGroupID><ARTGs><ARTG>92476</ARTG></ARTGs><ChangeExplanation>
Billing code transferred from EG010
Sponsor transferred from Emagin Pty Ltd</ChangeExplanation><MinimumBenefit>565</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2006-03-24</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>CZ016</BillingCode><Name>CT ASPHINA 409M</Name><Description>ZEISS Micro Incision Aspheric (aberration neutral) IOL: Foldable, square-edged, single piece IOL for capsular bag fixation</Description><Size>6mm optic, 11mm overall diameter. Diopter range 0.0 to +32.0D (0.5D steps from 10.0 to 30.0D, 1.0D outside this range)</Size><SupplierCode>CZ</SupplierCode><CategoryID>1</CategoryID><SubCategoryID>141</SubCategoryID><GroupID>1327</GroupID><SubGroupID>3890</SubGroupID><Suffix>at</Suffix><ARTGs><ARTG>151348</ARTG></ARTGs><MinimumBenefit>263</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2009-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ287</BillingCode><Name>AT TORBI 719MP (Standard Range)</Name><Description>Bitoric, preloaded, micro incision, aspheric (aberration neutral), foldable, square-edged,
single-piece IOL for capsular bag fixation</Description><Size>Spherical Equivalent (SE) -8.0 to +28.0 D, 0.5 D increments Cylinder +1.0 to +4.0 D, 0.5 D increments Optic size: 6.0mm, Overall length: 11.0mm</Size><SupplierCode>CZ</SupplierCode><CategoryID>1</CategoryID><SubCategoryID>141</SubCategoryID><GroupID>1327</GroupID><SubGroupID>3890</SubGroupID><Suffix>at, pl, t1</Suffix><ARTGs><ARTG>151348</ARTG></ARTGs><MinimumBenefit>549</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2024-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>CZ017</BillingCode><Name>CT ASPHINA 509M</Name><Description>ZEISS Micro Incision Aspheric (aberration correcting) IOL: Foldable, square-edged, single piece IOL for capsular bag fixation</Description><Size>6mm Optic, 11mm overall diameter. Diopter range 0.0 to +32.0D (0.5D steps from 10.0 to 30.0D, 1.0D outside this range)</Size><SupplierCode>CZ</SupplierCode><CategoryID>1</CategoryID><SubCategoryID>141</SubCategoryID><GroupID>1327</GroupID><SubGroupID>3890</SubGroupID><Suffix>at</Suffix><ARTGs><ARTG>151348</ARTG></ARTGs><MinimumBenefit>263</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2009-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>CZ040</BillingCode><Name>CT SPHERIS 209M</Name><Description>Micro incision, Spherical aberrated, foldable square-edged single-piece intraocular lens for capsular bag fixation.</Description><Size>Diopter range :0.00 to + 32.0. Optic Size : 6mm  Overall Length  : 11mm</Size><SupplierCode>CZ</SupplierCode><CategoryID>1</CategoryID><SubCategoryID>141</SubCategoryID><GroupID>1327</GroupID><SubGroupID>3890</SubGroupID><ARTGs><ARTG>151348</ARTG></ARTGs><MinimumBenefit>232</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2015-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>CZ028</BillingCode><Name>CT ASPHINA 409MP</Name><Description>Preloaded, micro incision, aspheric (aberration neutral), foldable square-edged single piece intraocular lens for capsular bag fixation.</Description><Size>Diopter range: 0.0 to 32.0D; Optic size: 6.0mm; Overall length: 11.0mm</Size><SupplierCode>CZ</SupplierCode><CategoryID>1</CategoryID><SubCategoryID>141</SubCategoryID><GroupID>1327</GroupID><SubGroupID>3890</SubGroupID><Suffix>at, pl</Suffix><ARTGs><ARTG>151348</ARTG></ARTGs><MinimumBenefit>270</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2011-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>CZ031</BillingCode><Name>AT TORBI 709MP (Standard Range)</Name><Description>Bitoric, preloaded, micro incision, aspheric (aberration neutral), foldable, square-edged, single-piece IOL for capsular bag fixation</Description><Size>Diopter range: Sph -10.0 to 32.0, Cyl +1.0 to 6.5
Optic size: 6.0mm, Overall length: 11.0mm</Size><SupplierCode>CZ</SupplierCode><CategoryID>1</CategoryID><SubCategoryID>141</SubCategoryID><GroupID>1327</GroupID><SubGroupID>3890</SubGroupID><Suffix>at, pl, t1</Suffix><ARTGs><ARTG>151348</ARTG></ARTGs><MinimumBenefit>549</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2011-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>TW012</BillingCode><PriorBillingCodes><PriorBillingCode>EG016</PriorBillingCode></PriorBillingCodes><Name>ARTIS PL E</Name><Description>Preloaded Intraocular lens</Description><Size>0 to 35D</Size><SupplierCode>TW</SupplierCode><CategoryID>1</CategoryID><SubCategoryID>141</SubCategoryID><GroupID>1327</GroupID><SubGroupID>3890</SubGroupID><Suffix>at, pl</Suffix><ARTGs><ARTG>226270</ARTG></ARTGs><MinimumBenefit>270</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2019-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>TW011</BillingCode><PriorBillingCodes><PriorBillingCode>EG015</PriorBillingCode></PriorBillingCodes><Name>ARTIS T PL</Name><Description>Preloaded Toric Intraocular lens</Description><Size>+18 to +25D / C +1.50D</Size><SupplierCode>TW</SupplierCode><CategoryID>1</CategoryID><SubCategoryID>141</SubCategoryID><GroupID>1327</GroupID><SubGroupID>3890</SubGroupID><Suffix>at, pl, t1</Suffix><ARTGs><ARTG>226270</ARTG></ARTGs><MinimumBenefit>549</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2019-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>CZ037</BillingCode><Name>CT ASPHINA 509MP</Name><Description>Preloaded, micro incision, aspheric (aberration correcting), foldable square-edged single-piece intraocular lens for capsular bag fixation</Description><Size>Diopter range: 0.0 to + 32.0D; Optic Size: 6.0mm; Overall length: 11.0mm</Size><SupplierCode>CZ</SupplierCode><CategoryID>1</CategoryID><SubCategoryID>141</SubCategoryID><GroupID>1327</GroupID><SubGroupID>3890</SubGroupID><Suffix>at, pl</Suffix><ARTGs><ARTG>134490</ARTG></ARTGs><MinimumBenefit>270</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2013-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>CZ027</BillingCode><Name>AT TORBI 709M</Name><Description>HIGH CYLINDER BITORIC - ZEISS Micro Incision Aspheric (aberration neutral) IOL: Foldable square edged, single piece IOL for capsular bag fixation</Description><Size>6mm optic, 11mm overall diameter.  Diopter range: Sph -10.0 to +32.0D, +7.0 to 12.0D (all 0.5D steps)</Size><SupplierCode>CZ</SupplierCode><CategoryID>1</CategoryID><SubCategoryID>141</SubCategoryID><GroupID>1327</GroupID><SubGroupID>3890</SubGroupID><Suffix>at, t2</Suffix><ARTGs><ARTG>151348</ARTG></ARTGs><MinimumBenefit>751</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2010-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ286</BillingCode><Name>AT TORBI 719M High Cyl</Name><Description>HIGH CYLINDER BITORIC - ZEISS Micro Incision Aspheric (aberration neutral) IOL: Foldable square edged, single piece IOL for capsular bag fixation</Description><Size>Spherical Equivalent (SE) -4.0 to +32.0 D, 0.5 D increments Cylinder +7.0 to +12.0 D, 0.5 D increments Optic size: 6.0mm, Overall length: 11.0mm</Size><SupplierCode>CZ</SupplierCode><CategoryID>1</CategoryID><SubCategoryID>141</SubCategoryID><GroupID>1327</GroupID><SubGroupID>3890</SubGroupID><Suffix>at, t2</Suffix><ARTGs><ARTG>151348</ARTG></ARTGs><MinimumBenefit>751</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2024-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ288</BillingCode><Name>AT TORBI 719M (Standard Range)</Name><Description>STANDARD RANGE BITORIC - ZEISS Micro Incision Aspheric (aberration neutral) IOL: Foldable, square-edged, single piece IOL for capsular bag fixation</Description><Size>Spherical Equivalent (SE) Diopter range: Sph -4.0 to +32.0D, 0.5D increments, Cylinder (cyl) +1.0 to 6.5D, 0.5 D increments, Optic size: 6.0mm, Overall length: 11.0mm</Size><SupplierCode>CZ</SupplierCode><CategoryID>1</CategoryID><SubCategoryID>141</SubCategoryID><GroupID>1327</GroupID><SubGroupID>3890</SubGroupID><Suffix>at, t1</Suffix><ARTGs><ARTG>151348</ARTG></ARTGs><MinimumBenefit>534</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2024-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>CZ020</BillingCode><Name>AT TORBI 709M</Name><Description>STANDARD RANGE BITORIC - ZEISS Micro Incision Aspheric (abberation neutral) IOL: Foldable, square-edged, single piece IOL for capsular bag fixation</Description><Size>6mm optic, 11mm overall diameter. Diopter range: Sph -10.0 to +32.0D, Cyl +1.0 to 6.5D (all 0.5D steps)</Size><SupplierCode>CZ</SupplierCode><CategoryID>1</CategoryID><SubCategoryID>141</SubCategoryID><GroupID>1327</GroupID><SubGroupID>3890</SubGroupID><Suffix>at, t1</Suffix><ARTGs><ARTG>151348</ARTG></ARTGs><MinimumBenefit>534</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2010-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BL026</BillingCode><Name>Akreos AO Micro Incision Lens</Name><Description>Micro Incision, posterior chamber, foldable acrylic, aphakic, anterior &amp; posterior edge modification, preloaded, with aberration control, intraocular lens</Description><Size>6mm optic overall diameter 11.0mm(10D-15D), 10.7mm (15.50-22D), 10.5mm (22.50-30D)</Size><SupplierCode>LL</SupplierCode><CategoryID>1</CategoryID><SubCategoryID>141</SubCategoryID><GroupID>1327</GroupID><SubGroupID>3890</SubGroupID><Suffix>at, pl</Suffix><ARTGs><ARTG>98915</ARTG></ARTGs><MinimumBenefit>270</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2007-06-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>AO051</BillingCode><Name>TECNIS Eyhance Toric II Simplicity</Name><Description>1-piece enhanced monofocal pre-loaded IOL</Description><Size>+05.0 D to +34.0 D in 0.5 D increments. overall diameter: 13mm, optic size 6mm. Cylinder power: 7.00 D, 8.00 D</Size><SupplierCode>AO</SupplierCode><CategoryID>1</CategoryID><SubCategoryID>141</SubCategoryID><GroupID>1327</GroupID><SubGroupID>3892</SubGroupID><Suffix>at, t2, pl</Suffix><ARTGs><ARTG>412991</ARTG></ARTGs><MinimumBenefit>793</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2023-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SO083</BillingCode><Name>Aspira-aXA Preloaded</Name><Description>Preloaded posterior chamber IOL, foldable, UV absorber, Aspheric, aberration technology, 360  LEC barrier, HD optic</Description><Size>0 to +30.0 D</Size><SupplierCode>SO</SupplierCode><CategoryID>1</CategoryID><SubCategoryID>141</SubCategoryID><GroupID>1327</GroupID><SubGroupID>3892</SubGroupID><Suffix>at, pl</Suffix><ARTGs><ARTG>227764</ARTG></ARTGs><MinimumBenefit>239</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2020-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>KG027</BillingCode><Name>RayOne Toric Aspheric preloaded - Premium/Made to Order</Name><Description>Single piece preloaded aspheric toric acrylic IOL, UV absorbing, 360 square edge, anti-vaulting haptics</Description><Size>-9.5 to +34.5 D SE (subject to sphere power)  +7 to +11 cylinder  Further pre-selected SE/cylinder combinations are available above and below the stated SE range.</Size><SupplierCode>KG</SupplierCode><CategoryID>1</CategoryID><SubCategoryID>141</SubCategoryID><GroupID>1327</GroupID><SubGroupID>3892</SubGroupID><Suffix>at, t2, pl</Suffix><ARTGs><ARTG>220612</ARTG></ARTGs><MinimumBenefit>793</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2020-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>DE674</BillingCode><Name>LENTIS Tplus LU-814T</Name><Description>Foldable one-piece acrylic posterior chamber aspheric toric IOL for capsular bag, sulcus and sulcus-sclera fixation.</Description><Size>Optic size: 6.2mm ,-10.0D to +23.0D (SEQ), 5.5mm +23.01D to +35.0D (SEQ) Overall length: 13.0mm, Available Dioptres: sph. -10.0D to +35.0D (0.01D increments), cyl. +0.25D to +12.0D (0.01D increments), axis. 1 degree increments.</Size><SupplierCode>DE</SupplierCode><CategoryID>1</CategoryID><SubCategoryID>141</SubCategoryID><GroupID>1327</GroupID><SubGroupID>3892</SubGroupID><Suffix>at, t1</Suffix><ARTGs><ARTG>328681</ARTG></ARTGs><MinimumBenefit>514</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2019-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>WP002</BillingCode><Name>Primus-HD Toric Yellow</Name><Description>Preloaded Injector system, Biconvex optical with toric and high order coefficient aspheric surface IOL, foldable, one piece, hydrophobic acrylic, blue light filter, 360 square edge</Description><Size>IOL Cylinder powers are : +1.00D, +1.50D, +2.25D, +3.00D, +4.00D and +4.50D Cylinder powers at corneal plane are : +0.72D, +1.07D, +1.59D, +2.11D, +2.8D, and +3.15D</Size><SupplierCode>WP</SupplierCode><CategoryID>1</CategoryID><SubCategoryID>141</SubCategoryID><GroupID>1327</GroupID><SubGroupID>3892</SubGroupID><Suffix>at, pl, t1, vblf</Suffix><ARTGs><ARTG>397250</ARTG></ARTGs><ChangeExplanation>Change to Suffix,Change to Group benefit</ChangeExplanation><MinimumBenefit>585</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Update</ActionFlag><CycleStartDate>2023-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>AL032</BillingCode><Name>AcrySof IQ Toric IOL</Name><Description>Posterior chamber, UV absorbing, foldable, acrylic, toric, single piece lens with blue light protection and aspheric correction</Description><Size>+6 to +30 D spherical, +31.0 to +34.0 (1.0 D increments); 1.00 to 	6.00 D cylinder.</Size><SupplierCode>AL</SupplierCode><CategoryID>1</CategoryID><SubCategoryID>141</SubCategoryID><GroupID>1327</GroupID><SubGroupID>3892</SubGroupID><Suffix>at, t1, vblf</Suffix><ARTGs><ARTG>92318</ARTG></ARTGs><MinimumBenefit>471</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2009-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>AL056</BillingCode><Name>Clareon Toric Aspheric Hydrophobic Acrylic IOL </Name><Description>The Clareon Toric Aspheric Hydrophobic Acrylic IOL is a toric, UV-absorbing, blue light filtering, foldable, single-piece posterior chamber intraocular lens.</Description><Size>+6.0 to +30.0 diopters (in 0.5 diopter increments). Cylinder 1.00 – 6.00 diopters</Size><SupplierCode>AL</SupplierCode><CategoryID>1</CategoryID><SubCategoryID>141</SubCategoryID><GroupID>1327</GroupID><SubGroupID>3892</SubGroupID><Suffix>at, t1, vblf</Suffix><ARTGs><ARTG>92318</ARTG></ARTGs><MinimumBenefit>471</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>WP001</BillingCode><Name>ZOE</Name><Description>Preloaded Injector system, Posterior convex IOL, aspherical optic to correct far and intermediate vision, foldable, one piece, High purity hydrophobic acrylic, UV filter, 360 square edge</Description><Size>+5D to +36D in 0.5D increments</Size><SupplierCode>WP</SupplierCode><CategoryID>1</CategoryID><SubCategoryID>141</SubCategoryID><GroupID>1327</GroupID><SubGroupID>3892</SubGroupID><Suffix>at, pl</Suffix><ARTGs><ARTG>397250</ARTG></ARTGs><MinimumBenefit>239</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2023-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SO060</BillingCode><Name>HumanOptics Torica</Name><Description>Toric posterior chamber IOL, foldable, UV absorber, Aspheric, aberration technology, 360° LEC barrier, HD optic</Description><Size>Sphere -20D to +59D, Cylinder 1D to 6D</Size><SupplierCode>SO</SupplierCode><CategoryID>1</CategoryID><SubCategoryID>141</SubCategoryID><GroupID>1327</GroupID><SubGroupID>3892</SubGroupID><Suffix>at, t1</Suffix><ARTGs><ARTG>227764</ARTG></ARTGs><MinimumBenefit>514</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2015-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>AL045</BillingCode><Name>AcrySof Aspheric UV Absorbing Toric Intraocular Lens</Name><Description>AcrySof UV Absorbing Toric is a biconvex, toric, aspheric, UV-absorbing, single-piece, foldable, hydrophobic monofocal intraocular lens</Description><Size>+6.0 to +34.0 diopter</Size><SupplierCode>AL</SupplierCode><CategoryID>1</CategoryID><SubCategoryID>141</SubCategoryID><GroupID>1327</GroupID><SubGroupID>3892</SubGroupID><Suffix>at, t1</Suffix><ARTGs><ARTG>92318</ARTG></ARTGs><MinimumBenefit>514</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2019-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>VU010</BillingCode><PriorBillingCodes><PriorBillingCode>IS023</PriorBillingCode></PriorBillingCodes><Name>Medicontur BiFlex 677TAY Hydrophilic Acrylic Foldable Toric Lens with Blue light Filter</Name><Description>Posterior chamber IOL, 360° Special Square Edge,  Aspheric – Coma optimized – Toric</Description><Size>Optic diameter: 6.0 mm ±0.05 mm, Overall diameter: 13.0 mm ±0.10 mm  Powers available:  -10.0  -  +30.0 D ±0.25 D increment:  0.5 D  +31.0  - +35.0 D ±0.5 D increment:  1.0 D  Cylinders available:    +7.0 D - +9.0 D increment:  0.75 D  +9.0 D - +10.0 D increment:  1.0 D</Size><SupplierCode>VU</SupplierCode><CategoryID>1</CategoryID><SubCategoryID>141</SubCategoryID><GroupID>1327</GroupID><SubGroupID>3892</SubGroupID><Suffix>at, t2, vblf</Suffix><ARTGs><ARTG>221834</ARTG></ARTGs><MinimumBenefit>722</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>AL016</BillingCode><Name>Alcon Acrysof Natural Model SN60AT</Name><Description>Foldable Acrylic Single-piece Lens, asymmetric optic/consistent edge, with blue light protection</Description><Size>+6 to +40D</Size><SupplierCode>AL</SupplierCode><CategoryID>1</CategoryID><SubCategoryID>141</SubCategoryID><GroupID>1327</GroupID><SubGroupID>3892</SubGroupID><Suffix>vblf</Suffix><ARTGs><ARTG>92318</ARTG></ARTGs><MinimumBenefit>232</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>AL025</BillingCode><Name>AcrySof Multipiece Models MN60MA, MN60AC</Name><Description>Foldable Acrylic multi-piece Lens with Blue light Protection</Description><Size>- 5 D to + 30 D</Size><SupplierCode>AL</SupplierCode><CategoryID>1</CategoryID><SubCategoryID>141</SubCategoryID><GroupID>1327</GroupID><SubGroupID>3892</SubGroupID><Suffix>vblf</Suffix><ARTGs><ARTG>92318</ARTG></ARTGs><MinimumBenefit>232</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>DV268</BillingCode><Name>Hoya Vivinex iSert preloaded IOL (Model XC1)</Name><Description>Preloaded injector system, micro incision, aspheric, UV filtering, single piece, hydrophobic acrylic</Description><Size>+6.0 to 30.0 D (in 0.5D steps)</Size><SupplierCode>DV</SupplierCode><CategoryID>1</CategoryID><SubCategoryID>141</SubCategoryID><GroupID>1327</GroupID><SubGroupID>3892</SubGroupID><Suffix>at, pl</Suffix><ARTGs><ARTG>287542</ARTG></ARTGs><MinimumBenefit>239</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SO057</BillingCode><Name>HumanOptics Torica Y</Name><Description>Toric posterior chamber IOL, foldable, UV absorber, Aspheric, aberration technology, 360° LEC barrier, HD optic, Blue light filter</Description><Size>Sphere -20D to +59D, Cylinder 1D to 6D</Size><SupplierCode>SO</SupplierCode><CategoryID>1</CategoryID><SubCategoryID>141</SubCategoryID><GroupID>1327</GroupID><SubGroupID>3892</SubGroupID><Suffix>at, t1, vblf</Suffix><ARTGs><ARTG>227764</ARTG></ARTGs><MinimumBenefit>471</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2015-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BL032</BillingCode><Name>enVista Toric</Name><Description>The enVista toric (Model MX60T) is a one-piece glistening-free hydrophobic foldable IOL. The enVista Toric, model MX60T IOL has a Toric aspheric lens optic, a square posterior edge and modified C haptics, an overall diameter of 12.5mm and an optic body of 6.0mm.  It is available in multiple spherical and cylindrical powers.</Description><Size>Overall diameter is 12.5mm for the entire lens power range, with spherical equivalent powers from +6.0 to +30.0 Diopters in 0.5 Diopter steps and cylinder powers from +1D to 6D  Diopters (at the IOL plane).</Size><SupplierCode>LL</SupplierCode><CategoryID>1</CategoryID><SubCategoryID>141</SubCategoryID><GroupID>1327</GroupID><SubGroupID>3892</SubGroupID><Suffix>at, pl, t1</Suffix><ARTGs><ARTG>98915</ARTG></ARTGs><MinimumBenefit>530</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>AO042</BillingCode><Name>Tecnis Toric 1-Piece Pre-Loaded IOL</Name><Description>1-piece IOL Posterior chamber Intraocular lens , incorporates a proprietary wavefront designed toric aspheric optic with a squared posterior optic edge designed to provide 360 degree barrier. The edge of the optic has a frosted design to reduce potential edge glare effects.</Description><Size>+5.0 to +34.0 diopter powers in 0.5 diopter increments. Cylinder power: 1.00 diopter, 1.50 diopter, 2.25 diopter, 3.00 diopter, 3.75 diopter, 4.00 diopter, 4.50 diopter, 5.25 diopter and 6.00 diopter (as measured at the IOL plane). Overall diameter 13mm, Optic size 6mm.</Size><SupplierCode>AO</SupplierCode><CategoryID>1</CategoryID><SubCategoryID>141</SubCategoryID><GroupID>1327</GroupID><SubGroupID>3892</SubGroupID><Suffix>at, pl, t1</Suffix><ARTGs><ARTG>181845</ARTG></ARTGs><MinimumBenefit>530</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2016-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>AO050</BillingCode><Name>TECNIS Eyhance Toric II Simplicity</Name><Description>1-piece enhanced monofocal pre-loaded IOL</Description><Size>+05.0 D to +34.0 D in 0.5 D increments. overall diameter: 13mm, optic size 6mm. Cylinder power: 1.00 D, 1.50 D, 2.25 D, 3.00 D, 3.75 D, 4.5 D, 5.25 D, 6.00 D</Size><SupplierCode>AO</SupplierCode><CategoryID>1</CategoryID><SubCategoryID>141</SubCategoryID><GroupID>1327</GroupID><SubGroupID>3892</SubGroupID><Suffix>at, pl, t1</Suffix><ARTGs><ARTG>412991</ARTG></ARTGs><MinimumBenefit>530</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2023-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>VU004</BillingCode><Name>Medicontur Bi-Flex POB-MA Toric 877PT</Name><Description>Single piece posterior chamber hydrophobic acrylic monofocal toric intraocular lens. Preloaded with biconvex aspheric optic.</Description><Size>Powers: +10.0 D to +30.0 D in 0.5 diopter increments  Cylinder powers: 1.00 D, 1.50 D, 2.25 D, 3.00 D, 3.75 D, 4.50 D, 5.25 D, 6.00 D</Size><SupplierCode>VU</SupplierCode><CategoryID>1</CategoryID><SubCategoryID>141</SubCategoryID><GroupID>1327</GroupID><SubGroupID>3892</SubGroupID><Suffix>at, pl, t1</Suffix><ARTGs><ARTG>221834</ARTG></ARTGs><MinimumBenefit>530</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>KG016</BillingCode><Name>RayOne Toric (Model RAO610T)</Name><Description>Single piece preloaded aspheric toric acrylic IOL, UV absorbing, 360 square edge, anti-vaulting haptics</Description><Size>6mm optic, +8 ro +30 sphere, +1 to +6 cylinder in 0.5 steps</Size><SupplierCode>KG</SupplierCode><CategoryID>1</CategoryID><SubCategoryID>141</SubCategoryID><GroupID>1327</GroupID><SubGroupID>3892</SubGroupID><Suffix>at, pl, t1</Suffix><ARTGs><ARTG>220612</ARTG></ARTGs><MinimumBenefit>530</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>WP008</BillingCode><Name>Primus-HD Toric Clear</Name><Description>Preloaded Injector system, Biconvex optical with toric and high order coefficient aspheric surface IOL, foldable, one piece, hydrophobic acrylic, UV filter, 360 square edge</Description><Size>IOL Cylinder powers are : +1.00D, +1.50D, +2.25D, +3.00D, +4.00D and +4.50D Cylinder powers at corneal plane are : +0.72D, +1.07D, +1.59D, +2.11D, +2.8D, and +3.15D</Size><SupplierCode>WP</SupplierCode><CategoryID>1</CategoryID><SubCategoryID>141</SubCategoryID><GroupID>1327</GroupID><SubGroupID>3892</SubGroupID><Suffix>at, pl, t1</Suffix><ARTGs><ARTG>397250</ARTG></ARTGs><MinimumBenefit>530</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2023-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BL043</BillingCode><Name>Enhanced enVista Toric with Bausch + Lomb SimplifEYE preloaded delivery system</Name><Description>The enVista Family of Intraocular Lenses (IOLs) are ultraviolet-absorbing, posterior chamber, hydrophobic acrylic IOLs. They have an aspheric lens optic, square posterior edge, and modified C haptics. The lenses can be folded for insertion into the eye. The MX60PTC combines the preloaded IOL with the enVista SimplifEYE Preloaded Injector System inserter and is sold in a common package. This alternate packaging configuration allows for a simpler loading of the injector.</Description><Size>Specification: Optic Body Diameter 6.0 ± 0.1 mm Overall Diameter 12.5 ± 0.2 mm  Haptic Thickness 0.35 ± 0.04 mm Haptic Angulations Planar Haptic Lens Power Range +0.0 to +30.0D (in 0.5D increments) +0.90D to +5.75D (in 0.75D increments from +1.25D).</Size><SupplierCode>LL</SupplierCode><CategoryID>1</CategoryID><SubCategoryID>141</SubCategoryID><GroupID>1327</GroupID><SubGroupID>3892</SubGroupID><Suffix>at, pl, t1</Suffix><ARTGs><ARTG>98915</ARTG></ARTGs><MinimumBenefit>530</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>VU027</BillingCode><Name>Medicontur BiFlex 677CTA Preloaded Hydrophilic Acrylic Foldable Toric Lens without Blue light Filter</Name><Description>Preloaded Posterior chamber IOL, 360° Special Square Edge,  Aspheric – Coma optimized – Toric</Description><Size>Optic diameter: 6.0 mm, Overall diameter: 13.0 mm. Sph eq powers available: +8.0 to +35.0, Cylinders 1.0 to 6.0D.</Size><SupplierCode>VU</SupplierCode><CategoryID>1</CategoryID><SubCategoryID>141</SubCategoryID><GroupID>1327</GroupID><SubGroupID>3892</SubGroupID><Suffix>at, pl, t1</Suffix><ARTGs><ARTG>221834</ARTG></ARTGs><MinimumBenefit>530</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2023-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>KG037</BillingCode><Name>RayOne Hydrophobic Aspheric BLF IOL</Name><Description>Hydrophobic acrylic IOL, preloaded injector system, micro incision, aspheric, UV filtering, single piece, with blue light filtering.</Description><Size>Power range:   +0.0 D to +7.0 D (1.0 D increments)  +8.0 D to +30.0 D (0.5 D increments)  +31.0 D to +32.0 D (1.0 D increments)Shapes:  Biconvex (positive powers), Plano</Size><SupplierCode>KG</SupplierCode><CategoryID>1</CategoryID><SubCategoryID>141</SubCategoryID><GroupID>1327</GroupID><SubGroupID>3892</SubGroupID><Suffix>at, pl, vblf</Suffix><ARTGs><ARTG>100926</ARTG></ARTGs><MinimumBenefit>291</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>CZ047</BillingCode><Name>CT LUCIA 621PY</Name><Description>One ZEISS UV light-absorbing Heparin Surface Hydrophobic Acrylic Posterior Chamber Intra-ocular Lens. This lens is intended to correct aphakia. It is made from an optically clear hydrophobic acrylic with yellow dye additive (Acrylmex Yellow) [Optically clear blue-light blocking]</Description><Size>Dioptre Range: 00.0 to +34.0 with increments of 0.5   Optic Size: 6.0mm   Overall Length: 13.0mm</Size><SupplierCode>CZ</SupplierCode><CategoryID>1</CategoryID><SubCategoryID>141</SubCategoryID><GroupID>1327</GroupID><SubGroupID>3892</SubGroupID><Suffix>at, pl, vblf</Suffix><ARTGs><ARTG>389793</ARTG></ARTGs><MinimumBenefit>291</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>VU006</BillingCode><PriorBillingCodes><PriorBillingCode>IS034</PriorBillingCode></PriorBillingCodes><Name>BiFlex Preloaded 877PAY Hydrophobic Acrylic Foldable Aspheric Monofocal Lens with Blue light Filter</Name><Description>Posterior Chamber IOL, special 360° sharp edge, Aspheric - Aberration Balanced</Description><Size>Optic diameter: 6.0 mm ±0.10 mm, Overall diameter: 13.0 mm ±0.20 mm Powers available: -0.0 - +9.0 D ±0.25 D increment: 1.0 D  +10.0 -+25.0  D ±0.25 D increment: 0.5 D  +25.5- +30.0 D ±0.5 D increment: 0.5 D  +31.0 - +35.0 D ±0.5 D increment: 1</Size><SupplierCode>VU</SupplierCode><CategoryID>1</CategoryID><SubCategoryID>141</SubCategoryID><GroupID>1327</GroupID><SubGroupID>3892</SubGroupID><Suffix>at, pl, vblf</Suffix><ARTGs><ARTG>221834</ARTG></ARTGs><MinimumBenefit>291</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>VU017</BillingCode><PriorBillingCodes><PriorBillingCode>IS044</PriorBillingCode></PriorBillingCodes><Name>Basis Z Preloaded Hydrophobic IOL</Name><Description>Hydrophobic preloaded IOLs</Description><Size>6mm Optic Diameter and 13mm Length</Size><SupplierCode>VU</SupplierCode><CategoryID>1</CategoryID><SubCategoryID>141</SubCategoryID><GroupID>1327</GroupID><SubGroupID>3892</SubGroupID><Suffix>at, pl, vblf</Suffix><ARTGs><ARTG>280510</ARTG></ARTGs><MinimumBenefit>291</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>IQ016</BillingCode><Name>PreciSAL P302A  PreciSAL PS302A</Name><Description>Preloaded Acrylic, single piece, foldable intraocular lens with anterior and posterior optic-haptic square edge, 360 degree optic square edge design, precision power calculation, aberration technology and blue light filter.</Description><Size>Available in dioptric powers from 0.0 to +30.0. 1D steps: 0.0 to +10.0; 0.5D steps: +10.5 to +17.5 and +28.5 to +30.0; 0.25D steps: +18.0 to +28.0</Size><SupplierCode>IQ</SupplierCode><CategoryID>1</CategoryID><SubCategoryID>141</SubCategoryID><GroupID>1327</GroupID><SubGroupID>3892</SubGroupID><Suffix>at, pl, vblf</Suffix><ARTGs><ARTG>183558</ARTG></ARTGs><MinimumBenefit>291</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2013-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LN005</BillingCode><Name>ALSAFIT TORIC VF</Name><Description>Single piece toric aspheric foldable intraocular lens for implantation into the capsular bag. Violet filter.</Description><Size>Diopter power range: Sphere: From 0.0 D to +32.00 D (0.50 D increments). Cylinder: From +0.50 D to +6.00 D (0.50 D increments).
Optic size: 6mm. Overall length: 11.0mm.</Size><SupplierCode>LN</SupplierCode><CategoryID>1</CategoryID><SubCategoryID>141</SubCategoryID><GroupID>1327</GroupID><SubGroupID>3892</SubGroupID><Suffix>at, t1, vblf</Suffix><ARTGs><ARTG>268033</ARTG></ARTGs><MinimumBenefit>471</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2016-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BL022</BillingCode><Name>SofPort Advanced Optic (AO)</Name><Description>Posterior chamber, foldable silicone IOL with anterior optic-haptic square edge, posterior optic-haptic square edge, 360-degree optic square edge and asperic optic for aberration control</Description><Size>0 D to 30.0 D</Size><SupplierCode>LL</SupplierCode><CategoryID>1</CategoryID><SubCategoryID>141</SubCategoryID><GroupID>1327</GroupID><SubGroupID>3892</SubGroupID><Suffix>at</Suffix><ARTGs><ARTG>98915</ARTG></ARTGs><MinimumBenefit>232</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BL023</BillingCode><Name>Akreos Advanced Optic</Name><Description>Posterior chamber, foldable acrylic IOL, with anterior optic-haptic square edge, posterior optic-haptic square edge, 360 degree optic square edge and aspheric optic for aberration control</Description><Size>0 D to 30.0 D</Size><SupplierCode>LL</SupplierCode><CategoryID>1</CategoryID><SubCategoryID>141</SubCategoryID><GroupID>1327</GroupID><SubGroupID>3892</SubGroupID><Suffix>at</Suffix><ARTGs><ARTG>98915</ARTG></ARTGs><MinimumBenefit>232</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>IQ013</BillingCode><Name>PreciSAL 302AC</Name><Description>Acrylic, single piece, foldable intraocular lens with anterior and posterior optic-haptic square edge, 360 degree optic square edge design, precision power calculation, aberration technology and UV light filter.</Description><Size>Available in dioptric powers from 0.0 to +30.0. 1D steps: 0.0 to +10.0; 0.5D steps: +10.5 to + 17.5 and +28.5 to +30.0; 0.25D steps: +18.0 to +28.0</Size><SupplierCode>IQ</SupplierCode><CategoryID>1</CategoryID><SubCategoryID>141</SubCategoryID><GroupID>1327</GroupID><SubGroupID>3892</SubGroupID><Suffix>at</Suffix><ARTGs><ARTG>183558</ARTG></ARTGs><MinimumBenefit>232</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2013-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>AO014</BillingCode><Name>TECNIS® Intraocular Lens (ZA9003)</Name><Description>Foldable Intraocular Lenses - Ultraviolet light absorbing posterior chamber intraocular lenses, Silicone/Acrylic</Description><Size>+10.0  to +30.0 D in 0.5 D increments</Size><SupplierCode>AO</SupplierCode><CategoryID>1</CategoryID><SubCategoryID>141</SubCategoryID><GroupID>1327</GroupID><SubGroupID>3892</SubGroupID><Suffix>at</Suffix><ARTGs><ARTG>170331</ARTG></ARTGs><MinimumBenefit>232</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>WP003</BillingCode><Name>Primus-HD Clear</Name><Description>Preloaded Injector system, Posterior convex IOL, aspheric, foldable, one piece, High purity hydrophobic acrylic, UV filter, 360 square edge</Description><Size>-10.0D to +36D in 0.5D increments</Size><SupplierCode>WP</SupplierCode><CategoryID>1</CategoryID><SubCategoryID>141</SubCategoryID><GroupID>1327</GroupID><SubGroupID>3892</SubGroupID><Suffix>at, pl</Suffix><ARTGs><ARTG>397250</ARTG></ARTGs><MinimumBenefit>239</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2023-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LN011</BillingCode><Name>I-Stream Pre-Loaded Aspheric Hydrophobic</Name><Description>Single piece, pre-loaded aspheric  hydrophobic acrylic IOL</Description><Size>Optic diameter: 6mm
Total diameter: 13mm
Power range: +9.0 to +32.0D</Size><SupplierCode>LN</SupplierCode><CategoryID>1</CategoryID><SubCategoryID>141</SubCategoryID><GroupID>1327</GroupID><SubGroupID>3892</SubGroupID><Suffix>at, pl</Suffix><ARTGs><ARTG>307407</ARTG></ARTGs><MinimumBenefit>239</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BL030</BillingCode><Name>enVista</Name><Description>The enVista, Model MX60, is an ultra-violet-absorbing, posterior chamber, hydrophobic acrylic one-piece foldable intraocular lens (IOL)  Has an aspheric lens optic, square posterior edge, modified C haptics and available in dioptric powers ranging from +0.0 to +34.0D.</Description><Size>Overall diameter 12.5mm, optic body diameter 6.0mm in dioptric powers ranging from +0.0 to +34D
0.0D to 10.0D in 1 Diopter increments
11.0D to 30.0D in 0.5 Diopter increments
31.0D to 34.0D in 1 Diopter increments</Size><SupplierCode>LL</SupplierCode><CategoryID>1</CategoryID><SubCategoryID>141</SubCategoryID><GroupID>1327</GroupID><SubGroupID>3892</SubGroupID><Suffix>at</Suffix><ARTGs><ARTG>98915</ARTG></ARTGs><MinimumBenefit>232</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2011-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SO058</BillingCode><Name>HumanOptics Torica Y</Name><Description>Toric posterior chamber IOL, foldable, UV absorber, Aspheric, aberration technology, 360° LEC barrier, HD optic, Blue light filter</Description><Size>Sphere -20D to +59D, Cylinder 7D to 30D</Size><SupplierCode>SO</SupplierCode><CategoryID>1</CategoryID><SubCategoryID>141</SubCategoryID><GroupID>1327</GroupID><SubGroupID>3892</SubGroupID><Suffix>at, t2, vblf</Suffix><ARTGs><ARTG>227764</ARTG></ARTGs><MinimumBenefit>722</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2015-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>AL038</BillingCode><Name>Acrysof Aspheric UV-absorbing IOL</Name><Description>Foldable Acrylic Single-piece Lens with UV Absorbing and Aspheric Correction</Description><Size>+ 6.0 D to +30.0 D</Size><SupplierCode>AL</SupplierCode><CategoryID>1</CategoryID><SubCategoryID>141</SubCategoryID><GroupID>1327</GroupID><SubGroupID>3892</SubGroupID><Suffix>at</Suffix><ARTGs><ARTG>92318</ARTG></ARTGs><MinimumBenefit>232</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2015-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BL042</BillingCode><Name>LuxGood Preloaded</Name><Description>The LuxGood intraocular lens (IOL) is a single-piece ultraviolet (UV) absorbing, posterior chamber, hydrophobic acrylic IOL, blue light filtering and has aspheric optics. The lens is provided sterile and is designed to be folded prior to insertion into the eye. The preloaded intraocular LuxGood lens is supplied with an Accuject Pro Delivery System to provide a touch-free method of delivery of the lens into the capsular bag.</Description><Size>Body Diameter: +00.00 D to +34.00 D: 6.0 mm +/- 0.1 mm   Overall Diameter: +00.00 D to +34.00 D: 11.00 mm +/- 0.2 mm   Power Range: +0.00 D to +34.00 D Label Increments: 0.1D</Size><SupplierCode>LL</SupplierCode><CategoryID>1</CategoryID><SubCategoryID>141</SubCategoryID><GroupID>1327</GroupID><SubGroupID>3892</SubGroupID><Suffix>at, pl, vblf</Suffix><ARTGs><ARTG>342175</ARTG></ARTGs><MinimumBenefit>291</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>IW001</BillingCode><PriorBillingCodes><PriorBillingCode>BL037</PriorBillingCode></PriorBillingCodes><Name>MicroPure 123</Name><Description>Preloaded, posterior chamber, UV absorbing, foldable, aspheric, acrylic, single piece hydrophobic glistening-free Intra Ocular Lens.</Description><Size>Overall diameter of 10D to 24.5D: 11.00mm  25D to 30D: 10.75mm    Optic diameter of 10D to 24.5D: 6.00mm  25D to 30 D: 5.75mm    Power from 10D to 30D with 0.5 diopter increments.</Size><SupplierCode>IW</SupplierCode><CategoryID>1</CategoryID><SubCategoryID>141</SubCategoryID><GroupID>1327</GroupID><SubGroupID>3892</SubGroupID><Suffix>at, pl, vblf</Suffix><ARTGs><ARTG>363012</ARTG></ARTGs><MinimumBenefit>291</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>AL031</BillingCode><Name>AcrySert C Model SN6CWS</Name><Description>Posterior chamber, UV absorbing, foldable, acrylic, single piece lens with blue light protection and aspheric correction, in cartridge</Description><Size>+6.0 to +30.0 D</Size><SupplierCode>AL</SupplierCode><CategoryID>1</CategoryID><SubCategoryID>141</SubCategoryID><GroupID>1327</GroupID><SubGroupID>3892</SubGroupID><Suffix>at, pl, vblf</Suffix><ARTGs><ARTG>92318</ARTG></ARTGs><MinimumBenefit>291</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2009-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SO084</BillingCode><Name>Aspira-aXA</Name><Description>Posterior chamber IOL, foldable, UV absorber, Aspheric, aberration technology, 360° LEC barrier, HD optic.</Description><Size>-20D to +40 D.</Size><SupplierCode>SO</SupplierCode><CategoryID>1</CategoryID><SubCategoryID>141</SubCategoryID><GroupID>1327</GroupID><SubGroupID>3892</SubGroupID><Suffix>at</Suffix><ARTGs><ARTG>227764</ARTG></ARTGs><MinimumBenefit>232</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2020-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SO059</BillingCode><Name>HumanOptics Torica</Name><Description>Toric posterior chamber IOL, foldable, UV absorber, Aspheric, aberration technology, 360° LEC barrier, HD optic</Description><Size>Sphere -20D to +59D, Cylinder 7D to 30D</Size><SupplierCode>SO</SupplierCode><CategoryID>1</CategoryID><SubCategoryID>141</SubCategoryID><GroupID>1327</GroupID><SubGroupID>3892</SubGroupID><Suffix>at, t2</Suffix><ARTGs><ARTG>227764</ARTG></ARTGs><MinimumBenefit>753</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2015-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>AO047</BillingCode><Name>TECNIS® Eyhance Toric IOL</Name><Description>1-piece enhanced monofocal toric IOL</Description><Size>+5.0 to +34.0 diopter powers in 0.5 diopter increments. Overall diameter 13mm, Optic size 6mm. Cylinder power: 7.00 and 8.00 diopter (as measured at the IOL plane).</Size><SupplierCode>AO</SupplierCode><CategoryID>1</CategoryID><SubCategoryID>141</SubCategoryID><GroupID>1327</GroupID><SubGroupID>3892</SubGroupID><Suffix>at, t2</Suffix><ARTGs><ARTG>181845</ARTG></ARTGs><MinimumBenefit>753</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>AO040</BillingCode><Name>TECNIS® Toric 1-Piece IOL</Name><Description>1-piece IOL Posterior chamber Intraocular lens, incorporates a proprietary wavefront designed toric aspheric optic with a squared posterior optic edge designed to provide a 360 degree barrier. The edge of the optic has a frosted design to reduce potential edge glare effects.</Description><Size>+5.0 to +34.0 diopter powers in 0.5 diopter increments.  Cylinder power: 7.00 diopter, 8.00 diopter (as measured at the IOL plane). Overall diameter 13mm, Optic size 6mm.</Size><SupplierCode>AO</SupplierCode><CategoryID>1</CategoryID><SubCategoryID>141</SubCategoryID><GroupID>1327</GroupID><SubGroupID>3892</SubGroupID><Suffix>at, t2</Suffix><ARTGs><ARTG>181845</ARTG></ARTGs><MinimumBenefit>753</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2015-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>VU009</BillingCode><PriorBillingCodes><PriorBillingCode>IS025</PriorBillingCode></PriorBillingCodes><Name>Medicontur BiFlex 677TA Hydrophilic Acrylic Foldable Toric Lens without Blue light Filter</Name><Description>Posterior chamber IOL, 360° Special Square Edge,  Aspheric – Coma optimized – Toric</Description><Size>Optic diameter: 6.0 mm ±0.05 mm, Overall diameter: 13.0 mm ±0.10 mm  Powers available:  -10.0  -  +30.0 D ±0.25 D increment:  0.5 D   +31.0  - +35.0 D ±0.5 D increment:  1.0 D  Cylinders available:    +7.0 D - +9.0 D increment:  0.75 D  +9.0 D - +10.0 D increment:  1.0 D</Size><SupplierCode>VU</SupplierCode><CategoryID>1</CategoryID><SubCategoryID>141</SubCategoryID><GroupID>1327</GroupID><SubGroupID>3892</SubGroupID><Suffix>at, t2</Suffix><ARTGs><ARTG>221834</ARTG></ARTGs><MinimumBenefit>753</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>CZ030</BillingCode><Name>CT ASPHINA 404</Name><Description>Small incision, foldable, single piece, monofocal, aspheric (aberration neutral), square-edged, hydrophilic acrylic (with hydrophobic surface properties) intraocular lens for capsular bag fixation. (Monofocal lens for powers outside standard 409MP MICS range).</Description><Size>Diopter range: -10.0 to 42.0, Optic size: 6.0mm, Overall length: 11.0mm</Size><SupplierCode>CZ</SupplierCode><CategoryID>1</CategoryID><SubCategoryID>141</SubCategoryID><GroupID>1327</GroupID><SubGroupID>3892</SubGroupID><Suffix>at</Suffix><ARTGs><ARTG>151348</ARTG></ARTGs><MinimumBenefit>232</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2011-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>AO043</BillingCode><Name>TECNIS® Eyhance IOL</Name><Description>1-piece enhanced monofocal IOL</Description><Size>+5.0 to 34.0 diopter powers in 0.5 diopter increments. Overall diamter 13mm, optic size 6mm</Size><SupplierCode>AO</SupplierCode><CategoryID>1</CategoryID><SubCategoryID>141</SubCategoryID><GroupID>1327</GroupID><SubGroupID>3892</SubGroupID><Suffix>at</Suffix><ARTGs><ARTG>170331</ARTG></ARTGs><MinimumBenefit>232</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2019-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>AO024</BillingCode><Name>Tecnis® One Piece (ZCB00)</Name><Description>One piece intraocular lens with edge modification and 360 degree square edge</Description><Size>+5 to +34 diopter powers in 0.5d increments. Overall diameter 13mm, Optic size 6mm</Size><SupplierCode>AO</SupplierCode><CategoryID>1</CategoryID><SubCategoryID>141</SubCategoryID><GroupID>1327</GroupID><SubGroupID>3892</SubGroupID><Suffix>at</Suffix><ARTGs><ARTG>170331</ARTG></ARTGs><MinimumBenefit>232</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2008-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LN003</BillingCode><Name>ALSAFIT</Name><Description>Single piece aspheric foldable intraocular lens for implantation into the capsular bag.</Description><Size>Diopter power range: 0.0 D to 32.00 D (0.50 D increments). Optic size: 6mm. Overall length: 11.0mm.</Size><SupplierCode>LN</SupplierCode><CategoryID>1</CategoryID><SubCategoryID>141</SubCategoryID><GroupID>1327</GroupID><SubGroupID>3892</SubGroupID><Suffix>at</Suffix><ARTGs><ARTG>268033</ARTG></ARTGs><MinimumBenefit>232</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2016-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>DE648</BillingCode><Name>FEMTIS FB-313</Name><Description>Foldable one-piece monofocal acrylic plate haptic IOL for fixation in the capsulorhexis</Description><Size>Optic Size 5.7mm, Overall length 10.5mm. Available Diopters: +-15.0D to 30.0D (0.5D steps)</Size><SupplierCode>DE</SupplierCode><CategoryID>1</CategoryID><SubCategoryID>141</SubCategoryID><GroupID>1327</GroupID><SubGroupID>3892</SubGroupID><Suffix>at</Suffix><ARTGs><ARTG>328681</ARTG></ARTGs><MinimumBenefit>232</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BL051</BillingCode><Name>enVista Toric IOL</Name><Description>The enVista Toric IOL Model: MXET / ETE. iUV-absorbing, posterior chamber, hydrophobic acrylic toric IOL. Aspheric lens optic, square posterior edge, and modified C haptics. Can be folded for insertion into the eye.</Description><Size>+6.0 D to +34.0 D (0.5 D increments); Cylinder powers 0.90D, 1.25D, 1.50D, 2.00D, 2.50D, 2.75D, 3.00D, 3.50D, 4.25D, 5.00D &amp; 5.75D</Size><SupplierCode>LL</SupplierCode><CategoryID>1</CategoryID><SubCategoryID>141</SubCategoryID><GroupID>1327</GroupID><SubGroupID>3892</SubGroupID><Suffix>at, t1</Suffix><ARTGs><ARTG>98915</ARTG></ARTGs><ChangeExplanation>Change to Product name, Description, Size</ChangeExplanation><MinimumBenefit>514</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Update</ActionFlag><CycleStartDate>2022-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>AO041</BillingCode><Name>Tecnis Toric 1-Piece IOL</Name><Description>1-piece IOL Posterior chamber Intraocular lens , incorporates a proprietary wavefront designed toric aspheric optic with a squared posterior optic edge designed to provide 360 degree barrier. The edge of the optic has a frosted design to reduce potential edge glare effects.</Description><Size>+5.0 to +34.0 diopter powers in 0.5 diopter increments. Cylinder power: 1.00 diopter, 1.50 diopter, 2.25 diopter, 3.00 diopter, 3.75 diopter, 4.00 diopter, 4.50 diopter, 5.25 diopter and 6.00 diopter (as measured at the IOL plane). Overall diameter 13mm, Optic size 6mm.</Size><SupplierCode>AO</SupplierCode><CategoryID>1</CategoryID><SubCategoryID>141</SubCategoryID><GroupID>1327</GroupID><SubGroupID>3892</SubGroupID><Suffix>at, t1</Suffix><ARTGs><ARTG>181845</ARTG></ARTGs><MinimumBenefit>514</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2016-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>VU007</BillingCode><PriorBillingCodes><PriorBillingCode>IS024</PriorBillingCode></PriorBillingCodes><Name>Medicontur BiFlex 677TA Hydrophilic Acrylic Foldable Toric Lens without Blue light Filter</Name><Description>Posterior chamber IOL, 360° Special Square Edge,  Aspheric – Coma optimized – Toric</Description><Size>Optic diameter: 6.0 mm ±0.05 mm, Overall diameter: 13.0 mm ±0.10 mm  Powers available:  -10.0  -  +30.0 D ±0.25 D increment:  0.5 D  +31.0  - +35.0 D ±0.5 D increment:  1.0 D  Cylinders available:    +1.5 D - +7.0 D increment:  0.75 D</Size><SupplierCode>VU</SupplierCode><CategoryID>1</CategoryID><SubCategoryID>141</SubCategoryID><GroupID>1327</GroupID><SubGroupID>3892</SubGroupID><Suffix>at, t1</Suffix><ARTGs><ARTG>221834</ARTG></ARTGs><MinimumBenefit>514</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>AO046</BillingCode><Name>TECNIS® Eyhance Toric IOL</Name><Description>1-piece enhanced monofocal toric IOL</Description><Size>+5.0 to +34.0 diopter powers in 0.5 diopter increments.  Overall diameter 13mm, Optic size 6mm.  Cylinder power: 1.00, 1.50, 2.25, 3.00, 3.75, 4.00, 4.50, 5.25 and 6.00 diopter (as measured at the IOL plane). </Size><SupplierCode>AO</SupplierCode><CategoryID>1</CategoryID><SubCategoryID>141</SubCategoryID><GroupID>1327</GroupID><SubGroupID>3892</SubGroupID><Suffix>at, t1</Suffix><ARTGs><ARTG>181845</ARTG></ARTGs><MinimumBenefit>514</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2020-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SO074</BillingCode><Name>HumanOptics Aspira</Name><Description>Posterior chamber IOL, foldable, UV absorber, Aspheric, aberration technology, 360° LEC barrier, HD optic</Description><Size>-20.0 to +60.0 D</Size><SupplierCode>SO</SupplierCode><CategoryID>1</CategoryID><SubCategoryID>141</SubCategoryID><GroupID>1327</GroupID><SubGroupID>3892</SubGroupID><Suffix>at</Suffix><ARTGs><ARTG>227764</ARTG></ARTGs><MinimumBenefit>232</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2015-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>DE673</BillingCode><Name>LENTIS LU-814VR</Name><Description>Foldable one-piece acrylic posterior chamber aspheric IOL for capsular bag, sulcus and sulcus-sclera fixation.</Description><Size>Optic size: 6.2mm 0.0D to +23.0D, 5.5mm +23.01D to +35.0D , Overall length: 13.0mm, Available Dioptres: 0.0D to +35.0D (1.0D steps), +15.5D to +26.5D (0.5D steps).</Size><SupplierCode>DE</SupplierCode><CategoryID>1</CategoryID><SubCategoryID>141</SubCategoryID><GroupID>1327</GroupID><SubGroupID>3892</SubGroupID><Suffix>at</Suffix><ARTGs><ARTG>328681</ARTG></ARTGs><MinimumBenefit>232</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2019-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>DE492</BillingCode><Name>LENTIS L-313</Name><Description>Foldable one-piece monofocal acrylic plate haptic IOL</Description><Size>Optic Size 6.0mm, Overall length 11.0mm. Available Diopters: +-10.0D to 36.0D (1.0D steps) +10.5D to 29.5D (0.5D steps)</Size><SupplierCode>DE</SupplierCode><CategoryID>1</CategoryID><SubCategoryID>141</SubCategoryID><GroupID>1327</GroupID><SubGroupID>3892</SubGroupID><Suffix>at</Suffix><ARTGs><ARTG>328681</ARTG></ARTGs><MinimumBenefit>232</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2016-09-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LN008</BillingCode><Name>ALSIOL</Name><Description>Single piece aspheric foldable intraocular lens for implantation into the capsular bag.</Description><Size>Diopter power range: 0.0 D to +32.00 D (0.50 D increments). Optic size: 6 mm. Overall length: 11.0 mm.</Size><SupplierCode>LN</SupplierCode><CategoryID>1</CategoryID><SubCategoryID>141</SubCategoryID><GroupID>1327</GroupID><SubGroupID>3892</SubGroupID><Suffix>at</Suffix><ARTGs><ARTG>277174</ARTG></ARTGs><MinimumBenefit>232</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>DE515</BillingCode><Name>LENTIS TplusX LU-313T</Name><Description>Foldable one-piece monofocal  toric IOL for capsular bag fixation</Description><Size>Optic Size 6.0mm, overall length 11.0mm. Sph -10.0D to +36.0D (in 0.01D increments) Cyl +0.50 to +10.0D cyl (in 0.01D increments), sph  + cyl &lt;40.0D,  axis 1 degree scaling</Size><SupplierCode>DE</SupplierCode><CategoryID>1</CategoryID><SubCategoryID>141</SubCategoryID><GroupID>1327</GroupID><SubGroupID>3892</SubGroupID><Suffix>at, t1</Suffix><ARTGs><ARTG>328681</ARTG></ARTGs><MinimumBenefit>514</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BL044</BillingCode><Name>LuxGood Toric Preloaded</Name><Description>The LuxGood Toric intraocular lens (IOL) is a single-piece ultraviolet (UV) absorbing, posterior chamber, hydrophobic acrylic IOL, with blue light filtering and has aspheric and toric optics. The lens is provided sterile and is designed to be folded prior to insertion into the eye. The preloaded intraocular LuxGood Toric lens is supplied with an Accuject Pro Delivery System to provide a touch-free method of delivery of the lens into the capsular bag.</Description><Size>Body Diameter: 6.0 mm; Overall Diameter: 11 mm Haptic Angle: 0°  Powers: +6.00 to +34.00 Diopters Cylindrical Powers: +0.75 to +6.00 Diopters  </Size><SupplierCode>LL</SupplierCode><CategoryID>1</CategoryID><SubCategoryID>141</SubCategoryID><GroupID>1327</GroupID><SubGroupID>3892</SubGroupID><Suffix>at, pl, t1, vblf</Suffix><ARTGs><ARTG>342175</ARTG></ARTGs><MinimumBenefit>585</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LN010</BillingCode><Name>I-stream Toric Hydrophilic</Name><Description>One-piece posterior chamber lens with aspherical surface for capsular bag fixation.</Description><Size>Optic diameter: 6mm
Total diameter: 11mm
Diopter range: +15.0 to +25.0D (standard), 1.0 to 14.5D and 25.5 to 40.0D (made to order)
Cylinder range: 0.75 to 6.0D</Size><SupplierCode>LN</SupplierCode><CategoryID>1</CategoryID><SubCategoryID>141</SubCategoryID><GroupID>1327</GroupID><SubGroupID>3892</SubGroupID><Suffix>at, t1</Suffix><ARTGs><ARTG>307407</ARTG></ARTGs><MinimumBenefit>514</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>DE517</BillingCode><Name>LENTIS LS-313T0-T6</Name><Description>Foldable one-piece monofocal toric acrylic IOL.</Description><Size>Optic Size 6.0mm, Overall Length 11.00mm. Available diopters: +10.0D to +30.0D (0.5D). Cyl: (T0 +0.75D) (T1 +1.5D) (T2 +2.25D) (T3 +3.0D) (T4 + 3.75D) (T5 + 4.5D) (T6 +5.25D)</Size><SupplierCode>DE</SupplierCode><CategoryID>1</CategoryID><SubCategoryID>141</SubCategoryID><GroupID>1327</GroupID><SubGroupID>3892</SubGroupID><Suffix>at, t1</Suffix><ARTGs><ARTG>328681</ARTG></ARTGs><MinimumBenefit>514</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>VU028</BillingCode><Name>Medicontur BiFlex 677CTAY Preloaded Hydrophilic Acrylic Foldable Toric Lens with Blue light Filter</Name><Description>Preloaded Posterior chamber IOL with blue light filter, 360° Special Square Edge,  Aspheric – Coma optimized – Toric</Description><Size>Optic diameter: 6.0 mm, Overall diameter: 13.0 mm. Sph eq powers available: +8.0 to +35.0, Cylinders 1.0 to 6.0D.</Size><SupplierCode>VU</SupplierCode><CategoryID>1</CategoryID><SubCategoryID>141</SubCategoryID><GroupID>1327</GroupID><SubGroupID>3892</SubGroupID><Suffix>at, pl, t1, vblf</Suffix><ARTGs><ARTG>221834</ARTG></ARTGs><MinimumBenefit>585</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2023-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>IQ020</BillingCode><Name>PreciSAL EZ Toric 1-Piece Yellow Pre-loaded IOL (PT302A, PST302A)</Name><Description>Pre-loaded acrylic single piece, foldable intraocular lens with anterior and posterior optic-haptic square edge, 360 degree optic square edge design, precision power calculation, aberration technology, toric correction on anterior surface with cylinder marks to indicate flat meridian plus the cylinder axis to allow alignment for astigmatic correction, and UV and blue light filters.</Description><Size>Available in spherical dioptric powers from 0.0 to +34.0D. 1D steps: 0.0D to +10.0D and 30.0D to 34.0D; 0.5D steps: +10.5 to +29.5; Cylinder powers from 1.0D to 6.0D in 0.5D steps.</Size><SupplierCode>IQ</SupplierCode><CategoryID>1</CategoryID><SubCategoryID>141</SubCategoryID><GroupID>1327</GroupID><SubGroupID>3892</SubGroupID><Suffix>at, pl, t1, vblf</Suffix><ARTGs><ARTG>183558</ARTG></ARTGs><ChangeExplanation>Change to Product name, Size</ChangeExplanation><MinimumBenefit>585</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Update</ActionFlag><CycleStartDate>2014-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>IQ019</BillingCode><Name>PreciSAL Toric T302A</Name><Description>Acrylic single piece, foldable intraocular lens with anterior and posterior optic-haptic square edge, 360 degree optic square edge design, precision power calculation, aberration technology, toric correction on anterior surface with cylinder marks to indicate flat meridian plus the cylinder axis to allow alignment for astigmatic correction, and UV and blue light filters.</Description><Size>Available in spherical dioptric powers from 0.0 to +30.0. 1D steps: 0.0 to +10.0; 0.5D steps: +10.5 to +17.5 and +28.5 to +30.0; 0.25D steps: +18.0 to +28.0; Cylinder powers from 1.0D to 6.0D</Size><SupplierCode>IQ</SupplierCode><CategoryID>1</CategoryID><SubCategoryID>141</SubCategoryID><GroupID>1327</GroupID><SubGroupID>3892</SubGroupID><Suffix>at, t1, vblf</Suffix><ARTGs><ARTG>183558</ARTG></ARTGs><MinimumBenefit>471</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2014-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>VU003</BillingCode><Name>Medicontur Bi-Flex POB-MA Toric 877PTY</Name><Description>Single piece hydrophobic acrylic monofocal toric posterior chamber intraocular lens. Preloaded with blue light filter and with biconvex aspheric optic.</Description><Size>Powers: +10.0 D to +30.0 D in 0.5 diopter increments  Cylinder powers: 1.00 D, 1.50 D, 2.25 D, 3.00 D, 3.75 D, 4.50 D, 5.25 D, 6.00 D</Size><SupplierCode>VU</SupplierCode><CategoryID>1</CategoryID><SubCategoryID>141</SubCategoryID><GroupID>1327</GroupID><SubGroupID>3892</SubGroupID><Suffix>at, pl, t1, vblf</Suffix><ARTGs><ARTG>221834</ARTG></ARTGs><MinimumBenefit>585</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>AL004</BillingCode><Name> Acrysof Multipiece Models MA50BM, MA60AC, MA60MA</Name><Description>Foldable Acrylic Multi-piece Lens</Description><Size> -5 D to +30 D</Size><SupplierCode>AL</SupplierCode><CategoryID>1</CategoryID><SubCategoryID>141</SubCategoryID><GroupID>1327</GroupID><SubGroupID>3892</SubGroupID><ARTGs><ARTG>92318</ARTG></ARTGs><MinimumBenefit>214</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>AO002</BillingCode><Name>SENSAR IOL with OptiEdge Design</Name><Description>3-Piece, soft hydrophobic acrylic, foldable, UV absorbing, posterior</Description><Size>-10.0 D to +30.0 D in 0.5 D increments</Size><SupplierCode>AO</SupplierCode><CategoryID>1</CategoryID><SubCategoryID>141</SubCategoryID><GroupID>1327</GroupID><SubGroupID>3892</SubGroupID><ARTGs><ARTG>170331</ARTG></ARTGs><MinimumBenefit>214</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>CZ041</BillingCode><Name>CT LUCIA 202</Name><Description>Foldable, 3-piece, monofocal, square-edged, hydrophobic acrylic intraocular lens.</Description><Size>Diopter size: 4.0 to 34.0 DS.  Optic size: 6mm.  Overall length: 13mm</Size><SupplierCode>CZ</SupplierCode><CategoryID>1</CategoryID><SubCategoryID>141</SubCategoryID><GroupID>1327</GroupID><SubGroupID>3892</SubGroupID><ARTGs><ARTG>151348</ARTG></ARTGs><MinimumBenefit>214</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2016-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>AL011</BillingCode><Name>Acrysof Model SA60AT</Name><Description>Foldable Acrylic Single-piece Lens, asymmetric optic/consistent edge</Description><Size>Range of Powers: +6 to +40 D</Size><SupplierCode>AL</SupplierCode><CategoryID>1</CategoryID><SubCategoryID>141</SubCategoryID><GroupID>1327</GroupID><SubGroupID>3892</SubGroupID><ARTGs><ARTG>92318</ARTG></ARTGs><MinimumBenefit>214</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>AO048</BillingCode><Name>TECNIS® Eyhance Pre-Loaded IOL</Name><Description>1-piece enhanced monofocal pre-loaded IOL</Description><Size>+5.0 to 34.0 diopter powers in 0.5 diopter increments. Overall diameter 13mm, optic size 6mm</Size><SupplierCode>AO</SupplierCode><CategoryID>1</CategoryID><SubCategoryID>141</SubCategoryID><GroupID>1327</GroupID><SubGroupID>3892</SubGroupID><Suffix>at, pl</Suffix><ARTGs><ARTG>377170</ARTG></ARTGs><MinimumBenefit>239</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>XN007</BillingCode><Name>HOYA Vivinex multiSert</Name><Description>Aspheric monofocal hydrophobic acrylic preloaded IOL with multiSert injector</Description><Size>+6.0D to +30.0D in the steps of 0.5D</Size><SupplierCode>XN</SupplierCode><CategoryID>1</CategoryID><SubCategoryID>141</SubCategoryID><GroupID>1327</GroupID><SubGroupID>3892</SubGroupID><Suffix>at, pl</Suffix><ARTGs><ARTG>464253</ARTG></ARTGs><ChangeExplanation>New listing</ChangeExplanation><MinimumBenefit>239</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2025-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>CZ048</BillingCode><Name>CT LUCIA 621P</Name><Description>One ZEISS UV light-absorbing Heparin Surface Hydrophobic Acrylic Posterior Chamber Intra-ocular Lens. This lens is intended to correct aphakia. It is made from an optically clear hydrophobic acrylic material which incorporates an UV-absorbing component and has a Heparin coating.</Description><Size>Dioptre Range: 00.0 to +34.0 with increments of 0.5  Optic Size: 6.0mm  Overall Length: 13.0mm</Size><SupplierCode>CZ</SupplierCode><CategoryID>1</CategoryID><SubCategoryID>141</SubCategoryID><GroupID>1327</GroupID><SubGroupID>3892</SubGroupID><Suffix>at, pl</Suffix><ARTGs><ARTG>389794</ARTG></ARTGs><MinimumBenefit>239</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SO075</BillingCode><Name>HumanOptics Aspira Preloaded</Name><Description>Preloaded posterior chamber IOL, foldable, UV absorber, Aspheric, aberration technology, 360° LEC barrier, HD optic</Description><Size>+10.0 to +40.0 D</Size><SupplierCode>SO</SupplierCode><CategoryID>1</CategoryID><SubCategoryID>141</SubCategoryID><GroupID>1327</GroupID><SubGroupID>3892</SubGroupID><Suffix>at, pl</Suffix><ARTGs><ARTG>227764</ARTG></ARTGs><MinimumBenefit>239</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2015-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BL040</BillingCode><Name>Enhanced enVista IOL with Bausch + Lomb SimplifEYE Preloaded Delivery System</Name><Description>The enVista Family of Intraocular Lenses (IOLs) are ultraviolet-absorbing, posterior chamber, hydrophobic acrylic IOLs. They have an aspheric lens optic, square posterior edge, and modified C haptics. The lenses can be folded for insertion into the eye.  The MXPLC combines the preloaded IOL with an inserter and is sold in a common package. This alternate packaging configuration allows for a simpler loading of the injector.  </Description><Size>Specification  Optic Body Diameter                 6.0 ± 0.1 mm     Overall Diameter                        12.5 ± 0.2 mm        Haptic Thickness                       0.35 ± 0.04 mm     Haptic Angulations                         Planar Haptic  Lens       Power Range                    +0.0 to +34.0D                                                     (+0.0 to +9.0D in 1D increments)                                                         (+10.0 to +30.0D in 0.5D increments)    (+31.0 to +34.0D in 1D increments)  </Size><SupplierCode>LL</SupplierCode><CategoryID>1</CategoryID><SubCategoryID>141</SubCategoryID><GroupID>1327</GroupID><SubGroupID>3892</SubGroupID><Suffix>at, pl</Suffix><ARTGs><ARTG>98915</ARTG></ARTGs><MinimumBenefit>239</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2020-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>XN006</BillingCode><Name>HOYA Vivinex multiSert XY1-SP</Name><Description>Aspheric monofocal hydrophobic acrylic preloaded IOL with multiSert injector</Description><Size>+6.0D to +30.0D in the steps of 0.5D</Size><SupplierCode>XN</SupplierCode><CategoryID>1</CategoryID><SubCategoryID>141</SubCategoryID><GroupID>1327</GroupID><SubGroupID>3892</SubGroupID><Suffix>at, pl, vblf</Suffix><ARTGs><ARTG>464253</ARTG></ARTGs><ChangeExplanation>New listing</ChangeExplanation><MinimumBenefit>291</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2025-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>KG017</BillingCode><Name>RayOne Ashperic preloaded</Name><Description>Preloaded aspheric intraocular lens, hydrophilic acrylic, UV absorbing, 360 square edge, anti-vaulting haptics</Description><Size>6mm optic, range sphere -10 to +34</Size><SupplierCode>KG</SupplierCode><CategoryID>1</CategoryID><SubCategoryID>141</SubCategoryID><GroupID>1327</GroupID><SubGroupID>3892</SubGroupID><Suffix>at, pl</Suffix><ARTGs><ARTG>220612</ARTG></ARTGs><MinimumBenefit>239</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>KG020</BillingCode><Name>RayOne Hydrophobic IOL</Name><Description>Hydrophobic acrylic IOL, preloaded injector system, micro incision, aspheric, UV filtering, single piece.</Description><Size>Power range: 
-10.0 D to +7.0 D (1.0 D increments, including plano)
+8.0 D to +30.0 D (0.5 D increments)
+31.0 D to +32.0 D (1.0 D increments) 
Shapes:
Biconvex (positive powers), Plano, Concave (negative powers)</Size><SupplierCode>KG</SupplierCode><CategoryID>1</CategoryID><SubCategoryID>141</SubCategoryID><GroupID>1327</GroupID><SubGroupID>3892</SubGroupID><Suffix>at, pl</Suffix><ARTGs><ARTG>100926</ARTG></ARTGs><MinimumBenefit>239</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>VU005</BillingCode><PriorBillingCodes><PriorBillingCode>IS036</PriorBillingCode></PriorBillingCodes><Name>BiFlex 877PA Preloaded Hydrophobic Acrylic Foldable Aspheric Monofocal Lens without Blue Light Filter</Name><Description>Posterior Chamber IOL, special 360° sharp edge, Aspheric Aberration Balanced</Description><Size>Optic diameter: 6.0 mm ±0.10 mm, Overall diameter: 13.0 mm ±0.20 mm  Powers available:   -0.0 - +9.0 D  ±0.25 D increment: 1.0 D  +10.0 - +25.0 D ±0.25 D increment: 0.5 D   +25.5 - +30.0 D ±0.5 D  increment: 0.5 D  +31.0 - +35.0 D ±0.5 D  increment: 1.0 D</Size><SupplierCode>VU</SupplierCode><CategoryID>1</CategoryID><SubCategoryID>141</SubCategoryID><GroupID>1327</GroupID><SubGroupID>3892</SubGroupID><Suffix>at, pl</Suffix><ARTGs><ARTG>221834</ARTG></ARTGs><MinimumBenefit>239</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>XN004</BillingCode><Name>HOYA Vivinex Toric multiSert</Name><Description>Toric aspheric monfocal hydrophobic acrylic preloaded IOL with multiSert injector</Description><Size>Power (D) +10.00 - +30.00 Cylinder (D) 1.00 - 6.00</Size><SupplierCode>XN</SupplierCode><CategoryID>1</CategoryID><SubCategoryID>141</SubCategoryID><GroupID>1327</GroupID><SubGroupID>3892</SubGroupID><Suffix>at, pl, t1, vblf</Suffix><ARTGs><ARTG>464253</ARTG></ARTGs><ChangeExplanation>New listing</ChangeExplanation><MinimumBenefit>585</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2025-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LL002</BillingCode><Name>enVista IOL</Name><Description>The enVista IOL Model EE: UV -absorbing, posterior chamber, hydrophobic acrylic IOL. Aspheric lens optic, square posterior edge,  modified C haptics. Can be folded for insertion into the eye.</Description><Size>0.0 D to +34.0 D   0.0 D to +9.0 D in 1.0 D increments;  +10.0 D to +30.0 D in 0.5 D increments;  +31.0 D to +34.0 D in 1.0 D increments</Size><SupplierCode>LL</SupplierCode><CategoryID>1</CategoryID><SubCategoryID>141</SubCategoryID><GroupID>1327</GroupID><SubGroupID>3892</SubGroupID><Suffix>at</Suffix><ARTGs><ARTG>98915</ARTG></ARTGs><ChangeExplanation>Expanded from BL052</ChangeExplanation><MinimumBenefit>232</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2025-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>AL065</BillingCode><Name>Clareon Toric Aspheric UV Absorbing IOL with AutonoMe (Moded CCAOT2-CCAOT9)</Name><Description>Toric, ultraviolet -absorbing, foldable, single-piece posterior chamber IOL, pre-loaded on the AutonoMe Automated Delivery System, which provides improved uncorrected distance vision and also corrects pre-existing corneal astigmatism.</Description><Size>+6.0 to +30.0 diopters (in 0.5 diopter increments). Cylinder: 1.00 to 6.00 diopters.</Size><SupplierCode>AL</SupplierCode><CategoryID>1</CategoryID><SubCategoryID>141</SubCategoryID><GroupID>1327</GroupID><SubGroupID>3892</SubGroupID><Suffix>at, pl, t1</Suffix><ARTGs><ARTG>92318</ARTG></ARTGs><ChangeExplanation>New listing</ChangeExplanation><MinimumBenefit>530</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2025-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>VU016</BillingCode><PriorBillingCodes><PriorBillingCode>IS043</PriorBillingCode></PriorBillingCodes><Name>Basis Z Preloaded Hydrophylic IOL</Name><Description>Hydrophylic preloaded IOL</Description><Size>6mm Optic Diameter and 13mm Length</Size><SupplierCode>VU</SupplierCode><CategoryID>1</CategoryID><SubCategoryID>141</SubCategoryID><GroupID>1327</GroupID><SubGroupID>3892</SubGroupID><Suffix>at, pl</Suffix><ARTGs><ARTG>280510</ARTG></ARTGs><MinimumBenefit>239</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>AO034</BillingCode><Name>TECNIS® 1-Piece Pre-Loaded IOL</Name><Description>1-piece IOL Posterior Chamber Intraocular lens, incorporates a proprietary wavefront-designed aspheric optic with a squared posterior optic edge designed to provide a 360 degree barrier. The edge of the optic has a frosted design to reduce potential edge glare effects. Supplied pre-loaded in either a screw style disposable injector or in a pre-loaded cartridge.</Description><Size>+5.0 to +34.0 diopter powers in 0.5 diopter increments.  Overall diameter 13mm, Optic size 6mm</Size><SupplierCode>AO</SupplierCode><CategoryID>1</CategoryID><SubCategoryID>141</SubCategoryID><GroupID>1327</GroupID><SubGroupID>3892</SubGroupID><Suffix>at, pl</Suffix><ARTGs><ARTG>377171</ARTG></ARTGs><MinimumBenefit>239</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2013-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>IQ014</BillingCode><Name>PreciSAL P302AC  PreciSAL PS302AC</Name><Description>Preloaded Acrylic, single piece, foldable intraocular lens with anterior and posterior optic-haptic square edge, 360 degree optic square edge design, precision power calculation, aberration technology and UV light filter.</Description><Size>Available in dioptric powers from 0.0 to +30.0. 1D steps: 0.0 to +10.0; 0.5D steps: +10.5 to + 17.5 and +28.5 to +30.0; 0.25D steps: +18.0 to +28.0</Size><SupplierCode>IQ</SupplierCode><CategoryID>1</CategoryID><SubCategoryID>141</SubCategoryID><GroupID>1327</GroupID><SubGroupID>3892</SubGroupID><Suffix>at, pl</Suffix><ARTGs><ARTG>183558</ARTG></ARTGs><MinimumBenefit>239</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2013-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>DV264</BillingCode><Name>Hoya Vivinex iSert  Preloaded IOL (Model XY1)</Name><Description>Intra Ocular Lens</Description><Size>Power +6 dioptres  - +30 dioptres</Size><SupplierCode>DV</SupplierCode><CategoryID>1</CategoryID><SubCategoryID>141</SubCategoryID><GroupID>1327</GroupID><SubGroupID>3892</SubGroupID><Suffix>at, pl, vblf</Suffix><ARTGs><ARTG>287542</ARTG></ARTGs><MinimumBenefit>291</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2015-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>WP007</BillingCode><Name>Primus-HD Yellow</Name><Description>Preloaded Injector system, Posterior convex IOL, aspheric, foldable, one piece, High purity hydrophobic acrylic, blue light filter, 360 square edge</Description><Size>Powers from -10.0D to +36.0D in 0.5D increments</Size><SupplierCode>WP</SupplierCode><CategoryID>1</CategoryID><SubCategoryID>141</SubCategoryID><GroupID>1327</GroupID><SubGroupID>3892</SubGroupID><Suffix>at, pl, vblf</Suffix><ARTGs><ARTG>397250</ARTG></ARTGs><MinimumBenefit>291</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2023-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>AL044</BillingCode><Name>Clareon AutonoMe</Name><Description>The Clareon Aspheric Hydrophobic Acrylic Lens is an ultraviolet and blue light filtering foldable single-piece posterior chamber intraocular lens, provided in the AutonoMe Pre-loaded Delivery System.</Description><Size>+6.0 to +30.0D</Size><SupplierCode>AL</SupplierCode><CategoryID>1</CategoryID><SubCategoryID>141</SubCategoryID><GroupID>1327</GroupID><SubGroupID>3892</SubGroupID><Suffix>at, pl, vblf</Suffix><ARTGs><ARTG>92318</ARTG></ARTGs><MinimumBenefit>291</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SO067</BillingCode><Name>HumanOptics Aspira Y Preloaded</Name><Description>Preloaded posterior chamber IOL, foldable, UV absorber, Aspheric, aberration technology, 360° LEC barrier, HD optic, Blue light filter</Description><Size>+10.0 to +30.0 D</Size><SupplierCode>SO</SupplierCode><CategoryID>1</CategoryID><SubCategoryID>141</SubCategoryID><GroupID>1327</GroupID><SubGroupID>3892</SubGroupID><Suffix>at, pl, vblf</Suffix><ARTGs><ARTG>227764</ARTG></ARTGs><MinimumBenefit>291</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2015-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>AL021</BillingCode><Name>Alcon AcrySof SN60WF</Name><Description>Foldable Acrylic Single-piece Lens with Blue Light Protection and Aspheric Correction</Description><Size>+ 6.0 D to +30.0 D</Size><SupplierCode>AL</SupplierCode><CategoryID>1</CategoryID><SubCategoryID>141</SubCategoryID><GroupID>1327</GroupID><SubGroupID>3892</SubGroupID><Suffix>at, vblf</Suffix><ARTGs><ARTG>92318</ARTG></ARTGs><MinimumBenefit>221</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>IQ015</BillingCode><Name>PreciSAL 302A</Name><Description>Acrylic, single piece, foldable intraocular lens with anterior and posterior optic-haptic square edge, 360 degree optic square edge design, precision power calculation, aberration technology and blue light filter.</Description><Size>Available in dioptric powers from 0.0 to +30.0. 1D steps: 0.0 to +10.0; 0.5D steps: +10.5 to +17.5 and +28.5 to +30.0; 0.25D steps: +18.0 to +28.0</Size><SupplierCode>IQ</SupplierCode><CategoryID>1</CategoryID><SubCategoryID>141</SubCategoryID><GroupID>1327</GroupID><SubGroupID>3892</SubGroupID><Suffix>at, vblf</Suffix><ARTGs><ARTG>183558</ARTG></ARTGs><MinimumBenefit>221</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2013-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>KG036</BillingCode><Name>Simedice Intraocular Lens</Name><Description>Foldable Acrylic Single-piece Lens with Blue Light Protection and Aspheric Correction</Description><Size>Spherical power: +10.0 to +30.0 D, in 0.5 increments</Size><SupplierCode>KG</SupplierCode><CategoryID>1</CategoryID><SubCategoryID>141</SubCategoryID><GroupID>1327</GroupID><SubGroupID>3892</SubGroupID><Suffix>at, vblf</Suffix><ARTGs><ARTG>385552</ARTG></ARTGs><MinimumBenefit>221</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ638</BillingCode><Name>Clareon Aspheric UV Absorbing IOL (Model CC60WF)</Name><Description>Clareon Aspheric UV Absorbing IOL (Model CC60WF) is a UV-absorbing, foldable, single-piece, posterior chamber intraocular lens.</Description><Size>+6.0 to +30.0 diopters (in 0.5 diopter increments)</Size><SupplierCode>AL</SupplierCode><CategoryID>1</CategoryID><SubCategoryID>141</SubCategoryID><GroupID>1327</GroupID><SubGroupID>3892</SubGroupID><Suffix>at</Suffix><ARTGs><ARTG>92318</ARTG></ARTGs><MinimumBenefit>232</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2024-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LL001</BillingCode><Name>enVista IOL</Name><Description>The enhanced enVista (Model MX60E) is an ultraviolet-absorbing, posterior chamber, hydrophobic acrylic intraocular lens (IOL). They have an aspheric lens optic, square posterior edge, and modified C haptics. The lenses can be folded for insertion into the eye.</Description><Size>Specification:   Optic Body Diameter 6.0   Overall Diameter 12.5 Haptic Angulations Planar Haptic   Lens Power Range +0.0 to +34.0 Diopters (0.0 to +10.0 in 1.0 Diopter increments, +10.0 to +30.0 in 0.5 Diopter increments, and +30.0 to +34.0 in 1.0 Diopter increments)</Size><SupplierCode>LL</SupplierCode><CategoryID>1</CategoryID><SubCategoryID>141</SubCategoryID><GroupID>1327</GroupID><SubGroupID>3892</SubGroupID><Suffix>at</Suffix><ARTGs><ARTG>98915</ARTG></ARTGs><ChangeExplanation>Expanded from BL052</ChangeExplanation><MinimumBenefit>232</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2025-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SO055</BillingCode><Name>HumanOptics Aspira Y</Name><Description>Posterior chamber IOL, foldable, UV absorber, Aspheric, aberration technology, 360° LEC barrier, HD optic, Blue light filter</Description><Size>-20 to +60 D</Size><SupplierCode>SO</SupplierCode><CategoryID>1</CategoryID><SubCategoryID>141</SubCategoryID><GroupID>1327</GroupID><SubGroupID>3892</SubGroupID><Suffix>at, vblf</Suffix><ARTGs><ARTG>227764</ARTG></ARTGs><MinimumBenefit>221</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2015-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ645</BillingCode><Name>ZOE Toric</Name><Description>Preloaded Injector system, Posterior convex IOL, aspherical optic to correct far and intermediate vision, foldable, one piece, High purity hydrophobic acrylic, UV filter, 360 square edge.</Description><Size>+5.0 to +36.0D in 0.5D increments, Cylinder power: 1.00D, 1.50D, 2.25D, 3.00D, 4.00D, 4.50D</Size><SupplierCode>WP</SupplierCode><CategoryID>1</CategoryID><SubCategoryID>141</SubCategoryID><GroupID>1327</GroupID><SubGroupID>3892</SubGroupID><Suffix>at, pl, t1</Suffix><ARTGs><ARTG>397250</ARTG></ARTGs><MinimumBenefit>530</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2024-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>AL057</BillingCode><Name>Clareon Aspheric Hydrophobic Acrylic Intraocular Lens (Model SY60WF) </Name><Description>Clareon™ Aspheric Hydrophobic Acrylic IOL Model SY60WF is an ultraviolet and blue light filtering, foldable, single-piece, monofocal intraocular lens. </Description><Size>+6.0 to +30.0 diopters</Size><SupplierCode>AL</SupplierCode><CategoryID>1</CategoryID><SubCategoryID>141</SubCategoryID><GroupID>1327</GroupID><SubGroupID>3892</SubGroupID><Suffix>at, vblf</Suffix><ARTGs><ARTG>92318</ARTG></ARTGs><MinimumBenefit>221</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>AL049</BillingCode><Name>Clareon AutonoMe Toric</Name><Description>Clareon AutonoMe Toric consists of a Clareon Toric Aspheric Hydrophobic Acrylic Intraocular Lens (Clareon Toric IOL) pre-loaded on the AutonoMe Automated Delivery System.</Description><Size>+6.0 to +30.0 diopters</Size><SupplierCode>AL</SupplierCode><CategoryID>1</CategoryID><SubCategoryID>141</SubCategoryID><GroupID>1327</GroupID><SubGroupID>3892</SubGroupID><Suffix>at, pl, t1, vblf</Suffix><ARTGs><ARTG>92318</ARTG></ARTGs><MinimumBenefit>585</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2019-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>DV267</BillingCode><Name>Hoya Vivinex XY1AT Toric</Name><Description>Preloaded injector system, toric / corrects corneal astigmatism, micro-incision, aspheric, blue blocker, single piece hydrophobic</Description><Size>IOL Power: + 10.0 to 30.0 (0.5 steps), IOL Cylinder power: 1.0D (XY1AT2), 1.50D (XY1AT3), 2.25D (XY1AT4), 3.00D (XY1AT5), 3.75D (XY1AT6), 4.50D (XY1AT7), 5.25D (XY1AT8), 6.00D (XY1AT9)</Size><SupplierCode>DV</SupplierCode><CategoryID>1</CategoryID><SubCategoryID>141</SubCategoryID><GroupID>1327</GroupID><SubGroupID>3892</SubGroupID><Suffix>at, pl, t1, vblf</Suffix><ARTGs><ARTG>287542</ARTG></ARTGs><MinimumBenefit>585</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>VU018</BillingCode><PriorBillingCodes><PriorBillingCode>IS048</PriorBillingCode></PriorBillingCodes><Name>Basis Z Hydrophilic Toric</Name><Description>Foldable hydrophilic toric intraocular lens</Description><Size>Available in spherical diopter powers from -10.0D to +35.0D in 0.5D steps from +10.0D to +30.0D and then 1.0D steps in the ranges of -10.0D to 9.0D and +31.0D to +35.0D. Cylinder Power range is 1.5-6.0D in 0.75D steps.</Size><SupplierCode>VU</SupplierCode><CategoryID>1</CategoryID><SubCategoryID>141</SubCategoryID><GroupID>1327</GroupID><SubGroupID>3892</SubGroupID><Suffix>at, t1, vblf</Suffix><ARTGs><ARTG>280510</ARTG></ARTGs><MinimumBenefit>471</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ622</BillingCode><Name>Asqelio Soft Hydrophobic Intraocular Lens</Name><Description>One-piece foldable posterior chamber, UV absorbing IOL</Description><Size>Diopter power range: 0 to +10 in 1 diopter increments, and +10 to +30 diopters in 0.5 diopter increments. Overall diameter 13mm, Optic diameter 6mm.</Size><SupplierCode>LN</SupplierCode><CategoryID>1</CategoryID><SubCategoryID>141</SubCategoryID><GroupID>1327</GroupID><SubGroupID>3892</SubGroupID><Suffix>at</Suffix><ARTGs><ARTG>350671</ARTG></ARTGs><MinimumBenefit>232</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2024-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ566</BillingCode><Name>Asqelio Toric Soft Hydrophobic Intraocular Lens</Name><Description>One-piece foldable posterior chamber, UV absorbing IOL</Description><Size>Diopter power range: +4.0 D to +34.0 D in 0.5 D increments; Cylinder power: 1.0 to 6.0 D in 0.5 D increments. Overall diameter 13mm, Optic diameter 6mm.</Size><SupplierCode>LN</SupplierCode><CategoryID>1</CategoryID><SubCategoryID>141</SubCategoryID><GroupID>1327</GroupID><SubGroupID>3892</SubGroupID><Suffix>at, t1</Suffix><ARTGs><ARTG>350671</ARTG></ARTGs><MinimumBenefit>514</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2024-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>AL039</BillingCode><Name>AcrySof IQ Aspheric IOL with UltraSert pre-loaded delivery system</Name><Description>Pre-loaded foladable Acrylic Single-piece Lens with Blue light protection and Aspheric correction (SN60WF)</Description><Size>+6.0D to +30.0D</Size><SupplierCode>AL</SupplierCode><CategoryID>1</CategoryID><SubCategoryID>141</SubCategoryID><GroupID>1327</GroupID><SubGroupID>3892</SubGroupID><Suffix>at, pl, vblf</Suffix><ARTGs><ARTG>92318</ARTG></ARTGs><MinimumBenefit>291</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2015-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>VU008</BillingCode><PriorBillingCodes><PriorBillingCode>IS022</PriorBillingCode></PriorBillingCodes><Name>Medicontur BiFlex 677TAY Hydrophilic Acrylic Foldable Toric Lens with Blue light Filter</Name><Description>Posterior chamber IOL, 360° Special Square Edge,  Aspheric – Coma optimized – Toric</Description><Size>Optic diameter: 6.0 mm ±0.05 mm, Overall diameter: 13.0 mm ±0.10 mm  Powers available:  -10.0  -  +30.0 D ±0.25 D increment:  0.5 D   +31.0  - +35.0 D ±0.5 D increment:  1.0 D  Cylinders available:    +1.5 D - +7.0 D increment:  0.75 D</Size><SupplierCode>VU</SupplierCode><CategoryID>1</CategoryID><SubCategoryID>141</SubCategoryID><GroupID>1327</GroupID><SubGroupID>3892</SubGroupID><Suffix>at, t1, vblf</Suffix><ARTGs><ARTG>221834</ARTG></ARTGs><MinimumBenefit>471</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>KG039</BillingCode><Name>Simedice Toric IOL</Name><Description>Posterior chamber, UV absorbing, foldable, acrylic, toric, single piece lens with blue light protection and aspheric correction.</Description><Size>Sperical diopter: +10.0 to +30.0 D, in 0.5 increments Cylinder power: 0.75 to 5.75</Size><SupplierCode>KG</SupplierCode><CategoryID>1</CategoryID><SubCategoryID>141</SubCategoryID><GroupID>1327</GroupID><SubGroupID>3892</SubGroupID><Suffix>at, t1, vblf</Suffix><ARTGs><ARTG>385551</ARTG></ARTGs><MinimumBenefit>471</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2023-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>DV250</BillingCode><Name>Hoya-PS AF-1 (UY) PY-60AD</Name><Description>Preloaded in cartridge, Aspheric, Blue blocker, Foldable, Single-Piece, Hydrophobic Acrylic</Description><Size>+6.0D to +30.0D (0.5D steps)</Size><SupplierCode>DV</SupplierCode><CategoryID>1</CategoryID><SubCategoryID>141</SubCategoryID><GroupID>1327</GroupID><SubGroupID>3892</SubGroupID><Suffix>at, pl, vblf</Suffix><ARTGs><ARTG>287542</ARTG></ARTGs><MinimumBenefit>291</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2010-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>DE764</BillingCode><Name>LENTIS Comfort LU-814MF15</Name><Description>Foldable one-piece acrylic posterior chamber aspheric multifocal IOL for capsular bag, sulcus and sulcus-sclera fixation.</Description><Size>Optic size: 6.2mm, Overall length: 13.0mm, Available Dioptres: 0.0D to +36.0D (0.5D increments).</Size><SupplierCode>DE</SupplierCode><CategoryID>1</CategoryID><SubCategoryID>141</SubCategoryID><GroupID>1327</GroupID><SubGroupID>3893</SubGroupID><Suffix>at</Suffix><ARTGs><ARTG>328681</ARTG></ARTGs><MinimumBenefit>619</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>IQ023</BillingCode><Name>PreciSAL Multifocal M302AC</Name><Description>Acrylic single piece, foldable intraocular lens with anterior and posterior optic-haptic edge, 360 degree optic square edge design, precision power calculation, abreration technology, pupil independent diffractive anterior surface with a near sigh correction addition of up to +3.5D, and UV Filter.</Description><Size>Available in spherical dioptric powers from 0.0D to +30.0D. 1D steps: 0.0D to+10.0D; 0.5D steps: +10.5 to +17.5 and +28.5 to +30.0; 0.25D steps: +18.0 to +28.0; near sight correction addition up to +3.5D on all spherical dioptric powers.</Size><SupplierCode>IQ</SupplierCode><CategoryID>1</CategoryID><SubCategoryID>141</SubCategoryID><GroupID>1327</GroupID><SubGroupID>3893</SubGroupID><Suffix>at</Suffix><ARTGs><ARTG>183558</ARTG></ARTGs><MinimumBenefit>619</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2014-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>AO037</BillingCode><Name>TECNIS® Symfony Extended Range of Vision (ZXR00)</Name><Description>Extended Range of Vision Posterior Chamber IOL</Description><Size>+5.0 to 34.0 diopter powers in 0.5 diopter increments Overall diamter 13mm, Optic size 6mm</Size><SupplierCode>AO</SupplierCode><CategoryID>1</CategoryID><SubCategoryID>141</SubCategoryID><GroupID>1327</GroupID><SubGroupID>3893</SubGroupID><Suffix>at</Suffix><ARTGs><ARTG>170331</ARTG></ARTGs><MinimumBenefit>619</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2014-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SO081</BillingCode><Name>HumanOptics ToricaDiff Preloaded</Name><Description>Preloaded Toric Multifocal posterior chamber IOL, foldable, UV absorber, Aspheric, aberration technology, 360° LEC barrier, HD optic</Description><Size>Sphere +10D to +30D, Cylinder 1D to 6D, Near addition +3.5D</Size><SupplierCode>SO</SupplierCode><CategoryID>1</CategoryID><SubCategoryID>141</SubCategoryID><GroupID>1327</GroupID><SubGroupID>3893</SubGroupID><Suffix>at, pl, t1</Suffix><ARTGs><ARTG>227764</ARTG></ARTGs><MinimumBenefit>918</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ282</BillingCode><Name>AT LISA TRI TORIC 949MP</Name><Description>Trifocal (aspheric), bitoric, micro incision, single-piece IOL for capsular bag fixation, implantable with preloaded injector system. The trifocal (anterior) optic provides two diffractive focal points (+3.33D near focus and + 1.66D intermediate focus) with asymmetric light distribution 50% distance / 20% intermediate / 30% near vision.</Description><Size>Spherical Equivalent (SE): -5.0 to +32.0 D, 0.5 D increments Cylinder +1.0 to +4.0 D, 0.5 D increments, Optic size: 6.0 mm Overall length: 11.mm</Size><SupplierCode>CZ</SupplierCode><CategoryID>1</CategoryID><SubCategoryID>141</SubCategoryID><GroupID>1327</GroupID><SubGroupID>3893</SubGroupID><Suffix>at, pl, t1</Suffix><ARTGs><ARTG>151348</ARTG></ARTGs><MinimumBenefit>918</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2024-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>AL060</BillingCode><Name>Clareon Vivity Extended Vision Hydrophobic IOL (Model CNWET0) </Name><Description>Presbyopia correcting, ultraviolet and blue light filtering, foldable, single-piece posterior chamber IOL which provides an extended range of vision from distance to near while maintaining a low incidence of visual disturbances </Description><Size>+6.0 to +30.0 diopters (in 0.5 diopter increments); +31.0 to +34.0 diopters (in 1.0 diopter increments)</Size><SupplierCode>AL</SupplierCode><CategoryID>1</CategoryID><SubCategoryID>141</SubCategoryID><GroupID>1327</GroupID><SubGroupID>3893</SubGroupID><Suffix>at, vblf</Suffix><ARTGs><ARTG>92318</ARTG></ARTGs><ChangeExplanation>Change to Size</ChangeExplanation><MinimumBenefit>651</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Update</ActionFlag><CycleStartDate>2023-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SO064</BillingCode><Name>HumanOptics Diffractiva Y</Name><Description>Multifocal posterior chamber IOL, foldable, UV absorber, Aspheric, aberration technology, 360° LEC barrier, HD optic, Blue light filter</Description><Size>Sphere: +10D to +30D, Near addition +3.5D</Size><SupplierCode>SO</SupplierCode><CategoryID>1</CategoryID><SubCategoryID>141</SubCategoryID><GroupID>1327</GroupID><SubGroupID>3893</SubGroupID><Suffix>at, vblf</Suffix><ARTGs><ARTG>227764</ARTG></ARTGs><MinimumBenefit>651</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2015-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>VU019</BillingCode><PriorBillingCodes><PriorBillingCode>IS045</PriorBillingCode></PriorBillingCodes><Name>Basis Z Progressive IOL</Name><Description>Progressive Hydrophilic IOL</Description><Size>Optic Diameter: 6mm  Length: 13mm</Size><SupplierCode>VU</SupplierCode><CategoryID>1</CategoryID><SubCategoryID>141</SubCategoryID><GroupID>1327</GroupID><SubGroupID>3893</SubGroupID><Suffix>at</Suffix><ARTGs><ARTG>280510</ARTG></ARTGs><MinimumBenefit>619</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ318</BillingCode><Name>TECNIS PureSee IOL Toric II with TECNIS Simplicity Delivery System (DET)</Name><Description>Pre-loaded, 1-piece posterior chamber, presbyopia correcting, UV absorbing hydrophobic acrylic with violet-light filter, Toric IOL</Description><Size>+5.0 D to +34.0 D in 0.5 D increments, Cyl: 1.00D to 6.00D (as measured in the IOL plane) Overall diameter 13.0mm, optic size of of 6.0 mm</Size><SupplierCode>AO</SupplierCode><CategoryID>1</CategoryID><SubCategoryID>141</SubCategoryID><GroupID>1327</GroupID><SubGroupID>3893</SubGroupID><Suffix>at, pl, t1, vlbf</Suffix><ARTGs><ARTG>440190</ARTG></ARTGs><MinimumBenefit>950</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2024-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>AO049</BillingCode><Name>TECNIS Synergy Toric II Simplicity</Name><Description>Preloaded 1-piece continuous multifocal toric IOL</Description><Size>+5.0 Diopters to +34.0 Diopters in 0.5 Diopter increments. Overall diameter 13mm, optic size 6mm  Cylinder powers 1.00 D, 1.50 D, 2.25 D, 3.00 D, 3.75 D.</Size><SupplierCode>AO</SupplierCode><CategoryID>1</CategoryID><SubCategoryID>141</SubCategoryID><GroupID>1327</GroupID><SubGroupID>3893</SubGroupID><Suffix>at, pl, t1, vlbf</Suffix><ARTGs><ARTG>411930</ARTG></ARTGs><MinimumBenefit>950</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2023-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>VU026</BillingCode><Name>Medicontur BiFlex Preloaded 677CMTY</Name><Description>BiFlex Single-Piece Preloaded Aspheric Hydrophilic Progressive Diffractive Toric IOL with Blue light filter and 360' Special Square Edge for implantation into capsular bag</Description><Size>Optic diameter: 6.0 mm ±0.10 mm, Overall diameter: 13.0 mm ±0.20 mm  Powers available:  Sph eq: +8.0 to +35.0D in 0.5D increments., Cylinder: 1.0 to 6.0D.</Size><SupplierCode>VU</SupplierCode><CategoryID>1</CategoryID><SubCategoryID>141</SubCategoryID><GroupID>1327</GroupID><SubGroupID>3893</SubGroupID><Suffix>at, pl, t1, vlbf</Suffix><ARTGs><ARTG>221834</ARTG></ARTGs><MinimumBenefit>950</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2023-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SO080</BillingCode><Name>HumanOptics ToricaDiff Y Preloaded</Name><Description>Preloaded Toric Multifocal posterior chamber IOL, foldable, UV absorber, Aspheric, aberration technology, 360° LEC barrier, HD optic, Blue light filter</Description><Size>Sphere +10D to +30D, Cylinder 1D to 6D, Near addition +3.5D</Size><SupplierCode>SO</SupplierCode><CategoryID>1</CategoryID><SubCategoryID>141</SubCategoryID><GroupID>1327</GroupID><SubGroupID>3893</SubGroupID><Suffix>at, pl, t1, vlbf</Suffix><ARTGs><ARTG>227764</ARTG></ARTGs><MinimumBenefit>950</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ165</BillingCode><Name>Bi-Flex Elon 877PETY EDOF Toric IOL</Name><Description>Single piece, sterile, foldable aspheric hydrophobic acrylic intraocular lens (IOL) with UV blocker and blue light filter. The optic is EDOF toric.
The IOL is available as part of a preloaded injector system.</Description><Size>Standard Powers, +10.0D to 30.0 D (0.5D steps); Cylinders, T2 1.0D, T3 1.5D, T4 2.25D, T5 3.0D, T6 3.75D, T7 4.5D, T8 5.25D, T9 6.0D</Size><SupplierCode>VU</SupplierCode><CategoryID>1</CategoryID><SubCategoryID>141</SubCategoryID><GroupID>1327</GroupID><SubGroupID>3893</SubGroupID><Suffix>at, pl, t1, vlbf</Suffix><ARTGs><ARTG>221834</ARTG></ARTGs><MinimumBenefit>950</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2024-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BL049</BillingCode><Name>LuxSmart Toric Preloaded</Name><Description>The LuxSmart Toric intraocular lens (IOL) is a single-piece ultraviolet (UV) absorbing, posterior chamber, hydrophobic acrylic IOL, with blue light filtering and has aspheric and toric optics. The lens is provided sterile and is designed to be folded prior to insertion into the eye. The preloaded intraocular LuxSmart lens is supplied with an Accuject Pro Delivery System to provide a touch-free method of delivery of the lens into the capsular bag.</Description><Size>Body Diameter: 6.0 mm; Overall Diameter: 11 mm; Haptic Angle: 0° ; Powers: +6.00 to +34.00 Diopters; Cylindrical Powers: +0.75 to +6.00 Diopters </Size><SupplierCode>LL</SupplierCode><CategoryID>1</CategoryID><SubCategoryID>141</SubCategoryID><GroupID>1327</GroupID><SubGroupID>3893</SubGroupID><Suffix>at, pl, t1, vlbf</Suffix><ARTGs><ARTG>342175</ARTG></ARTGs><MinimumBenefit>950</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>AO044</BillingCode><Name>TECNIS Synergy IOL</Name><Description>1-piece continuous multifocal IOL</Description><Size>+5.0 to 34.0 diopter powers in 0.5 diopter increments. Overall diameter 13mm, optic size 6mm</Size><SupplierCode>AO</SupplierCode><CategoryID>1</CategoryID><SubCategoryID>141</SubCategoryID><GroupID>1327</GroupID><SubGroupID>3893</SubGroupID><Suffix>at, vblf</Suffix><ARTGs><ARTG>170331</ARTG></ARTGs><MinimumBenefit>651</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2019-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>AL062</BillingCode><Name>Clareon PanOptix Trifocal Hydrophobic IOL with AutonoMe (Model CNATT0)</Name><Description>Presbyopia correcting, ultraviolet and blue light filtering, foldable, single-piece posterior chamber IOL, pre-loaded on the AutonoMe Automated Delivery System, which provides a range of vision from distance to intermediate to near. </Description><Size>+6.0 to +30.0 diopters (in 0.5 diopter increments). </Size><SupplierCode>AL</SupplierCode><CategoryID>1</CategoryID><SubCategoryID>141</SubCategoryID><GroupID>1327</GroupID><SubGroupID>3893</SubGroupID><Suffix>at, pl, vblf</Suffix><ARTGs><ARTG>92318</ARTG></ARTGs><ChangeExplanation>New listing</ChangeExplanation><MinimumBenefit>666</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2025-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>AL063</BillingCode><Name>Clareon PanOptix Toric Trifocal UV Absorbing IOL with AutonoMe (Model CCATT2-CCATT6)</Name><Description>Toric, presbyopia correcting, UV-absorbing, foldable, single-piece posterior chamber IOL, pre-loaded on the AutonoMe Automated Delivery System, which provides a range of vision from distance to intermediate to near, and also corrects preexisting corneal astigmatism. </Description><Size>+6.0 to +30.0 diopters (in 0.5 diopter increments).  Cylinder: 1.00 to 3.75 diopters.</Size><SupplierCode>AL</SupplierCode><CategoryID>1</CategoryID><SubCategoryID>141</SubCategoryID><GroupID>1327</GroupID><SubGroupID>3893</SubGroupID><Suffix>at, pl, t1</Suffix><ARTGs><ARTG>92318</ARTG></ARTGs><ChangeExplanation>New listing</ChangeExplanation><MinimumBenefit>918</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2025-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LL005</BillingCode><Name>enVista Envy Toric IOL Model ETN</Name><Description>The enVista Envy toric IOL Model: ET, trifocal, UV-absorbing, posterior chamber, hydrophobic acrylic IOL. Aspheric lens optic, square posterior edge,  modified C haptics. Can be folded for insertion into the eye.</Description><Size>+6.0 to +30.0D ( 0.5 D increments) ; +31.0 to +34.0 D (1.0 D increments);  +2.17 D intermediate  add power; +3.25 D near add power</Size><SupplierCode>LL</SupplierCode><CategoryID>1</CategoryID><SubCategoryID>141</SubCategoryID><GroupID>1327</GroupID><SubGroupID>3893</SubGroupID><Suffix>at, t1, vblf</Suffix><ARTGs><ARTG>98915</ARTG></ARTGs><ChangeExplanation>New listing</ChangeExplanation><MinimumBenefit>934</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2025-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>AO054</BillingCode><Name>TECNIS Odyssey Toric II with TECNIS SIMPLICITY delivery system (DRT) </Name><Description>Preloaded 1-piece continuous multifocal toric IOL</Description><Size>5.0 D to 34.0 D in 0.5 D increments, Cyl1.00D to 3.75D. Overall diameter 13.0mm, optic size of of 6.0 mm</Size><SupplierCode>AO</SupplierCode><CategoryID>1</CategoryID><SubCategoryID>141</SubCategoryID><GroupID>1327</GroupID><SubGroupID>3893</SubGroupID><Suffix>at, pl, t1, vlbf</Suffix><ARTGs><ARTG>181845</ARTG></ARTGs><ChangeExplanation>New listing</ChangeExplanation><MinimumBenefit>950</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2025-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>IQ024</BillingCode><Name>PreciSAL Mulitfocal PM302AC</Name><Description>Pre-loaded acrylic single piece, foldable intraocular lens with anterior and posterior optichaptic square edge, 360 degree optic square edge design, precision power calculation, aberration technology, pupil independent diffractive anterior surface with a near sight correction addition of up to +3.5D, and UV filter.</Description><Size>Available in spherical dioptric powers from 0.0 to +30.0.  1D steps: 0.0 to +10.0; 0.5D steps: +10.5 to +17.5 and +28.5 to +30.0; 0.25D steps: +18.0 to +28.0; near sight correction addition up to +3.5D on all spherical dioptric powers.</Size><SupplierCode>IQ</SupplierCode><CategoryID>1</CategoryID><SubCategoryID>141</SubCategoryID><GroupID>1327</GroupID><SubGroupID>3893</SubGroupID><Suffix>at, pl</Suffix><ARTGs><ARTG>183558</ARTG></ARTGs><MinimumBenefit>635</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2014-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>AL053</BillingCode><Name>Clareon PanOptix Trifocal UV Absorbing IOL with the AutonoMe Automated Pre-loaded Delivery System</Name><Description>The Clareon PanOptix Trifocal UV Absorbing IOL with the AutonoMe Automated Pre-loaded Delivery System is a presbyopia correcting, UV-absorbing, foldable, single-piece posterior chamber, multifocal IOL, pre-loaded on the AutonoMe Automated Delivery System </Description><Size>+6.0 to +30.0 diopters </Size><SupplierCode>AL</SupplierCode><CategoryID>1</CategoryID><SubCategoryID>141</SubCategoryID><GroupID>1327</GroupID><SubGroupID>3893</SubGroupID><Suffix>at, pl</Suffix><ARTGs><ARTG>92318</ARTG></ARTGs><MinimumBenefit>635</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2020-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BL038</BillingCode><Name>B+L FINEVISION HP (POD F GF)</Name><Description>POD F GF test intraocular lens (IOL) is a foldable IOL with a quadripode “POD” open-loop design intended for capsular bag implantation. The IOL is made of the proprietary hydrophobic glistening-free (GFree®) material containing a UV-blocker and additional blue blocker. The material is a hydrophobic acrylic copolymer of medical quality which includes a UV (wavelength &lt; 400 nm) absorbing filter and a blue light-filtering chromophore which is covalently bounded to the hydrophobic material.
The optical part of the test POD F GF lens is biconvex and aspherical partially compensating the positive spherical aberration of the cornea. The optic bears a diffractive TRIFOCAL element on its anterior side (toward patient pupil), allowing for presbyopia correction and spectacle independence for near and intermediate visions. The add-power at the IOL plane for the near vision is + 3.5 diopters and for the intermediate vision + 1.75 diopters.
POD F GF is intended for implantation in the capsular bag after  human lens extraction after cataract. The IOL material is capable of being folded prior to insertion, allowing placement through an incision (2.0-2.2 mm) smaller than the optic diameter of the lens. After surgical insertion into the eye, the lens unfolds to ReSTOR the optical performance. The supporting haptics provide for proper positioning and fixation of the IOL optic within the eye.</Description><Size>Optic diameter: 6.00mm
Total diameter: 11.40mm
From Ø to +35 Diopters, with 0.5 Diopter increments</Size><SupplierCode>LL</SupplierCode><CategoryID>1</CategoryID><SubCategoryID>141</SubCategoryID><GroupID>1327</GroupID><SubGroupID>3893</SubGroupID><Suffix>at, vblf</Suffix><ARTGs><ARTG>211587</ARTG></ARTGs><MinimumBenefit>651</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>IW004</BillingCode><PriorBillingCodes><PriorBillingCode>BL038</PriorBillingCode></PriorBillingCodes><Name>B+L FINEVISION HP (POD F GF)</Name><Description>POD F GF test intraocular lens (IOL) is a foldable IOL with a quadripode “POD” open-loop design intended for capsular bag implantation. The IOL is made of the proprietary hydrophobic glistening-free(GFree®) material containing a UV-blocker and additional blue blocker. The material is a hydrophobic acrylic copolymer of medical quality which includes a UV(wavelength less than 400 nm) absorbing filter and a blue light-filtering chromophore which is covalently bounded to the hydrophobic material.  The optical part of the test POD F GF lens is biconvex and aspherical partially compensating the positive spherical aberration of the cornea. The optic bears a diffractive TRIFOCAL element on its anterior side (toward patient pupil), allowing for presbyopia correction and spectacle independence for near and intermediate visions. The add-power at the IOL plane for the near vision is + 3.5 diopters and for the intermediate vision + 1.75 diopters. POD F GF is intended for implantation in the capsular bag after human lens extraction after cataract. The IOL material is capable of being folded prior to insertion, allowing placement through an incision (2.0-2.2 mm) smaller than the optic diameter of the lens. After surgical insertion into the eye, the lens unfolds to ReSTOR the optical performance. The supporting haptics provide for proper positioning and fixation of the IOL optic within the eye</Description><Size>Optic diameter: 6.00mm  Total diameter: 11.40mm  From Ø to +35 Diopters, with 0.5 Diopter increments</Size><SupplierCode>IW</SupplierCode><CategoryID>1</CategoryID><SubCategoryID>141</SubCategoryID><GroupID>1327</GroupID><SubGroupID>3893</SubGroupID><Suffix>at, vblf</Suffix><ARTGs><ARTG>363012</ARTG></ARTGs><MinimumBenefit>651</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>KG038</BillingCode><Name>RayOne EMV Toric</Name><Description>Single piece preloaded monofocal toric aspheric acrylic IOL, enhanced monovision (EMV) UV absorbing, 360 degree square edge, anti vaulting haptics</Description><Size>6mm optic,   Power Range: SE: +10.0 D to +25.0 D (0.5 D increments), Cylinder: +0.75 D, +1.5 D, +2.25 D, +3.0 D, +3.75 D, +4.5 D</Size><SupplierCode>KG</SupplierCode><CategoryID>1</CategoryID><SubCategoryID>141</SubCategoryID><GroupID>1327</GroupID><SubGroupID>3893</SubGroupID><Suffix>at, pl, t1</Suffix><ARTGs><ARTG>220612</ARTG></ARTGs><MinimumBenefit>918</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2023-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>CZ046</BillingCode><Name>AT LARA toric 929MP</Name><Description>Bitoric Extended depth of focus (EDoF), micro incision, single-piece IOL for capsular bag fixation implantable with preloaded injector system, aberration neutral aspheric optical design</Description><Size>Diopter range SE: - 8.0 D to + 32.0 D in 0.5 increments
Cylinder: + 1.0 D to + 4.0 D in 0.5 increments
Further preselected SE/cylinder combinations are available above and below the stated SE range.
Optic size: 6mm, total diameter: 11mm</Size><SupplierCode>CZ</SupplierCode><CategoryID>1</CategoryID><SubCategoryID>141</SubCategoryID><GroupID>1327</GroupID><SubGroupID>3893</SubGroupID><Suffix>at, pl, t1</Suffix><ARTGs><ARTG>151348</ARTG></ARTGs><MinimumBenefit>918</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2019-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>KG023</BillingCode><Name>RayOne Trifocal Toric</Name><Description>Trifocal posterior chamber, toric, aberration-neutral technology, pre-loaded single piece acrylic IOL.</Description><Size>Spherical Equivalent: +6.0 D to +30.0 D (0.5 D increments), Cylinders: +0.75 D, +1.5 D, +2.25 D, +3.0 D, +3.75 D, +4.5 D, Trifocal, diffractive, +3.5 D near add and +1.75 D intermediate add at the IOL plane</Size><SupplierCode>KG</SupplierCode><CategoryID>1</CategoryID><SubCategoryID>141</SubCategoryID><GroupID>1327</GroupID><SubGroupID>3893</SubGroupID><Suffix>at, pl, t1</Suffix><ARTGs><ARTG>220612</ARTG></ARTGs><MinimumBenefit>918</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2019-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>CZ036</BillingCode><Name>AT LISA tri Toric 939MP</Name><Description>Trifocal (aspheric), bitoric, micro incision, single-piece IOL for capsular bag fixation, implantable with preloaded injector system. The trifocal (anterior) optic provides two diffractive focal points (+3.33D near focus and + 1.66D intermediate focus) with asymmetric light distribution 50% distance / 20% intermediate / 30% near vision,</Description><Size>Diopter range -10.00 to +28.0 and +1 to +4.0 DC Optic size: 6..00mml; Overall length: 11.mm</Size><SupplierCode>CZ</SupplierCode><CategoryID>1</CategoryID><SubCategoryID>141</SubCategoryID><GroupID>1327</GroupID><SubGroupID>3893</SubGroupID><Suffix>at, pl, t1</Suffix><ARTGs><ARTG>151348</ARTG></ARTGs><MinimumBenefit>918</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2013-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>CZ042</BillingCode><Name>AT LARA 829MP</Name><Description>Extended depth of focus (EDoF), micro incision, single-piece IOL for capsular bag fixation, implantable with preloaded injector system, aberration neutral aspheric optical design</Description><Size>Diopter range: -10.0 D to +32.0 D, 0.5 increments
Optic size: 6mm
Overall length: 11mm</Size><SupplierCode>CZ</SupplierCode><CategoryID>1</CategoryID><SubCategoryID>141</SubCategoryID><GroupID>1327</GroupID><SubGroupID>3893</SubGroupID><Suffix>at, pl</Suffix><ARTGs><ARTG>151348</ARTG></ARTGs><MinimumBenefit>635</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SO065</BillingCode><Name>HumanOptics Diffractiva Preloaded</Name><Description>Preloaded Multifocal posterior chamber IOL, foldable, UV absorber, Aspheric, aberration technology, 360° LEC barrier, HD optic</Description><Size>Sphere: +10D to +30D, Near addition +3.5D</Size><SupplierCode>SO</SupplierCode><CategoryID>1</CategoryID><SubCategoryID>141</SubCategoryID><GroupID>1327</GroupID><SubGroupID>3893</SubGroupID><Suffix>at, pl</Suffix><ARTGs><ARTG>227764</ARTG></ARTGs><MinimumBenefit>635</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2015-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ640</BillingCode><Name>Clareon Vivity Toric Extended Vision UV Absorbing IOL (Model CCWET2 – CCWET6) </Name><Description>Clareon Vivity Toric Extended Vision UV Absorbing IOL (Model CCWET2 – CCWET6) is a toric,  presbyopia correcting, UV absorbing, foldable, single-piece posterior chamber IOL which provides an extended range of vision from distance to near while maintaining a low incidence of visual disturbances. </Description><Size>+10.0 to +30.0 diopters; Cylinder:1.00 to 3.75 diopters.</Size><SupplierCode>AL</SupplierCode><CategoryID>1</CategoryID><SubCategoryID>141</SubCategoryID><GroupID>1327</GroupID><SubGroupID>3893</SubGroupID><Suffix>at, t1</Suffix><ARTGs><ARTG>92318</ARTG></ARTGs><MinimumBenefit>902</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2024-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>KG034</BillingCode><Name>RayOne EMV RAO200E Intraocular lens</Name><Description>RayOne EMV Model 200E is an extended vision, non-diffractive, UV-Absorbing, single-piece, foldable, hydrophilic, posterior chamber intraocular lens.  Provided preloaded in two-step injector.</Description><Size>6mm optic, Power range +10.0 to +30.0D (0.5D increments)</Size><SupplierCode>KG</SupplierCode><CategoryID>1</CategoryID><SubCategoryID>141</SubCategoryID><GroupID>1327</GroupID><SubGroupID>3893</SubGroupID><Suffix>at, pl</Suffix><ARTGs><ARTG>220612</ARTG></ARTGs><MinimumBenefit>635</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>KG021</BillingCode><PriorBillingCodes><PriorBillingCode>DV271</PriorBillingCode></PriorBillingCodes><Name>RayOne Trifocal</Name><Description>Diffractive step trifocal with smooth transition and reduced light loss</Description><Size>0.0 D to +30.0D (increments 0.5D)</Size><SupplierCode>KG</SupplierCode><CategoryID>1</CategoryID><SubCategoryID>141</SubCategoryID><GroupID>1327</GroupID><SubGroupID>3893</SubGroupID><Suffix>at, pl</Suffix><ARTGs><ARTG>220612</ARTG></ARTGs><MinimumBenefit>635</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>DE650</BillingCode><Name>FEMTIS Comfort FB-313MF15</Name><Description>Foldable one-piece multifocal acrylic plate haptic IOL for fixation in the capsulorhexis</Description><Size>Optic Size 5.7mm, Overall length 10.5mm. Available Dioptres: +15.0D to 30.0D (0.5D steps)</Size><SupplierCode>DE</SupplierCode><CategoryID>1</CategoryID><SubCategoryID>141</SubCategoryID><GroupID>1327</GroupID><SubGroupID>3893</SubGroupID><Suffix>at</Suffix><ARTGs><ARTG>328681</ARTG></ARTGs><MinimumBenefit>619</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BL053</BillingCode><PriorBillingCodes><PriorBillingCode>ER281</PriorBillingCode></PriorBillingCodes><Name>IC-8, Hydrophobic Small Aperture Intraocular Lens</Name><Description>A hydrophobic posterior chamber intraocular lens (IOL), embedded with a central circular mask, which operates under the principle of small aperture optics to reduce near vision blur and provide seamless extended range vision from distance to near.</Description><Size>The overall diameter is 12.5 millimetres with a 6 millimetre diameter aspheric optic.</Size><SupplierCode>LL</SupplierCode><CategoryID>1</CategoryID><SubCategoryID>141</SubCategoryID><GroupID>1327</GroupID><SubGroupID>3893</SubGroupID><Suffix>at</Suffix><ARTGs><ARTG>236210</ARTG></ARTGs><MinimumBenefit>619</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2023-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>CZ034</BillingCode><Name>AT LISA tri 839MP</Name><Description>Trifocal (aspheric) micro incision, single-piece IOL for capsular bag fixation, implantable with preloaded injector system.  The trifocal (anterior) optic provides two diffractive focal points (+3.33D near focus and +1.66D intermediate focus) with asymmetric light distribution 50% distance / 20% intermediate / 30% near vision.</Description><Size>Diopter range: 0.0 to +32.0D (0.5D increments). Optic size: 6.0mm. Overall Length: 11.0mm</Size><SupplierCode>CZ</SupplierCode><CategoryID>1</CategoryID><SubCategoryID>141</SubCategoryID><GroupID>1327</GroupID><SubGroupID>3893</SubGroupID><Suffix>at, pl</Suffix><ARTGs><ARTG>134490</ARTG></ARTGs><MinimumBenefit>635</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>VU012</BillingCode><Name>Medicontur Trifocal Bi-Flex Liberty preloaded Hydrophilic Acrylic Multifocal with Blue Light Filter</Name><Description>Posterior chamber IOL, 360° Special Square Edge, Aspheric – Coma optimized</Description><Size>Optic diameter: 6.0 mm ±0.10 mm, Overall diameter: 13.0 mm ±0.20 mm  Powers available:   -10.0 - +9.0 D ±0.25 D increment:  1.0 D  +10.0 - +25.0 D ±0.25 D increment:  0.5 D   +25.5 - +30.0 D ±0.5 D increment:  0.5 D   +31.0- +45.0 D ±0. D increment:  1.0 D</Size><SupplierCode>VU</SupplierCode><CategoryID>1</CategoryID><SubCategoryID>141</SubCategoryID><GroupID>1327</GroupID><SubGroupID>3893</SubGroupID><Suffix>at, pl, vblf</Suffix><ARTGs><ARTG>221834</ARTG></ARTGs><MinimumBenefit>666</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>AO052</BillingCode><Name>TECNIS Synergy Simplicity</Name><Description>Preloaded 1-piece continuous multifocal IOL</Description><Size>5.0 Diopters to +34.0 Diopters in 0.5 Diopter increments. Overall diameter 13mm, optic size 6mm</Size><SupplierCode>AO</SupplierCode><CategoryID>1</CategoryID><SubCategoryID>141</SubCategoryID><GroupID>1327</GroupID><SubGroupID>3893</SubGroupID><Suffix>at, pl, vblf</Suffix><ARTGs><ARTG>411514</ARTG></ARTGs><MinimumBenefit>666</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2023-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>IQ025</BillingCode><Name>PreciSAL Multifocal PM302A</Name><Description>Pre-loaded acrylic single piece, foldable intraocular lens with anterior and posterior optichaptic square edge, 360 degree optic square edge design, precision power calculation, aberration technology, pupil independent diffractive anterior surface with a near sight correction addition of up to +3.5D, and UV and blue filter powers.</Description><Size>Available in spherical dioptric powers from 0.0 to +30.0. 1D steps: 0.0 to +10.0; 0.5D steps: +10.5 to +17.5 and +28.5 to +30.0; 0.25D steps: +18.0 to +28.0; near sight correction addition up to +3.5D on all spherical dioptric powers.</Size><SupplierCode>IQ</SupplierCode><CategoryID>1</CategoryID><SubCategoryID>141</SubCategoryID><GroupID>1327</GroupID><SubGroupID>3893</SubGroupID><Suffix>at, pl, vblf</Suffix><ARTGs><ARTG>183558</ARTG></ARTGs><MinimumBenefit>666</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2014-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>IW002</BillingCode><PriorBillingCodes><PriorBillingCode>BL036</PriorBillingCode></PriorBillingCodes><Name>FineVision Toric POD FT</Name><Description>Posterior chamber, toric, trifocal diffractive (aspheric), UV and blue light blocker, single piece acrylic IOL.</Description><Size>An overall diameter of 11.40mm and optic diameter of 6.00mm. From 0 to +35 Diopters with 0.5 diopter increments.</Size><SupplierCode>IW</SupplierCode><CategoryID>1</CategoryID><SubCategoryID>141</SubCategoryID><GroupID>1327</GroupID><SubGroupID>3893</SubGroupID><Suffix>at, t1, vblf</Suffix><ARTGs><ARTG>363012</ARTG></ARTGs><MinimumBenefit>934</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>DE789</BillingCode><Name>Acunex Variomax Toric AN6VMT</Name><Description>Foldable one-piece acrylic Multifocal C loop IOL with aspheric surface and violet blue light filter.</Description><Size>Overall Length 12.5mm and Optic Size 6.0mm, SE: +10.0D to +30.0D (0.5D steps), cyl: T0 +0.75D T1 +1.5D T2 +2.25D T3 +3.0D, ADD +3.0D.</Size><SupplierCode>DE</SupplierCode><CategoryID>1</CategoryID><SubCategoryID>141</SubCategoryID><GroupID>1327</GroupID><SubGroupID>3893</SubGroupID><Suffix>at, t1, vblf</Suffix><ARTGs><ARTG>328681</ARTG></ARTGs><MinimumBenefit>934</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>DE523</BillingCode><Name>LENTIS Mplus LU-313MFTY</Name><Description>Patient specific one-piece multifocal toric plate haptic acrylic IOL. Violet light filter.</Description><Size>Overall Length 11.0mm and Optic Size 6.0mm, +-0.0D to +36.0D inclusive in 0.01D increments. Cyl +0.50D to +12.0D inclusive in 0.01D increments, axis 1 degree increments</Size><SupplierCode>DE</SupplierCode><CategoryID>1</CategoryID><SubCategoryID>141</SubCategoryID><GroupID>1327</GroupID><SubGroupID>3893</SubGroupID><Suffix>at, t1, vblf</Suffix><ARTGs><ARTG>328681</ARTG></ARTGs><MinimumBenefit>934</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ201</BillingCode><Name>Medicontur Bi-Flex Elon 877PEY EDOF IOL</Name><Description>Single piece, sterile, foldable aspheric hydrophobic acrylic intraocular lens (IOL) with UV blocker and blue light filter. The optic is EDOF. The IOL is available as part of a preloaded injector system.</Description><Size>Optic Diameter: 6mm, Overall Dameter: 13mm, Standard Powers +8.0 D to + 30 D in 0.5 D steps, Extreme Powers +31.0 D to 35.0 D in 1.0 D steps</Size><SupplierCode>VU</SupplierCode><CategoryID>1</CategoryID><SubCategoryID>141</SubCategoryID><GroupID>1327</GroupID><SubGroupID>3893</SubGroupID><Suffix>at, pl, vblf</Suffix><ARTGs><ARTG>221834</ARTG></ARTGs><MinimumBenefit>666</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2024-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ152</BillingCode><Name>TECNIS PureSee IOL with Simplicity Delivery System</Name><Description>Pre-loaded, 1-piece posterior chamber, presbyopia correcting, UV absorbing hydrophobic acrylic with violet-light filter, Non Toric IOL offering extended vision</Description><Size>Diopter range +5.0 D to +34.0 D. in 0.5 diopter increments</Size><SupplierCode>AO</SupplierCode><CategoryID>1</CategoryID><SubCategoryID>141</SubCategoryID><GroupID>1327</GroupID><SubGroupID>3893</SubGroupID><Suffix>at, pl, vblf</Suffix><ARTGs><ARTG>426290</ARTG></ARTGs><MinimumBenefit>666</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2024-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BL048</BillingCode><Name>LuxSmart Preloaded</Name><Description>The LuxSmart intraocular lens (IOL) is a single-piece ultraviolet (UV) absorbing, posterior  chamber, hydrophobic acrylic IOL, blue light filtering and has aspheric optics. The lens is  provided sterile and is designed to be folded prior to insertion into the eye. The preloaded  intraocular LuxSmart lens is supplied with an Accuject Pro Delivery System to provide a  touch-free method of delivery of the lens into the capsular bag.</Description><Size>Body Diameter: +00.00 D to +34.00 D: 6.0 mm +/- 0.1 mm Overall Diameter: +00.00 D to  +34.00 D: 11.00 mm +/- 0.2 mm Power Range: +0.00 D to +34.00 D Label Increments:  0.1D</Size><SupplierCode>LL</SupplierCode><CategoryID>1</CategoryID><SubCategoryID>141</SubCategoryID><GroupID>1327</GroupID><SubGroupID>3893</SubGroupID><Suffix>at, pl, vblf</Suffix><ARTGs><ARTG>342175</ARTG></ARTGs><MinimumBenefit>666</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SO066</BillingCode><Name>HumanOptics Diffractiva Y Preloaded</Name><Description>Preloaded Multifocal posterior chamber IOL, foldable, UV absorber, Aspheric, aberration technology, 360° LEC barrier, HD optic, Blue light filter</Description><Size>Sphere: +10D to +30D, Near addition +3.5D</Size><SupplierCode>SO</SupplierCode><CategoryID>1</CategoryID><SubCategoryID>141</SubCategoryID><GroupID>1327</GroupID><SubGroupID>3893</SubGroupID><Suffix>at, pl, vblf</Suffix><ARTGs><ARTG>227764</ARTG></ARTGs><MinimumBenefit>666</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2015-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ272</BillingCode><Name>AT LISA TRI TORIC 949M - High Cyl</Name><Description>Trifocal (aspheric), bitoric, micro incision, single-piece IOL for capsular bag fixation. The trifocal (anterior) optic provides two diffractive focal points (+3.33D near focus and +1.66D intermediate focus) with asymmetric light distribution 50% distance / 20% intermediate / 30% near vision.</Description><Size>Spherical Equivalent (SE): -5.0 to +35.0 D, 0.5 D increments, High Cylinder +7.0 to 12.0 D, 0.5D increments. Optic size: 6.0 mm Overall length: 11.mm</Size><SupplierCode>CZ</SupplierCode><CategoryID>1</CategoryID><SubCategoryID>141</SubCategoryID><GroupID>1327</GroupID><SubGroupID>3893</SubGroupID><Suffix>at, t2</Suffix><ARTGs><ARTG>151348</ARTG></ARTGs><MinimumBenefit>1130</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2024-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>CZ044</BillingCode><Name>AT LARA toric 929M high cylinder</Name><Description>Bitoric Extended depth of focus (EDoF), micro incision, single-piece IOL for capsular bag fixation implantable with injector system, aberration neutral aspheric optical design</Description><Size>Diopter range SE: - 4.0 D to + 32.0 D in 0.5 increments
Cylinder: + 7.0 D to + 12.0 D increments
Further preselected SE/cylinder combinations are available above and below the stated SE range.
Optic size: 6mm, total diameter: 11mm</Size><SupplierCode>CZ</SupplierCode><CategoryID>1</CategoryID><SubCategoryID>141</SubCategoryID><GroupID>1327</GroupID><SubGroupID>3893</SubGroupID><Suffix>at, t2</Suffix><ARTGs><ARTG>151348</ARTG></ARTGs><MinimumBenefit>1130</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2019-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>CZ039</BillingCode><Name>AT LISA tri toric 939M high powered cylinder</Name><Description>Trifocal (aspheric), bitoric, micro incision, single-piece IOL for capsular bag fixation. The trifocal (anterior) optic provides two diffractive focal points (+3.33D near focus and +1.66D intermediate focus) with asymmetric light distribution 50% distance / 20% intermediate / 30% near vision.</Description><Size>Diopter range: -10.00 to + 32.0 DS and +7 to +12 DC
Optic Size: 6.0mm. Overall Length: 11.0mm</Size><SupplierCode>CZ</SupplierCode><CategoryID>1</CategoryID><SubCategoryID>141</SubCategoryID><GroupID>1327</GroupID><SubGroupID>3893</SubGroupID><Suffix>at, t2</Suffix><ARTGs><ARTG>151348</ARTG></ARTGs><MinimumBenefit>1130</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2013-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>DE778</BillingCode><Name>Acunex Vario Toric AN6VT</Name><Description>Foldable one-piece acrylic EDOF C loop IOL with aspheric surface and violet blue light filter.</Description><Size>Overall Length 12.5mm and Optic Size 6.0mm, SE: +10.0D to +30.0D (0.5D steps), cyl: T0 +0.75D  T1 +1.5D  T2 +2.25D  T3 +3.0D, ADD +1.5D.</Size><SupplierCode>DE</SupplierCode><CategoryID>1</CategoryID><SubCategoryID>141</SubCategoryID><GroupID>1327</GroupID><SubGroupID>3893</SubGroupID><Suffix>at, t1, vblf</Suffix><ARTGs><ARTG>328681</ARTG></ARTGs><MinimumBenefit>934</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>AL046</BillingCode><Name>AcrySof IQ Vivity Toric Extended Vision Intraocular Lens</Name><Description>Vivity Toric Models DFT215, DFT315, DFT415, DFT515 and DFT615 are a toric, extended vision, non-diffractive, UV-absorbing and blue light filtering, single-piece, foldable, hydrophobic, posterior chamber intraocular lens.</Description><Size>+10.0 to +30.0 diopters;   Cylinder: 1.0 to 3.75 diopters</Size><SupplierCode>AL</SupplierCode><CategoryID>1</CategoryID><SubCategoryID>141</SubCategoryID><GroupID>1327</GroupID><SubGroupID>3893</SubGroupID><Suffix>at, t1, vblf</Suffix><ARTGs><ARTG>92318</ARTG></ARTGs><MinimumBenefit>934</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2019-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>AL059</BillingCode><Name>Clareon Vivity Toric Extended Vision Hydrophobic IOL (Models CNWET2 - CNWET6)</Name><Description>Presbyopia correcting, ultraviolet and blue light filtering, foldable, single-piece posterior chamber IOL which provides an extended range of vision from distance to near while maintaining a low incidence of visual disturbances, and also compensates for corneal astigmatism
</Description><Size>+6.0 to +30.0 diopters (in 0.5 diopter increments); +31.0 to +34.0 diopters (in 1.0 diopter increments). Cylinder:1.00 to 3.75 diopters</Size><SupplierCode>AL</SupplierCode><CategoryID>1</CategoryID><SubCategoryID>141</SubCategoryID><GroupID>1327</GroupID><SubGroupID>3893</SubGroupID><Suffix>at, t1, vblf</Suffix><ARTGs><ARTG>92318</ARTG></ARTGs><ChangeExplanation>Change to Size</ChangeExplanation><MinimumBenefit>934</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Update</ActionFlag><CycleStartDate>2023-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BL036</BillingCode><Name>FineVision Toric POD FT</Name><Description>Posterior chamber, toric, trifocal diffractive (aspheric), UV and blue light blocker, single piece acrylic IOL.</Description><Size>An overall diameter of 11.40mm and optic diameter of 6.00mm. From 0 to +35 Diopters with 0.5 diopter increments.</Size><SupplierCode>LL</SupplierCode><CategoryID>1</CategoryID><SubCategoryID>141</SubCategoryID><GroupID>1327</GroupID><SubGroupID>3893</SubGroupID><Suffix>at, t1, vblf</Suffix><ARTGs><ARTG>211587</ARTG></ARTGs><MinimumBenefit>934</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2014-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BL046</BillingCode><Name>FINEVISION HP TORIC (POD FT 49P)</Name><Description>The POD FT 49P (FINEVISION HP TORIC) posterior chamber intraocular lens is indicated for the replacement of the human lens to achieve the visual correction of aphakia and pre-existing corneal astigmatism in astigmatic adult patients in whom a cataractous lens has been removed by phacoemulsification who desire improved uncorrected vision, reduction of residual refractive cylinder, useful near and intermediate visual functions, and reduced spectacle dependence. The intraocular lens is intended to maintain rotational stability after placement in the capsular bag and is intended to be placed in the capsular bag. The GF-Glistening Free, material is an acrylic copolymer of medical quality which includes a UV absorbing filter. For the yellow intraocular lenses, a blue light-filtering chromophore is covalently bounded to the UV-absorbing material and the spectral transmittance through a central diopter IOL. They have biconvex optics with an aspheric anterior diffractive trifocal structure that partitions the light to give pseudo-accommodative vision and a posterior toric optic which compensates for corneal astigmatism. The add-power for near vision is + 3.5 diopters and for the intermediate vision + 1.75 diopters at IOL plane allowing the patient to benefit from near vision without a reading aid, and from increased spectacle independence for near and intermediate visions.</Description><Size>Optic diameter: 6.00mm; Total diameter: 11.40mm; From 6 to +35 Diopters, with 0.5 Diopter increments; Cylinders (IOL Plane) 1.00D, 1.50D, 2.25D, 3.00D, 3.75D, 4.50D, 5.25D, 6.00D.</Size><SupplierCode>LL</SupplierCode><CategoryID>1</CategoryID><SubCategoryID>141</SubCategoryID><GroupID>1327</GroupID><SubGroupID>3893</SubGroupID><Suffix>at, t1, vblf</Suffix><ARTGs><ARTG>211587</ARTG></ARTGs><MinimumBenefit>934</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>AL058</BillingCode><Name>Clareon PanOptix Toric Trifocal Hydrophobic Intraocular Lens (Models CNWTT2 – CNWTT6) </Name><Description>Clareon PanOptix Toric Trifocal Hydrophobic IOL is a toric, presbyopia correcting, hydrophobic, UV-absorbing, blue light filtering, foldable, single-piece, posterior chamber, multifocal IOL</Description><Size>+6.0 to +30.0 diopters (in 0.5 diopter increments); +31.0 to +34.0 diopter in 1.0 diopter increments with a +2.17 diopter intermediate and a +3.25 diopter near add power; Cylinder 1.00 to 3.75 diopters.</Size><SupplierCode>AL</SupplierCode><CategoryID>1</CategoryID><SubCategoryID>141</SubCategoryID><GroupID>1327</GroupID><SubGroupID>3893</SubGroupID><Suffix>at, t1, vblf</Suffix><ARTGs><ARTG>92318</ARTG></ARTGs><MinimumBenefit>934</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>AL043</BillingCode><Name>AcrySof IQ PanOptix Toric Trifocal IOL</Name><Description>Trifocal posterior chamber, toric, UV absorbing, foldable, acrylic, aspheric, single piece lens with apodised diffractive trifocal optic and blue light protection.  The apodised diffractive trifocal optic (anterior) provides two diffractive focal points (+3.25D near focus and 2.17D intermediate focus).</Description><Size>+6.0 to +30.0D in 0.5 Diopter increments and +31.0 to +34.0D in 1.0 Diopter increments. Cylinder: +1.0; +1.50; +2.25; +3.00 and +3.75 D</Size><SupplierCode>AL</SupplierCode><CategoryID>1</CategoryID><SubCategoryID>141</SubCategoryID><GroupID>1327</GroupID><SubGroupID>3893</SubGroupID><Suffix>at, t1, vblf</Suffix><ARTGs><ARTG>92318</ARTG></ARTGs><MinimumBenefit>934</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>AL033</BillingCode><Name>AcrySof IQ ReSTOR multifocal toric IOL (SND1T2-T6; SV25T2-T6)</Name><Description>Posterior chamber UV absorbing foldable, acrylic, aspheric, toric single piece lens with apodised diffractive optic and blue light protection.</Description><Size>+6  to +34 D spherical; 1.00 to 3.75 D cylinder</Size><SupplierCode>AL</SupplierCode><CategoryID>1</CategoryID><SubCategoryID>141</SubCategoryID><GroupID>1327</GroupID><SubGroupID>3893</SubGroupID><Suffix>at, t1, vblf</Suffix><ARTGs><ARTG>92318</ARTG></ARTGs><MinimumBenefit>934</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2010-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>VU013</BillingCode><PriorBillingCodes><PriorBillingCode>IS037</PriorBillingCode></PriorBillingCodes><Name>677MTY</Name><Description>BiFlex Single-Piece Aspheric Hydrophilic Progressive Diffractive Toric IOL with Blue filter and 360' Special Square Edge for implantation into capsular bag</Description><Size>Optic diameter: 6.0 mm ±0.05 mm, Overall diameter: 13.0 mm ±0.10 mm  Powers available:   -10.0  -  +30.0 D ±0.25 D increment:  0.5 D    Cylinders available:              +1.0 D - +4.5 D increment:  0.5 D     +5.25D - +6.0 D increment:  0.75 D</Size><SupplierCode>VU</SupplierCode><CategoryID>1</CategoryID><SubCategoryID>141</SubCategoryID><GroupID>1327</GroupID><SubGroupID>3893</SubGroupID><Suffix>at, t1, vblf</Suffix><ARTGs><ARTG>221834</ARTG></ARTGs><MinimumBenefit>934</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>VU020</BillingCode><PriorBillingCodes><PriorBillingCode>IS047</PriorBillingCode></PriorBillingCodes><Name>Basis Z Hydrophilic Toric Progressive IOL</Name><Description>One piece foldable hydrophilic progressive toric intraoccular lens</Description><Size>Available in spherical diopter powers from +10D to 35D in 0.5 steps  Cylindrical powers range from 1.0-6.0D</Size><SupplierCode>VU</SupplierCode><CategoryID>1</CategoryID><SubCategoryID>141</SubCategoryID><GroupID>1327</GroupID><SubGroupID>3893</SubGroupID><Suffix>at, t1, vblf</Suffix><ARTGs><ARTG>280510</ARTG></ARTGs><MinimumBenefit>934</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>AO045</BillingCode><Name>TECNIS® Synergy Toric IOL</Name><Description>1-piece continuous multifocal toric IOL</Description><Size>+5.0 Diopters to +34.0 Diopters in 0.5 Diopter increments.  Overall diameter 13mm, optic size 6mm  Cylinder powers 1.00 D, 1.50 D, 2.25 D, 3.00 D, 3.75 D, 4.50 D, 5.25 D, and 6.00 D (as measured on the IOL plane).</Size><SupplierCode>AO</SupplierCode><CategoryID>1</CategoryID><SubCategoryID>141</SubCategoryID><GroupID>1327</GroupID><SubGroupID>3893</SubGroupID><Suffix>at, t1, vblf</Suffix><ARTGs><ARTG>181845</ARTG></ARTGs><MinimumBenefit>934</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2020-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ273</BillingCode><Name>AT LISA TRI TORIC 949M - Low Cyl</Name><Description>Trifocal (aspheric), bitoric, micro incision, single-piece IOL for capsular bag fixation. The trifocal (anterior) optic provides two diffractive focal points (+3.33D near focus and +1.66D intermediate focus) with asymmetric light distribution 50% distance / 20% intermediate /30% near vision.</Description><Size>Spherical Equivalent (SE): -5.0 to +35.0 D, 0.5 D increments Low Cylinder +4.5 to +6.5 D, 0.5 D increments. Optic size: 6.0 mm Overall length: 11.mm</Size><SupplierCode>CZ</SupplierCode><CategoryID>1</CategoryID><SubCategoryID>141</SubCategoryID><GroupID>1327</GroupID><SubGroupID>3893</SubGroupID><Suffix>at, t1</Suffix><ARTGs><ARTG>151348</ARTG></ARTGs><MinimumBenefit>902</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2024-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>AO038</BillingCode><Name>TECNIS Symfony Toric Extended Range of Vision (ZXT00)</Name><Description>Extended Range of Vision Toric Multifocal Posterior Chamber IOL</Description><Size>+6 to +30 in 0.5d steps Available Cyl powers +1.0d, 1.5d, 2.25d, 3.00d, 3.75d, 4.5d, 5.25d, 6.00d</Size><SupplierCode>AO</SupplierCode><CategoryID>1</CategoryID><SubCategoryID>141</SubCategoryID><GroupID>1327</GroupID><SubGroupID>3893</SubGroupID><Suffix>at, t1</Suffix><ARTGs><ARTG>181845</ARTG></ARTGs><MinimumBenefit>902</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2015-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>CZ045</BillingCode><Name>AT LARA toric 929M low cylinder</Name><Description>Bitoric Extended depth of focus (EDoF), micro incision, single-piece IOL for capsular bag fixation implantable with injector system, aberration neutral aspheric optical design</Description><Size>Diopter range SE: - 4.0 D to + 32.0 D in 0.5 increments
Cylinder: + 4.5 D to + 6.5 D increments
Further preselected SE/cylinder combinations are available above and below the stated SE range.
Optic size: 6mm, total diameter: 11mm</Size><SupplierCode>CZ</SupplierCode><CategoryID>1</CategoryID><SubCategoryID>141</SubCategoryID><GroupID>1327</GroupID><SubGroupID>3893</SubGroupID><Suffix>at, t1</Suffix><ARTGs><ARTG>151348</ARTG></ARTGs><MinimumBenefit>902</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2019-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>CZ038</BillingCode><Name>AT LISA tri toric 939M low cylinder</Name><Description>Trifocal (aspheric), bitoric, micro incision, single-piece IOL for capsular bag fixation.  The trifocal (anterior) optic provides two diffractive focal points (+3.33D near focus and +1.66D intermediate focus) with asymmetric light distribution 50% distance / 20% intermediate / 30% near vision.</Description><Size>Diopter range: -10.00 to + 32.0 DS and +1 to +6.5DC
Optic Size: 6.0mm. Overall Length: 11.0mm</Size><SupplierCode>CZ</SupplierCode><CategoryID>1</CategoryID><SubCategoryID>141</SubCategoryID><GroupID>1327</GroupID><SubGroupID>3893</SubGroupID><Suffix>at, t1</Suffix><ARTGs><ARTG>151348</ARTG></ARTGs><MinimumBenefit>902</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2013-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>DE676</BillingCode><Name>LENTIS Mplus toric LU-814MF30T</Name><Description>Foldable one-piece acrylic posterior chamber aspheric multifocal toric IOL for capsular bag, sulcus and sulcus-sclera fixation.</Description><Size>Optic size: 6.2mm, Overall length: 13.0mm, Available Dioptres: sph. 0.0D to +36.0D (0.01D increments), cyl. +0.50D to +12.0D (0.01D increments), axis 1 deg. increments.</Size><SupplierCode>DE</SupplierCode><CategoryID>1</CategoryID><SubCategoryID>141</SubCategoryID><GroupID>1327</GroupID><SubGroupID>3893</SubGroupID><Suffix>at, t1</Suffix><ARTGs><ARTG>328681</ARTG></ARTGs><MinimumBenefit>902</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2019-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>DE494</BillingCode><Name>LENTIS Mplus Toric LU-313MFT</Name><Description>Patient specific one-piece multifocal-toric plate haptic acrylic IOL</Description><Size>Overall Length 11.0mm and Optic Size 6.0 + 0.0D to +36.0D inclusive in 0.01D increments. Cyl +0.50 to +12.00D inclusive in 0.01D increments  sph + cyl &lt;40.0D  axis 1 degree scaling</Size><SupplierCode>DE</SupplierCode><CategoryID>1</CategoryID><SubCategoryID>141</SubCategoryID><GroupID>1327</GroupID><SubGroupID>3893</SubGroupID><Suffix>at, t1</Suffix><ARTGs><ARTG>328681</ARTG></ARTGs><MinimumBenefit>902</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2016-09-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>DE786</BillingCode><Name>FEMTIS Mplus Toric FB313MF30T0-T3</Name><Description>Foldable one-piece toric multifocal acrylic plate haptic IOL for fixation in the capsulorhexis</Description><Size>Optic Size 5.7mm, Overall length 10.5mm. Available Dioptres: SE +15.0D to +30.0D (0.5Dsteps), cyl T0 +0.75D | T1 +1.5D | T2 +2.25D | T3 +3.0D</Size><SupplierCode>DE</SupplierCode><CategoryID>1</CategoryID><SubCategoryID>141</SubCategoryID><GroupID>1327</GroupID><SubGroupID>3893</SubGroupID><Suffix>at, t1</Suffix><ARTGs><ARTG>328681</ARTG></ARTGs><MinimumBenefit>902</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>DE765</BillingCode><Name>LENTIS Mplus Toric LU-814MF15T</Name><Description>Foldable one-piece acrylic posterior chamber aspheric multifocal toric IOL for capsular bag,sulcus and sulcus-sclera fixation</Description><Size>Optic size: 6.2mm,Overall length:13.0mm, Available Dioptres: sph. 0.0D to +36.0D (0.01D increments), cyl. +0.25D to +12.0D (0.01D increments), axis 1 deg. increments</Size><SupplierCode>DE</SupplierCode><CategoryID>1</CategoryID><SubCategoryID>141</SubCategoryID><GroupID>1327</GroupID><SubGroupID>3893</SubGroupID><Suffix>at, t1</Suffix><ARTGs><ARTG>328681</ARTG></ARTGs><MinimumBenefit>902</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>DE718</BillingCode><Name>FEMTIS Comfort Toric FB-313MF15T0-T3</Name><Description>Foldable one-piece toric multifocal acrylic plate haptic IOL for fixation in the capsulorhexis</Description><Size>Optic Size 5.7mm, Overall length 10.5mm. Available Dioptres: SE +15.0D to 30.0D (0.5Dsteps), cyl  T0 +0.75D | T1 +1.5D | T2 +2.25D | T3 +3.0D</Size><SupplierCode>DE</SupplierCode><CategoryID>1</CategoryID><SubCategoryID>141</SubCategoryID><GroupID>1327</GroupID><SubGroupID>3893</SubGroupID><Suffix>at, t1</Suffix><ARTGs><ARTG>328681</ARTG></ARTGs><MinimumBenefit>902</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2020-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>DE526</BillingCode><Name>LENTIS Comfort Toric LS-313MF15T0-T6</Name><Description>Foldable one piece multifocal toric plate haptic acrylic IOL</Description><Size>Overall Length 11.0mm and Optic Size 6.0mm, SE: +10.0D to +30.0D (0.5D steps), Cyl: +0.75D to +5.25D (0.75D steps).</Size><SupplierCode>DE</SupplierCode><CategoryID>1</CategoryID><SubCategoryID>141</SubCategoryID><GroupID>1327</GroupID><SubGroupID>3893</SubGroupID><Suffix>at, t1</Suffix><ARTGs><ARTG>328681</ARTG></ARTGs><MinimumBenefit>902</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>IQ022</BillingCode><Name>PresiSAL Multifocal M302A</Name><Description>Acrylic single piece, foldable intraocular lens with anterior and posterior optic-haptic square edge, 360 degree optic square edge design, precision power calculation. Aberration technology, pupil independent diffractive anterior surface with a near sight correction addition of up to +3.5D, and UV and blue light fliters.</Description><Size>Available in sperical dioptric powers from 0.0D to +30.0D. 1D steps: 0.0D to +10.0D; 0.5D steps: +10.5 to +17.5 and +28.5 to +30.0; 0.25D steps: +18.0.0 to +28.0; near sight correction addition up to +3.5D on all spherical dioptric powers.</Size><SupplierCode>IQ</SupplierCode><CategoryID>1</CategoryID><SubCategoryID>141</SubCategoryID><GroupID>1327</GroupID><SubGroupID>3893</SubGroupID><Suffix>at, vblf</Suffix><ARTGs><ARTG>183558</ARTG></ARTGs><MinimumBenefit>651</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2014-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>IW003</BillingCode><PriorBillingCodes><PriorBillingCode>BL034</PriorBillingCode></PriorBillingCodes><Name>FineVision Micro F</Name><Description>Posterior chamber, UV absorbing, foldable, aspheric, acrylic, single piece lens with apodised diffractive , trifocal optic and blue light protection</Description><Size>An overall diameter of 10.75mm and optic diameter of 6.15mm. From 0 to +35 dopters with 0.5 diopter increments.</Size><SupplierCode>IW</SupplierCode><CategoryID>1</CategoryID><SubCategoryID>141</SubCategoryID><GroupID>1327</GroupID><SubGroupID>3893</SubGroupID><Suffix>at, vblf</Suffix><ARTGs><ARTG>363012</ARTG></ARTGs><MinimumBenefit>651</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>AL030</BillingCode><Name>AcrySof IQ ReSTOR SN6AD1, SV25T0 and MN6AD1</Name><Description>Posterior Chamber, UV absorbing, foldable, acrylic, single piece lens with apodised diffractive optic and blue light protection</Description><Size>+6 D to + 34 D</Size><SupplierCode>AL</SupplierCode><CategoryID>1</CategoryID><SubCategoryID>141</SubCategoryID><GroupID>1327</GroupID><SubGroupID>3893</SubGroupID><Suffix>at, vblf</Suffix><ARTGs><ARTG>92318</ARTG></ARTGs><MinimumBenefit>651</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2008-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>DE766</BillingCode><Name>Acunex Variomax AN6VM</Name><Description>Foldable one-piece acrylic multifocal C loop IOL with aspheric surface and violet blue light filter.</Description><Size>Overall Length 12.5mm and Optic Size 6.0mm, SE +10.0D to +30.0D (0.5D steps), ADD +3.0D.</Size><SupplierCode>DE</SupplierCode><CategoryID>1</CategoryID><SubCategoryID>141</SubCategoryID><GroupID>1327</GroupID><SubGroupID>3893</SubGroupID><Suffix>at, vblf</Suffix><ARTGs><ARTG>328681</ARTG></ARTGs><MinimumBenefit>651</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>DE774</BillingCode><Name>Acunex Vario AN6V</Name><Description>Foldable one-piece acrylic EDOF C loop IOL with aspheric surface and violet blue light filter.</Description><Size>Overall Length 12.5mm and Optic Size 6.0mm, SE +10.0D to +30.0D (0.5D steps), ADD +1.5D.</Size><SupplierCode>DE</SupplierCode><CategoryID>1</CategoryID><SubCategoryID>141</SubCategoryID><GroupID>1327</GroupID><SubGroupID>3893</SubGroupID><Suffix>at, vblf</Suffix><ARTGs><ARTG>328681</ARTG></ARTGs><MinimumBenefit>651</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>AL050</BillingCode><Name>AcrySof IQ Vivity Extended Vision Intraocular Lens</Name><Description>Vivity Model DFT015 is an extended vision, non-diffractive, UV-absorbing and blue light filtering, single-piece, foldable, hydrophobic, posterior chamber intraocular lens</Description><Size>+10.0 to +30.0 diopters</Size><SupplierCode>AL</SupplierCode><CategoryID>1</CategoryID><SubCategoryID>141</SubCategoryID><GroupID>1327</GroupID><SubGroupID>3893</SubGroupID><Suffix>at, vblf</Suffix><ARTGs><ARTG>92318</ARTG></ARTGs><MinimumBenefit>651</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2019-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>AL040</BillingCode><Name>AcrySof IQ PanOptix Trifocal IOL</Name><Description>Trifocal posterior chamber, UV absorbing, foldable, acrylic, aspheric, single piece lens with apodised diffractive trifocal optic and blue light protection.  The apodised diffractive trifocal optic (anterior) provides two diffractive focal points (+3.25D near focus and 2.17D intermediate focus).</Description><Size>+6.0 to +30.0D in 0.5 Diopter increments and +31.0 to +34.0D in 1.0 Diopter increments</Size><SupplierCode>AL</SupplierCode><CategoryID>1</CategoryID><SubCategoryID>141</SubCategoryID><GroupID>1327</GroupID><SubGroupID>3893</SubGroupID><Suffix>at, vblf</Suffix><ARTGs><ARTG>92318</ARTG></ARTGs><MinimumBenefit>651</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2015-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>AL051</BillingCode><Name>Clareon PanOptix Trifocal Hydrophobic Intraocular Lens (Model CNWTT0) </Name><Description>The Clareon PanOptix Trifocal Hydrophobic Intraocular Lens (Model CNWTT0) is a presbyopia correcting, ultraviolet and blue light filtering, foldable, single-piece posterior chamber, multifocal IOL </Description><Size> +6.0 to +30.0 diopters (in 0.5 diopter increments); +31.0 to +34.0 diopter in 1.0 diopter increments</Size><SupplierCode>AL</SupplierCode><CategoryID>1</CategoryID><SubCategoryID>141</SubCategoryID><GroupID>1327</GroupID><SubGroupID>3893</SubGroupID><Suffix>at, vblf</Suffix><ARTGs><ARTG>92318</ARTG></ARTGs><MinimumBenefit>651</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2020-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>VU014</BillingCode><PriorBillingCodes><PriorBillingCode>IS019</PriorBillingCode></PriorBillingCodes><Name>Medicontur BiFlex 677MY Hydrophilic Acrylic Foldable Multifocal Lens with Blue light Filter</Name><Description>Posterior chamber IOL, 360° Special Square Edge, Aspheric – Coma optimized</Description><Size>Optic diameter: 6.0 mm ±0.10 mm, Overall diameter: 13.0 mm ±0.20 mm  Powers available:   -10.0 - +9.0 D ±0.25 D increment:  1.0 D  +10.0 - +25.0 D ±0.25 D increment:  0.5 D   +25.5 - +30.0 D ±0.5 D increment:  0.5 D   +31.0- +45.0 D ±0. D increment:  1.0 D</Size><SupplierCode>VU</SupplierCode><CategoryID>1</CategoryID><SubCategoryID>141</SubCategoryID><GroupID>1327</GroupID><SubGroupID>3893</SubGroupID><Suffix>at, vblf</Suffix><ARTGs><ARTG>221834</ARTG></ARTGs><MinimumBenefit>651</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>DE785</BillingCode><Name>FEMTIS Mplus FB-313MF30</Name><Description>Foldable one-piece multifocal acrylic plate haptic IOL for fixation in the capsulorhexis</Description><Size>Optic Size 5.7mm, Overall length 10.5mm. Available Dioptres: +15.0D to 30.0D (0.5Dsteps)</Size><SupplierCode>DE</SupplierCode><CategoryID>1</CategoryID><SubCategoryID>141</SubCategoryID><GroupID>1327</GroupID><SubGroupID>3893</SubGroupID><Suffix>at</Suffix><ARTGs><ARTG>328681</ARTG></ARTGs><MinimumBenefit>619</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>DE675</BillingCode><Name>LENTIS Mplus LU-814MF30</Name><Description>Foldable one-piece acrylic posterior chamber aspheric multifocal IOL for capsular bag, sulcus and sulcus-sclera fixation.</Description><Size>Optic size: 6.2mm , 0.0D to +23.0D,  5.5mm +23.01D to +36.0D Overall length: 13.0mm, Available Dioptres: 0.0D to +36.0D (0.5D increments).</Size><SupplierCode>DE</SupplierCode><CategoryID>1</CategoryID><SubCategoryID>141</SubCategoryID><GroupID>1327</GroupID><SubGroupID>3893</SubGroupID><Suffix>at</Suffix><ARTGs><ARTG>328681</ARTG></ARTGs><MinimumBenefit>619</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2019-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LL003</BillingCode><Name>enVista Envy Model EN</Name><Description>The enVista Envy Model EN. Trifocal, UV-absorbing, posterior chamber, hydrophobic acrylic IOL. Aspheric lens optic, square posterior edge, modified C haptics. Can be folded for insertion into the eye.</Description><Size>+6.0 D to +34.0 D (0.5 D increments),   +1.6 D intermediate add power, +3.1  D near add power</Size><SupplierCode>LL</SupplierCode><CategoryID>1</CategoryID><SubCategoryID>141</SubCategoryID><GroupID>1327</GroupID><SubGroupID>3893</SubGroupID><Suffix>at</Suffix><ARTGs><ARTG>98915</ARTG></ARTGs><ChangeExplanation>New listing</ChangeExplanation><MinimumBenefit>619</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2025-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ636</BillingCode><Name>Clareon Vivity Hydrophobic Intraocular Lens with the AutonoMe Automated Pre-loaded Delivery System</Name><Description>Clareon Vivity Extended Vision Hydrophobic IOL with AutonoMe (Model CNAET0) is a presbyopia correcting, UV-absorbing, blue light filtering, foldable, single-piece posterior chamber IOL, pre-loaded on the AutonoMe Automated Delivery System. </Description><Size>+10.0 to +25.0 diopters (in 0.5 diopter increments). </Size><SupplierCode>AL</SupplierCode><CategoryID>1</CategoryID><SubCategoryID>141</SubCategoryID><GroupID>1327</GroupID><SubGroupID>3893</SubGroupID><Suffix>at, pl, vblf</Suffix><ARTGs><ARTG>92318</ARTG></ARTGs><MinimumBenefit>666</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2024-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ637</BillingCode><Name>Clareon Vivity Toric  Extended Vision Hydrophobic IOL with AutonoMe (Model CNAET2-CNAET6)</Name><Description>Clareon Vivity Toric Extended Vision Hydrophobic IOL with AutonoMe (Model CNAET2-CNAET6) is a toric, presbyopia correcting, UV-absorbing, blue light filtering, foldable, single-piece posterior chamber IOL, pre-loaded on the AutonoMe Automated Delivery System. </Description><Size>+10.0 to +25.0 diopters (in 0.5 diopter increments). Cylinder 1.00 to 3.75 diopters. </Size><SupplierCode>AL</SupplierCode><CategoryID>1</CategoryID><SubCategoryID>141</SubCategoryID><GroupID>1327</GroupID><SubGroupID>3893</SubGroupID><Suffix>at, pl, t1, vlbf</Suffix><ARTGs><ARTG>92318</ARTG></ARTGs><MinimumBenefit>950</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2024-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ647</BillingCode><Name>Clareon Vivity UV Absorbing IOL with AutonoMe Automated Pre-loaded Delivery System (Model CCAET0)</Name><Description>Clareon Vivity Extended Vision UV Absorbing IOL is a presbyopia correcting, UV-absorbing,  foldable, single-piece posterior chamber intraocular lens, pre-loaded on the AutonoMe Automated Delivery System. </Description><Size>+10.0 to +25.0 diopters (in 0.5 diopter increments). </Size><SupplierCode>AL</SupplierCode><CategoryID>1</CategoryID><SubCategoryID>141</SubCategoryID><GroupID>1327</GroupID><SubGroupID>3893</SubGroupID><Suffix>at, pl</Suffix><ARTGs><ARTG>92318</ARTG></ARTGs><MinimumBenefit>635</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2024-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>AL061</BillingCode><Name>Clareon PanOptix Toric Trifocal Hydrophobic IOL with AutonoMe (Model CNATT2-CNATT6) </Name><Description>Toric, presbyopia correcting, ultraviolet and blue light filtering, foldable, single-piece posterior chamber IOL, pre-loaded on the AutonoMe Automated Delivery System, which provides a range of vision from distance to intermediate to near, and also corrects preexisting corneal astigmatism. </Description><Size>+6.0 to +30.0 diopters (in 0.5 diopter increments). Cylinder 1.00 to 3.75 diopters. </Size><SupplierCode>AL</SupplierCode><CategoryID>1</CategoryID><SubCategoryID>141</SubCategoryID><GroupID>1327</GroupID><SubGroupID>3893</SubGroupID><Suffix>at, pl, t1, vlbf</Suffix><ARTGs><ARTG>92318</ARTG></ARTGs><ChangeExplanation>New listing</ChangeExplanation><MinimumBenefit>950</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2025-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>XN002</BillingCode><Name>Vivinex Gemetric Toric</Name><Description>Preloaded trifocal toric IOL</Description><Size> +10.00D to +30.00D in 0.50D increments, Cylinder (D) 1.00 - 3.75</Size><SupplierCode>XN</SupplierCode><CategoryID>1</CategoryID><SubCategoryID>141</SubCategoryID><GroupID>1327</GroupID><SubGroupID>3893</SubGroupID><Suffix>at, pl, t1, vlbf</Suffix><ARTGs><ARTG>464253</ARTG></ARTGs><ChangeExplanation>New listing</ChangeExplanation><MinimumBenefit>950</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2025-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>AL067</BillingCode><Name>Clareon Vivity  UV Absorbing IOL with AutonoMe Automated Pre-loaded Delivery System ( Model CCAET0)</Name><Description>Presbyopia correcting, UV-absorbing,  foldable, single-piece posterior chamber IOL, pre-loaded on the AutonoMe Automated Delivery System</Description><Size>+6.0 to +25.0 diopters (in 0.5 diopter increments). </Size><SupplierCode>AL</SupplierCode><CategoryID>1</CategoryID><SubCategoryID>141</SubCategoryID><GroupID>1327</GroupID><SubGroupID>3893</SubGroupID><Suffix>at, pl</Suffix><ARTGs><ARTG>92318</ARTG></ARTGs><ChangeExplanation>New listing</ChangeExplanation><MinimumBenefit>635</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2025-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>AL068</BillingCode><Name>Clareon Vivity Extended Vision UV Absorbing Intraocular Lens (Model CCWET0) </Name><Description>Presbyopia correcting, UV-absorbing, foldable, single-piece posterior chamber IOL which provides an extended range of vision from distance to near while maintaining a low incidence of visual disturbances. </Description><Size>+6.0 to +30.0 diopters (in 0.5 diopter increments); +31.0 to +34.0 diopters (in 1.0 diopter increments).</Size><SupplierCode>AL</SupplierCode><CategoryID>1</CategoryID><SubCategoryID>141</SubCategoryID><GroupID>1327</GroupID><SubGroupID>3893</SubGroupID><Suffix>at</Suffix><ARTGs><ARTG>92318</ARTG></ARTGs><ChangeExplanation>New listing</ChangeExplanation><MinimumBenefit>619</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2025-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>XN001</BillingCode><Name>Vivinex Gemetric</Name><Description>Preloaded Trifocal IOL</Description><Size> +10.00D to +30.00D in 0.50D increments. </Size><SupplierCode>XN</SupplierCode><CategoryID>1</CategoryID><SubCategoryID>141</SubCategoryID><GroupID>1327</GroupID><SubGroupID>3893</SubGroupID><Suffix>at, pl, vblf</Suffix><ARTGs><ARTG>464253</ARTG></ARTGs><ChangeExplanation>New listing</ChangeExplanation><MinimumBenefit>666</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2025-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>AO053</BillingCode><Name>TECNIS Odyssey IOL with TECNIS SIMPLICITY delivery system (DRN00V) </Name><Description>Preloaded 1-piece continuous multifocal IOL</Description><Size>5.0 D to 34.0 D in 0.5 diopter increments</Size><SupplierCode>AO</SupplierCode><CategoryID>1</CategoryID><SubCategoryID>141</SubCategoryID><GroupID>1327</GroupID><SubGroupID>3893</SubGroupID><Suffix>at, pl, vblf</Suffix><ARTGs><ARTG>170331</ARTG></ARTGs><ChangeExplanation>New listing</ChangeExplanation><MinimumBenefit>666</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2025-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ639</BillingCode><Name>Clareon Vivity Toric  UV Absorbing IOL with AutonoMe (Model CCAET2-CCAET6) </Name><Description>Clareon Vivity Toric Extended Vision UV Absorbing IOL is a toric, presbyopia correcting, UV-absorbing,  foldable, single-piece posterior chamber IOL, pre-loaded on the AutonoMe Automated Delivery System. </Description><Size>+10.0 to +25.0 diopters (in 0.5 diopter increments). Cylinder 1.00 to 3.75 diopters. </Size><SupplierCode>AL</SupplierCode><CategoryID>1</CategoryID><SubCategoryID>141</SubCategoryID><GroupID>1327</GroupID><SubGroupID>3893</SubGroupID><Suffix>at, pl, t1</Suffix><ARTGs><ARTG>92318</ARTG></ARTGs><MinimumBenefit>918</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2024-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>AL066</BillingCode><Name>Clareon Vivity Extended Vision Hydrophobic Intraocular Lens with AutonoMe (Model CNAET0)</Name><Description>Presbyopia correcting, UV-absorbing, blue light filtering, foldable, single-piece posterior chamber IOL, pre-loaded on the AutonoMe Automated Delivery System. </Description><Size>+6.0 to +25.0 diopters (in 0.5 diopter increments). </Size><SupplierCode>AL</SupplierCode><CategoryID>1</CategoryID><SubCategoryID>141</SubCategoryID><GroupID>1327</GroupID><SubGroupID>3893</SubGroupID><Suffix>at, pl, vblf</Suffix><ARTGs><ARTG>92318</ARTG></ARTGs><ChangeExplanation>New listing</ChangeExplanation><MinimumBenefit>666</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2025-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>AL064</BillingCode><Name>Clareon Vivity Toric Extended Vision Hydrophobic Intraocular Lens with AutonoMe(Model CNAET2-CNAET6)</Name><Description>Toric, presbyopia correcting, UV-absorbing, blue light filtering, foldable, single-piece posterior chamber IOL, pre-loaded on the AutonoMe Automated Delivery System. </Description><Size>+6.0 to +25.0 diopters (in 0.5 diopter increments); Cylinder 1.00 and 1.50 diopters (Models CNAET2 &amp; CNAET3). +6.0 to +21.0 diopters (in 0.5 diopter increments); Cylinder 2.25 to 3.75 diopters (Models CNAET4 to CNAET6).</Size><SupplierCode>AL</SupplierCode><CategoryID>1</CategoryID><SubCategoryID>141</SubCategoryID><GroupID>1327</GroupID><SubGroupID>3893</SubGroupID><Suffix>at, pl, t1, vlbf</Suffix><ARTGs><ARTG>92318</ARTG></ARTGs><ChangeExplanation>New listing</ChangeExplanation><MinimumBenefit>950</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2025-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ634</BillingCode><Name>Clareon Vivity Extended Vision UV Absorbing Intraocular Lens (Model CCWET0) </Name><Description>Clareon Vivity Extended Vision UV Absorbing IOL (Model CCWET0)  is a presbyopia correcting, UV-absorbing, foldable, single-piece posterior chamber IOL which provides an extended range of vision from distance to near while maintaining a low incidence of visual disturbances. </Description><Size>+10.0 to +30.0 diopters (in 0.5 diopter increments).</Size><SupplierCode>AL</SupplierCode><CategoryID>1</CategoryID><SubCategoryID>141</SubCategoryID><GroupID>1327</GroupID><SubGroupID>3893</SubGroupID><Suffix>at</Suffix><ARTGs><ARTG>92318</ARTG></ARTGs><MinimumBenefit>619</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2024-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>AL052</BillingCode><Name>Clareon PanOptix Trifocal UV Absorbing Intraocular Lens (Model CCWTT0) </Name><Description>The Clareon PanOptix Trifocal UV Absorbing Intraocular Lens (Model CCWTT0) is a presbyopia correcting, UV-absorbing, foldable, single-piece posterior chamber, multifocal IOL </Description><Size>+6.0 to +30.0 diopters (in 0.5 diopter increments); +31.0 to +34.0 diopter in 1.0 diopter increments</Size><SupplierCode>AL</SupplierCode><CategoryID>1</CategoryID><SubCategoryID>141</SubCategoryID><GroupID>1327</GroupID><SubGroupID>3893</SubGroupID><Suffix>at</Suffix><ARTGs><ARTG>92318</ARTG></ARTGs><MinimumBenefit>619</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2020-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SO063</BillingCode><Name>HumanOptics Diffractiva</Name><Description>Multifocal posterior chamber IOL, foldable, UV absorber, Aspheric, aberration technology, 360° LEC barrier, HD optic</Description><Size>Sphere: +10D to +30D, Near addition +3.5D</Size><SupplierCode>SO</SupplierCode><CategoryID>1</CategoryID><SubCategoryID>141</SubCategoryID><GroupID>1327</GroupID><SubGroupID>3893</SubGroupID><Suffix>at</Suffix><ARTGs><ARTG>227764</ARTG></ARTGs><MinimumBenefit>619</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2015-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>DE496</BillingCode><Name>LENTIS Mplus   LENTIS Comfort</Name><Description>Foldable one-piece multifocal plate haptic acrylic IOL</Description><Size>Overall Length 11.0mm and Optic Size 6.0mm.  Available diopters -10.0D to -1.0D (1.0D), 0.0D to +36.0D (0.5D)</Size><SupplierCode>DE</SupplierCode><CategoryID>1</CategoryID><SubCategoryID>141</SubCategoryID><GroupID>1327</GroupID><SubGroupID>3893</SubGroupID><Suffix>at</Suffix><ARTGs><ARTG>328681</ARTG></ARTGs><MinimumBenefit>619</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2016-09-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>XN003</BillingCode><Name>Vivinex Gemetric Plus Toric</Name><Description>Preloaded trifocal toric IOL</Description><Size>+10.00D to +30.00D in 0.50D increments, Cylinder (D) 1.00 - 3.75</Size><SupplierCode>XN</SupplierCode><CategoryID>1</CategoryID><SubCategoryID>141</SubCategoryID><GroupID>1327</GroupID><SubGroupID>3893</SubGroupID><Suffix>at, pl, t1, vlbf</Suffix><ARTGs><ARTG>464253</ARTG></ARTGs><ChangeExplanation>New listing</ChangeExplanation><MinimumBenefit>950</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2025-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>AL070</BillingCode><Name>Clareon Vivity Toric Extended Vision UV Absorbing Intraocular Lens (Model CCWET2 – CCWET6) </Name><Description>Toric,  presbyopia correcting, UV-absorbing, foldable, single-piece posterior chamber IOL which provides an extended range of vision from distance to near while maintaining a low incidence of visual disturbances. </Description><Size>+6.0 to +30.0 diopters (in 0.5 diopter increments); +31.0 to +34.0 diopters (in 1.0 diopter increments). Cylinder: 1.00 to 3.75 diopters.</Size><SupplierCode>AL</SupplierCode><CategoryID>1</CategoryID><SubCategoryID>141</SubCategoryID><GroupID>1327</GroupID><SubGroupID>3893</SubGroupID><Suffix>at, t1</Suffix><ARTGs><ARTG>92318</ARTG></ARTGs><ChangeExplanation>New listing</ChangeExplanation><MinimumBenefit>902</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2025-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>AL069</BillingCode><Name>Clareon Vivity Toric Extended Vision UV Absorbing IOL with AutonoMe (Model CCAET2-CCAET6)</Name><Description>Toric, presbyopia correcting, UV-absorbing,  foldable, single-piece posterior chamber IOL, pre-loaded on the AutonoMe Automated Delivery System, which provides an extended range of vision from distance to near while maintaining a low incidence of visual disturbances, and also corrects preexisting corneal astigmatism. </Description><Size>+6.0 to +25.0 diopters (in 0.5 diopter increments); Cylinder 1.00 and 1.50 diopters (Models CCAET2 &amp; CCAET3).  +6.0 to +21.0 diopters (in 0.5 diopter increments); Cylinder 2.25 to 3.75 diopters (Models CCAET4 to CCAET6).</Size><SupplierCode>AL</SupplierCode><CategoryID>1</CategoryID><SubCategoryID>141</SubCategoryID><GroupID>1327</GroupID><SubGroupID>3893</SubGroupID><Suffix>at, pl, t1</Suffix><ARTGs><ARTG>92318</ARTG></ARTGs><ChangeExplanation>New listing</ChangeExplanation><MinimumBenefit>918</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2025-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>XN005</BillingCode><Name>Vivinex Gemetric Plus</Name><Description>Preloaded Trifocal IOL</Description><Size>+10.00D to +30.00D in 0.50D increments. </Size><SupplierCode>XN</SupplierCode><CategoryID>1</CategoryID><SubCategoryID>141</SubCategoryID><GroupID>1327</GroupID><SubGroupID>3893</SubGroupID><Suffix>at, pl, vblf</Suffix><ARTGs><ARTG>464253</ARTG></ARTGs><ChangeExplanation>New listing</ChangeExplanation><MinimumBenefit>666</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2025-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BS428</BillingCode><Name>AMS 800 Artificial Urinary Sphincter Accessory Kit  </Name><Description>Accessory Kit  </Description><Size>One Size  </Size><SupplierCode>BS</SupplierCode><CategoryID>26</CategoryID><SubCategoryID>226</SubCategoryID><GroupID>1696</GroupID><SubGroupID>5310</SubGroupID><ARTGs><ARTG>390349</ARTG></ARTGs><MinimumBenefit>655</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2023-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>VO010</BillingCode><Name>Conti Artificial Urinary Sphincter Accessory Kit</Name><Description>Accessory Kit for Conti Artificial Urinary Sphincters with HydroShield coated connectors</Description><Size>One size</Size><SupplierCode>VO</SupplierCode><CategoryID>26</CategoryID><SubCategoryID>226</SubCategoryID><GroupID>1696</GroupID><SubGroupID>5310</SubGroupID><ARTGs><ARTG>338270</ARTG></ARTGs><MinimumBenefit>655</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ET084</BillingCode><Name>ATOMS with Integrated Scrotal Port</Name><Description>The ATOMS with Integrated Scrotal Port is a long-term hydraulically adjustable substitute urinary sphincter. The implant is supplied as a single piece system which includes a hydraulically adjusted urethral cuff and a silicone coated adjustment port which rests in the patient's scrotum. The pressure applied by the cuff is evenly distributed over the bulbar urethra, providing ventral closure in order to achieve continence. The adjustment port is designed to allow for non-surgical postoperative adjustment of cuff pressure.</Description><Size>1 size only  Width of tape: 12mm  Dimensions of cushion: 40 x 45mm  Port Diameter: 11mm</Size><SupplierCode>ET</SupplierCode><CategoryID>26</CategoryID><SubCategoryID>226</SubCategoryID><GroupID>1696</GroupID><SubGroupID>5311</SubGroupID><ARTGs><ARTG>154803</ARTG></ARTGs><MinimumBenefit>9500</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2019-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>DU051</BillingCode><Name>Tryptik Ti cage</Name><Description>Titanium anterior cervical cage</Description><Size>Height: 4.5mm, 5mm, 6mm, 7mm,  8mm, 9mm, 10mm.  Width: 12mm, 14mm  Depth: 15mm, 12mm  Lordosis: convex and 7°.</Size><SupplierCode>DU</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>174</SubCategoryID><GroupID>1486</GroupID><SubGroupID>4134</SubGroupID><ARTGs><ARTG>338461</ARTG></ARTGs><MinimumBenefit>2188</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2020-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MI332</BillingCode><Name>Cornerstone Cage Ti-Coated</Name><Description>Cervical interbody cage with titanium coating</Description><Size>14-18mm x Depth: 11-16mm x Height: 4-9mm</Size><SupplierCode>MI</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>174</SubCategoryID><GroupID>1486</GroupID><SubGroupID>4134</SubGroupID><ARTGs><ARTG>126313</ARTG></ARTGs><MinimumBenefit>2188</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2020-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>IY034</BillingCode><PriorBillingCodes><PriorBillingCode>EV012</PriorBillingCode></PriorBillingCodes><Name>Evolution ACDF Contoured Cage</Name><Description>Interbody Fusion Cages are used to restore disc height and support loading during intervertebral body fusion. Interbody Fusion Cages are used to restore disc height and support loading during intervertebral body fusion.</Description><Size>small, large - contoured</Size><SupplierCode>IY</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>174</SubCategoryID><GroupID>1486</GroupID><SubGroupID>4134</SubGroupID><ARTGs><ARTG>248234</ARTG></ARTGs><MinimumBenefit>2188</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>KH095</BillingCode><Name>Reach Cervical Interbody Cage </Name><Description>Reach Cervical Interbody Cage </Description><Size>Cage Height : 4 mm - 10 mm   Bone Screw Diameter : 3.5 mm &amp; 4.0 mm   Bone Screw Length : 8 mm - 18 mm   </Size><SupplierCode>KH</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>174</SubCategoryID><GroupID>1486</GroupID><SubGroupID>4134</SubGroupID><ARTGs><ARTG>384821</ARTG></ARTGs><MinimumBenefit>2188</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SY838</BillingCode><Name>Bengal System</Name><Description>Cervical Fusion Device</Description><Size>4 to 16mm</Size><SupplierCode>JJ</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>174</SubCategoryID><GroupID>1486</GroupID><SubGroupID>4134</SubGroupID><ARTGs><ARTG>200396</ARTG><ARTG>98094</ARTG></ARTGs><MinimumBenefit>2188</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SF159</BillingCode><PriorBillingCodes><PriorBillingCode>EV010</PriorBillingCode></PriorBillingCodes><Name>ACDF Cage</Name><Description>Interbody Fusion Cages are used to restore disc height and support loading during intervertebral body fusion. Interbody Fusion Cages are used to restore disc height and support loading during intervertebral body fusion.</Description><Size>small, large – flat</Size><SupplierCode>SF</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>174</SubCategoryID><GroupID>1486</GroupID><SubGroupID>4134</SubGroupID><ARTGs><ARTG>181030</ARTG></ARTGs><MinimumBenefit>2188</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2019-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>IY095</BillingCode><PriorBillingCodes><PriorBillingCode>EV025</PriorBillingCode></PriorBillingCodes><Name>Eurospine ACDF Cage</Name><Description>Interbody Fusion Cages are used to restore disc height and support loading during intervertebral body fusion.</Description><Size>Flat or angled 6 - 9 degrees.   Anterior width 17 - 19mm  Posterior width 14 - 15mm  Height 5 - 10mm</Size><SupplierCode>IY</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>174</SubCategoryID><GroupID>1486</GroupID><SubGroupID>4134</SubGroupID><ARTGs><ARTG>273756</ARTG></ARTGs><MinimumBenefit>2188</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2023-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>DE658</BillingCode><Name>Shoreline ACS TruProfile Cage</Name><Description>Cervical ACDF Cage</Description><Size>Footprints: 14 x 13mm, 16 x 14mm, 18 x 15mm and 20 x 15mm  Lordosis: 7, 10 and 15 degrees  Heights: 5,6,7,8,9,10,11 and 12mm</Size><SupplierCode>DE</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>174</SubCategoryID><GroupID>1486</GroupID><SubGroupID>4134</SubGroupID><ARTGs><ARTG>298002</ARTG></ARTGs><MinimumBenefit>2188</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>KH085</BillingCode><Name>Caro Cervical Cage</Name><Description>Cervical interbody cage, PEEK</Description><Size> 4x14x12    4x14x14    5x14x12    5x14x14    6x14x12    6x14x14    7x14x12    7x14x14    8x14x12    8x14x14   </Size><SupplierCode>KH</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>174</SubCategoryID><GroupID>1486</GroupID><SubGroupID>4134</SubGroupID><ARTGs><ARTG>312519</ARTG></ARTGs><MinimumBenefit>2188</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>IT018</BillingCode><Name>Fuse It</Name><Description>Titanium alloy fusion cage - to use in situations such as anterior cervical fusion surgery</Description><Size>6mm x 1cm, 8mm x 1cm, 10mm x 1cm, 12mm x 1cm, 6mm x 1cm, 8mm x 2cm, 10mm x 2cm, 12mm x 2cm</Size><SupplierCode>IT</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>174</SubCategoryID><GroupID>1486</GroupID><SubGroupID>4134</SubGroupID><ARTGs><ARTG>235024</ARTG></ARTGs><MinimumBenefit>2188</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2016-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MN252</BillingCode><Name>CONDUIT EIT SMART ACDF</Name><Description>Cellular Titanium Cage with Graft Hole</Description><Size>4-12mm height</Size><SupplierCode>JJ</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>174</SubCategoryID><GroupID>1486</GroupID><SubGroupID>4134</SubGroupID><ARTGs><ARTG>319880</ARTG></ARTGs><MinimumBenefit>2188</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2019-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>GK011</BillingCode><Name>3DFusion Non-Integral Fixation ACDF cage</Name><Description>Patient specific interbody device </Description><Size>Small, Medium, Large</Size><SupplierCode>GK</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>174</SubCategoryID><GroupID>1486</GroupID><SubGroupID>4134</SubGroupID><ARTGs><ARTG>406173</ARTG></ARTGs><ChangeExplanation>New listing</ChangeExplanation><MinimumBenefit>2188</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2025-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ313</BillingCode><Name>Anatomic Peek Fusion Cage</Name><Description>Fusion device for stabilization use and to promote bone fusion during the normal healing process following surgical correction of disorders of the spine
</Description><Size>Height: 5 - 14mm</Size><SupplierCode>MI</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>174</SubCategoryID><GroupID>1486</GroupID><SubGroupID>4134</SubGroupID><ARTGs><ARTG>422152</ARTG></ARTGs><MinimumBenefit>2188</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2024-08-08</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ153</BillingCode><Name>Cornerstone PSR – Fusion Cage</Name><Description>PEEK cervical fusion cage</Description><Size>Height: 4-13mm Width: 11-14mm Length: 11-14mm Lordosis 4 degrees</Size><SupplierCode>MI</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>174</SubCategoryID><GroupID>1486</GroupID><SubGroupID>4134</SubGroupID><ARTGs><ARTG>437270</ARTG></ARTGs><MinimumBenefit>2188</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2024-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LH530</BillingCode><Name>Cervical Spine Truss System</Name><Description>Cage</Description><Size>5-16mm Height</Size><SupplierCode>LH</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>174</SubCategoryID><GroupID>1486</GroupID><SubGroupID>4134</SubGroupID><ARTGs><ARTG>252733</ARTG></ARTGs><MinimumBenefit>2188</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2015-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>NV158</BillingCode><Name>Cohere Cervical Interbody Fusion Device</Name><Description>Spinal intervertebral fusion device manufactured from polyetheretherketone (PEEK)</Description><Size>12-14mm X 14-16mm X 6-10mm</Size><SupplierCode>NV</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>174</SubCategoryID><GroupID>1486</GroupID><SubGroupID>4134</SubGroupID><ARTGs><ARTG>132498</ARTG></ARTGs><MinimumBenefit>2188</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2019-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BF018</BillingCode><Name>Combo Cervical Cage</Name><Description>Combination titanium PEEK cervical cage</Description><Size>Height: 5, 6, 7, 8, 9, 10mm
Width: 12, 13, 14, 15, 16, 17mm
Length: 12, 14mm</Size><SupplierCode>BF</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>174</SubCategoryID><GroupID>1486</GroupID><SubGroupID>4134</SubGroupID><ARTGs><ARTG>211536</ARTG></ARTGs><MinimumBenefit>2188</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2015-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BP008</BillingCode><Name>TiPEEK Interbody system – Cervical</Name><Description>ACIF Implants; Sterile
Commercially Pure Titanium and Polyetheretherketone (PEEK-Optima®)</Description><Size>Size: small, standard, large, extra large
Width 12.5mm – 19mm
Length 11.5mm – 16mm
Height 5-12mm: 
Lordosis Angle 0 - 20°: 
Curved, Straight, Convex</Size><SupplierCode>BP</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>174</SubCategoryID><GroupID>1486</GroupID><SubGroupID>4134</SubGroupID><ARTGs><ARTG>273367</ARTG><ARTG>273374</ARTG><ARTG>273366</ARTG></ARTGs><MinimumBenefit>2188</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2016-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BP004</BillingCode><Name>PEEK Interbody system – Cervical</Name><Description>ACIF Implants; Sterile and Non Sterile</Description><Size>Diameter 14mm; 16mm: 
Height (5mm, - 12mm): 
Lordosis Angle 0 - 7.5 degrees: 
Curevd , Straight</Size><SupplierCode>BP</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>174</SubCategoryID><GroupID>1486</GroupID><SubGroupID>4134</SubGroupID><ARTGs><ARTG>273366</ARTG><ARTG>273374</ARTG><ARTG>273367</ARTG></ARTGs><MinimumBenefit>2188</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2016-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MI328</BillingCode><PriorBillingCodes><PriorBillingCode>ER461</PriorBillingCode></PriorBillingCodes><Name>Endoskeleton TC</Name><Description>Titanium coated anterior interbody fusion device for the lumbar spine, sterile or non-sterile, nanoLock (TM) surface technology</Description><Size>12-16 x 14-18mm</Size><SupplierCode>MI</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>174</SubCategoryID><GroupID>1486</GroupID><SubGroupID>4134</SubGroupID><ARTGs><ARTG>315580</ARTG><ARTG>285244</ARTG></ARTGs><MinimumBenefit>2188</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2020-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>KB008</BillingCode><PriorBillingCodes><PriorBillingCode>SV062</PriorBillingCode></PriorBillingCodes><Name>STERISPINE™ Cervical Cage</Name><Description>Sterile Cervical Interbody Fusion Device</Description><Size>H05- W.14.5 D12  H06- W.14.5 D12  H07- W.14.5 D12  H08- W.14.5 D12  H05- W.16 D14  H06- W.16 D14  H07- W.16 D14  H08- W.16 D14</Size><SupplierCode>KB</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>174</SubCategoryID><GroupID>1486</GroupID><SubGroupID>4134</SubGroupID><ARTGs><ARTG>273290</ARTG></ARTGs><MinimumBenefit>2188</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2020-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>PZ017</BillingCode><Name>VerteLoc Spine System</Name><Description>Cervical Cage</Description><Size>extra small - extra large</Size><SupplierCode>PZ</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>174</SubCategoryID><GroupID>1486</GroupID><SubGroupID>4134</SubGroupID><ARTGs><ARTG>217031</ARTG></ARTGs><MinimumBenefit>2188</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2014-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>NV010</BillingCode><Name>CoRoent</Name><Description>Cervical Cage</Description><Size>small</Size><SupplierCode>NV</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>174</SubCategoryID><GroupID>1486</GroupID><SubGroupID>4134</SubGroupID><ARTGs><ARTG>132498</ARTG></ARTGs><MinimumBenefit>2188</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2007-06-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ER438</BillingCode><Name>LnK Cervical Interbody Fusion Cage System/CastleLoc-C Cervical Interbody Fusion Cage System</Name><Description>LnK Cervical Interbody Fusion Cage System/CastleLoc-C Cervical Interbody Fusion Cage System, PEEK</Description><Size>width (14-20 mm) x length (12-15 mm) x height (5-10mm)</Size><SupplierCode>ER</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>174</SubCategoryID><GroupID>1486</GroupID><SubGroupID>4134</SubGroupID><ARTGs><ARTG>286126</ARTG></ARTGs><MinimumBenefit>2188</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LM501</BillingCode><Name>ACDF Fusion Cage</Name><Description>ACDF Fusion Cage</Description><Size>6-12mm H x 12, 14, 16mm L x 14, 16, 19mm W</Size><SupplierCode>LM</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>174</SubCategoryID><GroupID>1486</GroupID><SubGroupID>4134</SubGroupID><ARTGs><ARTG>367230</ARTG></ARTGs><MinimumBenefit>2188</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LM400</BillingCode><PriorBillingCodes><PriorBillingCode>NK001</PriorBillingCode></PriorBillingCodes><Name>Zoe Cervical Cage</Name><Description>The ZOE anterior cervical cage is an implant intended for the surgical treatment of the cervical vertebrae.  It is designed for stabilisation and arthrodesis between the cervical verterbrae by the anterior approach, to optimize bone fusion from C3 to C7 levels.</Description><Size>Length: 12 - 14mm, Width: 14 - 16mm, Height: 4.5 - 10mm</Size><SupplierCode>LM</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>174</SubCategoryID><GroupID>1486</GroupID><SubGroupID>4134</SubGroupID><ARTGs><ARTG>195211</ARTG></ARTGs><MinimumBenefit>2188</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2020-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>NV156</BillingCode><Name>Modulus Cervical Interbody System</Name><Description>Anterior Cervical Cage</Description><Size>5-16mm x 15-19mm x 12-16mm</Size><SupplierCode>NV</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>174</SubCategoryID><GroupID>1486</GroupID><SubGroupID>4134</SubGroupID><ARTGs><ARTG>132498</ARTG></ARTGs><MinimumBenefit>2188</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ725</BillingCode><Name>DIVA ACDF</Name><Description>PEEK ACDF Cervical Cage – anatomical, lordotic and convex</Description><Size>Size 4mm to 8mm, Small and Standard, Angle 5 degrees</Size><SupplierCode>WY</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>174</SubCategoryID><GroupID>1486</GroupID><SubGroupID>4134</SubGroupID><ARTGs><ARTG>462217</ARTG></ARTGs><MinimumBenefit>2188</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2024-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>EY028</BillingCode><Name>Osimplant BIA ACDF Implant</Name><Description>ACDF Cage</Description><Size>Small through large footprints</Size><SupplierCode>EY</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>174</SubCategoryID><GroupID>1486</GroupID><SubGroupID>4134</SubGroupID><ARTGs><ARTG>333220</ARTG></ARTGs><MinimumBenefit>2188</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2020-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HW636</BillingCode><Name>Tritanium C</Name><Description>Porous Titanium ACDF Cage</Description><Size>H 5mm-9mm, Base 12mm x 14mm to 14mm x 17mm, 6deg to 10deg angle</Size><SupplierCode>JV</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>174</SubCategoryID><GroupID>1486</GroupID><SubGroupID>4134</SubGroupID><ARTGs><ARTG>297569</ARTG></ARTGs><MinimumBenefit>2188</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-02-01</CycleStartDate><CycleEndDate>2025-03-01</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>1486</GroupID><SubGroupID>4134</SubGroupID><ARTGs><ARTG>188902</ARTG></ARTGs><ChangeExplanation>Change to Product Group,Change to Group benefit</ChangeExplanation><MinimumBenefit>2188</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Update</ActionFlag><CycleStartDate>2013-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>PB001</BillingCode><Name>Anterior Cervical PEEK Cage</Name><Description>Interbody fusion cage</Description><Size>Height: 5 -10 mm in 1 mm increments  Foot Print 13 x 16 mm / 13 x 19 mm / 12.5 x 15 mm / 11 mm x 14 mm</Size><SupplierCode>PB</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>174</SubCategoryID><GroupID>1486</GroupID><SubGroupID>4134</SubGroupID><ARTGs><ARTG>215887</ARTG></ARTGs><MinimumBenefit>2188</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2014-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BF012</BillingCode><Name>Vigor PEEK Cervical Disc Spacer</Name><Description>PEEK cervical spine disc spacer</Description><Size>Height: 5mm, 6mm, 7mm, 8mm, 9mm, 10mm
Width: 12mm, 13mm, 14mm, 15mm, 16mm, 17mm
Length: 12mm, 14mm, 16mm
Angulation: 0°, 5°</Size><SupplierCode>BF</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>174</SubCategoryID><GroupID>1486</GroupID><SubGroupID>4134</SubGroupID><ARTGs><ARTG>211536</ARTG></ARTGs><MinimumBenefit>2188</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2014-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ER327</BillingCode><Name>Ulrich Anterior Cervical Cage</Name><Description>Ulrich cerv-X Anterior Cervical Cage-PEEK, convex and lordotic</Description><Size>height (4-10mm) x width (12-16mm) x length (12-14mm) x angle (0-5°)</Size><SupplierCode>ER</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>174</SubCategoryID><GroupID>1486</GroupID><SubGroupID>4134</SubGroupID><ARTGs><ARTG>279703</ARTG></ARTGs><MinimumBenefit>2188</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BB278</BillingCode><Name>Aesculap Interbody Cage</Name><Description>ACDF Interbody cage</Description><Size>All sizes</Size><SupplierCode>BB</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>174</SubCategoryID><GroupID>1486</GroupID><SubGroupID>4134</SubGroupID><ARTGs><ARTG>273761</ARTG><ARTG>122641</ARTG></ARTGs><MinimumBenefit>2188</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2006-03-24</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>RI031</BillingCode><Name>Fortilink®-C</Name><Description>Cervical interbody fusion device</Description><Size>Width 12mm-20mm  Length 10mm-16mm  Height 5mm-12mm</Size><SupplierCode>RI</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>174</SubCategoryID><GroupID>1486</GroupID><SubGroupID>4134</SubGroupID><ARTGs><ARTG>346071</ARTG></ARTGs><MinimumBenefit>2188</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SF104</BillingCode><Name>Alias Cage</Name><Description>Titanium or PEEK Fusion Cage with Plasma coating</Description><Size>5-9mm, 4, 8 and 12 degree, Flat and countoured options</Size><SupplierCode>SF</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>174</SubCategoryID><GroupID>1486</GroupID><SubGroupID>4134</SubGroupID><ARTGs><ARTG>181030</ARTG></ARTGs><MinimumBenefit>2188</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2016-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>EY016</BillingCode><Name>BMD Titanium ACIF Implant</Name><Description>ACIF Cage</Description><Size>Height 4mm height to 10mm</Size><SupplierCode>EY</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>174</SubCategoryID><GroupID>1486</GroupID><SubGroupID>4134</SubGroupID><ARTGs><ARTG>323561</ARTG></ARTGs><MinimumBenefit>2188</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2020-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ST712</BillingCode><Name>Solis Cervical Cage</Name><Description>PEEK Cervical Interbody Cage with or without fixation pegs</Description><Size>Height 4mm to 12mm, Width 12mm – 16mm, Depth 12mm – 14mm, Angulation 0 – 4 degree</Size><SupplierCode>JV</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>174</SubCategoryID><GroupID>1486</GroupID><SubGroupID>4134</SubGroupID><ARTGs><ARTG>279146</ARTG><ARTG>279147</ARTG></ARTGs><MinimumBenefit>2188</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ER598</BillingCode><PriorBillingCodes><PriorBillingCode>OF001</PriorBillingCode></PriorBillingCodes><Name>Construx Mini PTC</Name><Description>Anterior  cervical cage</Description><Size>12x12mm, 15x12mm, 15x15mm, 5-14mm height, parallel or 5 degree lordotic</Size><SupplierCode>ER</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>174</SubCategoryID><GroupID>1486</GroupID><SubGroupID>4134</SubGroupID><ARTGs><ARTG>206571</ARTG></ARTGs><MinimumBenefit>2188</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>EY018</BillingCode><Name>Precision ShurFit ACDF</Name><Description>Anterior Cervical Interbody Fusion System</Description><Size>14 to 18mm wide  12 to 15mm deep  5 to 12mm height  5 and 10 Degree Lordotic Options</Size><SupplierCode>EY</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>174</SubCategoryID><GroupID>1486</GroupID><SubGroupID>4134</SubGroupID><ARTGs><ARTG>317596</ARTG></ARTGs><MinimumBenefit>2188</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2020-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>UT002</BillingCode><Name>SPICCA Anterior Cervical Fusion Cage</Name><Description>Anterior cervical fusion cage; PEEK, Titanium coated PEEK, or 3D printed Titanium.</Description><Size>Footprints: 15mm x 12mm, 15mm x 14mm, 17.5mm x 15mm, 19.5mm x 17mm; Height: 4mm - 10mm; Lordosis: 7 or 12 degrees.</Size><SupplierCode>UT</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>174</SubCategoryID><GroupID>1486</GroupID><SubGroupID>4134</SubGroupID><ARTGs><ARTG>322720</ARTG></ARTGs><MinimumBenefit>2188</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2020-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ377</BillingCode><PriorBillingCodes><PriorBillingCode>NK008</PriorBillingCode><PriorBillingCode>LM403</PriorBillingCode></PriorBillingCodes><Name>Calix Interbody Spacer</Name><Description>Cervical cage, PEEK</Description><Size>Heights 5-12mm. Lordotic and Convex</Size><SupplierCode>LH</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>174</SubCategoryID><GroupID>1486</GroupID><SubGroupID>4134</SubGroupID><ARTGs><ARTG>160750</ARTG><ARTG>159605</ARTG><ARTG>170220</ARTG></ARTGs><MinimumBenefit>2188</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2020-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>EY033</BillingCode><Name>Osimplant Cage</Name><Description>Cervical Cage</Description><Size>Small through large footprints</Size><SupplierCode>EY</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>174</SubCategoryID><GroupID>1486</GroupID><SubGroupID>4134</SubGroupID><ARTGs><ARTG>333220</ARTG></ARTGs><MinimumBenefit>2188</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2020-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ562</BillingCode><Name>DIVA 3D ACDF</Name><Description>Titanium ACDF Cervical Cage – anatomical, lordotic and convex</Description><Size>Standard, Small and Large, Size 4 to 10mm, Angle 5 degrees</Size><SupplierCode>WY</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>174</SubCategoryID><GroupID>1486</GroupID><SubGroupID>4134</SubGroupID><ARTGs><ARTG>462235</ARTG></ARTGs><MinimumBenefit>2188</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2024-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HW749</BillingCode><PriorBillingCodes><PriorBillingCode>ER142</PriorBillingCode></PriorBillingCodes><Name>Aleutian Cervical Interbody System</Name><Description>Cage, Convex, or Lordotic. PEEK</Description><Size>Height: 5 -15mm</Size><SupplierCode>JV</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>174</SubCategoryID><GroupID>1486</GroupID><SubGroupID>4134</SubGroupID><ARTGs><ARTG>159146</ARTG></ARTGs><MinimumBenefit>2188</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ER537</BillingCode><Name>Signus JASPIS</Name><Description>Cervical porous titanium fusion cage </Description><Size>width (14-18mm) x length (12-14 mm) x height (4-10 mm); lordosis (0-8°)</Size><SupplierCode>ER</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>174</SubCategoryID><GroupID>1486</GroupID><SubGroupID>4134</SubGroupID><ARTGs><ARTG>129772</ARTG></ARTGs><MinimumBenefit>2188</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2020-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HW769</BillingCode><PriorBillingCodes><PriorBillingCode>ER455</PriorBillingCode></PriorBillingCodes><Name>Cascadia Cervical Interbody System</Name><Description>Cascadia Interbody spacer, Porous Ti</Description><Size>5-13mm heights</Size><SupplierCode>JV</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>174</SubCategoryID><GroupID>1486</GroupID><SubGroupID>4134</SubGroupID><ARTGs><ARTG>293886</ARTG></ARTGs><MinimumBenefit>2188</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ER151</BillingCode><Name>Nubic</Name><Description>Cervical Fusion Implant in interbody fusion of the Cervical Spine</Description><Size>(4-12)x13x(14-17) mm</Size><SupplierCode>ER</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>174</SubCategoryID><GroupID>1486</GroupID><SubGroupID>4134</SubGroupID><ARTGs><ARTG>129772</ARTG></ARTGs><MinimumBenefit>2188</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2014-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>IY103</BillingCode><PriorBillingCodes><PriorBillingCode>JG006</PriorBillingCode></PriorBillingCodes><Name>Capri ACIF Cage</Name><Description>Cervical Interbody Fusion Cage</Description><Size>Angle 0, 5 and 10 degrees      Height 4mm to 9mm      Length 12, 14, 16, 18mm</Size><SupplierCode>IY</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>174</SubCategoryID><GroupID>1486</GroupID><SubGroupID>4134</SubGroupID><ARTGs><ARTG>370516</ARTG></ARTGs><MinimumBenefit>2188</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2023-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LB209</BillingCode><Name>HEDRON™ C</Name><Description>3D Printed ACDF Spacer</Description><Size>Footprints: 12X14mm, 14X16mm, 15X18mm  Height 5-12mm</Size><SupplierCode>LB</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>174</SubCategoryID><GroupID>1486</GroupID><SubGroupID>4134</SubGroupID><ARTGs><ARTG>353400</ARTG></ARTGs><MinimumBenefit>2188</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ER599</BillingCode><Name>Construx Mini PEEK VBR System</Name><Description>The Construx Mini is an anterior Cervical Interbody PEEK or Titanium Cage</Description><Size>12mm x 12mm 5 degrees lordotic. 5mm-12mm in 1mm increments. 12mm x 12mm, Parallel. 5mm - 12mm in 1mm increments. 15mm x 12mm, 5/10/15 degrees lordotic. 5mm - 12mm in 1mm increments. 15mm x 12mm, Parallel. 5mm-12mm in 1mm increments        Width 12-17 mm; Length 12-15 mm, Height 5-12 mm, lordosis 0-15 degrees  </Size><SupplierCode>ER</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>174</SubCategoryID><GroupID>1486</GroupID><SubGroupID>4134</SubGroupID><ARTGs><ARTG>206571</ARTG></ARTGs><MinimumBenefit>2188</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SF175</BillingCode><Name>Wasp ACDF Cage</Name><Description>ACDF Cage (PEEK, PEEK/HA or Titanium)</Description><Size>5-9mm, 4, 8 and 12 degree  </Size><SupplierCode>SF</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>174</SubCategoryID><GroupID>1486</GroupID><SubGroupID>4134</SubGroupID><ARTGs><ARTG>181030</ARTG></ARTGs><MinimumBenefit>2188</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2020-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>KH075</BillingCode><Name>CARMEN Anterior Cervical Cage </Name><Description>The CARMEN anterior cervical cage component is intended to be used for anterior cervical inter-body fusion procedures in skeletally mature patients with cervical disc disease at one level from the C2-C3 disc to the C7-T1 disc. Cervical disc disease is defined as intractable radiculopathy and/or myelopathy with herniated disc and/or osteophyte formation on posterior vertebral end-plates producing symptomatic nerve root and/or spinal cord compression confirmed by radio-graphic studies. This cage is to be used in patients who have had six weeks of non-operative treatment. The CARMEN cage must be used with supplemental fixation. The Carmen  cage is also required to be used with autogenous bone graft comprised of cancellous and/or corticocancellous bone graft and is to be implanted via an open, anterior approach</Description><Size>Height       4 mm - 7 mm   Footprint :    12 mm x 14 mm ; 14 mm x 14 mm</Size><SupplierCode>KH</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>174</SubCategoryID><GroupID>1486</GroupID><SubGroupID>4134</SubGroupID><ARTGs><ARTG>312519</ARTG></ARTGs><MinimumBenefit>2188</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2020-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MI156</BillingCode><Name>Divergence Anterior Cervical Fusion Mini-plate System</Name><Description>Divergence Anterior cervical fusion Mini-plate cage</Description><Size>Height 5-11mm</Size><SupplierCode>MI</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>174</SubCategoryID><GroupID>1486</GroupID><SubGroupID>4134</SubGroupID><ARTGs><ARTG>126313</ARTG></ARTGs><MinimumBenefit>2188</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2015-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MC413</BillingCode><Name>Cornerstone Cage</Name><Description>Sterile and Non-sterile</Description><Size>4 - 14mm</Size><SupplierCode>MI</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>174</SubCategoryID><GroupID>1486</GroupID><SubGroupID>4134</SubGroupID><ARTGs><ARTG>126313</ARTG></ARTGs><MinimumBenefit>2188</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2006-03-24</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>DU036</BillingCode><Name>Tryptik Anterior Cervical Cage</Name><Description>Tryptik Anterior Cervical Cages are manufactured from PEEK and are anatomically shaped to fit between vertebral bodies. </Description><Size>Heights 5-12mm. Lordotic and Convex</Size><SupplierCode>DU</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>174</SubCategoryID><GroupID>1486</GroupID><SubGroupID>4134</SubGroupID><ARTGs><ARTG>166194</ARTG></ARTGs><MinimumBenefit>2188</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>IY035</BillingCode><PriorBillingCodes><PriorBillingCode>EV020</PriorBillingCode></PriorBillingCodes><Name>Fukiya ACDF Cage</Name><Description>Fukiya Fusion Cages are used to restore disc height and support loading during intervertebral body fusion. Interbody Fusion Cages are used to restore disc height and support loading during intervertebral body fusion.</Description><Size>6-9 degrees, 5-10mm. Small, Medium, Large, Extra large</Size><SupplierCode>IY</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>174</SubCategoryID><GroupID>1486</GroupID><SubGroupID>4134</SubGroupID><ARTGs><ARTG>236042</ARTG></ARTGs><MinimumBenefit>2188</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>DE592</BillingCode><Name>Cambria Cervical Interbody Cage</Name><Description>Cambria NanoMetalene Cervical Interbody Cage</Description><Size>13x12mm, 15x13mm &amp;17x13mm footprints  5-12mm height</Size><SupplierCode>DE</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>174</SubCategoryID><GroupID>1486</GroupID><SubGroupID>4134</SubGroupID><ARTGs><ARTG>298002</ARTG></ARTGs><MinimumBenefit>2188</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ083</BillingCode><PriorBillingCodes><PriorBillingCode>JQ030</PriorBillingCode></PriorBillingCodes><Name>IdentiTi Cervical Porous Ti Interbody System</Name><Description>Spacer,  Anterior  Ti</Description><Size>(14-20)mm x (12-16)mm footprint x (5-12)mm height x (5-15) degree lordosis</Size><SupplierCode>KN</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>174</SubCategoryID><GroupID>1486</GroupID><SubGroupID>4134</SubGroupID><ARTGs><ARTG>397837</ARTG></ARTGs><MinimumBenefit>2188</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2023-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MN250</BillingCode><Name>CONDUIT EIT Cervical Cage</Name><Description>Cervical Cage with Titanium</Description><Size>4-10mm heights</Size><SupplierCode>JJ</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>174</SubCategoryID><GroupID>1486</GroupID><SubGroupID>4134</SubGroupID><ARTGs><ARTG>319880</ARTG></ARTGs><MinimumBenefit>2188</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2019-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>OH611</BillingCode><Name>HumanTech - Anterior Cervical Interbody Fusion Cages</Name><Description>Tristan - Anterior Cervical Interbody Fusion Cage</Description><Size>L 12-19mm W: 14-16mm H: 4-10mm A:0-10 </Size><SupplierCode>OH</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>174</SubCategoryID><GroupID>1486</GroupID><SubGroupID>4134</SubGroupID><ARTGs><ARTG>316186</ARTG><ARTG>316185</ARTG></ARTGs><MinimumBenefit>2188</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ118</BillingCode><PriorBillingCodes><PriorBillingCode>DR025</PriorBillingCode></PriorBillingCodes><Name>Hygro-C ACDF Cage</Name><Description>Hygro-C Titanium ACDF Cage</Description><Size>Length (13.7mm) x Width (16.5-19.1mm) x Height (4-9mm); Lordotic angle 6 Degrees</Size><SupplierCode>IY</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>174</SubCategoryID><GroupID>1486</GroupID><SubGroupID>4134</SubGroupID><ARTGs><ARTG>330365</ARTG></ARTGs><MinimumBenefit>2188</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2020-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>JA004</BillingCode><PriorBillingCodes><PriorBillingCode>OH543</PriorBillingCode></PriorBillingCodes><Name>C7 Cervical Cage</Name><Description>Cervical Cage</Description><Size>H 3-16mm L 12-16mm W 12-16mm</Size><SupplierCode>JA</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>174</SubCategoryID><GroupID>1486</GroupID><SubGroupID>4134</SubGroupID><ARTGs><ARTG>289247</ARTG></ARTGs><MinimumBenefit>2188</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SY792</BillingCode><Name>ACIS</Name><Description>Anterior Cervical Interbody Spacer</Description><Size>Small to large</Size><SupplierCode>JJ</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>174</SubCategoryID><GroupID>1486</GroupID><SubGroupID>4134</SubGroupID><ARTGs><ARTG>133400</ARTG></ARTGs><MinimumBenefit>2188</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2014-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>IY033</BillingCode><PriorBillingCodes><PriorBillingCode>EV010</PriorBillingCode></PriorBillingCodes><Name>Evolution ACDF Cage</Name><Description>Interbody Fusion Cage</Description><Size>5-10mm   small, medium, large, extra large</Size><SupplierCode>IY</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>174</SubCategoryID><GroupID>1486</GroupID><SubGroupID>4134</SubGroupID><ARTGs><ARTG>248234</ARTG></ARTGs><MinimumBenefit>2188</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LB034</BillingCode><Name>Colonial Spacers</Name><Description>Anterior Cervical Interbody Cage</Description><Size>12 x 11 mm, 14 x 12mm, 16 x 14mm, 18 x 15mm and 0, 7, 12, 15 and 20 degree lordosis</Size><SupplierCode>LB</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>174</SubCategoryID><GroupID>1486</GroupID><SubGroupID>4134</SubGroupID><ARTGs><ARTG>191532</ARTG></ARTGs><MinimumBenefit>2188</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ122</BillingCode><PriorBillingCodes><PriorBillingCode>DZ087</PriorBillingCode></PriorBillingCodes><Name>CanPEEK-C Anterior Cervical Cage System</Name><Description>Interbody Fusion Cage</Description><Size>5mm - 10mm</Size><SupplierCode>XB</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>174</SubCategoryID><GroupID>1486</GroupID><SubGroupID>4134</SubGroupID><ARTGs><ARTG>346450</ARTG></ARTGs><MinimumBenefit>2188</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>FY004</BillingCode><Name>Novomax Fusion</Name><Description>Cervical Interbody Fusion Device, CaO-SiO2 based  glass ceramic</Description><Size>(15 x 13)mm footprint x (5-10)mm height, 3 degree lordosis</Size><SupplierCode>FY</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>174</SubCategoryID><GroupID>1486</GroupID><SubGroupID>4134</SubGroupID><ARTGs><ARTG>376357</ARTG></ARTGs><MinimumBenefit>2188</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2023-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ486</BillingCode><PriorBillingCodes><PriorBillingCode>JQ059</PriorBillingCode></PriorBillingCodes><Name>IdentiTi NanoTec Interbody System </Name><Description>Spacer, Cervical. Ti ,Ha</Description><Size>(14-22)mm x (12- 19)mm x (4- 14)mm height x (0-15)degree lordosis</Size><SupplierCode>KN</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>174</SubCategoryID><GroupID>1486</GroupID><SubGroupID>4134</SubGroupID><ARTGs><ARTG>397837</ARTG></ARTGs><MinimumBenefit>2188</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2023-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>DE561</BillingCode><Name>icotec ACDF Cage</Name><Description>Cervical Fusion Cage</Description><Size>Width: 13mm, 16mm and 18mm, 
Height: 5mm - 10mm,
Depth: 13mm</Size><SupplierCode>DE</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>174</SubCategoryID><GroupID>1486</GroupID><SubGroupID>4134</SubGroupID><ARTGs><ARTG>283852</ARTG></ARTGs><MinimumBenefit>2188</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MU102</BillingCode><Name>Mecta-C</Name><Description>Cervical Interbody Fusion Device made with PEEK</Description><Size>Width: 12,14,and 15mm. Length: 14,16 and 18 mm. Height: from 4 to 9 mm. Flat Dome Shaped versions</Size><SupplierCode>MU</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>174</SubCategoryID><GroupID>1486</GroupID><SubGroupID>4134</SubGroupID><ARTGs><ARTG>191090</ARTG></ARTGs><MinimumBenefit>2188</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2013-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ091</BillingCode><PriorBillingCodes><PriorBillingCode>JQ032</PriorBillingCode></PriorBillingCodes><Name>Transcend Nanotec Cervical </Name><Description>  Spacer, PEEK Ti Alloy HA </Description><Size>(14-18)mm x (12-16)mm footprint x (5-10)mm height x 7-10) degrees lordosis </Size><SupplierCode>KN</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>174</SubCategoryID><GroupID>1486</GroupID><SubGroupID>4134</SubGroupID><ARTGs><ARTG>398574</ARTG></ARTGs><MinimumBenefit>2188</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2023-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LB117</BillingCode><Name>Colonial - TPS ACDF System</Name><Description>ACDF spacer with Titanium Plasma Spray</Description><Size>Height : 5-12mm, Width 12-18mm, Length: 11-15mm</Size><SupplierCode>LB</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>174</SubCategoryID><GroupID>1486</GroupID><SubGroupID>4134</SubGroupID><ARTGs><ARTG>191532</ARTG></ARTGs><MinimumBenefit>2188</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2016-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>EY013</BillingCode><Name>E4 TLIF Cage</Name><Description>Interbody Cage</Description><Size>6mm height to 16mm height</Size><SupplierCode>EY</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>174</SubCategoryID><GroupID>1486</GroupID><SubGroupID>4135</SubGroupID><ARTGs><ARTG>181030</ARTG></ARTGs><MinimumBenefit>3313</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LH529</BillingCode><Name>ALIF Spine Truss System</Name><Description>Cage</Description><Size>8-20mm height</Size><SupplierCode>LH</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>174</SubCategoryID><GroupID>1486</GroupID><SubGroupID>4135</SubGroupID><ARTGs><ARTG>252733</ARTG></ARTGs><MinimumBenefit>3313</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2015-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BF019</BillingCode><Name>Latero Lumbar Cage</Name><Description>PEEK lumbar cage</Description><Size>Height: 10, 11, 12, 13, 14, 15, 16 or 18mm
Width: 16, 18, 20 or 22mm
Length: 30, 35, 40, 45, 50 or 55mm
Angle: 9*</Size><SupplierCode>BF</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>174</SubCategoryID><GroupID>1486</GroupID><SubGroupID>4135</SubGroupID><ARTGs><ARTG>211536</ARTG></ARTGs><MinimumBenefit>3313</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2015-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>NV168</BillingCode><Name>Modulus ALIF </Name><Description>Integrated fixation lumbar fusion cage</Description><Size>6-12mm X 34-42mm X 24-32mm</Size><SupplierCode>NV</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>174</SubCategoryID><GroupID>1486</GroupID><SubGroupID>4135</SubGroupID><ARTGs><ARTG>132498</ARTG></ARTGs><MinimumBenefit>3313</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HW520</BillingCode><Name>AVS Navigator</Name><Description>Steerable TLIF Cage</Description><Size>L 26-31mm, H6-15mm, 0 and 4 degree anglulation</Size><SupplierCode>JV</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>174</SubCategoryID><GroupID>1486</GroupID><SubGroupID>4135</SubGroupID><ARTGs><ARTG>278569</ARTG></ARTGs><MinimumBenefit>3313</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2013-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LB144</BillingCode><Name>RISE IntraLIF - paired</Name><Description>Intradiscal Lumbar Interbody Fusion Device</Description><Size>8mm Width, 22mm Length 7-14mm Height</Size><SupplierCode>LB</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>174</SubCategoryID><GroupID>1486</GroupID><SubGroupID>4135</SubGroupID><Suffix>Paired</Suffix><ARTGs><ARTG>214537</ARTG></ARTGs><MinimumBenefit>2222</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>DU030</BillingCode><Name>Juliet Posterior Lumbar Interbody Cage</Name><Description>PEEK cage built in anatomical slope.</Description><Size>All 22mm length. 8, 10, 12 and 14mm heights. 0 or 5 degrees anatomical slope.</Size><SupplierCode>DU</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>174</SubCategoryID><GroupID>1486</GroupID><SubGroupID>4135</SubGroupID><Suffix>Paired</Suffix><ARTGs><ARTG>166194</ARTG></ARTGs><MinimumBenefit>2222</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>NV013</BillingCode><Name>CoRoent</Name><Description>XLIF cage – PEEK or Titanium</Description><Size>Width 16mm-26mm x Length 25-60mm x Height 4-20mm x Lordosis 0-35 degrees</Size><SupplierCode>NV</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>174</SubCategoryID><GroupID>1486</GroupID><SubGroupID>4135</SubGroupID><ARTGs><ARTG>132498</ARTG></ARTGs><MinimumBenefit>3313</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2007-06-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>IY058</BillingCode><PriorBillingCodes><PriorBillingCode>DR024</PriorBillingCode></PriorBillingCodes><Name>Hygro-L PLIF</Name><Description>Titanium lumbar interbody fusion cage PLIF (paired)</Description><Size>Length (22-26mm) x width (11.5mm); heights (7-14mm); lordotic angle (0-12) </Size><SupplierCode>IY</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>174</SubCategoryID><GroupID>1486</GroupID><SubGroupID>4135</SubGroupID><Suffix>Paired</Suffix><ARTGs><ARTG>330365</ARTG></ARTGs><MinimumBenefit>2222</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2023-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MC577</BillingCode><Name>R90 Spacer</Name><Description>Spinal Implant (Peek)</Description><Size>Height 7 - 16mm
Lordosis 6 - 18 degrees</Size><SupplierCode>MI</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>174</SubCategoryID><GroupID>1486</GroupID><SubGroupID>4135</SubGroupID><Suffix>Paired</Suffix><ARTGs><ARTG>126313</ARTG></ARTGs><MinimumBenefit>2222</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2006-03-24</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>IY071</BillingCode><PriorBillingCodes><PriorBillingCode>DR045</PriorBillingCode></PriorBillingCodes><Name>Tesera P</Name><Description>Titanium PLIF Cage</Description><Size>Length (22-27mm) x Width (9mm) x Height (7-16mm); Lordotic angle (5-7) Degrees</Size><SupplierCode>IY</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>174</SubCategoryID><GroupID>1486</GroupID><SubGroupID>4135</SubGroupID><Suffix>Paired</Suffix><ARTGs><ARTG>354092</ARTG></ARTGs><MinimumBenefit>2222</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2023-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MI063</BillingCode><Name>Capstone Control</Name><Description>PLIF Vertebral Body Spacer</Description><Size>Length: 22-26mm</Size><SupplierCode>MI</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>174</SubCategoryID><GroupID>1486</GroupID><SubGroupID>4135</SubGroupID><Suffix>Paired</Suffix><ARTGs><ARTG>126313</ARTG></ARTGs><MinimumBenefit>2222</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2013-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>DE783</BillingCode><Name>FlareHawk Expandable PLIF Cage</Name><Description>Expandable PEEK &amp; Titanium alloy lumbar interbody fusion device that enables significant graft delivery. FlareHawk is made up of an expandable shell and titanium shim.</Description><Size>0,6,9,15 degree lordosis. Unexpanded: 7mm height x 9mm width or 7mm Height x 7mm width. Expanded: 8mm - 14mm height x 14mm or 11mm width. 25mm or 26mm Lengths</Size><SupplierCode>DE</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>174</SubCategoryID><GroupID>1486</GroupID><SubGroupID>4135</SubGroupID><Suffix>Paired</Suffix><ARTGs><ARTG>380419</ARTG><ARTG>380420</ARTG></ARTGs><MinimumBenefit>2222</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>NW046</BillingCode><PriorBillingCodes><PriorBillingCode>BH170</PriorBillingCode></PriorBillingCodes><Name>Zyston Straight Interbody Spacer</Name><Description>Posterior Lumbar Interbody Spacer, PEEK</Description><Size>(7mm x 20mm) to (18mm x 30mm), Convex, Lordotic</Size><SupplierCode>NW</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>174</SubCategoryID><GroupID>1486</GroupID><SubGroupID>4135</SubGroupID><Suffix>Paired</Suffix><ARTGs><ARTG>287188</ARTG></ARTGs><MinimumBenefit>2222</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MU104</BillingCode><Name>Mectalif Posterior</Name><Description>Posterior Interbody Fusion Device PEEK and TiPEEK</Description><Size>Width: 9 and 11mm. Length: 19, 22 and 25 mm. Height: from 7 to 15 mm</Size><SupplierCode>MU</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>174</SubCategoryID><GroupID>1486</GroupID><SubGroupID>4135</SubGroupID><Suffix>Paired</Suffix><ARTGs><ARTG>180172</ARTG><ARTG>404156</ARTG></ARTGs><MinimumBenefit>2222</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2013-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>JA007</BillingCode><PriorBillingCodes><PriorBillingCode>OH537</PriorBillingCode></PriorBillingCodes><Name>Medussa-PL Cage</Name><Description>ThoracoLumbar/Lumbar Interbody Fusion Cage - PLIF, TLIF</Description><Size>0°-8°, H 6-16mm L 25-38mm W 9-11mm</Size><SupplierCode>JA</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>174</SubCategoryID><GroupID>1486</GroupID><SubGroupID>4135</SubGroupID><Suffix>Paired</Suffix><ARTGs><ARTG>289247</ARTG></ARTGs><MinimumBenefit>2222</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>RI047</BillingCode><Name>Fortilink®-L</Name><Description>Lateral interbody fusion device</Description><Size>Width: 14-26mm  Length: 40-60mm  Height: 8-15mm</Size><SupplierCode>RI</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>174</SubCategoryID><GroupID>1486</GroupID><SubGroupID>4135</SubGroupID><ARTGs><ARTG>346071</ARTG></ARTGs><MinimumBenefit>3313</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BB365</BillingCode><Name>Aesculap Interbody Cage</Name><Description>PLIF Interbody Cage</Description><Size>All sizes</Size><SupplierCode>BB</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>174</SubCategoryID><GroupID>1486</GroupID><SubGroupID>4135</SubGroupID><ARTGs><ARTG>122641</ARTG><ARTG>273761</ARTG></ARTGs><MinimumBenefit>3313</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BP002</BillingCode><Name>PEEK Interbody System – Lumbar ALIF</Name><Description>Sterile and Non sterile
ALIF Implants</Description><Size>Width 24-28mm: 
Length 28-38mm: 
Height 8-17mm: 
Lordosis Angle 6 - 8 degrees</Size><SupplierCode>BP</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>174</SubCategoryID><GroupID>1486</GroupID><SubGroupID>4135</SubGroupID><ARTGs><ARTG>273367</ARTG><ARTG>273366</ARTG><ARTG>273374</ARTG></ARTGs><MinimumBenefit>3313</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2016-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>IY061</BillingCode><PriorBillingCodes><PriorBillingCode>DR047</PriorBillingCode></PriorBillingCodes><Name>Kyocera Lateral Lumbar Interbody System</Name><Description>Lateral Lumbar Interbody Cage</Description><Size>18-22mm W, 30-60mm L, 8-20mm H</Size><SupplierCode>IY</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>174</SubCategoryID><GroupID>1486</GroupID><SubGroupID>4135</SubGroupID><ARTGs><ARTG>354092</ARTG></ARTGs><MinimumBenefit>3313</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2023-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ER150</BillingCode><Name>Signus - Semial</Name><Description>Composition - PEEK</Description><Size>Height (ant) 7.80, 10.40, 13.20; Diameter 38, 43, 48; Height (post) 5.4, 8.0, 8.1, 10.8; Angle 5.00, 10.40</Size><SupplierCode>ER</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>174</SubCategoryID><GroupID>1486</GroupID><SubGroupID>4135</SubGroupID><ARTGs><ARTG>122274</ARTG></ARTGs><MinimumBenefit>3313</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2014-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SF157</BillingCode><Name>Nik-Alias Cage</Name><Description>Anterior Lumbar Cage with integral fixation (PEEK, HA PEEK, Titanium, Porous Titanium)</Description><Size>Angle 0 - 12 degrees, Length 40 - 60mm, Height 8 - 16mm</Size><SupplierCode>SF</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>174</SubCategoryID><GroupID>1486</GroupID><SubGroupID>4135</SubGroupID><ARTGs><ARTG>181030</ARTG></ARTGs><MinimumBenefit>3313</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2019-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>DU062</BillingCode><Name>Scarlet AL-T Hyperlordotic Secured Lumbar Cage</Name><Description>Secured Lumbar Cage</Description><Size>Small, Medium, Large footprint  Height: 13 to 26mm.  Lordosis: 20, 25 and 30°.</Size><SupplierCode>DU</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>174</SubCategoryID><GroupID>1486</GroupID><SubGroupID>4135</SubGroupID><ARTGs><ARTG>338461</ARTG></ARTGs><MinimumBenefit>3313</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2020-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SF167</BillingCode><Name>Elevator ALIF Cage</Name><Description>Anterior Lumbar Cage with integral fixation (PEEK, HA PEEK)  </Description><Size>Angle 8-25 degrees, Small, Medium, Medium Wide, Large, Extra Large, 11-19mm high</Size><SupplierCode>SF</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>174</SubCategoryID><GroupID>1486</GroupID><SubGroupID>4135</SubGroupID><ARTGs><ARTG>181030</ARTG></ARTGs><MinimumBenefit>3313</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2020-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>IY108</BillingCode><PriorBillingCodes><PriorBillingCode>JG005</PriorBillingCode></PriorBillingCodes><Name>Salina</Name><Description>ACL - Lateral Oblique Cage</Description><Size>5 degree angle  26mm to 33mm length  7mm to 14mm height</Size><SupplierCode>IY</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>174</SubCategoryID><GroupID>1486</GroupID><SubGroupID>4135</SubGroupID><ARTGs><ARTG>370517</ARTG></ARTGs><MinimumBenefit>3313</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2023-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LB004</BillingCode><Name>TransContinental Spacer</Name><Description>PEEK Interbody cages</Description><Size>X-small, small, medium, large, x-large 0 deg, 6 deg and 10 degree 7 - 17mm Height</Size><SupplierCode>LB</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>174</SubCategoryID><GroupID>1486</GroupID><SubGroupID>4135</SubGroupID><ARTGs><ARTG>191535</ARTG></ARTGs><MinimumBenefit>3313</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LB135</BillingCode><Name>Caliber Expandable Lumbar Fusion Device - Paired</Name><Description>Expandable titanium alloy and PEEK lumbar inter-body fusion device</Description><Size>Unexpanded Height 7-12mm, Expanded Height 11-17mm, Width 10-12mm, Length 22mm</Size><SupplierCode>LB</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>174</SubCategoryID><GroupID>1486</GroupID><SubGroupID>4135</SubGroupID><Suffix>Paired</Suffix><ARTGs><ARTG>190042</ARTG></ARTGs><MinimumBenefit>2222</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2016-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LB203</BillingCode><Name>HEDRON P</Name><Description>3D Printed Posterior Lumbar Interbody Spacer</Description><Size>Width: 8-10mm  Length: 22mm  Height: 7-17mm</Size><SupplierCode>LB</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>174</SubCategoryID><GroupID>1486</GroupID><SubGroupID>4135</SubGroupID><Suffix>Paired</Suffix><ARTGs><ARTG>353398</ARTG></ARTGs><MinimumBenefit>2222</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>NV143</BillingCode><Name>Base Interfixated</Name><Description>Interbody fusion implant</Description><Size>6-14mm tall, 34-42mm wide, 24-30mm deep and 0-30° lordosis</Size><SupplierCode>NV</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>174</SubCategoryID><GroupID>1486</GroupID><SubGroupID>4135</SubGroupID><ARTGs><ARTG>132498</ARTG></ARTGs><MinimumBenefit>3313</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2016-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>NW047</BillingCode><PriorBillingCodes><PriorBillingCode>BH143</PriorBillingCode></PriorBillingCodes><Name>Zyston Curved Interbody Spacer</Name><Description>Transformaminal Lumbar Interbody Spacer, PEEK</Description><Size>(7 to 18)mm height to (27x32)mm length, Parallel, Lordotic</Size><SupplierCode>NW</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>174</SubCategoryID><GroupID>1486</GroupID><SubGroupID>4135</SubGroupID><ARTGs><ARTG>287188</ARTG></ARTGs><MinimumBenefit>3313</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>DE711</BillingCode><Name>REEF TO TLIF</Name><Description>REEF TO NanoMetalene TLIF</Description><Size>9&amp;11mm Widths  28, 32, 36mm Lengths  7-18mm Heights  0-22 Degree Lordosis</Size><SupplierCode>DE</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>174</SubCategoryID><GroupID>1486</GroupID><SubGroupID>4135</SubGroupID><ARTGs><ARTG>298002</ARTG></ARTGs><MinimumBenefit>3313</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2020-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ099</BillingCode><PriorBillingCodes><PriorBillingCode>SQ155</PriorBillingCode></PriorBillingCodes><Name>Neo Cage System</Name><Description>Cage Kit  PLIF, TLIF  Straight, Lordotic</Description><Size>22-26mm Length  7-14mm Width  7-14mm Height</Size><SupplierCode>LR</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>174</SubCategoryID><GroupID>1486</GroupID><SubGroupID>4135</SubGroupID><ARTGs><ARTG>316221</ARTG></ARTGs><MinimumBenefit>3313</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2019-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>DU009</BillingCode><Name>Juliet Ti TL, Juliet Ti OL</Name><Description>Titanium lumbar cage</Description><Size>TL - Length: 30mm or 34mm  Height: 8mm, 9mm, 10mm, 11mm, 12mm, 13mm, 14mm, 15mm or 16mm  Width: 10.5mm  Lordosis: 6º  OL - Length: 28mm, 32mm or 36mm  Height: 7mm, 8mm, 9mm, 10mm, 11mm, 12mm, 13mm, 14mm, 15mm or 16 mm  Width: 8mm, 8.5mm, 9mm, 10mm or 10.5mm  Lordosis: 6º or 12º</Size><SupplierCode>DU</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>174</SubCategoryID><GroupID>1486</GroupID><SubGroupID>4135</SubGroupID><ARTGs><ARTG>338461</ARTG><ARTG>166194</ARTG></ARTGs><MinimumBenefit>3313</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>DU016</BillingCode><Name>Juliet LL Lateral Lumbar Cage</Name><Description>Lateral lumbar - PEEK or titanium</Description><Size>PEEK-
Width: 21mm
Length: 40mm, 45mm, 50mm, 55mm, 60mm
Height: 8mm, 10mm, 12mm, 14mm, 16mm
Lordotic angle: 6º
Titanium-
Width: 17mm, 21mm, 25mm
Length: 25mm, 30mm, 35mm, 40mm, 45mm, 50mm, 55mm, 60mm
Height: 6mm, 8mm, 10mm, 12mm, 14mm, 16mm
Lordotic angle: 0º, 6º</Size><SupplierCode>DU</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>174</SubCategoryID><GroupID>1486</GroupID><SubGroupID>4135</SubGroupID><ARTGs><ARTG>166194</ARTG></ARTGs><MinimumBenefit>3313</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SF174</BillingCode><Name>Spoiler ALF Cage</Name><Description>PEEK/ PEEK HA Cage</Description><Size>Small, Medium, Medium Wide, Large, Extra Large</Size><SupplierCode>SF</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>174</SubCategoryID><GroupID>1486</GroupID><SubGroupID>4135</SubGroupID><ARTGs><ARTG>181030</ARTG></ARTGs><MinimumBenefit>3313</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2020-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SF152</BillingCode><Name>Ayers PLIF cage</Name><Description>PLIF Fusion Cage</Description><Size>Curved and Straight Cages in multiple footprints with 3 angles.</Size><SupplierCode>SF</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>174</SubCategoryID><GroupID>1486</GroupID><SubGroupID>4135</SubGroupID><Suffix>Paired</Suffix><ARTGs><ARTG>181030</ARTG></ARTGs><MinimumBenefit>2222</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MI284</BillingCode><Name>ARTiC Spinal System</Name><Description>Titanium Fusion Cage</Description><Size>Height: 8-15mm</Size><SupplierCode>MI</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>174</SubCategoryID><GroupID>1486</GroupID><SubGroupID>4135</SubGroupID><ARTGs><ARTG>126313</ARTG></ARTGs><MinimumBenefit>3313</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MC975</BillingCode><Name>Capstone Cage</Name><Description>DLIF Vertebral Body Spacer</Description><Size>Length: 40mm - 60mm</Size><SupplierCode>MI</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>174</SubCategoryID><GroupID>1486</GroupID><SubGroupID>4135</SubGroupID><ARTGs><ARTG>126313</ARTG></ARTGs><MinimumBenefit>3313</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2010-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LB070</BillingCode><Name>SUSTAIN spacer</Name><Description>PLIF cage</Description><Size>8mm-17mm height, 8mm-12mm width, 22mm length</Size><SupplierCode>LB</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>174</SubCategoryID><GroupID>1486</GroupID><SubGroupID>4135</SubGroupID><Suffix>Paired</Suffix><ARTGs><ARTG>191531</ARTG></ARTGs><MinimumBenefit>2222</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2014-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LB005</BillingCode><Name>TransContinental M Spacer</Name><Description>PEEK Interbody cages</Description><Size>0 degree, 6 degree, 20 degree and 25 degree, Height: 8mm - 21mm . Length: 35mm-60mm, Width: 20mm</Size><SupplierCode>LB</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>174</SubCategoryID><GroupID>1486</GroupID><SubGroupID>4135</SubGroupID><ARTGs><ARTG>191535</ARTG></ARTGs><MinimumBenefit>3313</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MC456</BillingCode><Name>Interfix </Name><Description>Titanium Cage</Description><Size>12 x 20mm - 24 x 50mm</Size><SupplierCode>MI</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>174</SubCategoryID><GroupID>1486</GroupID><SubGroupID>4135</SubGroupID><Suffix>Paired</Suffix><ARTGs><ARTG>126313</ARTG></ARTGs><MinimumBenefit>2222</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2006-03-24</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>IY106</BillingCode><PriorBillingCodes><PriorBillingCode>JG002</PriorBillingCode></PriorBillingCodes><Name>Alicudi</Name><Description>ACA - Anterior Lumbar Fusion Cage</Description><Size>5, 8, 14, 20 degree angle  9mm to 15mm height  30mm to 38mm width</Size><SupplierCode>IY</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>174</SubCategoryID><GroupID>1486</GroupID><SubGroupID>4135</SubGroupID><ARTGs><ARTG>370517</ARTG></ARTGs><MinimumBenefit>3313</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2023-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LB172</BillingCode><Name>Altera Articulating Expandable TLIF</Name><Description>Articulating Expandable Titanium TLIF Spacer</Description><Size>Length: 26-36mm
Height (non-expanded):8-12mm
Height (expanded): 12-16mm</Size><SupplierCode>LB</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>174</SubCategoryID><GroupID>1486</GroupID><SubGroupID>4135</SubGroupID><ARTGs><ARTG>214537</ARTG></ARTGs><MinimumBenefit>3313</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MN251</BillingCode><Name>CONDUIT EIT SMART ALIF</Name><Description>Cellular Titanium Cage with Graft Hole</Description><Size>8-20mm height</Size><SupplierCode>JJ</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>174</SubCategoryID><GroupID>1486</GroupID><SubGroupID>4135</SubGroupID><ARTGs><ARTG>319880</ARTG></ARTGs><MinimumBenefit>3313</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2019-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SY453</BillingCode><Name>Oracle</Name><Description>Lumbar Interbody Fusion Cage</Description><Size>40-55mm M/L x 22mm A/P, 9-17mm Height</Size><SupplierCode>JJ</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>174</SubCategoryID><GroupID>1486</GroupID><SubGroupID>4135</SubGroupID><ARTGs><ARTG>231840</ARTG></ARTGs><MinimumBenefit>3313</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2009-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MN249</BillingCode><Name>CONDUIT EIT TLIF Cage</Name><Description>Titanium Lumbar Cage</Description><Size>7-15mm heights</Size><SupplierCode>JJ</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>174</SubCategoryID><GroupID>1486</GroupID><SubGroupID>4135</SubGroupID><ARTGs><ARTG>319880</ARTG></ARTGs><MinimumBenefit>3313</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2019-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LB071</BillingCode><Name>SUSTAIN Spacer</Name><Description>TLIF Cage</Description><Size>8mm-17mm height, 8mm-12mm width, 26-30mm length</Size><SupplierCode>LB</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>174</SubCategoryID><GroupID>1486</GroupID><SubGroupID>4135</SubGroupID><ARTGs><ARTG>191534</ARTG></ARTGs><MinimumBenefit>3313</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2014-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>IY072</BillingCode><PriorBillingCodes><PriorBillingCode>DR046</PriorBillingCode></PriorBillingCodes><Name>Tesera T/ST</Name><Description>Titanium TLIF Cage</Description><Size>Length (28-34mm) x Width (10-11mm) x Height (7-16mm) Lordotic angle (0-7) Degrees</Size><SupplierCode>IY</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>174</SubCategoryID><GroupID>1486</GroupID><SubGroupID>4135</SubGroupID><ARTGs><ARTG>354092</ARTG></ARTGs><MinimumBenefit>3313</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2023-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MI325</BillingCode><PriorBillingCodes><PriorBillingCode>ER498</PriorBillingCode></PriorBillingCodes><Name>Endoskeleton TT Interbody Fusion Device</Name><Description>Titanium posterior interbody fusion cage, parallel or lordotic, sterile or non-sterile, also with NanoLock™ surface technology, sterile</Description><Size>Height 7-14mm; 30-35mm x11mm, 0˚ or 4˚ angles</Size><SupplierCode>MI</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>174</SubCategoryID><GroupID>1486</GroupID><SubGroupID>4135</SubGroupID><ARTGs><ARTG>285244</ARTG></ARTGs><MinimumBenefit>3313</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2020-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MN254</BillingCode><Name>CONDUIT EIT SMART TLIF</Name><Description>Cellular Titanium Cage with Graft Hole</Description><Size>7-15mm heights</Size><SupplierCode>JJ</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>174</SubCategoryID><GroupID>1486</GroupID><SubGroupID>4135</SubGroupID><ARTGs><ARTG>319880</ARTG></ARTGs><MinimumBenefit>3313</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2019-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>IY037</BillingCode><Name>Shinto PLIF Cage</Name><Description>Interbody Fusion Cages are used to restore disc height and support loading during intervertebral body fusion.</Description><Size>Angle 8 - 22 degrees  Length 21 - 26mm   Height 5 - 13mm</Size><SupplierCode>IY</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>174</SubCategoryID><GroupID>1486</GroupID><SubGroupID>4135</SubGroupID><ARTGs><ARTG>393044</ARTG></ARTGs><MinimumBenefit>3313</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>IY111</BillingCode><Name>Additive Surgical Lateral Expandable Cage - Giannutri</Name><Description>Lateral Titanium Expandable Cage</Description><Size>46-52mm x 18-22mm, 0-14 Degrees Lordosis</Size><SupplierCode>IY</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>174</SubCategoryID><GroupID>1486</GroupID><SubGroupID>4135</SubGroupID><ARTGs><ARTG>370517</ARTG></ARTGs><MinimumBenefit>3313</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2023-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>DE716</BillingCode><Name>REEF TO PLIF</Name><Description>REEF TO NanoMetalene PLIF</Description><Size>9 &amp; 11mm Widths  20 &amp; 24mm Lengths  7-18mm Heights  0-22 Degree Lordosis  </Size><SupplierCode>DE</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>174</SubCategoryID><GroupID>1486</GroupID><SubGroupID>4135</SubGroupID><Suffix>Paired</Suffix><ARTGs><ARTG>298002</ARTG></ARTGs><MinimumBenefit>2222</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2020-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HW731</BillingCode><PriorBillingCodes><PriorBillingCode>ER022</PriorBillingCode></PriorBillingCodes><Name>Aleutian TLIF</Name><Description>Transforaminal lumbar interbody spacer</Description><Size>(8.5-12)mm wide x (22-36)mm long x (4-17)mm height x (6-18) degree lordotic angle</Size><SupplierCode>JV</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>174</SubCategoryID><GroupID>1486</GroupID><SubGroupID>4135</SubGroupID><ARTGs><ARTG>193652</ARTG><ARTG>159146</ARTG></ARTGs><MinimumBenefit>3313</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>DE590</BillingCode><Name>Ventura PLIF</Name><Description>NanoMetalene Posterior Lumbar Interbody</Description><Size>9&amp;11mm width  20&amp;24mm length  8-16mm height</Size><SupplierCode>DE</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>174</SubCategoryID><GroupID>1486</GroupID><SubGroupID>4135</SubGroupID><Suffix>Paired</Suffix><ARTGs><ARTG>298002</ARTG></ARTGs><MinimumBenefit>2222</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MC685</BillingCode><Name>Verte-Stack Crescent</Name><Description>PEEK</Description><Size>Height 6 - 18mm</Size><SupplierCode>MI</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>174</SubCategoryID><GroupID>1486</GroupID><SubGroupID>4135</SubGroupID><ARTGs><ARTG>169501</ARTG></ARTGs><MinimumBenefit>3313</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2006-03-24</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LB208</BillingCode><Name>HEDRON A </Name><Description>3D Printed ALIF Spacer</Description><Size>Footprint: 22X 29mm, 24X 35mm, 28X39mm  Height 9-21mm  </Size><SupplierCode>LB</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>174</SubCategoryID><GroupID>1486</GroupID><SubGroupID>4135</SubGroupID><ARTGs><ARTG>353398</ARTG></ARTGs><MinimumBenefit>3313</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LB118</BillingCode><Name>Continental TPS Spacer</Name><Description>ALIF PEEK spacer with Titanium Plasma Spray</Description><Size>Width 25-39mm, Length 20-28mm, Height 9-21mm</Size><SupplierCode>LB</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>174</SubCategoryID><GroupID>1486</GroupID><SubGroupID>4135</SubGroupID><ARTGs><ARTG>191535</ARTG></ARTGs><MinimumBenefit>3313</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2016-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LB133</BillingCode><Name>Sustain-IR and Sustain-IR Narrow - Paired</Name><Description>PEEK radiolucent interbody lumbar fusion device</Description><Size>Height 7-17mm, Length 18-22mm</Size><SupplierCode>LB</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>174</SubCategoryID><GroupID>1486</GroupID><SubGroupID>4135</SubGroupID><Suffix>Paired</Suffix><ARTGs><ARTG>191535</ARTG></ARTGs><MinimumBenefit>2222</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2016-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LB142</BillingCode><Name>RISE - paired</Name><Description>Expandable Lumbar Fusion Device</Description><Size>Width: 8mm, 10mm and 12mm 
Length: 22mm
Height 7-17mm</Size><SupplierCode>LB</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>174</SubCategoryID><GroupID>1486</GroupID><SubGroupID>4135</SubGroupID><Suffix>Paired</Suffix><ARTGs><ARTG>214537</ARTG></ARTGs><MinimumBenefit>2222</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ER444</BillingCode><Name>LnK Lumbar Interbody Fusion Cage System/PathLoc-LC Lateral Cage System-DLIF</Name><Description>LnK Lumbar Interbody Fusion Cage System/PathLoc-LC Lateral Cage System-DLIF, PEEK</Description><Size>length (18-24mm) x width (40-65mm) x height (8-16mm) x angle (0-12°)</Size><SupplierCode>ER</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>174</SubCategoryID><GroupID>1486</GroupID><SubGroupID>4135</SubGroupID><ARTGs><ARTG>286125</ARTG></ARTGs><MinimumBenefit>3313</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ER162</BillingCode><Name>Signus Mobis Lumbar TLIF Cage</Name><Description>Peek-Optima Lumbar intervertebral TLIF cage</Description><Size>6, 7, 8, 9, 10, 11, 12, 13, 14, 16, 18mm heights</Size><SupplierCode>ER</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>174</SubCategoryID><GroupID>1486</GroupID><SubGroupID>4135</SubGroupID><ARTGs><ARTG>129772</ARTG></ARTGs><MinimumBenefit>3313</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2014-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SR066</BillingCode><Name>AVS AL PEEK Spacer System</Name><Description>Anterior Lumbar Interbody Fusion Cage</Description><Size>22mm deep x 28mm wide x 10mm - 50mm height and 28mm deep x 33mm wide x 10mm-50mm height.  Both base sizes come in 4 degree and 8 degree angulations</Size><SupplierCode>JV</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>174</SubCategoryID><GroupID>1486</GroupID><SubGroupID>4135</SubGroupID><ARTGs><ARTG>315080</ARTG><ARTG>315081</ARTG></ARTGs><MinimumBenefit>3313</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2007-12-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MC976</BillingCode><Name>Capstone Cage</Name><Description>PLIF Vertebral Body Spacer</Description><Size>Length: 22mm - 26mm</Size><SupplierCode>MI</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>174</SubCategoryID><GroupID>1486</GroupID><SubGroupID>4135</SubGroupID><Suffix>Paired</Suffix><ARTGs><ARTG>126313</ARTG></ARTGs><MinimumBenefit>2222</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2010-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LB132</BillingCode><Name>Sustain-IR and Sustain-IR Narrow</Name><Description>PEEK radiolucent interbody lumbar fusion device</Description><Size>Height 7-17mm, Length 26-30mm</Size><SupplierCode>LB</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>174</SubCategoryID><GroupID>1486</GroupID><SubGroupID>4135</SubGroupID><ARTGs><ARTG>191535</ARTG></ARTGs><MinimumBenefit>3313</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2016-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LH764</BillingCode><PriorBillingCodes><PriorBillingCode>LM404</PriorBillingCode></PriorBillingCodes><Name>Calix Peek Lumbar System</Name><Description>Peek lumbar interbody spacer for fusion of the lumbar spine using an anterior, posterior or transverse approach.</Description><Size>36mm x 24mm x 8mm x 8 deg  36mm x 24mm x 10mm x 8 deg  36mm x 24mm x 12mm x 8 deg  36mm x 24mm x 14mm x 8 deg  36mm x 24mm x 16mm x 8 deg  36mm x 24mm x 18mm x 8 deg  36mm x 24mm x 20mm x 8 deg  36mm x 24mm x 8mm x 12 deg  36mm x 24mm x 10mm x 12 deg  36mm x 24mm x 12mm x 12 deg  36mm x 24mm x 14mm x 12 deg  36mm x 24mm x 16mm x 12 deg  36mm x 24mm x 18mm x 12 deg  36mm x 24mm x 20mm x 12 deg  28mm x 10mm x 6mm  28mm x 10mm x 7mm  28mm x 10mm x 8mm  28mm x 10mm x 9mm  28mm x 10mm x 10mm  28mm x 10mm x 11mm  28mm x 10mm x 12mm  28mm x 10mm x 13mm  28mm x 10mm x 14mm  28mm x 10mm x 15mm  28mm x 10mm x 16mm  22mm x 10mm x 6mm  22mm x 10mm x 7mm  22mm x 10mm x 8mm  22mm x 10mm x 9mm  22mm x 10mm x 10mm  22mm x 10mm x 11mm  22mm x 10mm x 12mm  22mm x 10mm x 13mm  22mm x 10mm x 14mm  22mm x 10mm x 15mm  22mm x 10mm x 16mm  26mm x 10mm x 6mm  26mm x 10mm x 8mm  26mm x 10mm x 10mm  26mm x 10mm x 12mm  26mm x 10mm x 14mm  26mm x 10mm x 6mm x 5o  26mm x 10mm x 8mm x 5o  26mm x 10mm x 10mm x 5o  26mm x 10mm x 12mm x 5o  26mm x 10mm x 14mm x 5o</Size><SupplierCode>LH</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>174</SubCategoryID><GroupID>1486</GroupID><SubGroupID>4135</SubGroupID><Suffix>Paired</Suffix><ARTGs><ARTG>159605</ARTG><ARTG>160750</ARTG><ARTG>170220</ARTG></ARTGs><MinimumBenefit>2222</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2023-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ER441</BillingCode><Name>LnK Lumbar Interbody Fusion Cage System-TPLIF</Name><Description>LnK Lumbar Interbody Fusion Cage System-TPLIF, PEEK</Description><Size>length 32mm x width 11mm x height (6-16mm) x angle (0-8°)</Size><SupplierCode>ER</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>174</SubCategoryID><GroupID>1486</GroupID><SubGroupID>4135</SubGroupID><ARTGs><ARTG>286125</ARTG></ARTGs><MinimumBenefit>3313</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BB070</BillingCode><Name>Prospace Block</Name><Description>Titanium</Description><Size>9mm-11mm</Size><SupplierCode>BB</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>174</SubCategoryID><GroupID>1486</GroupID><SubGroupID>4135</SubGroupID><ARTGs><ARTG>101789</ARTG></ARTGs><MinimumBenefit>3313</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BP005</BillingCode><Name>PEEK Interbody system – Lumbar PLIF/TLIF (single)</Name><Description>Sterile and Non sterile                                               
PLIF Implants
TLIF Implants</Description><Size>Width 8-12mm: 
Length 22-34mm: 
Height 7-17mm:  
Lordosis Angle 0-8 degrees</Size><SupplierCode>BP</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>174</SubCategoryID><GroupID>1486</GroupID><SubGroupID>4135</SubGroupID><ARTGs><ARTG>273374</ARTG><ARTG>273367</ARTG><ARTG>273366</ARTG></ARTGs><MinimumBenefit>3313</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2016-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BP001</BillingCode><Name>Ti PEEK Interbody system – Lumbar PLIF/TLIF (single)</Name><Description>Sterile                                                                
PLIF Implants
TLIF Implants
Commercially Pure Titanium and Polyetheretherketone (PEEK-Optima®)</Description><Size>Width 8-12mm: 
Length 22-34mm: 
Height 7-17mm:  
Lordosis Angle 0-8 degrees</Size><SupplierCode>BP</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>174</SubCategoryID><GroupID>1486</GroupID><SubGroupID>4135</SubGroupID><ARTGs><ARTG>273367</ARTG><ARTG>273366</ARTG><ARTG>273374</ARTG></ARTGs><MinimumBenefit>3313</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2016-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SF101</BillingCode><Name>Revolve Cage</Name><Description>Spinal Cage</Description><Size>9-17mm high, 21-27mm length, 12-22 degrees, PEEK or Titanium</Size><SupplierCode>SF</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>174</SubCategoryID><GroupID>1486</GroupID><SubGroupID>4135</SubGroupID><ARTGs><ARTG>181030</ARTG></ARTGs><MinimumBenefit>3313</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2016-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>NV094</BillingCode><Name>Brigade Ti System</Name><Description>Interbody fusion implant</Description><Size>10-20mm x 34-42mm</Size><SupplierCode>NV</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>174</SubCategoryID><GroupID>1486</GroupID><SubGroupID>4135</SubGroupID><ARTGs><ARTG>132498</ARTG></ARTGs><MinimumBenefit>3313</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2013-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>NV014</BillingCode><Name>CoRoent</Name><Description>ALIF cage</Description><Size>XLR</Size><SupplierCode>NV</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>174</SubCategoryID><GroupID>1486</GroupID><SubGroupID>4135</SubGroupID><ARTGs><ARTG>132498</ARTG></ARTGs><MinimumBenefit>3313</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2007-06-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>NV154</BillingCode><Name>Modulus XLIF</Name><Description>Lateral lumbar fusion cage</Description><Size>Width: 18-26mm
Length: 45-60mm
Height: 8-14mm
Lordosis 0-15 degree</Size><SupplierCode>NV</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>174</SubCategoryID><GroupID>1486</GroupID><SubGroupID>4135</SubGroupID><ARTGs><ARTG>132498</ARTG></ARTGs><MinimumBenefit>3313</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>RI030</BillingCode><Name>Fortilink® -TS</Name><Description>Posterior lumbar interbody fusion device</Description><Size>Width: 10mm  Length: 26mm-32mm  Height: 8-17mm</Size><SupplierCode>RI</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>174</SubCategoryID><GroupID>1486</GroupID><SubGroupID>4135</SubGroupID><ARTGs><ARTG>346071</ARTG></ARTGs><MinimumBenefit>3313</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>UT018</BillingCode><Name>Unity+ Lateral Standalone Cage</Name><Description>Thoracolumbar fusion cage: PEEK, Titanium coated PEEK, or 3D printed Titanium.</Description><Size>Width: 22mm, Height: 8mm, 9mm, 11mm, 13mm, 15mm, Width: 40mm, 45mm, 50mm, 55mm, 60mm, Lordosis: 8 or 15 degrees.</Size><SupplierCode>UT</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>174</SubCategoryID><GroupID>1486</GroupID><SubGroupID>4135</SubGroupID><ARTGs><ARTG>322720</ARTG></ARTGs><MinimumBenefit>3313</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2020-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>UT001</BillingCode><Name>CALIBER Lordotic Cage</Name><Description>Lumbar fusion cage; PEEK, Titanium coated PEEK, 3D printed Titanium. </Description><Size>Width: 9mm; Length: 24mm - 36mm; Height 6mm - 12mm; Lordosis: 6, 12, 18 degrees</Size><SupplierCode>UT</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>174</SubCategoryID><GroupID>1486</GroupID><SubGroupID>4135</SubGroupID><ARTGs><ARTG>322720</ARTG></ARTGs><MinimumBenefit>3313</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2020-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LM511</BillingCode><Name>LLIF Cage</Name><Description>LLIF Cage - PEEK</Description><Size>18, 22, 26W x 8, 10, 12, 14H x 40, 45, 50, 55L x  0°, 8°, 12°</Size><SupplierCode>LM</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>174</SubCategoryID><GroupID>1486</GroupID><SubGroupID>4135</SubGroupID><ARTGs><ARTG>367230</ARTG></ARTGs><MinimumBenefit>3313</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LB202</BillingCode><Name>HEDRON L</Name><Description>3D Printed Lateral Spacer</Description><Size>Width: 18-22mm  Lengths: 40-60mm  Heights: 7-15mm</Size><SupplierCode>LB</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>174</SubCategoryID><GroupID>1486</GroupID><SubGroupID>4135</SubGroupID><ARTGs><ARTG>353398</ARTG></ARTGs><MinimumBenefit>3313</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>IY036</BillingCode><Name>Shuriken Cage</Name><Description>Interbody Fusion Cages are used to restore disc height and support loading during intervertebral body fusion.</Description><Size>7-13mm height; 30-35mm length; 6-18 degrees lordosis</Size><SupplierCode>IY</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>174</SubCategoryID><GroupID>1486</GroupID><SubGroupID>4135</SubGroupID><ARTGs><ARTG>393044</ARTG></ARTGs><MinimumBenefit>3313</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MC673</BillingCode><Name>Verte-Stack</Name><Description>Perimeter Cage</Description><Size>Extra Small, Small, Medium, Large, Extra Large</Size><SupplierCode>MI</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>174</SubCategoryID><GroupID>1486</GroupID><SubGroupID>4135</SubGroupID><ARTGs><ARTG>126313</ARTG></ARTGs><MinimumBenefit>3313</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2006-03-24</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LB205</BillingCode><Name>HEDRON T</Name><Description>3D Printed TLIF Spacer</Description><Size>Width: 10-11mm  Length: 28-33mm  Height: 7-17mm</Size><SupplierCode>LB</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>174</SubCategoryID><GroupID>1486</GroupID><SubGroupID>4135</SubGroupID><ARTGs><ARTG>353398</ARTG></ARTGs><MinimumBenefit>3313</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MI368</BillingCode><Name>Adaptix Cage</Name><Description>TLIF Vertebral Body Spacer</Description><Size>Length: 34-38 mm</Size><SupplierCode>MI</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>174</SubCategoryID><GroupID>1486</GroupID><SubGroupID>4135</SubGroupID><ARTGs><ARTG>126313</ARTG></ARTGs><MinimumBenefit>3313</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2020-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MI062</BillingCode><Name>Capstone Control</Name><Description>TLIF vertebral Body Spacer</Description><Size>Length: 27-32mm</Size><SupplierCode>MI</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>174</SubCategoryID><GroupID>1486</GroupID><SubGroupID>4135</SubGroupID><ARTGs><ARTG>126313</ARTG></ARTGs><MinimumBenefit>3313</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2013-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>IY112</BillingCode><Name>Additive Surgical Posterior Expandable Cage - Ustica</Name><Description>TLIF Titanium Expandable Cage</Description><Size>29-40mm x 9mm, 2-14 Degree Lordosis</Size><SupplierCode>IY</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>174</SubCategoryID><GroupID>1486</GroupID><SubGroupID>4135</SubGroupID><ARTGs><ARTG>370517</ARTG></ARTGs><MinimumBenefit>3313</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2023-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LB134</BillingCode><Name>Calber Expandable Lumbar Fusion Device</Name><Description>Expandable titanium alloy and PEEK lumbar interbody fusion device</Description><Size>Un-expanded Height -7-12mm, Expanded Height 11-17mm, Width 10-12mm, Length 26-30mm</Size><SupplierCode>LB</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>174</SubCategoryID><GroupID>1486</GroupID><SubGroupID>4135</SubGroupID><ARTGs><ARTG>190042</ARTG></ARTGs><MinimumBenefit>3313</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2016-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LB200</BillingCode><Name>SUSTAIN-RT</Name><Description>Insert and rotate lumbar fusion device</Description><Size>8-10mm x 26-30mm x 6-17mm</Size><SupplierCode>LB</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>174</SubCategoryID><GroupID>1486</GroupID><SubGroupID>4135</SubGroupID><ARTGs><ARTG>191535</ARTG></ARTGs><MinimumBenefit>3313</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2020-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MC974</BillingCode><Name>Capstone Cage</Name><Description>TLIF Vertebral Body Spacer</Description><Size>Length: 32mm - 36mm</Size><SupplierCode>MI</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>174</SubCategoryID><GroupID>1486</GroupID><SubGroupID>4135</SubGroupID><ARTGs><ARTG>126313</ARTG></ARTGs><MinimumBenefit>3313</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2010-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LB006</BillingCode><Name>Signature Spacer</Name><Description>PEEK Interbody spacer</Description><Size>small, medium, large. 7mm - 17mm Height</Size><SupplierCode>LB</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>174</SubCategoryID><GroupID>1486</GroupID><SubGroupID>4135</SubGroupID><ARTGs><ARTG>190020</ARTG></ARTGs><MinimumBenefit>3313</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SF155</BillingCode><Name>Ayers TLIF Cage</Name><Description>TLIF interbody fusion device</Description><Size>Curved and Straight, various sizes and angles.</Size><SupplierCode>SF</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>174</SubCategoryID><GroupID>1486</GroupID><SubGroupID>4135</SubGroupID><ARTGs><ARTG>181030</ARTG></ARTGs><MinimumBenefit>3313</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MI186</BillingCode><Name>PIVOX Oblique Lateral Spinal System</Name><Description>Interbody Cage</Description><Size>20-27mm width</Size><SupplierCode>MI</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>174</SubCategoryID><GroupID>1486</GroupID><SubGroupID>4135</SubGroupID><ARTGs><ARTG>126313</ARTG></ARTGs><MinimumBenefit>3313</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2016-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LB126</BillingCode><Name>Sustain - O TPS</Name><Description>TPS coated PEEK radiolucent lumbar interbody fusion device</Description><Size>Height-8mm-18mm,  Width 8mm - 12mm, Length - 26mm-30mm</Size><SupplierCode>LB</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>174</SubCategoryID><GroupID>1486</GroupID><SubGroupID>4135</SubGroupID><ARTGs><ARTG>191535</ARTG></ARTGs><MinimumBenefit>3313</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2016-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LB143</BillingCode><Name>Rise IntraLIF</Name><Description>Intradiscal Lumbar Interbody Fusion Device</Description><Size>Width 8mm, Length 26mm, 30mm and 34mm
Height 7-14mm</Size><SupplierCode>LB</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>174</SubCategoryID><GroupID>1486</GroupID><SubGroupID>4135</SubGroupID><ARTGs><ARTG>214537</ARTG></ARTGs><MinimumBenefit>3313</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HW406</BillingCode><Name>Aria Spinal System / Peek DLIF Interbody Spacer</Name><Description>PEEK DLIF Interbody Spacer</Description><Size>H: 8-18mm L: 40-60mm W: 18-22mm 0-8 degree lordosis</Size><SupplierCode>JV</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>174</SubCategoryID><GroupID>1486</GroupID><SubGroupID>4135</SubGroupID><ARTGs><ARTG>298123</ARTG></ARTGs><MinimumBenefit>3313</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2011-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>PZ018</BillingCode><Name>VerteLoc™ Spine System</Name><Description>Interbody Fusion Device</Description><Size>7mm - 18mm</Size><SupplierCode>PZ</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>174</SubCategoryID><GroupID>1486</GroupID><SubGroupID>4135</SubGroupID><ARTGs><ARTG>217031</ARTG></ARTGs><MinimumBenefit>3313</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2014-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>IY107</BillingCode><PriorBillingCodes><PriorBillingCode>JG004</PriorBillingCode></PriorBillingCodes><Name>Stromboli</Name><Description>ACX - Direct Lateral Interbody Fusion Cage 'XLIF'</Description><Size>0, 5, 8, 14 degree angle  42mm to 58mm length  7mm to 13mm height</Size><SupplierCode>IY</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>174</SubCategoryID><GroupID>1486</GroupID><SubGroupID>4135</SubGroupID><ARTGs><ARTG>370517</ARTG></ARTGs><MinimumBenefit>3313</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2023-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MI172</BillingCode><Name>Divergence-L Anterior/Oblique Lumbar Fusion System </Name><Description>Interbody cage</Description><Size>10-20mm</Size><SupplierCode>MI</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>174</SubCategoryID><GroupID>1486</GroupID><SubGroupID>4135</SubGroupID><ARTGs><ARTG>126313</ARTG></ARTGs><MinimumBenefit>3313</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2015-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SY439</BillingCode><Name>OPAL</Name><Description>Cage Spacer</Description><Size>7-17mm, 10 x 28-32mm</Size><SupplierCode>JJ</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>174</SubCategoryID><GroupID>1486</GroupID><SubGroupID>4135</SubGroupID><ARTGs><ARTG>231840</ARTG></ARTGs><MinimumBenefit>3313</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2009-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HW764</BillingCode><PriorBillingCodes><PriorBillingCode>ER242</PriorBillingCode></PriorBillingCodes><Name>Cascadia Interbody Spacer</Name><Description>Cascadia interbody spacer, porous Ti</Description><Size>8.5 -14mm wide</Size><SupplierCode>JV</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>174</SubCategoryID><GroupID>1486</GroupID><SubGroupID>4135</SubGroupID><ARTGs><ARTG>293886</ARTG></ARTGs><MinimumBenefit>3313</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ER643</BillingCode><PriorBillingCodes><PriorBillingCode>OF068</PriorBillingCode></PriorBillingCodes><Name>SKYHAWK Interbody Fusion Device</Name><Description>PEEK Interbody Fusion Device</Description><Size>Width - 16mm, 18mm and 20mm, 22mm, 26mm  Length - 35mm, 40mm, 45mm, 50mm, 55mm, 60mm  Height - 8mm, 10mm, 11mm, 12mm, 13mm, 14mm, 15mm, 16mm, 17mm, 18mm, 19mm, 20mm</Size><SupplierCode>ER</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>174</SubCategoryID><GroupID>1486</GroupID><SubGroupID>4135</SubGroupID><ARTGs><ARTG>206571</ARTG></ARTGs><MinimumBenefit>3313</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MI396</BillingCode><Name>Adaptix Cage</Name><Description>PLIF Vertebral Body Spacer</Description><Size>Length: 24-28 mm</Size><SupplierCode>MI</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>174</SubCategoryID><GroupID>1486</GroupID><SubGroupID>4135</SubGroupID><Suffix>Paired</Suffix><ARTGs><ARTG>126313</ARTG></ARTGs><MinimumBenefit>2222</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2020-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>NV153</BillingCode><Name>Modulus TLIF-O</Name><Description>Titanium lumbar interbody fusion device</Description><Size>Width: 10-14mm  Length: 25-35mm  Height: 7-14mm</Size><SupplierCode>NV</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>174</SubCategoryID><GroupID>1486</GroupID><SubGroupID>4135</SubGroupID><ARTGs><ARTG>132498</ARTG></ARTGs><MinimumBenefit>3313</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>PB005</BillingCode><Name>TLIF (D-REX) Cage</Name><Description>Interbody fusion cage.</Description><Size>Height: 7-15 mm.</Size><SupplierCode>PB</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>174</SubCategoryID><GroupID>1486</GroupID><SubGroupID>4135</SubGroupID><ARTGs><ARTG>215887</ARTG></ARTGs><MinimumBenefit>3313</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2014-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BP010</BillingCode><Name>TiPEEK Interbody system   Lumbar ALIF</Name><Description>Sterile                                                                    ALIF Implants  Commercially Pure Titanium and Polyetheretherketone (PEEK-Optima )</Description><Size>Width 24-28mm:   Length 28-38mm:   Height 8-17mm:    Lordosis Angle 6-8 degrees,</Size><SupplierCode>BP</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>174</SubCategoryID><GroupID>1486</GroupID><SubGroupID>4135</SubGroupID><ARTGs><ARTG>273367</ARTG><ARTG>273374</ARTG><ARTG>273366</ARTG></ARTGs><MinimumBenefit>3313</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2016-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>PB014</BillingCode><Name>ATP Cage</Name><Description>Lateral Interbody Spacer</Description><Size>Width 22mm x Length 40-60mm x Height 8 - 20mm
Angles 8, 15 &amp; 23 degree lordotic angle</Size><SupplierCode>PB</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>174</SubCategoryID><GroupID>1486</GroupID><SubGroupID>4135</SubGroupID><ARTGs><ARTG>215887</ARTG></ARTGs><MinimumBenefit>3313</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2015-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MN248</BillingCode><Name>CONDUIT EIT PLIF Cage</Name><Description>Lumbar Cage with Titanium</Description><Size>7-16mm Heights</Size><SupplierCode>JJ</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>174</SubCategoryID><GroupID>1486</GroupID><SubGroupID>4135</SubGroupID><Suffix>Paired</Suffix><ARTGs><ARTG>319880</ARTG></ARTGs><MinimumBenefit>2222</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2019-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>IY104</BillingCode><PriorBillingCodes><PriorBillingCode>JG003</PriorBillingCode></PriorBillingCodes><Name>Panarea</Name><Description>ACP: Posterior Lumbar Cage 'PLIF'</Description><Size>0, 5, 8, 14, 20 degree angle  24mm to 29mm width  7mm to 16mm height</Size><SupplierCode>IY</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>174</SubCategoryID><GroupID>1486</GroupID><SubGroupID>4135</SubGroupID><Suffix>Paired</Suffix><ARTGs><ARTG>370517</ARTG></ARTGs><MinimumBenefit>2222</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2023-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MI508</BillingCode><Name>Fuse Spinal System - Cage</Name><Description>PLIF or TILF Vertebral Body Spacer</Description><Size>length (24.5mm), height (7-14mm), width (7-9.5mm) and lordosis (0-8ᵒ) </Size><SupplierCode>MI</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>174</SubCategoryID><GroupID>1486</GroupID><SubGroupID>4135</SubGroupID><Suffix>Paired</Suffix><ARTGs><ARTG>126313</ARTG></ARTGs><MinimumBenefit>2222</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2023-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MN236</BillingCode><Name>OPAL</Name><Description>Interbody Fusion Cage</Description><Size>10-15mm, 9-10 x 24mm</Size><SupplierCode>JJ</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>174</SubCategoryID><GroupID>1486</GroupID><SubGroupID>4135</SubGroupID><Suffix>Paired</Suffix><ARTGs><ARTG>231840</ARTG></ARTGs><MinimumBenefit>2222</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2019-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ER357</BillingCode><Name>Ulrich Fusion Cages-TLIF</Name><Description>Ulrich Fusion Cages pezo/tezo-TLIF (various shapes), PEEK or Titanium</Description><Size>height (7-14mm) x width (11-16mm) x length (29-34mm) x angle 5°</Size><SupplierCode>ER</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>174</SubCategoryID><GroupID>1486</GroupID><SubGroupID>4135</SubGroupID><ARTGs><ARTG>279703</ARTG><ARTG>279705</ARTG></ARTGs><MinimumBenefit>3313</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ER190</BillingCode><Name>Signus Mobis II TLIF Implant</Name><Description>Signus Mobis II Thoracolumbar Fusion Cage-Peek or Ti</Description><Size>Height (6-14 mm)xWidth 9 mm x Length 29 mm</Size><SupplierCode>ER</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>174</SubCategoryID><GroupID>1486</GroupID><SubGroupID>4135</SubGroupID><ARTGs><ARTG>129772</ARTG></ARTGs><MinimumBenefit>3313</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2014-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>EY027</BillingCode><Name>BMD Titanium ALIF Cage</Name><Description>Lumbar Interbody Cage</Description><Size>Heights: 9mm to 19mm</Size><SupplierCode>EY</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>174</SubCategoryID><GroupID>1486</GroupID><SubGroupID>4135</SubGroupID><ARTGs><ARTG>323520</ARTG></ARTGs><MinimumBenefit>3313</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2020-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HW742</BillingCode><PriorBillingCodes><PriorBillingCode>ER045</PriorBillingCode></PriorBillingCodes><Name>Aleutian Lateral</Name><Description>Lateral Interbody Spacer</Description><Size>(16-22)mm width x (25-60)mm length x (6-20)mm height, (0-15) degreee  lordotic angle</Size><SupplierCode>JV</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>174</SubCategoryID><GroupID>1486</GroupID><SubGroupID>4135</SubGroupID><ARTGs><ARTG>159146</ARTG></ARTGs><MinimumBenefit>3313</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>GK008</BillingCode><Name>3D Fusion Lumbar Plate </Name><Description>Titanium Lumbar Fusion Plate</Description><Size>Length: 18-24mm    Width: 10-24mm     thickness: 2-4mm </Size><SupplierCode>GK</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>174</SubCategoryID><GroupID>1486</GroupID><SubGroupID>4135</SubGroupID><ARTGs><ARTG>406173</ARTG></ARTGs><MinimumBenefit>3313</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2023-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>UL009</BillingCode><Name>Revolution Cage</Name><Description>Spinal Cage</Description><Size>9-17mm high, 21-27mm length, 12-22 degrees</Size><SupplierCode>UL</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>174</SubCategoryID><GroupID>1486</GroupID><SubGroupID>4135</SubGroupID><ARTGs><ARTG>349790</ARTG></ARTGs><MinimumBenefit>3313</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2015-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>EY017</BillingCode><Name>BMD Titanium TLIF Cage</Name><Description>Lumbar Interbody Cage</Description><Size>Height 7mm to 17mm </Size><SupplierCode>EY</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>174</SubCategoryID><GroupID>1486</GroupID><SubGroupID>4135</SubGroupID><ARTGs><ARTG>323520</ARTG></ARTGs><MinimumBenefit>3313</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2020-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>UL011</BillingCode><Name>Revolution TC/TS lumbar interbody fusion implant</Name><Description>Revolution TC/TS lumbar interbody fusion implant</Description><Size>21, 24, 27 lengths; 9-17mm heights; 12, 16, 22 deg lordosis</Size><SupplierCode>UL</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>174</SubCategoryID><GroupID>1486</GroupID><SubGroupID>4135</SubGroupID><ARTGs><ARTG>349790</ARTG></ARTGs><MinimumBenefit>3313</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2016-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>PZ055</BillingCode><Name>Australis Spine System</Name><Description>Thoracolumbar Cage PC</Description><Size>Small to extra large</Size><SupplierCode>PZ</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>174</SubCategoryID><GroupID>1486</GroupID><SubGroupID>4135</SubGroupID><ARTGs><ARTG>217031</ARTG></ARTGs><MinimumBenefit>3313</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2016-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ER646</BillingCode><Name>Forza XP Expandable Spacer System</Name><Description>The Forza XP Expandable Spacer System is comprised of an assortment of non-sterile as well as sterile, single use, titanium alloy and polyetheretherketone (PEEK) polymer spacers with height expansion capability. The expandable interbody spacer is inserted into the lumbar disc space and expanded to fit the patient anatomy. The implants are offered in parallel, lordotic, and hyperlordotic configurations to help restore the natural curvature of the spine. The implants can be used in single placement or pairs with typical approaches being transforaminal lumbar interbody fusion (TLIF) and posterior lumbar interbody fusion (PLIF). The implants feature a bulleted nose for ease of insertion and anti-migration ripples on both the inferior and superior surfaces to provide increased stability and help prevent anterior/posterior movement of the device.</Description><Size>Length: 24 mm - 28 mm  Width: 10 mm  Starting height: 6.5 mm - 12.5 mm</Size><SupplierCode>ER</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>174</SubCategoryID><GroupID>1486</GroupID><SubGroupID>4135</SubGroupID><ARTGs><ARTG>206571</ARTG></ARTGs><MinimumBenefit>3313</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SR082</BillingCode><Name>UniLIF</Name><Description>PEEK Unilateral Lumbar Interbody Fusion Cage</Description><Size>Width 11mm, Height 6mm to 13mm, Length 30mm - 33mm</Size><SupplierCode>JV</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>174</SubCategoryID><GroupID>1486</GroupID><SubGroupID>4135</SubGroupID><ARTGs><ARTG>315086</ARTG></ARTGs><MinimumBenefit>3313</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2009-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>EY031</BillingCode><Name>BMD Titanium XLIF Cage</Name><Description>Lumbar Interbody Fusion Cage</Description><Size>9mm to 17mm Heights</Size><SupplierCode>EY</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>174</SubCategoryID><GroupID>1486</GroupID><SubGroupID>4135</SubGroupID><ARTGs><ARTG>323520</ARTG></ARTGs><MinimumBenefit>3313</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2020-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ER602</BillingCode><PriorBillingCodes><PriorBillingCode>OF047</PriorBillingCode></PriorBillingCodes><Name>FORZA TLIF</Name><Description>PEEK TLIF cages in various sizes</Description><Size>Width - 9mm to 11mm  Length - 27mm to 33mm  Height - 6mm to 16mm   0 - 8 degree</Size><SupplierCode>ER</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>174</SubCategoryID><GroupID>1486</GroupID><SubGroupID>4135</SubGroupID><ARTGs><ARTG>206571</ARTG></ARTGs><MinimumBenefit>3313</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SR050</BillingCode><Name>AVS TL Peek Spacer System</Name><Description>Transforaminal Lumbar Interbody Fusion cage, PEEK</Description><Size>7-18mm x 25--30mm. 0-4 degree</Size><SupplierCode>JV</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>174</SubCategoryID><GroupID>1486</GroupID><SubGroupID>4135</SubGroupID><ARTGs><ARTG>315106</ARTG><ARTG>315081</ARTG></ARTGs><MinimumBenefit>3313</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2006-03-24</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ER570</BillingCode><Name>Biedermann Motech TELIX K Interbody Fusion Cage Implant System</Name><Description>Biedermann Motech TELIX K Interbody Fusion Cage (TLIF), curved profile, Titanium  </Description><Size>(7-17mm) x (28-36mm); lordosis 0/5°  </Size><SupplierCode>ER</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>174</SubCategoryID><GroupID>1486</GroupID><SubGroupID>4135</SubGroupID><ARTGs><ARTG>354050</ARTG></ARTGs><MinimumBenefit>3313</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>NV152</BillingCode><Name>Modulus TLIF-A</Name><Description>Titanium lumbar interbody fusion device</Description><Size>Width: 9-14mm  Length: 30-40mm  Height: 7-14mm</Size><SupplierCode>NV</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>174</SubCategoryID><GroupID>1486</GroupID><SubGroupID>4135</SubGroupID><ARTGs><ARTG>132498</ARTG></ARTGs><MinimumBenefit>3313</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>RI046</BillingCode><Name>Fortilink®-A</Name><Description>Interbody fusion cage</Description><Size>Width: 32-40mm  Length: 25-29mm   Height: 8-22mm</Size><SupplierCode>RI</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>174</SubCategoryID><GroupID>1486</GroupID><SubGroupID>4135</SubGroupID><ARTGs><ARTG>346071</ARTG></ARTGs><MinimumBenefit>3313</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BP006</BillingCode><Name>TiPEEK Interbody system Lumbar DLIF</Name><Description>Sterile                                                                    DLIF Implants  Commercially Pure Titanium and Polyetheretherketone (PEEK-Optima )</Description><Size>Width 18-22mm:  Length 40-60mm:  Height 8-17mm:  Lordosis Angle 0 - 8 degrees</Size><SupplierCode>BP</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>174</SubCategoryID><GroupID>1486</GroupID><SubGroupID>4135</SubGroupID><ARTGs><ARTG>273374</ARTG><ARTG>273366</ARTG><ARTG>273367</ARTG></ARTGs><MinimumBenefit>3313</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2016-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>RI040</BillingCode><Name>Fortilink® -TC</Name><Description>Transforaminal interbody fusion device</Description><Size>Width: 10mm  Length: 26-36mm  Height: 7-15mm </Size><SupplierCode>RI</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>174</SubCategoryID><GroupID>1486</GroupID><SubGroupID>4135</SubGroupID><ARTGs><ARTG>346071</ARTG></ARTGs><MinimumBenefit>3313</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>NV150</BillingCode><Name>Nuvasive TLX Interbody System</Name><Description>Expandable Lumbar Fusion Device</Description><Size>Width 11mm x Length 26-36mm x Height 7-14mm x Lordosis 12-20 degrees</Size><SupplierCode>NV</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>174</SubCategoryID><GroupID>1486</GroupID><SubGroupID>4135</SubGroupID><ARTGs><ARTG>132498</ARTG></ARTGs><MinimumBenefit>3313</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MI329</BillingCode><Name>Elevate Spinal System</Name><Description>Expandable Lumbar Fusion Device - Paired</Description><Size>Height: 7-16mm  Width: 10mm  Length: 23mm</Size><SupplierCode>MI</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>174</SubCategoryID><GroupID>1486</GroupID><SubGroupID>4135</SubGroupID><Suffix>Paired</Suffix><ARTGs><ARTG>126313</ARTG></ARTGs><MinimumBenefit>2222</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2020-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MN253</BillingCode><Name>CONDUIT EIT SMART PLIF</Name><Description>Cellular Titanium Cage with Graft Hole</Description><Size>8-16mm</Size><SupplierCode>JJ</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>174</SubCategoryID><GroupID>1486</GroupID><SubGroupID>4135</SubGroupID><Suffix>Paired</Suffix><ARTGs><ARTG>319880</ARTG></ARTGs><MinimumBenefit>2222</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2019-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>DU010</BillingCode><Name>Juliet Ti PO</Name><Description>Titanium lumbar cage</Description><Size>Length: 24mm
Height: 7mm, 8mm, 9mm, 10mm, 11mm, 12mm, 13mm, 14mm, 15mm or 16mm
Width: 8mm, 8.5mm, 9mm or 10.5mm
Lordosis: 6º or 12º</Size><SupplierCode>DU</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>174</SubCategoryID><GroupID>1486</GroupID><SubGroupID>4135</SubGroupID><Suffix>Paired</Suffix><ARTGs><ARTG>166194</ARTG></ARTGs><MinimumBenefit>2222</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SF102</BillingCode><Name>Revolve Spacer</Name><Description>Spinal Spacer</Description><Size>9-17mm high, 21-27mm length, 12-22 degrees</Size><SupplierCode>SF</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>174</SubCategoryID><GroupID>1486</GroupID><SubGroupID>4135</SubGroupID><Suffix>Paired</Suffix><ARTGs><ARTG>181030</ARTG></ARTGs><MinimumBenefit>2222</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2016-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LB198</BillingCode><Name>SUSTAIN-RT</Name><Description>Insert and rotate lumbar fusion device</Description><Size>8-10mm X 22mm X 6-17mm</Size><SupplierCode>LB</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>174</SubCategoryID><GroupID>1486</GroupID><SubGroupID>4135</SubGroupID><Suffix>Paired</Suffix><ARTGs><ARTG>191535</ARTG></ARTGs><MinimumBenefit>2222</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2020-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LB127</BillingCode><Name>Sustain - O TPS</Name><Description>TPS coated PEEK radiolucent lumbar interbody fusion device</Description><Size>Height 8-18mm,  Width 8-12mm, Length 22mm</Size><SupplierCode>LB</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>174</SubCategoryID><GroupID>1486</GroupID><SubGroupID>4135</SubGroupID><Suffix>Paired</Suffix><ARTGs><ARTG>191535</ARTG></ARTGs><MinimumBenefit>2222</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2016-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MI322</BillingCode><PriorBillingCodes><PriorBillingCode>ER497</PriorBillingCode></PriorBillingCodes><Name>Endoskeleton TO Interbody Fusion Device</Name><Description>Titanium lumbar posterior interbody fusion cage, sterile or non-sterile, also with  NanoLock™ surface technology, sterile</Description><Size>(22-31mm) x (8-16mm); 0-4 degrees</Size><SupplierCode>MI</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>174</SubCategoryID><GroupID>1486</GroupID><SubGroupID>4135</SubGroupID><Suffix>Paired</Suffix><ARTGs><ARTG>285244</ARTG></ARTGs><MinimumBenefit>2222</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2020-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HW729</BillingCode><PriorBillingCodes><PriorBillingCode>ER020</PriorBillingCode></PriorBillingCodes><Name>Aleutian PLIF</Name><Description>Posterior lumbar spacer, PEEK</Description><Size>(22-28)mm long x (8.5-10)mm wide x (4-17)mm high x (0-18) degree lordosis</Size><SupplierCode>JV</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>174</SubCategoryID><GroupID>1486</GroupID><SubGroupID>4135</SubGroupID><Suffix>Paired</Suffix><ARTGs><ARTG>159146</ARTG></ARTGs><MinimumBenefit>2222</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ST711</BillingCode><Name>OIC Cage</Name><Description>Interbody Cage</Description><Size>W 8-11mm, H 6-16mm, L20-25mm, Angle 0, 4 and 8 degrees</Size><SupplierCode>JV</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>174</SubCategoryID><GroupID>1486</GroupID><SubGroupID>4135</SubGroupID><Suffix>Paired</Suffix><ARTGs><ARTG>205486</ARTG></ARTGs><MinimumBenefit>2222</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ER600</BillingCode><PriorBillingCodes><PriorBillingCode>OF058</PriorBillingCode></PriorBillingCodes><Name>FORZA PTC</Name><Description>PEEK/Titanium spacer with porous titanium endplates</Description><Size>9mm X 23mm, Height 7mm-14mm</Size><SupplierCode>ER</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>174</SubCategoryID><GroupID>1486</GroupID><SubGroupID>4135</SubGroupID><Suffix>Paired</Suffix><ARTGs><ARTG>206571</ARTG></ARTGs><MinimumBenefit>2222</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>RI029</BillingCode><Name>Fortilink®-TS</Name><Description>Posterior lumbar interbody fusion device</Description><Size>Width: 10mm,  Length: 22mm  Height 8mm-17mm</Size><SupplierCode>RI</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>174</SubCategoryID><GroupID>1486</GroupID><SubGroupID>4135</SubGroupID><Suffix>Paired</Suffix><ARTGs><ARTG>346071</ARTG></ARTGs><MinimumBenefit>2222</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BF001</BillingCode><Name>Vigor/X'Plo PEEK Interbody Fusion Cage</Name><Description>Rotatable posterior lumbar interbody fusion cage</Description><Size>Heights: 7mm, 8mm, 9mm, 10mm, 11mm, 12mm, 14mm, 16mm and Lengths: 24mm, 26mm, 32mm</Size><SupplierCode>BF</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>174</SubCategoryID><GroupID>1486</GroupID><SubGroupID>4135</SubGroupID><Suffix>Paired</Suffix><ARTGs><ARTG>211536</ARTG></ARTGs><MinimumBenefit>2222</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2013-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>NV011</BillingCode><Name>CoRoent</Name><Description>PLIF cage - PEEK or Titanium</Description><Size>Width 8-12mm x Length 20-40mm x Height 6-14mm x Lordosis 0-15°</Size><SupplierCode>NV</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>174</SubCategoryID><GroupID>1486</GroupID><SubGroupID>4135</SubGroupID><Suffix>Paired</Suffix><ARTGs><ARTG>132498</ARTG></ARTGs><MinimumBenefit>2222</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2007-06-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ER668</BillingCode><Name>FORZA Spacer System-PLIF</Name><Description>FORZA Ti straight or curved spacers, PLIF, paired in various sizes</Description><Size>Profile: (9-11) mm x (23-27) mm  Height:6-14 mm  Lordosis: 0 and 8 degrees</Size><SupplierCode>ER</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>174</SubCategoryID><GroupID>1486</GroupID><SubGroupID>4135</SubGroupID><Suffix>Paired</Suffix><ARTGs><ARTG>206571</ARTG></ARTGs><MinimumBenefit>2222</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>UL010</BillingCode><Name>Revolution Spacer</Name><Description>Spinal Spacer</Description><Size>9-17mm high, 21-27mm length, 12-22 degrees</Size><SupplierCode>UL</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>174</SubCategoryID><GroupID>1486</GroupID><SubGroupID>4135</SubGroupID><Suffix>Paired</Suffix><ARTGs><ARTG>349790</ARTG></ARTGs><MinimumBenefit>2222</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2015-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MC457</BillingCode><Name>LordoTec Cage (LT-Cage)</Name><Description>Titanium,  PEEK</Description><Size>18-28mm</Size><SupplierCode>MI</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>174</SubCategoryID><GroupID>1486</GroupID><SubGroupID>4135</SubGroupID><Suffix>Paired</Suffix><ARTGs><ARTG>126313</ARTG></ARTGs><MinimumBenefit>2222</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2006-03-24</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ565</BillingCode><Name>DIVA 3D TLIF</Name><Description>Titanium TLIF Postero-Lateral Lumbar Cage</Description><Size>Standard and Twist, Size 7 to 14mm, Angle 4 and 6 degrees</Size><SupplierCode>WY</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>174</SubCategoryID><GroupID>1486</GroupID><SubGroupID>4135</SubGroupID><ARTGs><ARTG>462235</ARTG></ARTGs><MinimumBenefit>3313</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2024-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ER440</BillingCode><Name>LnK Lumbar Interbody Fusion Cage System-PLIF</Name><Description>LnK Lumbar Interbody Fusion Cage System-PLIF cages, paired, PEEK, bullet shape, lordotic</Description><Size>Length (25-28mm) x width 11mm x height (6-16 mm) x (angle (0-8 degrees)</Size><SupplierCode>ER</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>174</SubCategoryID><GroupID>1486</GroupID><SubGroupID>4135</SubGroupID><Suffix>Paired</Suffix><ARTGs><ARTG>286125</ARTG></ARTGs><MinimumBenefit>2222</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>GK006</BillingCode><Name>3D Fusion PLIF Cage</Name><Description>Titanium PLIF cage </Description><Size>Length: 18-26mm    Width: 8-12mm           Height: 7–25mm      angle 0-35 degrees  as per patient specific requirements for the designed cage   </Size><SupplierCode>GK</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>174</SubCategoryID><GroupID>1486</GroupID><SubGroupID>4135</SubGroupID><Suffix>Paired</Suffix><ARTGs><ARTG>406173</ARTG></ARTGs><MinimumBenefit>2222</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2023-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>PB002</BillingCode><Name>Thoracic-lumbar PEEK cage</Name><Description>Interbody fusion cage</Description><Size>Height: 6 - 15mm</Size><SupplierCode>PB</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>174</SubCategoryID><GroupID>1486</GroupID><SubGroupID>4135</SubGroupID><Suffix>Paired</Suffix><ARTGs><ARTG>215887</ARTG></ARTGs><MinimumBenefit>2222</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2014-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ER229</BillingCode><Name>SIGNUS Noval Interbody Fusion Cage </Name><Description>SIGNUS Noval Interbody Fusion Cage </Description><Size>height (8-18 mm) x width (40-48 mm)x lordosis (5-15 degrees)</Size><SupplierCode>ER</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>174</SubCategoryID><GroupID>1486</GroupID><SubGroupID>4135</SubGroupID><ARTGs><ARTG>129772</ARTG></ARTGs><MinimumBenefit>3313</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2015-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ER206</BillingCode><Name>Signus TLIF Implant </Name><Description>Signus TLIF Implant (Peek or Titanium)</Description><Size>Height (6-18 mm) x Width 11 mm x Length (28-40) mm x 0 or 6 degree angle</Size><SupplierCode>ER</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>174</SubCategoryID><GroupID>1486</GroupID><SubGroupID>4135</SubGroupID><ARTGs><ARTG>129772</ARTG></ARTGs><MinimumBenefit>3313</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2015-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BP007</BillingCode><Name>PEEK Interbody System – Lumbar PLIF/TLIF (Paired)</Name><Description>Sterile and Non sterile
PLIF Implants
TLIF Implants</Description><Size>Width 8-12mm: 
Length 22-34mm: 
Height 7-17mm:  
Lordosis Angle 0-8 degrees,</Size><SupplierCode>BP</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>174</SubCategoryID><GroupID>1486</GroupID><SubGroupID>4135</SubGroupID><Suffix>Paired</Suffix><ARTGs><ARTG>273374</ARTG><ARTG>273366</ARTG><ARTG>273367</ARTG></ARTGs><MinimumBenefit>2222</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2016-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>KB010</BillingCode><PriorBillingCodes><PriorBillingCode>SV066</PriorBillingCode></PriorBillingCodes><Name>STERISPINE™ Lumbar Cage -Single</Name><Description>Curved and Straight Fusion Cage- Oblique/TLIF/PLIF PEEK (straight/curved/bullet nosed)</Description><Size>Straight:  Height 7-14mm  Width: 10-12mm  Length: 22-32mm  Curved   Height: 7-14mm  Length: 28-32mm</Size><SupplierCode>KB</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>174</SubCategoryID><GroupID>1486</GroupID><SubGroupID>4135</SubGroupID><ARTGs><ARTG>273286</ARTG></ARTGs><MinimumBenefit>3313</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2020-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HW649</BillingCode><Name>Tritanium TL</Name><Description>Steerable Posterior Lumbar Cage</Description><Size>Footprints: 27mm x 10mm, 31mm x 10mm, 35mm x 10mm; Height 7mm to 14mm; Angulation 0, 6 and 12 degree</Size><SupplierCode>JV</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>174</SubCategoryID><GroupID>1486</GroupID><SubGroupID>4135</SubGroupID><ARTGs><ARTG>265560</ARTG></ARTGs><MinimumBenefit>3313</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LM439</BillingCode><PriorBillingCodes><PriorBillingCode>NK122</PriorBillingCode></PriorBillingCodes><Name>Amendia Zeus Fusion Cages-TLIF</Name><Description>Zeus Fusion Cages-TLIF, PEEK (straight-versatile/curved/bullet nosed)</Description><Size>width (9-13 mm) x length (20-36 mm) x height (7-16 mm)</Size><SupplierCode>LM</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>174</SubCategoryID><GroupID>1486</GroupID><SubGroupID>4135</SubGroupID><ARTGs><ARTG>233730</ARTG></ARTGs><MinimumBenefit>3313</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2020-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ER442</BillingCode><Name>LnK Lumbar Interbody Fusion Cage System-TLIF</Name><Description>LnK Lumbar Interbody Fusion Cage System-TLIF, PEEK, lordotic</Description><Size>length (26-32mm) x width 11mm x height (7-16mm) x angle (0-8 degrees)</Size><SupplierCode>ER</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>174</SubCategoryID><GroupID>1486</GroupID><SubGroupID>4135</SubGroupID><ARTGs><ARTG>286125</ARTG></ARTGs><MinimumBenefit>3313</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>KH043</BillingCode><Name>Lydia Cage</Name><Description>Interbody Fusion Cage</Description><Size>8 &amp; 15 degrees angle, 8-12mm height and 20-24mm length</Size><SupplierCode>KH</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>174</SubCategoryID><GroupID>1486</GroupID><SubGroupID>4135</SubGroupID><ARTGs><ARTG>312519</ARTG></ARTGs><MinimumBenefit>3313</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2019-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ488</BillingCode><PriorBillingCodes><PriorBillingCode>JQ061</PriorBillingCode></PriorBillingCodes><Name>Transcend NanoTec Interbody System </Name><Description>Spacer,  Posterior Straight, PEEK Ti Alloy HA</Description><Size>9mm width x (22-25)mm length x (7-13)mm height x (0-15) degree lordosis</Size><SupplierCode>KN</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>174</SubCategoryID><GroupID>1486</GroupID><SubGroupID>4135</SubGroupID><Suffix>Paired</Suffix><ARTGs><ARTG>398574</ARTG></ARTGs><MinimumBenefit>2222</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2023-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LM515</BillingCode><Name>PLIF Cage</Name><Description>PLIF Cage - PEEK</Description><Size>8, 10 or 12W x 8-16H x 22, 25, 28, 30 or 32L, 0° or 5° </Size><SupplierCode>LM</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>174</SubCategoryID><GroupID>1486</GroupID><SubGroupID>4135</SubGroupID><Suffix>Paired</Suffix><ARTGs><ARTG>367230</ARTG></ARTGs><MinimumBenefit>2222</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ089</BillingCode><PriorBillingCodes><PriorBillingCode>JQ029</PriorBillingCode></PriorBillingCodes><Name>IdentiTi PS Porous Ti Interbody System</Name><Description>Spacer, Posterior Straight  Ti</Description><Size>9mm x (22-30)mm footprint x (7-14)mm height x (0-15) degree lordosis</Size><SupplierCode>KN</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>174</SubCategoryID><GroupID>1486</GroupID><SubGroupID>4135</SubGroupID><Suffix>Paired</Suffix><ARTGs><ARTG>397837</ARTG></ARTGs><MinimumBenefit>2222</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2023-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>KH041</BillingCode><Name>Halis Cages</Name><Description>Interbody Fusion Cage</Description><Size>6, 12 &amp; 18 Degrees Angle</Size><SupplierCode>KH</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>174</SubCategoryID><GroupID>1486</GroupID><SubGroupID>4135</SubGroupID><Suffix>Paired</Suffix><ARTGs><ARTG>312519</ARTG></ARTGs><MinimumBenefit>2222</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2019-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>JA005</BillingCode><PriorBillingCodes><PriorBillingCode>OH536</PriorBillingCode></PriorBillingCodes><Name>Dynamic Cage</Name><Description>PLIF/TLIF Spinal Cage</Description><Size>Angle 0° - 12°
Height 7-16mm
Length 22-32mm
Width 8-11mm</Size><SupplierCode>JA</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>174</SubCategoryID><GroupID>1486</GroupID><SubGroupID>4135</SubGroupID><Suffix>Paired</Suffix><ARTGs><ARTG>289247</ARTG></ARTGs><MinimumBenefit>2222</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>JA006</BillingCode><PriorBillingCodes><PriorBillingCode>OH542</PriorBillingCode></PriorBillingCodes><Name>LP Cage</Name><Description>LP - PLIF Peek Cage</Description><Size>0°-8°, H 8-15mm L 22-27mm W 9-11mm</Size><SupplierCode>JA</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>174</SubCategoryID><GroupID>1486</GroupID><SubGroupID>4135</SubGroupID><Suffix>Paired</Suffix><ARTGs><ARTG>289247</ARTG></ARTGs><MinimumBenefit>2222</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>OH613</BillingCode><Name>HumanTech - Adonis Spinal Fusion Cage System - PLIF</Name><Description>Adonis Spinal Fusion Cage System - PLIF</Description><Size>L 24-32mm   W: 9mm   H: 7-15mm</Size><SupplierCode>OH</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>174</SubCategoryID><GroupID>1486</GroupID><SubGroupID>4135</SubGroupID><Suffix>Paired</Suffix><ARTGs><ARTG>316186</ARTG><ARTG>316185</ARTG></ARTGs><MinimumBenefit>2222</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>NV012</BillingCode><Name>CoRoent</Name><Description>TLIF cage - PEEK or Titanium</Description><Size>Width 8-14mm x Length 20-40mm x Height 6-14mm x Lordosis 0-15°</Size><SupplierCode>NV</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>174</SubCategoryID><GroupID>1486</GroupID><SubGroupID>4135</SubGroupID><ARTGs><ARTG>132498</ARTG></ARTGs><MinimumBenefit>3313</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2007-06-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BP003</BillingCode><Name>Ti PEEK Interbody System – Lumbar PLIF/TLIF (Paired)</Name><Description>Sterile                                                                
PLIF Implants
TLIF Implants
Commercially Pure Titanium and Polyetheretherketone (PEEK-Optima®)</Description><Size>Width 8-12mm: 
Length 22-34mm: 
Height 7-17mm:  
Lordosis Angle 0-8 degrees</Size><SupplierCode>BP</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>174</SubCategoryID><GroupID>1486</GroupID><SubGroupID>4135</SubGroupID><ARTGs><ARTG>273367</ARTG><ARTG>273374</ARTG><ARTG>273366</ARTG></ARTGs><MinimumBenefit>3313</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2016-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LH546</BillingCode><Name>Lateral Spine Truss System</Name><Description>Interbody spacer, Porous Ti</Description><Size>8-16mm high</Size><SupplierCode>LH</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>174</SubCategoryID><GroupID>1486</GroupID><SubGroupID>4135</SubGroupID><ARTGs><ARTG>252733</ARTG></ARTGs><MinimumBenefit>3313</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2016-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BP009</BillingCode><Name>PEEK Interbody System – DLIF Lumbar</Name><Description>Sterile and Non sterile 
DLIF Implants</Description><Size>Width 18-22mm:
Length 40-60mm:
Height 8-17mm:
Lordosis Angle 0 - 8 degrees</Size><SupplierCode>BP</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>174</SubCategoryID><GroupID>1486</GroupID><SubGroupID>4135</SubGroupID><ARTGs><ARTG>273366</ARTG><ARTG>273374</ARTG><ARTG>273367</ARTG></ARTGs><MinimumBenefit>3313</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2016-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LH543</BillingCode><Name>Posterior Spine Truss System Interbody Fusion Device</Name><Description>TLIF Cage</Description><Size>(9-12)mm x (22-40)mm</Size><SupplierCode>LH</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>174</SubCategoryID><GroupID>1486</GroupID><SubGroupID>4135</SubGroupID><ARTGs><ARTG>252733</ARTG></ARTGs><MinimumBenefit>3313</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2016-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BB252</BillingCode><Name>Aesculap Interbody Cage</Name><Description>TLIF Interbody Cage</Description><Size>All sizes</Size><SupplierCode>BB</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>174</SubCategoryID><GroupID>1486</GroupID><SubGroupID>4135</SubGroupID><ARTGs><ARTG>273761</ARTG><ARTG>122641</ARTG></ARTGs><MinimumBenefit>3313</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>NV167</BillingCode><Name>3DP Interfixated ALIF</Name><Description>Interbody fusion device with integral fixation</Description><Size>6-10mm X 34-42mm X 24-32mm   10 - 20 degrees lordosis</Size><SupplierCode>NV</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>174</SubCategoryID><GroupID>1486</GroupID><SubGroupID>4135</SubGroupID><ARTGs><ARTG>132498</ARTG></ARTGs><MinimumBenefit>3313</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2020-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MI323</BillingCode><PriorBillingCodes><PriorBillingCode>ER462</PriorBillingCode></PriorBillingCodes><Name>Endoskeleton TL</Name><Description>Titanium Lateral Interbody fusion cage, sterile or non-sterile also with NanoLock™ surface technology, sterile</Description><Size>Length: 40-60mm, Width 18-26mm, Height 8-16mm</Size><SupplierCode>MI</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>174</SubCategoryID><GroupID>1486</GroupID><SubGroupID>4135</SubGroupID><ARTGs><ARTG>285244</ARTG></ARTGs><MinimumBenefit>3313</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2020-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MI512</BillingCode><Name>Anteralign™ - TL cage</Name><Description>Interbody cage</Description><Size>Height: 8 mm - 16 mm; Width: 20 mm - 23 mm; Length: 40 mm - 60 mm; Lordosis: 6° - 24°</Size><SupplierCode>MI</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>174</SubCategoryID><GroupID>1486</GroupID><SubGroupID>4135</SubGroupID><ARTGs><ARTG>422152</ARTG></ARTGs><MinimumBenefit>3313</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2023-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MI064</BillingCode><Name>Crescent Spinal System</Name><Description>Titanium</Description><Size>height: 7-16mm</Size><SupplierCode>MI</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>174</SubCategoryID><GroupID>1486</GroupID><SubGroupID>4135</SubGroupID><ARTGs><ARTG>126313</ARTG></ARTGs><MinimumBenefit>3313</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2013-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MN255</BillingCode><Name>CONDUIT EIT SMART LLIF system</Name><Description>Lateral Lumbar Interbody Cage</Description><Size>8-16mm Height</Size><SupplierCode>JJ</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>174</SubCategoryID><GroupID>1486</GroupID><SubGroupID>4135</SubGroupID><ARTGs><ARTG>319880</ARTG></ARTGs><MinimumBenefit>3313</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2019-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>IY113</BillingCode><Name>Additive Surgical Posterior Expandable Cage - Procida</Name><Description>TLIF/PLIF Titanium Expandable Fusion Cage</Description><Size>26-32mm, 0-20 degrees Lordosis</Size><SupplierCode>IY</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>174</SubCategoryID><GroupID>1486</GroupID><SubGroupID>4135</SubGroupID><ARTGs><ARTG>370517</ARTG></ARTGs><MinimumBenefit>3313</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2023-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LB204</BillingCode><Name>HEDRON P</Name><Description>3D Printed Posterior Lumbar Interbody Spacer</Description><Size>Width: 10-12mm  Length: 26-30mm  Height: 7-17mm</Size><SupplierCode>LB</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>174</SubCategoryID><GroupID>1486</GroupID><SubGroupID>4135</SubGroupID><ARTGs><ARTG>353398</ARTG></ARTGs><MinimumBenefit>3313</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ081</BillingCode><PriorBillingCodes><PriorBillingCode>JQ026</PriorBillingCode></PriorBillingCodes><Name>IdentiTi ALIF Porous Ti Interbody System </Name><Description>Spacer, Anterior Lumbar .Ti </Description><Size>(34-42)mm x (24-30)mm footprint x (4-11)mm height x (10-20) degree lordosis</Size><SupplierCode>KN</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>174</SubCategoryID><GroupID>1486</GroupID><SubGroupID>4135</SubGroupID><ARTGs><ARTG>397837</ARTG></ARTGs><MinimumBenefit>3313</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2023-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>KH042</BillingCode><Name>DICA Lumbar Cage</Name><Description>Interbody Fusion Cage</Description><Size>7 degrees</Size><SupplierCode>KH</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>174</SubCategoryID><GroupID>1486</GroupID><SubGroupID>4135</SubGroupID><ARTGs><ARTG>312519</ARTG></ARTGs><MinimumBenefit>3313</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2019-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LB128</BillingCode><Name>Signature-R, Signature-R TPS &amp; Signature-Ti  TLIF System</Name><Description>PEEK or TPS Coated PEEK or Titanium lumbar interbody fusion device</Description><Size>Small - 10 x 28mm with heights from 7-17mm
Large - 11 x 33mm with heights from 7-17mm
PEEK TPS - 10-11mm x 32-37mm with heights from 7-17mm</Size><SupplierCode>LB</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>174</SubCategoryID><GroupID>1486</GroupID><SubGroupID>4135</SubGroupID><ARTGs><ARTG>191535</ARTG></ARTGs><MinimumBenefit>3313</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2016-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LB201</BillingCode><Name>SUSTAIN Large</Name><Description>Anterior Lumbar Interbody Fusion Device in PEEK and Titanium</Description><Size>Footprint: 25 X 31mm  Height 9-21mm</Size><SupplierCode>LB</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>174</SubCategoryID><GroupID>1486</GroupID><SubGroupID>4135</SubGroupID><ARTGs><ARTG>191533</ARTG></ARTGs><MinimumBenefit>3313</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SF160</BillingCode><Name>Aerofoil Cage</Name><Description>Lumbar interbody Cage</Description><Size>Length 40-60mm, Height 8-16mm, Curvature 0 - 12 degrees</Size><SupplierCode>SF</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>174</SubCategoryID><GroupID>1486</GroupID><SubGroupID>4135</SubGroupID><ARTGs><ARTG>181030</ARTG></ARTGs><MinimumBenefit>3313</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2019-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>DE784</BillingCode><Name>FlareHawk Expandable TLIF Cage</Name><Description>Expandable PEEK &amp; titanium alloy lumbar interbody fusion device that enables significant graft delivery. FlareHawk is made up of an expandable shell and titanium shim.</Description><Size>0,6,9,15 degree lordosis. Unexpanded: 7mm height x 9mm width  or 7mm height x 7mm width. Expanded: 8mm - 14mm height x 14mm or 11mm widths; 29mm or 30mm lengths </Size><SupplierCode>DE</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>174</SubCategoryID><GroupID>1486</GroupID><SubGroupID>4135</SubGroupID><ARTGs><ARTG>380419</ARTG><ARTG>380420</ARTG></ARTGs><MinimumBenefit>3313</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>DE589</BillingCode><Name>Hollywood TLIF</Name><Description>NanoMetalene Transforaminal Lumbar Interbody</Description><Size>11 x 27mm and 11 x 30mm width and length  7 - 14mm Height  8 degrees lordodis</Size><SupplierCode>DE</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>174</SubCategoryID><GroupID>1486</GroupID><SubGroupID>4135</SubGroupID><ARTGs><ARTG>298002</ARTG></ARTGs><MinimumBenefit>3313</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MU163</BillingCode><Name>MectaLIF Anterior SIMPLE - PEEK Cages</Name><Description>PEEK and Ti-PEEK Anterior Cages - Simple</Description><Size>Cage dimensions: 24mm x 31mm, 27mm x 35mm, 30mm X 35mm, 30mm X 40mm
Height: 10-18mm in 2mm increments
Lordosis: from 5° to 20°.</Size><SupplierCode>MU</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>174</SubCategoryID><GroupID>1486</GroupID><SubGroupID>4135</SubGroupID><ARTGs><ARTG>291730</ARTG></ARTGs><MinimumBenefit>3313</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ092</BillingCode><PriorBillingCodes><PriorBillingCode>JQ033</PriorBillingCode></PriorBillingCodes><Name>Transcend Nanotec Lateral </Name><Description>Spacer, Lateral, PEEK Ti Alloy HA </Description><Size>(18-22)mm x (45-60)mm footprint x (4-14)mm height  x (0-10)degree lordosis</Size><SupplierCode>KN</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>174</SubCategoryID><GroupID>1486</GroupID><SubGroupID>4135</SubGroupID><ARTGs><ARTG>398574</ARTG></ARTGs><MinimumBenefit>3313</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2023-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MU103</BillingCode><Name>Mectalif Oblique</Name><Description>Oblique Transforaminal Interbody Fusion Device PEEK and TiPEEK</Description><Size>Width: 10 and 12mm. Length 24, 28, 30, 32,34, 36 and 40 mm. Height: from 7 to 15 mm</Size><SupplierCode>MU</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>174</SubCategoryID><GroupID>1486</GroupID><SubGroupID>4135</SubGroupID><ARTGs><ARTG>404156</ARTG><ARTG>180172</ARTG></ARTGs><MinimumBenefit>3313</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2013-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>DE591</BillingCode><Name>Ventura TLIF</Name><Description>Ventura Nanometalene TLIF</Description><Size>9 &amp;11mm width  28 &amp; 32mm length  8-18mm height</Size><SupplierCode>DE</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>174</SubCategoryID><GroupID>1486</GroupID><SubGroupID>4135</SubGroupID><ARTGs><ARTG>298002</ARTG></ARTGs><MinimumBenefit>3313</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>DE558</BillingCode><Name>icotec ETurn Cage</Name><Description>TLIF Cage</Description><Size>32mm Length, 12 and 16mm width and 7-15mm height</Size><SupplierCode>DE</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>174</SubCategoryID><GroupID>1486</GroupID><SubGroupID>4135</SubGroupID><ARTGs><ARTG>283852</ARTG></ARTGs><MinimumBenefit>3313</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LB150</BillingCode><Name>Caliber -L</Name><Description>Expandable Lateral Lumbar Interbody Fusion Device</Description><Size>Width -16mm, Length 25-40mm in 5mm increments
Width -18mm, Length 40-60mm in 5mm increments
Width -22mm, 40 - 60mm in 5mm increments 
Heights - 7-10mm, 8-11mm, 9-13mm, 10-13mm, 10mm-14mm, 11-15mm, 11-16mm, 12-16mm, 12-17mm</Size><SupplierCode>LB</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>174</SubCategoryID><GroupID>1486</GroupID><SubGroupID>4135</SubGroupID><ARTGs><ARTG>190042</ARTG></ARTGs><MinimumBenefit>3313</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ150</BillingCode><Name>Evolution Spine E3D-A Interbody System-Static Fusion Cage</Name><Description>Evolution Spine E3D-A Interbody System-Static Fusion Cage, sterile</Description><Size>Footprint: (32-40 mm) x (24-28 mm) Height:9-21 mm Lordosis: 8-30 degrees</Size><SupplierCode>ER</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>174</SubCategoryID><GroupID>1486</GroupID><SubGroupID>4135</SubGroupID><ARTGs><ARTG>445955</ARTG></ARTGs><MinimumBenefit>3313</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2024-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LB217</BillingCode><Name>SABLE Expandable Spacer</Name><Description>Expandable lumbar interbody fusion device</Description><Size>Footprint: 10 x 26mm, 10 x 30mm, 12 x 26mm, 12 x 30mm. Starting Height 6-10mm</Size><SupplierCode>LB</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>174</SubCategoryID><GroupID>1486</GroupID><SubGroupID>4135</SubGroupID><ARTGs><ARTG>408637</ARTG></ARTGs><ChangeExplanation>New listing</ChangeExplanation><MinimumBenefit>3313</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2025-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LM440</BillingCode><PriorBillingCodes><PriorBillingCode>NK123</PriorBillingCode></PriorBillingCodes><Name>Amendia Zeus Fusion Cages-PLIF </Name><Description>Amendia Zeus Fusion Cages-PLIF (paired), PEEK</Description><Size>width (9-13 mm) x length (22-30 mm) x height (7-18 mm) x lordosis (0-8 degrees)</Size><SupplierCode>LM</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>174</SubCategoryID><GroupID>1486</GroupID><SubGroupID>4135</SubGroupID><Suffix>Paired</Suffix><ARTGs><ARTG>233730</ARTG></ARTGs><MinimumBenefit>2222</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2020-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ER149</BillingCode><Name>Tetris / Tasmin Family of Lumbar fusion cages</Name><Description>Titanium or peek, Interbody fusion device</Description><Size>(6-24)mm x (20-28) mm x (9-11) mm; lordosis 0-22 degrees</Size><SupplierCode>ER</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>174</SubCategoryID><GroupID>1486</GroupID><SubGroupID>4135</SubGroupID><Suffix>Paired</Suffix><ARTGs><ARTG>129772</ARTG></ARTGs><MinimumBenefit>2222</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2014-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ER358</BillingCode><Name>Ulrich Fusion Cages-PLIF (paired)</Name><Description>Ulrich Fusion Cages pezo/tezo-PLIF, paired, various, PEEK or Titanium</Description><Size>height (7-14mm) x length (24-29mm) x angle (5-12°)</Size><SupplierCode>ER</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>174</SubCategoryID><GroupID>1486</GroupID><SubGroupID>4135</SubGroupID><Suffix>Paired</Suffix><ARTGs><ARTG>279703</ARTG><ARTG>279705</ARTG></ARTGs><MinimumBenefit>2222</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>KB009</BillingCode><PriorBillingCodes><PriorBillingCode>SV071</PriorBillingCode></PriorBillingCodes><Name>STERISPINE™ Lumbar Cage- Paired</Name><Description>Curved and Straight Fusion Cage- Oblique/TLIF/PLIF PEEK (straight/curved/bullet nosed)- Paired</Description><Size>7 – 14mm in height, 10 – 12mm in width, 22 and 28mm in length</Size><SupplierCode>KB</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>174</SubCategoryID><GroupID>1486</GroupID><SubGroupID>4135</SubGroupID><Suffix>Paired</Suffix><ARTGs><ARTG>273286</ARTG></ARTGs><MinimumBenefit>2222</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2020-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SF098</BillingCode><Name>Advantage Cage</Name><Description>PEEK Cage</Description><Size>Small, medium, Medium Wide, Large, Extra Large</Size><SupplierCode>SF</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>174</SubCategoryID><GroupID>1486</GroupID><SubGroupID>4135</SubGroupID><ARTGs><ARTG>181030</ARTG></ARTGs><MinimumBenefit>3313</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2016-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>GK009</BillingCode><Name>3D Fusion LLIF Cage </Name><Description>Titanium Lateral Lumbar Interbody Fusion cage </Description><Size>Width: 18-24mm  Length - 34mm-60mm  Height - 3mm-30mm angle 0-35 degrees as per patient specific requirements for the designed cage.</Size><SupplierCode>GK</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>174</SubCategoryID><GroupID>1486</GroupID><SubGroupID>4135</SubGroupID><ARTGs><ARTG>406173</ARTG></ARTGs><MinimumBenefit>3313</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2023-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LB218</BillingCode><Name>SABLE Expandable Spacer</Name><Description>Expandable lumbar interbody fusion device</Description><Size>Footprint: 8 x 22mm, 10 x 22mm. Starting height: 6-11mm.</Size><SupplierCode>LB</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>174</SubCategoryID><GroupID>1486</GroupID><SubGroupID>4135</SubGroupID><Suffix>Paired</Suffix><ARTGs><ARTG>408637</ARTG></ARTGs><ChangeExplanation>New listing</ChangeExplanation><MinimumBenefit>2222</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2025-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>IY105</BillingCode><PriorBillingCodes><PriorBillingCode>JG001</PriorBillingCode></PriorBillingCodes><Name>Elba</Name><Description>ACT - Transforaminal Lumbar Interbody Fusion Cage 'TLIF'</Description><Size>Height 7mm to 15mm</Size><SupplierCode>IY</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>174</SubCategoryID><GroupID>1486</GroupID><SubGroupID>4135</SubGroupID><ARTGs><ARTG>370517</ARTG></ARTGs><MinimumBenefit>3313</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2023-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MI065</BillingCode><Name>Clydesdale Spinal System</Name><Description>Lateral vertebral body spacer (PEEK &amp; PTC)</Description><Size>Length: 40mm - 60mm</Size><SupplierCode>MI</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>174</SubCategoryID><GroupID>1486</GroupID><SubGroupID>4135</SubGroupID><ARTGs><ARTG>126313</ARTG></ARTGs><MinimumBenefit>3313</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2013-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SF178</BillingCode><Name>Chinook PLIF Cage</Name><Description>PLIF Spine Cage</Description><Size>7-14mm high, 24-29mm length, 5-16 degrees, PEEK, PEEK/HA, Titanium</Size><SupplierCode>SF</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>174</SubCategoryID><GroupID>1486</GroupID><SubGroupID>4135</SubGroupID><ARTGs><ARTG>181030</ARTG></ARTGs><MinimumBenefit>3313</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2020-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LB007</BillingCode><Name>Continental Spacer</Name><Description>PEEK Interbody spacer</Description><Size>x-small, small, medium, large. 0deg, 8deg, 15deg. 9mm - 21mm Height</Size><SupplierCode>LB</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>174</SubCategoryID><GroupID>1486</GroupID><SubGroupID>4135</SubGroupID><ARTGs><ARTG>190020</ARTG></ARTGs><MinimumBenefit>3313</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>IY059</BillingCode><PriorBillingCodes><PriorBillingCode>DR023</PriorBillingCode></PriorBillingCodes><Name>Hygro-L PLIF/TLIF (single)</Name><Description>Titanium lumbar interbody fusion cage PLIF/TLIF (single) </Description><Size>length (30-36mm) x width (11.5-13.5mm) heights (7-14mm); lordosis (0-12) degrees</Size><SupplierCode>IY</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>174</SubCategoryID><GroupID>1486</GroupID><SubGroupID>4135</SubGroupID><ARTGs><ARTG>330365</ARTG></ARTGs><MinimumBenefit>3313</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2023-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MI324</BillingCode><PriorBillingCodes><PriorBillingCode>ER463</PriorBillingCode></PriorBillingCodes><Name>Endoskeleton TA</Name><Description>Titanium anterior interbody fusion device for the lumbar spine, sterile or non-sterile, also with Nano Lock™ surface technology, sterile</Description><Size>32-40 x 21-27mm    Width 32-40mm, Length 21-27mm, Height 10-17mm, 20,25,30,35,40,45,50,55,60,65mm, 0˚ &amp; 7˚angles</Size><SupplierCode>MI</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>174</SubCategoryID><GroupID>1486</GroupID><SubGroupID>4135</SubGroupID><ARTGs><ARTG>285244</ARTG></ARTGs><MinimumBenefit>3313</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2020-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ088</BillingCode><PriorBillingCodes><PriorBillingCode>JQ028</PriorBillingCode></PriorBillingCodes><Name>IdentiTi PO Porous Ti Interbody System</Name><Description>Spacer, Posterior Oblique,  Ti</Description><Size>10mm x (25-35)mm footprint x (7-15)mm height x (5-15)degree lordosis</Size><SupplierCode>KN</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>174</SubCategoryID><GroupID>1486</GroupID><SubGroupID>4135</SubGroupID><ARTGs><ARTG>397837</ARTG></ARTGs><MinimumBenefit>3313</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2023-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ085</BillingCode><PriorBillingCodes><PriorBillingCode>JQ018</PriorBillingCode></PriorBillingCodes><Name>IdentiTi LIF Porous Ti Spacer </Name><Description> IdentiTi Porous Ti Spacer Lateral Ti Interbody,  Ti </Description><Size>(4-14)mm  x (25-60)mm footprint  x (0-30)degree lordosis x (16-26)mm Height</Size><SupplierCode>KN</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>174</SubCategoryID><GroupID>1486</GroupID><SubGroupID>4135</SubGroupID><ARTGs><ARTG>397837</ARTG></ARTGs><MinimumBenefit>3313</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2023-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ087</BillingCode><PriorBillingCodes><PriorBillingCode>JQ027</PriorBillingCode></PriorBillingCodes><Name>IdentiTi PC Porous Ti Interbody System </Name><Description>Spacer, Posterior Curved, Ti </Description><Size>(9-14)mm x (25-35)mm footprint  x (6-15)mm height  x (5-15)degree lordosis </Size><SupplierCode>KN</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>174</SubCategoryID><GroupID>1486</GroupID><SubGroupID>4135</SubGroupID><ARTGs><ARTG>397837</ARTG></ARTGs><MinimumBenefit>3313</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2023-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ100</BillingCode><PriorBillingCodes><PriorBillingCode>SQ159</PriorBillingCode></PriorBillingCodes><Name>Neo Cage System </Name><Description>Cage anatomical, straight, curved</Description><Size>22-36mm length, 7-14mm width, 0-8 degrees</Size><SupplierCode>LR</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>174</SubCategoryID><GroupID>1486</GroupID><SubGroupID>4135</SubGroupID><ARTGs><ARTG>316221</ARTG></ARTGs><MinimumBenefit>3313</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2020-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>DE686</BillingCode><Name>Regatta</Name><Description>Regatta Lateral Interbody System</Description><Size>Height: 8 -16mm  Width: 18 and 23mm  Length: 40,45,50,55 and 60mm  Lordosis: 0, 10 and 15 degrees</Size><SupplierCode>DE</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>174</SubCategoryID><GroupID>1486</GroupID><SubGroupID>4135</SubGroupID><ARTGs><ARTG>298002</ARTG></ARTGs><MinimumBenefit>3313</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2019-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>DE717</BillingCode><Name>REEF TA</Name><Description>REEF TA NanoMetalene TLIF</Description><Size>9&amp;11mm Widths    28, 32, 36, 40mm Lengths    7-18mm Heights    0 - 20 Degrees Lordosis</Size><SupplierCode>DE</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>174</SubCategoryID><GroupID>1486</GroupID><SubGroupID>4135</SubGroupID><ARTGs><ARTG>298002</ARTG></ARTGs><MinimumBenefit>3313</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2020-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>OH612</BillingCode><Name>HumanTech - Adonis Spinal Fusion Cage System - TLIF/UNILIF</Name><Description>Spinal Fusion Cage - TLIF/UNILIF</Description><Size>L 30-35mm   W: 11-12mm H: 7-15mm   A: 0-5 </Size><SupplierCode>OH</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>174</SubCategoryID><GroupID>1486</GroupID><SubGroupID>4135</SubGroupID><ARTGs><ARTG>316185</ARTG><ARTG>316186</ARTG></ARTGs><MinimumBenefit>3313</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ER601</BillingCode><PriorBillingCodes><PriorBillingCode>OF046</PriorBillingCode></PriorBillingCodes><Name>Forza PLIF</Name><Description>PEEK PLIF cages in various sizes</Description><Size>9x23/27mm  11x23/27mm  0 and 8 degree  6-16mm height in 1mm increments</Size><SupplierCode>ER</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>174</SubCategoryID><GroupID>1486</GroupID><SubGroupID>4135</SubGroupID><ARTGs><ARTG>206571</ARTG></ARTGs><MinimumBenefit>3313</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ086</BillingCode><PriorBillingCodes><PriorBillingCode>JQ056</PriorBillingCode></PriorBillingCodes><Name>IdentiTi NanoTec Interbody System </Name><Description>Spacer, LIF. Ti HA </Description><Size>(16-26)mm x (40-65)mm x (4-16)mm height x (0-20) degrees lordosis</Size><SupplierCode>KN</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>174</SubCategoryID><GroupID>1486</GroupID><SubGroupID>4135</SubGroupID><ARTGs><ARTG>397837</ARTG></ARTGs><MinimumBenefit>3313</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2023-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>JA020</BillingCode><PriorBillingCodes><PriorBillingCode>OH538</PriorBillingCode></PriorBillingCodes><Name>Taurus-P</Name><Description>Taurus-P Fusion Cage</Description><Size>0-8°, H7-16mm, L25-40mm, W9-12mm</Size><SupplierCode>JA</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>174</SubCategoryID><GroupID>1486</GroupID><SubGroupID>4135</SubGroupID><ARTGs><ARTG>289247</ARTG></ARTGs><MinimumBenefit>3313</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>NW048</BillingCode><PriorBillingCodes><PriorBillingCode>ZI949</PriorBillingCode></PriorBillingCodes><Name>Timberline Lateral Fusion System</Name><Description>Interbody Fusion Implant</Description><Size>25-60mm length</Size><SupplierCode>NW</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>174</SubCategoryID><GroupID>1486</GroupID><SubGroupID>4135</SubGroupID><ARTGs><ARTG>287189</ARTG></ARTGs><MinimumBenefit>3313</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ER569</BillingCode><Name>SIGNUS VERTACONNECT expandable lumbar cage TLIF Implant</Name><Description>SIGNUS expandable TLIF cage, Titanium alloy</Description><Size>width (12 mm) x length (31 mm / 34 mm / 37 mm);     height:  posterior (8 mm /10mm / 12 mm),    anterior unexpanded (9 mm - 14 mm);  anterior expanded     (13 mm -19 mm)    angle:  anterior unexpanded (3°-7°),  anterior expanded  (11°-19°)           </Size><SupplierCode>ER</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>174</SubCategoryID><GroupID>1486</GroupID><SubGroupID>4135</SubGroupID><ARTGs><ARTG>129772</ARTG></ARTGs><MinimumBenefit>3313</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ER443</BillingCode><Name>LnK Lumbar Interbody Fusion Cage System-ALIF</Name><Description>LnK Lumbar Interbody Fusion Cage System-ALIF, PEEK, lordotic</Description><Size>length (24-29mm) x width (32-38mm) x height (6-19mm) x angle (0-25°)</Size><SupplierCode>ER</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>174</SubCategoryID><GroupID>1486</GroupID><SubGroupID>4135</SubGroupID><ARTGs><ARTG>286125</ARTG></ARTGs><MinimumBenefit>3313</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HW680</BillingCode><Name>Monterey AL, Cage </Name><Description>ALIF Cage </Description><Size>Height 8mm</Size><SupplierCode>JV</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>174</SubCategoryID><GroupID>1486</GroupID><SubGroupID>4135</SubGroupID><ARTGs><ARTG>356926</ARTG></ARTGs><MinimumBenefit>3313</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>DU046</BillingCode><Name>Juliet Ti LL cage</Name><Description>Titanium lateral lumbar cage</Description><Size>Height: 6mm, 8mm, 10mm, 12mm, 14mm, 16mm, 18mm, 20mm  Width: 17mm, 21mm  Length: 40mm, 45mm, 50mm, 55mm, 60mm  Lordosis: 0°, 8°, 15°, 25°</Size><SupplierCode>DU</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>174</SubCategoryID><GroupID>1486</GroupID><SubGroupID>4135</SubGroupID><ARTGs><ARTG>338461</ARTG></ARTGs><MinimumBenefit>3313</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2020-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SF183</BillingCode><Name>Hornet ALIF Cage</Name><Description>Integral fixated ALIF Cage</Description><Size>Small, Medium, Medium Wide, Large, Extra Large</Size><SupplierCode>SF</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>174</SubCategoryID><GroupID>1486</GroupID><SubGroupID>4135</SubGroupID><ARTGs><ARTG>181030</ARTG></ARTGs><MinimumBenefit>3313</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2020-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LB169</BillingCode><Name>RISE-L Lateral Lumbar Interbody Fusion Device</Name><Description>Expandable titanium lumbar interbody fusion device</Description><Size>Width 18-22mm, Length 40-60mm, Height 7-10mm (unexpanded) - 14-17mm (expanded)</Size><SupplierCode>LB</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>174</SubCategoryID><GroupID>1486</GroupID><SubGroupID>4135</SubGroupID><ARTGs><ARTG>214537</ARTG></ARTGs><MinimumBenefit>3313</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MI273</BillingCode><Name>AVILA</Name><Description>Oblique or Anterior Cage</Description><Size>Small, Medium, Large</Size><SupplierCode>MI</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>174</SubCategoryID><GroupID>1486</GroupID><SubGroupID>4135</SubGroupID><ARTGs><ARTG>126313</ARTG></ARTGs><MinimumBenefit>3313</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>DU031</BillingCode><Name>Juliet Anterior Lumbar Cage</Name><Description>PEEK cage with built in anatomical shape. The cage has built in stabilising Titanium spike to stabilise the implant in the disc space.</Description><Size>All 26 mm length. 10, 12, 14 and 16mm height.  5 or 10 degree slope.</Size><SupplierCode>DU</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>174</SubCategoryID><GroupID>1486</GroupID><SubGroupID>4135</SubGroupID><ARTGs><ARTG>166194</ARTG></ARTGs><MinimumBenefit>3313</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SY137</BillingCode><Name>Syncage</Name><Description>Interbody fusion cage</Description><Size>9-19mm</Size><SupplierCode>JJ</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>174</SubCategoryID><GroupID>1486</GroupID><SubGroupID>4135</SubGroupID><ARTGs><ARTG>231840</ARTG></ARTGs><MinimumBenefit>3313</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MI331</BillingCode><Name>Elevate Expandable Interbody Device</Name><Description>Expandable Interbody Device - Single</Description><Size>Height: 7-16mm  Width: 10mm  Length: 28-32mm</Size><SupplierCode>MI</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>174</SubCategoryID><GroupID>1486</GroupID><SubGroupID>4135</SubGroupID><ARTGs><ARTG>126313</ARTG></ARTGs><MinimumBenefit>3313</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2020-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>OH614</BillingCode><Name>HumanTech - Adonis Spinal Fusion Cage System - ALIF</Name><Description>Adonis Spinal Fusion Cage System - PLIF</Description><Size>L: 22mm   W: 32 H1: 9-17mm   H2: 6.3 - 12.3 A: 7-12 </Size><SupplierCode>OH</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>174</SubCategoryID><GroupID>1486</GroupID><SubGroupID>4135</SubGroupID><ARTGs><ARTG>316185</ARTG><ARTG>316186</ARTG></ARTGs><MinimumBenefit>3313</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MU105</BillingCode><Name>Mectalif Transforaminal</Name><Description>Transforaminal Interbody Fusion Device _ Banana Shape - made with PEEK</Description><Size>Width: 12 and 14 mm. Length: 30 and 34 mm. Height from 8 to 15 mm</Size><SupplierCode>MU</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>174</SubCategoryID><GroupID>1486</GroupID><SubGroupID>4135</SubGroupID><ARTGs><ARTG>180172</ARTG></ARTGs><MinimumBenefit>3313</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2013-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ090</BillingCode><PriorBillingCodes><PriorBillingCode>JQ031</PriorBillingCode></PriorBillingCodes><Name>Transcend Lateral </Name><Description>Spacer, PEEK Ti Alloy</Description><Size>(16-26)mm x(25-60)mm Footprint x (4-10)mm height  x(0-15)degrees lordosis</Size><SupplierCode>KN</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>174</SubCategoryID><GroupID>1486</GroupID><SubGroupID>4135</SubGroupID><ARTGs><ARTG>398574</ARTG></ARTGs><MinimumBenefit>3313</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2023-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ487</BillingCode><PriorBillingCodes><PriorBillingCode>JQ060</PriorBillingCode></PriorBillingCodes><Name>Transcend NanoTec Interbody System </Name><Description>Spacer, Posterior Oblique.  PEEK Ti Alloy HA</Description><Size>10mm width x (25-35) length x (7-15)mm height x (0-15)degree lordosis</Size><SupplierCode>KN</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>174</SubCategoryID><GroupID>1486</GroupID><SubGroupID>4135</SubGroupID><ARTGs><ARTG>398574</ARTG></ARTGs><MinimumBenefit>3313</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2023-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LB136</BillingCode><Name>TransContinental TPS</Name><Description>Lateral Lumbar Interbody Fusion (LLIF) Device</Description><Size>Length - 40-60mm in 5mm increments
Height - 7-17mm
Width - 18mm &amp; 22mm</Size><SupplierCode>LB</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>174</SubCategoryID><GroupID>1486</GroupID><SubGroupID>4135</SubGroupID><ARTGs><ARTG>191535</ARTG></ARTGs><MinimumBenefit>3313</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2016-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ753</BillingCode><Name>Catalyft PL Expandable Interbody Cage</Name><Description>PL and PL40 expandable titanium alloy interbody devices - single</Description><Size>Length: 27.3 - 29.6mm  Width: 10-14mm  Height:7-11mm  Lordosis: 0-20 Degrees</Size><SupplierCode>MI</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>174</SubCategoryID><GroupID>1486</GroupID><SubGroupID>4135</SubGroupID><ARTGs><ARTG>126313</ARTG></ARTGs><MinimumBenefit>3313</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2024-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ754</BillingCode><Name>Catalyft PL Expandable Interbody Cage</Name><Description>PL and PL40 expandable titanium alloy interbody devices - paired</Description><Size>Length: 23.3 - 25.6mm  Width: 10-14mm  Height:7-11mm  Lordosis: 0-22 Degrees</Size><SupplierCode>MI</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>174</SubCategoryID><GroupID>1486</GroupID><SubGroupID>4135</SubGroupID><Suffix>Paired</Suffix><ARTGs><ARTG>126313</ARTG></ARTGs><MinimumBenefit>2222</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2024-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>PZ019</BillingCode><Name>Australis Spine System</Name><Description>Thoracolumbar Cage</Description><Size>small to extra large</Size><SupplierCode>PZ</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>174</SubCategoryID><GroupID>1486</GroupID><SubGroupID>4135</SubGroupID><ARTGs><ARTG>217031</ARTG></ARTGs><MinimumBenefit>3313</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2014-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HW766</BillingCode><PriorBillingCodes><PriorBillingCode>ER282</PriorBillingCode></PriorBillingCodes><Name>Cascadia Lateral</Name><Description>Interbody spacer, Porous Ti</Description><Size>8-20mm high</Size><SupplierCode>JV</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>174</SubCategoryID><GroupID>1486</GroupID><SubGroupID>4135</SubGroupID><ARTGs><ARTG>293886</ARTG></ARTGs><MinimumBenefit>3313</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ER356</BillingCode><Name>Ulrich Fusion Cages-ALIF</Name><Description>Ulrich Fusion Cages pezo/tezo-ALIF (various shapes), PEEK or Titanium</Description><Size>height (8-26mm) x width (22-28mm) x length (28-34mm) x angle (0-12°)</Size><SupplierCode>ER</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>174</SubCategoryID><GroupID>1486</GroupID><SubGroupID>4135</SubGroupID><ARTGs><ARTG>279703</ARTG><ARTG>279705</ARTG></ARTGs><MinimumBenefit>3313</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HW560</BillingCode><Name>Tritanium PL Posterior Lumbar Cage</Name><Description>Porous Titanium Alloy Interbody Cage</Description><Size>6-16mm height, 23-32mm length, 9-11mm width, 0, 6 and 12 degrees</Size><SupplierCode>JV</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>174</SubCategoryID><GroupID>1486</GroupID><SubGroupID>4135</SubGroupID><ARTGs><ARTG>265560</ARTG></ARTGs><MinimumBenefit>3313</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2016-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HW730</BillingCode><PriorBillingCodes><PriorBillingCode>ER021</PriorBillingCode></PriorBillingCodes><Name>Aleutian Anterior</Name><Description>Anterior/lateral lumbar interbody spacer</Description><Size>(30-60)mm wide x (18-28)mm long x (8-21)mm height</Size><SupplierCode>JV</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>174</SubCategoryID><GroupID>1486</GroupID><SubGroupID>4135</SubGroupID><ARTGs><ARTG>159146</ARTG></ARTGs><MinimumBenefit>3313</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HW782</BillingCode><PriorBillingCodes><PriorBillingCode>ER506</PriorBillingCode></PriorBillingCodes><Name>Cascadia AL Interbody System</Name><Description>Porous Titanium ALIF cage</Description><Size>Height: 9-21mm</Size><SupplierCode>JV</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>174</SubCategoryID><GroupID>1486</GroupID><SubGroupID>4135</SubGroupID><ARTGs><ARTG>193652</ARTG></ARTGs><MinimumBenefit>3313</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LM485</BillingCode><Name>GoLIF Cage</Name><Description>Lumbar interbody fusion cage</Description><Size>22mm - 26mm (length)  8-15mm (height)</Size><SupplierCode>LM</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>174</SubCategoryID><GroupID>1486</GroupID><SubGroupID>4135</SubGroupID><ARTGs><ARTG>364210</ARTG></ARTGs><MinimumBenefit>3313</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SF099</BillingCode><Name>Advantage Plus Cage</Name><Description>Plasma Coated PEEK Cage</Description><Size>Small, medium, Medium Wide, Large, Extra Large</Size><SupplierCode>SF</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>174</SubCategoryID><GroupID>1486</GroupID><SubGroupID>4135</SubGroupID><ARTGs><ARTG>181030</ARTG></ARTGs><MinimumBenefit>3313</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2016-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LB141</BillingCode><Name>RISE</Name><Description>Expandable Lumbar Fusion Device</Description><Size>Width:10mm, Length: 26mm, 30mm
Width:12mm, Length: 26mm and 30mm

Heights 7-17mm</Size><SupplierCode>LB</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>174</SubCategoryID><GroupID>1486</GroupID><SubGroupID>4135</SubGroupID><ARTGs><ARTG>214537</ARTG></ARTGs><MinimumBenefit>3313</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ER603</BillingCode><PriorBillingCodes><PriorBillingCode>OF057</PriorBillingCode></PriorBillingCodes><Name>FORZA PTC</Name><Description>PEEK/Titanium spacer with porous titanium endplates</Description><Size>9mm X 27mm, Height 7mm-14mm  11mm X 27mm, Height 7mm-14mm  11mm X 31mm, Height 7mm-14mm</Size><SupplierCode>ER</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>174</SubCategoryID><GroupID>1486</GroupID><SubGroupID>4135</SubGroupID><ARTGs><ARTG>206571</ARTG></ARTGs><MinimumBenefit>3313</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LM502</BillingCode><Name>TLIF Cage</Name><Description>TLIF Cage - Titanium</Description><Size>10, 12W x 7-16H x 28, 33L x 5°, 10°, 12.5°</Size><SupplierCode>LM</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>174</SubCategoryID><GroupID>1486</GroupID><SubGroupID>4135</SubGroupID><ARTGs><ARTG>367230</ARTG></ARTGs><MinimumBenefit>3313</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ER669</BillingCode><Name>FORZA Spacer System-TLIF</Name><Description>FORZA Spacer System-TLIF, Ti, straight or curved</Description><Size>Profile: (9-11) mm x (&gt;27-31) mm  Height: 6-14 mm  Lordosis: 0 or 8 degrees</Size><SupplierCode>ER</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>174</SubCategoryID><GroupID>1486</GroupID><SubGroupID>4135</SubGroupID><ARTGs><ARTG>206571</ARTG></ARTGs><MinimumBenefit>3313</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>GK005</BillingCode><Name>3D Fusion TLIF Cage  </Name><Description>Titanium TLIF cage </Description><Size>Length: 25-60mm     Width: 8-16mm       Height: 3-30mm    Angle 0-35 degrees as per patient specific requirements for the designed cage.  </Size><SupplierCode>GK</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>174</SubCategoryID><GroupID>1486</GroupID><SubGroupID>4135</SubGroupID><ARTGs><ARTG>406173</ARTG></ARTGs><MinimumBenefit>3313</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2023-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MN247</BillingCode><Name>CONDUIT EIT ALIF Cage</Name><Description>Lumbar Cage with Titanium</Description><Size>8-18mm heights</Size><SupplierCode>JJ</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>174</SubCategoryID><GroupID>1486</GroupID><SubGroupID>4135</SubGroupID><ARTGs><ARTG>319880</ARTG></ARTGs><MinimumBenefit>3313</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2019-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LM513</BillingCode><Name>TLIF Cage</Name><Description>TLIF Cage</Description><Size>10, 12mm (W) x 7 - 16mm (H) x 28, 33mm (L) x 5°, 10°, 12.5°</Size><SupplierCode>LM</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>174</SubCategoryID><GroupID>1486</GroupID><SubGroupID>4135</SubGroupID><ARTGs><ARTG>367230</ARTG></ARTGs><MinimumBenefit>3313</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>DU034</BillingCode><Name>Juliet TLIF Cage</Name><Description>PEEK cage with built in anatomical angulations</Description><Size>4 thicknesses - 8, 10, 12 and 14mm</Size><SupplierCode>DU</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>174</SubCategoryID><GroupID>1486</GroupID><SubGroupID>4135</SubGroupID><ARTGs><ARTG>166194</ARTG></ARTGs><MinimumBenefit>3313</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-02-01</CycleStartDate><CycleEndDate>2025-03-01</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>ZI</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>2025-03-01</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>2025-03-01</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>ZI</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BS026</BillingCode><Name>VortX and Pushable Coils</Name><Description>Pushable coils</Description><Size>Diameters up to 30mm and lengths up to 60mm</Size><SupplierCode>BS</SupplierCode><CategoryID>24</CategoryID><SubCategoryID>213</SubCategoryID><GroupID>1646</GroupID><SubGroupID>5472</SubGroupID><Suffix>P (Platinum)</Suffix><ARTGs><ARTG>293646</ARTG></ARTGs><MinimumBenefit>116</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>WC039</BillingCode><Name>Cook Embolization Coil</Name><Description>Hilal Platinum</Description><Size>Diameters: .018, Extended Lengths: .5cm to 6cm, Coil Diameters: Straight to 10mm</Size><SupplierCode>WC</SupplierCode><CategoryID>24</CategoryID><SubCategoryID>213</SubCategoryID><GroupID>1646</GroupID><SubGroupID>5472</SubGroupID><Suffix>P (Platinum)</Suffix><ARTGs><ARTG>142651</ARTG></ARTGs><MinimumBenefit>116</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>EE034</BillingCode><Name>Concerto 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>24</CategoryID><SubCategoryID>213</SubCategoryID><GroupID>1646</GroupID><SubGroupID>5472</SubGroupID><Suffix>P, repositionable (Platinum, repositionable)</Suffix><ARTGs><ARTG>337400</ARTG><ARTG>205313</ARTG></ARTGs><MinimumBenefit>825</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2014-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>PN012</BillingCode><Name>Penumbra Ruby Coil System</Name><Description>The Ruby Coil System is comprised of a platinum embolisation coil attached to a composite pusher with a radiopaque positioning marker. The coil is transferred onto the microcatheter and the coil should be advanced under fluoroscopic guidance. The detachment handle is attached and advanced over the proximal end of the delivery pusher and then the coil is detached by using the retraction button on the handle into the preferred site.</Description><Size>Diameter.mm. - Length .cm.     3 x 5   3 x 12    3 x 20     4 x 10    4 x 15     4 x 20   4 x 30     4 x 35    5 x 12     5 x 20    5 x 30   6 x 12    6 x 20      6 x 30     7 x 25      7  x40   8 x 25      8 x 40    9 x 30     10 x 35    12 x 40    12 x 60    14 x 40     14 x 60    16 x 60     18 x 57    20 x 60     24 x 57    28 x 60     32 x 60    36 x 60  40 x 60  2 x 1     2 x 2    2 x 4     3 x 5    3 x 15     4 x 6    4 x 15    6 x 20    6 x 30    8 x 35   8 x 60     10 x 35    12 x 40     16 x 50    20 x 60    </Size><SupplierCode>PN</SupplierCode><CategoryID>24</CategoryID><SubCategoryID>213</SubCategoryID><GroupID>1646</GroupID><SubGroupID>5472</SubGroupID><Suffix>P, repositionable (Platinum, repositionable)</Suffix><ARTGs><ARTG>227196</ARTG></ARTGs><MinimumBenefit>825</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2015-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>PY051</BillingCode><Name>Prestige Plus Detachable Coil</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>Diameter 2mm-24mm  Length 2cm-65cm</Size><SupplierCode>PY</SupplierCode><CategoryID>24</CategoryID><SubCategoryID>213</SubCategoryID><GroupID>1646</GroupID><SubGroupID>5472</SubGroupID><Suffix>P, repositionable (Platinum, repositionable)</Suffix><ARTGs><ARTG>377475</ARTG></ARTGs><MinimumBenefit>825</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>TU052</BillingCode><Name>AZUR Peripheral Framing Coil</Name><Description>AZUR Peripheral Coil,detachable, Framing Coil three dimensional complex shape</Description><Size>8-20mm diameter, length 20-50cm</Size><SupplierCode>TU</SupplierCode><CategoryID>24</CategoryID><SubCategoryID>213</SubCategoryID><GroupID>1646</GroupID><SubGroupID>5472</SubGroupID><Suffix>P, repositionable (Platinum, repositionable)</Suffix><ARTGs><ARTG>190399</ARTG></ARTGs><MinimumBenefit>825</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2013-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>WC190</BillingCode><Name>MReye Embolization Coil</Name><Description>Standard MReye</Description><Size>Diameters: .035 and .038, Extended Lengths: 1cm to 20cm, Coil Diameters: 2mm to 20mm</Size><SupplierCode>WC</SupplierCode><CategoryID>24</CategoryID><SubCategoryID>213</SubCategoryID><GroupID>1646</GroupID><SubGroupID>5472</SubGroupID><ARTGs><ARTG>372278</ARTG></ARTGs><MinimumBenefit>53</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MI453</BillingCode><Name>Concerto Versa Detachable Coil</Name><Description>Platinum-tungsten embolization coil (enlaced with nylon fibers) attached to a composite delivery pusher, and a hand-held Instant Detacher.</Description><Size>Diameters 3–32 mm, Length 5-65 cm.</Size><SupplierCode>MI</SupplierCode><CategoryID>24</CategoryID><SubCategoryID>213</SubCategoryID><GroupID>1646</GroupID><SubGroupID>5472</SubGroupID><Suffix>P, repositionable (Platinum, repositionable)</Suffix><ARTGs><ARTG>337400</ARTG></ARTGs><MinimumBenefit>825</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BS400</BillingCode><Name>EMBOLD Fully Retractable Coils</Name><Description>Platinum-tungsten, Fibered Occlusion System </Description><Size>Coil diameters up to 32mm and lengths up to 60cm, Delivery system lengths up to 200 cm</Size><SupplierCode>BS</SupplierCode><CategoryID>24</CategoryID><SubCategoryID>213</SubCategoryID><GroupID>1646</GroupID><SubGroupID>5472</SubGroupID><Suffix>P, repositionable (Platinum, repositionable)</Suffix><ARTGs><ARTG>322240</ARTG></ARTGs><MinimumBenefit>825</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>WC320</BillingCode><Name>Retracta Detachable Embolization Coil</Name><Description>The Retracta Detachable Embolization Coil is a platinum coil with spaced synthetic fibers, and is attached to a delivery wire.</Description><Size>Coiled embolus diameters: 4-20mm
Length: 7-14cm</Size><SupplierCode>WC</SupplierCode><CategoryID>24</CategoryID><SubCategoryID>213</SubCategoryID><GroupID>1646</GroupID><SubGroupID>5472</SubGroupID><Suffix>P, repositionable (Platinum, repositionable)</Suffix><ARTGs><ARTG>210182</ARTG></ARTGs><MinimumBenefit>825</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2014-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BS021</BillingCode><Name>Interlock Detachable Coils</Name><Description>Platinum-tungsten, Fibered Occlusion System</Description><Size>Coil diameters up to 30mm and lengths up to 100cm. Delivery system lengths up 200cm</Size><SupplierCode>BS</SupplierCode><CategoryID>24</CategoryID><SubCategoryID>213</SubCategoryID><GroupID>1646</GroupID><SubGroupID>5472</SubGroupID><Suffix>P, ids (Platinum, integral delivery system)</Suffix><ARTGs><ARTG>293646</ARTG><ARTG>322240</ARTG></ARTGs><MinimumBenefit>825</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>WC038</BillingCode><Name>Coil - Embolisation Coils MWCE-TORNADO</Name><Description>Tornado Platinum</Description><Size>Diameters: .018, .035 and .038, Coil Taper Diameters: 2mm to 10mm</Size><SupplierCode>WC</SupplierCode><CategoryID>24</CategoryID><SubCategoryID>213</SubCategoryID><GroupID>1646</GroupID><SubGroupID>5472</SubGroupID><Suffix>P (Platinum)</Suffix><ARTGs><ARTG>372277</ARTG></ARTGs><MinimumBenefit>116</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>WC173</BillingCode><Name>Cook Embolisation Coils</Name><Description>Nester Platinum</Description><Size>Recommended catheter ID and end hole  diameter inch: .018 and .035inch. Coiled embolus diameters:  2mm to 20mm. Extended embolus lengths: 30 to 200mm.</Size><SupplierCode>WC</SupplierCode><CategoryID>24</CategoryID><SubCategoryID>213</SubCategoryID><GroupID>1646</GroupID><SubGroupID>5472</SubGroupID><Suffix>P (Platinum)</Suffix><ARTGs><ARTG>372277</ARTG></ARTGs><MinimumBenefit>116</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>PY008</BillingCode><Name>Platinum Spirale and Cirrus embolisation coils &lt;100mm</Name><Description>Embolisation coils with or without fibers</Description><Size>Spiral diameter 2mm to 16mm
Length: 25mm to 80mm
Coil diameter: 0.27mm to 0.82mm</Size><SupplierCode>PY</SupplierCode><CategoryID>24</CategoryID><SubCategoryID>213</SubCategoryID><GroupID>1646</GroupID><SubGroupID>5472</SubGroupID><Suffix>P (Platinum)</Suffix><ARTGs><ARTG>175567</ARTG><ARTG>175423</ARTG></ARTGs><MinimumBenefit>116</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2011-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>PY009</BillingCode><Name>Platinum Spirale and Cirrus embolisation coils 100-150mm</Name><Description>Embolisation coils with or without fibers</Description><Size>Spiral diameter: 4mm to 11mm
Length: 100mm to 150mm
Coil diameter:  0.27mm to 0.82mm</Size><SupplierCode>PY</SupplierCode><CategoryID>24</CategoryID><SubCategoryID>213</SubCategoryID><GroupID>1646</GroupID><SubGroupID>5472</SubGroupID><Suffix>P (Platinum)</Suffix><ARTGs><ARTG>175423</ARTG><ARTG>175567</ARTG></ARTGs><MinimumBenefit>116</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2011-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>TU053</BillingCode><Name>AZUR Peripheral HydroCoil</Name><Description>AZUR Peripheral Coil, detachable</Description><Size>3-20mm diameter, length 3-50cm</Size><SupplierCode>TU</SupplierCode><CategoryID>24</CategoryID><SubCategoryID>213</SubCategoryID><GroupID>1646</GroupID><SubGroupID>5472</SubGroupID><Suffix>P, Gel, repositionable (Platinum, Gel, repostionable)</Suffix><ARTGs><ARTG>190399</ARTG></ARTGs><MinimumBenefit>985</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2013-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>PY010</BillingCode><Name>Platinum Spirale and Cirrus embolisation coils 200-450mm</Name><Description>Embolisation coils with and without fibers</Description><Size>Spiral diameter: 5mm to 16mm
Length: 200mm to 450mm
Coil diameter: 0.82mm</Size><SupplierCode>PY</SupplierCode><CategoryID>24</CategoryID><SubCategoryID>213</SubCategoryID><GroupID>1646</GroupID><SubGroupID>5473</SubGroupID><Suffix>P (Platinum)</Suffix><ARTGs><ARTG>175423</ARTG><ARTG>175567</ARTG></ARTGs><MinimumBenefit>231</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2011-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>KI002</BillingCode><Name>Halyard* MIC* Percutaneous Endoscopic Gastrostomy (P.E.G) Feeding BASIC Tubes/Kits Enfit and Non-Enf</Name><Description>Sterile enteral feeding tube with accessories</Description><Size>14 Fr, 20 Fr, 24 Fr</Size><SupplierCode>KI</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>189</SubCategoryID><GroupID>1545</GroupID><SubGroupID>4197</SubGroupID><ARTGs><ARTG>248293</ARTG></ARTGs><MinimumBenefit>185</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>DO022</BillingCode><PriorBillingCodes><PriorBillingCode>AS207</PriorBillingCode></PriorBillingCodes><Name>Kangaroo Skin Level Balloon Gastrostomy Kit</Name><Description>Skin level silicone balloon gastrostomy kit, including gastronomy tube accessory bolus and continuous feeding tubes, syringes for inflation and flushing, Patient Handbook</Description><Size>12-24 Fr., 0.8-5 cm, 3-8ml.</Size><SupplierCode>DO</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>189</SubCategoryID><GroupID>1545</GroupID><SubGroupID>4197</SubGroupID><ARTGs><ARTG>185673</ARTG></ARTGs><MinimumBenefit>185</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2019-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>DE541</BillingCode><Name>Balloon G-Tube</Name><Description>Conventional Length Balloon Gastrostomy tube</Description><Size>12F-24F; 
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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>DE564</BillingCode><Name>Mini ONE Balloon Button</Name><Description>Low Profile Balloon Gastrostomy Tube</Description><Size>12F to 24F and length 0.8 - 6.5cms; Balloon Fill Volumes: 2-15ml</Size><SupplierCode>DE</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>189</SubCategoryID><GroupID>1545</GroupID><SubGroupID>4197</SubGroupID><ARTGs><ARTG>181741</ARTG></ARTGs><MinimumBenefit>185</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BS141</BillingCode><Name>EndoVive Initial Feeding Tube</Name><Description>Silicone enteral feeding tube</Description><Size>Up to 24 Fr</Size><SupplierCode>BS</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>189</SubCategoryID><GroupID>1545</GroupID><SubGroupID>4197</SubGroupID><ARTGs><ARTG>159455</ARTG></ARTGs><MinimumBenefit>185</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2009-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>KI004</BillingCode><Name>MIC-KEY Low Profile Balloon Gastrostomy Feeding Tubes/Kits, ENFit</Name><Description>Sterile Low Profile Enteral Feeding Tube with Accessories</Description><Size>14FR to 24 Fr ; 0.8cm to 5.0cm</Size><SupplierCode>KI</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>189</SubCategoryID><GroupID>1545</GroupID><SubGroupID>4197</SubGroupID><ARTGs><ARTG>260222</ARTG></ARTGs><MinimumBenefit>185</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BA047</BillingCode><Name>Gastrostomy Tube</Name><Description>Silicone Tubes and Replacement Tubes</Description><Size>12Fr - 28Fr</Size><SupplierCode>BA</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>189</SubCategoryID><GroupID>1545</GroupID><SubGroupID>4197</SubGroupID><ARTGs><ARTG>141582</ARTG><ARTG>141583</ARTG></ARTGs><MinimumBenefit>185</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>DE546</BillingCode><Name>Capsule Dome G-Tube</Name><Description>Conventional Length Dome Gastrostomy Tube</Description><Size>20Fr, 10cm length, available with or without guidewire.</Size><SupplierCode>DE</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>189</SubCategoryID><GroupID>1545</GroupID><SubGroupID>4197</SubGroupID><ARTGs><ARTG>181742</ARTG></ARTGs><MinimumBenefit>185</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>KI001</BillingCode><Name>HALYARD* MIC*Percutaneous Endoscopic Gastrostomy (P.E.G) Feeding Tubes / Kits, Enfit and Non-Enfit</Name><Description>Sterile enteral feeding tube with accessories</Description><Size>14Fr, 20Fr, 24Fr</Size><SupplierCode>KI</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>189</SubCategoryID><GroupID>1545</GroupID><SubGroupID>4197</SubGroupID><ARTGs><ARTG>248293</ARTG></ARTGs><MinimumBenefit>185</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>DO020</BillingCode><PriorBillingCodes><PriorBillingCode>AS205</PriorBillingCode></PriorBillingCodes><Name>Kangaroo Skin Level Cage Gastrostomy Kit</Name><Description>Skin level non-balloon internal retention bolster gastrostomy kit, including gastrostomy tube, accessory bolus and continuous feeding tubes syringes for inflation and flushing. Patient handbook</Description><Size>12fg x 1.2cm, 12fg x 1.5cm, 12fg x 2.0cm, 12fg x 2.5cm, 12fg x 3.0cm, 12fg x 3.5cm, 12fg x 4.0cm, 12fg x 4.5cm, 12fg x 5.0cm, 16fg x 1.5cm, 16fg x 1.7cm, 16fg x 2.0cm, 16fg x 2.4cm, 16fg x 2.7cm, 16fg x 3.0cm, 16fg x 3.5cm, 20fg x 1.5cm, 20fg x 2.0cm, 20fg x 2.5cm, 20fg x 3.0cm, 20fg x 3.5cm, 20fg x 4.0cm, 20fg x 4.5cm</Size><SupplierCode>DO</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>189</SubCategoryID><GroupID>1545</GroupID><SubGroupID>4197</SubGroupID><ARTGs><ARTG>185673</ARTG></ARTGs><MinimumBenefit>185</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2019-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>FK013</BillingCode><Name>Freka Belly Button Comfort Kit, ENFit</Name><Description>Gastric replacement system consisting of Freka Belly Button, insertion introducer, 2 compresses, syringe for filling balloon, lubricant gel, Seldinger wire, Freka Button Extension Sets 1 and 2, and Freka Connect. An Initial Placement System (PEG) would have been placed at least 4 weeks prior.</Description><Size>12 Fr x 1.0cm ,12 Fr x 1.5cm, 12 Fr x 2.0cm, 12 Fr x 2.5cm, 12 Fr x 3.0cm, 12 Fr x 3.5cm, 12 Fr x 4.0cm, 12 Fr x 4.5cm,12 Fr x 5.0cm 

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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>DO023</BillingCode><PriorBillingCodes><PriorBillingCode>AS210</PriorBillingCode></PriorBillingCodes><Name>Kangaroo Single Pass PEG</Name><Description>Single Pass PEG</Description><Size>16fg, 20fg</Size><SupplierCode>DO</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>189</SubCategoryID><GroupID>1545</GroupID><SubGroupID>4197</SubGroupID><ARTGs><ARTG>141188</ARTG></ARTGs><MinimumBenefit>185</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2019-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>FK018</BillingCode><Name>Freka Belly Button  Basic Kit, ENFit</Name><Description>Gastric replacement system consisting of 1 Freka Belly Button, 1 insertion introducer, 2 compresses, 1 Luer syringe for filling balloon, 1 lubricant gel, 1 X10 ml ampoule of sterile water. An Initial Placement System (PEG) would have been placed at least 4 weeks prior.</Description><Size>12 Fr x 1.0cm ,12 Fr x 1.5cm, 12 Fr x 2.0cm, 12 Fr x 2.5cm, 12 Fr x 3.0cm, 12 Fr x 3.5cm, 12 Fr x 4.0cm, 12 Fr x 4.5cm,12 Fr x 5.0cm              14 Fr x 1.0cm, 14 Fr x 1.5cm, 14 Fr x 2.0cm, 14 Fr x 2.5cm, 14 Fr x 3.0cm, 14 Fr x 3.5cm,14 Fr x 4.0cm,14 Fr x 4.5cm, 14 Fr x 5.0cm              16 Fr x 1.0cm, 16 Fr x 1.5cm, 16 Fr x 2.0cm, 16 Fr x 2.5cm, 16 Fr x 3.0cm, 16 Fr x 3.5cm,16 Fr x 4.0cm,16 Fr x 4.5cm, 16 Fr x 5.0cm              18 Fr x 1.0cm, 18 Fr x 1.5cm, 18 Fr x 2.0cm, 18 Fr x 2.5cm, 18 Fr x 3.0cm, 18 Fr x 3.5cm,18 Fr x 4.0cm,18 Fr x 4.5cm, 18 Fr x 5.0cm              20 Fr x 1.0cm, 20 Fr x 1.5cm, 20 Fr x 2.0cm, 20 Fr x 2.5cm, 20 Fr x 3.0cm, 20 Fr x 3.5cm,20 Fr x 4.0cm, 20 Fr x 4.5cm, 20 Fr x 5.0cm              24 Fr x 1.0cm, 24 Fr x 1.5cm, 24 Fr x 2.0cm, 24 Fr x 2.5cm, 24 Fr x 3.0cm, 24 Fr x 3.5cm, 24 Fr x 4.0cm, 24 Fr x 4.5cm, 24 Fr x 5.0cm  </Size><SupplierCode>FK</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>189</SubCategoryID><GroupID>1545</GroupID><SubGroupID>4197</SubGroupID><ARTGs><ARTG>126462</ARTG></ARTGs><MinimumBenefit>185</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>FK011</BillingCode><Name>Freka Pexact, FR 15 set II, ENFit</Name><Description>Kit consisting of a gastropexy device (Loop Fixture II), trocar with peel-away sheath, and silicone balloon tube for direct puncture gastrostomy</Description><Size>Trocar with peel-away sheath:16 Fr, length 17.5 cm
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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>WC185</BillingCode><Name>Percutaneous Endoscopic Gastrostomy (PEG) System</Name><Description>PEG Enteral Feeding Kit - Push or Pull System</Description><Size>18, 20, 24 FR</Size><SupplierCode>WC</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>189</SubCategoryID><GroupID>1545</GroupID><SubGroupID>4197</SubGroupID><ARTGs><ARTG>135063</ARTG></ARTGs><MinimumBenefit>185</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>DE536</BillingCode><Name>Capsule Monarch G Tube</Name><Description>Conventional Length Non Balloon Gastronomy Tube.</Description><Size>12F, 14F, 18F, 20F, 10cm length, available with or without guidewire.</Size><SupplierCode>DE</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>189</SubCategoryID><GroupID>1545</GroupID><SubGroupID>4197</SubGroupID><ARTGs><ARTG>181742</ARTG></ARTGs><MinimumBenefit>185</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>FK008</BillingCode><Name>Freka PEG, ENFit</Name><Description>PEG polyurethane tube with a proximal cone and integrated fixation loop, radio-opaque strip, measuring marks over a length of l-16 cm at 2 cm intervals, radio-opaque silicone retention plate, and a rounded distal opening</Description><Size>9 Fr x 30 cm 
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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>KI005</BillingCode><Name>MIC-KEY Low Profile Balloon Feeding Accessories</Name><Description>MIC-KEY Extension Sets, ENFit, available in a variety of sizes and options including, bolus and y-port with straight or right-angle connectors.     MIC-KEY Medication Set is also available, ENFit. </Description><Size>30.5cm, 60.9cm, 5.1cm</Size><SupplierCode>KI</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>189</SubCategoryID><GroupID>1545</GroupID><SubGroupID>4198</SubGroupID><ARTGs><ARTG>261430</ARTG></ARTGs><MinimumBenefit>82</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>DO024</BillingCode><PriorBillingCodes><PriorBillingCode>MI288</PriorBillingCode></PriorBillingCodes><Name>Kangaroo™ Percutaneous Endoscopic Gastrostomy Feeding Tube Accessories</Name><Description>Feeding Adaptors</Description><Size>16Fr/Ch, 20Fr/Ch - PEG Adaptors</Size><SupplierCode>DO</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>189</SubCategoryID><GroupID>1545</GroupID><SubGroupID>4198</SubGroupID><ARTGs><ARTG>184804</ARTG></ARTGs><MinimumBenefit>82</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2019-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BS142</BillingCode><Name>EndoVive Replacement Feeding Tube</Name><Description>Silicone enteral feeding tube</Description><Size>Up to 28 Fr</Size><SupplierCode>BS</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>189</SubCategoryID><GroupID>1545</GroupID><SubGroupID>4198</SubGroupID><ARTGs><ARTG>159455</ARTG><ARTG>160876</ARTG></ARTGs><MinimumBenefit>82</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2009-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>KI007</BillingCode><Name>MIC* Gastrostomy Feeding Tube; MIC* Bolus Gastrostomy Feeding Tube, ENFit</Name><Description>Medical Grade Silicone Construction. Inflatable Silicone Internal Retention Balloon, SECUR-LOK* External Retention Ring, ENFit Feeding Port Connector, Tapered Distal Tip, Radiopaque Stripe along length of Tube</Description><Size>12Fr - 2-3ml balloon, 14Fr - 3-5ml balloon, 16Fr - 3-5ml balloon, 18Fr - 7-10ml balloon, 20Fr - 7-10ml balloon, 22Fr - 7-10ml balloon, 24Fr - 7-10ml balloon, 26Fr - 7-10ml balloon, 28Fr - 7-10ml balloon, 30Fr - 7-10ml balloon</Size><SupplierCode>KI</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>189</SubCategoryID><GroupID>1545</GroupID><SubGroupID>4198</SubGroupID><ARTGs><ARTG>248293</ARTG></ARTGs><MinimumBenefit>82</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>FK012</BillingCode><Name>Freka Gastrotube, FR 15, ENFit</Name><Description>Gastric replacement system intended for use for long-term intragastric feeding within a fully formed and healed stoma. An Initial Placement System (PEG) would have been placed at least 4 weeks prior. Made of silicone rubber.</Description><Size>Fits 15 Fr</Size><SupplierCode>FK</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>189</SubCategoryID><GroupID>1545</GroupID><SubGroupID>4198</SubGroupID><ARTGs><ARTG>126462</ARTG></ARTGs><MinimumBenefit>82</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2019-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>WC334</BillingCode><Name>Entuit Thrive Balloon Retention Gastrostomy Feeding Tube</Name><Description>The gastrostomy feeding tube is a sterile device consisting of a silicone balloon, bi-lumen shaft, three-port funnel and bolster.</Description><Size>12-24 Fr</Size><SupplierCode>WC</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>189</SubCategoryID><GroupID>1545</GroupID><SubGroupID>4198</SubGroupID><ARTGs><ARTG>226890</ARTG></ARTGs><MinimumBenefit>82</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2016-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>DO021</BillingCode><PriorBillingCodes><PriorBillingCode>AS206</PriorBillingCode></PriorBillingCodes><Name>Kangaroo Gastrostomy Feeding Tubes</Name><Description>100% silicone gastrostomy with internal retention balloon</Description><Size>12fg, 14fg, 16fg, 18fg, 20fg, 22fg, 24fg</Size><SupplierCode>DO</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>189</SubCategoryID><GroupID>1545</GroupID><SubGroupID>4198</SubGroupID><ARTGs><ARTG>185454</ARTG></ARTGs><MinimumBenefit>82</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2019-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>NF001</BillingCode><Name>Flocare Gastrostomy tube (G-tube)</Name><Description>The Flocare Gastrostomy tube can be used as a replacement of an existing gastrostomy tube (PEG or G-tube) or as an initial gastrostomy tube during a surgical intervention. This balloon tube is made of medical grade silicone.</Description><Size>Ch14, 18, 20</Size><SupplierCode>NF</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>189</SubCategoryID><GroupID>1545</GroupID><SubGroupID>4198</SubGroupID><ARTGs><ARTG>120000</ARTG></ARTGs><MinimumBenefit>82</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>WC335</BillingCode><Name>Entuit Start Initial Placement Gastrostomy Set</Name><Description>Used to assist with the initial placement of feeding tubes while performing a gastrostomy. The set contains multiple dilators, Peel-Away sheath introducer(s) with dilator(s), a wire guide and needle.</Description><Size>Small (dilator 12, 14 Fr), Medium (dilator 16,18 Fr) and Large (dilator 20,22,24 Fr). </Size><SupplierCode>WC</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>189</SubCategoryID><GroupID>1545</GroupID><SubGroupID>6037</SubGroupID><ARTGs><ARTG>219806</ARTG></ARTGs><MinimumBenefit>99</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2016-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HW420</BillingCode><Name>Ear Reconstruction</Name><Description>Porus Polyethylene. Helical rim, models 8328 and 8329</Description><Size>Helical rim: 37 x 62mm</Size><SupplierCode>JV</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>200</SubCategoryID><GroupID>1594</GroupID><SubGroupID>4349</SubGroupID><ARTGs><ARTG>152165</ARTG></ARTGs><MinimumBenefit>277</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2011-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HW432</BillingCode><Name>Ear Reconstruction</Name><Description>Porus Polyethylene. Ear base left and right, models 7542 and 7525  - 7527. Ear base extended left and right, models 8330 and 8331.</Description><Size>Ear base: 29 x 55 x 13mm, 32 x 65 x 16mm. Ear base extended: 30 x 60mm.</Size><SupplierCode>JV</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>200</SubCategoryID><GroupID>1594</GroupID><SubGroupID>4350</SubGroupID><ARTGs><ARTG>187187</ARTG><ARTG>257034</ARTG></ARTGs><MinimumBenefit>395</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2011-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SJ460</BillingCode><Name>MitraClip G4 system</Name><Description>Transmitral valve repair clip, steerable guide catheter, clip delivery system</Description><Size>9 - 12 mm</Size><SupplierCode>SJ</SupplierCode><CategoryID>27</CategoryID><SubCategoryID>267</SubCategoryID><GroupID>2952</GroupID><SubGroupID>7365</SubGroupID><ARTGs><ARTG>443606</ARTG><ARTG>357023</ARTG><ARTG>443605</ARTG></ARTGs><MinimumBenefit>26386</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>EL069</BillingCode><Name>PASCAL Precision System (PASCAL Implant and PASCAL ACE Implant) </Name><Description>The PASCAL Precision system is intended to repair an insufficient mitral valve via percutaneous reconstruction through tissue approximation. The PASCAL Precision System is comprised of the Implant System and Guide 
Sheath. The Implant System consists of the Loader, Steerable Catheter, Implant Catheter and Implant which comes in two sizes: 10 mm and 6 mm. The 10 mm Implant is referred to as PASCAL Implant and the 6 mm Implant is referred to as PASCAL Ace Implant. The Guide Sheath consists of the Guide Sheath, Introducer and an additional Loader for user convenience.
</Description><Size>10 mm PASCAL and 6mm PASCAL ACE Implant </Size><SupplierCode>EL</SupplierCode><CategoryID>27</CategoryID><SubCategoryID>267</SubCategoryID><GroupID>2952</GroupID><SubGroupID>7365</SubGroupID><Suffix>DMR only</Suffix><ARTGs><ARTG>329150</ARTG><ARTG>342270</ARTG><ARTG>371670</ARTG><ARTG>342271</ARTG><ARTG>410289</ARTG><ARTG>329680</ARTG><ARTG>421719</ARTG><ARTG>410288</ARTG><ARTG>410290</ARTG></ARTGs><Note>The Prescribed List reimbursement for the devices listed under the billing code (listed item) is restricted to the use of the devices in the procedure described under the Medicare Benefits Schedule (MBS) item 38461, meaning transcatheter mitral valve repair (TMVr)  in patients with degenerative (primary) mitral valve regurgitation (DMR).</Note><ChangeExplanation>New listing</ChangeExplanation><MinimumBenefit>23104</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2025-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SJ453</BillingCode><Name>MitraClip System</Name><Description>Steerable Guide Catheter, Clip Delivery System (Delivery Catheter, Steerable sleeve and the MitraClip Implant) </Description><Size>NTR MitraClip Implant: 15-17 mm  XTR MitraClip Implant: 18-22 mm</Size><SupplierCode>SJ</SupplierCode><CategoryID>27</CategoryID><SubCategoryID>267</SubCategoryID><GroupID>2952</GroupID><SubGroupID>7365</SubGroupID><ARTGs><ARTG>309701</ARTG><ARTG>309700</ARTG></ARTGs><MinimumBenefit>26386</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>PN017</BillingCode><Name>Penumbra Ruby Coil System, Detachment Handle</Name><Description>The Ruby Coil System is comprised of a platinum embolisation coil attached to a composite pusher with a radiopaque positioning marker and a Detachment Handle. The coil is transferred onto the microcatheter and the coil should be advanced under fluoroscopic guidance. The detachment handle is attached and advanced over the proximal end of the delivery pusher and then the coil is detached by using the retraction button on the handle into the preferred site.</Description><Size>N/A</Size><SupplierCode>PN</SupplierCode><CategoryID>24</CategoryID><SubCategoryID>213</SubCategoryID><GroupID>1693</GroupID><SubGroupID>5507</SubGroupID><ARTGs><ARTG>220462</ARTG></ARTGs><MinimumBenefit>206</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2016-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>PY052</BillingCode><Name>Ultra, Prestige Plus Coil Detachment Controller</Name><Description>Handheld battery powered coil detachment controller  </Description><Size>One Size only</Size><SupplierCode>PY</SupplierCode><CategoryID>24</CategoryID><SubCategoryID>213</SubCategoryID><GroupID>1693</GroupID><SubGroupID>5507</SubGroupID><ARTGs><ARTG>376881</ARTG></ARTGs><MinimumBenefit>206</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>PN021</BillingCode><PriorBillingCodes><PriorBillingCode>PN016</PriorBillingCode></PriorBillingCodes><Name>POD Detachmnet Handle</Name><Description>The POD Detachment handle is a plastic handle used to mechanically detach the POD Implant. Sterile Single use patient device</Description><Size>N/A</Size><SupplierCode>PN</SupplierCode><CategoryID>24</CategoryID><SubCategoryID>213</SubCategoryID><GroupID>1693</GroupID><SubGroupID>5507</SubGroupID><ARTGs><ARTG>233485</ARTG></ARTGs><MinimumBenefit>206</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2019-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>TU054</BillingCode><Name>AZUR Peripheral Coil Detachment Controller</Name><Description>Hand held battery powered coil detachment controller</Description><Size>One size only</Size><SupplierCode>TU</SupplierCode><CategoryID>24</CategoryID><SubCategoryID>213</SubCategoryID><GroupID>1693</GroupID><SubGroupID>5507</SubGroupID><ARTGs><ARTG>190400</ARTG></ARTGs><MinimumBenefit>206</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2013-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MA513</BillingCode><Name>RM Acetabular Cup, Polyethylene</Name><Description>Titanium bonded UHMWPE Cup, with and without lugs</Description><Size>46 to 64mm</Size><SupplierCode>MA</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>163</SubCategoryID><GroupID>1429</GroupID><SubGroupID>4026</SubGroupID><ARTGs><ARTG>212649</ARTG><ARTG>209312</ARTG><ARTG>212648</ARTG></ARTGs><MinimumBenefit>2517</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2011-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MA502</BillingCode><Name>RM Pressfit Acetabular Cup</Name><Description>Acetabular component - Bonded Shell / Liner - polyethylene modified. Ti coated monoblock, bearing surface is Vit E stabilised highly cross linked polyethylene</Description><Size>28, 32, 36mm (Articulation); 42 to 70mm (Cup size)</Size><SupplierCode>MA</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>163</SubCategoryID><GroupID>1429</GroupID><SubGroupID>4027</SubGroupID><ARTGs><ARTG>274133</ARTG></ARTGs><MinimumBenefit>2854</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2010-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MU206</BillingCode><Name>Mpact 3D Metal Monocer</Name><Description>Device is a cementless hemispherical acetabular shell realized by the sintering powder technology, and ceramic liner preassembled.</Description><Size>Outer Diameter 42mm to 66mm</Size><SupplierCode>MU</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>163</SubCategoryID><GroupID>1429</GroupID><SubGroupID>4030</SubGroupID><ARTGs><ARTG>370967</ARTG></ARTGs><ChangeExplanation>New listing</ChangeExplanation><MinimumBenefit>4381</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2025-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HT007</BillingCode><PriorBillingCodes><PriorBillingCode>TZ018</PriorBillingCode></PriorBillingCodes><Name>Agilis Tipor</Name><Description>AGILIS Ti-POR is an uncemented monoblock hemispherical acetabulum cup designed to articulate with ceramic heads of large diameter.</Description><Size>42 – 66 mm diameter</Size><SupplierCode>HT</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>163</SubCategoryID><GroupID>1429</GroupID><SubGroupID>4030</SubGroupID><ARTGs><ARTG>292345</ARTG></ARTGs><MinimumBenefit>4381</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HW438</BillingCode><Name>E-POR Biomaterial/ Temporal Fossa Implant Porous Polyethylene</Name><Description>Temporal Fossa Implant Porous Polyethylene</Description><Size>61mm - 105mm x 18mm - 20mm</Size><SupplierCode>JV</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>200</SubCategoryID><GroupID>1595</GroupID><SubGroupID>4351</SubGroupID><ARTGs><ARTG>187178</ARTG><ARTG>257032</ARTG></ARTGs><MinimumBenefit>1121</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2011-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SY783</BillingCode><Name>SynPOR</Name><Description>Porous Polyethylene Malar Implant</Description><Size>3-5 mm</Size><SupplierCode>JJ</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>200</SubCategoryID><GroupID>1595</GroupID><SubGroupID>4351</SubGroupID><ARTGs><ARTG>190454</ARTG></ARTGs><MinimumBenefit>1121</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2013-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>DE807</BillingCode><PriorBillingCodes><PriorBillingCode>VL004</PriorBillingCode></PriorBillingCodes><Name>Su-Por Malar, Paranasal, Midface Implant</Name><Description>An implantable device intended to support, contour and provide structure for the face including the cheeks and eye sockets. 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>Left and Right (47mm x 24mm x 4mm)</Size><SupplierCode>DE</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>200</SubCategoryID><GroupID>1595</GroupID><SubGroupID>4351</SubGroupID><ARTGs><ARTG>335454</ARTG></ARTGs><MinimumBenefit>1121</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2023-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HW434</BillingCode><Name>E-POR Biomaterial/ Midface Contour Porous Polyethylene</Name><Description>Midface Contour Porous Polyethylene</Description><Size>One size</Size><SupplierCode>JV</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>200</SubCategoryID><GroupID>1595</GroupID><SubGroupID>4351</SubGroupID><ARTGs><ARTG>257037</ARTG></ARTGs><MinimumBenefit>1121</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2011-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HW436</BillingCode><Name>E-POR Biomaterial/ Transsphenoidal Sellar Contourable Porous Polyethylene</Name><Description>Transphenoidal Sellar Contourable Porous Polyethylene</Description><Size>2.5mm x 20mm - 40mm</Size><SupplierCode>JV</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>200</SubCategoryID><GroupID>1595</GroupID><SubGroupID>4352</SubGroupID><ARTGs><ARTG>257032</ARTG></ARTGs><MinimumBenefit>487</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2011-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ009</BillingCode><PriorBillingCodes><PriorBillingCode>AT083</PriorBillingCode><PriorBillingCode>AT083</PriorBillingCode></PriorBillingCodes><Name>Anatomics Patient Specific Malar Implant</Name><Description>A customised patient specific implant constucted of porous polyethelene</Description><Size>The device is customised so sizes will vary</Size><SupplierCode>KU</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>200</SubCategoryID><GroupID>1595</GroupID><SubGroupID>4352</SubGroupID><Suffix>Biomodelled</Suffix><ARTGs><ARTG>288564</ARTG></ARTGs><MinimumBenefit>4095</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MI027</BillingCode><Name>Medtronic Ascenda Intrathecal Catheter</Name><Description>Intrathecal Catheter</Description><Size>114cm, 140cm</Size><SupplierCode>MI</SupplierCode><CategoryID>25</CategoryID><SubCategoryID>223</SubCategoryID><GroupID>1683</GroupID><SubGroupID>4492</SubGroupID><Suffix>Reinforced</Suffix><ARTGs><ARTG>192057</ARTG><ARTG>192058</ARTG></ARTGs><MinimumBenefit>993</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BW012</BillingCode><Name>Keep Walking Femoral stem</Name><Description>Titanium alloy femoral stem component</Description><Size>Length: 120mm - 180mm Diameter: 12mm - 17mm</Size><SupplierCode>BW</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1778</GroupID><SubGroupID>5407</SubGroupID><ARTGs><ARTG>307660</ARTG></ARTGs><MinimumBenefit>35055</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2020-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>OY008</BillingCode><Name>Fem Stem Cem'Less lntraMed</Name><Description>Stem Cem'Less lntraMed</Description><Size>83 items with sizes ranging in stem length from 140mm to 180mm</Size><SupplierCode>OY</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1778</GroupID><SubGroupID>5407</SubGroupID><ARTGs><ARTG>195009</ARTG><ARTG>195008</ARTG></ARTGs><MinimumBenefit>35055</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2015-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BR004</BillingCode><Name>OPRA System</Name><Description>Fixture  Biohelix</Description><Size>15 - 80mm</Size><SupplierCode>BR</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1778</GroupID><SubGroupID>5407</SubGroupID><ARTGs><ARTG>145488</ARTG></ARTGs><MinimumBenefit>35055</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>OY002</BillingCode><Name>Intramedullary Femoral Stem Type C</Name><Description>Modular anatomic stem w/screw options</Description><Size>Left &amp; Right 17mm - 24mm</Size><SupplierCode>OY</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1778</GroupID><SubGroupID>5407</SubGroupID><ARTGs><ARTG>228038</ARTG></ARTGs><MinimumBenefit>35055</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2015-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HR004</BillingCode><Name>OTNI Osseointegration Femur Prosthesis</Name><Description>The medical device acts as an abutment and provides a fixed support for the connection of an artificial limb prosthesis to the residual femoral bone after transfemoral amputation.</Description><Size>OTNi Femur Stem Ø15x140 + OTNi Proximal Screw + OTNi Healing Plug  OTNi Femur Stem Ø16x140 + OTNi Proximal Screw + OTNi Healing Plug  OTNi Femur Stem Ø17x140 + OTNi Proximal Screw + OTNi Healing Plug  OTNi Femur Stem Ø18x140 + OTNi Proximal Screw + OTNi Healing Plug  OTNi Femur Stem Ø19x140 + OTNi Proximal Screw + OTNi Healing Plug  OTNi Femur Stem Ø20x140 + OTNi Proximal Screw + OTNi Healing Plug  OTNi Femur Stem Ø21x140 + OTNi Proximal Screw + OTNi Healing Plug  OTNi Femur Stem Ø22x140 + OTNi Proximal Screw + OTNi Healing Plug  </Size><SupplierCode>HR</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1778</GroupID><SubGroupID>5407</SubGroupID><ARTGs><ARTG>354881</ARTG></ARTGs><MinimumBenefit>35055</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>OY001</BillingCode><Name>Intramedullary Femoral Stem Type B</Name><Description>Modular Stem w/proximal fixation/THR option</Description><Size>14mm-22mm, 1mm increaments</Size><SupplierCode>OY</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1778</GroupID><SubGroupID>5407</SubGroupID><ARTGs><ARTG>228038</ARTG></ARTGs><MinimumBenefit>35055</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2015-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>OY003</BillingCode><Name>Intramedullary Femoral Stem Type A</Name><Description>Modular Intramedullary stem</Description><Size>14mm - 21mm, 1mm increments</Size><SupplierCode>OY</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1778</GroupID><SubGroupID>5407</SubGroupID><ARTGs><ARTG>228038</ARTG></ARTGs><MinimumBenefit>35055</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2015-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HR006</BillingCode><Name>OTNi DC Adapter</Name><Description>The modular dual cone transcutaneous adapter, interconnects the femur at the stoma region to an external esoprosthesis by means of the OTN click safety adapter and OTN cannulated self-locking screw.</Description><Size>available in lengths of 60mm , 70mm, 80mm, 90mm, 100mm and 110mm of unique diameter of 18mm</Size><SupplierCode>HR</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1778</GroupID><SubGroupID>5408</SubGroupID><ARTGs><ARTG>354839</ARTG></ARTGs><MinimumBenefit>18288</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>OY009</BillingCode><Name>Orthodynamics The Integral Leg Prostheses-Dual Cone Extension (as a component of the Orthodynamics The Integral Leg Prosthesis</Name><Description>Orthodynamics The Integral Leg Prosthesis-Dual Cone Extension</Description><Size>6 sizes</Size><SupplierCode>OY</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1778</GroupID><SubGroupID>5408</SubGroupID><ARTGs><ARTG>109214</ARTG><ARTG>195009</ARTG><ARTG>195008</ARTG></ARTGs><MinimumBenefit>18288</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2015-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BR005</BillingCode><Name>OPRA System</Name><Description>Abutment - titanium</Description><Size>Length 20mm - 78mm</Size><SupplierCode>BR</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1778</GroupID><SubGroupID>5408</SubGroupID><ARTGs><ARTG>145495</ARTG></ARTGs><MinimumBenefit>18288</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>OY004</BillingCode><Name>Dual Cone Extension Niobium aluminum oxide coated Abutment</Name><Description>Dual Cone Extension Niobium aluminum oxide coated Abutment</Description><Size>5 sizes</Size><SupplierCode>OY</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1778</GroupID><SubGroupID>5408</SubGroupID><ARTGs><ARTG>229715</ARTG><ARTG>229734</ARTG><ARTG>228038</ARTG></ARTGs><MinimumBenefit>18288</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2015-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>OY005</BillingCode><Name>Modular Cylinder Extension abutment full Niobium aluminium oxide coated</Name><Description>Modular Cylinder Extension abutment full Niobium aluminium oxide coated</Description><Size>10 sizes</Size><SupplierCode>OY</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1778</GroupID><SubGroupID>5408</SubGroupID><ARTGs><ARTG>229734</ARTG><ARTG>228038</ARTG><ARTG>229715</ARTG></ARTGs><MinimumBenefit>18288</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2015-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BW013</BillingCode><Name>Keep Walking Spacer</Name><Description>Polyethylene spacer</Description><Size>Size: Small, Medium, Large.  Diameter: 54mm, 58mm, 62mm.</Size><SupplierCode>BW</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1778</GroupID><SubGroupID>5402</SubGroupID><ARTGs><ARTG>307660</ARTG></ARTGs><MinimumBenefit>6242</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2020-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LH661</BillingCode><PriorBillingCodes><PriorBillingCode>OO121</PriorBillingCode></PriorBillingCodes><Name>MUTARS - Arthrodesis body</Name><Description>Arthrodesis Body</Description><Size>120mm</Size><SupplierCode>LH</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1778</GroupID><SubGroupID>5402</SubGroupID><ARTGs><ARTG>242292</ARTG><ARTG>284220</ARTG></ARTGs><MinimumBenefit>6242</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LH659</BillingCode><PriorBillingCodes><PriorBillingCode>OO119</PriorBillingCode></PriorBillingCodes><Name>MUTARS - Arthrodesis Tibial component</Name><Description>MUTARS - Arthrodesis Tibial component</Description><Size>45mm</Size><SupplierCode>LH</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1778</GroupID><SubGroupID>5477</SubGroupID><ARTGs><ARTG>242292</ARTG><ARTG>284589</ARTG></ARTGs><MinimumBenefit>6242</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LH660</BillingCode><PriorBillingCodes><PriorBillingCode>OO120</PriorBillingCode></PriorBillingCodes><Name>MUTARS - Arthrodesis femoral component</Name><Description>MUTARS - Arthrodesis femoral component</Description><Size>45mm left and right</Size><SupplierCode>LH</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1778</GroupID><SubGroupID>5479</SubGroupID><ARTGs><ARTG>284584</ARTG><ARTG>242292</ARTG></ARTGs><MinimumBenefit>6242</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HW626</BillingCode><Name>METS Humeral Component with Liner</Name><Description>Titanium component, UHMWPE liner with encased metal ring for use with constrained glenoid</Description><Size>Mono-size, left and right</Size><SupplierCode>JV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1778</GroupID><SubGroupID>5467</SubGroupID><ARTGs><ARTG>277395</ARTG></ARTGs><MinimumBenefit>6729</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HW627</BillingCode><Name>METS Humeral Component with Reattachment for use with Hemi Head</Name><Description>Titanium humeral component with HA coated rails for tissue reattachment</Description><Size>Small and standard</Size><SupplierCode>JV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1778</GroupID><SubGroupID>5468</SubGroupID><ARTGs><ARTG>276015</ARTG></ARTGs><MinimumBenefit>8875</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LH674</BillingCode><PriorBillingCodes><PriorBillingCode>OO135</PriorBillingCode></PriorBillingCodes><Name>MUTARS Glenoid</Name><Description>MUTARS Glenoid</Description><Size>1 size</Size><SupplierCode>LH</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1778</GroupID><SubGroupID>5469</SubGroupID><ARTGs><ARTG>227161</ARTG></ARTGs><MinimumBenefit>7111</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LH665</BillingCode><PriorBillingCodes><PriorBillingCode>OO125</PriorBillingCode></PriorBillingCodes><Name>MUTARS Glenosphere</Name><Description>MUTARS glenosphere</Description><Size>40mm</Size><SupplierCode>LH</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1778</GroupID><SubGroupID>5469</SubGroupID><ARTGs><ARTG>227771</ARTG></ARTGs><MinimumBenefit>7111</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HW628</BillingCode><Name>METS Bayley Walker Glenoid Component</Name><Description>Titanium HAP coated tapered screw with 22.2mm CoCr-Molybdenum head, for Glenoid fixation</Description><Size>Extra small, small and standard</Size><SupplierCode>JV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1778</GroupID><SubGroupID>5469</SubGroupID><ARTGs><ARTG>276250</ARTG></ARTGs><MinimumBenefit>7111</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HW644</BillingCode><Name>METS Humeral Hemi-head</Name><Description>Titanium humeral hemi-head forming part of a modular system to replace diseased or damaged bone</Description><Size>Diameters 43mm, 46mm, 52mm, 55mm, 58mm</Size><SupplierCode>JV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1778</GroupID><SubGroupID>5470</SubGroupID><ARTGs><ARTG>276014</ARTG></ARTGs><MinimumBenefit>3218</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LH634</BillingCode><PriorBillingCodes><PriorBillingCode>OO082</PriorBillingCode></PriorBillingCodes><Name>MUTARS - Arthrodesis stems</Name><Description>Arthrodesis tibial and femoral stems, cvd, straight, cemented/cementless</Description><Size>11-20mm x 100 - 250mm length</Size><SupplierCode>LH</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1778</GroupID><SubGroupID>5475</SubGroupID><ARTGs><ARTG>236019</ARTG></ARTGs><MinimumBenefit>3724</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HW621</BillingCode><Name>METS Humeral Component with Liner and re-attachment</Name><Description>Titanium component with HA coated rails for tissue reattachment, HYMWPE liner with encased metal ring for use with contrained glenoid</Description><Size>Mono-size, left and right</Size><SupplierCode>JV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1778</GroupID><SubGroupID>5461</SubGroupID><ARTGs><ARTG>277425</ARTG></ARTGs><MinimumBenefit>8541</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HW622</BillingCode><Name>METS Humeral Collar Round Coated</Name><Description>Titanium colar with HAP coated stipples</Description><Size>20mm, 22mm, 24mm</Size><SupplierCode>JV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1778</GroupID><SubGroupID>5462</SubGroupID><ARTGs><ARTG>246505</ARTG></ARTGs><MinimumBenefit>3916</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HW623</BillingCode><Name>METS Humeal Stem</Name><Description>Straight titanium stems, 7-11mm diameters</Description><Size>Diameters 7-11mm,  Lengths 70-90mm</Size><SupplierCode>JV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1778</GroupID><SubGroupID>5463</SubGroupID><ARTGs><ARTG>276068</ARTG></ARTGs><MinimumBenefit>2587</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HW624</BillingCode><Name>METS Humeral Shaft</Name><Description>Titanium shafts in 15mm increments, reconstructs the humeral shaft where there is diseased or deficient bone</Description><Size>Lengths 38-143mm</Size><SupplierCode>JV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1778</GroupID><SubGroupID>5464</SubGroupID><ARTGs><ARTG>246504</ARTG></ARTGs><MinimumBenefit>3081</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HW625</BillingCode><Name>METS Humeral Integral Shaft &amp; Stem Coated</Name><Description>Titanium, combined shaft, stem &amp; collar with HA coated stipples</Description><Size>20mm shaft plateau with 8mm diameter stem, 24mm shaft plateau with 10mm diameter stem
7945</Size><SupplierCode>JV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1778</GroupID><SubGroupID>5465</SubGroupID><ARTGs><ARTG>276913</ARTG></ARTGs><MinimumBenefit>7548</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HW213</BillingCode><Name>Howmedica Modular Resection System</Name><Description>Humeral Bearing -  Vitallium</Description><Size>One size only</Size><SupplierCode>JV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1778</GroupID><SubGroupID>5421</SubGroupID><ARTGs><ARTG>242296</ARTG></ARTGs><MinimumBenefit>166</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LH666</BillingCode><PriorBillingCodes><PriorBillingCode>OO126</PriorBillingCode></PriorBillingCodes><Name>MUTARS Humerus Head</Name><Description>MUTARS Humerus Head</Description><Size>50mm</Size><SupplierCode>LH</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1778</GroupID><SubGroupID>5422</SubGroupID><ARTGs><ARTG>223513</ARTG><ARTG>284244</ARTG></ARTGs><MinimumBenefit>4047</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LH703</BillingCode><PriorBillingCodes><PriorBillingCode>OO127</PriorBillingCode></PriorBillingCodes><Name>MUTARS Humerus cap</Name><Description>MUTARS Humerus cap</Description><Size>Small, medium and large. +5 and +10mm offset
Standard / Inverse</Size><SupplierCode>LH</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1778</GroupID><SubGroupID>5422</SubGroupID><ARTGs><ARTG>234173</ARTG><ARTG>227772</ARTG></ARTGs><MinimumBenefit>4047</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HW254</BillingCode><Name>HMRS Oncology Humeral Head/Cap</Name><Description>Cobalt Chromium</Description><Size>40, 44mm, Cap</Size><SupplierCode>JV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1778</GroupID><SubGroupID>5422</SubGroupID><ARTGs><ARTG>128450</ARTG></ARTGs><MinimumBenefit>4047</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HW216</BillingCode><Name>Howmedica Modular Resection System</Name><Description>Distal Humerus Cone -  Vitallium</Description><Size>One size only</Size><SupplierCode>JV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1778</GroupID><SubGroupID>5423</SubGroupID><ARTGs><ARTG>242296</ARTG></ARTGs><MinimumBenefit>4130</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HW217</BillingCode><Name>Howmedica Modular Resection System</Name><Description>Distal Humerus Flange -  Vitallium</Description><Size>One size only</Size><SupplierCode>JV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1778</GroupID><SubGroupID>5423</SubGroupID><ARTGs><ARTG>242296</ARTG></ARTGs><MinimumBenefit>4130</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BH346</BillingCode><Name>Comprehesive Segmental Revision System (SRS)</Name><Description>Comprehensive SRS Flange</Description><Size>Small, large</Size><SupplierCode>ZI</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1778</GroupID><SubGroupID>5423</SubGroupID><ARTGs><ARTG>104347</ARTG></ARTGs><MinimumBenefit>4130</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2013-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>FA036</BillingCode><Name>Equinoxe HRP Distal Stem Collar</Name><Description>Distal stem collar is used with the distal stems to provide external fixation and rotational stability within the intramedullary canal.</Description><Size>17.5 - 33.5</Size><SupplierCode>FA</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1778</GroupID><SubGroupID>5458</SubGroupID><ARTGs><ARTG>396475</ARTG></ARTGs><MinimumBenefit>2200</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2023-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HW643</BillingCode><Name>METS Humeral Collar Round Smooth</Name><Description>Titanium, smooth uncoated collar for a secure fit in the humeral canal</Description><Size>20mm, 22mm, 24mm</Size><SupplierCode>JV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1778</GroupID><SubGroupID>5458</SubGroupID><ARTGs><ARTG>246505</ARTG></ARTGs><MinimumBenefit>2200</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HW619</BillingCode><Name>METS Humeral Component for use with Hemi Head</Name><Description>Titanium humeral component</Description><Size>Small and standard</Size><SupplierCode>JV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1778</GroupID><SubGroupID>5459</SubGroupID><ARTGs><ARTG>276014</ARTG></ARTGs><MinimumBenefit>6690</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HW620</BillingCode><Name>METS Humeral Head Fixation Screw</Name><Description>Titanium screw which fixes the humeral component and the humeral head together</Description><Size>Small and standard</Size><SupplierCode>JV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1778</GroupID><SubGroupID>5460</SubGroupID><ARTGs><ARTG>246503</ARTG></ARTGs><MinimumBenefit>537</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HW255</BillingCode><Name>Howmedica Modular Resection System</Name><Description>Oncology Humeral Body -  Titanium</Description><Size>40 - 140mm in 20mm increments</Size><SupplierCode>JV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1778</GroupID><SubGroupID>5415</SubGroupID><ARTGs><ARTG>166620</ARTG><ARTG>128450</ARTG></ARTGs><MinimumBenefit>3916</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HW202</BillingCode><Name>Howmedica Modular Resection System</Name><Description>Wedge -  Vitallium</Description><Size>One size only</Size><SupplierCode>JV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1778</GroupID><SubGroupID>5416</SubGroupID><ARTGs><ARTG>242296</ARTG></ARTGs><MinimumBenefit>200</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HW219</BillingCode><Name>Howmedica Modular Resection System</Name><Description>Humerus Connecting Screw -  Vitallium</Description><Size>One size only</Size><SupplierCode>JV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1778</GroupID><SubGroupID>5417</SubGroupID><ARTGs><ARTG>242316</ARTG></ARTGs><MinimumBenefit>620</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HW220</BillingCode><Name>Howmedica Modular Resection System</Name><Description>Humerus Hex Socket Bolt -  Vitallium</Description><Size>One size only</Size><SupplierCode>JV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1778</GroupID><SubGroupID>5418</SubGroupID><ARTGs><ARTG>242316</ARTG></ARTGs><MinimumBenefit>537</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HW200</BillingCode><Name>Howmedica Modular Resection System</Name><Description>Plug Screw Axis -  Vitallium</Description><Size>One size only</Size><SupplierCode>JV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1778</GroupID><SubGroupID>5419</SubGroupID><ARTGs><ARTG>242296</ARTG><ARTG>248353</ARTG></ARTGs><MinimumBenefit>206</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HR005</BillingCode><Name>OTNI locking screw</Name><Description>Titanium screw for structural reinforcement of internal cone extension of proximal</Description><Size>One size M6x1 </Size><SupplierCode>HR</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1778</GroupID><SubGroupID>5409</SubGroupID><ARTGs><ARTG>354839</ARTG></ARTGs><MinimumBenefit>5486</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>OY010</BillingCode><Name>Abutment Screw</Name><Description>Titanium screw for structural reinforcement of the internal Cone Extension</Description><Size>5 sizes</Size><SupplierCode>OY</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1778</GroupID><SubGroupID>5409</SubGroupID><ARTGs><ARTG>229716</ARTG></ARTGs><MinimumBenefit>5486</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2016-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BW015</BillingCode><Name>Keep Walking Washer-Screw Assembly</Name><Description>Washer and screw assembly</Description><Size>one size only</Size><SupplierCode>BW</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1778</GroupID><SubGroupID>5409</SubGroupID><ARTGs><ARTG>307660</ARTG></ARTGs><MinimumBenefit>5486</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2020-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BR006</BillingCode><Name>OPRA System</Name><Description>Abutment screw - titanium</Description><Size>Size Range in Length from 23 mm to 87 mm</Size><SupplierCode>BR</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1778</GroupID><SubGroupID>5409</SubGroupID><ARTGs><ARTG>145495</ARTG></ARTGs><MinimumBenefit>5486</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HW256</BillingCode><Name>HMRS Oncology Humeral Stem</Name><Description>Cobalt Chromium</Description><Size>7x75mm, 7x115mm, 9x75mm, 9x115mm, 11x115mm, 25mmx75mm, 25mmx100mm, 50mmx75mm, 50mmx100mm,75mmx100mm, 100mmx50mm</Size><SupplierCode>JV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1778</GroupID><SubGroupID>5410</SubGroupID><ARTGs><ARTG>128450</ARTG><ARTG>16234</ARTG></ARTGs><MinimumBenefit>5486</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LH672</BillingCode><PriorBillingCodes><PriorBillingCode>OO133</PriorBillingCode></PriorBillingCodes><Name>MUTARS humeral stem</Name><Description>MUTARS humeral stems</Description><Size>7-16mm diameter  75mm length</Size><SupplierCode>LH</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1778</GroupID><SubGroupID>5410</SubGroupID><ARTGs><ARTG>244655</ARTG><ARTG>238835</ARTG><ARTG>250512</ARTG></ARTGs><MinimumBenefit>5486</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HW222</BillingCode><Name>Howmedica Modular Resection System</Name><Description>Humeral Anchorage Piece -  Vitallium</Description><Size>9, 10, 11, 12mm</Size><SupplierCode>JV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1778</GroupID><SubGroupID>5411</SubGroupID><ARTGs><ARTG>242296</ARTG></ARTGs><MinimumBenefit>4539</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HW221</BillingCode><Name>Howmedica Modular Resection System</Name><Description>Humerus Extension Piece -  Vitallium</Description><Size>5, 15, 30, 45, 60, 75, 90, 105, 120, 135, 150, 165mm</Size><SupplierCode>JV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1778</GroupID><SubGroupID>5412</SubGroupID><ARTGs><ARTG>128026</ARTG></ARTGs><MinimumBenefit>4173</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LH668</BillingCode><PriorBillingCodes><PriorBillingCode>OO129</PriorBillingCode></PriorBillingCodes><Name>MUTARS extension piece</Name><Description>MUTARS humerus extension piece</Description><Size>20mm/40mm/60mm</Size><SupplierCode>LH</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1778</GroupID><SubGroupID>5412</SubGroupID><ARTGs><ARTG>284403</ARTG><ARTG>244561</ARTG></ARTGs><MinimumBenefit>4173</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LH664</BillingCode><Name>MUTARS Humerus diaphyseal implant</Name><Description>MUTARS Humerus diaphyseal implant</Description><Size>8-9 mm diameter, 80mm resection length</Size><SupplierCode>LH</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1778</GroupID><SubGroupID>5412</SubGroupID><ARTGs><ARTG>221739</ARTG><ARTG>284242</ARTG></ARTGs><MinimumBenefit>4173</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MC837</BillingCode><Name>Medtronic Activa Patient Programmer</Name><Description>Medtronic Activa Patient Programmer (Model 37642)</Description><Size>One size only</Size><SupplierCode>MI</SupplierCode><CategoryID>25</CategoryID><SubCategoryID>221</SubCategoryID><GroupID>1673</GroupID><SubGroupID>4474</SubGroupID><ARTGs><ARTG>160115</ARTG></ARTGs><MinimumBenefit>1264</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2009-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SJ204</BillingCode><Name>Brio DBS Patient Controller 6856</Name><Description>Patient Controller for DBS</Description><Size>One size only</Size><SupplierCode>SJ</SupplierCode><CategoryID>25</CategoryID><SubCategoryID>221</SubCategoryID><GroupID>1673</GroupID><SubGroupID>4474</SubGroupID><ARTGs><ARTG>164509</ARTG></ARTGs><MinimumBenefit>1264</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2010-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MI400</BillingCode><Name>Medtronic Percept Patient Programmer</Name><Description>Patient Programmer Model TH91D for Percept Neurostimulators</Description><Size>One size only</Size><SupplierCode>MI</SupplierCode><CategoryID>25</CategoryID><SubCategoryID>221</SubCategoryID><GroupID>1673</GroupID><SubGroupID>4474</SubGroupID><ARTGs><ARTG>351590</ARTG></ARTGs><MinimumBenefit>1264</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BS243</BillingCode><Name>Vercise Remote Control, Vercise Remote Control 2, Vercise Remote Control 3, Vercise Remote Control 4</Name><Description>Remote patient control for DBS, remote patient control kit for DBS</Description><Size>One size only</Size><SupplierCode>BS</SupplierCode><CategoryID>25</CategoryID><SubCategoryID>221</SubCategoryID><GroupID>1673</GroupID><SubGroupID>4474</SubGroupID><ARTGs><ARTG>308577</ARTG><ARTG>308575</ARTG><ARTG>279188</ARTG><ARTG>363576</ARTG><ARTG>202019</ARTG></ARTGs><MinimumBenefit>1264</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2013-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LM431</BillingCode><PriorBillingCodes><PriorBillingCode>NK109</PriorBillingCode></PriorBillingCodes><Name>Patient or Clinician Programmer</Name><Description>Patient or Clinician Programmer</Description><Size>N/A</Size><SupplierCode>LM</SupplierCode><CategoryID>25</CategoryID><SubCategoryID>221</SubCategoryID><GroupID>1673</GroupID><SubGroupID>4474</SubGroupID><ARTGs><ARTG>308945</ARTG></ARTGs><MinimumBenefit>1264</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2020-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MI367</BillingCode><Name>Medtronic Activa Patient Programming System</Name><Description>Medtronic Activa Patient Programming System</Description><Size>One size only</Size><SupplierCode>MI</SupplierCode><CategoryID>25</CategoryID><SubCategoryID>221</SubCategoryID><GroupID>1673</GroupID><SubGroupID>4474</SubGroupID><ARTGs><ARTG>339925</ARTG></ARTGs><MinimumBenefit>1264</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2020-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SJ351</BillingCode><Name>Brio LE Charging System 6722</Name><Description>Charging system for Brio Deep Brain Stimualtion Device</Description><Size>One size only </Size><SupplierCode>SJ</SupplierCode><CategoryID>25</CategoryID><SubCategoryID>221</SubCategoryID><GroupID>1673</GroupID><SubGroupID>4475</SubGroupID><ARTGs><ARTG>231655</ARTG></ARTGs><MinimumBenefit>1782</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2015-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LM432</BillingCode><PriorBillingCodes><PriorBillingCode>NK110</PriorBillingCode></PriorBillingCodes><Name>Patient programmer Recharger</Name><Description>Patient programmer Recharger</Description><Size>N/A</Size><SupplierCode>LM</SupplierCode><CategoryID>25</CategoryID><SubCategoryID>221</SubCategoryID><GroupID>1673</GroupID><SubGroupID>4475</SubGroupID><ARTGs><ARTG>309804</ARTG></ARTGs><MinimumBenefit>1782</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2020-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BS245</BillingCode><Name>Vercise Charging System</Name><Description>Recharging system for DBS</Description><Size>N/A</Size><SupplierCode>BS</SupplierCode><CategoryID>25</CategoryID><SubCategoryID>221</SubCategoryID><GroupID>1673</GroupID><SubGroupID>4475</SubGroupID><ARTGs><ARTG>363579</ARTG><ARTG>202018</ARTG><ARTG>203085</ARTG><ARTG>308576</ARTG></ARTGs><MinimumBenefit>1782</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2013-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MI398</BillingCode><Name>Medtronic Recharging System for Deep Brain Stimulation</Name><Description>Wireless recharging System for Deep Brain Stimulation</Description><Size>One size only</Size><SupplierCode>MI</SupplierCode><CategoryID>25</CategoryID><SubCategoryID>221</SubCategoryID><GroupID>1673</GroupID><SubGroupID>4475</SubGroupID><ARTGs><ARTG>121279</ARTG><ARTG>341712</ARTG><ARTG>341408</ARTG></ARTGs><MinimumBenefit>1782</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2020-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>VM001</BillingCode><Name>EndoClot Kit</Name><Description>Polysaccharide haemostatic system</Description><Size>2g particles, 2300mm catheter length</Size><SupplierCode>VM</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>191</SubCategoryID><GroupID>1552</GroupID><SubGroupID>5984</SubGroupID><ARTGs><ARTG>204921</ARTG></ARTGs><MinimumBenefit>154</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2014-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>WA004</BillingCode><Name>Hemospray Endoscopic Hemostat</Name><Description>Inorganic haemostatic agent</Description><Size>20 grams of powder  Catheter: 7-10Fr, length 220cm.</Size><SupplierCode>WC</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BA285</BillingCode><PriorBillingCodes><PriorBillingCode>BA263</PriorBillingCode></PriorBillingCodes><Name>Arista AH Flextip and Flextip XL</Name><Description>Extender tip for delivery of Arista AH powder</Description><Size>14cm  38cm</Size><SupplierCode>BA</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>191</SubCategoryID><GroupID>1552</GroupID><SubGroupID>5985</SubGroupID><ARTGs><ARTG>258012</ARTG></ARTGs><MinimumBenefit>46</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2019-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BA284</BillingCode><PriorBillingCodes><PriorBillingCode>BA263</PriorBillingCode></PriorBillingCodes><Name>Arista AH FlexiTip XL-R Applicator</Name><Description>Rigid Dual lumen applicator for Arista AH, 38cm long specifically designe for Robotic surgery</Description><Size>38 cm</Size><SupplierCode>BA</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>191</SubCategoryID><GroupID>1552</GroupID><SubGroupID>5985</SubGroupID><ARTGs><ARTG>258012</ARTG></ARTGs><MinimumBenefit>46</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2019-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SK601</BillingCode><Name>Elektra Neck</Name><Description>Cobalt Chromium</Description><Size>Extra Short, Short, Medium, Long</Size><SupplierCode>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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SK604</BillingCode><Name>Elektra Cup</Name><Description>Cobalt Chromium and Hydroxyapatite coating</Description><Size>One size only</Size><SupplierCode>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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SK602</BillingCode><Name>Trapezio Metacarpal Prosthesis DLC</Name><Description>Cup, Polyethylene</Description><Size>One size only</Size><SupplierCode>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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SK595</BillingCode><Name>MCP Finger Prosthesis "Ariadna"</Name><Description>Distal part, Stainless Steel</Description><Size>1,2 or3</Size><SupplierCode>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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>KT093</BillingCode><PriorBillingCodes><PriorBillingCode>OH656</PriorBillingCode></PriorBillingCodes><Name>Martin Endoprosthesis System CapFlex PIP</Name><Description>CapFlex PIP Distal</Description><Size>S,M,L, Height: 2.1, 3.0 &amp; 4.4mm</Size><SupplierCode>KT</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>131</SubCategoryID><GroupID>1274</GroupID><SubGroupID>6145</SubGroupID><ARTGs><ARTG>266373</ARTG></ARTGs><MinimumBenefit>760</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LM295</BillingCode><Name>Ascension PIP Finger Joint Replacement</Name><Description>PyroCarbon PIP Distal Component</Description><Size>10D, 20D, 30D, 40D</Size><SupplierCode>LM</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>131</SubCategoryID><GroupID>1274</GroupID><SubGroupID>6145</SubGroupID><ARTGs><ARTG>94980</ARTG></ARTGs><MinimumBenefit>760</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2016-02-01</CycleStartDate><CycleEndDate>2025-03-01</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><MinimumBenefit>760</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-03-01</CycleStartDate><CycleEndDate>2025-03-01</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><MinimumBenefit>760</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-03-01</CycleStartDate><CycleEndDate>2025-03-01</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><MinimumBenefit>1330</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HW703</BillingCode><PriorBillingCodes><PriorBillingCode>WR042</PriorBillingCode></PriorBillingCodes><Name>WMT Orthopaedic Implants Hand</Name><Description>The Swanson Trapezium Implant is a flexible, one-piece intramedullary-stemmed implant developed to restore function to thumbs disabled by degenerative arthritis or post-traumatic arthritis.</Description><Size>1, 2, 3, 4, 5</Size><SupplierCode>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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LM102</BillingCode><Name>Ascension Silicone Finger joint replacement</Name><Description>MCP moulded silicone finger joint</Description><Size>Various</Size><SupplierCode>LM</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>131</SubCategoryID><GroupID>1274</GroupID><SubGroupID>6146</SubGroupID><Suffix>Total</Suffix><ARTGs><ARTG>92524</ARTG></ARTGs><MinimumBenefit>1330</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2011-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LM103</BillingCode><Name>Ascension Silicone Finger joint replacement</Name><Description>PIP moulded silicone finger joint</Description><Size>00-05</Size><SupplierCode>LM</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>131</SubCategoryID><GroupID>1274</GroupID><SubGroupID>6146</SubGroupID><Suffix>Total</Suffix><ARTGs><ARTG>92524</ARTG></ARTGs><MinimumBenefit>1330</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2011-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LM298</BillingCode><Name>Pyrocarbon carpal implants</Name><Description>Pyrocarbon carpal replacement implants</Description><Size>Multiple sizes</Size><SupplierCode>LM</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>131</SubCategoryID><GroupID>1274</GroupID><SubGroupID>6146</SubGroupID><ARTGs><ARTG>92524</ARTG></ARTGs><MinimumBenefit>665</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2016-02-01</CycleStartDate><CycleEndDate>2025-03-01</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><MinimumBenefit>1330</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HW706</BillingCode><PriorBillingCodes><PriorBillingCode>WR046</PriorBillingCode></PriorBillingCodes><Name>WMT Orthopaedic Implants Finger/Thumb</Name><Description>Silastic finger joint with/without Ti grommets 470 series</Description><Size>00, 0, 1, 2, 3, 4, 5, 6, 7, 8, 9</Size><SupplierCode>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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HW933</BillingCode><PriorBillingCodes><PriorBillingCode>WR418</PriorBillingCode></PriorBillingCodes><Name>BIOProfile Pyrocarbon Carpometacarpal Implants</Name><Description>Low Temperature Isotropic Pyrolytic Carbon Implants for carpometacarpal resurfacing (arthroplasty)</Description><Size>Small, Medium, Large &amp; Extra Large</Size><SupplierCode>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>2025-03-01</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><MinimumBenefit>1330</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-03-01</CycleStartDate><CycleEndDate>2025-03-01</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><MinimumBenefit>420</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2020-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SK600</BillingCode><Name>Elektra Stem</Name><Description>Cobalt Chromium/Hydroxyapatite coated</Description><Size>6-8mm</Size><SupplierCode>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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HW704</BillingCode><PriorBillingCodes><PriorBillingCode>WR043</PriorBillingCode></PriorBillingCodes><Name>Wright Swanson Titanium Carpal Scaphoid, Carpal Lunate, Basal Thumb Implant</Name><Description>The Swanson Basal Thumb implant is a one-piece intramedullary-stemmed implant designed to be used as an adjunct to resection arthroplasty of the trapeziometacarpal joint.  It acts as a spacer to preserve joint relationship and allow appropriate capsulolig</Description><Size>1 to 5 - length 19.3 to 26.3mm, width 9.5 to 13.6mm</Size><SupplierCode>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>2025-03-01</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><MinimumBenefit>665</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SK598</BillingCode><Name>MCP Finger Prosthesis "Ariadna"</Name><Description>Proximal part, Stainless Steel</Description><Size>1,2,or 3</Size><SupplierCode>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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LM294</BillingCode><Name>Ascension MCP Finger Joint Replacement</Name><Description>PyroCarbon MCP Proximal Component</Description><Size>05P, 10P, 20P, 30P, 40P, 50P</Size><SupplierCode>LM</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>131</SubCategoryID><GroupID>1274</GroupID><SubGroupID>6044</SubGroupID><ARTGs><ARTG>94980</ARTG></ARTGs><MinimumBenefit>665</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2016-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LM293</BillingCode><Name>Ascension MCP Finger Joint Replacement</Name><Description>PyroCarbon MCP Distal Component</Description><Size>05D, 10D, 20D, 30D, 40D, 50D</Size><SupplierCode>LM</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>131</SubCategoryID><GroupID>1274</GroupID><SubGroupID>6143</SubGroupID><ARTGs><ARTG>94980</ARTG></ARTGs><MinimumBenefit>665</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2016-02-01</CycleStartDate><CycleEndDate>2025-03-01</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><MinimumBenefit>665</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-03-01</CycleStartDate><CycleEndDate>2025-03-01</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><MinimumBenefit>760</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-03-01</CycleStartDate><CycleEndDate>2025-03-01</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><MinimumBenefit>760</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>KT092</BillingCode><PriorBillingCodes><PriorBillingCode>OH655</PriorBillingCode></PriorBillingCodes><Name>Martin Endoprosthesis System CapFlex PIP</Name><Description>CapFlex PIP Proximal</Description><Size>S,M,L</Size><SupplierCode>KT</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>131</SubCategoryID><GroupID>1274</GroupID><SubGroupID>6144</SubGroupID><ARTGs><ARTG>266373</ARTG></ARTGs><MinimumBenefit>760</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LM296</BillingCode><Name>Ascension PIP Finger Joint Replacement</Name><Description>PyroCarbon PIP Proximal Component.</Description><Size>10P, 20P, 30P, 40P</Size><SupplierCode>LM</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>131</SubCategoryID><GroupID>1274</GroupID><SubGroupID>6144</SubGroupID><ARTGs><ARTG>94980</ARTG></ARTGs><MinimumBenefit>760</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2016-02-01</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</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>JJ</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>2025-03-01</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>2025-03-01</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>ZI</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>162</SubCategoryID><GroupID>1424</GroupID><SubGroupID>4004</SubGroupID><ARTGs><ARTG>273918</ARTG><ARTG>273919</ARTG></ARTGs><MinimumBenefit>654</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SN267</BillingCode><Name>Tandem/Convene</Name><Description>Shell/Liner</Description><Size>22 - 64mm</Size><SupplierCode>SN</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>2025-03-01</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>2025-03-01</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>GT287</BillingCode><Name>GORE-TEX® Vascular Grafts</Name><Description>Vascular Grafts - Aorto - Pulmonary &amp; Systemic Pulmonary Shunts (ePTFE) Stretch &amp; Non Stretch Standard Wall &amp; Thin Wall</Description><Size>Diameter 3 - 12mm, Length 5-10cm</Size><SupplierCode>GT</SupplierCode><CategoryID>24</CategoryID><SubCategoryID>208</SubCategoryID><GroupID>1636</GroupID><SubGroupID>4454</SubGroupID><ARTGs><ARTG>137804</ARTG><ARTG>137803</ARTG></ARTGs><MinimumBenefit>221</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ER168</BillingCode><Name>LifeSpan ePTFE vascular grafts-straight, regular or thin wall-10cm</Name><Description>LifeSpan ePTFE vascular grafts-straight, regular or thin wall-5-8 mm dia x length 10cm</Description><Size>5-8 mm dia x 10 cm long</Size><SupplierCode>ER</SupplierCode><CategoryID>24</CategoryID><SubCategoryID>208</SubCategoryID><GroupID>1636</GroupID><SubGroupID>4454</SubGroupID><ARTGs><ARTG>216528</ARTG></ARTGs><MinimumBenefit>221</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2014-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BB025</BillingCode><Name>Vascular Uni - Graft</Name><Description>Vascular graft</Description><Size>10cm</Size><SupplierCode>BB</SupplierCode><CategoryID>24</CategoryID><SubCategoryID>208</SubCategoryID><GroupID>1636</GroupID><SubGroupID>4454</SubGroupID><ARTGs><ARTG>142665</ARTG></ARTGs><MinimumBenefit>221</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BB023</BillingCode><Name>Vascular Uni - Graft</Name><Description>Vascular graft</Description><Size>20cm</Size><SupplierCode>BB</SupplierCode><CategoryID>24</CategoryID><SubCategoryID>208</SubCategoryID><GroupID>1636</GroupID><SubGroupID>4455</SubGroupID><ARTGs><ARTG>142665</ARTG></ARTGs><MinimumBenefit>508</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BB024</BillingCode><Name>Vascular Uni - Graft</Name><Description>Vascular graft</Description><Size>15cm</Size><SupplierCode>BB</SupplierCode><CategoryID>24</CategoryID><SubCategoryID>208</SubCategoryID><GroupID>1636</GroupID><SubGroupID>4455</SubGroupID><ARTGs><ARTG>142665</ARTG></ARTGs><MinimumBenefit>508</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ER169</BillingCode><Name>LifeSpan ePTFE vascular grafts-straight-regular or thin wall-20cm</Name><Description>LifeSpan ePTFE vascular grafts-straight-regular or thin wall; 5-8mm dia x 20 cm long</Description><Size>5-8 mm dia x 20 cm long</Size><SupplierCode>ER</SupplierCode><CategoryID>24</CategoryID><SubCategoryID>208</SubCategoryID><GroupID>1636</GroupID><SubGroupID>4455</SubGroupID><ARTGs><ARTG>216528</ARTG></ARTGs><MinimumBenefit>508</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2014-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>GX012</BillingCode><PriorBillingCodes><PriorBillingCode>MQ029</PriorBillingCode></PriorBillingCodes><Name>Intergard W - Woven Straight</Name><Description>Woven Straight</Description><Size>15cm</Size><SupplierCode>GX</SupplierCode><CategoryID>24</CategoryID><SubCategoryID>208</SubCategoryID><GroupID>1636</GroupID><SubGroupID>4455</SubGroupID><ARTGs><ARTG>145512</ARTG></ARTGs><MinimumBenefit>508</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2020-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>GT290</BillingCode><PriorBillingCodes><PriorBillingCode>GT009</PriorBillingCode><PriorBillingCode>GT146</PriorBillingCode><PriorBillingCode>GT283</PriorBillingCode></PriorBillingCodes><Name>GORE-TEX ® Stretch Vascular Graft</Name><Description>E-PTFE Vascular Graft</Description><Size>Diameters: 3 to 24mm
Lengths: 11-20cm</Size><SupplierCode>GT</SupplierCode><CategoryID>24</CategoryID><SubCategoryID>208</SubCategoryID><GroupID>1636</GroupID><SubGroupID>4455</SubGroupID><ARTGs><ARTG>137804</ARTG></ARTGs><MinimumBenefit>508</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ER679</BillingCode><Name>LeMaitre Omniflow II Vascular Prosthesis-20 cm</Name><Description>Omniflow II Vascular Prosthesis 20 cm, bioengineered, straight</Description><Size>diameter:5-8 mm  length: 20 cm</Size><SupplierCode>ER</SupplierCode><CategoryID>24</CategoryID><SubCategoryID>208</SubCategoryID><GroupID>1636</GroupID><SubGroupID>4455</SubGroupID><Suffix>Biologically Engineered</Suffix><ARTGs><ARTG>399614</ARTG></ARTGs><MinimumBenefit>1104</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2023-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BA025</BillingCode><Name>Impra PTFE Vascular Grafts</Name><Description>ePTFE graft - regular wall, 10-50cm long</Description><Size>3 - 19mm diameter</Size><SupplierCode>BA</SupplierCode><CategoryID>24</CategoryID><SubCategoryID>208</SubCategoryID><GroupID>1636</GroupID><SubGroupID>4455</SubGroupID><ARTGs><ARTG>23171</ARTG></ARTGs><MinimumBenefit>508</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BA020</BillingCode><Name>Impra PTFE Vascular Grafts</Name><Description>ePTFE graft - thin wall, 10 - 50cm long</Description><Size>3mm - 10mm diameter</Size><SupplierCode>BA</SupplierCode><CategoryID>24</CategoryID><SubCategoryID>208</SubCategoryID><GroupID>1636</GroupID><SubGroupID>4455</SubGroupID><ARTGs><ARTG>23171</ARTG></ARTGs><MinimumBenefit>508</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>GX011</BillingCode><PriorBillingCodes><PriorBillingCode>MQ018</PriorBillingCode></PriorBillingCodes><Name>Advanta PTFE Vascular Graft with Graft Deployment System</Name><Description>Trilaminate PTFE. Vascular Access PTFE</Description><Size>4mm - 8mm diameter  11cm - 20cm length</Size><SupplierCode>GX</SupplierCode><CategoryID>24</CategoryID><SubCategoryID>208</SubCategoryID><GroupID>1636</GroupID><SubGroupID>4455</SubGroupID><Suffix>R, ID</Suffix><ARTGs><ARTG>279716</ARTG></ARTGs><MinimumBenefit>1091</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2020-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BA019</BillingCode><Name>Impra PTFE Vascular Grafts</Name><Description>ePTFE graft - radially supported, thin wall, 10 - 50cm long</Description><Size>4mm - 8mm diameter</Size><SupplierCode>BA</SupplierCode><CategoryID>24</CategoryID><SubCategoryID>208</SubCategoryID><GroupID>1636</GroupID><SubGroupID>4455</SubGroupID><Suffix>R (ringed)</Suffix><ARTGs><ARTG>23171</ARTG></ARTGs><MinimumBenefit>964</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BA022</BillingCode><Name>Impra PTFE Vascular Grafts</Name><Description>ePTFE graft - radially supported, regular wall, 10-50cm long</Description><Size>4 - 19mm diameter</Size><SupplierCode>BA</SupplierCode><CategoryID>24</CategoryID><SubCategoryID>208</SubCategoryID><GroupID>1636</GroupID><SubGroupID>4455</SubGroupID><Suffix>R (ringed)</Suffix><ARTGs><ARTG>23171</ARTG></ARTGs><MinimumBenefit>964</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>GX026</BillingCode><PriorBillingCodes><PriorBillingCode>MQ020</PriorBillingCode></PriorBillingCodes><Name>Advanta PTFE Vascular Graft</Name><Description>Trilaminate PTFE Graft with Graft Deployment System</Description><Size>4mm - 8mm  11cm - 20cm length</Size><SupplierCode>GX</SupplierCode><CategoryID>24</CategoryID><SubCategoryID>208</SubCategoryID><GroupID>1636</GroupID><SubGroupID>4455</SubGroupID><Suffix>R (ringed)</Suffix><ARTGs><ARTG>279716</ARTG></ARTGs><MinimumBenefit>964</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2020-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>TU019</BillingCode><Name>Gelsoft Plus Graft</Name><Description>Femoro-femoral, Polyester, Knitted, Externally reinforced</Description><Size>6mmx30cm to  8mmx40cm</Size><SupplierCode>TU</SupplierCode><CategoryID>24</CategoryID><SubCategoryID>208</SubCategoryID><GroupID>1636</GroupID><SubGroupID>4456</SubGroupID><Suffix>R (ringed)</Suffix><ARTGs><ARTG>125679</ARTG></ARTGs><MinimumBenefit>1351</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>GT211</BillingCode><Name>Gore-Tex Intering Vascular Graft</Name><Description>Internally radially supported vascular graft (ePTFE)</Description><Size>Diameter 6-8mm, 40cm radial supported length x 40cm length</Size><SupplierCode>GT</SupplierCode><CategoryID>24</CategoryID><SubCategoryID>208</SubCategoryID><GroupID>1636</GroupID><SubGroupID>4456</SubGroupID><Suffix>R (ringed)</Suffix><ARTGs><ARTG>143262</ARTG></ARTGs><MinimumBenefit>1351</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>GT252</BillingCode><Name>GORE-TEX ® Stretch Vascular Graft</Name><Description>Standard Wall and Thin Wall ePTFE Vascular Grafts
Removable Rings</Description><Size>4 to 10 mm diameter
21 to 49cm lengths
various removable ring sections</Size><SupplierCode>GT</SupplierCode><CategoryID>24</CategoryID><SubCategoryID>208</SubCategoryID><GroupID>1636</GroupID><SubGroupID>4456</SubGroupID><Suffix>R (ringed)</Suffix><ARTGs><ARTG>137805</ARTG></ARTGs><MinimumBenefit>1351</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2010-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>GX025</BillingCode><PriorBillingCodes><PriorBillingCode>MQ021</PriorBillingCode></PriorBillingCodes><Name>Advanta PTFE Vascular Graft</Name><Description>Trilaminate PTFE Graft with Graft Deployment System</Description><Size>4mm - 8mm diameter 21cm - 49cm length</Size><SupplierCode>GX</SupplierCode><CategoryID>24</CategoryID><SubCategoryID>208</SubCategoryID><GroupID>1636</GroupID><SubGroupID>4456</SubGroupID><Suffix>R (ringed)</Suffix><ARTGs><ARTG>279716</ARTG></ARTGs><MinimumBenefit>1351</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2020-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>GT221</BillingCode><Name>Gore ® Propaten ® Vascular Graft</Name><Description>Stretch and Non Stretch ePTFE Graft
Standard Wall and Thin Wall Stretch  
Heparin Bonded</Description><Size>4 to 8 mm diameters
21 to 49cm lengths</Size><SupplierCode>GT</SupplierCode><CategoryID>24</CategoryID><SubCategoryID>208</SubCategoryID><GroupID>1636</GroupID><SubGroupID>4456</SubGroupID><Suffix>H (heparin)</Suffix><ARTGs><ARTG>160152</ARTG></ARTGs><MinimumBenefit>876</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>GT264</BillingCode><Name>Gore ® PROPATEN ® Vascular Graft</Name><Description>Standard Wall and Thin Wall ePTFE Vascular Graft
Removable Rings 
Heparin Bonded</Description><Size>4 to 8mm diameter
21 to 49cm length
30cm ringed length</Size><SupplierCode>GT</SupplierCode><CategoryID>24</CategoryID><SubCategoryID>208</SubCategoryID><GroupID>1636</GroupID><SubGroupID>4456</SubGroupID><Suffix>R, H</Suffix><ARTGs><ARTG>160152</ARTG></ARTGs><MinimumBenefit>1462</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BN026</BillingCode><Name>Omniflow II Vascular Prosthesis</Name><Description>Biosynthetic vascular prosthesis for peripheral revascularisation and vascular access</Description><Size>9 and 10mm internal diameter, 20 to 40cm length</Size><SupplierCode>BN</SupplierCode><CategoryID>24</CategoryID><SubCategoryID>208</SubCategoryID><GroupID>1636</GroupID><SubGroupID>4456</SubGroupID><ARTGs><ARTG>155500</ARTG></ARTGs><MinimumBenefit>550</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2011-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BN028</BillingCode><Name>Omniflow II Vascular Prosthesis</Name><Description>Biosynthetic vascular prosthesis for peripheral revascularisation and vascular access</Description><Size>9 and 10mm internal diameter; 45 to 85cm length</Size><SupplierCode>BN</SupplierCode><CategoryID>24</CategoryID><SubCategoryID>208</SubCategoryID><GroupID>1636</GroupID><SubGroupID>4456</SubGroupID><ARTGs><ARTG>155500</ARTG></ARTGs><MinimumBenefit>550</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2011-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ER680</BillingCode><Name>LeMaitre Omniflow II Vascular Prosthesis-30-40cm</Name><Description>Omniflow II Vascular Prosthesis, biologically engineered, 30-40 cm, straight </Description><Size>diameter: 5-8 mm  Length: 30-40 cm</Size><SupplierCode>ER</SupplierCode><CategoryID>24</CategoryID><SubCategoryID>208</SubCategoryID><GroupID>1636</GroupID><SubGroupID>4456</SubGroupID><Suffix>Biologically engineered</Suffix><ARTGs><ARTG>399614</ARTG></ARTGs><ChangeExplanation>Change to ARTG, Description</ChangeExplanation><MinimumBenefit>1976</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Update</ActionFlag><CycleStartDate>2023-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>GX013</BillingCode><PriorBillingCodes><PriorBillingCode>MQ019</PriorBillingCode></PriorBillingCodes><Name>Advanta PTFE Vascular Graft with Graft Deployment System</Name><Description>Trilaminate PTFE. Vascular Access PTFE</Description><Size>4mm - 8mm diameter  21cm - 49cm length</Size><SupplierCode>GX</SupplierCode><CategoryID>24</CategoryID><SubCategoryID>208</SubCategoryID><GroupID>1636</GroupID><SubGroupID>4456</SubGroupID><Suffix>R, ID</Suffix><ARTGs><ARTG>279716</ARTG></ARTGs><MinimumBenefit>1552</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2020-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>GT291</BillingCode><PriorBillingCodes><PriorBillingCode>GT281</PriorBillingCode><PriorBillingCode>GT282</PriorBillingCode></PriorBillingCodes><Name>GORE-TEX ® Stretch Vascular Graft</Name><Description>E-PTFE Vascular Graft</Description><Size>Diameters: 3 to 24mm
Lengths: 21-49cm</Size><SupplierCode>GT</SupplierCode><CategoryID>24</CategoryID><SubCategoryID>208</SubCategoryID><GroupID>1636</GroupID><SubGroupID>4456</SubGroupID><ARTGs><ARTG>137804</ARTG></ARTGs><MinimumBenefit>550</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>GX014</BillingCode><Name>Maquet InterVascular Straight vascular Grafts</Name><Description>Straight Vascular Grafts</Description><Size>6mm - 38mm diameter, Length 30cm - 40cm</Size><SupplierCode>GX</SupplierCode><CategoryID>24</CategoryID><SubCategoryID>208</SubCategoryID><GroupID>1636</GroupID><SubGroupID>4456</SubGroupID><ARTGs><ARTG>145380</ARTG><ARTG>145510</ARTG><ARTG>145512</ARTG></ARTGs><MinimumBenefit>550</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2020-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BB021</BillingCode><Name>Vascular Uni - Graft</Name><Description>Vascular graft</Description><Size>40cm</Size><SupplierCode>BB</SupplierCode><CategoryID>24</CategoryID><SubCategoryID>208</SubCategoryID><GroupID>1636</GroupID><SubGroupID>4456</SubGroupID><ARTGs><ARTG>142665</ARTG></ARTGs><MinimumBenefit>550</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BB022</BillingCode><Name>Vascular Uni - Graft</Name><Description>Vascular graft</Description><Size>30cm</Size><SupplierCode>BB</SupplierCode><CategoryID>24</CategoryID><SubCategoryID>208</SubCategoryID><GroupID>1636</GroupID><SubGroupID>4456</SubGroupID><ARTGs><ARTG>142665</ARTG></ARTGs><MinimumBenefit>550</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>TU020</BillingCode><Name>Gelsoft Plus Graft</Name><Description>Straight, Polyester, Knitted</Description><Size>6 - 24mm x 12.5 - 30cm</Size><SupplierCode>TU</SupplierCode><CategoryID>24</CategoryID><SubCategoryID>208</SubCategoryID><GroupID>1636</GroupID><SubGroupID>4456</SubGroupID><ARTGs><ARTG>125679</ARTG></ARTGs><MinimumBenefit>550</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>GT286</BillingCode><Name>GORE® INTERING® Vascular Graft</Name><Description>Stretch Thin Walled ePTFE graft with Integrated Rings</Description><Size>6-8mm diameter, 60-80 cm integrated ringed section, ≥50cm length</Size><SupplierCode>GT</SupplierCode><CategoryID>24</CategoryID><SubCategoryID>208</SubCategoryID><GroupID>1636</GroupID><SubGroupID>4457</SubGroupID><Suffix>R (ringed)</Suffix><ARTGs><ARTG>143262</ARTG></ARTGs><MinimumBenefit>1440</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2016-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>GX015</BillingCode><PriorBillingCodes><PriorBillingCode>MQ017</PriorBillingCode></PriorBillingCodes><Name>Atrium PTFE Vascular Graft</Name><Description>Ringed PTFE</Description><Size>4mm - 10mm; 50cm - 100cm</Size><SupplierCode>GX</SupplierCode><CategoryID>24</CategoryID><SubCategoryID>208</SubCategoryID><GroupID>1636</GroupID><SubGroupID>4457</SubGroupID><Suffix>R (ringed)</Suffix><ARTGs><ARTG>279716</ARTG></ARTGs><MinimumBenefit>1440</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2020-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>TU045</BillingCode><Name>Gelsoft Plus Graft</Name><Description>Polyester, Externally Reinforced, Knitted</Description><Size>6 to 10cm x 75 to 100cm</Size><SupplierCode>TU</SupplierCode><CategoryID>24</CategoryID><SubCategoryID>208</SubCategoryID><GroupID>1636</GroupID><SubGroupID>4457</SubGroupID><Suffix>R (ringed)</Suffix><ARTGs><ARTG>125679</ARTG></ARTGs><MinimumBenefit>1440</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BA255</BillingCode><Name>Bard Vascular Grafts</Name><Description>PFTE Graft - radial support</Description><Size>50cm or &gt; 50cm</Size><SupplierCode>BA</SupplierCode><CategoryID>24</CategoryID><SubCategoryID>208</SubCategoryID><GroupID>1636</GroupID><SubGroupID>4457</SubGroupID><Suffix>R (ringed)</Suffix><ARTGs><ARTG>134552</ARTG></ARTGs><MinimumBenefit>1440</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2014-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BB019</BillingCode><Name>Vascular Uni - Graft</Name><Description>Vascular graft</Description><Size>60cm</Size><SupplierCode>BB</SupplierCode><CategoryID>24</CategoryID><SubCategoryID>208</SubCategoryID><GroupID>1636</GroupID><SubGroupID>4457</SubGroupID><ARTGs><ARTG>142665</ARTG></ARTGs><MinimumBenefit>663</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BB018</BillingCode><Name>Vascular Uni - Graft</Name><Description>Vascular graft</Description><Size>100cm</Size><SupplierCode>BB</SupplierCode><CategoryID>24</CategoryID><SubCategoryID>208</SubCategoryID><GroupID>1636</GroupID><SubGroupID>4457</SubGroupID><ARTGs><ARTG>142665</ARTG></ARTGs><MinimumBenefit>663</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BB020</BillingCode><Name>Vascular Uni - Graft</Name><Description>Vascular graft</Description><Size>50cm</Size><SupplierCode>BB</SupplierCode><CategoryID>24</CategoryID><SubCategoryID>208</SubCategoryID><GroupID>1636</GroupID><SubGroupID>4457</SubGroupID><ARTGs><ARTG>142665</ARTG></ARTGs><MinimumBenefit>663</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>GX016</BillingCode><Name>InterVascular Radially Supported Vascular Grafts</Name><Description>Radially Supported Vascular Grafts</Description><Size>6mm - 8mm diameter, 70cm - 85cm length</Size><SupplierCode>GX</SupplierCode><CategoryID>24</CategoryID><SubCategoryID>208</SubCategoryID><GroupID>1636</GroupID><SubGroupID>4457</SubGroupID><Suffix>R (ringed)</Suffix><ARTGs><ARTG>145506</ARTG><ARTG>145511</ARTG></ARTGs><MinimumBenefit>1440</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2020-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ER681</BillingCode><Name>LeMaitre Omniflow II Vascular Prosthesis-≥50cm</Name><Description>Omniflow II Vascular Prosthesis-≥50cm. biologically engineered, straight</Description><Size>diameter:5-8 mm  length: 50-65 cm</Size><SupplierCode>ER</SupplierCode><CategoryID>24</CategoryID><SubCategoryID>208</SubCategoryID><GroupID>1636</GroupID><SubGroupID>4457</SubGroupID><Suffix>Biologically engineered</Suffix><ARTGs><ARTG>399614</ARTG></ARTGs><MinimumBenefit>2736</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2023-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>GT285</BillingCode><Name>GORE® PROPATEN® Vascular Graft</Name><Description>Standard Wall and Thin Wall ePTFE Vascular Graft
Removable Rings
Heparin Bonded</Description><Size>6-8mm diameter
30-70cm ringed section, 
≥ 50cm length</Size><SupplierCode>GT</SupplierCode><CategoryID>24</CategoryID><SubCategoryID>208</SubCategoryID><GroupID>1636</GroupID><SubGroupID>4457</SubGroupID><Suffix>R, H</Suffix><ARTGs><ARTG>160152</ARTG></ARTGs><MinimumBenefit>1561</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2016-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>GT222</BillingCode><Name>Gore ® Propaten ® Vascular Graft</Name><Description>Standard Wall and Thin Wall ePTFE Graft
Stretch and Non Stretch  
Heparin Bonded</Description><Size>4 to 8mm diameter 
≥ 50cm length</Size><SupplierCode>GT</SupplierCode><CategoryID>24</CategoryID><SubCategoryID>208</SubCategoryID><GroupID>1636</GroupID><SubGroupID>4457</SubGroupID><Suffix>H (heparin)</Suffix><ARTGs><ARTG>160152</ARTG></ARTGs><MinimumBenefit>966</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ER170</BillingCode><Name>LifeSpan ePTFE vascular grafts-straight-regular or thin wall, 50-100 cm</Name><Description>LifeSpan ePTFE vascular grafts-straight-regular or thin wall, 5-10 mm dia x length 50-100 cm</Description><Size>5-10 mm dia x length 50-100 cm</Size><SupplierCode>ER</SupplierCode><CategoryID>24</CategoryID><SubCategoryID>208</SubCategoryID><GroupID>1636</GroupID><SubGroupID>4457</SubGroupID><ARTGs><ARTG>216528</ARTG></ARTGs><MinimumBenefit>663</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2014-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>GX017</BillingCode><PriorBillingCodes><PriorBillingCode>MQ016</PriorBillingCode></PriorBillingCodes><Name>Advanta PTFE Vascular Graft</Name><Description>Straight PTFE Vascular Graft</Description><Size>6mm - 10mm; 50cm - 90cm</Size><SupplierCode>GX</SupplierCode><CategoryID>24</CategoryID><SubCategoryID>208</SubCategoryID><GroupID>1636</GroupID><SubGroupID>4457</SubGroupID><ARTGs><ARTG>279716</ARTG></ARTGs><MinimumBenefit>663</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2020-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>GT288</BillingCode><Name>GORE-TEX® Vascular Grafts</Name><Description>Standard Wall, Thin Wall and Stretch Technology (eptfe)</Description><Size>Diameters: 3-12mm
Lengths: ≥   50 cm</Size><SupplierCode>GT</SupplierCode><CategoryID>24</CategoryID><SubCategoryID>208</SubCategoryID><GroupID>1636</GroupID><SubGroupID>4457</SubGroupID><ARTGs><ARTG>137804</ARTG><ARTG>137803</ARTG></ARTGs><MinimumBenefit>663</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>TU021</BillingCode><Name>Gelsoft Plus Graft</Name><Description>Straight, Polyester, Knitted</Description><Size>6-24mm x 50-60cm</Size><SupplierCode>TU</SupplierCode><CategoryID>24</CategoryID><SubCategoryID>208</SubCategoryID><GroupID>1636</GroupID><SubGroupID>4457</SubGroupID><ARTGs><ARTG>125679</ARTG></ARTGs><MinimumBenefit>663</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>GT278</BillingCode><Name>GORE-TEX ® Stretch Vascular Graft</Name><Description>Standard Wall and Thin Wall
Removable Rings
ePTFE Vascular Graft</Description><Size>4 to 10 mm diameters
≥ 50cm lengths</Size><SupplierCode>GT</SupplierCode><CategoryID>24</CategoryID><SubCategoryID>208</SubCategoryID><GroupID>1636</GroupID><SubGroupID>4457</SubGroupID><Suffix>R (ringed)</Suffix><ARTGs><ARTG>137805</ARTG></ARTGs><MinimumBenefit>1440</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2015-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ER171</BillingCode><Name>LifeSpan ePTFE vascular grafts-straight-supported-regular or thin wall, 50-80 cm</Name><Description>LifeSpan ePTFE vascular grafts-straight-supported; regular and thin wall; 6-10 mm dia x 50-80 cm length; 10-80 cm external spiral support length</Description><Size>6-10 mm dia x 50-80 cm length; 10-80 cm external spiral support length</Size><SupplierCode>ER</SupplierCode><CategoryID>24</CategoryID><SubCategoryID>208</SubCategoryID><GroupID>1636</GroupID><SubGroupID>4457</SubGroupID><Suffix>R (ringed)</Suffix><ARTGs><ARTG>216528</ARTG></ARTGs><MinimumBenefit>1440</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2014-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>GX019</BillingCode><Name>Maquet InterVascular Straight Vascular Grafts</Name><Description>Straight Vascular Grafts</Description><Size>6mm - 32mm Diameter, 60cm -100cm length</Size><SupplierCode>GX</SupplierCode><CategoryID>24</CategoryID><SubCategoryID>208</SubCategoryID><GroupID>1636</GroupID><SubGroupID>4457</SubGroupID><ARTGs><ARTG>145380</ARTG><ARTG>145510</ARTG><ARTG>145512</ARTG></ARTGs><MinimumBenefit>663</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2020-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BA254</BillingCode><Name>Bard Vascular Graft</Name><Description>PTFE graft</Description><Size>50 cm or &gt; 50cm</Size><SupplierCode>BA</SupplierCode><CategoryID>24</CategoryID><SubCategoryID>208</SubCategoryID><GroupID>1636</GroupID><SubGroupID>4457</SubGroupID><ARTGs><ARTG>134452</ARTG></ARTGs><MinimumBenefit>663</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2014-08-01</CycleStartDate><CycleEndDate>2025-03-01</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><MinimumBenefit>123</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-11-01</CycleStartDate><CycleEndDate>2025-03-01</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, 14 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><ChangeExplanation>Change to Size</ChangeExplanation><MinimumBenefit>123</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Update</ActionFlag><CycleStartDate>2023-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>OX018</BillingCode><Name>ARMAR Meril Locking Plate System Self tapping Locking Screws</Name><Description>TiCP Self Tapping Locking Screws</Description><Size>5mm Diameter
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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>EX047</BillingCode><Name>Equinoxe Glenosphere Locking Screw</Name><Description>The Locking Screw locks compression screws to the glenoid plate at a variable angle</Description><Size>one size</Size><SupplierCode>FA</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3369</SubGroupID><Suffix>LK</Suffix><ARTGs><ARTG>159797</ARTG></ARTGs><MinimumBenefit>123</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2010-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>DZ057</BillingCode><Name>Valens Shoulder and Elbow - Screws</Name><Description>Cannulated Screws</Description><Size>4.5mm, 5.0mm</Size><SupplierCode>DZ</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3369</SubGroupID><Suffix>CN,DT</Suffix><ARTGs><ARTG>276915</ARTG></ARTGs><MinimumBenefit>351</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SY645</BillingCode><Name>AO/ASIF Screws</Name><Description>HCS Countersinkable Compression Screw</Description><Size>4.5mm-6.5mm</Size><SupplierCode>JJ</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HW836</BillingCode><PriorBillingCodes><PriorBillingCode>WR294</PriorBillingCode></PriorBillingCodes><Name>SALVATION 3Di Plating System - OP Locking Screws</Name><Description>Osteopenic locking screws</Description><Size>Diameter: 5.5mm  Length: 16, 18, 20, 22, 25, 30, 35, 40, 45, 50, 55, 60mm</Size><SupplierCode>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>2025-03-01</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SK564</BillingCode><Name>Stryker Plating System</Name><Description>SPS Locking Plate System</Description><Size>Locking Screws - 5mm</Size><SupplierCode>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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>DZ037</BillingCode><Name>Valens - Cannulated Screws</Name><Description>Countersunk Cannulated Partial-Thread Screw</Description><Size>5.0mm</Size><SupplierCode>DZ</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3369</SubGroupID><Suffix>CN,DT</Suffix><ARTGs><ARTG>276915</ARTG></ARTGs><MinimumBenefit>351</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ER530</BillingCode><Name>Paragon 28 Monster Screw System-Screws, standard ( ≥ 4.5mm), locking</Name><Description>Paragon 28 Monster Screw System-Joust Beaming Screws, standard, locking, headless, Titanium</Description><Size>dia (5.0-7.2mm) x Length (50-185mm)</Size><SupplierCode>KQ</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3369</SubGroupID><ARTGs><ARTG>289308</ARTG></ARTGs><MinimumBenefit>57</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2019-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LM134</BillingCode><PriorBillingCodes><PriorBillingCode>LM049</PriorBillingCode></PriorBillingCodes><Name>TriMed Compression Screws</Name><Description>Cannulated dual thread compression screws</Description><Size>4.5-7.3mm x 26-112mm</Size><SupplierCode>LM</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3369</SubGroupID><Suffix>CN,DT</Suffix><ARTGs><ARTG>229704</ARTG></ARTGs><ChangeExplanation>Change to Suffix, Description, Size,Change to Group benefit</ChangeExplanation><MinimumBenefit>351</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Update</ActionFlag><CycleStartDate>2012-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HW697</BillingCode><PriorBillingCodes><PriorBillingCode>WR033</PriorBillingCode></PriorBillingCodes><Name>Cannulated Screw</Name><Description>Multi use compression screw, cannulated, stainless steel or titanium</Description><Size>6.5mm&amp; 7.0mm dia, 40-110mm lengths in 5mm increments</Size><SupplierCode>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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HW855</BillingCode><PriorBillingCodes><PriorBillingCode>WR319</PriorBillingCode></PriorBillingCodes><Name>Unima Screw</Name><Description>Foot Screw</Description><Size>4.5 x 26 - 70mm  7.3 x 40 - 120mm</Size><SupplierCode>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>2025-03-01</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SN768</BillingCode><Name>Peri-Loc</Name><Description>Fixation Device, Internal, Locking, Stainless Steel, Cortical &amp; Cancellous Screw</Description><Size>4.5mm -5.0mm</Size><SupplierCode>SN</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3369</SubGroupID><Suffix>LK</Suffix><ARTGs><ARTG>104369</ARTG></ARTGs><MinimumBenefit>123</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>RV005</BillingCode><Name>PS  Locking Screw</Name><Description> Locking screw</Description><Size>4.5mm Diameter, 24-90mm Length</Size><SupplierCode>RV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3369</SubGroupID><Suffix>LK</Suffix><ARTGs><ARTG>330190</ARTG></ARTGs><MinimumBenefit>123</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2020-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SL151</BillingCode><Name>Smith &amp; Nephew Plate and Screw System - EVOS</Name><Description>Standard screws - Locking</Description><Size>≥4.5mm</Size><SupplierCode>SN</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3369</SubGroupID><Suffix>LK</Suffix><ARTGs><ARTG>104369</ARTG><ARTG>230143</ARTG><ARTG>368491</ARTG></ARTGs><MinimumBenefit>123</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2019-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HW791</BillingCode><PriorBillingCodes><PriorBillingCode>WR074</PriorBillingCode></PriorBillingCodes><Name>Locking Screws</Name><Description>Stainless Steel or Titanium Locking Screws</Description><Size>4.5-5.5mm diameter, 8 - 100m length</Size><SupplierCode>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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HW531</BillingCode><Name>Stryker Plating System</Name><Description>Locking Screw</Description><Size>5.0mm</Size><SupplierCode>JV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3369</SubGroupID><Suffix>LK</Suffix><ARTGs><ARTG>139635</ARTG><ARTG>352530</ARTG></ARTGs><MinimumBenefit>123</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2014-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HW872</BillingCode><PriorBillingCodes><PriorBillingCode>WR342</PriorBillingCode></PriorBillingCodes><Name>Aequalis Reversed Shoulder - Fixation Screw for Articular Implant</Name><Description>Titanium, sterile and non-sterile</Description><Size>D4.5mm, L20 to 50mm</Size><SupplierCode>JV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3369</SubGroupID><Suffix>LK</Suffix><ARTGs><ARTG>214803</ARTG><ARTG>291613</ARTG></ARTGs><MinimumBenefit>123</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-11-01</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>PF024</BillingCode><Name>FH Screw Systems</Name><Description>Large Compression Screw</Description><Size>45mm - 110mm</Size><SupplierCode>PF</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3369</SubGroupID><Suffix>CN,DT</Suffix><ARTGs><ARTG>141164</ARTG></ARTGs><MinimumBenefit>351</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ZI180</BillingCode><Name>Zimmer Large Herbert Bone Screw</Name><Description>4.5mm Cannulated Double Threaded Compression Bone Screw - Ti Alloy</Description><Size>30 - 70mm</Size><SupplierCode>ZI</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3369</SubGroupID><Suffix>CN,DT</Suffix><ARTGs><ARTG>112735</ARTG></ARTGs><MinimumBenefit>351</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HW914</BillingCode><PriorBillingCodes><PriorBillingCode>WR394</PriorBillingCode></PriorBillingCodes><Name>NexFix 4.5MM Compression Screw</Name><Description>The NexFix Compression Screw is a stainless steel, cannulated, self tapping, and self drilling fixation device for osteotomies, fusions and fracture fixation of small bones</Description><Size>4.5mm diameter x 14-40mm in 2mm increments, 40-65mm in 5mm increments, with short and long thread options</Size><SupplierCode>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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MO357</BillingCode><Name>Acutrak 2</Name><Description>Headless compression screw</Description><Size>&gt;4.5mm</Size><SupplierCode>MO</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3369</SubGroupID><Suffix>CN,DT</Suffix><ARTGs><ARTG>99823</ARTG></ARTGs><MinimumBenefit>351</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HW917</BillingCode><PriorBillingCodes><PriorBillingCode>WR397</PriorBillingCode></PriorBillingCodes><Name>NexFix 6.5mm Compression Screw</Name><Description>The NexFix Compression Screw is a stainless steel, cannulated, self tapping, and self drilling fixation device for osteotomies, fusions and fracture fixation of small bones</Description><Size>6.5mm diameter x 40-120mm in 5mm increments with short and long thread options</Size><SupplierCode>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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HU141</BillingCode><Name>Compression FT</Name><Description>Compression Screw</Description><Size>5.0mm &amp; 7.0mm Diameters</Size><SupplierCode>HU</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3369</SubGroupID><Suffix>CN,DT</Suffix><ARTGs><ARTG>351000</ARTG></ARTGs><MinimumBenefit>351</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MO383</BillingCode><Name>Acumed Headless Compression Screw</Name><Description>Acutrak 6/7 screw, Acutrak Plus</Description><Size>&gt;4.5mm</Size><SupplierCode>MO</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3369</SubGroupID><Suffix>CN,DT</Suffix><ARTGs><ARTG>99823</ARTG></ARTGs><MinimumBenefit>351</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-02-01</CycleStartDate><CycleEndDate>2025-03-01</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><MinimumBenefit>123</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2024-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MA530</BillingCode><Name>Affinis Inverse locking screw</Name><Description>Locking Metaglene screw</Description><Size>24x4.0mm to 48x4.0mm</Size><SupplierCode>MA</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3369</SubGroupID><Suffix>LK</Suffix><ARTGs><ARTG>241996</ARTG></ARTGs><MinimumBenefit>123</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>XT051</BillingCode><PriorBillingCodes><PriorBillingCode>GW065</PriorBillingCode></PriorBillingCodes><Name>WEGO Trauma Systems</Name><Description>Self-tapping Cannulated Screw</Description><Size>Standard ( ≥4.5mm)</Size><SupplierCode>XT</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3369</SubGroupID><Suffix>CN,DT</Suffix><ARTGs><ARTG>324381</ARTG></ARTGs><ChangeExplanation>
Billing code transferred from GW065
Sponsor transferred from EQUINOX MEDICAL PTY LTD</ChangeExplanation><MinimumBenefit>351</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2021-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>PB062</BillingCode><Name>MCS</Name><Description>MCS System</Description><Size>&gt; 4.5mm</Size><SupplierCode>PB</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3369</SubGroupID><Suffix>CN,DT</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HW337</BillingCode><Name>Stryker Plating System</Name><Description>Screws Ti or StST</Description><Size>4.5-6.5mm</Size><SupplierCode>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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HW820</BillingCode><PriorBillingCodes><PriorBillingCode>WR248</PriorBillingCode></PriorBillingCodes><Name>Darco Headed Compression Screw System 4.5, 6.5, 7.5</Name><Description>Cannulated titanium compression screws</Description><Size>4.5mm x 8-60mm; 6.5mm x 35-120mm; 7.5mm x 35-120mm</Size><SupplierCode>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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>JK002</BillingCode><PriorBillingCodes><PriorBillingCode>UQ002</PriorBillingCode></PriorBillingCodes><Name>OsteoMed Plating &amp; Fixation System</Name><Description>Plates - Fracture; Screws - Cannulated Lag</Description><Size>6 Hole Fracture Plate 47 - 52mm; 2 x 2 Hole Angled Fracture Plate; 3 x 3 Hole Angled Fracture Plate; 6.5mm x (30 -150)mm; 7.3mm x (30 - 150)mm</Size><SupplierCode>JK</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3369</SubGroupID><Suffix>CN</Suffix><ARTGs><ARTG>130508</ARTG><ARTG>130509</ARTG></ARTGs><MinimumBenefit>185</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ZI176</BillingCode><Name>Zimmer Internal Fixation Systems: Cannulated Screw</Name><Description>Magna-FX - Stainless Steel</Description><Size>16 mm Thread - 30-30 mm; 32 mm Thread - 40-120 mm; Fully Threaded - 30-130 mm Long</Size><SupplierCode>ZI</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3369</SubGroupID><Suffix>CN</Suffix><ARTGs><ARTG>112735</ARTG></ARTGs><MinimumBenefit>185</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BP031</BillingCode><Name>Tyber Medical Trauma headed screw</Name><Description>Trauma screw for compression and fixation of bone  Sterile or Non sterile, Titanium or stainless steel</Description><Size>4.5mm-7.5mm</Size><SupplierCode>BP</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3369</SubGroupID><Suffix>CN</Suffix><ARTGs><ARTG>324190</ARTG><ARTG>324189</ARTG></ARTGs><MinimumBenefit>185</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2020-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>VK034</BillingCode><Name>eight-Plate Plus Cannulated Screw</Name><Description>The guided growth plate system plus consists of different sizes of plates and cannulated screws. The device is designed for the gradual correction of paediatric congenital as well as acquired deformities in both upper and lower extremities.</Description><Size>4.5mm x 16mm  4.5mm x 24mm  4.5mm x 32mm  4.5mm x 36mm</Size><SupplierCode>VK</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3369</SubGroupID><Suffix>CN</Suffix><ARTGs><ARTG>289252</ARTG></ARTGs><MinimumBenefit>185</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2019-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>IT031</BillingCode><Name>Integrant 6.5mm Screws</Name><Description>6.5mm diameter screws with variable pitch/dynamic thread</Description><Size>6.5mm diameter, 45mm-120mm length</Size><SupplierCode>IT</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3369</SubGroupID><Suffix>CN,DT</Suffix><ARTGs><ARTG>230954</ARTG></ARTGs><MinimumBenefit>351</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>TN001</BillingCode><Name>Newclip cannulated screws</Name><Description>Cannulated screws</Description><Size>Standard (≥4.5mm)</Size><SupplierCode>TN</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3369</SubGroupID><Suffix>CN</Suffix><ARTGs><ARTG>260233</ARTG><ARTG>260234</ARTG></ARTGs><MinimumBenefit>185</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2016-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LM368</BillingCode><Name>Intramedullary Beam</Name><Description>Intramedullary Beam</Description><Size>All sizes</Size><SupplierCode>LM</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3369</SubGroupID><Suffix>CN,DT</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>2025-03-01</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>KQ</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3369</SubGroupID><Suffix>CN,DT</Suffix><ARTGs><ARTG>289308</ARTG></ARTGs><MinimumBenefit>351</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-08-01</CycleStartDate><CycleEndDate>2025-03-01</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><MinimumBenefit>185</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2024-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>XT039</BillingCode><PriorBillingCodes><PriorBillingCode>GW053</PriorBillingCode></PriorBillingCodes><Name>WEGO Trauma Systems</Name><Description>Standard Cannulated Screw Systems</Description><Size>Standard ( ≥4.5mm) 20-120mm</Size><SupplierCode>XT</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3369</SubGroupID><Suffix>CN</Suffix><ARTGs><ARTG>324381</ARTG></ARTGs><ChangeExplanation>
Billing code transferred from GW053
Sponsor transferred from EQUINOX MEDICAL PTY LTD</ChangeExplanation><MinimumBenefit>185</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2020-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SN769</BillingCode><Name>Peri-Loc</Name><Description>Locking Cannulated Screws</Description><Size>≥4.5mm</Size><SupplierCode>SN</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3369</SubGroupID><Suffix>CN,LK</Suffix><ARTGs><ARTG>104369</ARTG></ARTGs><MinimumBenefit>246</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SK593</BillingCode><Name> Total Wrist Implant System</Name><Description>Carpal Screws</Description><Size>15, 18, 22, 26, 30mm</Size><SupplierCode>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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>JJ558</BillingCode><Name>DELTA Xtend</Name><Description>Locking Metaglene Screw Dia 4.5</Description><Size>4.5mm; 24, 30, 36, 42, 48</Size><SupplierCode>JJ</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>RV009</BillingCode><Name>PS Locking Dual Thread Screw</Name><Description>Locking Screw ø4.5mm, self-tapping, VAL, Dual Thread</Description><Size>4.5mm, 29-90mm Length</Size><SupplierCode>RV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3369</SubGroupID><Suffix>DT,LK</Suffix><ARTGs><ARTG>330190</ARTG></ARTGs><MinimumBenefit>289</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2020-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>DZ048</BillingCode><Name>Valetis Screws</Name><Description>Titanium Locking Screws</Description><Size>5.0mm width, 10-100mm length</Size><SupplierCode>DZ</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3369</SubGroupID><Suffix>LK</Suffix><ARTGs><ARTG>284755</ARTG></ARTGs><MinimumBenefit>123</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SQ091</BillingCode><Name>Bone Screws</Name><Description>Cortical, Locking, Self-tapping, Standard, T20, Fully Threaded</Description><Size>4.5 - 5.0mm Diameter  10-90mm Length</Size><SupplierCode>SQ</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3369</SubGroupID><Suffix>LK</Suffix><ARTGs><ARTG>191602</ARTG><ARTG>191587</ARTG></ARTGs><MinimumBenefit>123</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2013-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MO414</BillingCode><Name>Acumed Screws</Name><Description>Locking Screws</Description><Size>&gt;4.5mm</Size><SupplierCode>MO</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3369</SubGroupID><Suffix>LK</Suffix><ARTGs><ARTG>99823</ARTG></ARTGs><MinimumBenefit>123</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2014-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SL080</BillingCode><Name>Conquest FN</Name><Description>Cannulated Screws</Description><Size>≥4.50mm</Size><SupplierCode>SN</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SY691</BillingCode><Name>Midfoot Fusion Bolt</Name><Description>Solid intramedullary arthodesis implant</Description><Size>6.5mm diameter; 50-160mm Length</Size><SupplierCode>JJ</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>2025-03-01</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>KQ</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3369</SubGroupID><Suffix>DT</Suffix><ARTGs><ARTG>289308</ARTG></ARTGs><MinimumBenefit>229</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2019-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HU116</BillingCode><PriorBillingCodes><PriorBillingCode>DE344</PriorBillingCode></PriorBillingCodes><Name>iBalance HTO System</Name><Description>PEEK Screws for iBalance HTO Implant</Description><Size>4.5mm Cortical and 6.5mm Cancellous</Size><SupplierCode>HU</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3369</SubGroupID><Suffix>LK</Suffix><ARTGs><ARTG>350871</ARTG></ARTGs><MinimumBenefit>123</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HU208</BillingCode><Name>Titanium Locking Cortical and Cancellous Screws, Large</Name><Description>Titanium Locking Cortical and Cancellous Screws, Large</Description><Size>4.5-6.5mm</Size><SupplierCode>HU</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3369</SubGroupID><Suffix>LK</Suffix><ARTGs><ARTG>350871</ARTG></ARTGs><MinimumBenefit>123</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-03-01</CycleStartDate><CycleEndDate>2025-03-01</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><MinimumBenefit>246</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2016-02-01</CycleStartDate><CycleEndDate>2025-03-01</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>KQ</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3369</SubGroupID><Suffix>CN,LK</Suffix><ARTGs><ARTG>289308</ARTG></ARTGs><MinimumBenefit>246</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2019-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SY631</BillingCode><Name>AO/ASIF Screws</Name><Description>Cannulated Locking Screws</Description><Size>≥4.50mm</Size><SupplierCode>JJ</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3369</SubGroupID><Suffix>CN,LK</Suffix><ARTGs><ARTG>297881</ARTG><ARTG>157068</ARTG></ARTGs><MinimumBenefit>246</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SL171</BillingCode><Name>Smith &amp; Nephew Plate and Screw System- EVOS</Name><Description>Standard Screws - Cannulated Locking  </Description><Size>≥4.5mm</Size><SupplierCode>SN</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SY653</BillingCode><Name>AO/ASIF Screws</Name><Description>Locking Screws</Description><Size>≥ 4.5mm</Size><SupplierCode>JJ</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>RV008</BillingCode><Name>PS Non-locking Dual Thread Screw</Name><Description>Non Locking Screw ø4.5mm, self-tapping, Dual Thread</Description><Size>4.5mm, 29-50mm Length</Size><SupplierCode>RV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3369</SubGroupID><Suffix>DT</Suffix><ARTGs><ARTG>330190</ARTG></ARTGs><MinimumBenefit>229</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2020-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>JD014</BillingCode><Name>Screws - Locking</Name><Description>Locking</Description><Size>≥4.5mm</Size><SupplierCode>JD</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3369</SubGroupID><Suffix>LK</Suffix><ARTGs><ARTG>222648</ARTG></ARTGs><MinimumBenefit>123</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-02-01</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HU115</BillingCode><PriorBillingCodes><PriorBillingCode>DE343</PriorBillingCode></PriorBillingCodes><Name>PEEKPower HTO Plate</Name><Description>Medial High Tibial Osteotomy Implant Device System</Description><Size>5.0mm</Size><SupplierCode>HU</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3369</SubGroupID><Suffix>LK</Suffix><ARTGs><ARTG>350871</ARTG><ARTG>351000</ARTG></ARTGs><MinimumBenefit>123</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ZI548</BillingCode><Name>Zimmer Universal Locking System</Name><Description>2.7mm Universal Locking Screw</Description><Size>Length:8mm; 10mm; 12mm; 14mm; 16mm; 18mm; 20mm; 22mm; 24mm; 26mm; 28mm; 30mm; 32mm; 34mm; 36mm; 38mm; 40mm; 42mm; 44mm; 46mm; 48mm; 50mm; 55mm; 60mm</Size><SupplierCode>ZI</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3369</SubGroupID><Suffix>LK</Suffix><ARTGs><ARTG>112735</ARTG></ARTGs><MinimumBenefit>123</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2007-12-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MO413</BillingCode><Name>Acumed Screws</Name><Description>Screws</Description><Size>&gt;4.5mm</Size><SupplierCode>MO</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3369</SubGroupID><ARTGs><ARTG>99823</ARTG></ARTGs><MinimumBenefit>57</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2014-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HU155</BillingCode><PriorBillingCodes><PriorBillingCode>DE537</PriorBillingCode></PriorBillingCodes><Name>Arthrex Jones Fracture Screw</Name><Description>Partially Threaded Screw to fixate fractures of the 5th Metatarsal</Description><Size>4.5mm (40-65mm Lengths)  5.5mm (40-65mm Lengths)  6.0mm (40-65mm Lengths)</Size><SupplierCode>HU</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3369</SubGroupID><ARTGs><ARTG>350672</ARTG></ARTGs><MinimumBenefit>57</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-03-01</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</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><MinimumBenefit>123</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BU012</BillingCode><Name>Nexis osteosynthesis screws</Name><Description>Bone screw titanium alloy (compressive)</Description><Size>Diameter 5-7 mm, Length 26-120mm</Size><SupplierCode>BU</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3369</SubGroupID><Suffix>CN,DT</Suffix><ARTGs><ARTG>235765</ARTG></ARTGs><MinimumBenefit>351</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2016-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BH166</BillingCode><Name>Comprehensive Shoulder Screws</Name><Description>Screw, Locking, Ti</Description><Size>4.75 dia x (15-45)mm</Size><SupplierCode>ZI</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SL031</BillingCode><Name>Headless Cannulated Screw</Name><Description>Headless cannulated screw</Description><Size>&gt;4.5mm</Size><SupplierCode>SN</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SF094</BillingCode><Name>Versa Screw</Name><Description>Self Drilling self tapping Cannulated Compression Screw</Description><Size>6.5 to 8mm Dia x 40 to 120mm length</Size><SupplierCode>SF</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3369</SubGroupID><Suffix>CN,DT</Suffix><ARTGs><ARTG>184460</ARTG></ARTGs><MinimumBenefit>351</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2015-08-01</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>OX019</BillingCode><Name>ARMAR Meril Locking Plate System Cancellous Screw</Name><Description>TiCP and Stainless Steel Cancellous Bone Screws</Description><Size>6.5mm Diameter
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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MA539</BillingCode><Name>Affinis Inverse Lag Screw</Name><Description>Metaglene Lag screw</Description><Size>18x4.5mm to 38 x 4.5 mm</Size><SupplierCode>MA</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3369</SubGroupID><ARTGs><ARTG>241996</ARTG></ARTGs><MinimumBenefit>57</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-08-01</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BH046</BillingCode><Name>Biomet Phoenix Ankle Nailing System - 5mm Double-lead thread screw</Name><Description>Double lead screw - Ti-6Al-4V</Description><Size>5mm Dia x (20 to 110)mm length</Size><SupplierCode>ZI</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BH318</BillingCode><Name>Affixus Hip Fracture Nail System</Name><Description>Anti- rotational screw</Description><Size>5mm diameter</Size><SupplierCode>ZI</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SF087</BillingCode><Name>Speyside Double Threaded Cannulated Screw</Name><Description>Speyside - Double threaded – Self tapping or self drilling cannulated screw</Description><Size>Diameter 4.5 and 6.5mm x Length 30 to 100mm</Size><SupplierCode>SF</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3369</SubGroupID><Suffix>CN,DT</Suffix><ARTGs><ARTG>184460</ARTG></ARTGs><MinimumBenefit>351</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2015-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HW561</BillingCode><Name>Stryker Fixos Screws</Name><Description>Stryker Fixos Screws &gt;4.5mm</Description><Size>5mm &amp; 7mm diameter</Size><SupplierCode>JV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3369</SubGroupID><Suffix>CN,DT</Suffix><ARTGs><ARTG>269713</ARTG><ARTG>295226</ARTG></ARTGs><MinimumBenefit>351</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2016-02-01</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>IT015</BillingCode><Name>Superior Fusion Plate System - Locking screws</Name><Description>4.5mm locking screw set with lengths ranging from 35mm to 110mm.Locking screws to hold and aid an anatomical contoured locking plate used for primary, revision and pantalar anterior ankle fusions.</Description><Size>4.5mm in diameter with lengths of 35mm,37mm, 39mm, 41mm, 43mm, 45mm, 47mm, 49mm,
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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HW699</BillingCode><PriorBillingCodes><PriorBillingCode>WR036</PriorBillingCode></PriorBillingCodes><Name>Charlotte Carolina Jones Fracture System</Name><Description>Low profile, solid-core, surgical grade stainless steel screw, partially threatded with thread length varying anthropometrically relative to overall screw length, utilising specialised instruments for IM placement in the 5th metatarsal</Description><Size>4.5mm, 4.5mm, 6.5mm, 40mm-70mm overall screw lengths</Size><SupplierCode>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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ZI831</BillingCode><Name>NCB Polyaxial Locking System</Name><Description>Variable Angle Locking Screw Cap - Ti Alloy</Description><Size>8mm</Size><SupplierCode>ZI</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3369</SubGroupID><ARTGs><ARTG>100337</ARTG></ARTGs><MinimumBenefit>57</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>DZ056</BillingCode><Name>Valens Shoulder and Elbow - Screws</Name><Description>Cortex/Cancellous Screws</Description><Size>4.5mm, 6.5mm</Size><SupplierCode>DZ</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3369</SubGroupID><Suffix>LK</Suffix><ARTGs><ARTG>276915</ARTG></ARTGs><MinimumBenefit>123</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SQ116</BillingCode><Name>SuperCable Trochanteric Grips and Cable Plate System</Name><Description>Locking Screw Titanium</Description><Size>5.0mm diameter 10mm to 50mm length</Size><SupplierCode>SQ</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3369</SubGroupID><Suffix>LK</Suffix><ARTGs><ARTG>260682</ARTG></ARTGs><MinimumBenefit>123</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2016-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>TN007</BillingCode><Name>Newclip Locking Bone Screws</Name><Description>Locking Bone Screws</Description><Size>Diam ≥4.5mm, length 15 - 110mm</Size><SupplierCode>TN</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3369</SubGroupID><Suffix>LK</Suffix><ARTGs><ARTG>260233</ARTG><ARTG>260234</ARTG></ARTGs><MinimumBenefit>123</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2016-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>PJ003</BillingCode><Name>FlexiSystem, Flexit Cortical and Cancellous locking screws and duel threaded screws</Name><Description>Cortical and Cancellous locking Duel threaded screws</Description><Size>30,35,40,45,50,55,60,6,70,75mm</Size><SupplierCode>PJ</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3369</SubGroupID><Suffix>LK</Suffix><ARTGs><ARTG>206423</ARTG></ARTGs><MinimumBenefit>123</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2014-02-01</CycleStartDate><CycleEndDate>2025-03-01</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>KQ</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3369</SubGroupID><Suffix>LK</Suffix><ARTGs><ARTG>289308</ARTG></ARTGs><MinimumBenefit>123</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2019-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BH284</BillingCode><Name>ALPS Plating System</Name><Description>Locking screws</Description><Size>4.5 to 6.5mm diameter</Size><SupplierCode>ZI</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>2025-03-01</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SQ113</BillingCode><Name>SuperCable Trochanteric Grips and Cable Plate System</Name><Description>Compression Screws Titanium</Description><Size>4.5mm Diameter 10mm to 50 mm length</Size><SupplierCode>SQ</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3369</SubGroupID><ARTGs><ARTG>260682</ARTG></ARTGs><MinimumBenefit>57</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2016-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>IT007</BillingCode><Name>Hawk Anterior Ankle Fusion Set</Name><Description>4.5mm screw set with lengths ranging from 35mm to 110mm.</Description><Size>4.5mm x length (35mm to 110mm)</Size><SupplierCode>IT</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3369</SubGroupID><ARTGs><ARTG>191738</ARTG></ARTGs><MinimumBenefit>57</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2015-08-01</CycleStartDate><CycleEndDate>2025-03-01</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><MinimumBenefit>57</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HU154</BillingCode><PriorBillingCodes><PriorBillingCode>DE481</PriorBillingCode></PriorBillingCodes><Name>Headless Compression Screw System</Name><Description>Headless Compression Screw for bone fixation</Description><Size>6.5mm Diameter (30-120mm Diameter)</Size><SupplierCode>HU</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3369</SubGroupID><Suffix>CN,DT</Suffix><ARTGs><ARTG>350672</ARTG></ARTGs><MinimumBenefit>351</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-03-01</CycleStartDate><CycleEndDate>2025-03-01</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>352531</ARTG><ARTG>119660</ARTG><ARTG>340042</ARTG></ARTGs><MinimumBenefit>185</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-02-01</CycleStartDate><CycleEndDate>2025-03-01</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><MinimumBenefit>185</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ZI891</BillingCode><Name>NCB System</Name><Description>NCB Screws</Description><Size>14- 100mm</Size><SupplierCode>ZI</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3369</SubGroupID><ARTGs><ARTG>100337</ARTG></ARTGs><MinimumBenefit>57</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2014-02-01</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HW877</BillingCode><PriorBillingCodes><PriorBillingCode>WR347</PriorBillingCode></PriorBillingCodes><Name>Aequalis Humeral Nail Screws</Name><Description>Screws for Aequalis Humeral Nail. Cannulated Proximal screws: 5mm Diameter cannulated Ti, PE insert with thread inside. Distal screws 4.5mm Diameter, Ti.  Sterile and non sterile.</Description><Size>Proximal Screws length: From 36 to 60 every 4mm Distal Screws length: From 20 to 32 every 2mm</Size><SupplierCode>JV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3369</SubGroupID><ARTGs><ARTG>148960</ARTG></ARTGs><MinimumBenefit>57</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ZI534</BillingCode><Name>Zimmer Trabecular Metal Reverse Shoulder System</Name><Description>Inverse/Reverse Screw 4.5mm</Description><Size>18mm, 24mm, 27mm, 30mm, 33mm, 36mm, 42mm, 48mm</Size><SupplierCode>ZI</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3369</SubGroupID><ARTGs><ARTG>260178</ARTG></ARTGs><MinimumBenefit>57</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2006-11-30</CycleStartDate><CycleEndDate>2025-03-01</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>ZI</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BH283</BillingCode><Name>ALPS Plating System</Name><Description>Non-locking bone screws</Description><Size>4.5 - 6.5mm diameter</Size><SupplierCode>ZI</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>2025-03-01</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SQ121</BillingCode><Name>Verso Shoulder System - Baseplate Fixation Screw</Name><Description>Verso Shoulder Base Plate Fixation Screw</Description><Size>5mm diameter, 15mm-50mm</Size><SupplierCode>SQ</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3369</SubGroupID><ARTGs><ARTG>262473</ARTG></ARTGs><MinimumBenefit>57</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-02-01</CycleStartDate><CycleEndDate>2025-03-01</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><MinimumBenefit>57</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2024-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>DZ051</BillingCode><Name>Valetis Screws</Name><Description>Titanium Cortical Screws</Description><Size>4.5mm width, 10-80mm length</Size><SupplierCode>DZ</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3369</SubGroupID><ARTGs><ARTG>284755</ARTG></ARTGs><MinimumBenefit>57</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-08-01</CycleStartDate><CycleEndDate>2025-03-01</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><MinimumBenefit>185</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2024-11-01</CycleStartDate><CycleEndDate>2025-03-01</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>377916</ARTG><ARTG>377918</ARTG></ARTGs><MinimumBenefit>57</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2023-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SY596</BillingCode><Name>AO/ASIF Screws</Name><Description>Cortex,Cancellous, Compression Screws</Description><Size>≥ 4.5mm</Size><SupplierCode>JJ</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3369</SubGroupID><ARTGs><ARTG>297881</ARTG><ARTG>157068</ARTG></ARTGs><MinimumBenefit>57</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HW838</BillingCode><PriorBillingCodes><PriorBillingCode>WR296</PriorBillingCode></PriorBillingCodes><Name>SALVATION 3Di Plating System - Osteopenic Screws</Name><Description>Osteopenic screws</Description><Size>Diameter: 5.5mm  Length: 16, 18, 20, 22, 25, 30, 35, 40, 45, 50, 55, 60mm</Size><SupplierCode>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>2025-03-01</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>KQ</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3369</SubGroupID><ARTGs><ARTG>289308</ARTG></ARTGs><MinimumBenefit>57</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HW799</BillingCode><PriorBillingCodes><PriorBillingCode>WR209</PriorBillingCode></PriorBillingCodes><Name>Non-Locking Screws</Name><Description>Titanium or Stailess Steel Alloy Non-Locking Screws</Description><Size>20-100mm, 4.5-5.5mm Diameter</Size><SupplierCode>JV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3369</SubGroupID><ARTGs><ARTG>326629</ARTG><ARTG>198549</ARTG></ARTGs><MinimumBenefit>57</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>TN030</BillingCode><Name>Newclip Non Locking Bone Screw</Name><Description>Non Locking Bone Screw</Description><Size>≥4.5mm diameter, Length 20 - 110mm</Size><SupplierCode>TN</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3369</SubGroupID><ARTGs><ARTG>260233</ARTG><ARTG>260234</ARTG></ARTGs><MinimumBenefit>57</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LH444</BillingCode><Name>Hinge Pediatric Plating System - Screws</Name><Description>2 screws for articulated growth-correction fixation plate</Description><Size>4.5 x 35mm, 4.5 x 30mm, 4.5 x 25mm</Size><SupplierCode>LH</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3369</SubGroupID><ARTGs><ARTG>161505</ARTG></ARTGs><MinimumBenefit>57</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2010-02-01</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SL152</BillingCode><Name>Smith &amp; Nephew Plate and Screw System - EVOS</Name><Description>Standard screws</Description><Size>≥4.5mm</Size><SupplierCode>SN</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3369</SubGroupID><ARTGs><ARTG>104369</ARTG><ARTG>368491</ARTG><ARTG>230143</ARTG></ARTGs><MinimumBenefit>57</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2019-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SL014</BillingCode><Name>Peri-Loc &amp; Peri-Loc VLP</Name><Description>Cortical &amp; Osteopenia Screws</Description><Size>≥4.5mm</Size><SupplierCode>SN</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SL013</BillingCode><Name>TC-100</Name><Description>Cortical &amp; Cancellous Screws</Description><Size>≥4.5mm</Size><SupplierCode>SN</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SL214</BillingCode><PriorBillingCodes><PriorBillingCode>IG113</PriorBillingCode></PriorBillingCodes><Name>Bone Screws</Name><Description>Titanium screws (2) for use with the Universal2 Total Wrist System only</Description><Size>4.5mm x (15, 20, 25, 30, 35mm)</Size><SupplierCode>SN</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ZI149</BillingCode><Name>Periarticular Plates</Name><Description>Periarticular 6.5mm Cancellous Screws - Stainless Steel</Description><Size>16mm Thread - 35-90mm Long, 32mm Thread - 45-90mm Long, Fully Threaded - 25-90mm Long</Size><SupplierCode>ZI</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3369</SubGroupID><ARTGs><ARTG>112735</ARTG></ARTGs><MinimumBenefit>57</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>OX017</BillingCode><Name>ARMAR Meril Locking Plate System Self Tapping Cortex Screws</Name><Description>TiCP and Stainless Steel Self Tapping Cortex Screws</Description><Size>4.5mm Diameter
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>2025-03-01</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>2025-03-01</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><MinimumBenefit>57</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SY630</BillingCode><Name>AO/ASIF Screws</Name><Description>Cannulated Full, Partial Thread screw</Description><Size>≥4.50mm</Size><SupplierCode>JJ</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3369</SubGroupID><Suffix>CN</Suffix><ARTGs><ARTG>157068</ARTG><ARTG>297881</ARTG></ARTGs><MinimumBenefit>185</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HW873</BillingCode><PriorBillingCodes><PriorBillingCode>WR343</PriorBillingCode></PriorBillingCodes><Name>Fixation Screw for Articular Implant</Name><Description>Titanium, sterile and non-sterile</Description><Size>D 4.5mm, L 18mm to 50mm</Size><SupplierCode>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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SL008</BillingCode><Name>Cannulated Screw</Name><Description>Partially &amp; Fully Threaded Titanium</Description><Size>≥4.5mm</Size><SupplierCode>SN</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ST005</BillingCode><Name>Stryker Plating System Screws - Cancellous</Name><Description>6.5mm Stainless Steel or Titanium</Description><Size>20-50mm</Size><SupplierCode>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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>PB044</BillingCode><Name>Cannulated Screws 6.5 &amp; 7.3mm</Name><Description>Cannulated Screws</Description><Size>6.5mm &amp; 7.3mm</Size><SupplierCode>PB</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3369</SubGroupID><Suffix>CN</Suffix><ARTGs><ARTG>223188</ARTG></ARTGs><MinimumBenefit>185</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2016-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>JD013</BillingCode><Name>Screws - Non Locking</Name><Description>≥4.5mm)</Description><Size>≥4.5mm</Size><SupplierCode>JD</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3369</SubGroupID><ARTGs><ARTG>222648</ARTG></ARTGs><MinimumBenefit>57</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-02-01</CycleStartDate><CycleEndDate>2025-03-01</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>KQ</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3369</SubGroupID><Suffix>CN</Suffix><ARTGs><ARTG>289308</ARTG></ARTGs><MinimumBenefit>185</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>GG002</BillingCode><Name>Contile Fin II</Name><Description>Bone Screw</Description><Size>20 to 50mm</Size><SupplierCode>GG</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3369</SubGroupID><ARTGs><ARTG>246519</ARTG></ARTGs><MinimumBenefit>57</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>EO117</BillingCode><Name>APTUS headedCCS</Name><Description>Headed Cannulated screws</Description><Size>≥4.50mm</Size><SupplierCode>EO</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3369</SubGroupID><Suffix>CN</Suffix><ARTGs><ARTG>206157</ARTG></ARTGs><MinimumBenefit>185</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-03-01</CycleStartDate><CycleEndDate>2025-03-01</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><MinimumBenefit>123</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2024-11-01</CycleStartDate><CycleEndDate>2025-03-01</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><MinimumBenefit>185</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2024-11-01</CycleStartDate><CycleEndDate>2025-03-01</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><MinimumBenefit>57</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2024-11-01</CycleStartDate><CycleEndDate>2025-03-01</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>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>2025-03-01</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SQ143</BillingCode><Name>Bone Screws</Name><Description>Self-tapping, Cortical, Solid, Cancellous Thread, T20, Partially Threaded, Recon</Description><Size>4.5-5.0mm Diameter  10-100mm Length</Size><SupplierCode>SQ</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3369</SubGroupID><ARTGs><ARTG>191602</ARTG><ARTG>191587</ARTG></ARTGs><MinimumBenefit>57</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>EX046</BillingCode><Name>Equinoxe Compression Screw</Name><Description>The compression screw compresses the glenoid plate to the bone while providing 30 degrees of angular variability</Description><Size>4.5x18mm white, 4.5x22mm black, 4.5x26mm orange, 4.5x30mm blue, 4.5x34mm red, 4.5x38mm green, 4.5x42mm yellow, 4.5x46mm purple</Size><SupplierCode>FA</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3369</SubGroupID><ARTGs><ARTG>252473</ARTG></ARTGs><MinimumBenefit>57</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2010-02-01</CycleStartDate><CycleEndDate>2025-03-01</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>ZI</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3369</SubGroupID><ARTGs><ARTG>210290</ARTG></ARTGs><MinimumBenefit>57</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ST004</BillingCode><Name>Stryker Plating System Screws - Cortical 4.5mm</Name><Description>Titanium or Stainless Steel</Description><Size>10-20mm</Size><SupplierCode>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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>IT010</BillingCode><Name>Hawk 6.5mm Cannulated Screw System</Name><Description>6.5mm Cannulated Screw</Description><Size>6.5mm in diameter 45 to 115mm in length</Size><SupplierCode>IT</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3369</SubGroupID><Suffix>CN</Suffix><ARTGs><ARTG>230954</ARTG></ARTGs><MinimumBenefit>185</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2015-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SQ144</BillingCode><Name>Cannulated Screws</Name><Description>Cannulated, Cancellous  Short, Medium, Partial, Full Thread  Locking, Non-locking</Description><Size>4.5-7.0mm Diameter  14-120mm Length</Size><SupplierCode>SQ</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3369</SubGroupID><Suffix>CN</Suffix><ARTGs><ARTG>191602</ARTG></ARTGs><MinimumBenefit>185</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>XT006</BillingCode><PriorBillingCodes><PriorBillingCode>GW007</PriorBillingCode></PriorBillingCodes><Name>WEGO Trauma Systems</Name><Description>Standard Bone Screw Systems</Description><Size>Standard ( ≥4.5mm) 10-130mm</Size><SupplierCode>XT</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3369</SubGroupID><ARTGs><ARTG>324381</ARTG></ARTGs><ChangeExplanation>
Billing code transferred from GW007
Sponsor transferred from EQUINOX MEDICAL PTY LTD</ChangeExplanation><MinimumBenefit>57</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2020-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HU156</BillingCode><Name>PEEKPower HTO Plate</Name><Description>Medial High Tibial Osteotomy Implant Device System</Description><Size>4.5mm Titanium compression Screws</Size><SupplierCode>HU</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3369</SubGroupID><ARTGs><ARTG>350871</ARTG><ARTG>351000</ARTG></ARTGs><MinimumBenefit>57</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HU268</BillingCode><PriorBillingCodes><PriorBillingCode>DE367</PriorBillingCode></PriorBillingCodes><Name>Cancellous Bone Screws</Name><Description>Cancellous Bone Screws</Description><Size>25-50mm x 6.5mm</Size><SupplierCode>HU</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3369</SubGroupID><ARTGs><ARTG>350871</ARTG></ARTGs><MinimumBenefit>57</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MU186</BillingCode><Name>PAO Cortical Screw Ø4.5</Name><Description>Peri-Acetabular Osteotomy Cortical Screw</Description><Size>Ø4.5 L 50-140 mm</Size><SupplierCode>MU</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3369</SubGroupID><ARTGs><ARTG>219907</ARTG></ARTGs><MinimumBenefit>57</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-03-01</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>EO093</BillingCode><Name>APTUS SpeedTip CCS</Name><Description>APTUS SpeedTip CCS 5.0/7.0</Description><Size>5.0mm diameter and 7.0mm diameter. Short and long thread</Size><SupplierCode>EO</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3369</SubGroupID><Suffix>CN,DT</Suffix><ARTGs><ARTG>206157</ARTG></ARTGs><MinimumBenefit>351</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2015-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BP026</BillingCode><Name>Tyber Medical trauma headless screw</Name><Description>Headless trauma screw for compression and fixation of bone  Sterile or Non sterile, Titanium or stainless steel</Description><Size>4.5mm-9.0mm</Size><SupplierCode>BP</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3369</SubGroupID><Suffix>CN,DT</Suffix><ARTGs><ARTG>324189</ARTG><ARTG>324190</ARTG></ARTGs><MinimumBenefit>351</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2020-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>TN073</BillingCode><Name>Newclip Compression Screws</Name><Description>Self-compressive cannulated screw</Description><Size>≥4.5 mm diameter, length 20-70 mm</Size><SupplierCode>TN</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3369</SubGroupID><Suffix>CN,DT</Suffix><ARTGs><ARTG>260234</ARTG><ARTG>260233</ARTG></ARTGs><MinimumBenefit>351</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>TN002</BillingCode><Name>Newclip cannulated DT screws</Name><Description>Cannulated screws</Description><Size>Standard (≥4.5mm)</Size><SupplierCode>TN</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3369</SubGroupID><Suffix>CN,DT</Suffix><ARTGs><ARTG>260233</ARTG><ARTG>260234</ARTG></ARTGs><MinimumBenefit>351</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2016-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SL009</BillingCode><Name>Cannulated screws</Name><Description>Partially &amp; Fully Threaded Stainless Steel</Description><Size>≥4.5mm</Size><SupplierCode>SN</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SL170</BillingCode><Name>Smith &amp; Nephew Plate and Screw System - EVOS  </Name><Description>Standard Screws - Cannulated</Description><Size>≥4.5mm</Size><SupplierCode>SN</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SF116</BillingCode><Name>Speyside Superscrew - Standard</Name><Description>Cannulated Cortical / Cancellous Lag Screw Partial or Full Thread</Description><Size>Dia. 4.5 / 5.0 / 6.5 / 7.2 mm x 25-140mm Length</Size><SupplierCode>SF</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3369</SubGroupID><Suffix>CN</Suffix><ARTGs><ARTG>184460</ARTG></ARTGs><MinimumBenefit>185</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2016-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ZI836</BillingCode><Name>NCB Polyaxial Locking System</Name><Description>4.5mm Cannulated Variable Angle Locking Screws - Ti Alloy</Description><Size>14 - 100mm</Size><SupplierCode>ZI</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3369</SubGroupID><Suffix>CN</Suffix><ARTGs><ARTG>100337</ARTG></ARTGs><MinimumBenefit>185</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>OX041</BillingCode><Name>ARMAR Meril Locking Plate System Self Drilling Cannulated Screw</Name><Description>TAN Cannulated Bone Screws</Description><Size>4.5-6.5mm Diameter
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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BH184</BillingCode><Name>Small / Large  Fragment Set</Name><Description>Cannulated Bone Screw Titanium</Description><Size>4.5 - 8mm</Size><SupplierCode>ZI</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HW910</BillingCode><PriorBillingCodes><PriorBillingCode>WR387</PriorBillingCode></PriorBillingCodes><Name>MaxTorque Cannulated Screw System - Standard screws</Name><Description>Bone screws, Titanium, Cannulated, Short or Long Thread</Description><Size>Ø5.5mm Short Thread, Length 26-70mm  Ø5.5mm Long Thread, Length 45-70mm  Ø7.0mm Short thread, Length 40-130mm  Ø7.0mm long Thread, Length 45-130mm</Size><SupplierCode>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>2025-03-01</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>2025-03-01</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>ZI</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3369</SubGroupID><Suffix>CN</Suffix><ARTGs><ARTG>204658</ARTG></ARTGs><MinimumBenefit>185</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2013-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>IT009</BillingCode><Name>Hawk Anterior Ankle Fusion Set</Name><Description>6.5mm screw set with lengths ranging from 35mm to 110 mm.</Description><Size>6.5mm length 35mm to 110mm</Size><SupplierCode>IT</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3369</SubGroupID><ARTGs><ARTG>191738</ARTG></ARTGs><MinimumBenefit>57</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2015-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>DZ052</BillingCode><Name>Valetis Screws</Name><Description>Titanium Cancellous Screws</Description><Size>4.5mm width, 10-80mm length</Size><SupplierCode>DZ</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3369</SubGroupID><ARTGs><ARTG>284755</ARTG></ARTGs><MinimumBenefit>57</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>DZ036</BillingCode><Name>Austofix Cannulated Screws</Name><Description>Cannulated Compression Screw</Description><Size>4.5mm, 6.5mm, 7.3mm</Size><SupplierCode>DZ</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3369</SubGroupID><Suffix>CN</Suffix><ARTGs><ARTG>284755</ARTG></ARTGs><MinimumBenefit>185</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MN200</BillingCode><Name>Bristow-Latarjet Instability Shoulder Set - Screw</Name><Description>Cannulated locking screw</Description><Size>≥4.5mm</Size><SupplierCode>JJ</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>JJ557</BillingCode><Name>DELTA Xtend</Name><Description>Non Locking Canulated Metaglene Screw </Description><Size>4.5mm</Size><SupplierCode>JJ</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3369</SubGroupID><Suffix>CN</Suffix><ARTGs><ARTG>218567</ARTG></ARTGs><ChangeExplanation>Change to ARTG</ChangeExplanation><MinimumBenefit>185</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Update</ActionFlag><CycleStartDate>2006-11-30</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HU204</BillingCode><PriorBillingCodes><PriorBillingCode>DE371</PriorBillingCode></PriorBillingCodes><Name>Cannulated Titanium Low Profile Screws, Large</Name><Description>Cannulated titanium Low Profile Screws, Large</Description><Size>4.5-6.7mm</Size><SupplierCode>HU</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3369</SubGroupID><Suffix>CN</Suffix><ARTGs><ARTG>350871</ARTG><ARTG>351000</ARTG></ARTGs><MinimumBenefit>185</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>XT004</BillingCode><PriorBillingCodes><PriorBillingCode>GW005</PriorBillingCode></PriorBillingCodes><Name>WEGO Trauma Systems</Name><Description>Standard Locking Screw Systems</Description><Size>Standard ( ≥4.5mm) 10-120mm</Size><SupplierCode>XT</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3369</SubGroupID><Suffix>LK</Suffix><ARTGs><ARTG>324381</ARTG></ARTGs><ChangeExplanation>
Billing code transferred from GW005
Sponsor transferred from EQUINOX MEDICAL PTY LTD</ChangeExplanation><MinimumBenefit>123</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2020-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ZI205</BillingCode><Name>Zimmer Screws</Name><Description>4.5mm Cortical Screws</Description><Size>14 - 120mm</Size><SupplierCode>ZI</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3369</SubGroupID><ARTGs><ARTG>112735</ARTG></ARTGs><MinimumBenefit>57</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>PB037</BillingCode><Name>Headless Compression Screw System</Name><Description>Headless Compression Screw</Description><Size>≥4.5mm</Size><SupplierCode>PB</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3369</SubGroupID><Suffix>CN,DT</Suffix><ARTGs><ARTG>223188</ARTG></ARTGs><MinimumBenefit>351</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2016-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BH331</BillingCode><Name>Small / Large  Fragment Set</Name><Description>Bone Screw Titanium</Description><Size>4.5 to 6.5mm diameter</Size><SupplierCode>ZI</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3369</SubGroupID><ARTGs><ARTG>203607</ARTG><ARTG>153087</ARTG></ARTGs><MinimumBenefit>57</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2013-02-01</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ZI207</BillingCode><Name>Zimmer Screws</Name><Description>6.5mm Cancellous Screws</Description><Size>25 - 120mm</Size><SupplierCode>ZI</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3369</SubGroupID><ARTGs><ARTG>112735</ARTG></ARTGs><MinimumBenefit>57</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</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>KQ</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3369</SubGroupID><ARTGs><ARTG>289308</ARTG></ARTGs><MinimumBenefit>57</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2019-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HW461</BillingCode><Name>Memometal Anchorage Bone Screws</Name><Description>Anchorage Locking Bone Screws</Description><Size>3.0 - 3.5mm diameter to 10 - 40mm in length</Size><SupplierCode>JV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3370</SubGroupID><ARTGs><ARTG>352531</ARTG><ARTG>352530</ARTG></ARTGs><MinimumBenefit>46</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>EO077</BillingCode><Name>APTUS Screws</Name><Description>Cortical Screws</Description><Size>2.71mm – 4.49mm</Size><SupplierCode>EO</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3370</SubGroupID><ARTGs><ARTG>206157</ARTG></ARTGs><MinimumBenefit>46</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SY644</BillingCode><Name>AO/ASIF Screws</Name><Description>HCS Countersinkable Compression Screw</Description><Size>2.71mm - 4.49mm</Size><SupplierCode>JJ</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>2025-03-01</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>KR</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SF093</BillingCode><Name>TwinLock Screw - Small</Name><Description>TwinLock Screw - Small</Description><Size>3.5/3.6mm to 4.0/4.1mm Dia x 16 to 34 mm length</Size><SupplierCode>SF</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3370</SubGroupID><Suffix>CN,DT</Suffix><ARTGs><ARTG>184460</ARTG></ARTGs><MinimumBenefit>362</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2015-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SL193</BillingCode><PriorBillingCodes><PriorBillingCode>IG069</PriorBillingCode></PriorBillingCodes><Name>Bold Compression Screw</Name><Description>Cannulated titanium</Description><Size>3mm diam 10-34mm length</Size><SupplierCode>SN</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>XU006</BillingCode><PriorBillingCodes><PriorBillingCode>QQ210</PriorBillingCode></PriorBillingCodes><Name>ARIX 2.0-3.5mm Locking screws </Name><Description>Locking screws</Description><Size>2.0-3.5mm</Size><SupplierCode>XU</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3370</SubGroupID><Suffix>LK</Suffix><ARTGs><ARTG>409165</ARTG></ARTGs><ChangeExplanation>
Billing code transferred from QQ210
Sponsor transferred from AA-Med Pty Ltd</ChangeExplanation><MinimumBenefit>102</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2024-07-01</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>XT027</BillingCode><PriorBillingCodes><PriorBillingCode>GW037</PriorBillingCode></PriorBillingCodes><Name>WEGO Trauma Systems</Name><Description>Small Bone Screw Systems</Description><Size>Small (2.71mm – 4.49mm)</Size><SupplierCode>XT</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3370</SubGroupID><Suffix>LK</Suffix><ARTGs><ARTG>324381</ARTG></ARTGs><ChangeExplanation>
Billing code transferred from GW037
Sponsor transferred from EQUINOX MEDICAL PTY LTD</ChangeExplanation><MinimumBenefit>102</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2020-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>XT050</BillingCode><PriorBillingCodes><PriorBillingCode>GW064</PriorBillingCode></PriorBillingCodes><Name>WEGO Trauma Systems</Name><Description>Self-tapping Cannulated Screw</Description><Size>Small (2.71mm – 4.49mm)</Size><SupplierCode>XT</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3370</SubGroupID><Suffix>CN,DT</Suffix><ARTGs><ARTG>324381</ARTG></ARTGs><ChangeExplanation>
Billing code transferred from GW064
Sponsor transferred from EQUINOX MEDICAL PTY LTD</ChangeExplanation><MinimumBenefit>362</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2021-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SK229</BillingCode><Name>Omega Plus Compression Hip Screw System</Name><Description>Cephalic Implants</Description><Size>Hansson Twin Hook Compression Screw 25mm</Size><SupplierCode>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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HU313</BillingCode><Name>Low Profile Cancellous Screws, SS</Name><Description>Cancellous Screws</Description><Size>2.71mm-4.49mm</Size><SupplierCode>HU</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3370</SubGroupID><ARTGs><ARTG>351000</ARTG></ARTGs><MinimumBenefit>46</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-03-01</CycleStartDate><CycleEndDate>2025-03-01</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><MinimumBenefit>102</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2024-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SK631</BillingCode><Name>Sbi Non-Locking Screws</Name><Description>Titanium Cortical Non-Locking Self tapping screws</Description><Size>2.7mm Cortical, Non Locking, Self-tapping 10 -30mm
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>2025-03-01</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HW932</BillingCode><PriorBillingCodes><PriorBillingCode>WR416</PriorBillingCode></PriorBillingCodes><Name>WAVE Calcaneal Fracture System - Locking Screw</Name><Description>The WAVE Calcaneal Fracture System is a low profile, anatomical plate and screw system designed for the minimally invasive fixation of the calcaneal fractures. The plate and associated locking and non-locking screws facilitate the reconstruction of the height and width of the calcaneus, and remodelling of the lateral calcaneal wall. The WAVE calcaneal System is provided non-sterile. The Locking Screw is used with the WAVE Calcaneal Fracture Plate</Description><Size>Screws: Diameter = 4.0mm, Length - 14-44 in 2mm increments</Size><SupplierCode>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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HW719</BillingCode><PriorBillingCodes><PriorBillingCode>WR072</PriorBillingCode></PriorBillingCodes><Name>Ortholoc Fracture System Screws</Name><Description>Titanium, variable angle locking screws</Description><Size>2.7, 3.5 &amp; 4.0mm diameter, 8-100mm length</Size><SupplierCode>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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SK630</BillingCode><Name>SBi Locking Screws</Name><Description>Titanium Cortical Locking Self-tapping screws</Description><Size>2.7mm Cortical Locking, Self-tapping 10 - 30mm
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>2025-03-01</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HW793</BillingCode><PriorBillingCodes><PriorBillingCode>WR078</PriorBillingCode></PriorBillingCodes><Name>Charlotte Lisfranc Recontruction System - Screw.</Name><Description>Solid core stainless steel screw.</Description><Size>3.7mm diameter, 8-100mm length.</Size><SupplierCode>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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SK563</BillingCode><Name>Stryker Plating System</Name><Description>SPS Locking Plate System</Description><Size>Locking screws 3-4mm</Size><SupplierCode>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>2025-03-01</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><MinimumBenefit>46</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SL203</BillingCode><PriorBillingCodes><PriorBillingCode>IG092</PriorBillingCode></PriorBillingCodes><Name>Newdeal Lock Screws</Name><Description>For use with Newdeal bone screws and plates</Description><Size>Diameter 2.7mm - 6.5mm</Size><SupplierCode>SN</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SF084</BillingCode><Name>Signature FAA Screw</Name><Description>Titanium Locking Screw.</Description><Size>2.7mm diameter from 8-30mm in length.</Size><SupplierCode>SF</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3370</SubGroupID><Suffix>LK</Suffix><ARTGs><ARTG>184460</ARTG></ARTGs><MinimumBenefit>102</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2015-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SL191</BillingCode><PriorBillingCodes><PriorBillingCode>IG067</PriorBillingCode></PriorBillingCodes><Name>Surfix screw plus Surfix Lock-Screw</Name><Description>Locking screws with an independent lock-screw head</Description><Size>2.7mm: 10-32mm</Size><SupplierCode>SN</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SY652</BillingCode><PriorBillingCodes><PriorBillingCode>SY278</PriorBillingCode></PriorBillingCodes><Name>AO/ASIF Screws</Name><Description>Locking Head Screws</Description><Size>&gt;2.7mm to &amp;lt; 4.5mm</Size><SupplierCode>JJ</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BU004</BillingCode><Name>Airlock Bone screw</Name><Description>Bone Screws Titanium Alloy (Locking screws)</Description><Size>Diameter 3-3.5mm, Length 8-30mm</Size><SupplierCode>BU</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3370</SubGroupID><Suffix>LK</Suffix><ARTGs><ARTG>235767</ARTG></ARTGs><MinimumBenefit>102</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2016-08-01</CycleStartDate><CycleEndDate>2025-03-01</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><MinimumBenefit>46</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-03-01</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SQ176</BillingCode><Name>PediFoot Deformity Correction System  </Name><Description>3.5mm Cortical Screws</Description><Size>8-60mm length</Size><SupplierCode>SQ</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3370</SubGroupID><ARTGs><ARTG>191602</ARTG></ARTGs><MinimumBenefit>46</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2020-11-01</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BP033</BillingCode><Name>Tyber Medical Headed Trauma screw</Name><Description>Headed trauma screw for compression and fixation of bone  Sterile or Non sterile, Titanium or stainless steel</Description><Size>3.0mm - 4.0mm</Size><SupplierCode>BP</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3370</SubGroupID><Suffix>CN</Suffix><ARTGs><ARTG>324189</ARTG><ARTG>324190</ARTG></ARTGs><MinimumBenefit>178</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2020-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>EO116</BillingCode><Name>APTUS headedCCS</Name><Description>Headed Cannulated screws</Description><Size>&gt;2.7mm-4.49mm</Size><SupplierCode>EO</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3370</SubGroupID><Suffix>CN</Suffix><ARTGs><ARTG>206157</ARTG></ARTGs><MinimumBenefit>178</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HW717</BillingCode><PriorBillingCodes><PriorBillingCode>WR068</PriorBillingCode></PriorBillingCodes><Name>Cannulated Screw</Name><Description>Titanium cannulated screw intended for use in conjunction with a plate for fixation of midfoot fusion</Description><Size>3.5mm diameter x 34, 36 &amp; 38mm</Size><SupplierCode>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>2025-03-01</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><MinimumBenefit>178</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HW819</BillingCode><PriorBillingCodes><PriorBillingCode>WR247</PriorBillingCode></PriorBillingCodes><Name>Darco Headed Compression Screw System</Name><Description>Cannulated titanium compression screws</Description><Size>3.0-4.0mm x 16-50mm</Size><SupplierCode>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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ZI835</BillingCode><Name>NCB Polyaxial Locking System</Name><Description>4.0mm Cannulated Variable Angle Locking Screws - Ti Alloy</Description><Size>14 - 65mm</Size><SupplierCode>ZI</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3370</SubGroupID><Suffix>CN</Suffix><ARTGs><ARTG>100337</ARTG></ARTGs><MinimumBenefit>178</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>IT008</BillingCode><Name>Hawk Anterior Ankle Fusion Set</Name><Description>3.5mm diameter screw set lengths 35mm to 110mm</Description><Size>3.5mm x length 35mm to 110mm</Size><SupplierCode>IT</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3370</SubGroupID><ARTGs><ARTG>191738</ARTG></ARTGs><MinimumBenefit>46</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2015-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HU206</BillingCode><Name>Low Profile Cancellous Bone Screws</Name><Description>Low Profile Cancellous Bone Screws</Description><Size>4mm</Size><SupplierCode>HU</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3370</SubGroupID><ARTGs><ARTG>350871</ARTG><ARTG>351000</ARTG></ARTGs><MinimumBenefit>46</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-03-01</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</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><MinimumBenefit>46</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>DZ076</BillingCode><Name>Cannulated Humeral Nail</Name><Description>Nail Locking Screw</Description><Size>3.5mm Width  20mm-30mm Length</Size><SupplierCode>DZ</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3370</SubGroupID><ARTGs><ARTG>111818</ARTG></ARTGs><MinimumBenefit>46</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2020-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MO378</BillingCode><Name>Acu-Loc Distal Radius Plate System</Name><Description>Cortical Screw Locking</Description><Size>3.5mm</Size><SupplierCode>MO</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3370</SubGroupID><ARTGs><ARTG>99823</ARTG></ARTGs><MinimumBenefit>46</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>DZ015</BillingCode><Name>Austofix Proximal Humeral Plating System - Austofix Cortical Screw</Name><Description>Cortical Screw, Titanium</Description><Size>3.5mm, 20-40mm</Size><SupplierCode>DZ</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3370</SubGroupID><ARTGs><ARTG>111818</ARTG></ARTGs><MinimumBenefit>46</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>XU009</BillingCode><PriorBillingCodes><PriorBillingCode>QQ330</PriorBillingCode></PriorBillingCodes><Name>ARIX 2.0-3.5mm Locking screws </Name><Description>Locking screws</Description><Size>2.0-3.5mm</Size><SupplierCode>XU</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3370</SubGroupID><Suffix>LK</Suffix><ARTGs><ARTG>409165</ARTG></ARTGs><ChangeExplanation>
Billing code transferred from QQ330
Sponsor transferred from AA-Med Pty Ltd</ChangeExplanation><MinimumBenefit>102</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2024-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MO321</BillingCode><Name>Acumed Hexalobe Non Locking Screws</Name><Description>Acumed Hexalobe Non Locking Screws</Description><Size>3.0mm,3.5mm and 4.0mm diameter, 8-65mm length</Size><SupplierCode>MO</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3370</SubGroupID><ARTGs><ARTG>99823</ARTG></ARTGs><MinimumBenefit>46</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2011-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MU185</BillingCode><Name>PAO Cortical Screw Ø3.5</Name><Description>Peri-Acetabular Osteotomy Cortical Screw</Description><Size>Ø3.5 L 20-140 mm</Size><SupplierCode>MU</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3370</SubGroupID><ARTGs><ARTG>219907</ARTG></ARTGs><MinimumBenefit>46</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>DZ077</BillingCode><Name>Cannulated Humeral Nail</Name><Description>Nail Locking Screw</Description><Size>4.0mm diameter  20mm to 50mm length</Size><SupplierCode>DZ</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3370</SubGroupID><ARTGs><ARTG>111818</ARTG></ARTGs><MinimumBenefit>46</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2020-03-01</CycleStartDate><CycleEndDate>2025-03-01</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><MinimumBenefit>46</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2024-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SL209</BillingCode><PriorBillingCodes><PriorBillingCode>IG108</PriorBillingCode></PriorBillingCodes><Name>Newdeal Surfix Style Screws</Name><Description>Titanium bone screw +locking screw for the fixation of specific Newdeal bone plates</Description><Size>Diameter 3.5mm, Length 10-50mm; Diameter 4.5mm, length 14-65mm; Diameter 6.5, length 20-100mm</Size><SupplierCode>SN</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>2025-03-01</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><MinimumBenefit>178</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2024-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ZI853</BillingCode><Name>Zimmer Periarticular Plating System</Name><Description>5.5mm Cannulated Periarticular Locking Screws</Description><Size>30 - 150mm</Size><SupplierCode>ZI</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3370</SubGroupID><Suffix>CN,LK</Suffix><ARTGs><ARTG>112735</ARTG></ARTGs><MinimumBenefit>183</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-02-01</CycleStartDate><CycleEndDate>2025-03-01</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><MinimumBenefit>102</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2024-11-01</CycleStartDate><CycleEndDate>2025-03-01</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>260234</ARTG><ARTG>260233</ARTG></ARTGs><MinimumBenefit>183</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2020-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>DZ047</BillingCode><Name>Valetis Screws</Name><Description>Titanium Locking Screws</Description><Size>3.5mm width, 10-65mm length
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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HU316</BillingCode><Name>KrueLock Locking Compression Screws SS</Name><Description>locking compression screw </Description><Size>3.5mm</Size><SupplierCode>HU</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3370</SubGroupID><Suffix>LK</Suffix><ARTGs><ARTG>350999</ARTG></ARTGs><MinimumBenefit>102</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MO370</BillingCode><Name>Acumed Tap-Loc</Name><Description>Tap screws, Tap-Loc Screws</Description><Size>3.6mm -60 mm Length</Size><SupplierCode>MO</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3370</SubGroupID><Suffix>LK</Suffix><ARTGs><ARTG>99823</ARTG></ARTGs><MinimumBenefit>102</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MO377</BillingCode><Name>Acu-Loc Distal Radius Plate System</Name><Description>Cortical Screw</Description><Size>3.5mm</Size><SupplierCode>MO</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3370</SubGroupID><Suffix>LK</Suffix><ARTGs><ARTG>99823</ARTG></ARTGs><MinimumBenefit>102</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HU297</BillingCode><Name>KreuLock Locking Compression Screws, Ti</Name><Description>Locking Compression Screws</Description><Size>3.0mm-3.5mm</Size><SupplierCode>HU</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3370</SubGroupID><Suffix>LK</Suffix><ARTGs><ARTG>350999</ARTG></ARTGs><MinimumBenefit>102</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HU143</BillingCode><Name>Locking Cortical land Cancellous Screws, Small</Name><Description>Locking Cortical and Cancellous Screws, Small</Description><Size>3-3.5mm</Size><SupplierCode>HU</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3370</SubGroupID><Suffix>LK</Suffix><ARTGs><ARTG>351000</ARTG></ARTGs><MinimumBenefit>102</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SQ132</BillingCode><Name>Bone Screws</Name><Description>Cortical, Locking, Self-tapping, Standard, T15, trans-physeal</Description><Size>3.5-4.0mm   10-70mm</Size><SupplierCode>SQ</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3370</SubGroupID><Suffix>LK</Suffix><ARTGs><ARTG>191602</ARTG></ARTGs><MinimumBenefit>102</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>DZ014</BillingCode><Name>Austofix Proximal Humeral Plating System - Austofix PHP Locking Screw</Name><Description>Locking Screw Titanium</Description><Size>3.5mm, 16-100mm</Size><SupplierCode>DZ</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3370</SubGroupID><Suffix>LK</Suffix><ARTGs><ARTG>276915</ARTG></ARTGs><MinimumBenefit>102</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>JD001</BillingCode><Name>CarboFix Piccolo Plate Systems – Locking Screws: Small</Name><Description>Titanium alloy screws (locking) for fixation of CarboFix plate shaft and head.</Description><Size>Locking Proximal Screw 4.0mm x 25.0mm, 30.0mm, 32.5mm, 35.0mm, 37.5mm, 40.0mm, 42.5mm, 45.0mm, 47.5mm, 50.0mm, 55.0mm, 60.0mm
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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BU009</BillingCode><Name>Nexis osteosynthesis screws</Name><Description>Bone screw titanium alloy (compressive)</Description><Size>Diameter 2.9-4 mm, Length 10-60mm</Size><SupplierCode>BU</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3370</SubGroupID><Suffix>CN,DT</Suffix><ARTGs><ARTG>235765</ARTG></ARTGs><MinimumBenefit>362</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2016-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HJ003</BillingCode><Name>HBS Self-Drilled High Compression Screw</Name><Description>Headless compression screw, cannulated, dual thread, self-drilling, self-tapping, </Description><Size>Distal thread Diameter 3mm, Length 12-40mm</Size><SupplierCode>HJ</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3370</SubGroupID><Suffix>CN,DT</Suffix><ARTGs><ARTG>340314</ARTG></ARTGs><MinimumBenefit>362</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MO368</BillingCode><Name>Acumed Fixation Screw</Name><Description>Acutrak Compression Screw Titanium</Description><Size>2.71mm - 4.49mm</Size><SupplierCode>MO</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3370</SubGroupID><Suffix>CN,DT</Suffix><ARTGs><ARTG>99823</ARTG></ARTGs><MinimumBenefit>362</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MO355</BillingCode><Name>Acutrak 2</Name><Description>Headless compression screw</Description><Size>2.71mm - 4.49mm</Size><SupplierCode>MO</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3370</SubGroupID><Suffix>CN,DT</Suffix><ARTGs><ARTG>99823</ARTG></ARTGs><MinimumBenefit>362</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>DZ090</BillingCode><Name>Headless Compression Cannulated Screw System</Name><Description>Fully-threaded headless cannulated screws</Description><Size>3.0mm, 3.5mm, 4.0mm diameter   14-30mm length</Size><SupplierCode>DZ</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3370</SubGroupID><Suffix>CN,DT</Suffix><ARTGs><ARTG>276915</ARTG><ARTG>284755</ARTG></ARTGs><MinimumBenefit>362</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HU296</BillingCode><Name>Beveled FT Screw</Name><Description>Screw for osteotomy</Description><Size>3.5mm and 4.0mm</Size><SupplierCode>HU</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3370</SubGroupID><Suffix>CN,DT</Suffix><ARTGs><ARTG>350999</ARTG></ARTGs><MinimumBenefit>362</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HU151</BillingCode><PriorBillingCodes><PriorBillingCode>DE480</PriorBillingCode></PriorBillingCodes><Name>Headless Compression Screw System</Name><Description>Headless Compression Screw for bone fixation</Description><Size>3mm Diameter ( 10-36mm Lengths)  4.3mm Diameter (14-80mm Lengths)</Size><SupplierCode>HU</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3370</SubGroupID><Suffix>CN,DT</Suffix><ARTGs><ARTG>350672</ARTG></ARTGs><MinimumBenefit>362</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-03-01</CycleStartDate><CycleEndDate>2025-03-01</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><MinimumBenefit>362</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2019-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HU158</BillingCode><PriorBillingCodes><PriorBillingCode>DE466</PriorBillingCode></PriorBillingCodes><Name>Compression FT</Name><Description>Headless Compression Screw for bone fixation</Description><Size>3.5mm/4.0mm x 12-60mm</Size><SupplierCode>HU</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3370</SubGroupID><Suffix>CN,DT</Suffix><ARTGs><ARTG>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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>IT032</BillingCode><Name>Integrant 4.0mm Cannulated Screws</Name><Description>Cannulated screws with variable pitch/dynamic thread screw heads</Description><Size>4.0mm Diameter with lenghts from 26mm-70mm</Size><SupplierCode>IT</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3370</SubGroupID><Suffix>CN,DT</Suffix><ARTGs><ARTG>230954</ARTG></ARTGs><MinimumBenefit>362</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SL208</BillingCode><PriorBillingCodes><PriorBillingCode>IG107</PriorBillingCode></PriorBillingCodes><Name>Bold Compression Screw</Name><Description>Cannulated Titanium</Description><Size>Diameter 3.0-3.70mm, length 10-34mm</Size><SupplierCode>SN</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SF092</BillingCode><Name>Twinlock Screw - Standard</Name><Description>Twinlock Screw - Standard</Description><Size>5.2/5.5mm to 6.0/7.0mm Dia x 25 to 120 mm Length</Size><SupplierCode>SF</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3370</SubGroupID><Suffix>CN,DT</Suffix><ARTGs><ARTG>184460</ARTG></ARTGs><MinimumBenefit>362</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2015-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SM173</BillingCode><Name>Smith and Nephew Headless Compression Screw</Name><Description>Headless Cannulated Screw</Description><Size>2.71mm-4.49mm Headless Cannulated Screw 8mm - 40mm</Size><SupplierCode>SN</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SF115</BillingCode><Name>TwinLock Screw - Small</Name><Description>TwinLock Screw - Small</Description><Size>3.5/3.6mm to 4.0/4.1mm Dia x 16 to 34 mm length</Size><SupplierCode>SF</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3370</SubGroupID><Suffix>CN,DT</Suffix><ARTGs><ARTG>184460</ARTG></ARTGs><MinimumBenefit>362</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2016-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>XT005</BillingCode><PriorBillingCodes><PriorBillingCode>GW006</PriorBillingCode></PriorBillingCodes><Name>WEGO Trauma Systems</Name><Description>Cannulated Bone Screw Systems</Description><Size>Small (2.71mm – 4.49mm)</Size><SupplierCode>XT</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3370</SubGroupID><Suffix>CN</Suffix><ARTGs><ARTG>324381</ARTG></ARTGs><ChangeExplanation>
Billing code transferred from GW006
Sponsor transferred from EQUINOX MEDICAL PTY LTD</ChangeExplanation><MinimumBenefit>178</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2020-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LM561</BillingCode><Name>TriMed Headless Compression Screws</Name><Description>Dual thread, cannulated headless compression screws</Description><Size>3.0-3.5mm x 10-45mm</Size><SupplierCode>LM</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3370</SubGroupID><Suffix>CN,DT</Suffix><ARTGs><ARTG>229704</ARTG></ARTGs><ChangeExplanation>Expanded from LM133, LM132</ChangeExplanation><MinimumBenefit>362</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2025-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LM559</BillingCode><Name>TriMed Compression Screws</Name><Description>Cannulated compression Screws</Description><Size>4 x 35-60mm</Size><SupplierCode>LM</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3370</SubGroupID><Suffix>CN</Suffix><ARTGs><ARTG>229704</ARTG></ARTGs><ChangeExplanation>Expanded from LM133, LM132</ChangeExplanation><MinimumBenefit>178</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2025-03-01</CycleStartDate><CycleEndDate>2025-03-01</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>ZI</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3370</SubGroupID><Suffix>LK</Suffix><ARTGs><ARTG>456147</ARTG></ARTGs><MinimumBenefit>102</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2024-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>XU031</BillingCode><PriorBillingCodes><PriorBillingCode>ZZ071</PriorBillingCode><PriorBillingCode>EF010</PriorBillingCode></PriorBillingCodes><Name>Bone Screw</Name><Description>Locking Screw</Description><Size>2.71mm – 4.49mm</Size><SupplierCode>XU</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3370</SubGroupID><Suffix>LK</Suffix><ARTGs><ARTG>239817</ARTG></ARTGs><ChangeExplanation>
Billing code transferred from ZZ071
Sponsor transferred from AA-Med Pty Ltd</ChangeExplanation><MinimumBenefit>102</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2021-11-01</CycleStartDate><CycleEndDate>2025-03-01</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><MinimumBenefit>178</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2024-11-01</CycleStartDate><CycleEndDate>2025-03-01</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><MinimumBenefit>46</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2024-11-01</CycleStartDate><CycleEndDate>2025-03-01</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><MinimumBenefit>46</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2024-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HW824</BillingCode><PriorBillingCodes><PriorBillingCode>WR264</PriorBillingCode></PriorBillingCodes><Name>MICA Compression Screw</Name><Description>Compression Screw for Minimally Invasive Surgery</Description><Size>Sizes: 3mm - 4mm diameter,  14mm - 70mm length</Size><SupplierCode>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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HW909</BillingCode><PriorBillingCodes><PriorBillingCode>WR386</PriorBillingCode></PriorBillingCodes><Name>MaxTorque Cannulated Screw System - Small Screws</Name><Description>Bone screws, Titanium, Cannulated, Short or Long Thread</Description><Size>Ø3.2mm Short Thread, Length 12-30mm  Ø3.2mm Long Thread, Length 12-38mm  Ø3.8mm Short Thread,Length 16-50mm  Ø4.0mm Long Thread, Length 14-50mm  Ø4.0mm Long Thread, Length 24-50mm</Size><SupplierCode>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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BH186</BillingCode><Name>Small / Large  Fragment Set</Name><Description>Cannulated Titanium Bone Screw</Description><Size>3.0mm - 4.0mm</Size><SupplierCode>ZI</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>2025-03-01</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>KQ</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3370</SubGroupID><Suffix>CN</Suffix><ARTGs><ARTG>289308</ARTG></ARTGs><MinimumBenefit>178</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SK528</BillingCode><Name>'Stryker Cannulated Screw System</Name><Description>Asnis III Cannulated screws</Description><Size>4.0mm</Size><SupplierCode>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>2025-03-01</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><MinimumBenefit>178</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2023-07-01</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HW451</BillingCode><Name>Stryker Cannulated Compression Screw Systems</Name><Description>Double threaded compression screws</Description><Size>2.71mm to 4.49mm diameter</Size><SupplierCode>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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HW972</BillingCode><PriorBillingCodes><PriorBillingCode>WR034</PriorBillingCode></PriorBillingCodes><Name>Charlotte Foot &amp; Ankle System</Name><Description>Multi use compression screw, cannulated, stainless steel</Description><Size>3.0 &amp; 4.3mm dia. 10-60mm in 2mm increments</Size><SupplierCode>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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HW915</BillingCode><PriorBillingCodes><PriorBillingCode>WR395</PriorBillingCode></PriorBillingCodes><Name>NexFix 3.0mm Compression Screw</Name><Description>The NexFix Compression Screw is a stainless steel, cannulated, self tapping, and self drilling fixation device for osteotomies, fusions and fracture fixation of small bones</Description><Size>3.0mm diameter x 10 - 34mm length in 2mm increments</Size><SupplierCode>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>2025-03-01</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>XU001</BillingCode><PriorBillingCodes><PriorBillingCode>QQ193</PriorBillingCode></PriorBillingCodes><Name>ARIX 3.5mm Non-Locking screws </Name><Description>3.5mm Non-Locking screws</Description><Size>3.5mm </Size><SupplierCode>XU</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3370</SubGroupID><ARTGs><ARTG>409165</ARTG></ARTGs><ChangeExplanation>
Billing code transferred from QQ193
Sponsor transferred from AA-Med Pty Ltd</ChangeExplanation><MinimumBenefit>46</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2024-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BU007</BillingCode><Name>Airlock Bone screw</Name><Description>Bone Screws Titanium Alloy (non locking screws)</Description><Size>Diameter 3-3.5mm, Length 8-30mm</Size><SupplierCode>BU</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3370</SubGroupID><ARTGs><ARTG>235767</ARTG></ARTGs><MinimumBenefit>46</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2016-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HU205</BillingCode><PriorBillingCodes><PriorBillingCode>DE365</PriorBillingCode></PriorBillingCodes><Name>QuickFix Screw, Small</Name><Description>Titanium Snapp-off Small Bone Screw, small</Description><Size>3.0mm Diameter x 13-19mm Lengths</Size><SupplierCode>HU</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3370</SubGroupID><Suffix>Breakoff</Suffix><ARTGs><ARTG>350871</ARTG><ARTG>351000</ARTG></ARTGs><MinimumBenefit>293</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SL225</BillingCode><PriorBillingCodes><PriorBillingCode>IG134</PriorBillingCode></PriorBillingCodes><Name>Snap-Off screws</Name><Description>Titanium break-off barrel screws for Hallu-Fix</Description><Size>Diameter 3.0mm, Length 10 - 18mm</Size><SupplierCode>SN</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>2025-03-01</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>JK005</BillingCode><PriorBillingCodes><PriorBillingCode>UQ004</PriorBillingCode></PriorBillingCodes><Name>OsteoMed Plating &amp; Fixation System</Name><Description>Lag Screws - Maxi, MMF, 3.0mm</Description><Size>2.4mm x (8 - 42)mm; 2.4 x (12 - 18)mm; 3.0mm x (12 - 36)mm;</Size><SupplierCode>JK</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3370</SubGroupID><ARTGs><ARTG>130509</ARTG></ARTGs><MinimumBenefit>46</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SR094</BillingCode><Name>Stryker Cannulated Screw System</Name><Description>Asnis Micro Cannulated screw</Description><Size>2.71mm-3.0mm, Diameters, 8mm-40mm lengths</Size><SupplierCode>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>2025-03-01</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><MinimumBenefit>46</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2024-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>XT040</BillingCode><PriorBillingCodes><PriorBillingCode>GW054</PriorBillingCode></PriorBillingCodes><Name>WEGO Trauma Systems</Name><Description>Small Bone Screw Systems</Description><Size>Small (2.71mm – 4.49mm)</Size><SupplierCode>XT</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3370</SubGroupID><ARTGs><ARTG>324381</ARTG></ARTGs><ChangeExplanation>
Billing code transferred from GW054
Sponsor transferred from EQUINOX MEDICAL PTY LTD</ChangeExplanation><MinimumBenefit>46</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2020-07-01</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>XU030</BillingCode><PriorBillingCodes><PriorBillingCode>ZZ070</PriorBillingCode><PriorBillingCode>EF007</PriorBillingCode></PriorBillingCodes><Name>Bone Screw</Name><Description>Cortical Bone Screw</Description><Size>2.71mm – 4.49mm</Size><SupplierCode>XU</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3370</SubGroupID><ARTGs><ARTG>239817</ARTG></ARTGs><ChangeExplanation>
Billing code transferred from ZZ070
Sponsor transferred from AA-Med Pty Ltd</ChangeExplanation><MinimumBenefit>46</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2021-11-01</CycleStartDate><CycleEndDate>2025-03-01</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><MinimumBenefit>46</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2016-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>JV037</BillingCode><Name>AutoFIX</Name><Description>The AutoFIX system comprises of cannulated compression screws that provide internal fixation of bones. </Description><Size>3.0, 4.0mm cannulated compression screw</Size><SupplierCode>JV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3370</SubGroupID><Suffix>CN,DT</Suffix><ARTGs><ARTG>352530</ARTG><ARTG>352531</ARTG></ARTGs><ChangeExplanation>New listing</ChangeExplanation><MinimumBenefit>362</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2025-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>PB040</BillingCode><Name>Cannulated Screws 4mm</Name><Description>Cannulated 4mm</Description><Size>4mm</Size><SupplierCode>PB</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3370</SubGroupID><Suffix>CN</Suffix><ARTGs><ARTG>223188</ARTG></ARTGs><MinimumBenefit>178</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2016-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HW814</BillingCode><PriorBillingCodes><PriorBillingCode>WR241</PriorBillingCode></PriorBillingCodes><Name>Stainless Steel Screw</Name><Description>Stainless steel plate screw, non locking</Description><Size>2.7 &amp; 3.2 dia. 8-50mm length in 2mm increments</Size><SupplierCode>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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LM145</BillingCode><PriorBillingCodes><PriorBillingCode>LM007</PriorBillingCode></PriorBillingCodes><Name>TriMed Bone Screw</Name><Description>Locking Bone Screw</Description><Size>3.2mm x 8-30mm</Size><SupplierCode>LM</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3370</SubGroupID><Suffix>LK</Suffix><ARTGs><ARTG>182677</ARTG></ARTGs><ChangeExplanation>Change to Description, Size</ChangeExplanation><MinimumBenefit>102</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Update</ActionFlag><CycleStartDate>2012-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HW460</BillingCode><Name>Memometal Anchorage Bone Screws</Name><Description>Anchorage Bone Screws</Description><Size>3.0-3.5mm diameter to 10 - 40mm in length</Size><SupplierCode>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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SL190</BillingCode><PriorBillingCodes><PriorBillingCode>IG063</PriorBillingCode></PriorBillingCodes><Name>Tibiaxys Distal tibia system</Name><Description>Titanium screw for use with Tibiaxys distal tibia system</Description><Size>4mm diameter with 6mm head; 40mm - 100mm length</Size><SupplierCode>SN</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SL090</BillingCode><Name>Smith &amp; Nephew Plate and Screw System - EVOS</Name><Description>Bone Screws</Description><Size>2.71mm – 4.49mm</Size><SupplierCode>SN</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3370</SubGroupID><Suffix>LK</Suffix><ARTGs><ARTG>104369</ARTG></ARTGs><MinimumBenefit>102</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ZI854</BillingCode><Name>Zimmer Universal Locking System</Name><Description>3.5mm Universal Locking Screws</Description><Size>12 - 90mm</Size><SupplierCode>ZI</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3370</SubGroupID><Suffix>LK</Suffix><ARTGs><ARTG>112735</ARTG></ARTGs><MinimumBenefit>102</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ZI852</BillingCode><Name>Zimmer Periarticular Plating System</Name><Description>4.5mm Periarticular Locking Screws</Description><Size>12 - 110mm</Size><SupplierCode>ZI</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3370</SubGroupID><Suffix>LK</Suffix><ARTGs><ARTG>112735</ARTG></ARTGs><MinimumBenefit>102</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HW817</BillingCode><PriorBillingCodes><PriorBillingCode>WR245</PriorBillingCode></PriorBillingCodes><Name>Charlotte Claw Locking Screws</Name><Description>3.5mm stainless steel locking screws for use with Claw Plate</Description><Size>3.5mm: 12-40mm</Size><SupplierCode>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>2025-03-01</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><MinimumBenefit>102</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-03-01</CycleStartDate><CycleEndDate>2025-03-01</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><MinimumBenefit>102</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2015-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ZA005</BillingCode><Name>ALPS Plating System &amp; DVR Plating System</Name><Description>Locking screws and pegs</Description><Size>2.7-4.0mm</Size><SupplierCode>ZI</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3370</SubGroupID><Suffix>LK</Suffix><ARTGs><ARTG>209305</ARTG><ARTG>210296</ARTG></ARTGs><MinimumBenefit>102</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-02-01</CycleStartDate><CycleEndDate>2025-03-01</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><MinimumBenefit>102</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2016-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ZI940</BillingCode><Name>Screws - Standard</Name><Description>Standard Screws</Description><Size>10 - 70mm</Size><SupplierCode>ZI</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3370</SubGroupID><ARTGs><ARTG>140687</ARTG></ARTGs><MinimumBenefit>46</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2016-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ZA004</BillingCode><Name>ALPS Plating System &amp; DVR Plating System</Name><Description>Non-locking bone screw</Description><Size>2.7-4.0mm</Size><SupplierCode>ZI</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3370</SubGroupID><ARTGs><ARTG>209305</ARTG><ARTG>210296</ARTG></ARTGs><MinimumBenefit>46</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>OX010</BillingCode><Name>MBOSS 3.5 mm Cortex Screw</Name><Description>3.5 mm Cortex Screw, Self Tapping</Description><Size>Diameter: 3.5mm
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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>DZ055</BillingCode><Name>Valens Shoulder and Elbow - Screws</Name><Description>Cortex/Cancellous Screws</Description><Size>3.5mm, 4.0mm</Size><SupplierCode>DZ</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3370</SubGroupID><ARTGs><ARTG>276915</ARTG></ARTGs><MinimumBenefit>46</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-08-01</CycleStartDate><CycleEndDate>2025-03-01</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>KQ</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3370</SubGroupID><ARTGs><ARTG>289308</ARTG></ARTGs><MinimumBenefit>46</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-08-01</CycleStartDate><CycleEndDate>2025-03-01</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>119660</ARTG><ARTG>340042</ARTG><ARTG>352530</ARTG></ARTGs><MinimumBenefit>46</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2007-06-01</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HW805</BillingCode><PriorBillingCodes><PriorBillingCode>WR228</PriorBillingCode></PriorBillingCodes><Name>Titanium Screw</Name><Description>Locking, non-locking or cannulated, for use only with Darco titanium plates, self-tapping</Description><Size>8-40mm, 3.5mm</Size><SupplierCode>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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>KT091</BillingCode><PriorBillingCodes><PriorBillingCode>OH642</PriorBillingCode></PriorBillingCodes><Name>KLS Martin - Radial Plating System</Name><Description>smartDrive Screw</Description><Size>3.0 x 8-30mm</Size><SupplierCode>KT</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3370</SubGroupID><ARTGs><ARTG>276650</ARTG><ARTG>276674</ARTG></ARTGs><MinimumBenefit>46</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HW976</BillingCode><PriorBillingCodes><PriorBillingCode>WR218</PriorBillingCode></PriorBillingCodes><Name>Evolve Ortholoc EPS System 3.5 locking</Name><Description>Stainless Steel, Variable Angle Locking, Cortical &amp; Cancellous Screws</Description><Size>3.5mm Diameter, 10-60mm</Size><SupplierCode>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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ZI150</BillingCode><Name>Periarticular Plates</Name><Description>Periarticular 4.0mm Cancellous Screws - Stainless Steel</Description><Size>Part thread - 30-60 mm, Full thread 30-110 mm</Size><SupplierCode>ZI</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3370</SubGroupID><ARTGs><ARTG>112735</ARTG></ARTGs><MinimumBenefit>46</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ZI152</BillingCode><Name>Periarticular Plates</Name><Description>3.5mm screws</Description><Size>lengths up to 130mm</Size><SupplierCode>ZI</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3370</SubGroupID><ARTGs><ARTG>112735</ARTG></ARTGs><MinimumBenefit>46</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ER386</BillingCode><Name>Hintermann Series H3™ Total Ankle Prosthesis-Screw</Name><Description>Hintermann Series H3™ Total Ankle Prosthesis-Screw, cortical, stainless steel</Description><Size>dia 3.5 mm x length (12-42 mm)</Size><SupplierCode>ER</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3370</SubGroupID><ARTGs><ARTG>289320</ARTG></ARTGs><MinimumBenefit>46</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LM475</BillingCode><Name>TriMed ASET Foot Plating System</Name><Description>Non-Locking Cortical Bone Screws (Small)</Description><Size>2.71mm – 4.49mm</Size><SupplierCode>LM</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3370</SubGroupID><ARTGs><ARTG>182677</ARTG></ARTGs><MinimumBenefit>46</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-07-01</CycleStartDate><CycleEndDate>2025-03-01</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><MinimumBenefit>46</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2016-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HW837</BillingCode><PriorBillingCodes><PriorBillingCode>WR295</PriorBillingCode></PriorBillingCodes><Name>SALVATION 3Di Plating System - Osteopenic Screws</Name><Description>Osteopenic screws</Description><Size>Diameter: 4.0mm  Length: 16, 18, 20, 22, 25, 30, 35, 40, 45, 50, 55, 60mm</Size><SupplierCode>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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>OX011</BillingCode><Name>MBOSS 3.5mm Locking Screw</Name><Description>3.5mm Locking Screw, Self Tapping</Description><Size>Diameter: 3.5mm
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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HW966</BillingCode><PriorBillingCodes><PriorBillingCode>WR457</PriorBillingCode></PriorBillingCodes><Name>ORTHOLOC SPS Blunt-tipped Locking Screws </Name><Description>Stainless steel locking head screws, blunt tipped</Description><Size>Dia 3.5mm   Length: 18mm - 54mm</Size><SupplierCode>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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HW954</BillingCode><PriorBillingCodes><PriorBillingCode>WR444</PriorBillingCode></PriorBillingCodes><Name>ORTHOLOC SPS Locking Screws</Name><Description>Stainless steel locking head screws: cortical or cancellous</Description><Size>Dia 3.5mm  Length: 10mm - 60mm</Size><SupplierCode>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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ZI947</BillingCode><Name>Screws -Locking</Name><Description>Locking Screw</Description><Size>10 - 70mm</Size><SupplierCode>ZI</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3370</SubGroupID><Suffix>LK</Suffix><ARTGs><ARTG>140687</ARTG></ARTGs><MinimumBenefit>102</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2016-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LM310</BillingCode><Name>Skeletal Dynamics Bone Screw Locking</Name><Description>Bone Screw Locking</Description><Size>3.0m and 3.5mm</Size><SupplierCode>LM</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3370</SubGroupID><Suffix>LK</Suffix><ARTGs><ARTG>278692</ARTG></ARTGs><MinimumBenefit>102</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HW835</BillingCode><PriorBillingCodes><PriorBillingCode>WR293</PriorBillingCode></PriorBillingCodes><Name>SALVATION 3Di Plating System - OP Locking Screws</Name><Description>Osteopenic locking screws</Description><Size>Diameter: 4.0mm  Length: 16mm to 60mm</Size><SupplierCode>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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LM477</BillingCode><Name>TriMed ASET Foot Plating System</Name><Description>VA Locking Screws (small) </Description><Size>2.71mm – 4.49mm</Size><SupplierCode>LM</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3370</SubGroupID><Suffix>LK</Suffix><ARTGs><ARTG>182677</ARTG></ARTGs><MinimumBenefit>102</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-07-01</CycleStartDate><CycleEndDate>2025-03-01</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><MinimumBenefit>102</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2016-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BP034</BillingCode><Name>Tyber Medical Trauma headless screw</Name><Description>Headless trauma screw for compression and fixation of bone  Sterile or Non sterile, Titanium or stainless steel</Description><Size>3.0mm-4.0mm</Size><SupplierCode>BP</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3370</SubGroupID><Suffix>CN,DT</Suffix><ARTGs><ARTG>324189</ARTG><ARTG>324190</ARTG></ARTGs><MinimumBenefit>362</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2020-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>EO058</BillingCode><Name>APTUS CCS</Name><Description>Cannulated Screws</Description><Size>2.71 – 4.49 mm</Size><SupplierCode>EO</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3370</SubGroupID><Suffix>CN,DT</Suffix><ARTGs><ARTG>206157</ARTG></ARTGs><MinimumBenefit>362</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>PB036</BillingCode><Name>Headless Compression Screw System</Name><Description>Headless Compression Screw</Description><Size>2.71 - 4.49mm</Size><SupplierCode>PB</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3370</SubGroupID><Suffix>CN,DT</Suffix><ARTGs><ARTG>223188</ARTG></ARTGs><MinimumBenefit>362</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2016-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>PB052</BillingCode><Name>The HN Intramedullary Nail locking screw</Name><Description>The HN Intramedullary Nail locking screw, cannulated, dual-threaded</Description><Size>Length 16mm - 60mm, Diameter 3.0mm</Size><SupplierCode>PB</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3370</SubGroupID><Suffix>CN,DT</Suffix><ARTGs><ARTG>223188</ARTG></ARTGs><MinimumBenefit>362</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>EO092</BillingCode><Name>APTUS SpeedTip C System</Name><Description>APTUS SpeedTip C Screws</Description><Size>2.8mm diameter</Size><SupplierCode>EO</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3370</SubGroupID><ARTGs><ARTG>206157</ARTG></ARTGs><MinimumBenefit>46</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2015-02-01</CycleStartDate><CycleEndDate>2025-03-01</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><MinimumBenefit>46</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-11-01</CycleStartDate><CycleEndDate>2025-03-01</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>202319</ARTG><ARTG>149435</ARTG></ARTGs><MinimumBenefit>46</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HW801</BillingCode><PriorBillingCodes><PriorBillingCode>WR219</PriorBillingCode></PriorBillingCodes><Name>Evolve Ortholoc EPS System 3.5 NL Screws</Name><Description>Stainless Steel, Cortical &amp; Cancellous Screws</Description><Size>3.5mm diameter 10-60mm</Size><SupplierCode>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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HW904</BillingCode><PriorBillingCodes><PriorBillingCode>WR381</PriorBillingCode></PriorBillingCodes><Name>MaxLock Extreme System - 3.5/4mm Non Locking Screws</Name><Description>Bone screws, Titanium, non locking</Description><Size>Ø 3.5mm, length 8-50mm  Ø 4mm, length 8-60mm</Size><SupplierCode>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>2025-03-01</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>2025-03-01</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MO382</BillingCode><Name>Acutrak Headless Compression Screw</Name><Description>Acutrak 4/5 screw</Description><Size>2.71mm - 4.49mm</Size><SupplierCode>MO</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3370</SubGroupID><Suffix>CN,DT</Suffix><ARTGs><ARTG>99823</ARTG></ARTGs><MinimumBenefit>362</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SL220</BillingCode><PriorBillingCodes><PriorBillingCode>IG120</PriorBillingCode></PriorBillingCodes><Name>Surfix Locking Screws</Name><Description>Locking screws with an independent lock-screw head</Description><Size>3mm; 10-24mm length</Size><SupplierCode>SN</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>2025-03-01</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SN944</BillingCode><Name>Peri-Loc</Name><Description>Locking Screws</Description><Size>2.71mm - 4.49mm</Size><SupplierCode>SN</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3370</SubGroupID><Suffix>LK</Suffix><ARTGs><ARTG>104369</ARTG></ARTGs><MinimumBenefit>102</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SL091</BillingCode><Name>Smith &amp; Nephew Plate and Screw System - EVOS</Name><Description>Bone Screws</Description><Size>2.71mm – 4.49mm</Size><SupplierCode>SN</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SL192</BillingCode><PriorBillingCodes><PriorBillingCode>IG068</PriorBillingCode></PriorBillingCodes><Name>Surfix Screw plus Surfix Lock-Screw</Name><Description>Locking screws with an independent lock-screw head that screw into fixation plates. This combination effects dynamic compression.</Description><Size>3.5mm: 10-28mm</Size><SupplierCode>SN</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>JD003</BillingCode><Name>CarboFix Piccolo Plate Systems – Non-Locking Screws: Small</Name><Description>Titanium alloy screws (non-locking) for fixation of CarboFix plate shaft and head.</Description><Size>Non-Locking Distal Screw 3.5mm x 10mm, 12mm, 14mm, 16mm, 18mm, 22.5mm, 25.0mm, 27.5mm, 30.0mm, 32.5mm, 35.0mm, 40.0mm, 45.0mm
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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SY068</BillingCode><Name>AO/ASIF Screws</Name><Description>Cortex, Conical, Cancellous, Compression Screws</Description><Size>2.71mm-4.49mm</Size><SupplierCode>JJ</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3370</SubGroupID><ARTGs><ARTG>297881</ARTG><ARTG>157068</ARTG></ARTGs><MinimumBenefit>46</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SL011</BillingCode><Name>TC-100</Name><Description>Cortical and Cancellous Screws</Description><Size>2.71mm-4.49mm</Size><SupplierCode>SN</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>2025-03-01</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>DZ049</BillingCode><Name>Valetis Screws</Name><Description>Titanium Cortical Screws</Description><Size>3.5mm width, 10-80mm length
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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>DZ078</BillingCode><Name>Cannulated Humeral Nail</Name><Description>Humeral Head Screw</Description><Size>4.3mm diameter  25mm to 45mm length</Size><SupplierCode>DZ</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3370</SubGroupID><ARTGs><ARTG>111818</ARTG></ARTGs><MinimumBenefit>46</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2020-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>DZ013</BillingCode><Name>Austofix Proximal Humeral Plating System - Austofix PHP Cancellous Screw</Name><Description>Cancellous Screw, Titanium</Description><Size>4mm 20-40mm</Size><SupplierCode>DZ</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3370</SubGroupID><ARTGs><ARTG>111818</ARTG></ARTGs><MinimumBenefit>46</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SF114</BillingCode><Name>Twinlock Screw - Standard</Name><Description>Twinlock Screw - Standard</Description><Size>5.2/5.5mm to 6.0/7.0mm Dia x 25 to 120 mm Length</Size><SupplierCode>SF</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3370</SubGroupID><Suffix>CN,DT</Suffix><ARTGs><ARTG>184460</ARTG></ARTGs><MinimumBenefit>362</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2016-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SL210</BillingCode><PriorBillingCodes><PriorBillingCode>IG109</PriorBillingCode></PriorBillingCodes><Name>Qwix Screw</Name><Description>Self drilling, self tapping, cannulated, titanium screws.</Description><Size>Diameter 3.0mm-7.5mm, length 10mm-120mm</Size><SupplierCode>SN</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SL194</BillingCode><PriorBillingCodes><PriorBillingCode>IG070</PriorBillingCode></PriorBillingCodes><Name>ICOS Screw: Ideal Compression Screw</Name><Description>Cannulated titanium</Description><Size>4.0mm diam 26-60mm length, 6.5mm diam 40-150mm length</Size><SupplierCode>SN</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>2025-03-01</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>2025-03-01</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>KQ</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3370</SubGroupID><Suffix>LK</Suffix><ARTGs><ARTG>289308</ARTG></ARTGs><MinimumBenefit>102</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-08-01</CycleStartDate><CycleEndDate>2025-03-01</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>LQ</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>IT012</BillingCode><Name>Hawk 3.0mm Cannulated Screw system</Name><Description>3.0mm cannulated screw</Description><Size>3.0mm in diameter with lengths of 14mm to 50mm</Size><SupplierCode>IT</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3370</SubGroupID><Suffix>CN,DT</Suffix><ARTGs><ARTG>230954</ARTG></ARTGs><MinimumBenefit>362</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2015-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HW905</BillingCode><PriorBillingCodes><PriorBillingCode>WR382</PriorBillingCode></PriorBillingCodes><Name>MaxLock Extreme System - 3.5mm locking screws</Name><Description>Bone screws, titanium, fixed or variable angle locking</Description><Size>Ø 3.5mm Fixed angle, Length 8-45mm  Ø 3.5mm Variable angle, Length 10-50mm</Size><SupplierCode>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>2025-03-01</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>2025-03-01</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><MinimumBenefit>102</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-11-01</CycleStartDate><CycleEndDate>2025-03-01</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><MinimumBenefit>102</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-08-01</CycleStartDate><CycleEndDate>2025-03-01</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><MinimumBenefit>362</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2024-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>TN023</BillingCode><Name>Newclip Locking Bone Screws</Name><Description>Locking Bone Screws</Description><Size>2.71-4.49mm diameter, length 10-95 mm</Size><SupplierCode>TN</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3370</SubGroupID><Suffix>LK</Suffix><ARTGs><ARTG>260233</ARTG><ARTG>260234</ARTG></ARTGs><MinimumBenefit>102</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2016-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>DZ050</BillingCode><Name>Valetis Screws</Name><Description>Titanium Cancellous Screws</Description><Size>3.5mm width, 10-80mm length
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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SQ145</BillingCode><Name>Bone Screws</Name><Description>Cortical, Cancellous, Self-tapping, Full Thread, Partial Thread, Standard, T15</Description><Size>3.5-4.0mm Diameter
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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HU144</BillingCode><Name>Non-Locking Cortical and Cancellous Screws, Small</Name><Description>Non-Locking Cortical and Cancellous Screws, Small</Description><Size>3-3.5mm</Size><SupplierCode>HU</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3370</SubGroupID><ARTGs><ARTG>355042</ARTG></ARTGs><MinimumBenefit>46</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ZI892</BillingCode><Name>NCB System</Name><Description>NCB Screws</Description><Size>4mm x 14-90mm</Size><SupplierCode>ZI</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3370</SubGroupID><ARTGs><ARTG>100337</ARTG></ARTGs><MinimumBenefit>46</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2014-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BH185</BillingCode><Name>Small / Large  Fragment Set</Name><Description>Bone Screw, Titanium</Description><Size>3.5 - 4.0mm diameter</Size><SupplierCode>ZI</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HU254</BillingCode><PriorBillingCodes><PriorBillingCode>DE272</PriorBillingCode></PriorBillingCodes><Name>Bio-Compression Screw System</Name><Description>Fixation Device</Description><Size>16mm, 18mm, 20mm, 22mm, 24mm, 26mm</Size><SupplierCode>HU</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3370</SubGroupID><Suffix>DT</Suffix><ARTGs><ARTG>140794</ARTG><ARTG>360378</ARTG></ARTGs><MinimumBenefit>245</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>TN017</BillingCode><Name>Newclip Compression Screws</Name><Description>Self-Compressive Screws</Description><Size>2.71-4.49mm diameter, Length 10-30mm</Size><SupplierCode>TN</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3370</SubGroupID><Suffix>DT</Suffix><ARTGs><ARTG>260233</ARTG><ARTG>260234</ARTG></ARTGs><MinimumBenefit>245</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2016-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MO374</BillingCode><Name>Acutrak Fusion Screws</Name><Description>Fusion Screws Titanium</Description><Size>2.71mm - 4.49mm</Size><SupplierCode>MO</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3370</SubGroupID><Suffix>DT</Suffix><ARTGs><ARTG>99823</ARTG></ARTGs><MinimumBenefit>245</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MO322</BillingCode><Name>Acumed Hexalobe Locking Screws</Name><Description>Acumed Hexalobe Locking Screws</Description><Size>Small (2.71mm-4.49mm)</Size><SupplierCode>MO</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3370</SubGroupID><Suffix>LK</Suffix><ARTGs><ARTG>99823</ARTG></ARTGs><MinimumBenefit>102</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2011-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SQ181</BillingCode><Name>PediFoot Deformity Correction System  </Name><Description>3.5mm Variable Angle Locking Screws</Description><Size>8-60mm length</Size><SupplierCode>SQ</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3370</SubGroupID><Suffix>LK</Suffix><ARTGs><ARTG>191602</ARTG></ARTGs><MinimumBenefit>102</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2020-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ST006</BillingCode><Name>Stryker Plating System</Name><Description>Cancelleous screws</Description><Size>2.7-4.0mm</Size><SupplierCode>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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>PB022</BillingCode><Name>Calcaneal Locking Plate MIPO System - Locking Screw</Name><Description>Locking Screws</Description><Size>2.71mm - 4.49mm</Size><SupplierCode>PB</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3370</SubGroupID><Suffix>LK</Suffix><ARTGs><ARTG>223188</ARTG></ARTGs><MinimumBenefit>102</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2016-02-01</CycleStartDate><CycleEndDate>2025-03-01</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>KR</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>2025-03-01</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>LQ</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>PF008</BillingCode><Name>Arthrodesis Screws</Name><Description>Titanium Alloy Compression Screws</Description><Size>10mm - 60mm</Size><SupplierCode>PF</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3370</SubGroupID><Suffix>Breakoff, DT</Suffix><ARTGs><ARTG>141164</ARTG></ARTGs><MinimumBenefit>455</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>PF002</BillingCode><Name>BePOD</Name><Description>Self-Compressive Screw</Description><Size>Lengths 10mm - 60mm</Size><SupplierCode>PF</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3370</SubGroupID><Suffix>Breakoff, DT</Suffix><ARTGs><ARTG>141164</ARTG></ARTGs><MinimumBenefit>455</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LM147</BillingCode><Name>TriMed Bone Screw</Name><Description>Locking Compression Bone Screw</Description><Size>4mm x 35-60mm</Size><SupplierCode>LM</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3370</SubGroupID><Suffix>LK</Suffix><ARTGs><ARTG>182677</ARTG></ARTGs><MinimumBenefit>102</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-02-01</CycleStartDate><CycleEndDate>2025-03-01</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, 10 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><ChangeExplanation>Change to Size</ChangeExplanation><MinimumBenefit>102</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Update</ActionFlag><CycleStartDate>2023-11-01</CycleStartDate><CycleEndDate>2025-03-01</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><MinimumBenefit>46</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2023-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>DZ045</BillingCode><Name>Valens Hand - Screws</Name><Description>Cannulated Screws</Description><Size>3.0mm, 3.5mm, 4.0mm</Size><SupplierCode>DZ</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3370</SubGroupID><Suffix>CN</Suffix><ARTGs><ARTG>276915</ARTG></ARTGs><MinimumBenefit>178</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>PB063</BillingCode><Name>MCS</Name><Description>MCS System</Description><Size>2.71mm - 4.49mm</Size><SupplierCode>PB</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3370</SubGroupID><Suffix>CN,DT</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>2025-03-01</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>2025-03-01</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><MinimumBenefit>46</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>OX012</BillingCode><Name>MBOSS 4.0 mm Cancellous Screw</Name><Description>4.0 mm Cancellous screw with short or long thread</Description><Size>Diameter: 4mm
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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SR073</BillingCode><Name>Stryker Locking Plate System</Name><Description>Locking Screws</Description><Size>Diameter 2.7 to 3.5mm</Size><SupplierCode>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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>KT073</BillingCode><PriorBillingCodes><PriorBillingCode>OH480</PriorBillingCode></PriorBillingCodes><Name>HBS 2 midi</Name><Description>Self-compressive screws</Description><Size>3.0mm x 10-40mm</Size><SupplierCode>KT</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3370</SubGroupID><Suffix>CN,DT</Suffix><ARTGs><ARTG>276650</ARTG><ARTG>276674</ARTG></ARTGs><MinimumBenefit>362</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HW955</BillingCode><PriorBillingCodes><PriorBillingCode>WR445</PriorBillingCode></PriorBillingCodes><Name>ORTHOLOC SPS Non-Locking Screws</Name><Description>Stainless steel, cortical, non-locking screws</Description><Size>Dia. 3.5mm  Length: 10mm - 60mm</Size><SupplierCode>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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>PF001</BillingCode><Name>FH Screw Systems</Name><Description>Canulated Self-Compressive Screws</Description><Size>lengths 10mm to 50mm</Size><SupplierCode>PF</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3370</SubGroupID><Suffix>CN,DT</Suffix><ARTGs><ARTG>141164</ARTG></ARTGs><MinimumBenefit>362</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>PB043</BillingCode><Name>Cannulated Screws 3mm</Name><Description>Cannulated Screws</Description><Size>3mm</Size><SupplierCode>PB</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3370</SubGroupID><Suffix>CN,DT</Suffix><ARTGs><ARTG>223188</ARTG></ARTGs><MinimumBenefit>362</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2016-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>JK004</BillingCode><PriorBillingCodes><PriorBillingCode>UQ046</PriorBillingCode></PriorBillingCodes><Name>ExtremiFix Screws</Name><Description>Headless Cannulated Compression Screw</Description><Size>Diameter 3.0mm, 4.0mm. Length 10mm to 52mm; Diameter 2.71mm - 4.49mm.</Size><SupplierCode>JK</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3370</SubGroupID><Suffix>CN,DT</Suffix><ARTGs><ARTG>130509</ARTG></ARTGs><MinimumBenefit>362</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-03-01</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SL012</BillingCode><Name>Peri-Loc and Peri-Loc VLP</Name><Description>Cortical and Osteopenia Screws</Description><Size>2.71mm-4.49mm</Size><SupplierCode>SN</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MO450</BillingCode><Name>Cannulated Screw  New Information - Acumed Cannulated Screws</Name><Description>4.0mm Cannulated Screw</Description><Size>4.0mm</Size><SupplierCode>MO</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3370</SubGroupID><Suffix>CN</Suffix><ARTGs><ARTG>99823</ARTG></ARTGs><MinimumBenefit>178</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2020-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HU142</BillingCode><PriorBillingCodes><PriorBillingCode>DE696</PriorBillingCode></PriorBillingCodes><Name>Patella Fracture Screw</Name><Description>4mm Blunt Tip Cannulated Lag Screw</Description><Size>4mm x 24mm - 4mm x 60mm</Size><SupplierCode>HU</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3370</SubGroupID><Suffix>CN</Suffix><ARTGs><ARTG>351000</ARTG></ARTGs><MinimumBenefit>178</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SQ137</BillingCode><Name>Cannulated Screws</Name><Description>Cannulated, Cancellous  Short, Medium, Partial, Full Thread  Locking, Non-locking</Description><Size>3.0-4.0mm Diameter  8-70mm Length</Size><SupplierCode>SQ</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3370</SubGroupID><Suffix>CN</Suffix><ARTGs><ARTG>191602</ARTG></ARTGs><MinimumBenefit>178</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-08-01</CycleStartDate><CycleEndDate>2025-03-01</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><MinimumBenefit>102</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2024-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BH190</BillingCode><Name>Headless Compression Screws</Name><Description>Headless Compression Screws</Description><Size>3mm-4mm</Size><SupplierCode>ZI</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>2025-03-01</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>2025-03-01</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>KQ</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3370</SubGroupID><Suffix>CN,DT</Suffix><ARTGs><ARTG>289308</ARTG></ARTGs><MinimumBenefit>362</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-08-01</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SY797</BillingCode><Name>AO/ASIF Screws</Name><Description>Philos Cannulated locking screw</Description><Size>3.5mm</Size><SupplierCode>JJ</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SL204</BillingCode><PriorBillingCodes><PriorBillingCode>IG093</PriorBillingCode></PriorBillingCodes><Name>Newdeal Screws/Lock Screws</Name><Description>Screws - Cancellous, Cancellous cannulated, cortical, cortical cannulated plus Lock screws</Description><Size>Cancellous/Cancellous cannulated - Diameter 6.5mm, Length 20mm - 100mm + Lock Screw, Cortical - Diameter 5.0mm, Length 25mm - 45mm + Lock Screw, Cortical - Diameter 4.5mm, Length 14mm - 65mm + Lock Screw, Cortical - Diameter 3.5mm, Length 14mm - 32mm + Lo</Size><SupplierCode>SN</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>2025-03-01</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>KQ</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3370</SubGroupID><Suffix>LK</Suffix><ARTGs><ARTG>290443</ARTG></ARTGs><MinimumBenefit>102</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HU218</BillingCode><Name>Cannulated Low Profile Screws, Small</Name><Description>Cannulated Low Profile Screws, Small</Description><Size>3-4mm</Size><SupplierCode>HU</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3370</SubGroupID><Suffix>CN</Suffix><ARTGs><ARTG>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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BU003</BillingCode><Name>Nexis osteosynthesis screws</Name><Description>Bone screw titanium alloy (headed)</Description><Size>Diameter 2.9-4mm, Length 10-60mm</Size><SupplierCode>BU</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3370</SubGroupID><Suffix>CN</Suffix><ARTGs><ARTG>235765</ARTG></ARTGs><MinimumBenefit>178</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2016-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SY071</BillingCode><Name>AO/ASIF Screws</Name><Description>Cannulated screws</Description><Size>&gt;2.7mm-4.49mm</Size><SupplierCode>JJ</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SN971</BillingCode><Name>Cannulated Screw</Name><Description>Stainless Steel</Description><Size>2.71mm - 4.49mm</Size><SupplierCode>SN</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3370</SubGroupID><Suffix>CN</Suffix><ARTGs><ARTG>104369</ARTG></ARTGs><MinimumBenefit>178</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>EO074</BillingCode><Name>APTUS Screws</Name><Description>Aptus Locking Screws</Description><Size>2.8mm - 3.5mm Diameter</Size><SupplierCode>EO</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3370</SubGroupID><Suffix>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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BH277</BillingCode><Name>ALPS Plating System &amp; Biodrive Screws</Name><Description>Cannulated Bone Screws</Description><Size>3.0 to 4.0mm diameter</Size><SupplierCode>ZI</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ZI856</BillingCode><Name>Zimmer Universal Locking System</Name><Description>3.5mm Universal Locking Screws - Ti Alloy</Description><Size>12 - 60mm</Size><SupplierCode>ZI</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3370</SubGroupID><Suffix>LK</Suffix><ARTGs><ARTG>112735</ARTG></ARTGs><MinimumBenefit>102</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>JK003</BillingCode><PriorBillingCodes><PriorBillingCode>UQ003</PriorBillingCode></PriorBillingCodes><Name>OsteoMed Plating &amp; Fixation System</Name><Description>Screws - Cannulated Lag</Description><Size>Diameter 2.71mm – 4.49mm</Size><SupplierCode>JK</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3370</SubGroupID><Suffix>CN</Suffix><ARTGs><ARTG>130509</ARTG></ARTGs><MinimumBenefit>178</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>IT011</BillingCode><Name>Hawk 4.0mm Cannulated Screw System</Name><Description>4.0mm Cannulated screw</Description><Size>4.0mm in diameter with lengths of 26mm to 70mm</Size><SupplierCode>IT</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3370</SubGroupID><Suffix>CN</Suffix><ARTGs><ARTG>230954</ARTG></ARTGs><MinimumBenefit>178</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2015-08-01</CycleStartDate><CycleEndDate>2025-03-01</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><MinimumBenefit>362</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2016-02-01</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</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><MinimumBenefit>362</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-08-01</CycleStartDate><CycleEndDate>2025-03-01</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><MinimumBenefit>362</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LM052</BillingCode><Name>Ascension Compression Screw</Name><Description>Titanium Compression Screw</Description><Size>2-5mm diameter ; 12 - 40mm length</Size><SupplierCode>LM</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3370</SubGroupID><Suffix>CN,DT</Suffix><ARTGs><ARTG>118626</ARTG></ARTGs><MinimumBenefit>362</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HW974</BillingCode><PriorBillingCodes><PriorBillingCode>WR062</PriorBillingCode></PriorBillingCodes><Name>Headless Compression screws</Name><Description>Compression screw cannulated, titanium, self tapping, self drilling.</Description><Size>2.5-3.2mm diameter x 10-32mm</Size><SupplierCode>JV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3370</SubGroupID><Suffix>CN,DT</Suffix><ARTGs><ARTG>198485</ARTG><ARTG>291613</ARTG><ARTG>326629</ARTG></ARTGs><MinimumBenefit>362</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MO415</BillingCode><Name>Acumed Screws</Name><Description>Screws</Description><Size>2.71mm - 4.49mm</Size><SupplierCode>MO</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3370</SubGroupID><Suffix>LK</Suffix><ARTGs><ARTG>99823</ARTG></ARTGs><MinimumBenefit>102</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2014-02-01</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MO426</BillingCode><Name>ACUMED Hexalobe Low Profile 4.3mm screws</Name><Description>ACUMED Hexalobe low profile 4.3mm locking screws, Titanium, fully threaded</Description><Size>4.3mm in diameter, 18mm to 64mm in length</Size><SupplierCode>MO</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3370</SubGroupID><Suffix>LK</Suffix><ARTGs><ARTG>99823</ARTG></ARTGs><MinimumBenefit>102</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2015-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ZI203</BillingCode><Name>Zimmer ECT Screws</Name><Description>4.0mm Cancellous Screws</Description><Size>10 - 60 mm</Size><SupplierCode>ZI</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3370</SubGroupID><ARTGs><ARTG>112735</ARTG></ARTGs><MinimumBenefit>46</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SK566</BillingCode><Name>Stryker Plating System</Name><Description>Nuts</Description><Size>4.5-5.0mm</Size><SupplierCode>JV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>4522</SubGroupID><ARTGs><ARTG>120234</ARTG><ARTG>139635</ARTG></ARTGs><MinimumBenefit>35</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SK204</BillingCode><Name>Stryker Trauma Locking Nail System</Name><Description>SCN</Description><Size>Nut for Condyle Screws 5mm</Size><SupplierCode>JV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>4522</SubGroupID><ARTGs><ARTG>139632</ARTG></ARTGs><MinimumBenefit>35</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HW274</BillingCode><Name>Stryker Plating System</Name><Description>Locking Insert/Plug Assembly</Description><Size>4.0mm to 5 mm</Size><SupplierCode>JV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>4523</SubGroupID><ARTGs><ARTG>119660</ARTG><ARTG>139635</ARTG><ARTG>295226</ARTG></ARTGs><MinimumBenefit>83</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HJ002</BillingCode><Name>Surgifeet Cannulated Compression Screw</Name><Description>Compression screw. Cannulated, Dual thread, self drilling/tapping, Headless</Description><Size>Diameter 2.55mm. Length 10-34mm, Left or Right thread.</Size><SupplierCode>HJ</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3371</SubGroupID><Suffix>CN,DT</Suffix><ARTGs><ARTG>336654</ARTG></ARTGs><MinimumBenefit>348</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2020-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HJ005</BillingCode><Name>MICRO HBS Self-Drilled High Compression Screw</Name><Description>Micro headless compression screw, cannulated, dual threads, self-drilling, self- tapping, </Description><Size>Distal thread Diameter 2.5mm, Length 10-30mm</Size><SupplierCode>HJ</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3371</SubGroupID><Suffix>CN,DT</Suffix><ARTGs><ARTG>340314</ARTG></ARTGs><MinimumBenefit>348</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-03-01</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MO320</BillingCode><Name>Acumed Hexalobe Locking Screws</Name><Description>Acumed Hexalobe Locking Screws</Description><Size>2.7mm diameter, 8-65mm length</Size><SupplierCode>MO</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3371</SubGroupID><Suffix>LK</Suffix><ARTGs><ARTG>99823</ARTG></ARTGs><MinimumBenefit>98</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2011-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>TN049</BillingCode><Name>Screws 2.01 - 2.7 CN</Name><Description>Mini screws 2.01-2.7  CN</Description><Size>2.01mm – 2.7mm diameter, length 14-50 mm</Size><SupplierCode>TN</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3371</SubGroupID><Suffix>CN</Suffix><ARTGs><ARTG>260233</ARTG><ARTG>260234</ARTG></ARTGs><MinimumBenefit>156</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>TN039</BillingCode><Name>Newclip Snap-off Screws</Name><Description>Snap-off screws</Description><Size>2.01 – 2.7 mm</Size><SupplierCode>TN</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3371</SubGroupID><Suffix>Breakoff</Suffix><ARTGs><ARTG>260233</ARTG><ARTG>260234</ARTG></ARTGs><MinimumBenefit>295</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SK527</BillingCode><Name>Stryker Locking Plate System</Name><Description>Locking Screws</Description><Size>2.01-2.7mm</Size><SupplierCode>JV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3371</SubGroupID><Suffix>LK</Suffix><ARTGs><ARTG>340043</ARTG><ARTG>357433</ARTG><ARTG>269713</ARTG><ARTG>258002</ARTG><ARTG>119660</ARTG><ARTG>352530</ARTG><ARTG>340044</ARTG><ARTG>352531</ARTG></ARTGs><MinimumBenefit>98</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ER560</BillingCode><Name>Osteomed ExtremiLock Screw, Mini (2.01 – 2.7 mm), variable angle locking</Name><Description>Variable angle locking screws, fully or partially threaded</Description><Size>dia (2.4-2.7 mm) x length (8-40 mm)</Size><SupplierCode>ER</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3371</SubGroupID><Suffix>LK</Suffix><ARTGs><ARTG>337240</ARTG></ARTGs><MinimumBenefit>98</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2020-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>OX028</BillingCode><Name>ARMAR 2.4 Locking Distal Radial Plate System - Self Tapping Locking Screws</Name><Description>TAN Self Tapping Locking Screws</Description><Size>2.4-2.7mm Diameter
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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LM112</BillingCode><Name>Ascension Radial Head Plate Screws</Name><Description>Ascension Radial Head Plate Locking Screws</Description><Size>2.7mm x 10mm - 40mm</Size><SupplierCode>LM</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3371</SubGroupID><Suffix>LK</Suffix><ARTGs><ARTG>118625</ARTG></ARTGs><MinimumBenefit>98</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HW815</BillingCode><PriorBillingCodes><PriorBillingCode>WR243</PriorBillingCode></PriorBillingCodes><Name>Charlotte Claw Locking Screws</Name><Description>2.7mm stainless steel locking screws for use with Claw Plate</Description><Size>2.7mm, 12-36mm</Size><SupplierCode>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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LM476</BillingCode><Name>TriMed ASET Foot Plating System </Name><Description>VA Locking Screw (Mini)</Description><Size>2.01 – 2.7 mm</Size><SupplierCode>LM</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3371</SubGroupID><Suffix>LK</Suffix><ARTGs><ARTG>182677</ARTG></ARTGs><MinimumBenefit>98</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-07-01</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BP027</BillingCode><Name>Tyber Medical Trauma headed screw</Name><Description>Headed trauma screw for compression and fixation of bone  Sterile or Non sterile, Titanium or stainless steel</Description><Size>2.5mm</Size><SupplierCode>BP</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3371</SubGroupID><Suffix>CN</Suffix><ARTGs><ARTG>324190</ARTG><ARTG>324189</ARTG></ARTGs><MinimumBenefit>156</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2020-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>JK006</BillingCode><PriorBillingCodes><PriorBillingCode>UQ005</PriorBillingCode></PriorBillingCodes><Name>OsteoMed Plating &amp; Fixation System</Name><Description>Screws - Cannulated Lag</Description><Size>Diameter 2.01 – 2.7 mm</Size><SupplierCode>JK</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3371</SubGroupID><Suffix>CN</Suffix><ARTGs><ARTG>130509</ARTG></ARTGs><MinimumBenefit>156</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>EO115</BillingCode><Name>APTUS headedCCS</Name><Description>Headed Cannulated screws</Description><Size>&gt;2.01mm-2.7mm</Size><SupplierCode>EO</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3371</SubGroupID><Suffix>CN</Suffix><ARTGs><ARTG>206157</ARTG></ARTGs><MinimumBenefit>156</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LM560</BillingCode><Name>TriMed Headless Compression Screws</Name><Description>Dual thread, cannulated headless compression screws</Description><Size>2.3 x 10 - 28mm</Size><SupplierCode>LM</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3371</SubGroupID><Suffix>CN,DT</Suffix><ARTGs><ARTG>229704</ARTG></ARTGs><ChangeExplanation>Expanded from LM133, LM132</ChangeExplanation><MinimumBenefit>348</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2025-03-01</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BH241</BillingCode><Name>Headless Compression Screws</Name><Description>Headless Compression Screws</Description><Size>2.5mm</Size><SupplierCode>ZI</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3371</SubGroupID><Suffix>CN,DT</Suffix><ARTGs><ARTG>209305</ARTG><ARTG>210296</ARTG></ARTGs><MinimumBenefit>348</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2013-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SK618</BillingCode><Name>Percufix</Name><Description>Titanium</Description><Size>Diameter: 2-2.5mm, Length 22-40mm</Size><SupplierCode>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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LM474</BillingCode><Name>TriMed ASET Foot Plating System </Name><Description>Cortical Bone Screws (mini)</Description><Size>2.01 to 2.7mm diameter</Size><SupplierCode>LM</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3371</SubGroupID><ARTGs><ARTG>182677</ARTG></ARTGs><MinimumBenefit>58</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SF122</BillingCode><Name>2.5 mm Speyside B Screw</Name><Description>Speyside B Screw</Description><Size>2.5mm length 10 up to 2.5mm length 26mm</Size><SupplierCode>SF</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3371</SubGroupID><Suffix>CN,DT</Suffix><ARTGs><ARTG>184460</ARTG></ARTGs><MinimumBenefit>348</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2016-02-01</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</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><MinimumBenefit>348</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HW454</BillingCode><Name>Fixos Screws, Cannulated, Double Threaded, 2.5mm</Name><Description>Done Fixation Screws, Cannulated Threaded, 2.5mm</Description><Size>2.5mm  diameter, 10 to 30 (each 2mm)</Size><SupplierCode>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>2025-03-01</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HW916</BillingCode><PriorBillingCodes><PriorBillingCode>WR396</PriorBillingCode></PriorBillingCodes><Name>NexFix 2.5mm Compression Screw</Name><Description>The NexFix Compression Screw is a stainless steel, cannulated, self tapping, and self drilling fixation device for osteotomies, fusions and fracture fixation of small bones</Description><Size>2.5mm diameter x 10 - 34mm length in 2mm increments</Size><SupplierCode>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>2025-03-01</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>2025-03-01</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><MinimumBenefit>348</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-02-01</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>XU012</BillingCode><PriorBillingCodes><PriorBillingCode>QQ668</PriorBillingCode></PriorBillingCodes><Name>ARIX 2.5mm Non-locking</Name><Description>Non-locking screws </Description><Size>2.5mm</Size><SupplierCode>XU</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3371</SubGroupID><ARTGs><ARTG>409165</ARTG></ARTGs><ChangeExplanation>Change to Product name, Size
Billing code transferred from QQ668
Sponsor transferred from AA-Med Pty Ltd</ChangeExplanation><MinimumBenefit>58</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2024-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ZI179</BillingCode><Name>Zimmer Herbert/Whipple Bone Screw</Name><Description>Cannulated Double Threaded Compression Bone Screw</Description><Size>12 mm - 30 mm</Size><SupplierCode>ZI</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3371</SubGroupID><Suffix>DT</Suffix><ARTGs><ARTG>112735</ARTG></ARTGs><MinimumBenefit>247</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>TN018</BillingCode><Name>Newclip Compression Screws</Name><Description>Self-Compressive Cannulated Screws</Description><Size>2.01mm - 2.7mm diameter, length 10 - 38mm</Size><SupplierCode>TN</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3371</SubGroupID><Suffix>CN,DT</Suffix><ARTGs><ARTG>260233</ARTG></ARTGs><MinimumBenefit>348</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2016-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LC062</BillingCode><Name>HVS BONE SCREW</Name><Description>Self drilling, self threading double threaded cannulated screw</Description><Size>Length 10-34mm</Size><SupplierCode>LC</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3371</SubGroupID><Suffix>CN,DT</Suffix><ARTGs><ARTG>173930</ARTG></ARTGs><MinimumBenefit>348</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2011-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BU010</BillingCode><Name>Nexis osteosynthesis screws</Name><Description>Bone screw titanium alloy (compressive)</Description><Size>Diameter 2.3mm, Length 10-30mm</Size><SupplierCode>BU</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3371</SubGroupID><Suffix>CN,DT</Suffix><ARTGs><ARTG>235765</ARTG></ARTGs><MinimumBenefit>348</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2016-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BP028</BillingCode><Name>Tyber Medical Trauma headless screw</Name><Description>Headless trauma screw for compression and fixation of bone Sterile or Non sterile, Titanium or stainless steel</Description><Size>2.5mm</Size><SupplierCode>BP</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3371</SubGroupID><Suffix>CN,DT</Suffix><ARTGs><ARTG>324189</ARTG><ARTG>324190</ARTG></ARTGs><MinimumBenefit>348</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2020-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>JK007</BillingCode><PriorBillingCodes><PriorBillingCode>UQ006</PriorBillingCode></PriorBillingCodes><Name>ExtremiFix Screws</Name><Description>Headless Cannulated Compression Screw</Description><Size>Diameter 2.0mm, 2.4mm. Length 10mm to 52mm; Diameter 2.01mm - 2.7mm</Size><SupplierCode>JK</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3371</SubGroupID><Suffix>CN,DT</Suffix><ARTGs><ARTG>130509</ARTG></ARTGs><MinimumBenefit>348</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SF088</BillingCode><Name>Speyside HVS Bone Screw</Name><Description>Self drilling, self threading double threaded cannulated screw</Description><Size>Length 10-34mm</Size><SupplierCode>SF</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3371</SubGroupID><Suffix>CN,DT</Suffix><ARTGs><ARTG>184460</ARTG></ARTGs><MinimumBenefit>348</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2015-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>EO057</BillingCode><Name>Aptus CCS</Name><Description>2.01 - 2.7 Cannulated Compression Screw</Description><Size>(2.01 – 2.7 mm) diameter</Size><SupplierCode>EO</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3371</SubGroupID><Suffix>CN,DT</Suffix><ARTGs><ARTG>206157</ARTG></ARTGs><MinimumBenefit>348</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>DZ070</BillingCode><Name>Austofix Cannulated Compression Screws</Name><Description>2.4mm Headless Cannulated Compression Screws</Description><Size>2.4mm diameter
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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HU159</BillingCode><PriorBillingCodes><PriorBillingCode>DE465</PriorBillingCode></PriorBillingCodes><Name>Compression FT</Name><Description>Headless Compression Screw for bone fixation</Description><Size>2.5mm x 8-50mm</Size><SupplierCode>HU</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3371</SubGroupID><Suffix>CN,DT</Suffix><ARTGs><ARTG>350871</ARTG><ARTG>351000</ARTG></ARTGs><MinimumBenefit>348</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HU152</BillingCode><PriorBillingCodes><PriorBillingCode>DE479</PriorBillingCode></PriorBillingCodes><Name>Headless Compression Screw System</Name><Description>Headless Compression Screw for bone fixation</Description><Size>2.5mm Diameter x (8-34mm Length)</Size><SupplierCode>HU</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3371</SubGroupID><Suffix>CN,DT</Suffix><ARTGs><ARTG>350672</ARTG></ARTGs><MinimumBenefit>348</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MO356</BillingCode><Name>Acutrak 2</Name><Description>Headless compression screw</Description><Size>2.5mm</Size><SupplierCode>MO</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3371</SubGroupID><Suffix>CN,DT</Suffix><ARTGs><ARTG>99823</ARTG></ARTGs><MinimumBenefit>348</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>IT036</BillingCode><Name>Integrant 2.5 mm Screw</Name><Description>2.5 mm Cannulated Screw</Description><Size>8, 10, 12, 14, 16, 18, 20, 22, 24, 26, 28, 30, 32, 34, 36 mm lengths</Size><SupplierCode>IT</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3371</SubGroupID><Suffix>CN,DT</Suffix><ARTGs><ARTG>230954</ARTG></ARTGs><MinimumBenefit>348</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-03-01</CycleStartDate><CycleEndDate>2025-03-01</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><MinimumBenefit>98</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SQ179</BillingCode><Name>PediFoot Deformity Correction System</Name><Description>2.7mm Variable Angle Locking Screws</Description><Size>6-60mm length</Size><SupplierCode>SQ</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3371</SubGroupID><Suffix>LK</Suffix><ARTGs><ARTG>191602</ARTG></ARTGs><MinimumBenefit>98</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2020-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MO435</BillingCode><Name>RibLoc Dual Locking Screw</Name><Description>Locking Screws</Description><Size>2.7mm diameter,6mm to 14mm length</Size><SupplierCode>MO</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3371</SubGroupID><Suffix>LK</Suffix><ARTGs><ARTG>158694</ARTG></ARTGs><MinimumBenefit>98</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MO421</BillingCode><Name>ACUMED Hexalobe 2.3mm Multiscrews</Name><Description>ACUMED Hexalobe 2.3 Multiscrew</Description><Size>2.3mm in diameter, 5mm to 20mm in length</Size><SupplierCode>MO</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3371</SubGroupID><Suffix>LK</Suffix><ARTGs><ARTG>99823</ARTG></ARTGs><MinimumBenefit>98</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2015-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SQ147</BillingCode><Name>Bone Screws</Name><Description>Cortical, Locking, Self-tapping, Standard, T10,</Description><Size>2.7mm Diameter
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>2025-03-01</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>340044</ARTG><ARTG>357433</ARTG><ARTG>119660</ARTG><ARTG>340043</ARTG><ARTG>352531</ARTG><ARTG>352530</ARTG><ARTG>258002</ARTG><ARTG>269713</ARTG></ARTGs><MinimumBenefit>58</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ER547</BillingCode><Name>Osteomed ExtremiLock Screw, Mini (2.01 – 2.7 mm), variable angle locking, cannulated, dual thread</Name><Description>variable angle locking screw, cannulated, dual thread</Description><Size>dia 2.4 mm x lenght (12-40 mm)</Size><SupplierCode>ER</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3371</SubGroupID><ARTGs><ARTG>337240</ARTG></ARTGs><ChangeExplanation>Change to Suffix,Change to Group benefit</ChangeExplanation><MinimumBenefit>58</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Update</ActionFlag><CycleStartDate>2020-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SK620</BillingCode><PriorBillingCodes><PriorBillingCode>AE236</PriorBillingCode><PriorBillingCode>LH374</PriorBillingCode></PriorBillingCodes><Name>AutoFIX</Name><Description>The AutoFIX system comprises of cannulated compression screws that provide internal fixation of bones.</Description><Size>2.5mm Cannulated Compression Screw</Size><SupplierCode>JV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3371</SubGroupID><Suffix>CN,DT</Suffix><ARTGs><ARTG>352531</ARTG><ARTG>352530</ARTG><ARTG>119660</ARTG></ARTGs><ChangeExplanation>Change to Suffix, ARTG, Description,Change to Group benefit</ChangeExplanation><MinimumBenefit>348</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Update</ActionFlag><CycleStartDate>2015-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ZA006</BillingCode><Name>ALPS Plating System, DVR Plating System &amp; F3 Plating System</Name><Description>Non-locking bone screw</Description><Size>2.01-2.7mm</Size><SupplierCode>ZI</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3371</SubGroupID><ARTGs><ARTG>209305</ARTG><ARTG>210296</ARTG></ARTGs><MinimumBenefit>58</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>JD002</BillingCode><Name>CarboFix Piccolo Plate Systems – Non-Locking Screws: Mini</Name><Description>Titanium alloy screws (non-locking) for fixation of CarboFix plate shaft and head.</Description><Size>Non-Locking Proximal Screw 2.5mm x 14mm, 16mm, 18mm, 20mm, 22mm, 24mm, 26mm

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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SY646</BillingCode><Name>AO/ASIF Screws</Name><Description>HCS Countersinkable Compression Screw</Description><Size>2.01mm-2.7mm</Size><SupplierCode>JJ</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3371</SubGroupID><Suffix>CN,DT</Suffix><ARTGs><ARTG>297881</ARTG><ARTG>157068</ARTG></ARTGs><MinimumBenefit>348</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-02-01</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LM312</BillingCode><Name>Skeletal Dynamics Peg High Compression Locking</Name><Description>High Compression Locking Peg</Description><Size>2.7mm</Size><SupplierCode>LM</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3371</SubGroupID><Suffix>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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BI768</BillingCode><Name>Mandibular Fracture System</Name><Description>Screw, IMF 2./2.4 Mandibular Fracture, Titanium</Description><Size>2.0 x(5 - 13)mm</Size><SupplierCode>ZI</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>2025-03-01</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>LQ</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>2025-03-01</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>2025-03-01</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>KQ</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3371</SubGroupID><ARTGs><ARTG>289308</ARTG></ARTGs><MinimumBenefit>58</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SL028</BillingCode><Name>D-RAD SMART PACK</Name><Description>Cortical screws</Description><Size>2.01 mm - 2.7 mm</Size><SupplierCode>SN</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>2025-03-01</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SL045</BillingCode><Name>VLP EVOS</Name><Description>VAL Cortical Screws</Description><Size>Mini Screws (2.01 – 2.7 mm)</Size><SupplierCode>SN</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>2025-03-01</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>2025-03-01</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>LQ</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MO323</BillingCode><Name>Acumed Hexalobe Non Locking Screws</Name><Description>Acumed Hexalobe Non Locking Screws</Description><Size>2.7mm diameter,8-65mm length</Size><SupplierCode>MO</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3371</SubGroupID><ARTGs><ARTG>99823</ARTG></ARTGs><MinimumBenefit>58</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2011-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SQ148</BillingCode><Name>Bone Screws</Name><Description>Cortical Screw, Self-tapping, Standard, T10</Description><Size>2.7mm Diameter
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>2025-03-01</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MO375</BillingCode><Name>Acu-Loc Distal Radius Plate System</Name><Description>Threaded, non-threaded,locking, non-locking screw peg, titanium</Description><Size>2.3 mm</Size><SupplierCode>MO</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3371</SubGroupID><ARTGs><ARTG>99823</ARTG></ARTGs><MinimumBenefit>58</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SQ180</BillingCode><Name>PediFoot Deformity Correction System  </Name><Description>2.7mm Cortical Screw</Description><Size>6-60mm length</Size><SupplierCode>SQ</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3371</SubGroupID><ARTGs><ARTG>191602</ARTG></ARTGs><MinimumBenefit>58</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2020-11-01</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>XT029</BillingCode><PriorBillingCodes><PriorBillingCode>GW039</PriorBillingCode></PriorBillingCodes><Name>WEGO Trauma Systems</Name><Description>Mini Bone Screw Systems</Description><Size>Mini (2.01 – 2.7 mm)</Size><SupplierCode>XT</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3371</SubGroupID><Suffix>LK</Suffix><ARTGs><ARTG>324381</ARTG></ARTGs><ChangeExplanation>
Billing code transferred from GW039
Sponsor transferred from EQUINOX MEDICAL PTY LTD</ChangeExplanation><MinimumBenefit>98</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2020-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LM144</BillingCode><Name>TriMed Bone Screw</Name><Description>Non-Locking Cortical Bone Screws</Description><Size>2.3mm - 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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>XU038</BillingCode><PriorBillingCodes><PriorBillingCode>ZZ078</PriorBillingCode><PriorBillingCode>EF029</PriorBillingCode></PriorBillingCodes><Name>Bone Screw</Name><Description>Cortical Bone Screw</Description><Size>2.01mm – 2.7mm</Size><SupplierCode>XU</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3371</SubGroupID><ARTGs><ARTG>239817</ARTG></ARTGs><ChangeExplanation>
Billing code transferred from ZZ078
Sponsor transferred from AA-Med Pty Ltd</ChangeExplanation><MinimumBenefit>58</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2021-11-01</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HU298</BillingCode><Name>KreuLock Locking Compression Screws, Ti</Name><Description>Locking Compression Screws</Description><Size>2.4mm</Size><SupplierCode>HU</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3371</SubGroupID><Suffix>LK</Suffix><ARTGs><ARTG>350999</ARTG></ARTGs><MinimumBenefit>98</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HU315</BillingCode><Name>KreuLock Locking Compression Screws SS</Name><Description>Locking Compression Screw</Description><Size>2.7mm</Size><SupplierCode>HU</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3371</SubGroupID><Suffix>LK</Suffix><ARTGs><ARTG>350999</ARTG></ARTGs><MinimumBenefit>98</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-03-01</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>TN068</BillingCode><Name>Cannulated Locking Screws</Name><Description>Cannulated Locking Screws</Description><Size>2.01 – 2.7 mm diameter</Size><SupplierCode>TN</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3371</SubGroupID><Suffix>CN,LK</Suffix><ARTGs><ARTG>260233</ARTG><ARTG>260234</ARTG></ARTGs><MinimumBenefit>177</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2019-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MO437</BillingCode><Name>Acu-Loc Distal Radius Plating System</Name><Description>Frag-Loc Cannulated Compression Screw with Compression Sleeve</Description><Size>Standard 16mm to 24mm,Long 20mm to 28mm</Size><SupplierCode>MO</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3371</SubGroupID><Suffix>CN,LK</Suffix><ARTGs><ARTG>99823</ARTG></ARTGs><MinimumBenefit>177</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-02-01</CycleStartDate><CycleEndDate>2025-03-01</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>KQ</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3371</SubGroupID><Suffix>Breakoff</Suffix><ARTGs><ARTG>289308</ARTG></ARTGs><MinimumBenefit>295</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>PB049</BillingCode><Name>Break-Off Screws</Name><Description>A self-breaking, self-drilling screw used for the fixation of small bone osteotomies and fractures</Description><Size>Diameter 2.7mm, Length 10-20mm</Size><SupplierCode>PB</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3371</SubGroupID><Suffix>Breakoff</Suffix><ARTGs><ARTG>223188</ARTG></ARTGs><MinimumBenefit>295</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HW908</BillingCode><PriorBillingCodes><PriorBillingCode>WR385</PriorBillingCode></PriorBillingCodes><Name>MaxTorque Cannulated Screw System - Mini Cannulated Screws</Name><Description>Bone screws, Titanium, Cannulated, Short or Long Thread</Description><Size>Ø2.5mm Short Thread, Length 18-30mm  Ø2.5mm Long Thread, Length 10-30mm</Size><SupplierCode>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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HW831</BillingCode><PriorBillingCodes><PriorBillingCode>WR285</PriorBillingCode></PriorBillingCodes><Name>EOS Footset-Pyxis</Name><Description>Footscrew</Description><Size>11-28mm</Size><SupplierCode>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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HW818</BillingCode><PriorBillingCodes><PriorBillingCode>WR246</PriorBillingCode></PriorBillingCodes><Name>Headed Compression Screw System</Name><Description>Cannulated compression screws - titanium or stainless steel</Description><Size>2.0-2.7mm x 10-50mm</Size><SupplierCode>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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SR095</BillingCode><Name>Stryker Cannulated Screw System</Name><Description>Asnis Micro Cannulated Screw</Description><Size>2.01mm-2.7mm, Diameters, 8mm-40mm lengths</Size><SupplierCode>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>2025-03-01</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>KQ</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3371</SubGroupID><Suffix>CN</Suffix><ARTGs><ARTG>289308</ARTG></ARTGs><MinimumBenefit>156</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-08-01</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SY321</BillingCode><Name>AO/ASIF Screw</Name><Description>Cannulated screw</Description><Size>2.4mm</Size><SupplierCode>JJ</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SN970</BillingCode><Name>Cannulated Screw</Name><Description>Stainless Steel</Description><Size>2.01mm - 2.7mm</Size><SupplierCode>SN</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3371</SubGroupID><Suffix>CN</Suffix><ARTGs><ARTG>104369</ARTG></ARTGs><MinimumBenefit>156</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SQ175</BillingCode><Name>Cannulated Screws</Name><Description>Cannulated, Short, Medium, Full Thread</Description><Size>2.5mm Diameter 8-30mm Length</Size><SupplierCode>SQ</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3371</SubGroupID><Suffix>CN</Suffix><ARTGs><ARTG>191602</ARTG></ARTGs><MinimumBenefit>156</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2020-11-01</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HW903</BillingCode><PriorBillingCodes><PriorBillingCode>WR380</PriorBillingCode></PriorBillingCodes><Name>MaxLock Extreme System - 2.4/2.7mm Non locking screws</Name><Description>Bone screws, Titanium, Non locking</Description><Size>Ø 2.4/2.7mm, length 6-40mm</Size><SupplierCode>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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LM111</BillingCode><Name>Ascension Radial Head Plate Screws</Name><Description>Ascension radial Head Plate Non-Locking Screws</Description><Size>2.7mm x 10-26mm</Size><SupplierCode>LM</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3371</SubGroupID><ARTGs><ARTG>118625</ARTG></ARTGs><MinimumBenefit>58</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-02-01</CycleStartDate><CycleEndDate>2025-03-01</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><MinimumBenefit>58</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-02-01</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>OX029</BillingCode><Name>ARMAR 2.4 Locking Distal Radial Plate System - Cortex and Compression Screws</Name><Description>TAN Cortex and Compression Screws</Description><Size>2.4-2.7mm Diameter
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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>EO076</BillingCode><Name>APTUS Screws</Name><Description>Cortical Screws</Description><Size>2.3mm - 2.5mm Diameter</Size><SupplierCode>EO</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3371</SubGroupID><ARTGs><ARTG>141171</ARTG></ARTGs><MinimumBenefit>58</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>KT088</BillingCode><PriorBillingCodes><PriorBillingCode>OH639</PriorBillingCode></PriorBillingCodes><Name>KLS Martin - Radial Plating Sysem</Name><Description>smartDrive Locking Screw</Description><Size>2.5 x 8-30mm</Size><SupplierCode>KT</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3371</SubGroupID><Suffix>LK</Suffix><ARTGs><ARTG>276674</ARTG><ARTG>276650</ARTG></ARTGs><MinimumBenefit>98</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HW901</BillingCode><PriorBillingCodes><PriorBillingCode>WR377</PriorBillingCode></PriorBillingCodes><Name>Mini MaxLock Extreme System - 2.4/2.7mm Locking Screws</Name><Description>Bone screws, Titanium, fixed or variable angle locking</Description><Size>Ø2.4/2.7mm Fixed angle locking, Length 6-40mm  Ø2.4mm Variable angle locking, Length 6-30mm</Size><SupplierCode>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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>KT090</BillingCode><PriorBillingCodes><PriorBillingCode>OH641</PriorBillingCode></PriorBillingCodes><Name>KLS Martin - Radial Plating System</Name><Description>smartDrive Screw</Description><Size>2.5 x 8-30mm</Size><SupplierCode>KT</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3371</SubGroupID><ARTGs><ARTG>276674</ARTG><ARTG>276650</ARTG></ARTGs><MinimumBenefit>58</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>XT007</BillingCode><PriorBillingCodes><PriorBillingCode>GW008</PriorBillingCode></PriorBillingCodes><Name>WEGO Trauma Systems</Name><Description>Mini Bone Screw Systems</Description><Size>Mini (2.01 – 2.7 mm); lengths 5 - 70mm.</Size><SupplierCode>XT</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3371</SubGroupID><ARTGs><ARTG>324381</ARTG></ARTGs><ChangeExplanation>
Billing code transferred from GW008
Sponsor transferred from EQUINOX MEDICAL PTY LTD</ChangeExplanation><MinimumBenefit>58</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2020-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HW822</BillingCode><PriorBillingCodes><PriorBillingCode>WR255</PriorBillingCode></PriorBillingCodes><Name>Evolve EPS System Non-Locking</Name><Description>Stainless Steel Cortical Screws</Description><Size>2.5 - 2.7mm Diameter, 10-50mm</Size><SupplierCode>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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ZI201</BillingCode><Name>Zimmer Cortical Screws</Name><Description>Cortical Screws</Description><Size>6 - 50mm</Size><SupplierCode>ZI</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3371</SubGroupID><Suffix>LK</Suffix><ARTGs><ARTG>112735</ARTG></ARTGs><MinimumBenefit>98</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HW977</BillingCode><PriorBillingCodes><PriorBillingCode>WR227</PriorBillingCode></PriorBillingCodes><Name>Titanium Screw</Name><Description>Locking, non-locking or cannulated, for use only with Darco titanium plates, self-tapping</Description><Size>8-40mm, 2.7mm</Size><SupplierCode>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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>EO073</BillingCode><Name>APTUS Screws</Name><Description>Aptus Locking Screws</Description><Size>2.5mm Diameter</Size><SupplierCode>EO</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3371</SubGroupID><Suffix>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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>KT080</BillingCode><PriorBillingCodes><PriorBillingCode>OH515</PriorBillingCode></PriorBillingCodes><Name>KLS Martin Hand fracture system - multidirectional screw</Name><Description>Multidirectional screw</Description><Size>2.3mm</Size><SupplierCode>KT</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3371</SubGroupID><Suffix>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>2025-03-01</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SY352</BillingCode><Name>A/ASIF Screw</Name><Description>Cortex, Cancellous, Compression Screws</Description><Size>2.01mm-2.7mm</Size><SupplierCode>JJ</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SN833</BillingCode><Name>Peri-Loc &amp; Peri-Loc VLP</Name><Description>Cortical Screws</Description><Size>2.01-2.7mm</Size><SupplierCode>SN</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3371</SubGroupID><ARTGs><ARTG>104369</ARTG></ARTGs><MinimumBenefit>58</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2006-11-30</CycleStartDate><CycleEndDate>2025-03-01</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>198485</ARTG><ARTG>326629</ARTG></ARTGs><MinimumBenefit>295</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2024-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SN082</BillingCode><Name>TC 100 </Name><Description>Cortical Screws</Description><Size>2.01mm - 2.7mm</Size><SupplierCode>SN</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3371</SubGroupID><ARTGs><ARTG>104369</ARTG></ARTGs><MinimumBenefit>58</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HU146</BillingCode><Name>Cortical Screw</Name><Description>Screw for Bone fixation</Description><Size>2.01-2.7mm</Size><SupplierCode>HU</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3371</SubGroupID><ARTGs><ARTG>350999</ARTG></ARTGs><MinimumBenefit>58</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-03-01</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</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>351000</ARTG><ARTG>284416</ARTG></ARTGs><MinimumBenefit>58</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MO423</BillingCode><Name>ACUMED Hexalobe 2.3mm Lag screw</Name><Description>ACUMED Hexalobe 2.3mm Lag screw</Description><Size>2.3mm in diameter, 5mm to 20mm in length</Size><SupplierCode>MO</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3371</SubGroupID><ARTGs><ARTG>99823</ARTG></ARTGs><MinimumBenefit>58</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2015-02-01</CycleStartDate><CycleEndDate>2025-03-01</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>KQ</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3371</SubGroupID><Suffix>LK</Suffix><ARTGs><ARTG>289308</ARTG></ARTGs><MinimumBenefit>98</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>KT089</BillingCode><PriorBillingCodes><PriorBillingCode>OH640</PriorBillingCode></PriorBillingCodes><Name>KLS Martin - Radial Plating Sysem</Name><Description>smartDrive Locking Screws</Description><Size>3.0 x 8-30mm</Size><SupplierCode>KT</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3371</SubGroupID><Suffix>LK</Suffix><ARTGs><ARTG>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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ZA007</BillingCode><Name>ALPS Plating System, DVR Plating System &amp; F3 Plating System</Name><Description>Locking titanium and multidirectional bone screws</Description><Size>2.2-2.7mm</Size><SupplierCode>ZI</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3371</SubGroupID><Suffix>LK</Suffix><ARTGs><ARTG>209305</ARTG><ARTG>210296</ARTG></ARTGs><MinimumBenefit>98</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LM061</BillingCode><Name>Xpode Screws</Name><Description>Xpode screws</Description><Size>2.4mm</Size><SupplierCode>LM</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3371</SubGroupID><Suffix>LK</Suffix><ARTGs><ARTG>182677</ARTG></ARTGs><MinimumBenefit>98</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2006-03-24</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HW795</BillingCode><PriorBillingCodes><PriorBillingCode>WR081</PriorBillingCode></PriorBillingCodes><Name>Ortholoc Fracture System</Name><Description>Titanium, variable angle locking screws</Description><Size>2.4, 2.7mm diameter, 8-100mm length</Size><SupplierCode>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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LM313</BillingCode><Name>Volar Bearing Plate Screws</Name><Description>Volar Bearing Plate Screws</Description><Size>2.5mm x 10mm-30mm</Size><SupplierCode>LM</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3371</SubGroupID><Suffix>LK</Suffix><ARTGs><ARTG>278692</ARTG></ARTGs><MinimumBenefit>98</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-02-01</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BI929</BillingCode><Name>RibFix/Sternalock</Name><Description>Screws Ti</Description><Size>2.4-2.7mm x 7-20mm</Size><SupplierCode>ZI</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LM185</BillingCode><Name>Trimed Locking Cortical Screws</Name><Description>Locking cortical screw</Description><Size>2.01 to 2.7mm diameter</Size><SupplierCode>LM</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3371</SubGroupID><Suffix>LK</Suffix><ARTGs><ARTG>182677</ARTG></ARTGs><MinimumBenefit>98</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2013-08-01</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MO369</BillingCode><Name>Acumed Tap-Loc</Name><Description>Tap screws, Tap-Loc Screws</Description><Size>2.7mm 36mm-60mm length</Size><SupplierCode>MO</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3371</SubGroupID><Suffix>LK</Suffix><ARTGs><ARTG>99823</ARTG></ARTGs><MinimumBenefit>98</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ER559</BillingCode><Name>Osteomed ExtremiLock Screw, Mini (2.01 – 2.7 mm), standard </Name><Description>Cortex screw</Description><Size>dia (2.4-2.7 mm) x lenth (8-40 mm) </Size><SupplierCode>ER</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3371</SubGroupID><ARTGs><ARTG>337240</ARTG></ARTGs><MinimumBenefit>58</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2020-11-01</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LM320</BillingCode><Name>Screws</Name><Description>Screws, Locking</Description><Size>2.01 to 2.7mm diameter</Size><SupplierCode>LM</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3371</SubGroupID><Suffix>LK</Suffix><ARTGs><ARTG>278692</ARTG></ARTGs><MinimumBenefit>98</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-02-01</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SF117</BillingCode><Name>Speyside TWIST-OFF SCREW</Name><Description>11 mm TWIST-OFF SCREW2.5MM Cancellous thread
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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SL224</BillingCode><PriorBillingCodes><PriorBillingCode>IG133</PriorBillingCode></PriorBillingCodes><Name>Snap-Off screws</Name><Description>Titanium break-off barrel screws for Hallu-Fix</Description><Size>Diameter 2.7mm; length 10-34mm</Size><SupplierCode>SN</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HW922</BillingCode><PriorBillingCodes><PriorBillingCode>WR402</PriorBillingCode></PriorBillingCodes><Name>NexFix Snap-Off Screw</Name><Description>The NexFix Snap-Off Screw System is a self-drilling and self-tapping screw system for fixation of fractures, fusions and osteotomies. The design allows the holding device to break off once the screw head is in contact with the distal cortex.</Description><Size>2.0mm x 11mm, 2.0mm x 12mm, 2.0mm x 13mm, 2.7mm x 13mm, 2.7mm x 15mm, 2.7mm x 17 mm</Size><SupplierCode>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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>KT082</BillingCode><PriorBillingCodes><PriorBillingCode>OH518</PriorBillingCode></PriorBillingCodes><Name>KLS Martin Hand fracture system - standard screw</Name><Description>Standard screw</Description><Size>2.3mm</Size><SupplierCode>KT</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3371</SubGroupID><ARTGs><ARTG>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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>TN036</BillingCode><Name>Newclip Bone Screws</Name><Description>Non-locking Bone Screw</Description><Size>2.01-2.7mm diameter, lengths 8 - 34mm</Size><SupplierCode>TN</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3371</SubGroupID><ARTGs><ARTG>260233</ARTG><ARTG>260234</ARTG></ARTGs><MinimumBenefit>58</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MO376</BillingCode><Name>Acu-Loc Distal Radius Plate System</Name><Description>Locking screws</Description><Size>2.01-2.7mm</Size><SupplierCode>MO</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3371</SubGroupID><Suffix>LK</Suffix><ARTGs><ARTG>99823</ARTG></ARTGs><MinimumBenefit>98</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-02-01</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>DZ074</BillingCode><Name>Austofix PHP - Proximal Humeral Plating System</Name><Description>Locking Screws</Description><Size>2.7mm diameter, 16-70mm length</Size><SupplierCode>DZ</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3371</SubGroupID><Suffix>LK</Suffix><ARTGs><ARTG>276915</ARTG></ARTGs><MinimumBenefit>98</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2020-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>DZ010</BillingCode><Name>VRP Distal Radius Fixation System</Name><Description>VRP Distal Radius Fixation System, Variable Angle, Threaded, non-threaded, partially threaded locking, non-locking screw, peg, titanium</Description><Size>2.5-2.7mm diameter, 10-34mm length</Size><SupplierCode>DZ</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3371</SubGroupID><Suffix>LK</Suffix><ARTGs><ARTG>149433</ARTG></ARTGs><MinimumBenefit>98</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-02-01</CycleStartDate><CycleEndDate>2025-03-01</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>KR</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MO394</BillingCode><Name>RibLoc rib fracture plating system screws</Name><Description>RibLoc Screws</Description><Size>Mini 2.01-2.7mm</Size><SupplierCode>MO</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3371</SubGroupID><Suffix>LK</Suffix><ARTGs><ARTG>158694</ARTG></ARTGs><MinimumBenefit>98</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>DZ054</BillingCode><Name>Valens Shoulder and Elbow - Screws</Name><Description>Self-Tapping Locking Screws</Description><Size>2.4mm, 2.7mm</Size><SupplierCode>DZ</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3371</SubGroupID><Suffix>LK</Suffix><ARTGs><ARTG>276915</ARTG></ARTGs><MinimumBenefit>98</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-08-01</CycleStartDate><CycleEndDate>2025-03-01</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><MinimumBenefit>98</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>PB020</BillingCode><Name>Calcaneal Locking Plate MIPO System - Locking Screw</Name><Description>Locking Screws</Description><Size>Mini (2.01mm-2.7mm)</Size><SupplierCode>PB</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3371</SubGroupID><Suffix>LK</Suffix><ARTGs><ARTG>223188</ARTG></ARTGs><MinimumBenefit>98</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2016-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HU145</BillingCode><Name>Low Profile Locking Screws</Name><Description>Locking screws for Arthrex Fracture Plate Fixation</Description><Size>2.01mm to 2.7mm</Size><SupplierCode>HU</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3371</SubGroupID><Suffix>LK</Suffix><ARTGs><ARTG>350999</ARTG></ARTGs><MinimumBenefit>98</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>TN041</BillingCode><Name>Newclip Locking Bone Screws</Name><Description>Locking Bone Screw</Description><Size>2.01 - 2.7mm diameter, lengths 8 - 34mm</Size><SupplierCode>TN</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3371</SubGroupID><Suffix>LK</Suffix><ARTGs><ARTG>260233</ARTG><ARTG>260234</ARTG></ARTGs><MinimumBenefit>98</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>XU037</BillingCode><PriorBillingCodes><PriorBillingCode>ZZ077</PriorBillingCode><PriorBillingCode>EF026</PriorBillingCode></PriorBillingCodes><Name>Arix Locking Screw</Name><Description>Locking Screw</Description><Size>2.01 – 2.7 mm</Size><SupplierCode>XU</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3371</SubGroupID><Suffix>LK</Suffix><ARTGs><ARTG>239817</ARTG></ARTGs><ChangeExplanation>
Billing code transferred from ZZ077
Sponsor transferred from AA-Med Pty Ltd</ChangeExplanation><MinimumBenefit>98</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2021-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SL030</BillingCode><Name>D-RAD SMART PACK</Name><Description>VAL Locking screws 2.01mm - 2.7mm</Description><Size>2.01mm - 2.7mm</Size><SupplierCode>SN</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>JD007</BillingCode><Name>CarboFix Piccolo Plate Systems – Locking Screws: Mini</Name><Description>Titanium alloy screws (locking) for fixation of CarboFix plate shaft and head.</Description><Size>Locking Proximal Screw 2.5mm x 14mm, 16mm, 18mm, 20mm, 22mm, 24mm, 26mm

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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SY651</BillingCode><Name>AO/ASIF Cortex Screws</Name><Description>Locking Head Screws</Description><Size>2.4mm-2.7mm</Size><SupplierCode>JJ</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>PF007</BillingCode><Name>Forefoot Snap off Screws</Name><Description>Titanium Alloy Screws with Snap-off Grip</Description><Size>Weil self tapping L9 - L15</Size><SupplierCode>PF</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3371</SubGroupID><Suffix>Breakoff</Suffix><ARTGs><ARTG>141164</ARTG></ARTGs><MinimumBenefit>295</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-02-01</CycleStartDate><CycleEndDate>2025-03-01</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>KQ</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3371</SubGroupID><Suffix>CN,DT</Suffix><ARTGs><ARTG>289308</ARTG></ARTGs><MinimumBenefit>348</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MO373</BillingCode><Name>Acutrak fusion Screws</Name><Description>Fusion Screws Titanium</Description><Size>2.01mm - 2.7mm</Size><SupplierCode>MO</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3371</SubGroupID><Suffix>DT</Suffix><ARTGs><ARTG>99823</ARTG></ARTGs><MinimumBenefit>247</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-02-01</CycleStartDate><CycleEndDate>2025-03-01</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>ZI</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3371</SubGroupID><Suffix>LK</Suffix><ARTGs><ARTG>456147</ARTG></ARTGs><MinimumBenefit>98</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2024-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HW830</BillingCode><PriorBillingCodes><PriorBillingCode>WR284</PriorBillingCode></PriorBillingCodes><Name>EOS Footset - Entos</Name><Description>Footscrew</Description><Size>11-14mm</Size><SupplierCode>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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SL221</BillingCode><PriorBillingCodes><PriorBillingCode>IG126</PriorBillingCode></PriorBillingCodes><Name>Surfix Locking Screws</Name><Description>Locking screws with an independent lock-screw head</Description><Size>2.7mm, 10 - 24mm length</Size><SupplierCode>SN</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SL042</BillingCode><Name>VLP EVOS</Name><Description>VAL Locking Screws</Description><Size>Mini Screws (2.01 – 2.7 mm)</Size><SupplierCode>SN</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SN968</BillingCode><Name>Peri-Loc</Name><Description>Locking screws</Description><Size>2.01mm - 2.7mm</Size><SupplierCode>SN</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3371</SubGroupID><Suffix>LK</Suffix><ARTGs><ARTG>104369</ARTG></ARTGs><MinimumBenefit>98</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SN969</BillingCode><Name>Peri-Loc VLP</Name><Description>VAL Locking Screws 2.01mm - 2.7mm</Description><Size>2.01mm - 2.7mm</Size><SupplierCode>SN</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3371</SubGroupID><Suffix>LK</Suffix><ARTGs><ARTG>104369</ARTG></ARTGs><MinimumBenefit>98</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ZI921</BillingCode><Name>Twistoff Screws</Name><Description>Twistoff Screws</Description><Size>2.7mm x 8mm-24mm</Size><SupplierCode>ZI</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3371</SubGroupID><Suffix>Breakoff</Suffix><ARTGs><ARTG>210296</ARTG></ARTGs><MinimumBenefit>295</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2016-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BU029</BillingCode><Name>CentroLock Screws</Name><Description>CentroLock Screw System</Description><Size>smaller than 2.7mm</Size><SupplierCode>BU</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3371</SubGroupID><Suffix>LK</Suffix><ARTGs><ARTG>235767</ARTG></ARTGs><MinimumBenefit>98</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-11-01</CycleStartDate><CycleEndDate>2025-03-01</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><MinimumBenefit>58</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2024-11-01</CycleStartDate><CycleEndDate>2025-03-01</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><MinimumBenefit>98</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2024-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ595</BillingCode><Name>Charlotte Foot &amp; Ankle System</Name><Description>Snap-off screws, titanium alloy</Description><Size>2.0 diameter, 11-15mm length</Size><SupplierCode>JV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3372</SubGroupID><Suffix>Breakoff</Suffix><ARTGs><ARTG>198485</ARTG><ARTG>326629</ARTG></ARTGs><MinimumBenefit>273</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2024-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>KT081</BillingCode><PriorBillingCodes><PriorBillingCode>OH517</PriorBillingCode></PriorBillingCodes><Name>KLS Martin Hand fracture system, standard screw</Name><Description>Bone screw</Description><Size>1.2 – 2.0mm</Size><SupplierCode>KT</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3372</SubGroupID><ARTGs><ARTG>276674</ARTG><ARTG>276650</ARTG></ARTGs><MinimumBenefit>46</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ357</BillingCode><PriorBillingCodes><PriorBillingCode>LM256</PriorBillingCode></PriorBillingCodes><Name>Osteomed Screws</Name><Description>Bone Screws - threaded/lag</Description><Size>1.2/1.6/2.0mm x 4-36mm</Size><SupplierCode>LH</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3372</SubGroupID><ARTGs><ARTG>202319</ARTG></ARTGs><MinimumBenefit>46</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2015-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BH299</BillingCode><Name>ALPS Plating System</Name><Description>Bone Screws</Description><Size>1.0 - 2.0mm</Size><SupplierCode>ZI</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3372</SubGroupID><ARTGs><ARTG>210296</ARTG></ARTGs><MinimumBenefit>46</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2013-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ZI742</BillingCode><Name>Zimmer ECT Screws</Name><Description>1.5mm Cortical Screws</Description><Size>6 - 18mm</Size><SupplierCode>ZI</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3372</SubGroupID><ARTGs><ARTG>112735</ARTG></ARTGs><MinimumBenefit>46</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HW661</BillingCode><Name>Stryker Plating System</Name><Description>Non-Locking Screws</Description><Size>1.2-1.9mm</Size><SupplierCode>JV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3372</SubGroupID><ARTGs><ARTG>252452</ARTG><ARTG>269713</ARTG></ARTGs><MinimumBenefit>46</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2019-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ520</BillingCode><PriorBillingCodes><PriorBillingCode>ER401</PriorBillingCode></PriorBillingCodes><Name>Paragon 28 Monster Screw System-Screws, micro (≤ 2.0mm)</Name><Description>Paragon 28 Monster Screw System-Screws, micro, headed, blunt tip, solid, partially or fully threaded</Description><Size>dia 2.0 mm x length (8-100 mm) x length of thread (3-100 mm)</Size><SupplierCode>KQ</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3372</SubGroupID><ARTGs><ARTG>289308</ARTG></ARTGs><MinimumBenefit>46</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ185</BillingCode><Name>DartFire Edge Screw System</Name><Description>Titanium Snap Off Screws</Description><Size>2.0MM</Size><SupplierCode>JV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3372</SubGroupID><Suffix>Breakoff</Suffix><ARTGs><ARTG>295072</ARTG></ARTGs><MinimumBenefit>273</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2024-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>IT013</BillingCode><Name>Hawk 2.0mm Twist off Screw</Name><Description>2.0mm Twist off Screw</Description><Size>2.0mm in diameter with lengths of 11mm to 20mm</Size><SupplierCode>IT</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3372</SubGroupID><Suffix>Breakoff</Suffix><ARTGs><ARTG>230954</ARTG></ARTGs><MinimumBenefit>273</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2015-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HU278</BillingCode><Name>Low Profile Screws, Cortical</Name><Description>Cortical Screws</Description><Size>1.0mm - 2.0mm</Size><SupplierCode>HU</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3372</SubGroupID><ARTGs><ARTG>350999</ARTG></ARTGs><MinimumBenefit>46</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HU207</BillingCode><PriorBillingCodes><PriorBillingCode>DE364</PriorBillingCode></PriorBillingCodes><Name>QuickFix Screw Micro</Name><Description>Titanium Snap-off Small Bone Screw</Description><Size>2.0mm Diameter x 10-14mm lengths</Size><SupplierCode>HU</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3372</SubGroupID><Suffix>Breakoff</Suffix><ARTGs><ARTG>350871</ARTG><ARTG>351000</ARTG></ARTGs><MinimumBenefit>273</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HU369</BillingCode><Name>Snap-Off Compression FT Pins 1.9mm</Name><Description>Snap-Off Compression pins for fusion and fracture fixation</Description><Size>1.9mm</Size><SupplierCode>HU</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3372</SubGroupID><Suffix>Breakoff</Suffix><ARTGs><ARTG>350672</ARTG></ARTGs><MinimumBenefit>273</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2023-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SL226</BillingCode><PriorBillingCodes><PriorBillingCode>IG135</PriorBillingCode></PriorBillingCodes><Name>Spin screw: Snap-off screws</Name><Description>Titanium break-off barrel screws</Description><Size>Diameter 2.0 mm, Length 11 -14mm</Size><SupplierCode>SN</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3372</SubGroupID><Suffix>Breakoff</Suffix><ARTGs><ARTG>173963</ARTG></ARTGs><MinimumBenefit>273</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BU001</BillingCode><Name>Nexis osteosynthesis screws</Name><Description>Bone screw titanium alloy snap off</Description><Size>Diameter 2mm, Length 11-16mm</Size><SupplierCode>BU</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3372</SubGroupID><Suffix>Breakoff</Suffix><ARTGs><ARTG>235767</ARTG></ARTGs><MinimumBenefit>273</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2016-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MN262</BillingCode><Name>AO/ASIF Screws</Name><Description>Quick Insertion Screws, Twist-Off</Description><Size>2.0mm x 11-18mm lengths</Size><SupplierCode>JJ</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3372</SubGroupID><Suffix>Breakoff</Suffix><ARTGs><ARTG>297881</ARTG><ARTG>157068</ARTG></ARTGs><MinimumBenefit>273</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2020-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SM172</BillingCode><Name>Smith and Nephew QFX Screw</Name><Description>2.0mm Twist-Off Screw</Description><Size>2.0mm Twist-Off Screw 8mm, 2.0mm Twist-Off Screw 10mm, 2.0mm Twist-Off Screw 12mm, 2.0mm Twist-Off Screw 14mm, 2.0mm Twist-Off Screw 16mm, 2.0mm Twist-Off Screw 18mm</Size><SupplierCode>SN</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3372</SubGroupID><Suffix>Breakoff</Suffix><ARTGs><ARTG>104369</ARTG></ARTGs><MinimumBenefit>273</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2010-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ522</BillingCode><PriorBillingCodes><PriorBillingCode>ER403</PriorBillingCode></PriorBillingCodes><Name>Paragon 28 Monster Screw System-Screws, micro (≤ 2.0mm), cannulated</Name><Description>Paragon 28 Monster Screw System-screws, micro, cannulated, headed</Description><Size>dia 2.0 mm x length (8-100mm) x length of thread (3-100 mm)</Size><SupplierCode>KQ</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3372</SubGroupID><Suffix>CN</Suffix><ARTGs><ARTG>289308</ARTG></ARTGs><MinimumBenefit>180</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>EO113</BillingCode><Name>APTUS CCS</Name><Description>Cannulated Screws</Description><Size>Diameter ≤ 2.0mm  Length 6.0mm to 20.0mm</Size><SupplierCode>EO</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3372</SubGroupID><Suffix>CN</Suffix><ARTGs><ARTG>206157</ARTG></ARTGs><MinimumBenefit>180</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BP036</BillingCode><Name>Tyber Medical Trauma headed screw</Name><Description>Trauma headed screw for compression and fixation of bone Sterile or Non sterile, Titanium or stainless steel</Description><Size>2.00MM</Size><SupplierCode>BP</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3372</SubGroupID><Suffix>CN</Suffix><ARTGs><ARTG>324189</ARTG><ARTG>324190</ARTG></ARTGs><MinimumBenefit>180</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>KT079</BillingCode><PriorBillingCodes><PriorBillingCode>OH514</PriorBillingCode></PriorBillingCodes><Name>KLS Martin Hand fracture system - multidirectional locking screw</Name><Description>Multidirectional locking screw</Description><Size>1.2 – 2.0mm</Size><SupplierCode>KT</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3372</SubGroupID><Suffix>LK</Suffix><ARTGs><ARTG>276674</ARTG><ARTG>276650</ARTG></ARTGs><MinimumBenefit>104</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>DZ041</BillingCode><Name>Austofix Mini Fragment - Cortex Screws</Name><Description>Cortex Screws</Description><Size>1.5mm, 2.0mm diameters</Size><SupplierCode>DZ</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3372</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>EO072</BillingCode><Name>APTUS Screws</Name><Description>Aptus Locking Screws</Description><Size>1.5mm - 2.0mm Diameter</Size><SupplierCode>EO</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3372</SubGroupID><Suffix>LK</Suffix><ARTGs><ARTG>141171</ARTG></ARTGs><MinimumBenefit>104</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MO422</BillingCode><Name>ACUMED Hexalobe 1.5mm Lag Screws</Name><Description>ACUMED Hexalobe 1.5mm Lag Screw</Description><Size>1.5mm in diameter, 5mm to 20mm in length</Size><SupplierCode>MO</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3372</SubGroupID><ARTGs><ARTG>99823</ARTG></ARTGs><MinimumBenefit>46</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2015-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BH300</BillingCode><Name>ALPS Hand Fracture System</Name><Description>Locking Bone Screws</Description><Size>1.0 - 2.0mm</Size><SupplierCode>ZI</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3372</SubGroupID><Suffix>LK</Suffix><ARTGs><ARTG>153087</ARTG></ARTGs><MinimumBenefit>104</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2013-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ER427</BillingCode><Name>Paragon 28 Gorilla Plating System-Screws, micro</Name><Description>Paragon 28 Gorilla Plating System-Screws, locking, baby</Description><Size>dia 2.0 mm x length (8-40 mm)</Size><SupplierCode>ER</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3372</SubGroupID><Suffix>LK</Suffix><ARTGs><ARTG>289308</ARTG></ARTGs><MinimumBenefit>104</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LM257</BillingCode><Name>OsteoMed HPS</Name><Description>Bone screws - angled locking</Description><Size>1.6/2mm x 6-36mm</Size><SupplierCode>LM</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3372</SubGroupID><Suffix>LK</Suffix><ARTGs><ARTG>202230</ARTG></ARTGs><MinimumBenefit>104</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2015-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>JV020</BillingCode><Name>VariAx Plating System - Screws</Name><Description>Titanium Locking Screws</Description><Size>2.0mm</Size><SupplierCode>JV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3372</SubGroupID><Suffix>LK</Suffix><ARTGs><ARTG>352530</ARTG></ARTGs><MinimumBenefit>104</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2023-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HW720</BillingCode><PriorBillingCodes><PriorBillingCode>WR073</PriorBillingCode></PriorBillingCodes><Name>Ortholoc Fracture System</Name><Description>Titanium, variable angle locking screws</Description><Size>2.0mm diameter, 8 - 100mm length</Size><SupplierCode>JV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3372</SubGroupID><Suffix>LK</Suffix><ARTGs><ARTG>326629</ARTG></ARTGs><MinimumBenefit>104</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SK526</BillingCode><Name>Stryker Locking Plate System</Name><Description>Locking Screws</Description><Size>1.7-2.0mm diameter</Size><SupplierCode>JV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3372</SubGroupID><Suffix>LK</Suffix><ARTGs><ARTG>119660</ARTG><ARTG>269713</ARTG></ARTGs><MinimumBenefit>104</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>KO012</BillingCode><PriorBillingCodes><PriorBillingCode>LM478</PriorBillingCode></PriorBillingCodes><Name>Locking Screws</Name><Description>Locking Screws</Description><Size>≤ 2.0mm</Size><SupplierCode>KO</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3372</SubGroupID><Suffix>LK</Suffix><ARTGs><ARTG>337193</ARTG></ARTGs><MinimumBenefit>104</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2023-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MO420</BillingCode><Name>ACUMED Hexalobe 1.5mm Multiscrews</Name><Description>ACUMED Hexalobe 1.5mm locking Multiscrew</Description><Size>1.5mm in diameter, 5mm to 20mm in length</Size><SupplierCode>MO</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3372</SubGroupID><Suffix>LK</Suffix><ARTGs><ARTG>99823</ARTG></ARTGs><MinimumBenefit>104</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2015-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>DZ066</BillingCode><Name>VRP Distal Radius Fixation System</Name><Description>VRP Distal Radius Fixation System, Locking Peg</Description><Size>2.0mm width, 14-30mm length</Size><SupplierCode>DZ</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3372</SubGroupID><Suffix>LK</Suffix><ARTGs><ARTG>149433</ARTG></ARTGs><MinimumBenefit>104</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HU279</BillingCode><Name>Variable Angle Locking Screw</Name><Description>VAL Screw</Description><Size>1.4mm - 2.0mm</Size><SupplierCode>HU</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3372</SubGroupID><Suffix>LK</Suffix><ARTGs><ARTG>350999</ARTG></ARTGs><MinimumBenefit>104</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>DZ042</BillingCode><Name>Valens Hand - Screws</Name><Description>Locking Screws</Description><Size>1.5mm, 2.0mm</Size><SupplierCode>DZ</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3372</SubGroupID><Suffix>LK</Suffix><ARTGs><ARTG>276915</ARTG></ARTGs><MinimumBenefit>104</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>DZ053</BillingCode><Name>Valens Shoulder and Elbow - Screws</Name><Description>Self-Tapping Locking Screws</Description><Size>2.0mm</Size><SupplierCode>DZ</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3372</SubGroupID><Suffix>LK</Suffix><ARTGs><ARTG>276915</ARTG></ARTGs><MinimumBenefit>104</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>KT074</BillingCode><PriorBillingCodes><PriorBillingCode>OH481</PriorBillingCode></PriorBillingCodes><Name>HBS 2 mini</Name><Description>Self-compressive screws</Description><Size>Diam: 1.7 - 2.0mm  Length: 10 - 40mm</Size><SupplierCode>KT</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3372</SubGroupID><Suffix>CN,DT</Suffix><ARTGs><ARTG>276650</ARTG><ARTG>276674</ARTG></ARTGs><MinimumBenefit>346</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>KO011</BillingCode><PriorBillingCodes><PriorBillingCode>LM393</PriorBillingCode></PriorBillingCodes><Name>Headless Compression Screws</Name><Description>Headless Compression Screws</Description><Size>2.0mm or smaller diameter</Size><SupplierCode>KO</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3372</SubGroupID><Suffix>CN,DT</Suffix><ARTGs><ARTG>329613</ARTG></ARTGs><MinimumBenefit>346</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2023-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LM258</BillingCode><Name>Bone Screws - cannulated</Name><Description>Screws - cannulated</Description><Size>2.0mm x 6.0-36.0mm</Size><SupplierCode>LM</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3372</SubGroupID><Suffix>CN,DT</Suffix><ARTGs><ARTG>202320</ARTG></ARTGs><MinimumBenefit>346</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2015-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ029</BillingCode><PriorBillingCodes><PriorBillingCode>LM282</PriorBillingCode><PriorBillingCode>LM282</PriorBillingCode></PriorBillingCodes><Name>IBS Screw</Name><Description>Compression Screw</Description><Size>2mm diameter</Size><SupplierCode>LV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3372</SubGroupID><Suffix>CN,DT</Suffix><ARTGs><ARTG>266217</ARTG></ARTGs><MinimumBenefit>346</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2016-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SL037</BillingCode><Name>VLP</Name><Description>VAL Locking screws</Description><Size>Micro Screws ≤ 2.0mm</Size><SupplierCode>SN</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3372</SubGroupID><Suffix>LK</Suffix><ARTGs><ARTG>104369</ARTG></ARTGs><MinimumBenefit>104</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2014-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SY650</BillingCode><Name>AO/ASIF Cortex Screws</Name><Description>Locking head screws</Description><Size>1.3-2.0mm</Size><SupplierCode>JJ</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3372</SubGroupID><Suffix>LK</Suffix><ARTGs><ARTG>297881</ARTG><ARTG>157068</ARTG></ARTGs><MinimumBenefit>104</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>PB034</BillingCode><Name>Mini Locking System - Locking Screw, Stardrive, Self Tapping</Name><Description>Locking Screws</Description><Size>1.5mm &amp; 2mm</Size><SupplierCode>PB</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3372</SubGroupID><Suffix>LK</Suffix><ARTGs><ARTG>223188</ARTG></ARTGs><MinimumBenefit>104</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2016-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>TN064</BillingCode><Name>Newclip Locking Screws</Name><Description>VAL Locking screws</Description><Size>≤2.0 mm diameter, length 08-30 mm</Size><SupplierCode>TN</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3372</SubGroupID><Suffix>LK</Suffix><ARTGs><ARTG>260233</ARTG><ARTG>260234</ARTG></ARTGs><MinimumBenefit>104</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2019-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SL044</BillingCode><Name>VLP EVOS</Name><Description>VAL Locking Screws</Description><Size>Micro Screws (≤ 2.0mm)</Size><SupplierCode>SN</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3372</SubGroupID><Suffix>LK</Suffix><ARTGs><ARTG>104369</ARTG></ARTGs><MinimumBenefit>104</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2015-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HW919</BillingCode><PriorBillingCodes><PriorBillingCode>WR399</PriorBillingCode></PriorBillingCodes><Name>NexFix Compression Pin</Name><Description>The NexFix Compression Pin is a tapered stainless steel compression pin for use in maintaining alignment and providing interfragmentary compression of small bones in osteotomies, fusions and fractures until a stable bony union occurs. It is self drilling </Description><Size>2.0mm x 10mm, 2.0mm x 12mm, 2.0mm x 14mm, 2.0mm x 16mm, 2.7mm x 20mm, 2.7mm x 24mm, 3.5mm x 25mm, 3.5mm x 30mm</Size><SupplierCode>JV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3372</SubGroupID><Suffix>DT</Suffix><ARTGs><ARTG>132072</ARTG></ARTGs><MinimumBenefit>200</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ174</BillingCode><Name>VAL Locking Screw</Name><Description>VAL Locking Screw</Description><Size>2.0mm or Less</Size><SupplierCode>BU</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3372</SubGroupID><Suffix>LK</Suffix><ARTGs><ARTG>429400</ARTG></ARTGs><MinimumBenefit>104</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2024-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MO367</BillingCode><Name>Acumed Fixation Screw</Name><Description>Acutrak Compression Screw Titanium</Description><Size>≤2mm</Size><SupplierCode>MO</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3372</SubGroupID><Suffix>Breakoff, DT</Suffix><ARTGs><ARTG>99823</ARTG></ARTGs><MinimumBenefit>404</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>XU007</BillingCode><PriorBillingCodes><PriorBillingCode>QQ211</PriorBillingCode></PriorBillingCodes><Name>ARIX 2.0mm Non-Locking screws </Name><Description>Non-Locking screws</Description><Size>2.00mm</Size><SupplierCode>XU</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3372</SubGroupID><ARTGs><ARTG>409165</ARTG></ARTGs><ChangeExplanation>
Billing code transferred from QQ211
Sponsor transferred from AA-Med Pty Ltd</ChangeExplanation><MinimumBenefit>46</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2024-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>XU004</BillingCode><PriorBillingCodes><PriorBillingCode>QQ208</PriorBillingCode></PriorBillingCodes><Name>ARIX 1.5-2.0 Locking screws</Name><Description>Locking screws</Description><Size>1.5-2.0mm</Size><SupplierCode>XU</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3372</SubGroupID><Suffix>LK</Suffix><ARTGs><ARTG>409165</ARTG></ARTGs><ChangeExplanation>
Billing code transferred from QQ208
Sponsor transferred from AA-Med Pty Ltd</ChangeExplanation><MinimumBenefit>104</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2024-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>JV036</BillingCode><Name>AutoFIX</Name><Description>The AutoFIX system comprises of cannulated compression screws that provide internal fixation of bones. </Description><Size>2.0mm cannulated compression screw</Size><SupplierCode>JV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3372</SubGroupID><Suffix>CN,DT</Suffix><ARTGs><ARTG>352531</ARTG><ARTG>352530</ARTG></ARTGs><ChangeExplanation>New listing</ChangeExplanation><MinimumBenefit>346</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2025-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HW457</BillingCode><Name>Fixos Screws</Name><Description>Bone Fixation Screws</Description><Size>2mm diam. X11mm lenth to 2mm x 16mm</Size><SupplierCode>JV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3372</SubGroupID><Suffix>Breakoff</Suffix><ARTGs><ARTG>149535</ARTG></ARTGs><MinimumBenefit>273</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BP032</BillingCode><Name>Tyber Medical Trauma Headless screw</Name><Description>Headless trauma screw for compression and fixation of bone Sterile or Non sterile, Titanium or stainless steel</Description><Size>2.0mm</Size><SupplierCode>BP</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3372</SubGroupID><ARTGs><ARTG>324189</ARTG><ARTG>324190</ARTG></ARTGs><MinimumBenefit>46</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2020-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SY065</BillingCode><Name>AO/ASIF Screws</Name><Description>Cortex Screw</Description><Size>≤2.0mm</Size><SupplierCode>JJ</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3372</SubGroupID><ARTGs><ARTG>157068</ARTG><ARTG>157706</ARTG><ARTG>295238</ARTG><ARTG>297881</ARTG></ARTGs><MinimumBenefit>46</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SL043</BillingCode><Name>VLP EVOS</Name><Description>Cortical Screws</Description><Size>Micro (Screw size ≤ 2.0mm)</Size><SupplierCode>SN</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3372</SubGroupID><ARTGs><ARTG>104369</ARTG></ARTGs><MinimumBenefit>46</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2015-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SL006</BillingCode><Name>TC-100</Name><Description>Cortical Screws</Description><Size>≤2.0mm</Size><SupplierCode>SN</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3372</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SL036</BillingCode><Name>VLP</Name><Description>Cortical Screws</Description><Size>Micro Screws ≤ 2.0mm</Size><SupplierCode>SN</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3372</SubGroupID><ARTGs><ARTG>104369</ARTG></ARTGs><MinimumBenefit>46</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2014-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HW823</BillingCode><PriorBillingCodes><PriorBillingCode>WR256</PriorBillingCode></PriorBillingCodes><Name>Evolve EPS System Non-Locking</Name><Description>Stainless Steel Cortical Screws</Description><Size>1.5 - 2.0mm Diameter, 10-40mm</Size><SupplierCode>JV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3372</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ362</BillingCode><PriorBillingCodes><PriorBillingCode>LM281</PriorBillingCode></PriorBillingCodes><Name>PANTERA Proximal Humerus Fracture Fixation Plate System - Cross Element Screw</Name><Description>Cross Element Screw</Description><Size>1.9 mm</Size><SupplierCode>LH</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3372</SubGroupID><Suffix>CN</Suffix><ARTGs><ARTG>182168</ARTG></ARTGs><MinimumBenefit>180</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2016-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>KO015</BillingCode><PriorBillingCodes><PriorBillingCode>LM398</PriorBillingCode></PriorBillingCodes><Name>Cannulated Screws</Name><Description>Cannulated Screws</Description><Size>2.0mm diameter and smaller</Size><SupplierCode>KO</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3372</SubGroupID><Suffix>CN</Suffix><ARTGs><ARTG>329613</ARTG></ARTGs><MinimumBenefit>180</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2023-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ187</BillingCode><Name>DartFire Edge Screw System</Name><Description>Titanium Headed Cannulated Screws</Description><Size>2.0mm</Size><SupplierCode>JV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3372</SubGroupID><Suffix>CN</Suffix><ARTGs><ARTG>295072</ARTG></ARTGs><MinimumBenefit>180</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2024-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>XU032</BillingCode><PriorBillingCodes><PriorBillingCode>ZZ072</PriorBillingCode><PriorBillingCode>EF015</PriorBillingCode></PriorBillingCodes><Name>Bone Screw</Name><Description>Cortical Bone Screw</Description><Size>≤ 2.0mm</Size><SupplierCode>XU</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3372</SubGroupID><ARTGs><ARTG>239817</ARTG></ARTGs><ChangeExplanation>
Billing code transferred from ZZ072
Sponsor transferred from AA-Med Pty Ltd</ChangeExplanation><MinimumBenefit>46</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2021-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>XT010</BillingCode><PriorBillingCodes><PriorBillingCode>GW011</PriorBillingCode></PriorBillingCodes><Name>WEGO Trauma Systems</Name><Description>Micro Bone Screw Systems</Description><Size>Micro (≤ 2.0mm)</Size><SupplierCode>XT</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3372</SubGroupID><Suffix>LK</Suffix><ARTGs><ARTG>324381</ARTG></ARTGs><ChangeExplanation>
Billing code transferred from GW011
Sponsor transferred from EQUINOX MEDICAL PTY LTD</ChangeExplanation><MinimumBenefit>104</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2020-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ130</BillingCode><PriorBillingCodes><PriorBillingCode>LM371</PriorBillingCode></PriorBillingCodes><Name>Orthopaedic Fixation Screw</Name><Description>Fixation Screw</Description><Size>2.0mm or less diameter</Size><SupplierCode>LV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3372</SubGroupID><Suffix>CN,DT</Suffix><ARTGs><ARTG>266217</ARTG></ARTGs><MinimumBenefit>346</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2019-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ663</BillingCode><Name>Foot and Hand Motion S Cannulated Screws</Name><Description>Cannulated self drilling, self tapping neutralisation screws. Sterile and non sterile.</Description><Size>8mm-40mm</Size><SupplierCode>TN</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3372</SubGroupID><Suffix>CN</Suffix><ARTGs /><MinimumBenefit>180</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2024-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>EO090</BillingCode><Name>APTUS SpeedTip C-Snap System</Name><Description>APTUS SpeedTip C-Snap Screws</Description><Size>2.0mm diameter</Size><SupplierCode>EO</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3372</SubGroupID><Suffix>Breakoff</Suffix><ARTGs><ARTG>206157</ARTG></ARTGs><MinimumBenefit>273</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2015-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HW806</BillingCode><PriorBillingCodes><PriorBillingCode>WR229</PriorBillingCode></PriorBillingCodes><Name>Twist-off Screw</Name><Description>Unique feature of two thread diameters to suit variable bone quality, specifically designed for Weil-osteotomy, titanium, self drilling and self tapping, twist-off connector.</Description><Size>2.0mm diameter x 11-15mm</Size><SupplierCode>JV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3372</SubGroupID><Suffix>Breakoff</Suffix><ARTGs><ARTG>291613</ARTG></ARTGs><MinimumBenefit>273</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ521</BillingCode><PriorBillingCodes><PriorBillingCode>ER402</PriorBillingCode></PriorBillingCodes><Name>Paragon 28 Monster Screw System-Screws, micro (≤ 2.0mm), breakoff</Name><Description>Paragon 28 Monster Bite Screws, micro (≤ 2.0mm), snap-off, 1/2 or 3/4 threaded</Description><Size>dia 2.0 mm x length (8-24 mm)</Size><SupplierCode>KQ</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3372</SubGroupID><Suffix>Breakoff</Suffix><ARTGs><ARTG>289308</ARTG></ARTGs><MinimumBenefit>273</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BH193</BillingCode><Name>Twistoff Screw</Name><Description>TwistOff Screw Titanium</Description><Size>8-15mm Long</Size><SupplierCode>ZI</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3372</SubGroupID><Suffix>Breakoff</Suffix><ARTGs><ARTG>210290</ARTG></ARTGs><MinimumBenefit>273</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2013-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SF091</BillingCode><Name>Speyside Self Breaking Screw - Micro</Name><Description>Speyside Self Breaking Screw - Micro</Description><Size>Dia 2.0 mm x Length 7-24 mm</Size><SupplierCode>SF</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3372</SubGroupID><Suffix>Breakoff</Suffix><ARTGs><ARTG>184460</ARTG></ARTGs><MinimumBenefit>273</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2015-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HJ001</BillingCode><Name>Surgifeet Weil Screw</Name><Description>Snap off screw , self drilling, self tapping.</Description><Size>Diameter 2mm  Length 11-15mm</Size><SupplierCode>HJ</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3372</SubGroupID><Suffix>Breakoff</Suffix><ARTGs><ARTG>336654</ARTG></ARTGs><MinimumBenefit>273</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2020-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>XU005</BillingCode><PriorBillingCodes><PriorBillingCode>QQ209</PriorBillingCode></PriorBillingCodes><Name>ARIX 1.5-2.3 Non-Locking screws</Name><Description>Non-Locking screws</Description><Size>1.5-2.0mm</Size><SupplierCode>XU</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3372</SubGroupID><ARTGs><ARTG>409165</ARTG></ARTGs><ChangeExplanation>
Billing code transferred from QQ209
Sponsor transferred from AA-Med Pty Ltd</ChangeExplanation><MinimumBenefit>46</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2024-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>XU010</BillingCode><PriorBillingCodes><PriorBillingCode>QQ331</PriorBillingCode></PriorBillingCodes><Name>ARIX 2.0mm Non-Locking screws </Name><Description>Non-Locking screws</Description><Size>2.00mm</Size><SupplierCode>XU</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3372</SubGroupID><ARTGs><ARTG>409165</ARTG></ARTGs><ChangeExplanation>
Billing code transferred from QQ331
Sponsor transferred from AA-Med Pty Ltd</ChangeExplanation><MinimumBenefit>46</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2024-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ188</BillingCode><Name>DartFire Edge Screw System</Name><Description>Titanium Headless Cannulated Screws</Description><Size>2.0mm</Size><SupplierCode>JV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3372</SubGroupID><Suffix>CN,DT</Suffix><ARTGs><ARTG>295072</ARTG></ARTGs><MinimumBenefit>346</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2024-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SY647</BillingCode><Name>AO/ASIF Screws</Name><Description>HCS Countersinkable Compression Screw</Description><Size>≤ 2.0mm</Size><SupplierCode>JJ</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3372</SubGroupID><Suffix>CN,DT</Suffix><ARTGs><ARTG>297881</ARTG></ARTGs><MinimumBenefit>346</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>XU039</BillingCode><PriorBillingCodes><PriorBillingCode>ZZ079</PriorBillingCode><PriorBillingCode>EF014</PriorBillingCode></PriorBillingCodes><Name>Bone Screw</Name><Description>Locking Screw</Description><Size>≤ 2.0mm</Size><SupplierCode>XU</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3372</SubGroupID><Suffix>LK</Suffix><ARTGs><ARTG>239817</ARTG></ARTGs><ChangeExplanation>
Billing code transferred from ZZ079
Sponsor transferred from AA-Med Pty Ltd</ChangeExplanation><MinimumBenefit>104</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2021-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ173</BillingCode><Name>Non-Locking Screw</Name><Description>Non-Locking Screw</Description><Size>2.0mm or Less</Size><SupplierCode>BU</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3372</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>PB032</BillingCode><Name>Mini Locking System - Cortex Screw</Name><Description>Cortex Screws</Description><Size>≤ 2.0mm</Size><SupplierCode>PB</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3372</SubGroupID><ARTGs><ARTG>223188</ARTG></ARTGs><MinimumBenefit>46</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2016-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BP030</BillingCode><Name>Tyber Medical Trauma headed screw</Name><Description>Trauma headed screw for compression and fixation of bone  Sterile or Non sterile, Titanium or stainless steel</Description><Size>1.5mm-2.0mm</Size><SupplierCode>BP</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3372</SubGroupID><ARTGs><ARTG>324189</ARTG><ARTG>324190</ARTG></ARTGs><MinimumBenefit>46</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2020-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>TN065</BillingCode><Name>Newclip Cortical Screws</Name><Description>Cortical screws</Description><Size>≤2.0 mm diameter, length 08-30 mm</Size><SupplierCode>TN</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3372</SubGroupID><ARTGs><ARTG>260233</ARTG><ARTG>260234</ARTG></ARTGs><MinimumBenefit>46</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2019-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>EO075</BillingCode><Name>APTUS Screws</Name><Description>Cortical Screws</Description><Size>1.5mm - 2.0mm Diameter</Size><SupplierCode>EO</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3372</SubGroupID><ARTGs><ARTG>141171</ARTG></ARTGs><MinimumBenefit>46</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>EO091</BillingCode><Name>APTUS SpeedTip C System</Name><Description>APTUS SpeedTip C Screws</Description><Size>2.0mm diameter</Size><SupplierCode>EO</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3372</SubGroupID><ARTGs><ARTG>206157</ARTG></ARTGs><MinimumBenefit>46</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2015-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>XT009</BillingCode><PriorBillingCodes><PriorBillingCode>GW010</PriorBillingCode></PriorBillingCodes><Name>WEGO Trauma Systems</Name><Description>Micro Bone Screw Systems</Description><Size>Micro (≤ 2.0mm)</Size><SupplierCode>XT</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3372</SubGroupID><ARTGs><ARTG>324381</ARTG></ARTGs><ChangeExplanation>
Billing code transferred from GW010
Sponsor transferred from EQUINOX MEDICAL PTY LTD</ChangeExplanation><MinimumBenefit>46</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2020-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ523</BillingCode><PriorBillingCodes><PriorBillingCode>ER404</PriorBillingCode></PriorBillingCodes><Name>Paragon 28 Monster Screw System-Screws, micro (≤ 2.0mm), cannulated, dual thread, locking</Name><Description>Paragon 28 Monster micro screws, cannulated, dual thread, locking, headless, partially threaded</Description><Size>dia 2.0 mm x length (8-100 mm) x length of thread (3mm-32 mm)</Size><SupplierCode>KQ</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3372</SubGroupID><Suffix>CN,DT</Suffix><ARTGs><ARTG>289308</ARTG></ARTGs><MinimumBenefit>346</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LM558</BillingCode><Name>TriMed Compression Screws</Name><Description>Dual thread compression screws</Description><Size>2 x 11-14mm</Size><SupplierCode>LM</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3372</SubGroupID><Suffix>DT</Suffix><ARTGs><ARTG>229704</ARTG></ARTGs><ChangeExplanation>Expanded from LM133, LM132</ChangeExplanation><MinimumBenefit>200</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2025-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LM131</BillingCode><Name>TriMed Compression Screws</Name><Description>Compression screws</Description><Size>1.7mm</Size><SupplierCode>LM</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3372</SubGroupID><Suffix>CN,DT</Suffix><ARTGs><ARTG>229704</ARTG></ARTGs><MinimumBenefit>346</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>DZ069</BillingCode><Name>Austofix Cannulated Compression Screws</Name><Description>1.7mm Cannulated Headless Compression Screws</Description><Size>1.7mm diameter
6mm to 14mm length</Size><SupplierCode>DZ</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3372</SubGroupID><Suffix>CN,DT</Suffix><ARTGs><ARTG>276915</ARTG></ARTGs><MinimumBenefit>346</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2019-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>PB035</BillingCode><Name>Mini Locking System - Headless Compression Screw</Name><Description>Compression Screws</Description><Size>1.5mm &amp; 2mm</Size><SupplierCode>PB</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3372</SubGroupID><Suffix>CN,DT</Suffix><ARTGs><ARTG>223188</ARTG></ARTGs><MinimumBenefit>346</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2016-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>TN015</BillingCode><Name>Foot and Hand Motion S</Name><Description>1.7mm - 2.0mm cannulated self-drilling, self-tapping and compressive screws</Description><Size>1.7 &amp; 2.0mm diameter, length 8mm - 40mm</Size><SupplierCode>TN</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3372</SubGroupID><Suffix>CN,DT</Suffix><ARTGs><ARTG>260233</ARTG><ARTG>260234</ARTG></ARTGs><MinimumBenefit>346</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2016-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BP035</BillingCode><Name>Tyber Medical Trauma Headless screw</Name><Description>Headless trauma screw for compression and fixation of bone Sterile or Non sterile, Titanium or stainless steel</Description><Size>2.0mm</Size><SupplierCode>BP</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3372</SubGroupID><Suffix>CN,DT</Suffix><ARTGs><ARTG>324189</ARTG><ARTG>324190</ARTG></ARTGs><MinimumBenefit>346</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SK228</BillingCode><Name>Omega Plus Compression Hip Screw System</Name><Description>Cephalic Implants</Description><Size>Hansson Twin Hook 50-140mm</Size><SupplierCode>JV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3373</SubGroupID><ARTGs><ARTG>94876</ARTG></ARTGs><MinimumBenefit>155</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SN492</BillingCode><Name>Paediatric Osteotomy System</Name><Description>Lag Screw</Description><Size>22mm- 40mm</Size><SupplierCode>SN</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3373</SubGroupID><ARTGs><ARTG>104369</ARTG></ARTGs><MinimumBenefit>155</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MN279</BillingCode><Name>Femoral Neck System, Antirotation Screw</Name><Description> Orthopaedic bone screw,  sterile  </Description><Size>75 to 130 mm length</Size><SupplierCode>JJ</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3373</SubGroupID><ARTGs><ARTG>157068</ARTG></ARTGs><MinimumBenefit>155</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HW334</BillingCode><Name>Omega Plus Compression Hip Screw System</Name><Description>Lag Screw - Super -  Stainless Steel</Description><Size>50-130mm length </Size><SupplierCode>JV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3373</SubGroupID><ARTGs><ARTG>119660</ARTG><ARTG>76592</ARTG></ARTGs><MinimumBenefit>155</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HW333</BillingCode><Name>Omega Plus Compression Hip Screw System</Name><Description>Lag Screw - Standard -  Stainless Steel</Description><Size>50-130mm length </Size><SupplierCode>JV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3373</SubGroupID><ARTGs><ARTG>119660</ARTG></ARTGs><MinimumBenefit>155</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SN489</BillingCode><Name>Intermediate Osteotomy System</Name><Description>Lag</Description><Size>35 mm - 85mm, 1 1/2" - 3-3/4"</Size><SupplierCode>SN</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3373</SubGroupID><ARTGs><ARTG>104369</ARTG></ARTGs><MinimumBenefit>155</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SY054</BillingCode><Name>AO/ASIF Screws</Name><Description>DHS/DCS lag screw</Description><Size>50-145mm L</Size><SupplierCode>JJ</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3373</SubGroupID><ARTGs><ARTG>183900</ARTG><ARTG>157068</ARTG><ARTG>297881</ARTG></ARTGs><MinimumBenefit>155</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ZI158</BillingCode><Name>Zimmer Internal Fixation Systems: Compression Hip Screw</Name><Description>Versa-FX Femoral Fixation Screw - Stainless Steel</Description><Size>55 mm - 155 mm long</Size><SupplierCode>ZI</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3373</SubGroupID><ARTGs><ARTG>169898</ARTG><ARTG>112735</ARTG></ARTGs><MinimumBenefit>155</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ZI210</BillingCode><Name>Zimmer Washers</Name><Description>Washer</Description><Size>Small &amp; Large</Size><SupplierCode>ZI</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3374</SubGroupID><ARTGs><ARTG>112735</ARTG></ARTGs><MinimumBenefit>49</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SK201</BillingCode><Name>Stryker Trauma Locking Nail System</Name><Description>Proximal Humeral Nail</Description><Size>Proximal Humerous Washer round/square</Size><SupplierCode>JV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3374</SubGroupID><ARTGs><ARTG>119849</ARTG><ARTG>76714</ARTG></ARTGs><MinimumBenefit>49</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LM346</BillingCode><Name>Screw Washer</Name><Description>Screw Washer</Description><Size>All sizes</Size><SupplierCode>LM</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3374</SubGroupID><ARTGs><ARTG>296619</ARTG></ARTGs><MinimumBenefit>49</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MO158</BillingCode><Name>Polarus Humeral Fixation System</Name><Description>Polarus Washer</Description><Size>3.8mm</Size><SupplierCode>MO</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3374</SubGroupID><ARTGs><ARTG>169180</ARTG></ARTGs><MinimumBenefit>49</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HU161</BillingCode><Name>Washer</Name><Description>Screw Washer</Description><Size>6mm - 18mm</Size><SupplierCode>HU</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3374</SubGroupID><ARTGs><ARTG>350851</ARTG></ARTGs><MinimumBenefit>49</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SQ129</BillingCode><Name>Screw Washer</Name><Description>Stainless Steel</Description><Size>Screw sizes 4.0mm - 7.0mm</Size><SupplierCode>SQ</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3374</SubGroupID><ARTGs><ARTG>191602</ARTG></ARTGs><MinimumBenefit>49</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ158</BillingCode><Name>Agomed Washers</Name><Description>Agomed Washers</Description><Size>Multiple</Size><SupplierCode>BU</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3374</SubGroupID><ARTGs><ARTG>429400</ARTG></ARTGs><MinimumBenefit>49</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2024-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ304</BillingCode><Name>OMNI Plating System</Name><Description>Screw Washer</Description><Size>4.5mm</Size><SupplierCode>LH</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3374</SubGroupID><ARTGs><ARTG>306780</ARTG></ARTGs><MinimumBenefit>49</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2024-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>EO112</BillingCode><Name>APTUS Washer</Name><Description>Washers</Description><Size>5.0mm - 13.0mm</Size><SupplierCode>EO</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3374</SubGroupID><ARTGs><ARTG>206157</ARTG></ARTGs><MinimumBenefit>49</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>TN003</BillingCode><Name>Washers</Name><Description>Washers</Description><Size>4-8 mm</Size><SupplierCode>TN</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3374</SubGroupID><ARTGs><ARTG>260231</ARTG></ARTGs><MinimumBenefit>49</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2016-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LM316</BillingCode><Name>Skeletal Dynamics Washer</Name><Description>Washer</Description><Size>One size</Size><SupplierCode>LM</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3374</SubGroupID><ARTGs><ARTG>278692</ARTG></ARTGs><MinimumBenefit>49</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HW911</BillingCode><PriorBillingCodes><PriorBillingCode>WR388</PriorBillingCode></PriorBillingCodes><Name>MaxTorque Cannulated Screw System- Washers</Name><Description>Screw washer, Titanium, Contoured or Flat</Description><Size>Ø4.0 to 7.0mm</Size><SupplierCode>JV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3374</SubGroupID><ARTGs><ARTG>214671</ARTG></ARTGs><MinimumBenefit>49</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MN362</BillingCode><Name>Bristow-Latarjet Instability Shoulder Set - Top Hat Screw Washer</Name><Description>Cannulated titanium top hat screw washer</Description><Size>One size</Size><SupplierCode>JJ</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3374</SubGroupID><ARTGs><ARTG>215753</ARTG></ARTGs><MinimumBenefit>49</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2023-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>KT083</BillingCode><PriorBillingCodes><PriorBillingCode>OH519</PriorBillingCode></PriorBillingCodes><Name>KLS Martin Hand fracture system - washer</Name><Description>Washer</Description><Size>4.5 – 5mm</Size><SupplierCode>KT</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3374</SubGroupID><ARTGs><ARTG>276674</ARTG><ARTG>276650</ARTG></ARTGs><MinimumBenefit>49</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>XT008</BillingCode><PriorBillingCodes><PriorBillingCode>GW009</PriorBillingCode></PriorBillingCodes><Name>WEGO Trauma Systems </Name><Description>Washers</Description><Size>10-13mm</Size><SupplierCode>XT</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3374</SubGroupID><ARTGs><ARTG>324402</ARTG></ARTGs><ChangeExplanation>
Billing code transferred from GW009
Sponsor transferred from EQUINOX MEDICAL PTY LTD</ChangeExplanation><MinimumBenefit>49</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2020-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SF095</BillingCode><Name>Versa Screw Washer</Name><Description>Versa Screw Washer</Description><Size>One Size</Size><SupplierCode>SF</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3374</SubGroupID><ARTGs><ARTG>184460</ARTG></ARTGs><MinimumBenefit>49</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2015-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SL007</BillingCode><Name>Universal Washers</Name><Description>Screw Washers</Description><Size>All sizes</Size><SupplierCode>SN</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3374</SubGroupID><ARTGs><ARTG>368492</ARTG><ARTG>120321</ARTG><ARTG>108428</ARTG></ARTGs><MinimumBenefit>49</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SY092</BillingCode><Name>AO/ASIF Washers</Name><Description>Washers</Description><Size>1.0mm - 18mm</Size><SupplierCode>JJ</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3374</SubGroupID><ARTGs><ARTG>332026</ARTG><ARTG>133921</ARTG><ARTG>332027</ARTG></ARTGs><MinimumBenefit>49</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BH189</BillingCode><Name>Small / Large Fragment Set S/S</Name><Description>Washer Spiked, Standard, Cancellous, Cortical &amp; Fastening Wire</Description><Size>One size only</Size><SupplierCode>ZI</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3374</SubGroupID><ARTGs><ARTG>200720</ARTG></ARTGs><MinimumBenefit>49</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2013-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ369</BillingCode><PriorBillingCodes><PriorBillingCode>LM081</PriorBillingCode></PriorBillingCodes><Name>Surgicraft Washers</Name><Description>Fixation Washers</Description><Size>All Sizes</Size><SupplierCode>LH</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3374</SubGroupID><ARTGs><ARTG>149434</ARTG></ARTGs><MinimumBenefit>49</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2008-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ER561</BillingCode><Name>Osteomed ExtremiLock Screw, Mini (2.01 – 2.7 mm), screw washer</Name><Description>Screw washer</Description><Size>2.4/2.7 mm</Size><SupplierCode>ER</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3374</SubGroupID><ARTGs><ARTG>337240</ARTG></ARTGs><MinimumBenefit>49</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2020-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ZA008</BillingCode><Name>ALPS Plating System &amp; Biodrive Screws</Name><Description>Flat and cupped Titanium washers</Description><Size>3.0-6.5mm</Size><SupplierCode>ZI</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3374</SubGroupID><ARTGs><ARTG>213857</ARTG></ARTGs><MinimumBenefit>49</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HW712</BillingCode><PriorBillingCodes><PriorBillingCode>WR060</PriorBillingCode></PriorBillingCodes><Name>Ring washer</Name><Description>Screw Washers</Description><Size>2.7/3.7/4.0/4.5</Size><SupplierCode>JV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3374</SubGroupID><ARTGs><ARTG>198486</ARTG><ARTG>326629</ARTG></ARTGs><MinimumBenefit>49</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SK565</BillingCode><Name>Stryker Plating System</Name><Description>Washers</Description><Size>7-13mm</Size><SupplierCode>JV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3374</SubGroupID><ARTGs><ARTG>269713</ARTG><ARTG>119849</ARTG></ARTGs><MinimumBenefit>49</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BP029</BillingCode><Name>Tyber Medical Trauma screw washer</Name><Description>Screw washer intended to be used with bone screws to improve fixation. Sterile or Non sterile, Titanium or stainless steel</Description><Size>2.0mm -7.5mm</Size><SupplierCode>BP</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3374</SubGroupID><ARTGs><ARTG>324373</ARTG></ARTGs><MinimumBenefit>49</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2020-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HW299</BillingCode><Name>Asnis Guided Screw System</Name><Description>Washer -  Titanium</Description><Size>4, 5, 6.5,8mm</Size><SupplierCode>JV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3374</SubGroupID><ARTGs><ARTG>119849</ARTG></ARTGs><MinimumBenefit>49</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HW918</BillingCode><PriorBillingCodes><PriorBillingCode>WR398</PriorBillingCode></PriorBillingCodes><Name>NexFix Washer</Name><Description>The NexFix Washer is a threaded circular piece of stainless steel through which is inserted a NexFix Compression Screw. The Compression Screw is locked to the washer to form a headed screw that will increase bone coverage and prevent the screw from sinking</Description><Size>9mm, 11mm, 13mm</Size><SupplierCode>JV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3374</SubGroupID><ARTGs><ARTG>163237</ARTG></ARTGs><MinimumBenefit>49</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ349</BillingCode><PriorBillingCodes><PriorBillingCode>LM255</PriorBillingCode></PriorBillingCodes><Name>OsteoMed FPS</Name><Description>Screw Washers</Description><Size>2/2.7/3.5/4.0mm</Size><SupplierCode>LH</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3374</SubGroupID><ARTGs><ARTG>202319</ARTG></ARTGs><MinimumBenefit>49</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2015-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>DZ023</BillingCode><Name>Austofix Femoral &amp; Tibial Nailing System</Name><Description>Washer for screws; s-s</Description><Size>Dia 11mm &amp; 13mm</Size><SupplierCode>DZ</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3374</SubGroupID><ARTGs><ARTG>111818</ARTG></ARTGs><MinimumBenefit>49</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HW298</BillingCode><Name>Asnis Guided Screw System</Name><Description>Washer, Stainless Steel</Description><Size>One size only</Size><SupplierCode>JV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3374</SubGroupID><ARTGs><ARTG>119849</ARTG></ARTGs><MinimumBenefit>49</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BH332</BillingCode><Name>Small / Large  Fragment Set</Name><Description>Washer Titanium - Flat/Cup/Countersink</Description><Size>One size only</Size><SupplierCode>ZI</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3374</SubGroupID><ARTGs><ARTG>200720</ARTG></ARTGs><MinimumBenefit>49</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2013-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>PB041</BillingCode><Name>Washers</Name><Description>Washers</Description><Size>Thickness 1- 5.5mm
Width 7 - 13mm</Size><SupplierCode>PB</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3374</SubGroupID><ARTGs><ARTG>223188</ARTG></ARTGs><MinimumBenefit>49</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2016-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>IT002</BillingCode><Name>Hawk 6.5mm Cannulated Screw System - Washer</Name><Description>Titanium Washer</Description><Size>Internal diameter 6.6mm and external diameter 14mm</Size><SupplierCode>IT</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3374</SubGroupID><ARTGs><ARTG>232499</ARTG></ARTGs><MinimumBenefit>49</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2015-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ527</BillingCode><PriorBillingCodes><PriorBillingCode>ER405</PriorBillingCode></PriorBillingCodes><Name>Paragon 28 Monster Screw System-washer</Name><Description>Paragon 28 Monster Screw System-washer, deep well, flat/dome</Description><Size>dia 2-7 mm</Size><SupplierCode>KQ</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3374</SubGroupID><ARTGs><ARTG>289309</ARTG></ARTGs><MinimumBenefit>49</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>IT003</BillingCode><Name>Hawk 4.0mm Cannulated Screw System - Washer</Name><Description>Titanium washer</Description><Size>internal diameter of 4.13mm and external diameter of 10mm</Size><SupplierCode>IT</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3374</SubGroupID><ARTGs><ARTG>232499</ARTG></ARTGs><MinimumBenefit>49</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2015-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>DZ038</BillingCode><Name>Valens - Cannulated Screw Washer</Name><Description>Washer</Description><Size>8mm, 10mm, 12mm</Size><SupplierCode>DZ</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3374</SubGroupID><ARTGs><ARTG>276915</ARTG></ARTGs><MinimumBenefit>49</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>PB086</BillingCode><Name>Radfix Distal Radius System - Cannulated Peg / Post</Name><Description>Radfix Distal Radius System - Cannulated Peg / Post</Description><Size>14 mm - 28 mm</Size><SupplierCode>PB</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>4521</SubGroupID><ARTGs><ARTG>223188</ARTG></ARTGs><ChangeExplanation>New listing</ChangeExplanation><MinimumBenefit>122</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2025-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LM041</BillingCode><Name>Trimed Fixation Pegs</Name><Description>Plate fixation pegs</Description><Size>10-32mm</Size><SupplierCode>LM</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>4521</SubGroupID><ARTGs><ARTG>182677</ARTG></ARTGs><MinimumBenefit>122</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SK155</BillingCode><Name>Wedge Interference screw</Name><Description>Threaded PLLA screw with cross pin for ligament/tendon fixation</Description><Size>Dia 7-12mm, Length 20-40mm; pin length standard</Size><SupplierCode>JV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>4521</SubGroupID><ARTGs><ARTG>139735</ARTG></ARTGs><MinimumBenefit>122</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SY110</BillingCode><Name>AO/ASIF Screws</Name><Description>Buttress Pin</Description><Size>Various lengths</Size><SupplierCode>JJ</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>4521</SubGroupID><ARTGs><ARTG>133927</ARTG><ARTG>297881</ARTG><ARTG>157068</ARTG></ARTGs><MinimumBenefit>122</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SL029</BillingCode><Name>D-RAD SMART PACK</Name><Description>Variable angle locking screw or peg</Description><Size>1.0 - 2.0mm</Size><SupplierCode>SN</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>4521</SubGroupID><ARTGs><ARTG>104369</ARTG></ARTGs><MinimumBenefit>122</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2014-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SN422</BillingCode><Name>Fixation Post</Name><Description>Tibial fixation device</Description><Size>25 -55mm</Size><SupplierCode>SN</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>4521</SubGroupID><ARTGs><ARTG>109451</ARTG></ARTGs><MinimumBenefit>122</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SY649</BillingCode><Name>AO/ASIF Screws</Name><Description>Self Drilling, self tapping, conical screws/pins/bar</Description><Size>≥ 3.5mm</Size><SupplierCode>JJ</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>4521</SubGroupID><ARTGs><ARTG>297881</ARTG><ARTG>133927</ARTG></ARTGs><MinimumBenefit>122</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SL150</BillingCode><Name>Smith &amp; Nephew Plate and Screw System - EVOS</Name><Description>Locking Peg</Description><Size>Various length</Size><SupplierCode>SN</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>4521</SubGroupID><ARTGs><ARTG>104369</ARTG></ARTGs><MinimumBenefit>122</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2019-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MN278</BillingCode><Name>Femoral Neck System, Bolt</Name><Description>Orthopaedic bone bolt</Description><Size>75 to 130 mm length</Size><SupplierCode>JJ</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>4521</SubGroupID><ARTGs><ARTG>183900</ARTG></ARTGs><MinimumBenefit>122</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ410</BillingCode><PriorBillingCodes><PriorBillingCode>LM522</PriorBillingCode></PriorBillingCodes><Name>Omni Plating System</Name><Description>Post</Description><Size>12 &amp; 16 mm</Size><SupplierCode>LH</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>4521</SubGroupID><ARTGs><ARTG>306780</ARTG></ARTGs><MinimumBenefit>122</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LM311</BillingCode><Name>Skeletal Dynamics Pegs</Name><Description>Smooth Pegs:Locking, Threaded Pegs: Locking &amp; Non Locking</Description><Size>2mm, 2.3mm &amp; 2.7mm</Size><SupplierCode>LM</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>4521</SubGroupID><ARTGs><ARTG>278692</ARTG></ARTGs><MinimumBenefit>122</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SK154</BillingCode><Name>Stryker Cross-Screw</Name><Description>HA/PLLA screw for ligament/tendon fixation</Description><Size>Dia 6mm: Length 40-60mm</Size><SupplierCode>JV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>4521</SubGroupID><ARTGs><ARTG>143030</ARTG></ARTGs><MinimumBenefit>122</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>TN048</BillingCode><Name>Screws peg locking</Name><Description>Locking screws peg</Description><Size>&lt; 2.0 mm</Size><SupplierCode>TN</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>4521</SubGroupID><ARTGs><ARTG>260233</ARTG><ARTG>260234</ARTG></ARTGs><MinimumBenefit>122</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>EO088</BillingCode><Name>Aptus Shoulder (Spiral Blades )</Name><Description>Spiral Blades Proximal Humerus</Description><Size>3.5mm System</Size><SupplierCode>EO</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>4521</SubGroupID><ARTGs><ARTG>141170</ARTG></ARTGs><MinimumBenefit>122</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2013-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HW335</BillingCode><Name>Omega Plus Compression Hip Screw System</Name><Description>Compression Screw -  Stainless Steel</Description><Size>25mm length</Size><SupplierCode>JV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3732</SubGroupID><ARTGs><ARTG>76592</ARTG><ARTG>119660</ARTG></ARTGs><MinimumBenefit>92</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SN945</BillingCode><Name>Peri-Loc</Name><Description>Screw Accessories, Hole Filler</Description><Size>4.5mm</Size><SupplierCode>SN</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3732</SubGroupID><ARTGs><ARTG>140705</ARTG></ARTGs><MinimumBenefit>92</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-02-01</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</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>SN</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3732</SubGroupID><ARTGs><ARTG>230143</ARTG><ARTG>368491</ARTG></ARTGs><MinimumBenefit>92</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-07-01</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ZI597</BillingCode><Name>NCB Plating System</Name><Description>NCB Spacers &amp; Screw Caps</Description><Size>1, 2 and 3</Size><SupplierCode>ZI</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3732</SubGroupID><ARTGs><ARTG>100337</ARTG></ARTGs><MinimumBenefit>92</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2009-02-01</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BS327</BillingCode><Name>Eluvia</Name><Description>Drug Eluting Vascular Stent System</Description><Size>Diameter 6-7mm, Length 40-120mm</Size><SupplierCode>BS</SupplierCode><CategoryID>24</CategoryID><SubCategoryID>206</SubCategoryID><GroupID>1624</GroupID><SubGroupID>6562</SubGroupID><Suffix>&lt;150mm</Suffix><ARTGs><ARTG>285061</ARTG><ARTG>459345</ARTG></ARTGs><ChangeExplanation>Change to ARTG</ChangeExplanation><MinimumBenefit>2033</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Update</ActionFlag><CycleStartDate>2017-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BS328</BillingCode><Name>Eluvia</Name><Description>Drug Eluting Vascular Stent System</Description><Size>Diameter 6-7mm, Stent Length 150mm</Size><SupplierCode>BS</SupplierCode><CategoryID>24</CategoryID><SubCategoryID>206</SubCategoryID><GroupID>1624</GroupID><SubGroupID>6562</SubGroupID><Suffix>≥150mm</Suffix><ARTGs><ARTG>459345</ARTG><ARTG>285061</ARTG></ARTGs><ChangeExplanation>Change to ARTG, Size</ChangeExplanation><MinimumBenefit>2643</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Update</ActionFlag><CycleStartDate>2017-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BH135</BillingCode><Name>Orthopaedic Salvage System</Name><Description>Tibial Component, Resurfacing or Segmental, Modular and Non-Modular tray, CoCr, Ti</Description><Size>63-83mm</Size><SupplierCode>ZI</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>157</SubCategoryID><GroupID>1381</GroupID><SubGroupID>3932</SubGroupID><ARTGs><ARTG>247732</ARTG><ARTG>247574</ARTG></ARTGs><MinimumBenefit>7066</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2011-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HW617</BillingCode><Name>METS Tibial Component Rotating Hinge</Name><Description>
CoCr-Molybdenum with UHMWPE bumper pad</Description><Size>Small and standard</Size><SupplierCode>JV</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>157</SubCategoryID><GroupID>1381</GroupID><SubGroupID>3932</SubGroupID><ARTGs><ARTG>278019</ARTG></ARTGs><MinimumBenefit>7066</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HW234</BillingCode><Name>HMRS (Howmedica Modular Replacement System) Stemmed Tibial Baseplate</Name><Description>HMRS stemmed tibial baseplate, CoCr (Vitallium), uncemented, porous coated, w/large connecting stem attached for diaphyseal fixation, Fixed</Description><Size>One size only</Size><SupplierCode>JV</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>157</SubCategoryID><GroupID>1381</GroupID><SubGroupID>3932</SubGroupID><ARTGs><ARTG>261674</ARTG></ARTGs><MinimumBenefit>7066</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BH134</BillingCode><Name>Orthopaedic Salvage System</Name><Description>Tibial Component, Resurfacing or Segmental, Non-Modular tray, CoCr, Ti</Description><Size>63-83mm</Size><SupplierCode>ZI</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>157</SubCategoryID><GroupID>1381</GroupID><SubGroupID>3932</SubGroupID><ARTGs><ARTG>247575</ARTG><ARTG>274303</ARTG><ARTG>238321</ARTG><ARTG>247574</ARTG><ARTG>247732</ARTG><ARTG>238437</ARTG><ARTG>238698</ARTG><ARTG>247576</ARTG><ARTG>239174</ARTG><ARTG>274304</ARTG></ARTGs><MinimumBenefit>7066</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2011-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LH650</BillingCode><PriorBillingCodes><PriorBillingCode>OO109</PriorBillingCode></PriorBillingCodes><Name>Mutars – tibial plateau</Name><Description>Tibial plateau for hinged knee</Description><Size>X small, small, standard, large</Size><SupplierCode>LH</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>157</SubCategoryID><GroupID>1381</GroupID><SubGroupID>3932</SubGroupID><ARTGs><ARTG>225903</ARTG><ARTG>284585</ARTG></ARTGs><MinimumBenefit>7066</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LH654</BillingCode><PriorBillingCodes><PriorBillingCode>OO113</PriorBillingCode></PriorBillingCodes><Name>Mutars – Proximal Tibia</Name><Description>Mutars – Proximal Tibia</Description><Size>100mm</Size><SupplierCode>LH</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>157</SubCategoryID><GroupID>1381</GroupID><SubGroupID>3932</SubGroupID><ARTGs><ARTG>284586</ARTG><ARTG>227164</ARTG></ARTGs><MinimumBenefit>7066</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HW196</BillingCode><Name>HMRS (Howmedica Modular Replacement System) Tibial Joint (Baseplate)</Name><Description>HMRS Tibial Joint (baseplate) - uncemented, CoCr (Vitallium), porous coated, w/medial &amp; lateral flanges moulde agaibnst tibia w/bar bolt fixation, and metal cHydroxyapatitember for axis of hinge</Description><Size>5553</Size><SupplierCode>JV</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>157</SubCategoryID><GroupID>1381</GroupID><SubGroupID>3932</SubGroupID><ARTGs><ARTG>262256</ARTG></ARTGs><MinimumBenefit>7066</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HW609</BillingCode><Name>METS Proximal Tibia Fixed Hinge Coated</Name><Description>CoCr-Molybdenum with HA coated patella tendon reattachment mechanism and bumper</Description><Size>Small and standard</Size><SupplierCode>JV</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>157</SubCategoryID><GroupID>1381</GroupID><SubGroupID>3933</SubGroupID><ARTGs><ARTG>278016</ARTG></ARTGs><MinimumBenefit>7006</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ZI740</BillingCode><Name>Zimmer Segmental System - Proximal TM Tibia</Name><Description>Zimmer Segmental System - Proximal TM Tibia</Description><Size>1-3</Size><SupplierCode>ZI</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>157</SubCategoryID><GroupID>1381</GroupID><SubGroupID>3933</SubGroupID><ARTGs><ARTG>229674</ARTG></ARTGs><MinimumBenefit>7006</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HW630</BillingCode><Name>METS Proximal Tibia Rotating Hinge Coated</Name><Description>Titanium with UHMWPE bearing and HA coated patella tendon reattachment mechanism</Description><Size>Small and Std</Size><SupplierCode>JV</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>157</SubCategoryID><GroupID>1381</GroupID><SubGroupID>3933</SubGroupID><ARTGs><ARTG>278018</ARTG></ARTGs><MinimumBenefit>7006</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HW616</BillingCode><Name>METS Proximal Tibia Rotating Hinge</Name><Description>Titanium with UHMWPE bearing</Description><Size>Small and standard</Size><SupplierCode>JV</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>157</SubCategoryID><GroupID>1381</GroupID><SubGroupID>3933</SubGroupID><ARTGs><ARTG>278017</ARTG></ARTGs><MinimumBenefit>7006</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>DY195</BillingCode><Name>Limb Preservation System</Name><Description>Tibial Replacement Component</Description><Size>X-small</Size><SupplierCode>JJ</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>157</SubCategoryID><GroupID>1381</GroupID><SubGroupID>3933</SubGroupID><ARTGs><ARTG>226874</ARTG></ARTGs><MinimumBenefit>7006</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LO160</BillingCode><Name>Link Modular Knee Prosthesis
System</Name><Description>Tibial Components</Description><Size>Small, Medium and Large
60, 65 and 70mm</Size><SupplierCode>LO</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>157</SubCategoryID><GroupID>1381</GroupID><SubGroupID>3933</SubGroupID><ARTGs><ARTG>225030</ARTG></ARTGs><MinimumBenefit>7006</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2011-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HW606</BillingCode><Name>METS Tibial Fixed Hinge</Name><Description>CoCr-Molybdenum</Description><Size>Stem lengths 140mm and 180mm</Size><SupplierCode>JV</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>157</SubCategoryID><GroupID>1381</GroupID><SubGroupID>3933</SubGroupID><ARTGs><ARTG>278135</ARTG></ARTGs><MinimumBenefit>7006</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SK156</BillingCode><Name>GMRS (Global Modular Replacement System) Proximal Tibial Component</Name><Description>GMRS Proximal Tibial component, CoCr, uncemented, porous coated, 7 x tendon/suture holes for soft tissue re-attachment, Fixed</Description><Size>Small, Standard</Size><SupplierCode>JV</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>157</SubCategoryID><GroupID>1381</GroupID><SubGroupID>3933</SubGroupID><ARTGs><ARTG>223660</ARTG></ARTGs><MinimumBenefit>7006</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HW608</BillingCode><Name>METS Proximal Tibia Fixed Hinge</Name><Description>CoCr-Molybdenum proximal tibial component including bumper</Description><Size>Small and standard</Size><SupplierCode>JV</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>157</SubCategoryID><GroupID>1381</GroupID><SubGroupID>3933</SubGroupID><ARTGs><ARTG>278015</ARTG></ARTGs><MinimumBenefit>7006</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-08-01</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>JJ</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>SN</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>SN</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>206143</ARTG><ARTG>296607</ARTG></ARTGs><MinimumBenefit>1792</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-03-01</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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 44mm</Size><SupplierCode>ZI</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>162</SubCategoryID><GroupID>1420</GroupID><SubGroupID>3998</SubGroupID><ARTGs><ARTG>224160</ARTG><ARTG>224752</ARTG></ARTGs><ChangeExplanation>Change to ARTG, Size</ChangeExplanation><MinimumBenefit>1792</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Update</ActionFlag><CycleStartDate>2010-02-01</CycleStartDate><CycleEndDate>2025-03-01</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>JJ</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>ZI</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>SN</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>162</SubCategoryID><GroupID>1420</GroupID><SubGroupID>3999</SubGroupID><ARTGs><ARTG>218140</ARTG><ARTG>218141</ARTG></ARTGs><MinimumBenefit>1626</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>UT034</BillingCode><Name>SCS Biomodelled Mesh, 2-piece</Name><Description>Titanium mesh, 2-piece: 2D, 3D</Description><Size>Custom</Size><SupplierCode>UT</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>200</SubCategoryID><GroupID>1593</GroupID><SubGroupID>4343</SubGroupID><Suffix>Biomodelled Two Piece</Suffix><ARTGs><ARTG>339425</ARTG></ARTGs><MinimumBenefit>10169</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>KT003</BillingCode><Name>IPS Implants® Cranium</Name><Description>IPS Implants® Cranium</Description><Size>Custom - Patient Specific</Size><SupplierCode>KT</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>200</SubCategoryID><GroupID>1593</GroupID><SubGroupID>4343</SubGroupID><Suffix>Biomodelled</Suffix><ARTGs><ARTG>96619</ARTG><ARTG>96620</ARTG></ARTGs><MinimumBenefit>9682</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2015-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HW547</BillingCode><Name>Stryker Biomodelled Patient Specific Implant</Name><Description>Biomodelled Patient Specific Craniofacial Implant</Description><Size>Custom</Size><SupplierCode>JV</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>200</SubCategoryID><GroupID>1593</GroupID><SubGroupID>4343</SubGroupID><Suffix>Biomodelled</Suffix><ARTGs><ARTG>225792</ARTG></ARTGs><MinimumBenefit>9682</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2015-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MC625</BillingCode><Name>Modified Dual TiMesh</Name><Description>TiMesh Surgical Mesh Modified, includes two cranial plates. Composition: Titanium</Description><Size>121mm x 77mm - 152mm x 152mm.</Size><SupplierCode>MI</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>200</SubCategoryID><GroupID>1593</GroupID><SubGroupID>4343</SubGroupID><Suffix>Biomodelled, Dual Mesh</Suffix><ARTGs><ARTG>128523</ARTG></ARTGs><MinimumBenefit>10237</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2006-03-24</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>UT035</BillingCode><Name>SCS Biomodelled Mesh, 3-piece</Name><Description>Titanium mesh, 3-piece: 2D, 3D</Description><Size>Custom</Size><SupplierCode>UT</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>200</SubCategoryID><GroupID>1593</GroupID><SubGroupID>4343</SubGroupID><Suffix>Biomodelled Three Piece</Suffix><ARTGs><ARTG>339425</ARTG></ARTGs><MinimumBenefit>10657</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>UT033</BillingCode><Name>SCS Biomodelled Mesh, 1-piece</Name><Description>Titanium mesh, 1-piece: 2D, 3D</Description><Size>Custom </Size><SupplierCode>UT</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>200</SubCategoryID><GroupID>1593</GroupID><SubGroupID>4343</SubGroupID><Suffix>Biomodelled</Suffix><ARTGs><ARTG>339425</ARTG></ARTGs><MinimumBenefit>9682</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ005</BillingCode><PriorBillingCodes><PriorBillingCode>AT075</PriorBillingCode><PriorBillingCode>AT075</PriorBillingCode></PriorBillingCodes><Name>Anatomics Cranial Patient Specific Implant - Two Piece</Name><Description>Patient Specific Cranial Implant constructed of Titanium, Acrylic or Porous Polyethylene</Description><Size>Custom</Size><SupplierCode>KU</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>200</SubCategoryID><GroupID>1593</GroupID><SubGroupID>4343</SubGroupID><Suffix>Biomodelled Two Piece</Suffix><ARTGs><ARTG>288564</ARTG></ARTGs><MinimumBenefit>10169</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ZZ096</BillingCode><PriorBillingCodes><PriorBillingCode>WH001</PriorBillingCode></PriorBillingCodes><Name>Materialise PorousiTi - Cranium</Name><Description>Patient specific Titanium 3D printed implant for cranial reconstruction</Description><Size>Personalized so the size is variable</Size><SupplierCode>ZZ</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>200</SubCategoryID><GroupID>1593</GroupID><SubGroupID>4343</SubGroupID><Suffix>Biomodelled</Suffix><ARTGs><ARTG>377044</ARTG></ARTGs><MinimumBenefit>9682</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ004</BillingCode><PriorBillingCodes><PriorBillingCode>AT074</PriorBillingCode><PriorBillingCode>AT074</PriorBillingCode></PriorBillingCodes><Name>Anatomics Cranial Patient Specific Implant - One Piece</Name><Description>Cranial patient specific implant constructed of Titanium, Acrylic or Porous Polyethylene</Description><Size>Custom</Size><SupplierCode>KU</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>200</SubCategoryID><GroupID>1593</GroupID><SubGroupID>4343</SubGroupID><Suffix>Biomodelled</Suffix><ARTGs><ARTG>288564</ARTG></ARTGs><MinimumBenefit>9682</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SY834</BillingCode><Name>OBL PorousiTi® Patient Specific Implant - Cranium</Name><Description>Patient specific implant for the cranium constructed of PourousTi®</Description><Size>The implant is custom made so the size is variable</Size><SupplierCode>JJ</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>200</SubCategoryID><GroupID>1593</GroupID><SubGroupID>4343</SubGroupID><Suffix>Biomodelled</Suffix><ARTGs><ARTG>276733</ARTG></ARTGs><MinimumBenefit>9682</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2016-09-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ140</BillingCode><Name>Stryker MEDPOR Patient Specific Implant</Name><Description>Biomodelled Patient Specific Craniofacial Implant</Description><Size>Custom - Patient Specific</Size><SupplierCode>JV</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>200</SubCategoryID><GroupID>1593</GroupID><SubGroupID>4343</SubGroupID><Suffix>Biomodelled</Suffix><ARTGs><ARTG>434590</ARTG></ARTGs><MinimumBenefit>9682</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2024-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>RV023</BillingCode><Name>ReconPILOT Biomodelled Patient Specific Implant for Craniofacial Surgery</Name><Description>Biomodelled Patient Specific Implant for Craniofacial Surgery</Description><Size>Custom</Size><SupplierCode>RV</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>200</SubCategoryID><GroupID>1593</GroupID><SubGroupID>4343</SubGroupID><Suffix>Biomodelled</Suffix><ARTGs><ARTG>366767</ARTG></ARTGs><ChangeExplanation>New listing</ChangeExplanation><MinimumBenefit>9682</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2025-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>DE809</BillingCode><PriorBillingCodes><PriorBillingCode>VL006</PriorBillingCode></PriorBillingCodes><Name>Su-Por Custom Made Implant</Name><Description>An implantable device made of high-density polyethylene material with an interconnecting pore structure that supports tissue ingrowth. The device is custom made/biomodelled from individual patient's CT scan, on doctors prescription, used for correction and reconstruction of any facial, head or any non-weight bearing bone structure.</Description><Size>Custom designed and biomodelled from patient's CT scan image.</Size><SupplierCode>DE</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>200</SubCategoryID><GroupID>1593</GroupID><SubGroupID>4346</SubGroupID><Suffix>Complex</Suffix><ARTGs><ARTG>335454</ARTG></ARTGs><MinimumBenefit>9682</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2023-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HW437</BillingCode><Name>E-POR Biomaterial/ Mastoid, Pterional, Contourable Porous Polyethylene</Name><Description>Mastoid, Pterional, Contourable Porous Polyethylene</Description><Size>Left, Right, 43mm - 57mm x 0.6mm, 1.5mm</Size><SupplierCode>JV</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>200</SubCategoryID><GroupID>1593</GroupID><SubGroupID>4346</SubGroupID><ARTGs><ARTG>257032</ARTG></ARTGs><MinimumBenefit>1267</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2011-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>DE815</BillingCode><PriorBillingCodes><PriorBillingCode>VL012</PriorBillingCode></PriorBillingCodes><Name>Su-Por Pterional, Mastoid, Temporal</Name><Description>Mastoid, Pterional, Contourable Porous Polyethylene.</Description><Size>Various sizes, left, right</Size><SupplierCode>DE</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>200</SubCategoryID><GroupID>1593</GroupID><SubGroupID>4346</SubGroupID><ARTGs><ARTG>335454</ARTG></ARTGs><MinimumBenefit>1267</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2023-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>JK038</BillingCode><PriorBillingCodes><PriorBillingCode>UQ037</PriorBillingCode></PriorBillingCodes><Name>OsteoMed Plating &amp; Fixation System</Name><Description>Plates</Description><Size>90 x 90mm, 95 x 165mm, &amp; Large Pre-formed Osteoform Mesh, Cranium.</Size><SupplierCode>JK</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>200</SubCategoryID><GroupID>1593</GroupID><SubGroupID>4348</SubGroupID><ARTGs><ARTG>130508</ARTG></ARTGs><MinimumBenefit>2535</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>RV021</BillingCode><Name>ReconPILOT Biomodelled Patient Specific Surgical Guide for Craniofacial Surgery</Name><Description>Biomodelled Patient Specific Surgical Guide for Craniofacial Surgery</Description><Size>Custom</Size><SupplierCode>RV</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>200</SubCategoryID><GroupID>1593</GroupID><SubGroupID>5496</SubGroupID><Suffix>Biomodelled</Suffix><ARTGs><ARTG>356670</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 dental 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.</Note><ChangeExplanation>New listing</ChangeExplanation><MinimumBenefit>1315</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2025-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ014</BillingCode><PriorBillingCodes><PriorBillingCode>AT081</PriorBillingCode></PriorBillingCodes><Name>Anatomics Surgical Guide</Name><Description>Biomodelled surgical guides to support surgical decision making both pre and intra-operatively</Description><Size>The device is custom made so the size will vary</Size><SupplierCode>KU</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>200</SubCategoryID><GroupID>1593</GroupID><SubGroupID>5496</SubGroupID><Suffix>Biomodelled</Suffix><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 dental 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.</Note><ChangeExplanation>Change to Condition</ChangeExplanation><MinimumBenefit>1315</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Update</ActionFlag><CycleStartDate>2017-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SY777</BillingCode><Name>ProPlan</Name><Description>Patient Specific Cranical Surgical Guides, Implants</Description><Size>Custom</Size><SupplierCode>JJ</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>200</SubCategoryID><GroupID>1593</GroupID><SubGroupID>5496</SubGroupID><Suffix>Biomodelled</Suffix><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 dental 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.</Note><ChangeExplanation>Change to Condition</ChangeExplanation><MinimumBenefit>1315</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Update</ActionFlag><CycleStartDate>2013-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>DE621</BillingCode><Name>Park Pectus Hinge Plate Stabiliser</Name><Description>Stabilisation of Pectus Bar - optional use in asymmetric or adult pectus excavatum to prevent bar displacement stripping of intercostal muscles</Description><Size>65mm</Size><SupplierCode>DE</SupplierCode><CategoryID>20</CategoryID><SubCategoryID>264</SubCategoryID><GroupID>1825</GroupID><SubGroupID>6013</SubGroupID><ARTGs><ARTG>317581</ARTG></ARTGs><MinimumBenefit>480</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LH756</BillingCode><PriorBillingCodes><PriorBillingCode>LM425</PriorBillingCode></PriorBillingCodes><Name>Synergy Disc</Name><Description>The Synergy Disc is a three-component system consisting of an Inferior titanium endplate, a UHMWPE core and a Superior titanium endplate.</Description><Size>Small (A-P: 14 mm, Lateral: 15 mm), Medium (A-P: 16 mm, Lateral: 17 mm) and Large (A-P: 16 mm, Lateral: 17 mm).</Size><SupplierCode>LH</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>175</SubCategoryID><GroupID>1488</GroupID><SubGroupID>5487</SubGroupID><ARTGs><ARTG>238877</ARTG></ARTGs><MinimumBenefit>6021</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2023-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ER675</BillingCode><Name>SIGNUS ROTAIO</Name><Description>Cervical Disc Prosthesis</Description><Size>Footprint: width × depth (mm): 15×13; 17×13; 17×15, 19×15  Height: 5-6 mm</Size><SupplierCode>ER</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>175</SubCategoryID><GroupID>1488</GroupID><SubGroupID>5487</SubGroupID><ARTGs><ARTG>216748</ARTG></ARTGs><MinimumBenefit>6021</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2023-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>JP011</BillingCode><PriorBillingCodes><PriorBillingCode>JA032</PriorBillingCode></PriorBillingCodes><Name>Prodisc-C</Name><Description>Cervical Intervertebral Disc</Description><Size>5-7mm Height; 15-19mm Width; 12-18mm Depth</Size><SupplierCode>JP</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>175</SubCategoryID><GroupID>1488</GroupID><SubGroupID>5487</SubGroupID><ARTGs><ARTG>196068</ARTG></ARTGs><MinimumBenefit>6021</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>JP004</BillingCode><PriorBillingCodes><PriorBillingCode>JA024</PriorBillingCode></PriorBillingCodes><Name>Pro-Disc C (Vivo)</Name><Description>Prosthesis used to replace a cervical inter-vertebral disc and to restore disc height and segmental motion.</Description><Size>5-7mm Hright  15-19 mm Width  12-18mm Depth</Size><SupplierCode>JP</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>175</SubCategoryID><GroupID>1488</GroupID><SubGroupID>5487</SubGroupID><ARTGs><ARTG>323813</ARTG></ARTGs><MinimumBenefit>6021</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MI058</BillingCode><Name>Bryan Cervical Disc</Name><Description>Cervical intervertebral disc prosthesis consisting of a polyurethane nucleus designed to fit between two titanium alloy shells</Description><Size>14mm-18mm</Size><SupplierCode>MI</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>175</SubCategoryID><GroupID>1488</GroupID><SubGroupID>5487</SubGroupID><ARTGs><ARTG>100706</ARTG></ARTGs><MinimumBenefit>6021</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2013-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>IY053</BillingCode><PriorBillingCodes><PriorBillingCode>DR004</PriorBillingCode></PriorBillingCodes><Name>Freedom Cervical Disc</Name><Description>Cervical disc replacement prosthesis.</Description><Size>Footprints: 13x16mm, 15x18mm, 17x20mm   Heights: 5, 6mm</Size><SupplierCode>IY</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>175</SubCategoryID><GroupID>1488</GroupID><SubGroupID>5487</SubGroupID><ARTGs><ARTG>280296</ARTG></ARTGs><MinimumBenefit>6021</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2023-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>DU039</BillingCode><Name>BAGUERA C</Name><Description>Cervical Disc Prosthesis</Description><Size>Height: 5-7mm  Footprint: 13-16mm X 16-18mm</Size><SupplierCode>DU</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>175</SubCategoryID><GroupID>1488</GroupID><SubGroupID>5487</SubGroupID><ARTGs><ARTG>166149</ARTG></ARTGs><MinimumBenefit>6021</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2020-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LH490</BillingCode><Name>M6C Artificial Cervical Disc</Name><Description>The M6 artificial cervical disc is an intervertebral disc prosthesis designed to maintain motion of a functional spinal unit when the native disc is diseased.</Description><Size>Footprints:
12.5mm x 15mm
15mm x 15mm
14mm x 17mm
16mm x 17mm
Heights: 
6mm &amp; 7mm</Size><SupplierCode>LH</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>175</SubCategoryID><GroupID>1488</GroupID><SubGroupID>5487</SubGroupID><ARTGs><ARTG>177101</ARTG></ARTGs><MinimumBenefit>6021</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2013-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BB347</BillingCode><Name>activ C Cervical Disc Prosthesis</Name><Description>Cervical disc prosthesis consisting of superior and inferior endplates, plasmapore coated with anatomical adapted footprint and shape.</Description><Size>XS=16Wx13Lx5H or 6H; S=16Wx14Lx5H OR 6H; M=17WX15LX5H or 6H; L=18Wx16Lx5H or 6H; XL=19Wx17Lx5H or 6H; XXL=19Wx18Lx5H or 6H</Size><SupplierCode>BB</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>175</SubCategoryID><GroupID>1488</GroupID><SubGroupID>5487</SubGroupID><ARTGs><ARTG>181018</ARTG></ARTGs><MinimumBenefit>6021</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2015-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>PC025</BillingCode><PriorBillingCodes><PriorBillingCode>JA024</PriorBillingCode></PriorBillingCodes><Name>Pro-Disc C (Vivo)</Name><Description>Prosthesis used to replace a cervical inter-vertebral disc and to restore disc height and segmental motion.</Description><Size>5-7mm Hright  15-19 mm Width  12-18mm Depth</Size><SupplierCode>PC</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>175</SubCategoryID><GroupID>1488</GroupID><SubGroupID>5487</SubGroupID><ARTGs><ARTG>323813</ARTG></ARTGs><MinimumBenefit>6021</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>NW041</BillingCode><PriorBillingCodes><PriorBillingCode>ZA057</PriorBillingCode></PriorBillingCodes><Name>Mobi-C Cervical Disc Prosthesis</Name><Description>A cervical intervertebral disc replacement consisting of superior and inferior spinal plates and a mobile bearing insert.</Description><Size>Depth (13-19mm) x width (15-19mm) x height (4.5-7mm)</Size><SupplierCode>NW</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>175</SubCategoryID><GroupID>1488</GroupID><SubGroupID>5487</SubGroupID><ARTGs><ARTG>297897</ARTG></ARTGs><MinimumBenefit>6021</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>PC026</BillingCode><PriorBillingCodes><PriorBillingCode>JA032</PriorBillingCode></PriorBillingCodes><Name>Prodisc-C</Name><Description>Cervical Intervertebral Disc</Description><Size>5-7mm Height; 15-19mm Width; 12-18mm Depth</Size><SupplierCode>PC</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>175</SubCategoryID><GroupID>1488</GroupID><SubGroupID>5487</SubGroupID><ARTGs><ARTG>196068</ARTG></ARTGs><MinimumBenefit>6021</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>OH521</BillingCode><Name>CP-ESP Cervical disc prosthesis</Name><Description>Cervical disc prosthesis</Description><Size>AP 13mm-15mm x ML 15mm-20mm, Height 5, 6, 7mm</Size><SupplierCode>OH</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>175</SubCategoryID><GroupID>1488</GroupID><SubGroupID>5487</SubGroupID><ARTGs><ARTG>434732</ARTG></ARTGs><ChangeExplanation>Change to Product name, ARTG, Size</ChangeExplanation><MinimumBenefit>6021</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Update</ActionFlag><CycleStartDate>2016-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MI059</BillingCode><Name>Prestige Cervical Disc</Name><Description>Cervical intervertebral disc prosthesis with ball-and-trough designed articulation</Description><Size>5mm - 8mm x 12mm - 18mm</Size><SupplierCode>MI</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>175</SubCategoryID><GroupID>1488</GroupID><SubGroupID>5487</SubGroupID><ARTGs><ARTG>100706</ARTG></ARTGs><MinimumBenefit>6021</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2013-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LB104</BillingCode><Name>SECURE Cervical Artificial Disc</Name><Description>Cervical Disc Replacement System</Description><Size>5mm - 9mm, 11x12 - 15x18mm</Size><SupplierCode>LB</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>175</SubCategoryID><GroupID>1488</GroupID><SubGroupID>5487</SubGroupID><ARTGs><ARTG>191978</ARTG></ARTGs><MinimumBenefit>6021</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2014-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>NV171</BillingCode><Name>Nuvasive Simplify Cervical Artificial Disc</Name><Description>Cervical disc prosthesis</Description><Size>Footprints: 12mm x 15mm, 14mm x 16mm, 16mm x 18mm  Heights: 4mm, 5mm, 6mm  Lordosis: 0, 5 degrees</Size><SupplierCode>NV</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>175</SubCategoryID><GroupID>1488</GroupID><SubGroupID>5487</SubGroupID><ARTGs><ARTG>387763</ARTG></ARTGs><MinimumBenefit>6021</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BB361</BillingCode><Name>activ L Lumbar Disc Prosthesis</Name><Description>activ L is the lumbar disc prosthesis for the motion preserving treatment of degenerative disc disease of the lumbar spine.</Description><Size>H= 8.5mm/10mm/ 12mm/ 14mm. 
Small: D= 26mm x W = 31mm
Medium: D= 28mm x W = 34.5mm
Large: D= 30mm x W = 39mm
Extra Large: D= 33mm x W = 40mm</Size><SupplierCode>BB</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>175</SubCategoryID><GroupID>1488</GroupID><SubGroupID>5488</SubGroupID><ARTGs><ARTG>120419</ARTG></ARTGs><MinimumBenefit>8847</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LH531</BillingCode><Name>M6L Artificial Lumbar Disc</Name><Description>Intervertebral Artificial Disc – Lumbar</Description><Size>(Medium, Large, Xlarge) footprint, 3 - 16 degrees lordosis</Size><SupplierCode>LH</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>175</SubCategoryID><GroupID>1488</GroupID><SubGroupID>5488</SubGroupID><ARTGs><ARTG>177102</ARTG></ARTGs><MinimumBenefit>8847</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2015-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>IY060</BillingCode><PriorBillingCodes><PriorBillingCode>DR001</PriorBillingCode></PriorBillingCodes><Name>Freedom Lumbar Disc</Name><Description>Lumbar Disc Replacement Prosthesis</Description><Size>26mmx36mm, 28mmx38mm, 30mmx40mm, 12-16mm, 4-12 degrees.</Size><SupplierCode>IY</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>175</SubCategoryID><GroupID>1488</GroupID><SubGroupID>5488</SubGroupID><ARTGs><ARTG>279935</ARTG></ARTGs><MinimumBenefit>8847</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2023-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>DU065</BillingCode><Name>Baguera L  </Name><Description>Lumbar Disc Prosthesis  </Description><Size>Height: 8, 10, 12 mm.  Footprint: 27 x 35mm; 30 x 39mm; 31 x 42mm  </Size><SupplierCode>DU</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>175</SubCategoryID><GroupID>1488</GroupID><SubGroupID>5488</SubGroupID><ARTGs><ARTG>338474</ARTG></ARTGs><MinimumBenefit>8847</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>OH467</BillingCode><Name>LP-ESP Intervertebral Disc Prosthesis</Name><Description>Lumbar disc prosthesis</Description><Size>Height 10-12mm, Inclination 7/9/11 degrees</Size><SupplierCode>OH</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>175</SubCategoryID><GroupID>1488</GroupID><SubGroupID>5488</SubGroupID><ARTGs><ARTG>434733</ARTG></ARTGs><ChangeExplanation>Change to Product name, ARTG, Size</ChangeExplanation><MinimumBenefit>8847</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Update</ActionFlag><CycleStartDate>2013-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>PY012</BillingCode><Name>Ex-Stent Tumour Ureteral Stent Set</Name><Description>Open end stent with guide wire and pusher</Description><Size>Diameter: 6Fr-8Fr
Length: 26cm-36cm</Size><SupplierCode>PY</SupplierCode><CategoryID>26</CategoryID><SubCategoryID>227</SubCategoryID><GroupID>1701</GroupID><SubGroupID>5321</SubGroupID><Suffix>T</Suffix><ARTGs><ARTG>171564</ARTG></ARTGs><MinimumBenefit>187</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2011-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>TX005</BillingCode><Name>Paediatric Ureteric Valve Stent Set</Name><Description>Fixed length wirthan stent</Description><Size>12 - 22cm</Size><SupplierCode>TX</SupplierCode><CategoryID>26</CategoryID><SubCategoryID>227</SubCategoryID><GroupID>1701</GroupID><SubGroupID>5321</SubGroupID><Suffix>T</Suffix><ARTGs><ARTG>136657</ARTG></ARTGs><MinimumBenefit>187</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2015-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>TX004</BillingCode><Name>Ureteric Stent Set</Name><Description>Open end for coaxial applications. Polyurethane stents with hydrogel coating with introducer and with/without guidewires. </Description><Size>12 - 28cm</Size><SupplierCode>TX</SupplierCode><CategoryID>26</CategoryID><SubCategoryID>227</SubCategoryID><GroupID>1701</GroupID><SubGroupID>5321</SubGroupID><Suffix>T</Suffix><ARTGs><ARTG>277254</ARTG></ARTGs><MinimumBenefit>187</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2015-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>WC214</BillingCode><Name>Cook Ureteral Stents</Name><Description>Amplatz Ureteral Stent Set, Ultrathane RB Design Radioplaque Band and AQ Hydrophilic Coating Set includes one stent positioner with flexible stent introducer catheter</Description><Size>8.5Fr - 12,20,22,24,26,28cm and 10.2Fr - 22,24,26,28cm</Size><SupplierCode>WC</SupplierCode><CategoryID>26</CategoryID><SubCategoryID>227</SubCategoryID><GroupID>1701</GroupID><SubGroupID>5321</SubGroupID><Suffix>T</Suffix><ARTGs><ARTG>137913</ARTG></ARTGs><MinimumBenefit>187</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>WC022</BillingCode><Name>C-Flex Double Pigtail Ureteric Stent Set</Name><Description>Set includes: Stent, Wire, Positioner</Description><Size>Multiple French Sizes, Multi-length</Size><SupplierCode>WC</SupplierCode><CategoryID>26</CategoryID><SubCategoryID>227</SubCategoryID><GroupID>1701</GroupID><SubGroupID>5321</SubGroupID><Suffix>P</Suffix><ARTGs><ARTG>216072</ARTG></ARTGs><MinimumBenefit>171</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>CT024</BillingCode><Name>PU-R Double Loop Ureteral Stents</Name><Description>Double Loop Ureteral Stents in Rigid Polyurethane, with pusher. With or without guidewire depending on the model.</Description><Size>Various in 4.8, 6, 7, 8Fr.
Various in 24, 26, 28, 30cm lengths.
Various in O/O or O/C.
Various with or without guidewire.
With either streerable or simple pusher</Size><SupplierCode>CT</SupplierCode><CategoryID>26</CategoryID><SubCategoryID>227</SubCategoryID><GroupID>1701</GroupID><SubGroupID>5321</SubGroupID><ARTGs><ARTG>142907</ARTG></ARTGs><MinimumBenefit>95</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2016-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>CT034</BillingCode><Name>PU-S Double Loop Ureteral Stents</Name><Description>Double Loop Ureteral Stents in Soft Polyurethane, with pusher and guidewire.</Description><Size>Various in 6 and 7Fr.
Various in 24, 26, 28 cm lengths.
Various in O/O or O/C.
With either Steerable or simple pusher.</Size><SupplierCode>CT</SupplierCode><CategoryID>26</CategoryID><SubCategoryID>227</SubCategoryID><GroupID>1701</GroupID><SubGroupID>5321</SubGroupID><ARTGs><ARTG>142907</ARTG></ARTGs><MinimumBenefit>95</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2016-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MH010</BillingCode><Name>Silhouette Ureteral Stent</Name><Description>The Silhouette Ureteric Stent is manufactured with a soft material that provides superior comfort.  It has superior column strength through a coil-reinforced body providing effortless placement.  The tight coils prevent migration.  The smaller outside dia</Description><Size>Multiple French Sizes &amp; Lengths</Size><SupplierCode>MH</SupplierCode><CategoryID>26</CategoryID><SubCategoryID>227</SubCategoryID><GroupID>1701</GroupID><SubGroupID>5321</SubGroupID><ARTGs><ARTG>116728</ARTG></ARTGs><MinimumBenefit>95</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2006-03-24</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>PY011</BillingCode><Name>Optimed Opti-J Stents</Name><Description>Dual Use directional Double J stent and delivery system. Can also be used as urinary diversion stent.</Description><Size>4.5Fr to 8Fr
Length:  22cm to 36cm</Size><SupplierCode>PY</SupplierCode><CategoryID>26</CategoryID><SubCategoryID>227</SubCategoryID><GroupID>1701</GroupID><SubGroupID>5321</SubGroupID><ARTGs><ARTG>171564</ARTG></ARTGs><MinimumBenefit>95</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2011-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BA309</BillingCode><Name>InLay Optima® Ureteral Stent</Name><Description>The ureteral stent is intended to relieve obstruction in a variety of benign, malignant and post-traumatic conditions in the ureter in order to pass fluids to or from the ureter.</Description><Size>4.7Fr, with length 14cm, 20cm, 22cm, 24cm, 26cm, 28cm and 30cm  6Fr, with length 14cm, 20cm, 22cm, 24cm, 26cm, 28cm and 30cm   7Fr, with length 14cm, 20cm, 22cm, 24cm, 26cm, 28cm and 30cm   8Fr, with length 14cm, 20cm, 22cm, 24cm, 26cm, 28cm and 30cm</Size><SupplierCode>BA</SupplierCode><CategoryID>26</CategoryID><SubCategoryID>227</SubCategoryID><GroupID>1701</GroupID><SubGroupID>5322</SubGroupID><Suffix>Therm</Suffix><ARTGs><ARTG>235658</ARTG></ARTGs><MinimumBenefit>196</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>WK001</BillingCode><Name>PLASTI-MED HydroPhilic</Name><Description>HydroPhilic Ureteral Stent</Description><Size>4Fr / 4.8Fr / 6Fr / 7Fr ( 12cm - 28cm )</Size><SupplierCode>WK</SupplierCode><CategoryID>26</CategoryID><SubCategoryID>227</SubCategoryID><GroupID>1701</GroupID><SubGroupID>5322</SubGroupID><Suffix>Therm</Suffix><ARTGs><ARTG>389186</ARTG></ARTGs><MinimumBenefit>196</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2023-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>WC130</BillingCode><Name>Ureteric Stent Set</Name><Description>Set includes Aqueous Coated (AQ) firm fixed length ureteric stent, positioner, with or without wire guide</Description><Size>Multiple French Sizes, and Lengths</Size><SupplierCode>WC</SupplierCode><CategoryID>26</CategoryID><SubCategoryID>227</SubCategoryID><GroupID>1701</GroupID><SubGroupID>5322</SubGroupID><Suffix>Therm</Suffix><ARTGs><ARTG>216072</ARTG></ARTGs><MinimumBenefit>196</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BS363</BillingCode><Name>Tria Ureteral Stent</Name><Description>Tria Firm or Tria Soft ureteral stent. Tria Firm or Tria Soft ureteral stent kit with Sensor or ZIPwire Guidewire</Description><Size>Diameters up to 8Fr &amp; lengths up to 30cm</Size><SupplierCode>BS</SupplierCode><CategoryID>26</CategoryID><SubCategoryID>227</SubCategoryID><GroupID>1701</GroupID><SubGroupID>5322</SubGroupID><Suffix>Therm</Suffix><ARTGs><ARTG>129376</ARTG><ARTG>410924</ARTG></ARTGs><MinimumBenefit>196</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2019-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MH013</BillingCode><Name>Paediatric Silhouette System Set</Name><Description>Coil reinforced body.  SL-6 hydrophilic coating.  UroWire 0.035" 3-in-1 guidewire with kink resistant nitinol core.  Design divided into 3 sections: silver section (front end) floppy SL - 6 hydrophilic coating; Blue section (mid) super stiff PTFE (not hydrophilicaly coated); and Green section (back) flexible</Description><Size>4F, 8 - 12cm</Size><SupplierCode>MH</SupplierCode><CategoryID>26</CategoryID><SubCategoryID>227</SubCategoryID><GroupID>1701</GroupID><SubGroupID>5322</SubGroupID><Suffix>P</Suffix><ARTGs><ARTG>116728</ARTG><ARTG>116727</ARTG></ARTGs><MinimumBenefit>218</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2007-06-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>CT028</BillingCode><Name>Pyelostent Double Loop Ureteral Stent</Name><Description>Pyelostent, Silicone stent for long-term implantation (up to 12 months)</Description><Size>26 - 30cm</Size><SupplierCode>CT</SupplierCode><CategoryID>26</CategoryID><SubCategoryID>227</SubCategoryID><GroupID>1701</GroupID><SubGroupID>5322</SubGroupID><Suffix>SP</Suffix><ARTGs><ARTG>142923</ARTG></ARTGs><MinimumBenefit>210</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2016-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>WJ002</BillingCode><Name>Roca Endo-Sil</Name><Description>Silicone Ureteral Stent &amp; Simple / Connectable Pusher &amp; Without / With GuideWire</Description><Size>6Fr / 7Fr / 8Fr ( 24cm-30cm )</Size><SupplierCode>WJ</SupplierCode><CategoryID>26</CategoryID><SubCategoryID>227</SubCategoryID><GroupID>1701</GroupID><SubGroupID>5322</SubGroupID><Suffix>SP</Suffix><ARTGs><ARTG>381055</ARTG></ARTGs><MinimumBenefit>210</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BS093</BillingCode><Name>Retromax Plus Ureteral Stent</Name><Description>Ureteral stent</Description><Size>Diameters up to 14Fr &amp; lengths up to 40cm</Size><SupplierCode>BS</SupplierCode><CategoryID>26</CategoryID><SubCategoryID>227</SubCategoryID><GroupID>1701</GroupID><SubGroupID>5322</SubGroupID><Suffix>Therm</Suffix><ARTGs><ARTG>129379</ARTG><ARTG>104324</ARTG></ARTGs><MinimumBenefit>196</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2006-11-30</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BS192</BillingCode><Name>Percuflex® Helical</Name><Description>Ureteral Stent with Hydro Plus™ Coating</Description><Size>6fr to 8fr and 10cm to 30cm</Size><SupplierCode>BS</SupplierCode><CategoryID>26</CategoryID><SubCategoryID>227</SubCategoryID><GroupID>1701</GroupID><SubGroupID>5322</SubGroupID><Suffix>Therm</Suffix><ARTGs><ARTG>129376</ARTG></ARTGs><MinimumBenefit>196</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2011-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BS092</BillingCode><Name>Contour Ureteral Stent, Contour SureDrive Ureteral Stent</Name><Description>Ureteral stent with attached suture</Description><Size>Diameters up to 14Fr &amp; lengths up to 40cm</Size><SupplierCode>BS</SupplierCode><CategoryID>26</CategoryID><SubCategoryID>227</SubCategoryID><GroupID>1701</GroupID><SubGroupID>5322</SubGroupID><Suffix>Therm</Suffix><ARTGs><ARTG>104324</ARTG></ARTGs><MinimumBenefit>196</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2006-11-30</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>CT025</BillingCode><Name>Stenostent Double Loop Ureteral Stents</Name><Description>STENOSTENT® Double loop ureteral stent in silicone open/open, total reinforcement with connectable pusher and fixed core guidewire</Description><Size>16 - 30cm</Size><SupplierCode>CT</SupplierCode><CategoryID>26</CategoryID><SubCategoryID>227</SubCategoryID><GroupID>1701</GroupID><SubGroupID>5322</SubGroupID><Suffix>SP</Suffix><ARTGs><ARTG>142923</ARTG></ARTGs><MinimumBenefit>210</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2016-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BS086</BillingCode><Name>Polaris Ultra Ureteral Stent</Name><Description>Dual durometer ureteral stent with attached suture</Description><Size>Diameters up to 14Fr &amp; lengths up to 40cm</Size><SupplierCode>BS</SupplierCode><CategoryID>26</CategoryID><SubCategoryID>227</SubCategoryID><GroupID>1701</GroupID><SubGroupID>5322</SubGroupID><Suffix>Therm</Suffix><ARTGs><ARTG>129379</ARTG><ARTG>104324</ARTG></ARTGs><MinimumBenefit>196</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2006-03-24</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BS091</BillingCode><Name>Percuflex; Percuflex Plus; Percuflex Plus SureDrive</Name><Description>Ureteral stent with attached suture</Description><Size>Diameters up to 14Fr &amp; lengths up to 40cm</Size><SupplierCode>BS</SupplierCode><CategoryID>26</CategoryID><SubCategoryID>227</SubCategoryID><GroupID>1701</GroupID><SubGroupID>5322</SubGroupID><Suffix>Therm</Suffix><ARTGs><ARTG>104324</ARTG><ARTG>132306</ARTG></ARTGs><MinimumBenefit>196</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2006-11-30</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>PY001</BillingCode><Name>Optimed Ureteral Stents</Name><Description>Soft-Polyurethane. Ureteral. Paediatric Ureteral. Renal Transplantation. Urinary Diversion.</Description><Size>Ureteral -
Diameter: 4.5Fr-8Fr
Length: 22cm-36cm
Paediatric Ureteral - Diameter: 3Fr-4Fr 
Length: 10cm-16cm
Renal Transplantation -  
Diameter: 6Fr-8Fr
Length:8cm-18cm
Urinary Diversion -
Diameter: 4.5Fr-9Fr 
Length: 70cm</Size><SupplierCode>PY</SupplierCode><CategoryID>26</CategoryID><SubCategoryID>227</SubCategoryID><GroupID>1701</GroupID><SubGroupID>5322</SubGroupID><Suffix>SP</Suffix><ARTGs><ARTG>171564</ARTG></ARTGs><MinimumBenefit>210</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2007-06-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BS116</BillingCode><Name>Polaris Loop Ureteral Stent</Name><Description>Dual durometer ureteral stent with attached suture</Description><Size>Diameters up to 14Fr &amp; lengths up to 40cm</Size><SupplierCode>BS</SupplierCode><CategoryID>26</CategoryID><SubCategoryID>227</SubCategoryID><GroupID>1701</GroupID><SubGroupID>5322</SubGroupID><Suffix>Therm</Suffix><ARTGs><ARTG>129376</ARTG><ARTG>104324</ARTG></ARTGs><MinimumBenefit>196</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2007-06-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>CT032</BillingCode><Name>Silicone Double Loop Ureteral Stent</Name><Description>Silicone Double Loop Ureteral Stent with guidewire and pusher</Description><Size>6 - 8Fr
16cm - 30cm</Size><SupplierCode>CT</SupplierCode><CategoryID>26</CategoryID><SubCategoryID>227</SubCategoryID><GroupID>1701</GroupID><SubGroupID>5322</SubGroupID><ARTGs><ARTG>142923</ARTG></ARTGs><MinimumBenefit>153</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2016-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>WJ004</BillingCode><Name>Roca J-Fil &amp; Mini J-Fil</Name><Description>Ureteral PigTail Suture Stent &amp; Simple / Connectable Pusher &amp; Without / With GuideWire</Description><Size>4.8Fr / 7.0Fr ( 00cm - 16cm )</Size><SupplierCode>WJ</SupplierCode><CategoryID>26</CategoryID><SubCategoryID>227</SubCategoryID><GroupID>1701</GroupID><SubGroupID>5322</SubGroupID><Suffix>Therm</Suffix><ARTGs><ARTG>381055</ARTG></ARTGs><MinimumBenefit>196</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2023-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>WJ003</BillingCode><Name>Roca JJ</Name><Description>Soft / Firm Ureteral Stent &amp; Simple / Connectable Pusher &amp; Without / With GuideWire</Description><Size>4.8Fr / 6Fr / 7Fr / 8Fr ( 24cm - 30cm )  </Size><SupplierCode>WJ</SupplierCode><CategoryID>26</CategoryID><SubCategoryID>227</SubCategoryID><GroupID>1701</GroupID><SubGroupID>5322</SubGroupID><Suffix>Therm</Suffix><ARTGs><ARTG>381055</ARTG></ARTGs><MinimumBenefit>196</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>CT027</BillingCode><Name>Vortek Single Loop Ureteral Stents</Name><Description>Vortek Single Loop Ureteral Stents for drainage and urine collection</Description><Size>6, 7, 8 Fr
90cm length</Size><SupplierCode>CT</SupplierCode><CategoryID>26</CategoryID><SubCategoryID>227</SubCategoryID><GroupID>1701</GroupID><SubGroupID>5322</SubGroupID><ARTGs><ARTG>224254</ARTG><ARTG>142924</ARTG></ARTGs><MinimumBenefit>153</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2016-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>CT035</BillingCode><Name>Vortek Hydro-Coated Double Loop Ureteral Stents</Name><Description>Vortek Hydro-Coated Double Loop Ureteral Stents with simple or steerable pusher and with or without guidewire</Description><Size>4.8 - 7Fr
22 - 30cm lengths</Size><SupplierCode>CT</SupplierCode><CategoryID>26</CategoryID><SubCategoryID>227</SubCategoryID><GroupID>1701</GroupID><SubGroupID>5322</SubGroupID><ARTGs><ARTG>224254</ARTG></ARTGs><MinimumBenefit>153</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2016-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>CT026</BillingCode><Name>Biosoft Duo Double Loop Ureteral Stents</Name><Description>Biosoft Duo double loop ureteral stents supplied with simple or steerable pusher, with or without guidewire and with or without flush catheter depending on the model. Duration of Implantation: 12 months</Description><Size>6 - 9 Fr
20 - 30 cm
Either O/O or O/C</Size><SupplierCode>CT</SupplierCode><CategoryID>26</CategoryID><SubCategoryID>227</SubCategoryID><GroupID>1701</GroupID><SubGroupID>5322</SubGroupID><ARTGs><ARTG>142925</ARTG><ARTG>224254</ARTG></ARTGs><MinimumBenefit>153</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2016-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>CT030</BillingCode><Name>Biosoft Minute Stent</Name><Description>Biosoft minute double loop ureteral stent. Ready to use; the stent is in place over the guidewire and connected to the steerable pusher. Duration of implantation: 6 months.</Description><Size>6 - 8 Fr
24 - 30 cm length</Size><SupplierCode>CT</SupplierCode><CategoryID>26</CategoryID><SubCategoryID>227</SubCategoryID><GroupID>1701</GroupID><SubGroupID>5322</SubGroupID><ARTGs><ARTG>224219</ARTG><ARTG>142925</ARTG></ARTGs><MinimumBenefit>153</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2016-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>CT031</BillingCode><Name>Vortek TUMOR STENT Double loop ureteral stent</Name><Description>Vortek Tumor Stent is reinforced with stiffness of material offering excellent resistance to compression.</Description><Size>7-8Fr
26-30cm in length</Size><SupplierCode>CT</SupplierCode><CategoryID>26</CategoryID><SubCategoryID>227</SubCategoryID><GroupID>1701</GroupID><SubGroupID>5322</SubGroupID><ARTGs><ARTG>224254</ARTG></ARTGs><MinimumBenefit>153</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2016-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>OL078</BillingCode><Name>Ureteral Stents </Name><Description>Diversion Stent, silicone</Description><Size>7 - 8.5 F x 90cm</Size><SupplierCode>OL</SupplierCode><CategoryID>26</CategoryID><SubCategoryID>227</SubCategoryID><GroupID>1701</GroupID><SubGroupID>5322</SubGroupID><ARTGs><ARTG>130442</ARTG><ARTG>136671</ARTG></ARTGs><MinimumBenefit>153</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2011-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>WC273</BillingCode><Name>Ureteric Stent Set</Name><Description>Set includes soft Aqueous Coated (AQ) ureteric stent, positioner, with or without wire guide</Description><Size>Multiple French Sizes and Lengths</Size><SupplierCode>WC</SupplierCode><CategoryID>26</CategoryID><SubCategoryID>227</SubCategoryID><GroupID>1701</GroupID><SubGroupID>5322</SubGroupID><ARTGs><ARTG>216072</ARTG></ARTGs><MinimumBenefit>153</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2009-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>CT029</BillingCode><Name>Vortek Double Loop Ureteral Stents</Name><Description>Vortek Double Loop Ureteral Stents have a double layered structure which make them easy to insert over guidewire, the stiffness of each size has been adapted in order to keep the mechanical properties.</Description><Size>4.8, 6, 7 &amp; 8 Fr
with steerable or simple pusher
with or without guidewire
O/O or O/C</Size><SupplierCode>CT</SupplierCode><CategoryID>26</CategoryID><SubCategoryID>227</SubCategoryID><GroupID>1701</GroupID><SubGroupID>5322</SubGroupID><ARTGs><ARTG>142924</ARTG><ARTG>224254</ARTG></ARTGs><MinimumBenefit>153</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2016-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>TX003</BillingCode><Name>DD Ureteric Tumor Stent Set</Name><Description>Open/Closed end with introducer and guide wire, Polyurethane</Description><Size>20 - 28cm</Size><SupplierCode>TX</SupplierCode><CategoryID>26</CategoryID><SubCategoryID>227</SubCategoryID><GroupID>1701</GroupID><SubGroupID>5322</SubGroupID><ARTGs><ARTG>136657</ARTG></ARTGs><MinimumBenefit>153</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2015-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LH782</BillingCode><PriorBillingCodes><PriorBillingCode>MB028</PriorBillingCode></PriorBillingCodes><Name>Allium URS Long Ureteral stent</Name><Description>Fully covered, flexible, extra long ureteral stent</Description><Size>9 mm diameter
200 mm length</Size><SupplierCode>LH</SupplierCode><CategoryID>26</CategoryID><SubCategoryID>227</SubCategoryID><GroupID>1701</GroupID><SubGroupID>5323</SubGroupID><Suffix>Therm</Suffix><ARTGs><ARTG>205005</ARTG></ARTGs><ChangeExplanation>
Billing code transferred from MB028
Sponsor transferred from MD SOLUTIONS AUSTRALASIA PTY LTD</ChangeExplanation><MinimumBenefit>2996</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2018-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>WC226</BillingCode><Name>RESONANCE Metallic Ureteral Stent Set</Name><Description>Metallic Double Pigtail Stent</Description><Size> 6 Fr, lengths 12-30cm</Size><SupplierCode>WC</SupplierCode><CategoryID>26</CategoryID><SubCategoryID>227</SubCategoryID><GroupID>1701</GroupID><SubGroupID>5323</SubGroupID><Suffix>T</Suffix><ARTGs><ARTG>118616</ARTG></ARTGs><MinimumBenefit>1634</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2006-03-24</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ET055</BillingCode><Name>Memokath Ureteric Stent</Name><Description>Memokath Model 051CW.</Description><Size>30mm - 200mm</Size><SupplierCode>ET</SupplierCode><CategoryID>26</CategoryID><SubCategoryID>227</SubCategoryID><GroupID>1701</GroupID><SubGroupID>5323</SubGroupID><Suffix>Therm</Suffix><ARTGs><ARTG>141654</ARTG></ARTGs><MinimumBenefit>2996</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2008-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>PY030</BillingCode><Name>Taewoong ePTFE covered dual nitinol ureteral/urethral stent</Name><Description>Taewoong ePTFE covered dual nitinol ureteral/urethral stent</Description><Size>Diameter: 6mm to 16mm
Length: 4cm to 20cm</Size><SupplierCode>PY</SupplierCode><CategoryID>26</CategoryID><SubCategoryID>227</SubCategoryID><GroupID>1701</GroupID><SubGroupID>5323</SubGroupID><Suffix>Therm</Suffix><ARTGs><ARTG>220258</ARTG><ARTG>130532</ARTG></ARTGs><MinimumBenefit>2996</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LH780</BillingCode><PriorBillingCodes><PriorBillingCode>MB016</PriorBillingCode></PriorBillingCodes><Name>Allium Ureteral Stent</Name><Description>Round Nitinol stent with copolymer covering and supplied premounted on a delivery tool. Intended to be inserted into the lower ureter to allow free flow of urine from the kidney to the bladder.</Description><Size>8mm x 100mm, 8mm x 120mm, 10mm x 100mm, 10mm x 120mm</Size><SupplierCode>LH</SupplierCode><CategoryID>26</CategoryID><SubCategoryID>227</SubCategoryID><GroupID>1701</GroupID><SubGroupID>5323</SubGroupID><Suffix>Therm</Suffix><ARTGs><ARTG>205005</ARTG></ARTGs><ChangeExplanation>
Billing code transferred from MB016
Sponsor transferred from MD SOLUTIONS AUSTRALASIA PTY LTD</ChangeExplanation><MinimumBenefit>2996</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2013-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ZI590</BillingCode><Name>NexGen CR Flex Femoral Components - Precoat</Name><Description>Cobalt Chrome, High Flex, Precoat cemented, Cruciate retaining</Description><Size>Sizes A to G, Left to Right, GSF C to G Left to Right</Size><SupplierCode>ZI</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>149</SubCategoryID><GroupID>1349</GroupID><SubGroupID>3909</SubGroupID><Suffix>SCP</Suffix><ARTGs><ARTG>214841</ARTG></ARTGs><MinimumBenefit>2873</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2008-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>FE001</BillingCode><Name>Filshie Clip</Name><Description>Titanium</Description><Size>One size only</Size><SupplierCode>FE</SupplierCode><CategoryID>26</CategoryID><SubCategoryID>233</SubCategoryID><GroupID>1716</GroupID><SubGroupID>5344</SubGroupID><ARTGs><ARTG>153023</ARTG></ARTGs><MinimumBenefit>147</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>FE003</BillingCode><Name>Filshie Clips - Sterishot</Name><Description>With Disposable Applicator</Description><Size>One Size</Size><SupplierCode>FE</SupplierCode><CategoryID>26</CategoryID><SubCategoryID>233</SubCategoryID><GroupID>1716</GroupID><SubGroupID>5344</SubGroupID><Suffix>With applicator</Suffix><ARTGs><ARTG>157661</ARTG></ARTGs><MinimumBenefit>389</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</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>SN</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>2025-03-01</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BS241</BillingCode><Name>Boston Scientific DBS Tunneling Tool</Name><Description>Tunneling tool for DBS - straw, long</Description><Size>N/A</Size><SupplierCode>BS</SupplierCode><CategoryID>25</CategoryID><SubCategoryID>221</SubCategoryID><GroupID>1676</GroupID><SubGroupID>4498</SubGroupID><ARTGs><ARTG>156757</ARTG></ARTGs><MinimumBenefit>158</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2013-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MI003</BillingCode><Name>Medtronic DBS Tunneling Tool Accessory Kit</Name><Description>DBS Tunneling Tool Accessory Kit</Description><Size>One size only</Size><SupplierCode>MI</SupplierCode><CategoryID>25</CategoryID><SubCategoryID>221</SubCategoryID><GroupID>1676</GroupID><SubGroupID>4498</SubGroupID><ARTGs><ARTG>121281</ARTG></ARTGs><MinimumBenefit>158</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2011-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ER613</BillingCode><Name>Alpha Omega Cannula</Name><Description>Alpha Omega Cannula, standard or tapered used for microelectrodes recording (MER) and for lead insertion; stylet, sterile</Description><Size>Length: 130-216.5 mm  Inner diameter: 0.83-1.6 mm  Outer diameter: 1.23-1.81 mm</Size><SupplierCode>ER</SupplierCode><CategoryID>25</CategoryID><SubCategoryID>221</SubCategoryID><GroupID>1676</GroupID><SubGroupID>4498</SubGroupID><ARTGs><ARTG>346590</ARTG></ARTGs><ChangeExplanation>Change to Size</ChangeExplanation><MinimumBenefit>158</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Update</ActionFlag><CycleStartDate>2021-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MI119</BillingCode><Name>Electrode Insertion Tube set</Name><Description>Electrode Insertion Tube Set for DBS</Description><Size>One size only</Size><SupplierCode>MI</SupplierCode><CategoryID>25</CategoryID><SubCategoryID>221</SubCategoryID><GroupID>1676</GroupID><SubGroupID>4498</SubGroupID><ARTGs><ARTG>212222</ARTG></ARTGs><MinimumBenefit>158</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2013-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BS240</BillingCode><Name>Vercise Physician's Spare Kit</Name><Description>Boots accessory kit for DBS</Description><Size>N/A</Size><SupplierCode>BS</SupplierCode><CategoryID>25</CategoryID><SubCategoryID>221</SubCategoryID><GroupID>1676</GroupID><SubGroupID>4498</SubGroupID><ARTGs><ARTG>203998</ARTG></ARTGs><MinimumBenefit>158</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2013-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MI493</BillingCode><Name>SenSight™ Tunneler Kit   </Name><Description>Creates a subcutaneous path for tunnelling the lead to the intended location and retains the lead position.</Description><Size>one size only</Size><SupplierCode>MI</SupplierCode><CategoryID>25</CategoryID><SubCategoryID>221</SubCategoryID><GroupID>1676</GroupID><SubGroupID>4498</SubGroupID><ARTGs><ARTG>372651</ARTG><ARTG>387433</ARTG></ARTGs><MinimumBenefit>158</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MI489</BillingCode><Name>SenSight™ Lead Cap Kit</Name><Description>Protects and isolates the directional lead contacts after the implant but prior to extension connection.</Description><Size>one size only</Size><SupplierCode>MI</SupplierCode><CategoryID>25</CategoryID><SubCategoryID>221</SubCategoryID><GroupID>1676</GroupID><SubGroupID>4498</SubGroupID><ARTGs><ARTG>387435</ARTG></ARTGs><MinimumBenefit>158</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MI494</BillingCode><Name>SenSight™ Connector Plug</Name><Description>Fits into an unused socket of a dual channel neurostimulator, or the distal end of an unused DBS extension.</Description><Size>one size only</Size><SupplierCode>MI</SupplierCode><CategoryID>25</CategoryID><SubCategoryID>221</SubCategoryID><GroupID>1676</GroupID><SubGroupID>4498</SubGroupID><ARTGs><ARTG>387434</ARTG></ARTGs><MinimumBenefit>158</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MC826</BillingCode><Name>Medtronic Accessory Kit for Deep Brain Stimulation</Name><Description>Boots accessory kit for DBS (3550-25)</Description><Size>N/A</Size><SupplierCode>MI</SupplierCode><CategoryID>25</CategoryID><SubCategoryID>221</SubCategoryID><GroupID>1676</GroupID><SubGroupID>4498</SubGroupID><ARTGs><ARTG>240576</ARTG></ARTGs><MinimumBenefit>158</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2009-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BS244</BillingCode><Name>SureTek Burr Hole Cover</Name><Description>Burr hole cover</Description><Size>14mm compatability</Size><SupplierCode>BS</SupplierCode><CategoryID>25</CategoryID><SubCategoryID>221</SubCategoryID><GroupID>1676</GroupID><SubGroupID>4478</SubGroupID><ARTGs><ARTG>203999</ARTG></ARTGs><MinimumBenefit>497</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2013-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SJ199</BillingCode><Name>Guardian Burr Hole Cover System</Name><Description>Cranial Burr Hole Cover</Description><Size>Diameter 24.89 mm; Height 3.81 mm.</Size><SupplierCode>SJ</SupplierCode><CategoryID>25</CategoryID><SubCategoryID>221</SubCategoryID><GroupID>1676</GroupID><SubGroupID>4478</SubGroupID><ARTGs><ARTG>353744</ARTG></ARTGs><MinimumBenefit>497</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2010-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MI492</BillingCode><Name>SenSight™ Burr Hole Device Kit</Name><Description>Intended to cover a burr hole on the skull and anchor a directional lead.</Description><Size>various</Size><SupplierCode>MI</SupplierCode><CategoryID>25</CategoryID><SubCategoryID>221</SubCategoryID><GroupID>1676</GroupID><SubGroupID>4478</SubGroupID><ARTGs><ARTG>387431</ARTG><ARTG>387430</ARTG></ARTGs><MinimumBenefit>497</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MC767</BillingCode><Name>Stimloc</Name><Description>Burr Hole Cover</Description><Size>14mm</Size><SupplierCode>MI</SupplierCode><CategoryID>25</CategoryID><SubCategoryID>221</SubCategoryID><GroupID>1676</GroupID><SubGroupID>4478</SubGroupID><ARTGs><ARTG>151095</ARTG></ARTGs><MinimumBenefit>497</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2008-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MC770</BillingCode><Name>Snap Lid Connector</Name><Description>Connector for implanted lead to external Implantable Pulse Generator</Description><Size>2.5" x 5.0"</Size><SupplierCode>MI</SupplierCode><CategoryID>25</CategoryID><SubCategoryID>221</SubCategoryID><GroupID>1676</GroupID><SubGroupID>4479</SubGroupID><ARTGs><ARTG>119991</ARTG></ARTGs><MinimumBenefit>181</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2008-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MC764</BillingCode><Name>Microelectrode Cable</Name><Description>Cable used for intracranial recording of neural activity prior to DBS</Description><Size>One size</Size><SupplierCode>MI</SupplierCode><CategoryID>25</CategoryID><SubCategoryID>221</SubCategoryID><GroupID>1676</GroupID><SubGroupID>4479</SubGroupID><ARTGs><ARTG>138186</ARTG></ARTGs><MinimumBenefit>181</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2008-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BS242</BillingCode><Name>Boston Scientific DBS OR Cable &amp; Extension</Name><Description>OR cable and extension for DBS</Description><Size>One size only</Size><SupplierCode>BS</SupplierCode><CategoryID>25</CategoryID><SubCategoryID>221</SubCategoryID><GroupID>1676</GroupID><SubGroupID>4479</SubGroupID><ARTGs><ARTG>157994</ARTG></ARTGs><MinimumBenefit>181</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2013-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MC843</BillingCode><Name>Medtronic Screening Cable (Alligator Clip)</Name><Description>Screening Cable with Alligator Clip for Intraoperative testing</Description><Size>One size only</Size><SupplierCode>MI</SupplierCode><CategoryID>25</CategoryID><SubCategoryID>221</SubCategoryID><GroupID>1676</GroupID><SubGroupID>4479</SubGroupID><ARTGs><ARTG>119991</ARTG></ARTGs><MinimumBenefit>181</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2009-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ER614</BillingCode><Name>Alpha Omega Electrode cable</Name><Description>Alpha Omega Elecrode cable, sterile </Description><Size>Various</Size><SupplierCode>ER</SupplierCode><CategoryID>25</CategoryID><SubCategoryID>221</SubCategoryID><GroupID>1676</GroupID><SubGroupID>4479</SubGroupID><ARTGs><ARTG>321642</ARTG></ARTGs><MinimumBenefit>181</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MI490</BillingCode><Name>SenSight™ Lead Test Cable Kit</Name><Description>Connects the External Neurostimulator (ENS) with the directional lead.</Description><Size>one size only</Size><SupplierCode>MI</SupplierCode><CategoryID>25</CategoryID><SubCategoryID>221</SubCategoryID><GroupID>1676</GroupID><SubGroupID>4479</SubGroupID><ARTGs><ARTG>360032</ARTG><ARTG>359713</ARTG></ARTGs><MinimumBenefit>181</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MC842</BillingCode><Name>Medtronic Screening Cable (Twist Lock)</Name><Description>Screening Cable with Twist Lock for Intraoperative testing</Description><Size>One size only</Size><SupplierCode>MI</SupplierCode><CategoryID>25</CategoryID><SubCategoryID>221</SubCategoryID><GroupID>1676</GroupID><SubGroupID>4479</SubGroupID><ARTGs><ARTG>119991</ARTG></ARTGs><MinimumBenefit>181</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2009-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BS371</BillingCode><PriorBillingCodes><PriorBillingCode>DE275</PriorBillingCode></PriorBillingCodes><Name>DC Bead</Name><Description>Drug delivery embolisation system</Description><Size>100-500 (microns)</Size><SupplierCode>BS</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>188</SubCategoryID><GroupID>1542</GroupID><SubGroupID>4195</SubGroupID><ARTGs><ARTG>392646</ARTG></ARTGs><MinimumBenefit>1760</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2020-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BS373</BillingCode><PriorBillingCodes><PriorBillingCode>DE647</PriorBillingCode></PriorBillingCodes><Name>DC Bead LUMI</Name><Description>Drug delivery embolisation system</Description><Size>70-150 microns (black)</Size><SupplierCode>BS</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>188</SubCategoryID><GroupID>1542</GroupID><SubGroupID>4195</SubGroupID><ARTGs><ARTG>421310</ARTG></ARTGs><MinimumBenefit>1760</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2020-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>OW001</BillingCode><Name>Hepasphere</Name><Description>Expanding microspheres designed for chemic0-embolisation with chemotherapeutic agents such as Ethiodil, Cisplatin, Epirubicin, Mitomycin, etc.</Description><Size>30 – 200 micron, 25mg or 50mg of microspheres</Size><SupplierCode>OW</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>188</SubCategoryID><GroupID>1542</GroupID><SubGroupID>4195</SubGroupID><ARTGs><ARTG>276029</ARTG></ARTGs><MinimumBenefit>1760</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BS372</BillingCode><PriorBillingCodes><PriorBillingCode>DE580</PriorBillingCode></PriorBillingCodes><Name>DC Bead M1</Name><Description>Drug delivery embolization system</Description><Size>70-150um</Size><SupplierCode>BS</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>188</SubCategoryID><GroupID>1542</GroupID><SubGroupID>4195</SubGroupID><ARTGs><ARTG>392647</ARTG></ARTGs><MinimumBenefit>1760</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2020-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>VN002</BillingCode><PriorBillingCodes><PriorBillingCode>BS316</PriorBillingCode></PriorBillingCodes><Name>Embozene Tandem Microspheres</Name><Description>Embozene TANDEM Microspheres are spherical tightly calibrated, biocompatible, non-resorbable, hydrogel microspheres with an inorganic polyzene-F coating,  colour coded to indicate microsphere size. Each 20 mL syringe is prefilled with 3 mL of product suspended in a non-pyrogenic physiological saline transport solution. Embozene TANDEM microspheres may be loaded with Doxorubican-HCI  and Irinotecan-HCI up to 50 mg/ml which can elute local, controlled, sustained doses of the drugs to targeted tumour sites after embolisation.</Description><Size>Tandem 3ml 40 ± 10 μm  Tandem 3ml 75 ± 15 μm   Tandem 3ml 100 ± 25 μm</Size><SupplierCode>VN</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>188</SubCategoryID><GroupID>1542</GroupID><SubGroupID>4195</SubGroupID><ARTGs><ARTG>315383</ARTG></ARTGs><MinimumBenefit>2234</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>VN001</BillingCode><PriorBillingCodes><PriorBillingCode>BS315</PriorBillingCode></PriorBillingCodes><Name>Embozene Tandem Microspheres</Name><Description>Embozene TANDEM Microspheres are spherical tightly calibrated, biocompatible, non-resorbable, hydrogel microspheres with an inorganic polyzene-F coating, colour coded to indicate microsphere size. Each 20mL syringe is filled with 2 ml of product suspended in a non-pyrogenic physiological slaine transport solution. Embozene TANDEM Microspheres may be loaded with Doxirubican-HCl and Irinotecan-HCl up to 50mg/ml which can elute local, controlled, sustained doses of drugs to targeted tumour sites after embolisation.</Description><Size>Tandem 2ml 40 ± 10 µm  Tandem 2ml 75 ± 15 µm  Tandem 2ml 100  ± 25 µm</Size><SupplierCode>VN</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>188</SubCategoryID><GroupID>1542</GroupID><SubGroupID>4195</SubGroupID><ARTGs><ARTG>315383</ARTG></ARTGs><MinimumBenefit>1760</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-03-01</CycleStartDate><CycleEndDate>2025-03-01</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><MinimumBenefit>158</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2024-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>JJ010</BillingCode><Name>Interceed Absorbable Adhesion Barrier</Name><Description>Oxidized Regenerated Cellulose</Description><Size>7.6cm x 10.2cm</Size><SupplierCode>JJ</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>194</SubCategoryID><GroupID>1579</GroupID><SubGroupID>5431</SubGroupID><ARTGs><ARTG>137081</ARTG></ARTGs><MinimumBenefit>158</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</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><MinimumBenefit>312</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2024-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LM084</BillingCode><Name>Polyganics Vivosorb</Name><Description>A bioresorbable co polyester sheet</Description><Size>2cm x 3cm to 13cm x 20cm</Size><SupplierCode>LM</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>194</SubCategoryID><GroupID>1579</GroupID><SubGroupID>5432</SubGroupID><Suffix>Complex, Bioresorbable</Suffix><ARTGs><ARTG>148712</ARTG></ARTGs><MinimumBenefit>1173</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2008-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BX342</BillingCode><PriorBillingCodes><PriorBillingCode>GE006</PriorBillingCode></PriorBillingCodes><Name>Seprafilm Adhesion Barrier</Name><Description>Sodium hyaluronate carbomethylcellulose membrane</Description><Size>13cm x 15cm</Size><SupplierCode>BX</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>194</SubCategoryID><GroupID>1579</GroupID><SubGroupID>5432</SubGroupID><ARTGs><ARTG>387710</ARTG></ARTGs><ChangeExplanation>Change to ARTG, Size</ChangeExplanation><MinimumBenefit>312</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Update</ActionFlag><CycleStartDate>2020-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ET051</BillingCode><Name>Surgiwrap</Name><Description>Bio Absorbable Antiadhesion Barrier</Description><Size>All sizes with and without suture holes</Size><SupplierCode>ET</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>194</SubCategoryID><GroupID>1579</GroupID><SubGroupID>5432</SubGroupID><Suffix>Complex, Bioresorbable</Suffix><ARTGs><ARTG>91233</ARTG></ARTGs><MinimumBenefit>1173</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2006-03-24</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>FJ001</BillingCode><PriorBillingCodes><PriorBillingCode>LH534</PriorBillingCode></PriorBillingCodes><Name>Oxiplex/AP Absorbable Adhesion Barrier Gel</Name><Description>Combination of Polyethylene Oxide (PEO) and Sodium Carboxylmethylcellulose stabilised with Calcium and made isotonic with Sodium Chloride.  Kit contains 2 x 20ml Sterile syringes , 1 x Applicator</Description><Size>2 x 20ml Sterile Syringes, 1 x Applicator</Size><SupplierCode>FJ</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>194</SubCategoryID><GroupID>1579</GroupID><SubGroupID>5433</SubGroupID><Suffix>Complex</Suffix><ARTGs><ARTG>152224</ARTG></ARTGs><MinimumBenefit>1173</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ET082</BillingCode><Name>PureRegen Gel Sinus</Name><Description>PureRegen Gel Sinus is a gel adhesion barrier comprised of a hyaluronic acid based hydrogel. The product does not contain any medicinal, human or animal components. It is removed from the application site by natural elimination.</Description><Size>2ml, 5ml, 6ml, 8ml, 10ml, 20ml.</Size><SupplierCode>ET</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>194</SubCategoryID><GroupID>1579</GroupID><SubGroupID>5433</SubGroupID><Suffix>Sinus</Suffix><ARTGs><ARTG>264407</ARTG></ARTGs><MinimumBenefit>94</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2016-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>FJ002</BillingCode><PriorBillingCodes><PriorBillingCode>LH001</PriorBillingCode></PriorBillingCodes><Name>Oxiplex Absorbable Adhesion Barrier Gel</Name><Description>Oxiplex Absorbable Adhesion Barrier gel (Oxiplex is a co-polymer gel composed of carboxymethylcellulose and polyethylene.)</Description><Size>3ml in sterile 3ml syringe</Size><SupplierCode>FJ</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>194</SubCategoryID><GroupID>1579</GroupID><SubGroupID>5433</SubGroupID><Suffix>Complex</Suffix><ARTGs><ARTG>149294</ARTG></ARTGs><MinimumBenefit>1173</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>FJ004</BillingCode><Name>Oxiplex/IU</Name><Description>Oxiplex/IU® is a clear, single use flowable gel. The gel is a sterile, absorbable  combination of sodium carboxymethylcellulose (CMC) and polyethylene oxide (PEO) with calcium chloride and sodium chloride in water. Oxiplex/IU is intended for use as a mechanical barrier to adhesion formation. Oxiplex/IU is intended to be used as an adjunct to intrauterine procedures for reducing the incidence, extent, and severity of adhesions.</Description><Size>1 x 10ml pre-filled syringe and vaginal applicator.</Size><SupplierCode>FJ</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>194</SubCategoryID><GroupID>1579</GroupID><SubGroupID>5433</SubGroupID><Suffix>Complex</Suffix><ARTGs><ARTG>313985</ARTG></ARTGs><MinimumBenefit>1173</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2019-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MC618</BillingCode><Name>Medishield Anti-Adhesion Gel</Name><Description>MediShield Anti-Adhesion Gel is an adhesion barrier gel for prevention of complications after spinal surgery.  MediShield is a co-polymer gel composed of carboxymethylcellulose and polyethylene oxide.</Description><Size>3cc Syringe</Size><SupplierCode>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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>FJ003</BillingCode><PriorBillingCodes><PriorBillingCode>LM196</PriorBillingCode></PriorBillingCodes><Name>Dynavisc</Name><Description>Absorbable adhesion barrier gel</Description><Size>1 ml</Size><SupplierCode>FJ</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>194</SubCategoryID><GroupID>1579</GroupID><SubGroupID>5433</SubGroupID><Suffix>Complex</Suffix><ARTGs><ARTG>208839</ARTG></ARTGs><MinimumBenefit>411</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-08-01</CycleStartDate><CycleEndDate>2025-03-01</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><MinimumBenefit>1173</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2024-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BX260</BillingCode><Name>ADEPT Adhesion Reduction Solution</Name><Description>ADEPT Adhesion Reduction Solution is a single use, sterile fluid for intraperitoneal administration. ADEPT is intended to be used as an instillate for the reduction of adhesions following gynaecologicalpelvic laparoscopic surgery of the abdominalpelvic cavity in adults</Description><Size>1500ml</Size><SupplierCode>BX</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>194</SubCategoryID><GroupID>1579</GroupID><SubGroupID>4246</SubGroupID><ARTGs><ARTG>299826</ARTG></ARTGs><MinimumBenefit>226</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2008-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MA545</BillingCode><Name>Ligamys DIS Suture with button</Name><Description>UHMWPE braid with Ti alloy button</Description><Size>One size</Size><SupplierCode>MA</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1776</GroupID><SubGroupID>5398</SubGroupID><ARTGs><ARTG>232098</ARTG></ARTGs><Note>Prescribed List reimbursement  for the billing code is restricted to the use of Artificial Ligaments for intra-articular cases where no non-synthetic graft sources (allografts and autografts) are available.</Note><ChangeExplanation>Change to Condition</ChangeExplanation><MinimumBenefit>4217</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Update</ActionFlag><CycleStartDate>2017-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>DE827</BillingCode><PriorBillingCodes><PriorBillingCode>CR204</PriorBillingCode></PriorBillingCodes><Name>Ligament Advanced Reinforcement System (LARS) Artificial Ligament - MCL 32</Name><Description>Woven polyester prosthetic ligament</Description><Size>32 fibres</Size><SupplierCode>DE</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1776</GroupID><SubGroupID>5398</SubGroupID><ARTGs><ARTG>138573</ARTG></ARTGs><Note>Prescribed List reimbursement  for the billing code is restricted to the use of Artificial Ligaments for intra-articular cases where no non-synthetic graft sources (allografts and autografts) are available.</Note><ChangeExplanation>Change to Condition
Billing code transferred from CR204
Sponsor transferred from Corin (Australia) Pty Limited</ChangeExplanation><MinimumBenefit>4217</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2013-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>DE828</BillingCode><PriorBillingCodes><PriorBillingCode>CR205</PriorBillingCode></PriorBillingCodes><Name>Ligament Advanced Reinforcement System (LARS) Artificial Ligament  - Rotator Cuff CR 25</Name><Description>Woven polyester prosthetic ligament</Description><Size>40 fibres</Size><SupplierCode>DE</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1776</GroupID><SubGroupID>5398</SubGroupID><ARTGs><ARTG>138573</ARTG></ARTGs><Note>Prescribed List reimbursement  for the billing code is restricted to the use of Artificial Ligaments for intra-articular cases where no non-synthetic graft sources (allografts and autografts) are available.</Note><ChangeExplanation>Change to Condition
Billing code transferred from CR205
Sponsor transferred from Corin (Australia) Pty Limited</ChangeExplanation><MinimumBenefit>4217</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2013-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LH792</BillingCode><PriorBillingCodes><PriorBillingCode>LM070</PriorBillingCode></PriorBillingCodes><Name>Lockdown Shoulder Stabilisation System </Name><Description>Woven Polyester Prosthetic Ligament</Description><Size>5 to 20cm</Size><SupplierCode>LH</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1776</GroupID><SubGroupID>5398</SubGroupID><ARTGs><ARTG>433851</ARTG></ARTGs><ChangeExplanation>
Billing code transferred from LM070
Sponsor transferred from LMT SURGICAL PTY LTD</ChangeExplanation><MinimumBenefit>4217</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2007-12-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ310</BillingCode><Name>Pitch-Patch</Name><Description>Rotator Cuff Reinforcement Patch</Description><Size>30mm x 20mm and 35mm x 25mm</Size><SupplierCode>NY</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1776</GroupID><SubGroupID>5398</SubGroupID><ARTGs><ARTG>384984</ARTG></ARTGs><MinimumBenefit>4217</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2024-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>NY001</BillingCode><Name>LK2 Poly-Tape</Name><Description>Polyester tape</Description><Size>Width 8mm-40mm  Length 500 and 800mm</Size><SupplierCode>NY</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1776</GroupID><SubGroupID>5398</SubGroupID><ARTGs><ARTG>380417</ARTG></ARTGs><MinimumBenefit>4217</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2013-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>NY003</BillingCode><Name>Infinity-Lock Button System</Name><Description>Tube Tape with Infinity-Lock Button</Description><Size>One size only</Size><SupplierCode>NY</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1776</GroupID><SubGroupID>5398</SubGroupID><ARTGs><ARTG>379210</ARTG></ARTGs><MinimumBenefit>4217</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2019-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>DE824</BillingCode><PriorBillingCodes><PriorBillingCode>CR201</PriorBillingCode></PriorBillingCodes><Name>Ligament Advanced Reinforcement System (LARS) Artificial Ligament -  AC30RA </Name><Description>Woven polyester prosthesic ligament</Description><Size>30 fibres</Size><SupplierCode>DE</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1776</GroupID><SubGroupID>5398</SubGroupID><ARTGs><ARTG>138573</ARTG></ARTGs><Note>Prescribed List reimbursement  for the billing code is restricted to the use of Artificial Ligaments for intra-articular cases where no non-synthetic graft sources (allografts and autografts) are available.</Note><ChangeExplanation>Change to Condition
Billing code transferred from CR201
Sponsor transferred from Corin (Australia) Pty Limited</ChangeExplanation><MinimumBenefit>4217</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2013-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>DE829</BillingCode><PriorBillingCodes><PriorBillingCode>CR206</PriorBillingCode></PriorBillingCodes><Name>Ligament Advanced Reinforcement System (LARS) Artificial Ligament  - Rotator Cuff CR 30</Name><Description>Woven polyester prosthetic ligament</Description><Size>48 fibres</Size><SupplierCode>DE</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1776</GroupID><SubGroupID>5398</SubGroupID><ARTGs><ARTG>138573</ARTG></ARTGs><Note>Prescribed List reimbursement  for the billing code is restricted to the use of Artificial Ligaments for intra-articular cases where no non-synthetic graft sources (allografts and autografts) are available.</Note><ChangeExplanation>Change to Condition
Billing code transferred from CR206
Sponsor transferred from Corin (Australia) Pty Limited</ChangeExplanation><MinimumBenefit>4217</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2013-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>DE830</BillingCode><PriorBillingCodes><PriorBillingCode>CR214</PriorBillingCode></PriorBillingCodes><Name>Ligament Advanced Reinforcement System (LARS) Artificial Ligament</Name><Description>Woven polyester prosthetic ligaments</Description><Size>8 fibres</Size><SupplierCode>DE</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1776</GroupID><SubGroupID>5398</SubGroupID><ARTGs><ARTG>138573</ARTG></ARTGs><Note>Prescribed List reimbursement  for the billing code is restricted to the use of Artificial Ligaments for intra-articular cases where no non-synthetic graft sources (allografts and autografts) are available.</Note><ChangeExplanation>Change to Condition
Billing code transferred from CR214
Sponsor transferred from Corin (Australia) Pty Limited</ChangeExplanation><MinimumBenefit>4217</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2014-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>DE822</BillingCode><PriorBillingCodes><PriorBillingCode>CR032</PriorBillingCode></PriorBillingCodes><Name>Ligament Advanced Reinforcement System (LARS) Artificial Ligament</Name><Description>Woven polyester prosthetic ligaments</Description><Size>60,80,100,120,160 &amp; Y shaped fibres</Size><SupplierCode>DE</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1776</GroupID><SubGroupID>5398</SubGroupID><ARTGs><ARTG>138573</ARTG></ARTGs><Note>Prescribed List reimbursement  for the billing code is restricted to the use of Artificial Ligaments for intra-articular cases where no non-synthetic graft sources (allografts and autografts) are available.</Note><ChangeExplanation>Change to Condition
Billing code transferred from CR032
Sponsor transferred from Corin (Australia) Pty Limited</ChangeExplanation><MinimumBenefit>4217</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>DE826</BillingCode><PriorBillingCodes><PriorBillingCode>CR203</PriorBillingCode></PriorBillingCodes><Name>Ligament Advanced Reinforcement System (LARS) Artificial Ligament - LAC 30</Name><Description>Woven polyester prosthetic ligament</Description><Size>30 fibres</Size><SupplierCode>DE</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1776</GroupID><SubGroupID>5398</SubGroupID><ARTGs><ARTG>138573</ARTG></ARTGs><Note>Prescribed List reimbursement  for the billing code is restricted to the use of Artificial Ligaments for intra-articular cases where no non-synthetic graft sources (allografts and autografts) are available.</Note><ChangeExplanation>Change to Condition
Billing code transferred from CR203
Sponsor transferred from Corin (Australia) Pty Limited</ChangeExplanation><MinimumBenefit>4217</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2013-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>DE825</BillingCode><PriorBillingCodes><PriorBillingCode>CR202</PriorBillingCode></PriorBillingCodes><Name>Ligament Advanced Reinforcement System (LARS) Artificial Ligament – LAC 20</Name><Description>Woven polyester prosthetic ligament</Description><Size>20 fibres</Size><SupplierCode>DE</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1776</GroupID><SubGroupID>5398</SubGroupID><ARTGs><ARTG>138573</ARTG></ARTGs><Note>Prescribed List reimbursement  for the billing code is restricted to the use of Artificial Ligaments for intra-articular cases where no non-synthetic graft sources (allografts and autografts) are available.</Note><ChangeExplanation>Change to Condition
Billing code transferred from CR202
Sponsor transferred from Corin (Australia) Pty Limited</ChangeExplanation><MinimumBenefit>4217</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2013-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HW987</BillingCode><PriorBillingCodes><PriorBillingCode>WR455</PriorBillingCode></PriorBillingCodes><Name>Cartiva® Synthetic Cartilage Implant</Name><Description>Polymer Cartilage Implant</Description><Size>Diameter: 6mm, 8mm, 10mm</Size><SupplierCode>JV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1776</GroupID><SubGroupID>7221</SubGroupID><Suffix>≤ 10mm</Suffix><ARTGs><ARTG>278815</ARTG></ARTGs><MinimumBenefit>1420</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MI428</BillingCode><Name>RF Marinr</Name><Description>The Medtronic RF Marinr catheters are steerable, flexible, radiopaque ablation catheters, designed for intracardiac radiofrequency ablation. The catheters have  intracardiac recording and stimulation capabilities. </Description><Size>5Fr, 7Fr</Size><SupplierCode>MI</SupplierCode><CategoryID>27</CategoryID><SubCategoryID>290</SubCategoryID><GroupID>2946</GroupID><SubGroupID>7372</SubGroupID><ARTGs><ARTG>202411</ARTG><ARTG>202423</ARTG></ARTGs><MinimumBenefit>900</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SJ431</BillingCode><Name>Abbott Non Irrigated Ablation Catheters – 4mm</Name><Description>Non Irrigated Ablation catheter</Description><Size>4mm tip</Size><SupplierCode>SJ</SupplierCode><CategoryID>27</CategoryID><SubCategoryID>290</SubCategoryID><GroupID>2946</GroupID><SubGroupID>7372</SubGroupID><ARTGs><ARTG>141867</ARTG><ARTG>136320</ARTG><ARTG>137384</ARTG></ARTGs><MinimumBenefit>900</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BS377</BillingCode><Name>Blazer Prime </Name><Description>Non-irrigated ablation catheter</Description><Size>104-115 cm, 7F     </Size><SupplierCode>BS</SupplierCode><CategoryID>27</CategoryID><SubCategoryID>290</SubCategoryID><GroupID>2946</GroupID><SubGroupID>7372</SubGroupID><ARTGs><ARTG>179887</ARTG></ARTGs><MinimumBenefit>900</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BT222</BillingCode><Name>AlCath G FullCircle</Name><Description>Mapping and Ablation Cardiac Catheter, Gold Tip(G) High Thermal Conduction Ablation, FullCircle Deflection, Standard or Long Tip.</Description><Size>7F, 110cm , 4 mm Tip Gold (G) and 8mm (LT) Long Tip Gold(G)</Size><SupplierCode>BT</SupplierCode><CategoryID>27</CategoryID><SubCategoryID>290</SubCategoryID><GroupID>2946</GroupID><SubGroupID>7372</SubGroupID><ARTGs><ARTG>281003</ARTG></ARTGs><MinimumBenefit>900</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2019-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BS376</BillingCode><Name>IntellaTip MiFi™ XP</Name><Description>Non-irrigated ablation catheter with 3 mini-electrodes (MiFi) for more accurate mapping</Description><Size>110 cm, shaft size 7F</Size><SupplierCode>BS</SupplierCode><CategoryID>27</CategoryID><SubCategoryID>290</SubCategoryID><GroupID>2946</GroupID><SubGroupID>7372</SubGroupID><ARTGs><ARTG>232994</ARTG></ARTGs><MinimumBenefit>900</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BS391</BillingCode><Name>IntellaNav ST</Name><Description>Non-irrigated temperature ablation catheters; navigation enabled</Description><Size>110 cm, 7F</Size><SupplierCode>BS</SupplierCode><CategoryID>27</CategoryID><SubCategoryID>290</SubCategoryID><GroupID>2946</GroupID><SubGroupID>7372</SubGroupID><ARTGs><ARTG>354210</ARTG></ARTGs><MinimumBenefit>900</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BT225</BillingCode><Name>AlCath Flutter LT G</Name><Description>Mapping and Ablation Cardiac Catheter, Gold Tip(G) High Thermal Conduction Ablation, FullCircle Deflection, Long 8mm Tip (LT), Optimised stability,control &amp; length for flutter</Description><Size>7F , 95cm , 8mm(LT) gold tip</Size><SupplierCode>BT</SupplierCode><CategoryID>27</CategoryID><SubCategoryID>290</SubCategoryID><GroupID>2946</GroupID><SubGroupID>7372</SubGroupID><ARTGs><ARTG>221412</ARTG></ARTGs><MinimumBenefit>900</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2019-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SJ430</BillingCode><Name>Abbott Non Irrigated Ablation Catheters – 8mm</Name><Description>Non Irrigated Ablation catheter</Description><Size>8mm tip</Size><SupplierCode>SJ</SupplierCode><CategoryID>27</CategoryID><SubCategoryID>290</SubCategoryID><GroupID>2946</GroupID><SubGroupID>7372</SubGroupID><ARTGs><ARTG>136321</ARTG><ARTG>141867</ARTG><ARTG>137384</ARTG></ARTGs><MinimumBenefit>900</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MN281</BillingCode><Name>CARTO System Therapeutic Catheters, NAVISTAR</Name><Description>4mm navigation, non-irrigated</Description><Size>One size only</Size><SupplierCode>JJ</SupplierCode><CategoryID>27</CategoryID><SubCategoryID>290</SubCategoryID><GroupID>2946</GroupID><SubGroupID>7372</SubGroupID><ARTGs><ARTG>135672</ARTG><ARTG>135731</ARTG></ARTGs><MinimumBenefit>900</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BS375</BillingCode><Name>Blazer II</Name><Description>Non-irrigated temperature ablation catheters </Description><Size>104-115 cm, shaft size 6-7F</Size><SupplierCode>BS</SupplierCode><CategoryID>27</CategoryID><SubCategoryID>290</SubCategoryID><GroupID>2946</GroupID><SubGroupID>7372</SubGroupID><ARTGs><ARTG>164506</ARTG></ARTGs><MinimumBenefit>900</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BS386</BillingCode><Name>IntellaNav MiFi XP</Name><Description>Non-irrigated ablation catheter with 3 mini-electrodes (MiFi), navigation enabled</Description><Size>110 cm, shaft size 7F</Size><SupplierCode>BS</SupplierCode><CategoryID>27</CategoryID><SubCategoryID>290</SubCategoryID><GroupID>2946</GroupID><SubGroupID>7372</SubGroupID><ARTGs><ARTG>289500</ARTG></ARTGs><MinimumBenefit>900</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MN277</BillingCode><Name>CELSIUS</Name><Description>4mm non-nav, non-irrigated</Description><Size>Various</Size><SupplierCode>JJ</SupplierCode><CategoryID>27</CategoryID><SubCategoryID>290</SubCategoryID><GroupID>2946</GroupID><SubGroupID>7372</SubGroupID><ARTGs><ARTG>135671</ARTG><ARTG>135732</ARTG></ARTGs><MinimumBenefit>900</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>RF032</BillingCode><Name>FireMagic RF Ablation Catheter</Name><Description>Flexible insulative radiofrequency ablation catheter with a deflectable tip</Description><Size>7 French  90-115cm</Size><SupplierCode>RF</SupplierCode><CategoryID>27</CategoryID><SubCategoryID>290</SubCategoryID><GroupID>2946</GroupID><SubGroupID>7372</SubGroupID><ARTGs><ARTG>333859</ARTG></ARTGs><MinimumBenefit>900</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BS378</BillingCode><Name>Blazer II XP</Name><Description>Non-irrigated ablation catheters</Description><Size>104-115 cm, 8F</Size><SupplierCode>BS</SupplierCode><CategoryID>27</CategoryID><SubCategoryID>290</SubCategoryID><GroupID>2946</GroupID><SubGroupID>7372</SubGroupID><ARTGs><ARTG>164229</ARTG></ARTGs><MinimumBenefit>900</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MN238</BillingCode><Name>CARTO System Therapeutic Catheters, THERMOCOOL SMARTTOUCH</Name><Description>Navigation, contact-force, irrigated</Description><Size>One size only</Size><SupplierCode>JJ</SupplierCode><CategoryID>27</CategoryID><SubCategoryID>290</SubCategoryID><GroupID>2946</GroupID><SubGroupID>7349</SubGroupID><Suffix>JJM, nav, cf</Suffix><ARTGs><ARTG>233354</ARTG><ARTG>233355</ARTG><ARTG>184035</ARTG><ARTG>198574</ARTG></ARTGs><MinimumBenefit>3700</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2019-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SJ409</BillingCode><Name>FlexAbility Ablation Catheter</Name><Description>Sensor Enabled and Non-Sensor Enabled</Description><Size>D, F, J, D-F, F-J, D-D, F-F, J-J</Size><SupplierCode>SJ</SupplierCode><CategoryID>27</CategoryID><SubCategoryID>290</SubCategoryID><GroupID>2946</GroupID><SubGroupID>7349</SubGroupID><Suffix>Abbott</Suffix><ARTGs><ARTG>327824</ARTG><ARTG>327823</ARTG><ARTG>327825</ARTG><ARTG>327822</ARTG></ARTGs><MinimumBenefit>3700</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2019-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SJ465</BillingCode><Name>TactiFlex™ Ablation Catheter, Sensor Enabled™  </Name><Description>Contact Force Sensor Enabled  </Description><Size>DD, DF, FF, FJ, JJ, D, F, J</Size><SupplierCode>SJ</SupplierCode><CategoryID>27</CategoryID><SubCategoryID>290</SubCategoryID><GroupID>2946</GroupID><SubGroupID>7349</SubGroupID><Suffix>Abbott</Suffix><ARTGs><ARTG>380981</ARTG><ARTG>380982</ARTG></ARTGs><MinimumBenefit>3700</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MN304</BillingCode><Name>CARTO System Therapeutic Catheters, QDOT MICRO</Name><Description>Navigation, contact-force, irrigated, very high-power short-duration</Description><Size>One size only</Size><SupplierCode>JJ</SupplierCode><CategoryID>27</CategoryID><SubCategoryID>290</SubCategoryID><GroupID>2946</GroupID><SubGroupID>7349</SubGroupID><Suffix>JJM, nav, cf</Suffix><ARTGs><ARTG>345780</ARTG><ARTG>345779</ARTG></ARTGs><MinimumBenefit>3700</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BS361</BillingCode><Name>IntellaNav™ MiFi™ Open-Irrigated Ablation Catheter</Name><Description>IntellaNav™ Open-Irrigated, MiFi™ Mini-electrode Technology, Nav-abled</Description><Size>110cm, shaft size 7.5F</Size><SupplierCode>BS</SupplierCode><CategoryID>27</CategoryID><SubCategoryID>290</SubCategoryID><GroupID>2946</GroupID><SubGroupID>7349</SubGroupID><Suffix>Boston Scientific</Suffix><ARTGs><ARTG>300198</ARTG></ARTGs><MinimumBenefit>3500</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2019-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BS385</BillingCode><Name>IntellaTip MiFi™ Open Irrigated Ablation Catheter</Name><Description>Intella MiFi™ Mini- electrode Technology; Open-Irrigated</Description><Size>110cm, shaft size 7.5F</Size><SupplierCode>BS</SupplierCode><CategoryID>27</CategoryID><SubCategoryID>290</SubCategoryID><GroupID>2946</GroupID><SubGroupID>7349</SubGroupID><Suffix>Boston Scientific</Suffix><ARTGs><ARTG>231654</ARTG></ARTGs><MinimumBenefit>3500</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BS380</BillingCode><Name>Blazer™ Open Irrigated Ablation Catheter </Name><Description>Open Irrigated Ablation bidirectional catheter with Total Tip Cooling™ Design technology</Description><Size>110cm, shaft size 7.5F</Size><SupplierCode>BS</SupplierCode><CategoryID>27</CategoryID><SubCategoryID>290</SubCategoryID><GroupID>2946</GroupID><SubGroupID>7349</SubGroupID><Suffix>Boston Scientific</Suffix><ARTGs><ARTG>186659</ARTG></ARTGs><MinimumBenefit>3500</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MI397</BillingCode><Name>DiamondTemp Ablation Catheter</Name><Description>An irrigated, multi-electrode, temperature-controlled, radio-frequency catheter for mapping, pacing and cardiac ablation</Description><Size>7.5F</Size><SupplierCode>MI</SupplierCode><CategoryID>27</CategoryID><SubCategoryID>290</SubCategoryID><GroupID>2946</GroupID><SubGroupID>7349</SubGroupID><Suffix>Medtronic</Suffix><ARTGs><ARTG>391792</ARTG><ARTG>391793</ARTG></ARTGs><MinimumBenefit>3700</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2020-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BS405</BillingCode><Name>INTELLANAV STABLEPOINT™ </Name><Description>Open Irrigated Ablation bidirectional catheter with Total Tip Cooling™ Design technology; Contact Force Sensing</Description><Size>110cm, shaft size 7.5F</Size><SupplierCode>BS</SupplierCode><CategoryID>27</CategoryID><SubCategoryID>290</SubCategoryID><GroupID>2946</GroupID><SubGroupID>7349</SubGroupID><Suffix>Boston Scientific</Suffix><ARTGs><ARTG>354210</ARTG></ARTGs><MinimumBenefit>3500</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SJ410</BillingCode><Name>TactiCath™ Contact Force Ablation Catheter</Name><Description>Sensor Enabled and Non-Sensor Enabled catheter</Description><Size>DD, DF, FF, FJ, JJ, D, F.</Size><SupplierCode>SJ</SupplierCode><CategoryID>27</CategoryID><SubCategoryID>290</SubCategoryID><GroupID>2946</GroupID><SubGroupID>7349</SubGroupID><Suffix>Abbott</Suffix><ARTGs><ARTG>327321</ARTG><ARTG>327316</ARTG></ARTGs><MinimumBenefit>3700</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2019-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MN310</BillingCode><Name>CARTO System Therapeutic Catheters, THERMOCOOL</Name><Description>Navigation, irrigated</Description><Size>Various</Size><SupplierCode>JJ</SupplierCode><CategoryID>27</CategoryID><SubCategoryID>290</SubCategoryID><GroupID>2946</GroupID><SubGroupID>7349</SubGroupID><Suffix>JJM, nav</Suffix><ARTGs><ARTG>149553</ARTG><ARTG>178843</ARTG><ARTG>157811</ARTG></ARTGs><MinimumBenefit>2750</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MN301</BillingCode><Name>THERMOCOOL</Name><Description>Non-nav, irrigated</Description><Size>Various</Size><SupplierCode>JJ</SupplierCode><CategoryID>27</CategoryID><SubCategoryID>290</SubCategoryID><GroupID>2946</GroupID><SubGroupID>7349</SubGroupID><Suffix>JJM, non-nav</Suffix><ARTGs><ARTG>178844</ARTG><ARTG>149552</ARTG><ARTG>155131</ARTG></ARTGs><MinimumBenefit>2000</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>RF024</BillingCode><Name>FireMagic 3D Irrigated Ablation Catheter</Name><Description>Irrigated ablation catheter with a deflectable tip containing an array of platinum electrodes</Description><Size>8 French  105cm</Size><SupplierCode>RF</SupplierCode><CategoryID>27</CategoryID><SubCategoryID>290</SubCategoryID><GroupID>2946</GroupID><SubGroupID>7349</SubGroupID><Suffix>Microport</Suffix><ARTGs><ARTG>333751</ARTG></ARTGs><MinimumBenefit>3500</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2020-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BT224</BillingCode><Name>AlCath Flutter Flux G eXtra</Name><Description>Mapping and Ablation Cardiac Catheter, Gold Tip(G) High Thermal Conduction Ablation, Advanced 3D irrigation (eXtra), FullCircle Deflection, Optimised stability,control &amp; length for flutter</Description><Size>7F ,95cm , 3.5mm Gold tip</Size><SupplierCode>BT</SupplierCode><CategoryID>27</CategoryID><SubCategoryID>290</SubCategoryID><GroupID>2946</GroupID><SubGroupID>7349</SubGroupID><Suffix>Biotronik</Suffix><ARTGs><ARTG>221411</ARTG></ARTGs><MinimumBenefit>3280</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2019-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BT223</BillingCode><Name>AlCath Flux G eXtra</Name><Description>Mapping and Ablation Cardiac Catheter, Advanced 3D irrigation (eXtra), Gold Tip(G) High Thermal Conduction Ablation, FullCircle Deflection</Description><Size>7F , 110cm , 3.5mm irrigated gold tip</Size><SupplierCode>BT</SupplierCode><CategoryID>27</CategoryID><SubCategoryID>290</SubCategoryID><GroupID>2946</GroupID><SubGroupID>7349</SubGroupID><Suffix>Biotronik</Suffix><ARTGs><ARTG>193331</ARTG></ARTGs><MinimumBenefit>3280</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2019-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>RF023</BillingCode><Name>Columbus Reference Patch</Name><Description>Adhesive patch with embedded magnetic location sensors</Description><Size>One size only</Size><SupplierCode>RF</SupplierCode><CategoryID>27</CategoryID><SubCategoryID>290</SubCategoryID><GroupID>2946</GroupID><SubGroupID>7350</SubGroupID><Suffix>Microport</Suffix><ARTGs><ARTG>323487</ARTG></ARTGs><MinimumBenefit>399</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2020-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BS360</BillingCode><Name>Rhythmia™ Location Reference Patch Kit</Name><Description>Rhythmia™ Location Reference Patch Kit (Box of 1)</Description><Size>50mm diameter</Size><SupplierCode>BS</SupplierCode><CategoryID>27</CategoryID><SubCategoryID>290</SubCategoryID><GroupID>2946</GroupID><SubGroupID>7350</SubGroupID><Suffix>Boston Scientific</Suffix><ARTGs><ARTG>282996</ARTG></ARTGs><MinimumBenefit>350</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2019-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MN239</BillingCode><Name>CARTO Reference</Name><Description>External Reference</Description><Size>One size only</Size><SupplierCode>JJ</SupplierCode><CategoryID>27</CategoryID><SubCategoryID>290</SubCategoryID><GroupID>2946</GroupID><SubGroupID>7350</SubGroupID><Suffix>JJM, nav</Suffix><ARTGs><ARTG>157549</ARTG></ARTGs><MinimumBenefit>499</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2019-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ549</BillingCode><Name>Location Reference Patch Kit </Name><Description>Prism-1 mapping system Location Reference Patch Kit</Description><Size>One size only</Size><SupplierCode>MI</SupplierCode><CategoryID>27</CategoryID><SubCategoryID>290</SubCategoryID><GroupID>2946</GroupID><SubGroupID>7350</SubGroupID><Suffix>Medtronic</Suffix><ARTGs><ARTG>427991</ARTG></ARTGs><MinimumBenefit>499</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2024-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SJ408</BillingCode><Name>EnSite Patch</Name><Description>Surface Electrodes</Description><Size>Patch/Kit</Size><SupplierCode>SJ</SupplierCode><CategoryID>27</CategoryID><SubCategoryID>290</SubCategoryID><GroupID>2946</GroupID><SubGroupID>7350</SubGroupID><Suffix>Abbott</Suffix><ARTGs><ARTG>274633</ARTG><ARTG>195707</ARTG></ARTGs><MinimumBenefit>399</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2019-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MN240</BillingCode><Name>LASSO/ PENTARAY</Name><Description>Circular/High Density</Description><Size>Various</Size><SupplierCode>JJ</SupplierCode><CategoryID>27</CategoryID><SubCategoryID>290</SubCategoryID><GroupID>2946</GroupID><SubGroupID>7351</SubGroupID><Suffix>JJM, nav, defl, hd</Suffix><ARTGs><ARTG>121901</ARTG><ARTG>122187</ARTG><ARTG>145997</ARTG><ARTG>231772</ARTG><ARTG>278955</ARTG><ARTG>278956</ARTG><ARTG>203362</ARTG></ARTGs><MinimumBenefit>2200</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2019-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MN370</BillingCode><Name>CARTO System Diagnostic Catheters, OCTARAY</Name><Description>High Density Mapping Catheter</Description><Size>Various</Size><SupplierCode>JJ</SupplierCode><CategoryID>27</CategoryID><SubCategoryID>290</SubCategoryID><GroupID>2946</GroupID><SubGroupID>7351</SubGroupID><Suffix>JJM, nav, defl, hd</Suffix><ARTGs><ARTG>357290</ARTG></ARTGs><MinimumBenefit>2200</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2023-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>RF040</BillingCode><Name>EasyFinder™</Name><Description>Steerable diagnostic catheter</Description><Size>Length 115cm 6Fr</Size><SupplierCode>RF</SupplierCode><CategoryID>27</CategoryID><SubCategoryID>290</SubCategoryID><GroupID>2946</GroupID><SubGroupID>7351</SubGroupID><Suffix>MicroPort, Steerable</Suffix><ARTGs><ARTG>339196</ARTG></ARTGs><MinimumBenefit>629</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BS359</BillingCode><Name>IntellaMap  Orion High Resolution Mapping Catheter</Name><Description>High resolution 64-electrode steerable mapping catheter</Description><Size>8.5F, 115cm</Size><SupplierCode>BS</SupplierCode><CategoryID>27</CategoryID><SubCategoryID>290</SubCategoryID><GroupID>2946</GroupID><SubGroupID>7351</SubGroupID><Suffix>Boston Scientific</Suffix><ARTGs><ARTG>271032</ARTG></ARTGs><MinimumBenefit>2549</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2019-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SJ457</BillingCode><Name>Abbott Medical electrophysiology mapping catheters - 10 pole</Name><Description>Steerable mapping catheter Livewire, Inquiry</Description><Size>10 pole</Size><SupplierCode>SJ</SupplierCode><CategoryID>27</CategoryID><SubCategoryID>290</SubCategoryID><GroupID>2946</GroupID><SubGroupID>7351</SubGroupID><Suffix>Abbott - 10 pole</Suffix><ARTGs><ARTG>398717</ARTG><ARTG>458586</ARTG></ARTGs><ChangeExplanation>Change to ARTG</ChangeExplanation><MinimumBenefit>829</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Update</ActionFlag><CycleStartDate>2021-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SJ406</BillingCode><Name>Advisor mapping catheter</Name><Description>mapping catheter</Description><Size>5F-8F</Size><SupplierCode>SJ</SupplierCode><CategoryID>27</CategoryID><SubCategoryID>290</SubCategoryID><GroupID>2946</GroupID><SubGroupID>7351</SubGroupID><Suffix>Abbott</Suffix><ARTGs><ARTG>282186</ARTG><ARTG>282187</ARTG><ARTG>308920</ARTG><ARTG>327686</ARTG><ARTG>327761</ARTG><ARTG>334635</ARTG><ARTG>334636</ARTG><ARTG>327732</ARTG></ARTGs><MinimumBenefit>2300</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2019-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SJ404</BillingCode><Name>Inquiry Optima Diagnostic Catheter</Name><Description>mapping catheter</Description><Size>5F-8F</Size><SupplierCode>SJ</SupplierCode><CategoryID>27</CategoryID><SubCategoryID>290</SubCategoryID><GroupID>2946</GroupID><SubGroupID>7351</SubGroupID><Suffix>Abbott</Suffix><ARTGs><ARTG>136233</ARTG></ARTGs><MinimumBenefit>2300</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2019-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SJ456</BillingCode><Name>Abbott Medical electrophysiology mapping catheters - 20 pole</Name><Description>Steerable mapping catheter - Livewire, Inquiry </Description><Size>20 pole</Size><SupplierCode>SJ</SupplierCode><CategoryID>27</CategoryID><SubCategoryID>290</SubCategoryID><GroupID>2946</GroupID><SubGroupID>7351</SubGroupID><Suffix>Abbott - 20 pole</Suffix><ARTGs><ARTG>398717</ARTG><ARTG>458586</ARTG></ARTGs><ChangeExplanation>Change to ARTG</ChangeExplanation><MinimumBenefit>1549</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Update</ActionFlag><CycleStartDate>2021-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BT250</BillingCode><Name>ViaCath  20- Pole</Name><Description>Steerable Diagnostic Catheter</Description><Size>6F , 90cm, 2,8,2mm electrode spacing's, 2mm tip , Curve - Extra Large</Size><SupplierCode>BT</SupplierCode><CategoryID>27</CategoryID><SubCategoryID>290</SubCategoryID><GroupID>2946</GroupID><SubGroupID>7351</SubGroupID><Suffix>Biotronik - 20 pole</Suffix><ARTGs><ARTG>281001</ARTG></ARTGs><MinimumBenefit>1265</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BT248</BillingCode><Name>ViaCath 4 &amp; 10 Pole</Name><Description>Steerable Diagnostic Catheter</Description><Size>6F , 110cm , 2mm Electrode tip , Electrode spacing's - various, Curve- standard, large, Extra large</Size><SupplierCode>BT</SupplierCode><CategoryID>27</CategoryID><SubCategoryID>290</SubCategoryID><GroupID>2946</GroupID><SubGroupID>7351</SubGroupID><Suffix>Biotronik - 4 &amp; 10 pole</Suffix><ARTGs><ARTG>281000</ARTG></ARTGs><MinimumBenefit>885</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SJ407</BillingCode><Name>Afocus II EB Inquiry Steerable Catheter</Name><Description>mapping catheter</Description><Size>5F-8F</Size><SupplierCode>SJ</SupplierCode><CategoryID>27</CategoryID><SubCategoryID>290</SubCategoryID><GroupID>2946</GroupID><SubGroupID>7351</SubGroupID><Suffix>Abbott</Suffix><ARTGs><ARTG>136211</ARTG></ARTGs><MinimumBenefit>2300</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2019-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>RF039</BillingCode><Name>EasyFinder™</Name><Description>Non-navigational fixed curve diagnostic catheter</Description><Size>Length: 60-115cm   Diameter: 5-6Fr  </Size><SupplierCode>RF</SupplierCode><CategoryID>27</CategoryID><SubCategoryID>290</SubCategoryID><GroupID>2946</GroupID><SubGroupID>7351</SubGroupID><Suffix>Microport, Fix</Suffix><ARTGs><ARTG>339195</ARTG></ARTGs><MinimumBenefit>225</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>XR001</BillingCode><Name>Khelix Loop Steerable Electrophysiology Catheter</Name><Description>Steerable Loop PV Mapping Catheter 7F</Description><Size>Various</Size><SupplierCode>XR</SupplierCode><CategoryID>27</CategoryID><SubCategoryID>290</SubCategoryID><GroupID>2946</GroupID><SubGroupID>7351</SubGroupID><Suffix>Khelix Loop</Suffix><ARTGs><ARTG>278923</ARTG></ARTGs><ChangeExplanation>New listing</ChangeExplanation><MinimumBenefit>2500</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2025-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SJ466</BillingCode><Name>Abbott Medical fixed mapping catheter 4 pole</Name><Description>Fixed diagnostic</Description><Size>Size(s):* various</Size><SupplierCode>SJ</SupplierCode><CategoryID>27</CategoryID><SubCategoryID>290</SubCategoryID><GroupID>2946</GroupID><SubGroupID>7351</SubGroupID><Suffix>Abbott fix 4 pole</Suffix><ARTGs><ARTG>138701</ARTG><ARTG>139001</ARTG></ARTGs><MinimumBenefit>225</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SJ467</BillingCode><Name>Abbott Medical fixed mapping catheter 6-10 pole</Name><Description>Fixed diagnostic</Description><Size>various</Size><SupplierCode>SJ</SupplierCode><CategoryID>27</CategoryID><SubCategoryID>290</SubCategoryID><GroupID>2946</GroupID><SubGroupID>7351</SubGroupID><Suffix>Abbott fix 6-10 pole</Suffix><ARTGs><ARTG>141875</ARTG><ARTG>139001</ARTG></ARTGs><MinimumBenefit>365</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BS401</BillingCode><Name>Viking, Viking Soft Tip</Name><Description>Fixed Curve Diagnostic Catheters</Description><Size>Various</Size><SupplierCode>BS</SupplierCode><CategoryID>27</CategoryID><SubCategoryID>290</SubCategoryID><GroupID>2946</GroupID><SubGroupID>7351</SubGroupID><Suffix>Boston Scientific, Fixed</Suffix><ARTGs><ARTG>281431</ARTG><ARTG>285279</ARTG></ARTGs><MinimumBenefit>225</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MN303</BillingCode><Name>WEBSTER</Name><Description>Non-nav, deflectable diagnostic, less than 10-pole</Description><Size>Various</Size><SupplierCode>JJ</SupplierCode><CategoryID>27</CategoryID><SubCategoryID>290</SubCategoryID><GroupID>2946</GroupID><SubGroupID>7351</SubGroupID><Suffix>JJM, defl</Suffix><ARTGs><ARTG>145984</ARTG></ARTGs><MinimumBenefit>400</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MN302</BillingCode><Name>WEBSTER</Name><Description>Non-nav, deflectable, 10-pole CS diagnostic</Description><Size>Various</Size><SupplierCode>JJ</SupplierCode><CategoryID>27</CategoryID><SubCategoryID>290</SubCategoryID><GroupID>2946</GroupID><SubGroupID>7351</SubGroupID><Suffix>JJM, deflect, 10-pole</Suffix><ARTGs><ARTG>162172</ARTG><ARTG>219252</ARTG><ARTG>145984</ARTG></ARTGs><MinimumBenefit>750</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BS398</BillingCode><Name>Woven, WovenFlexi</Name><Description>Fixed Curve Diagnostic Catheter </Description><Size>Various</Size><SupplierCode>BS</SupplierCode><CategoryID>27</CategoryID><SubCategoryID>290</SubCategoryID><GroupID>2946</GroupID><SubGroupID>7351</SubGroupID><Suffix>Boston Scientific, Fixed</Suffix><ARTGs><ARTG>281442</ARTG><ARTG>281436</ARTG></ARTGs><MinimumBenefit>225</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ630</BillingCode><Name>CARTO System Diagnostic Catheters, OPTRELL</Name><Description>High Density Paddle Mapping Catheter</Description><Size>Catheter: 36 electrodes, 48 electrodes Shape: D-F curves, F-J curves</Size><SupplierCode>JJ</SupplierCode><CategoryID>27</CategoryID><SubCategoryID>290</SubCategoryID><GroupID>2946</GroupID><SubGroupID>7351</SubGroupID><Suffix>JJM, nav, defl, hd</Suffix><ARTGs><ARTG>444051</ARTG></ARTGs><MinimumBenefit>2200</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2024-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MN300</BillingCode><Name>WEBSTER</Name><Description>Non-nav, fixed HIS diagnostic</Description><Size>One size only</Size><SupplierCode>JJ</SupplierCode><CategoryID>27</CategoryID><SubCategoryID>290</SubCategoryID><GroupID>2946</GroupID><SubGroupID>7351</SubGroupID><Suffix>JJM, fix</Suffix><ARTGs><ARTG>219254</ARTG><ARTG>145984</ARTG></ARTGs><MinimumBenefit>225</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MN307</BillingCode><Name>WEBSTER Fixed Catheter</Name><Description>Non-navigational, fixed curve diagnostic catheter</Description><Size>Various</Size><SupplierCode>JJ</SupplierCode><CategoryID>27</CategoryID><SubCategoryID>290</SubCategoryID><GroupID>2946</GroupID><SubGroupID>7351</SubGroupID><Suffix>JJM, fix</Suffix><ARTGs><ARTG>146266</ARTG><ARTG>145985</ARTG></ARTGs><MinimumBenefit>225</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MN311</BillingCode><Name>CARTO System Diagnostic Catheters, DECANAV</Name><Description>Navigation, deflectable, 10-pole diagnostic</Description><Size>Various</Size><SupplierCode>JJ</SupplierCode><CategoryID>27</CategoryID><SubCategoryID>290</SubCategoryID><GroupID>2946</GroupID><SubGroupID>7351</SubGroupID><Suffix>JJM, nav, defl, 10-pole</Suffix><ARTGs><ARTG>217338</ARTG></ARTGs><MinimumBenefit>799</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MI486</BillingCode><Name>TORQR Quadripolar Fixed-Curve Diagnostic Catheters </Name><Description>Fixed-Curve, Quadripolar Electrode Catheter.</Description><Size>5Fr, 6Fr</Size><SupplierCode>MI</SupplierCode><CategoryID>27</CategoryID><SubCategoryID>290</SubCategoryID><GroupID>2946</GroupID><SubGroupID>7351</SubGroupID><Suffix>Medtronic - Torqr quad</Suffix><ARTGs><ARTG>203290</ARTG></ARTGs><MinimumBenefit>225</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>RF041</BillingCode><Name>EasyFinder™</Name><Description>Non-navigational defelectable, 10-pole diagnostic catheter</Description><Size>115cm, 6Fr</Size><SupplierCode>RF</SupplierCode><CategoryID>27</CategoryID><SubCategoryID>290</SubCategoryID><GroupID>2946</GroupID><SubGroupID>7351</SubGroupID><Suffix>MicroPort, deflect, 10-pole</Suffix><ARTGs><ARTG>339196</ARTG></ARTGs><MinimumBenefit>750</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BT251</BillingCode><Name>MultiCath 4 ,5 &amp; 10 Pole</Name><Description>Steerable Diagnostic Catheter</Description><Size>4,5, 6F ;  80,100,110cm length :  Various Types ; Various Electrode Spacing's ; Curve - Standard or Soft Tipped.</Size><SupplierCode>BT</SupplierCode><CategoryID>27</CategoryID><SubCategoryID>290</SubCategoryID><GroupID>2946</GroupID><SubGroupID>7351</SubGroupID><Suffix>Biotronik - MultiCath</Suffix><ARTGs><ARTG>280999</ARTG></ARTGs><MinimumBenefit>675</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BS392</BillingCode><Name>Blazer Dx-20</Name><Description>Steerable Diagnostic Catheter </Description><Size>Various</Size><SupplierCode>BS</SupplierCode><CategoryID>27</CategoryID><SubCategoryID>290</SubCategoryID><GroupID>2946</GroupID><SubGroupID>7351</SubGroupID><Suffix>Boston Scientific. Deflecting, 20-pole</Suffix><ARTGs><ARTG>170631</ARTG></ARTGs><MinimumBenefit>1265</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BS396</BillingCode><Name>Dynamic XT</Name><Description>Steerable Diagnostic Catheters</Description><Size>Various</Size><SupplierCode>BS</SupplierCode><CategoryID>27</CategoryID><SubCategoryID>290</SubCategoryID><GroupID>2946</GroupID><SubGroupID>7351</SubGroupID><Suffix>Boston Scientific, Deflecting, 10-pole</Suffix><ARTGs><ARTG>281428</ARTG></ARTGs><MinimumBenefit>750</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BS393</BillingCode><Name>Polaris X</Name><Description>Steerable Diagnostic Catheters</Description><Size>Various</Size><SupplierCode>BS</SupplierCode><CategoryID>27</CategoryID><SubCategoryID>290</SubCategoryID><GroupID>2946</GroupID><SubGroupID>7351</SubGroupID><Suffix>Boston Scientific, Deflecting, 10-pole</Suffix><ARTGs><ARTG>164184</ARTG></ARTGs><MinimumBenefit>750</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BS399</BillingCode><Name>Dynamic </Name><Description>Steerable Diagnostic Catheter</Description><Size>110 cm, 6F</Size><SupplierCode>BS</SupplierCode><CategoryID>27</CategoryID><SubCategoryID>290</SubCategoryID><GroupID>2946</GroupID><SubGroupID>7351</SubGroupID><Suffix>Boston Scientific, Deflecting</Suffix><ARTGs><ARTG>281427</ARTG></ARTGs><MinimumBenefit>400</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>RF025</BillingCode><Name>EasyLoop Circular Mapping Catheter</Name><Description>Diagnostic pulmonary vein catheter for cardiac electrophysiological mapping</Description><Size>7 French  115cm</Size><SupplierCode>RF</SupplierCode><CategoryID>27</CategoryID><SubCategoryID>290</SubCategoryID><GroupID>2946</GroupID><SubGroupID>7351</SubGroupID><Suffix>Microport</Suffix><ARTGs><ARTG>332882</ARTG></ARTGs><MinimumBenefit>2500</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2020-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SJ458</BillingCode><Name>Abbott Medical Electrophysiology mapping catheter - 4/5 pole</Name><Description>Steerable mapping catheter - Inquiry</Description><Size>4 pole, 5 pole</Size><SupplierCode>SJ</SupplierCode><CategoryID>27</CategoryID><SubCategoryID>290</SubCategoryID><GroupID>2946</GroupID><SubGroupID>7351</SubGroupID><Suffix>Abbott - 4/5 pole</Suffix><ARTGs><ARTG>398717</ARTG></ARTGs><ChangeExplanation>Change to ARTG, Description</ChangeExplanation><MinimumBenefit>629</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Update</ActionFlag><CycleStartDate>2021-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SJ454</BillingCode><Name>Livewire Electrophysiology Catheter</Name><Description>Duodecapolar 2-2-2 epi/endo VT mapping catheter  </Description><Size>115cm</Size><SupplierCode>SJ</SupplierCode><CategoryID>27</CategoryID><SubCategoryID>290</SubCategoryID><GroupID>2946</GroupID><SubGroupID>7351</SubGroupID><Suffix>Abbott</Suffix><ARTGs><ARTG>141868</ARTG></ARTGs><MinimumBenefit>2300</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SJ405</BillingCode><Name>Reflexion Spiral Variable Radius Catheter</Name><Description>mapping catheter</Description><Size>5F-8F</Size><SupplierCode>SJ</SupplierCode><CategoryID>27</CategoryID><SubCategoryID>290</SubCategoryID><GroupID>2946</GroupID><SubGroupID>7351</SubGroupID><Suffix>Abbott</Suffix><ARTGs><ARTG>145053</ARTG></ARTGs><MinimumBenefit>2300</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2019-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SJ455</BillingCode><Name>ViewFlex™ Xtra ICE mapping Catheter</Name><Description>Intracardiac Echocardiography (ICE) Catheter</Description><Size>9 F catheter size, 10 F introducer, 90cm insertable length</Size><SupplierCode>SJ</SupplierCode><CategoryID>27</CategoryID><SubCategoryID>290</SubCategoryID><GroupID>2946</GroupID><SubGroupID>7375</SubGroupID><ARTGs><ARTG>214203</ARTG></ARTGs><MinimumBenefit>2549</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MN333</BillingCode><Name>SOUNDSTAR</Name><Description>3D Ultrasound Diagnostic Catheter</Description><Size>One size only</Size><SupplierCode>JJ</SupplierCode><CategoryID>27</CategoryID><SubCategoryID>290</SubCategoryID><GroupID>2946</GroupID><SubGroupID>7375</SubGroupID><Suffix>JJM</Suffix><ARTGs><ARTG>221253</ARTG></ARTGs><MinimumBenefit>2200</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BS394</BillingCode><Name>Ultra ICE </Name><Description>Intracardiac Electrophysiology Catheter</Description><Size>One size </Size><SupplierCode>BS</SupplierCode><CategoryID>27</CategoryID><SubCategoryID>290</SubCategoryID><GroupID>2946</GroupID><SubGroupID>7375</SubGroupID><Suffix>Boston Scientific</Suffix><ARTGs><ARTG>284615</ARTG></ARTGs><MinimumBenefit>1550</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ126</BillingCode><PriorBillingCodes><PriorBillingCode>AE139</PriorBillingCode><PriorBillingCode>AE139</PriorBillingCode></PriorBillingCodes><Name>Hemi CAP Articular Resurfacing Great Toe System</Name><Description>Fixation Component</Description><Size>8mm x 16mm, 9.5mm x 18mm</Size><SupplierCode>KR</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>124</SubCategoryID><GroupID>1461</GroupID><SubGroupID>4047</SubGroupID><ARTGs><ARTG>123538</ARTG></ARTGs><MinimumBenefit>703</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2011-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ125</BillingCode><PriorBillingCodes><PriorBillingCode>AE138</PriorBillingCode><PriorBillingCode>AE138</PriorBillingCode></PriorBillingCodes><Name>Hemi CAP Articular Resurfacing Great Toe System</Name><Description>Articular Component</Description><Size>12mm (1-2mm x 1.5-3mm offset), 15mm (1.5-2.5mm x 2.5-4.5mm offset)</Size><SupplierCode>KR</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>124</SubCategoryID><GroupID>1461</GroupID><SubGroupID>4047</SubGroupID><ARTGs><ARTG>123538</ARTG></ARTGs><MinimumBenefit>703</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2011-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ420</BillingCode><PriorBillingCodes><PriorBillingCode>LH232</PriorBillingCode><PriorBillingCode>LM363</PriorBillingCode></PriorBillingCodes><Name>Toe Joint</Name><Description>Metallic Hemiarthroplasty resurfacing prosthesis for the Metatarsophalangeal Joint</Description><Size>8mm - 23 mm</Size><SupplierCode>LH</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>124</SubCategoryID><GroupID>1461</GroupID><SubGroupID>4048</SubGroupID><ARTGs><ARTG>141544</ARTG></ARTGs><MinimumBenefit>1145</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HW705</BillingCode><PriorBillingCodes><PriorBillingCode>WR044</PriorBillingCode></PriorBillingCodes><Name>WMT Orthopaedics Implants Hinge Toe and Hammertoe Implant</Name><Description>Silastic flexible hinge toe with/without grommets</Description><Size>0, 1, 2, 3, 4, 5, 6, 7</Size><SupplierCode>JV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>124</SubCategoryID><GroupID>1461</GroupID><SubGroupID>4049</SubGroupID><ARTGs><ARTG>131003</ARTG></ARTGs><MinimumBenefit>548</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>WA007</BillingCode><Name>Biodesign Otologic Repair Graft (small)</Name><Description>Implantable biologic graft intended for use in otologic procedures.</Description><Size>2 discs with diameters of 0.4 and 0.6cm or 0.6 and 0.9 cm.
2.5X2.5cm</Size><SupplierCode>WC</SupplierCode><CategoryID>22</CategoryID><SubCategoryID>196</SubCategoryID><GroupID>2521</GroupID><SubGroupID>6742</SubGroupID><Suffix>Porcine</Suffix><ARTGs><ARTG>300314</ARTG></ARTGs><MinimumBenefit>325</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>WA006</BillingCode><Name>Biodesign Otologic Repair Graft</Name><Description>Implantable biologic graft intended for use in otologic procedures.</Description><Size>5.0x5.0cm</Size><SupplierCode>WC</SupplierCode><CategoryID>22</CategoryID><SubCategoryID>196</SubCategoryID><GroupID>2521</GroupID><SubGroupID>6743</SubGroupID><Suffix>Porcine</Suffix><ARTGs><ARTG>300314</ARTG></ARTGs><MinimumBenefit>492</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>WC274</BillingCode><Name>Zenith TX2 TAA Endovascular Graft with Pro-Form and the Z-Trak Plus Introduction System (thoracic body extension)</Name><Description>Thoracic Proximal Extension</Description><Size>Diameter - 22mm - 42mm Length - 77mm - 81mm</Size><SupplierCode>WC</SupplierCode><CategoryID>24</CategoryID><SubCategoryID>207</SubCategoryID><GroupID>1631</GroupID><SubGroupID>4447</SubGroupID><ARTGs><ARTG>164328</ARTG></ARTGs><MinimumBenefit>5686</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2010-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>WC328</BillingCode><Name>Zenith Alpha Thoracic Endovascular Graft Distal Extension</Name><Description>Thoracic Distal Extension</Description><Size>Diameter: 18-46mm.  Length: 91-160mm</Size><SupplierCode>WC</SupplierCode><CategoryID>24</CategoryID><SubCategoryID>207</SubCategoryID><GroupID>1631</GroupID><SubGroupID>4447</SubGroupID><ARTGs><ARTG>281256</ARTG></ARTGs><MinimumBenefit>5686</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2014-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>WC306</BillingCode><Name>Zenith TX2 Dissection Endovascular Graft with Pro-Form and the Z-Trak Plus Introduction System (thoracic body extension)</Name><Description>Thoracic Proximal Extension</Description><Size>Diameter 22mm - 42mm; Length 79mm - 83mm</Size><SupplierCode>WC</SupplierCode><CategoryID>24</CategoryID><SubCategoryID>207</SubCategoryID><GroupID>1631</GroupID><SubGroupID>4447</SubGroupID><ARTGs><ARTG>197412</ARTG></ARTGs><MinimumBenefit>5686</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2013-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MI061</BillingCode><Name>Endurant II AAA Aortic Extension</Name><Description>Endurant II Endoluminal Stent Graft System - Aortic Extension</Description><Size>Proximal diameter: 23 to 36mm; distal diameter: 23 to 36mm; Covered length: 49mm</Size><SupplierCode>MI</SupplierCode><CategoryID>24</CategoryID><SubCategoryID>207</SubCategoryID><GroupID>1631</GroupID><SubGroupID>4448</SubGroupID><ARTGs><ARTG>202372</ARTG></ARTGs><MinimumBenefit>2306</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2013-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>WC048</BillingCode><Name>Zenith Endovascular Graft</Name><Description>Body Extensions</Description><Size>Diameter 22 through 36</Size><SupplierCode>WC</SupplierCode><CategoryID>24</CategoryID><SubCategoryID>207</SubCategoryID><GroupID>1631</GroupID><SubGroupID>4448</SubGroupID><ARTGs><ARTG>206326</ARTG></ARTGs><MinimumBenefit>2306</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>GT189</BillingCode><Name>GORE EXCLUDER AAA Endoprosthesis</Name><Description>Abdominal Stent Graft Nitinol &amp; ePTFE - Aortic Extender</Description><Size>Diameters: 23, 26, 28.5mm
Lengths: 3.3cm
Diameters: 32mm
Length: 4.5cm
Diameter: 36mm
Length: 4.5cm</Size><SupplierCode>GT</SupplierCode><CategoryID>24</CategoryID><SubCategoryID>207</SubCategoryID><GroupID>1631</GroupID><SubGroupID>4448</SubGroupID><ARTGs><ARTG>158681</ARTG></ARTGs><MinimumBenefit>2306</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>JY005</BillingCode><Name>E-tegra Aortic Extension</Name><Description>E-tegra Stent Graft System - Aortic Extension</Description><Size>Length: 50mm    Diameter (proximal): 23-38mm    Diameter (distal): 23-38mm</Size><SupplierCode>JY</SupplierCode><CategoryID>24</CategoryID><SubCategoryID>207</SubCategoryID><GroupID>1631</GroupID><SubGroupID>4448</SubGroupID><ARTGs><ARTG>388372</ARTG></ARTGs><MinimumBenefit>2306</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2023-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>TU003</BillingCode><Name>Anaconda Endovascular Graft System</Name><Description>Aortic Extension Cuff. Ultrathin woven polyester, nitinol ring stents, tantalum markers</Description><Size>18 - 34mm</Size><SupplierCode>TU</SupplierCode><CategoryID>24</CategoryID><SubCategoryID>207</SubCategoryID><GroupID>1631</GroupID><SubGroupID>4448</SubGroupID><ARTGs><ARTG>173321</ARTG><ARTG>172404</ARTG></ARTGs><MinimumBenefit>2306</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>WC045</BillingCode><Name>Zenith Endovascular Graft</Name><Description>Converter</Description><Size>Diameter 20 through 36   Length 80-85</Size><SupplierCode>WC</SupplierCode><CategoryID>24</CategoryID><SubCategoryID>207</SubCategoryID><GroupID>1631</GroupID><SubGroupID>4448</SubGroupID><ARTGs><ARTG>205724</ARTG></ARTGs><MinimumBenefit>2306</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>JW017</BillingCode><PriorBillingCodes><PriorBillingCode>DO019</PriorBillingCode></PriorBillingCodes><Name>Incraft AAA Stent Graft System - Aortic Extension</Name><Description>Aortic Extension</Description><Size>Aortic Extension Diameter (mm): 22, 26, 30, 34</Size><SupplierCode>JW</SupplierCode><CategoryID>24</CategoryID><SubCategoryID>207</SubCategoryID><GroupID>1631</GroupID><SubGroupID>4448</SubGroupID><ARTGs><ARTG>231895</ARTG></ARTGs><MinimumBenefit>2306</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>WC303</BillingCode><Name>Zenith Low Profile AAA Endovascular Graft - Main Body Extension</Name><Description>Main Body Extension</Description><Size>Diameter: 22-36mm, Working Length: 45-58mm</Size><SupplierCode>WC</SupplierCode><CategoryID>24</CategoryID><SubCategoryID>207</SubCategoryID><GroupID>1631</GroupID><SubGroupID>4448</SubGroupID><ARTGs><ARTG>227126</ARTG></ARTGs><MinimumBenefit>2306</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2013-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>WC302</BillingCode><Name>Zenith Low Profile AAA Endovascular Graft - Converter</Name><Description>Converter</Description><Size>Proximal Diameter: 24-36mm, Distal Diameter: 12mm, Working Length: 66mm</Size><SupplierCode>WC</SupplierCode><CategoryID>24</CategoryID><SubCategoryID>207</SubCategoryID><GroupID>1631</GroupID><SubGroupID>4448</SubGroupID><ARTGs><ARTG>227127</ARTG></ARTGs><MinimumBenefit>2306</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2013-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MZ010</BillingCode><Name>ABRA Abdominal Wall Closure Set</Name><Description>Abdominal Wall Closure System, for primary closure of large full thickness retrated adbominal wounds.</Description><Size>For wounds up to 30cm long up 30cm across.</Size><SupplierCode>MZ</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>194</SubCategoryID><GroupID>1799</GroupID><SubGroupID>5499</SubGroupID><ARTGs><ARTG>181416</ARTG></ARTGs><MinimumBenefit>6253</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2013-02-01</CycleStartDate><CycleEndDate>2025-03-01</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><MinimumBenefit>6253</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MZ011</BillingCode><Name>ABRA Abdominal Wall Closure Set (Extension Kit Only)</Name><Description>Extention Kit for use with ABRA Abdominal Wall Closure Set CWK08. Used when width or length of open abdomen exceeds 30cm. ABRA is for the primary closure of large full thickness retracted abdominal wounds</Description><Size>Extention Kit, used when wounds to be closed are larger than 30cm long and/or 30cm across.</Size><SupplierCode>MZ</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>194</SubCategoryID><GroupID>1799</GroupID><SubGroupID>5500</SubGroupID><ARTGs><ARTG>181416</ARTG></ARTGs><MinimumBenefit>1787</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2013-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LC158</BillingCode><Name>H-Max M Femoral Stem Ti6AI4V</Name><Description>H-Max M Femoral Stem HA Coated Ti6AI4V</Description><Size>9 - 18</Size><SupplierCode>LC</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>161</SubCategoryID><GroupID>1411</GroupID><SubGroupID>3966</SubGroupID><Suffix>Stem</Suffix><ARTGs><ARTG>210634</ARTG></ARTGs><MinimumBenefit>2376</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2013-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HT031</BillingCode><PriorBillingCodes><PriorBillingCode>TZ033</PriorBillingCode></PriorBillingCodes><Name>Pantheon Cementless Stem HA</Name><Description>Ti6Al4V stem with HA Coating</Description><Size>Diameters 11-24mm, Length 115-145mm </Size><SupplierCode>HT</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>161</SubCategoryID><GroupID>1411</GroupID><SubGroupID>3966</SubGroupID><Suffix>Stem</Suffix><ARTGs><ARTG>389893</ARTG></ARTGs><MinimumBenefit>2376</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>PF003</BillingCode><Name>ESOP HA</Name><Description>Esop Femoral body Metaphyseal grit blast Ti/HA, </Description><Size>Left and Right Size 5-20</Size><SupplierCode>PF</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>161</SubCategoryID><GroupID>1411</GroupID><SubGroupID>3966</SubGroupID><Suffix>Body</Suffix><ARTGs><ARTG>141169</ARTG></ARTGs><MinimumBenefit>2106</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LO133</BillingCode><Name>Link MP Reconstruction Hip Prosthesis</Name><Description>Link body, Titanium, grit blast, HA</Description><Size>35-65mm IN 126 &amp; 135 degrees</Size><SupplierCode>LO</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>161</SubCategoryID><GroupID>1411</GroupID><SubGroupID>3966</SubGroupID><Suffix>Body</Suffix><ARTGs><ARTG>222181</ARTG></ARTGs><MinimumBenefit>2106</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LO186</BillingCode><Name>Link MP Reconstruction Neck Segment, Tilastan, HX-coated</Name><Description>MP Reconstruction Prosthesis, Neck Segment, Tilastan, HX-coated</Description><Size>35 mm - 65 mm; 126° - 135°CCD</Size><SupplierCode>LO</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>161</SubCategoryID><GroupID>1411</GroupID><SubGroupID>3966</SubGroupID><Suffix>Body</Suffix><ARTGs><ARTG>222181</ARTG></ARTGs><MinimumBenefit>2106</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2019-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SN896</BillingCode><Name>REDAPT Revision System</Name><Description>Modular Sleeve with HA coating</Description><Size> 12 to 27, Extra Small to Large</Size><SupplierCode>SN</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>161</SubCategoryID><GroupID>1411</GroupID><SubGroupID>3967</SubGroupID><Suffix>Spacer</Suffix><ARTGs><ARTG>303781</ARTG><ARTG>303782</ARTG></ARTGs><MinimumBenefit>2619</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2009-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LH626</BillingCode><PriorBillingCodes><PriorBillingCode>OO040</PriorBillingCode></PriorBillingCodes><Name>Mutars RS revision system - metaphyseal component</Name><Description>RS metaphyseal component</Description><Size>0mm, 50mm, 40mm tapered, 50mm tapered</Size><SupplierCode>LH</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>161</SubCategoryID><GroupID>1411</GroupID><SubGroupID>3969</SubGroupID><Suffix>Cone</Suffix><ARTGs><ARTG>223511</ARTG></ARTGs><MinimumBenefit>2954</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SK058</BillingCode><Name>Stryker Modular Revision Hip System</Name><Description>Porous Distal Stems Titanium Plasma Spray</Description><Size>Stem Lengths 127 &amp; 167mm straight &amp; bowed. Diameter 11-26mm</Size><SupplierCode>JV</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>161</SubCategoryID><GroupID>1411</GroupID><SubGroupID>3969</SubGroupID><Suffix>Stem</Suffix><ARTGs><ARTG>145599</ARTG></ARTGs><MinimumBenefit>3290</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HW610</BillingCode><Name>METS stippled Integral Shaft and Stem</Name><Description>Titanium, HA coated, shaft and stem with round or oval collar</Description><Size>L=15,30mm; D=27,30mm (round); D=30x38,36x44mm (oval)</Size><SupplierCode>JV</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>161</SubCategoryID><GroupID>1411</GroupID><SubGroupID>3970</SubGroupID><Suffix>Stem, Tumour</Suffix><ARTGs><ARTG>278138</ARTG></ARTGs><MinimumBenefit>4128</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HW601</BillingCode><Name>METS Spiked Trochanter</Name><Description>Titanium, HA coated</Description><Size>Small and Standard</Size><SupplierCode>JV</SupplierCode><CategoryID>18</CategoryID><SubCategoryID>161</SubCategoryID><GroupID>1411</GroupID><SubGroupID>3970</SubGroupID><Suffix>Body, Tumour</Suffix><ARTGs><ARTG>276557</ARTG></ARTGs><MinimumBenefit>3793</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SK596</BillingCode><Name>Total Wrist Implant System</Name><Description>Carpal Component</Description><Size>Small, Medium, Large</Size><SupplierCode>JV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>131</SubCategoryID><GroupID>1273</GroupID><SubGroupID>3664</SubGroupID><ARTGs><ARTG>237794</ARTG></ARTGs><MinimumBenefit>1710</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2015-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SL211</BillingCode><PriorBillingCodes><PriorBillingCode>IG110</PriorBillingCode></PriorBillingCodes><Name>Universal2 Carpal Component</Name><Description>Carpal plate (titanium) with fixed central peg and porous coating</Description><Size>xs, small, med, large</Size><SupplierCode>SN</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>131</SubCategoryID><GroupID>1273</GroupID><SubGroupID>3664</SubGroupID><ARTGs><ARTG>177632</ARTG></ARTGs><MinimumBenefit>1710</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MO416</BillingCode><Name>Motec Wrist Joint Prosthesis</Name><Description>Metacarpal Threaded Implant</Description><Size>45-70mm lengths in 5mm increments, both in Small and Large sizes</Size><SupplierCode>MO</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>131</SubCategoryID><GroupID>1273</GroupID><SubGroupID>3664</SubGroupID><ARTGs><ARTG>194619</ARTG></ARTGs><MinimumBenefit>1710</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2014-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SL213</BillingCode><PriorBillingCodes><PriorBillingCode>IG112</PriorBillingCode></PriorBillingCodes><Name>Universal2 Radial Component</Name><Description>Radial Implant (cobalt chrome) with integral stem and porous coating</Description><Size>x-small - left &amp; right, small - left &amp; right, medium - left &amp; right, large - left &amp; right</Size><SupplierCode>SN</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>131</SubCategoryID><GroupID>1273</GroupID><SubGroupID>3665</SubGroupID><ARTGs><ARTG>177632</ARTG></ARTGs><MinimumBenefit>3111</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MO417</BillingCode><Name>Motec Wrist Joint Prosthesis</Name><Description>Radius Threaded Implant</Description><Size>Radius threaded Implant, lengths 32-70mm</Size><SupplierCode>MO</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>131</SubCategoryID><GroupID>1273</GroupID><SubGroupID>3665</SubGroupID><ARTGs><ARTG>194619</ARTG></ARTGs><MinimumBenefit>3111</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2014-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SK592</BillingCode><Name>Total Wrist Implant System</Name><Description>Left and Right Radial Components</Description><Size>Small, Medium, Large</Size><SupplierCode>JV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>131</SubCategoryID><GroupID>1273</GroupID><SubGroupID>3665</SubGroupID><ARTGs><ARTG>237794</ARTG></ARTGs><MinimumBenefit>3111</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2015-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LM347</BillingCode><Name>KinematX Wrist Arthroplasty System</Name><Description>Modular Wrist Arthroplasty</Description><Size>1, 2, 3</Size><SupplierCode>LM</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>131</SubCategoryID><GroupID>1273</GroupID><SubGroupID>3665</SubGroupID><ARTGs><ARTG>242002</ARTG></ARTGs><MinimumBenefit>3111</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LM297</BillingCode><Name>Pyrocarbon Lunate</Name><Description>Pyrocarbon Lunate replacement</Description><Size>Mulitple</Size><SupplierCode>LM</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>131</SubCategoryID><GroupID>1273</GroupID><SubGroupID>3666</SubGroupID><ARTGs><ARTG>92524</ARTG></ARTGs><MinimumBenefit>2043</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2016-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HW924</BillingCode><PriorBillingCodes><PriorBillingCode>WR404</PriorBillingCode></PriorBillingCodes><Name>BioProfile Pyrocarbon Carpal Implants</Name><Description>Low temperature Isotropic Pyrolytic Carbon Implants for carpal replacement/interposition, includes Proximal Scaphoid, Scapho/Trapezio/Trapezoid &amp; Trapezium</Description><Size>Small, Medium, Large &amp; Extra Large</Size><SupplierCode>JV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>131</SubCategoryID><GroupID>1273</GroupID><SubGroupID>3666</SubGroupID><ARTGs><ARTG>94262</ARTG></ARTGs><MinimumBenefit>2043</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HW702</BillingCode><PriorBillingCodes><PriorBillingCode>WR041</PriorBillingCode></PriorBillingCodes><Name>Orthosphere</Name><Description>The Orthosphere is a spherical interpositional implant that may be used in both the carpometacarpal joint and tarsometatarsal joint as a spherical interpositional device.  It is used to replace the sympotmatic joint - either between the trapezium and firs</Description><Size>9mm - 14mm</Size><SupplierCode>JV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>131</SubCategoryID><GroupID>1273</GroupID><SubGroupID>3666</SubGroupID><ARTGs><ARTG>130998</ARTG></ARTGs><MinimumBenefit>2043</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HW923</BillingCode><PriorBillingCodes><PriorBillingCode>WR403</PriorBillingCode></PriorBillingCodes><Name>BioProfile Pyrocarbon Total Wrist Replacement (Capitate Resurfacing)</Name><Description>Low Temperature Isotropic Pyrolytic Carbon Implants for capitate resurfacing (reverse total wrist arthroplasty)</Description><Size>Medium, Large</Size><SupplierCode>JV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>131</SubCategoryID><GroupID>1273</GroupID><SubGroupID>3666</SubGroupID><ARTGs><ARTG>94262</ARTG></ARTGs><MinimumBenefit>2043</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MO418</BillingCode><Name>Motec Wrist Joint Prosthesis</Name><Description>Modular Radius Cups available with 15mm PEEK insert bearing and Cobalt Chromium Molybdenum coated with Ceramic Chromium Nitride 15mm &amp; 18mm. Modular Metacarpal Heads available with 4 neck lengths</Description><Size>Modular Radius Cup PEEK 15mm Ceramitised 15mm &amp; 17mm.  Modular Metacarpal Head 15mm short, med, long &amp; Extra long Neck - 18mm short medium &amp; long Neck</Size><SupplierCode>MO</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>131</SubCategoryID><GroupID>1273</GroupID><SubGroupID>3666</SubGroupID><ARTGs><ARTG>194619</ARTG></ARTGs><MinimumBenefit>2043</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2014-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SL212</BillingCode><PriorBillingCodes><PriorBillingCode>IG111</PriorBillingCode></PriorBillingCodes><Name>Universal2 Carpal Poly Component</Name><Description>Polyethylene carpal component to restore proper carpal height in Universal2 total wrist implant</Description><Size>xs-standard, xs +1, xs+2, small - standard, small +1, small +2, Med-standard, med+1, med+2; large-standard, large+1, large+2</Size><SupplierCode>SN</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>131</SubCategoryID><GroupID>1273</GroupID><SubGroupID>3666</SubGroupID><ARTGs><ARTG>177632</ARTG></ARTGs><MinimumBenefit>2043</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SK594</BillingCode><Name>Total Wrist Implant System</Name><Description>Carpal Ball</Description><Size>Small, Medium, Large</Size><SupplierCode>JV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>131</SubCategoryID><GroupID>1273</GroupID><SubGroupID>3666</SubGroupID><ARTGs><ARTG>237794</ARTG></ARTGs><MinimumBenefit>2043</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2015-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>KT076</BillingCode><PriorBillingCodes><PriorBillingCode>OH502</PriorBillingCode></PriorBillingCodes><Name>Martin Ulna Head prosthesis</Name><Description>Ulnar Stem Titanium</Description><Size>Small, medium and large,2mm,4mm and 17mm collar</Size><SupplierCode>KT</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>131</SubCategoryID><GroupID>1273</GroupID><SubGroupID>3667</SubGroupID><ARTGs><ARTG>225176</ARTG></ARTGs><MinimumBenefit>1064</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ368</BillingCode><PriorBillingCodes><PriorBillingCode>LM356</PriorBillingCode></PriorBillingCodes><Name>Radio-Ulnar Joint Stem</Name><Description>Radio-Ulnar Joint Stem</Description><Size>Multiple Sizes</Size><SupplierCode>LH</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>131</SubCategoryID><GroupID>1273</GroupID><SubGroupID>3667</SubGroupID><ARTGs><ARTG>178232</ARTG></ARTGs><MinimumBenefit>1064</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HW926</BillingCode><PriorBillingCodes><PriorBillingCode>WR406</PriorBillingCode></PriorBillingCodes><Name>Eclypse Modular Pyrocarbon Ulnar Head</Name><Description>A modular titanium stem for ulnar head prostheses</Description><Size>6, 7.5, 9mm</Size><SupplierCode>JV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>131</SubCategoryID><GroupID>1273</GroupID><SubGroupID>3667</SubGroupID><ARTGs><ARTG>121874</ARTG></ARTGs><MinimumBenefit>1064</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LM148</BillingCode><Name>Ascension DRUJ Ulna Head, Implant System</Name><Description>Cobalt chromium stem with PyroCarbon or Cobalt Chromium Articular Surface</Description><Size>0, 1, 2, 3, 4</Size><SupplierCode>LM</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>131</SubCategoryID><GroupID>1273</GroupID><SubGroupID>3667</SubGroupID><ARTGs><ARTG>118638</ARTG></ARTGs><MinimumBenefit>1064</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LM149</BillingCode><Name>Ascension DRUJ Ulna Head, Implant System</Name><Description>Cobalt chromium stem with PyroCarbon or Cobalt Chromium Articular Surface</Description><Size>0, 1, 2, 3, 4</Size><SupplierCode>LM</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>131</SubCategoryID><GroupID>1273</GroupID><SubGroupID>3668</SubGroupID><ARTGs><ARTG>118638</ARTG></ARTGs><MinimumBenefit>1064</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HW925</BillingCode><PriorBillingCodes><PriorBillingCode>WR405</PriorBillingCode></PriorBillingCodes><Name>Eclypse Modular Pyrocarbon Ulnar Head</Name><Description>A modular pyrocarbon ulnar head prosthesis</Description><Size>14, 16, 18mm</Size><SupplierCode>JV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>131</SubCategoryID><GroupID>1273</GroupID><SubGroupID>3668</SubGroupID><ARTGs><ARTG>121874</ARTG></ARTGs><MinimumBenefit>1064</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ371</BillingCode><PriorBillingCodes><PriorBillingCode>LM357</PriorBillingCode></PriorBillingCodes><Name>UHMWP Ball</Name><Description>UHMWP Ball</Description><Size>Multiple</Size><SupplierCode>LH</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>131</SubCategoryID><GroupID>1273</GroupID><SubGroupID>3668</SubGroupID><ARTGs><ARTG>178232</ARTG></ARTGs><MinimumBenefit>1064</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>KT077</BillingCode><PriorBillingCodes><PriorBillingCode>OH501</PriorBillingCode></PriorBillingCodes><Name>Martin Ulna Head prosthesis</Name><Description>UHP Cobalt Chrome Head</Description><Size>Small, medium and large</Size><SupplierCode>KT</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>131</SubCategoryID><GroupID>1273</GroupID><SubGroupID>3668</SubGroupID><ARTGs><ARTG>225176</ARTG></ARTGs><MinimumBenefit>1064</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>KT075</BillingCode><PriorBillingCodes><PriorBillingCode>OH500</PriorBillingCode></PriorBillingCodes><Name>Martin Ulna Head prosthesis</Name><Description>UHP Ceramic Head</Description><Size>Small, medium and large</Size><SupplierCode>KT</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>131</SubCategoryID><GroupID>1273</GroupID><SubGroupID>3668</SubGroupID><ARTGs><ARTG>225176</ARTG></ARTGs><MinimumBenefit>1064</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ388</BillingCode><PriorBillingCodes><PriorBillingCode>LM366</PriorBillingCode></PriorBillingCodes><Name>Distal Radio-Ulnar Joint Prosthesis</Name><Description>Distal Radio-Ulnar Joint Prosthesis</Description><Size>Multiple sizes</Size><SupplierCode>LH</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>131</SubCategoryID><GroupID>1273</GroupID><SubGroupID>7061</SubGroupID><ARTGs><ARTG>178232</ARTG></ARTGs><MinimumBenefit>2333</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2019-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LM245</BillingCode><Name>Universal Tendon Spacer</Name><Description>Tendon Spacer</Description><Size>1 size only</Size><SupplierCode>LM</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>131</SubCategoryID><GroupID>1273</GroupID><SubGroupID>4050</SubGroupID><ARTGs><ARTG>235820</ARTG></ARTGs><MinimumBenefit>294</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2015-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HW710</BillingCode><PriorBillingCodes><PriorBillingCode>WR053</PriorBillingCode></PriorBillingCodes><Name>WMT Orthopaedic Implants Hand</Name><Description>Silastic tendon spacer</Description><Size>24in long, 3, 4, 5, 6mm wide</Size><SupplierCode>JV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>131</SubCategoryID><GroupID>1273</GroupID><SubGroupID>4050</SubGroupID><ARTGs><ARTG>141772</ARTG></ARTGs><MinimumBenefit>294</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>AS045</BillingCode><Name>PROTACK; ENDO UNIVERSAL</Name><Description>Single-use titanium hernia mesh fixation device</Description><Size>5mm (Qty 30); 4mm, 4.8mm (Qty 10)</Size><SupplierCode>MI</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>194</SubCategoryID><GroupID>1582</GroupID><SubGroupID>4331</SubGroupID><Suffix>Endoscopic</Suffix><ARTGs><ARTG>178498</ARTG><ARTG>181429</ARTG></ARTGs><ChangeExplanation>Change to Product name, ARTG, Description, Size</ChangeExplanation><MinimumBenefit>374</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Update</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BA203</BillingCode><Name>Fixation Anchor Set</Name><Description>Open or Laparoscopic Permanent Fixation System.</Description><Size>15 Fasteners; 30 Fasteners</Size><SupplierCode>BA</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>194</SubCategoryID><GroupID>1582</GroupID><SubGroupID>4331</SubGroupID><Suffix>Endoscopic</Suffix><ARTGs><ARTG>137898</ARTG></ARTGs><MinimumBenefit>374</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2010-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BA204</BillingCode><Name>SorbaFix</Name><Description>Open of Laparoscopic Absorbable Fixation System.</Description><Size>15 Fasteners; 30 Fasteners</Size><SupplierCode>BA</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>194</SubCategoryID><GroupID>1582</GroupID><SubGroupID>4331</SubGroupID><Suffix>Absorbable</Suffix><ARTGs><ARTG>170112</ARTG></ARTGs><MinimumBenefit>473</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2010-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>AS227</BillingCode><Name>ReliaTack Articulating Reloadable Fixation Device</Name><Description>Articulating, reloadable, sterile, single use fixation device prepackaged with 30 standard single use, absorbable reloads</Description><Size>5.1mm, 30 tacks</Size><SupplierCode>MI</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>194</SubCategoryID><GroupID>1582</GroupID><SubGroupID>4331</SubGroupID><Suffix>Absorbable, Articulating/Roticulating</Suffix><ARTGs><ARTG>315822</ARTG></ARTGs><MinimumBenefit>653</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2016-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MI303</BillingCode><Name>ReliaTack™ Articulating Reloadable Fixation Device with Deep Purchase Tacks</Name><Description>Articulating, reloadable, sterile, single use fixation device pre-packaged with 29 tacks (three eight-tack deep purchase reloads, and one five tack deep purchase reload)</Description><Size>7.0 mm, 29 Tacks</Size><SupplierCode>MI</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>194</SubCategoryID><GroupID>1582</GroupID><SubGroupID>4331</SubGroupID><Suffix>Absorbable, Articulating/Roticulating</Suffix><ARTGs><ARTG>315822</ARTG></ARTGs><MinimumBenefit>653</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2019-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MN115</BillingCode><Name>SECURESTRAP™</Name><Description>5mm Absorbable Strap Fixation Device</Description><Size>5mm</Size><SupplierCode>JJ</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BA269</BillingCode><Name>Bard Absorbable Fixation System</Name><Description>Open or Laparoscopic Absorbable Fixation System</Description><Size>30 Absorbable Fastners, 15 Absorbale Fastners</Size><SupplierCode>BA</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>194</SubCategoryID><GroupID>1582</GroupID><SubGroupID>4331</SubGroupID><Suffix>Absorbable</Suffix><ARTGs><ARTG>278914</ARTG></ARTGs><MinimumBenefit>473</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2016-08-01</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MN175</BillingCode><Name>SECURESTRAP Open</Name><Description>Open Absorbable Strap Fixation Device</Description><Size>Strap length 6.7mm</Size><SupplierCode>JJ</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>AS095</BillingCode><Name>STATTACK </Name><Description>STATTACK  Titanium Helical Tacker</Description><Size>One size only</Size><SupplierCode>MI</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>194</SubCategoryID><GroupID>1582</GroupID><SubGroupID>4331</SubGroupID><ARTGs><ARTG>178498</ARTG></ARTGs><MinimumBenefit>234</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ER688</BillingCode><Name>EziSurg easyEndo  staple reloads for linear cutting stapler-straight</Name><Description>easyEndo staple reload cartridges for universal and Lite linear stapler-straight </Description><Size>30, 45, 60 mm</Size><SupplierCode>ER</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>194</SubCategoryID><GroupID>1582</GroupID><SubGroupID>4317</SubGroupID><ARTGs><ARTG>431192</ARTG></ARTGs><ChangeExplanation>New listing</ChangeExplanation><MinimumBenefit>210</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2025-03-01</CycleStartDate><CycleEndDate>2025-03-01</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><MinimumBenefit>318</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2024-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>OB006</BillingCode><Name>Touchstone Linear Cutter Stapler Cartridge (Reloads) 100mm</Name><Description>A disposable staple cartridge used in conjunction with a matched Touchstone Linear Cutter Stapler that lays a double staggered row of staples on each side a cutting knife.  Used for extensive bowel, gastric, gynaecological and thoracic surgical stapling procedures.</Description><Size>100mm length in staple line with choice of 3.8mm and 4.5mm titanium staples</Size><SupplierCode>OB</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>194</SubCategoryID><GroupID>1582</GroupID><SubGroupID>4317</SubGroupID><ARTGs><ARTG>262505</ARTG></ARTGs><MinimumBenefit>210</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2016-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>AS076</BillingCode><Name>ENDO TA* reloading unit</Name><Description>Titanium Surgical Stapler DLU</Description><Size>30mm -2.5, 30mm-3.5</Size><SupplierCode>MI</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>194</SubCategoryID><GroupID>1582</GroupID><SubGroupID>4317</SubGroupID><ARTGs><ARTG>182307</ARTG></ARTGs><MinimumBenefit>210</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>AS092</BillingCode><Name>ENDO - Herna reloading unit; VERSA TACK* reloading unit.</Name><Description>Titanium Surgical Stapler DLU</Description><Size>4mm, 4.8mm (10 staples).</Size><SupplierCode>MI</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>194</SubCategoryID><GroupID>1582</GroupID><SubGroupID>4317</SubGroupID><ARTGs><ARTG>181429</ARTG></ARTGs><MinimumBenefit>210</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MN213</BillingCode><Name>Proximate Linear Stapler</Name><Description>Staple reload</Description><Size>30 to 100mm</Size><SupplierCode>JJ</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>194</SubCategoryID><GroupID>1582</GroupID><SubGroupID>4317</SubGroupID><ARTGs><ARTG>133407</ARTG><ARTG>132170</ARTG></ARTGs><MinimumBenefit>210</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-08-01</CycleStartDate><CycleEndDate>2025-03-01</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><MinimumBenefit>318</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2024-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>IJ035</BillingCode><Name>Frankenman Linear Cutter Reloads</Name><Description>Single use, linear cutter reload cartridge containing titanium staples
</Description><Size>Staple line length: 61 - 101mm</Size><SupplierCode>IJ</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>194</SubCategoryID><GroupID>1582</GroupID><SubGroupID>4317</SubGroupID><ARTGs><ARTG>372951</ARTG></ARTGs><ChangeExplanation>New listing</ChangeExplanation><MinimumBenefit>210</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2025-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>IJ036</BillingCode><Name>Frankenman Linear Cutter Reloads</Name><Description>Linear stapler single use reload, titanium staples
</Description><Size>30 - 90mm</Size><SupplierCode>IJ</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>194</SubCategoryID><GroupID>1582</GroupID><SubGroupID>4317</SubGroupID><ARTGs><ARTG>372951</ARTG></ARTGs><ChangeExplanation>New listing</ChangeExplanation><MinimumBenefit>210</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2025-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>DE472</BillingCode><Name>Endowrist Stapler 45</Name><Description>Endowrist Stapler 45 White Reload, 45 Blue Reload, 45 Green Reload</Description><Size>Length of reload: 45mm
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>2025-03-01</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><MinimumBenefit>318</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MI282</BillingCode><Name>Tri-Staple™ 2.0 reloads</Name><Description>Tri-Staple™ 2.0 reloads with intelligent chip that communicates with Signia™ stapler</Description><Size>30mm, 45mm, 60mm</Size><SupplierCode>MI</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>194</SubCategoryID><GroupID>1582</GroupID><SubGroupID>4317</SubGroupID><Suffix>Endoscopic, Articulating/Roticulating</Suffix><ARTGs><ARTG>350111</ARTG><ARTG>350112</ARTG><ARTG>292807</ARTG></ARTGs><MinimumBenefit>318</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>AS186</BillingCode><Name>Endo GIA™ Reload with TriStaple™ Technology</Name><Description>Endo GIA™ Reload with TriStaple™ Technology provides three staggered rows of staples on either side of the cut line.</Description><Size>45mm, 60mm</Size><SupplierCode>MI</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>194</SubCategoryID><GroupID>1582</GroupID><SubGroupID>4317</SubGroupID><Suffix>Endoscopic, Articulating/Roticulating</Suffix><ARTGs><ARTG>186247</ARTG></ARTGs><MinimumBenefit>318</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2013-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MN219</BillingCode><Name>Echelon</Name><Description>Staple Reload</Description><Size>35 - 60mm</Size><SupplierCode>JJ</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>194</SubCategoryID><GroupID>1582</GroupID><SubGroupID>4317</SubGroupID><Suffix>Endoscopic, Articulating/Roticulating</Suffix><ARTGs><ARTG>125609</ARTG><ARTG>234042</ARTG><ARTG>276233</ARTG></ARTGs><MinimumBenefit>318</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-08-01</CycleStartDate><CycleEndDate>2025-03-01</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>JJ</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>2024-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>IJ031</BillingCode><Name>Frankenman Endoscopic Linear Cutter Reload</Name><Description>Endoscopic Applicator cartridge reload, std,  reversed stepped, reversed with curved tip cartridge </Description><Size>staple row length 32, 44, 60mm </Size><SupplierCode>IJ</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>194</SubCategoryID><GroupID>1582</GroupID><SubGroupID>4317</SubGroupID><Suffix>Endoscopic, Articulating/Roticulating</Suffix><ARTGs><ARTG>372951</ARTG></ARTGs><ChangeExplanation>New listing</ChangeExplanation><MinimumBenefit>318</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2025-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ER694</BillingCode><Name>IntoCare Endoscopic reload</Name><Description>Staple reload</Description><Size>Staple line length- 30mm/45mm/60mm</Size><SupplierCode>ER</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>194</SubCategoryID><GroupID>1582</GroupID><SubGroupID>4317</SubGroupID><Suffix>Endoscopic, Articulating/Roticulating</Suffix><ARTGs><ARTG>389093</ARTG></ARTGs><ChangeExplanation>New listing</ChangeExplanation><MinimumBenefit>318</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2025-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ER691</BillingCode><Name>Ezisurg easyEndo powered endoscopic single use stapler- staple reload cartridges</Name><Description>Staple reload cartridges</Description><Size>Anastomosis length 45, 60 mm</Size><SupplierCode>ER</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>194</SubCategoryID><GroupID>1582</GroupID><SubGroupID>4317</SubGroupID><ARTGs><ARTG>431192</ARTG></ARTGs><ChangeExplanation>New listing</ChangeExplanation><MinimumBenefit>210</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2025-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ER692</BillingCode><Name>EziSurg easyEndo staple reloads for linear cutting stapler-articulating</Name><Description>easyEndo staple reloads for linear cutting stapler-articulating</Description><Size>30, 45, 60 mm </Size><SupplierCode>ER</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>194</SubCategoryID><GroupID>1582</GroupID><SubGroupID>4317</SubGroupID><Suffix>Endoscopic, Articulating/Roticulating</Suffix><ARTGs><ARTG>431192</ARTG></ARTGs><ChangeExplanation>New listing</ChangeExplanation><MinimumBenefit>318</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2025-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>AS081</BillingCode><Name>ENDO GIA* reloading unit</Name><Description>Titanium Surgical Stapler DLU</Description><Size>30 - 35mm; 45mm; 60mm.</Size><SupplierCode>MI</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>194</SubCategoryID><GroupID>1582</GroupID><SubGroupID>4317</SubGroupID><ARTGs><ARTG>181429</ARTG></ARTGs><MinimumBenefit>210</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MI455</BillingCode><Name>Tri-Staple GIA Reloading Units</Name><Description>Single use loading units</Description><Size>60mm, 80mm  </Size><SupplierCode>MI</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>194</SubCategoryID><GroupID>1582</GroupID><SubGroupID>4317</SubGroupID><ARTGs><ARTG>331482</ARTG></ARTGs><MinimumBenefit>210</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>IJ019</BillingCode><PriorBillingCodes><PriorBillingCode>ME222</PriorBillingCode></PriorBillingCodes><Name>Frankenman Linear Cutter Reloads</Name><Description>Single use, linear cutter reload cartridge containing titanium staples</Description><Size>61mm; 81mm; 100mm</Size><SupplierCode>IJ</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>194</SubCategoryID><GroupID>1582</GroupID><SubGroupID>4317</SubGroupID><ARTGs><ARTG>207254</ARTG></ARTGs><MinimumBenefit>210</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>OB010</BillingCode><Name>JustRight 5mm Reload</Name><Description>Endoscopic manual linear cutting Stapler, Single-use</Description><Size>5mm shaft diameter  25mm jaw length  20cm length</Size><SupplierCode>OB</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>194</SubCategoryID><GroupID>1582</GroupID><SubGroupID>4317</SubGroupID><ARTGs><ARTG>306951</ARTG></ARTGs><MinimumBenefit>210</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2019-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>OB003</BillingCode><Name>Touchstone Linear Cutter Stapler Cartridge (Reloads) 80mm</Name><Description>A disposable staple cartridge used in conjunction with a matched Touchstone Linear Cutter Stapler that lays a double staggered row of staples on each side a cutting knife.  Used for extensive bowel, gastric, gynaecological and thoracic surgical stapling procedures.</Description><Size>80mm length in staple line with choice of 3.8mm, 4.2mm and 4.5mm titanium staples</Size><SupplierCode>OB</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>194</SubCategoryID><GroupID>1582</GroupID><SubGroupID>4317</SubGroupID><ARTGs><ARTG>262505</ARTG></ARTGs><MinimumBenefit>210</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2016-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>OX040</BillingCode><Name>Mirus Dial Linear Stapler Staple Reloads</Name><Description>Titanium staple reloads</Description><Size>Open Length - 4.2mm
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>2025-03-01</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><MinimumBenefit>318</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>OX037</BillingCode><Name>Mirus Endocutter Staple Reloads</Name><Description>Titanium staples</Description><Size>Open Length - 2.5mm-4.8mm
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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>JJ475</BillingCode><Name>Proximate Contour Curved Cutter/Stapler</Name><Description>Contour Curved Cutter/Stapler 30 &amp; 40mm reload cartridges</Description><Size>Blue (3.85mm) &amp; Green (4.5mm)</Size><SupplierCode>JJ</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>194</SubCategoryID><GroupID>1582</GroupID><SubGroupID>4317</SubGroupID><Suffix>Curved</Suffix><ARTGs><ARTG>124512</ARTG></ARTGs><MinimumBenefit>226</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>OX038</BillingCode><Name>Mirus Disposable Linear Cutter Staple Reloads</Name><Description>Titanium staple reloads</Description><Size>Open Length - 3.8mm-4.8mm
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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>OX039</BillingCode><Name>Mirus Auto Linear Stapler Staple Reloads</Name><Description>Titanium staple reloads</Description><Size>Open Length - 3.5mm-4.8mm
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>2025-03-01</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><MinimumBenefit>318</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2024-11-01</CycleStartDate><CycleEndDate>2025-03-01</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>446370</ARTG><ARTG>381247</ARTG></ARTGs><MinimumBenefit>318</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2024-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>IJ017</BillingCode><PriorBillingCodes><PriorBillingCode>ME220</PriorBillingCode></PriorBillingCodes><Name>Frankenman Linear Stapler Reloads</Name><Description>Linear stapler single use reload with titanium staples</Description><Size>32mm; 46mm; 60mm; 90mm</Size><SupplierCode>IJ</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>194</SubCategoryID><GroupID>1582</GroupID><SubGroupID>4317</SubGroupID><ARTGs><ARTG>207254</ARTG></ARTGs><MinimumBenefit>210</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MI216</BillingCode><Name>GIA/ILA Reloading Units</Name><Description>Single Use Loading Units</Description><Size>50mm, 60mm, 80mm, 90mm, 100mm</Size><SupplierCode>MI</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>194</SubCategoryID><GroupID>1582</GroupID><SubGroupID>4317</SubGroupID><ARTGs><ARTG>181429</ARTG></ARTGs><MinimumBenefit>210</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MN220</BillingCode><PriorBillingCodes><PriorBillingCode>DY539</PriorBillingCode><PriorBillingCode>DY540</PriorBillingCode></PriorBillingCodes><Name>EES Linear Cutter</Name><Description>Staple reload</Description><Size>55-75mm</Size><SupplierCode>JJ</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>194</SubCategoryID><GroupID>1582</GroupID><SubGroupID>4317</SubGroupID><ARTGs><ARTG>179411</ARTG></ARTGs><ChangeExplanation>Change to ARTG</ChangeExplanation><MinimumBenefit>210</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Update</ActionFlag><CycleStartDate>2017-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MI215</BillingCode><Name>PI/TA Reloading Units</Name><Description>PI/TA Disposable Surgical Loading Unit</Description><Size>30mm, 45mm, 60mm, 90mm</Size><SupplierCode>MI</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>194</SubCategoryID><GroupID>1582</GroupID><SubGroupID>4317</SubGroupID><ARTGs><ARTG>181429</ARTG><ARTG>185017</ARTG></ARTGs><MinimumBenefit>210</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>IJ021</BillingCode><PriorBillingCodes><PriorBillingCode>ME225</PriorBillingCode></PriorBillingCodes><Name>Frankenman Endoscopic Linear Cutter Reload</Name><Description>The Endoscopic Linear Cutter Reload has applications in resection, transection and/or anastomosis of tissue in open or laparoscopic procedures.</Description><Size>Cartridge Reload - 30mm, 45mm, 60mm staple lengths. Open leg length: 2.0mm - 4.5mm, closed staple height: 0.75mm - 2.0mm.</Size><SupplierCode>IJ</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>194</SubCategoryID><GroupID>1582</GroupID><SubGroupID>4317</SubGroupID><Suffix>Endoscopic, Articulating/Roticulating</Suffix><ARTGs><ARTG>207254</ARTG></ARTGs><MinimumBenefit>318</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MN218</BillingCode><Name>Endopath Linear Cutter</Name><Description>Staple reload</Description><Size>35-45mm</Size><SupplierCode>JJ</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>2025-03-01</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><MinimumBenefit>357</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2024-11-01</CycleStartDate><CycleEndDate>2025-03-01</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>JJ</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>194</SubCategoryID><GroupID>1582</GroupID><SubGroupID>4318</SubGroupID><Suffix>Endoscopic, Articulating/Roticulating, Powered</Suffix><ARTGs><ARTG>456246</ARTG></ARTGs><MinimumBenefit>447</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2024-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>AS134</BillingCode><Name>DST Series EEA Or Vil</Name><Description>Accessory</Description><Size>21mm, 25mm</Size><SupplierCode>MI</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>194</SubCategoryID><GroupID>1582</GroupID><SubGroupID>4318</SubGroupID><Suffix>Endoscopic</Suffix><ARTGs><ARTG>178497</ARTG></ARTGs><MinimumBenefit>357</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2007-12-01</CycleStartDate><CycleEndDate>2025-03-01</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><MinimumBenefit>357</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2024-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ER690</BillingCode><Name>Ezisurg easyEndo endoscopic linear cutting staplers for single use</Name><Description>Ezisurg easyEndo endoscopic universal and lite disposable linear cutting staplers. </Description><Size>70-440 mm</Size><SupplierCode>ER</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>194</SubCategoryID><GroupID>1582</GroupID><SubGroupID>4318</SubGroupID><Suffix>Endoscopic, Articulating/Roticulating</Suffix><ARTGs><ARTG>355633</ARTG></ARTGs><ChangeExplanation>New listing</ChangeExplanation><MinimumBenefit>357</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2025-03-01</CycleStartDate><CycleEndDate>2025-03-01</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><MinimumBenefit>447</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2024-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>AS046</BillingCode><Name>Endo GIA Stapling System</Name><Description>Endoscopic/thoroscopic</Description><Size>12mm; One size only.</Size><SupplierCode>MI</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>194</SubCategoryID><GroupID>1582</GroupID><SubGroupID>4318</SubGroupID><Suffix>Endoscopic, Articulating/Roticulating</Suffix><ARTGs><ARTG>346475</ARTG></ARTGs><MinimumBenefit>357</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>JJ903</BillingCode><Name>Echelon</Name><Description>Disposable stapling device</Description><Size>45-60mm</Size><SupplierCode>JJ</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>194</SubCategoryID><GroupID>1582</GroupID><SubGroupID>4318</SubGroupID><Suffix>Endoscopic</Suffix><ARTGs><ARTG>155639</ARTG></ARTGs><MinimumBenefit>357</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>JJ904</BillingCode><Name>Echelon</Name><Description>Stapler</Description><Size>45 - 60mm</Size><SupplierCode>JJ</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>194</SubCategoryID><GroupID>1582</GroupID><SubGroupID>4318</SubGroupID><Suffix>Endoscopic, Articulating/Roticulating</Suffix><ARTGs><ARTG>155639</ARTG></ARTGs><MinimumBenefit>357</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>OX031</BillingCode><Name>Mirus Endocutter</Name><Description>A stapler with triple staggered rows of titanium staples used to cut and close soft tissue.</Description><Size>Small - shaft length 60mm
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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>IJ020</BillingCode><PriorBillingCodes><PriorBillingCode>ME224</PriorBillingCode></PriorBillingCodes><Name>Frankenman Endoscopic Linear Cutter</Name><Description>The Endoscopic Linear Cutter and Reloads have applications in resection, transection and/or anastomosis of tissue in open or laparoscopic procedures.</Description><Size>Stapler Unit - 280mm, 330mm, 380mm, 430mm, 480mm in 12.5mm shaft OD.  Reloadable Cartridges - 30mm, 45mm, 60mm staple lengths.</Size><SupplierCode>IJ</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>194</SubCategoryID><GroupID>1582</GroupID><SubGroupID>4318</SubGroupID><Suffix>Endoscopic, Articulating/Roticulating</Suffix><ARTGs><ARTG>205331</ARTG></ARTGs><MinimumBenefit>357</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MN214</BillingCode><Name>EES Linear Cutter</Name><Description>Single use, reloadable stapler</Description><Size>55 to 75mm</Size><SupplierCode>JJ</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>2025-03-01</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><MinimumBenefit>447</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2024-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ZZ106</BillingCode><Name>AEON Powered Endostapler</Name><Description>Endoscopic Powered Stapler</Description><Size>60mm, 160mm, 260mm</Size><SupplierCode>ZZ</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>194</SubCategoryID><GroupID>1582</GroupID><SubGroupID>4318</SubGroupID><Suffix>Endoscopic, Articulating/Roticulating, Powered</Suffix><ARTGs><ARTG>453405</ARTG></ARTGs><ChangeExplanation>New listing</ChangeExplanation><MinimumBenefit>447</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2025-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ER689</BillingCode><Name>Ezisurg easyEndo E-lite single use powered endoscopic linear stapler</Name><Description>Ezisurg easyEndo E-lite powered endoscopic linear stapler, single use</Description><Size>Anastomosis length 45, 60 mm       Shaft length 160-340mm (overall length 260-440mm)</Size><SupplierCode>ER</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>194</SubCategoryID><GroupID>1582</GroupID><SubGroupID>4318</SubGroupID><Suffix>Endoscopic, Articulating/Roticulating, Powered</Suffix><ARTGs><ARTG>431191</ARTG></ARTGs><ChangeExplanation>New listing</ChangeExplanation><MinimumBenefit>447</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2025-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ER695</BillingCode><Name>IntoCare Endostapler, including handle </Name><Description>Endoscopic articulated stapler, inclusive of handle</Description><Size>65-250 mm</Size><SupplierCode>ER</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>194</SubCategoryID><GroupID>1582</GroupID><SubGroupID>4318</SubGroupID><Suffix>Endoscopic, Articulating/Roticulating, Powered</Suffix><ARTGs><ARTG>389093</ARTG><ARTG>389152</ARTG></ARTGs><ChangeExplanation>New listing</ChangeExplanation><MinimumBenefit>447</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2025-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ZZ068</BillingCode><Name>AEON Endostapler</Name><Description>Endoscopic articulated stapler</Description><Size>Short (60mm)  Medium (160mm)  Long (260mm)</Size><SupplierCode>ZZ</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>194</SubCategoryID><GroupID>1582</GroupID><SubGroupID>4318</SubGroupID><Suffix>Endoscopic, Articulating/Roticulating</Suffix><ARTGs><ARTG>329207</ARTG></ARTGs><MinimumBenefit>357</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MN206</BillingCode><Name>Endopath Cutter</Name><Description>Cutter and Stapler</Description><Size>45mm</Size><SupplierCode>JJ</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>194</SubCategoryID><GroupID>1582</GroupID><SubGroupID>4318</SubGroupID><Suffix>Endoscopic, Articulating/Roticulating</Suffix><ARTGs><ARTG>155639</ARTG></ARTGs><MinimumBenefit>357</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-02-01</CycleStartDate><CycleEndDate>2025-03-01</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><MinimumBenefit>447</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2019-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MI227</BillingCode><Name>Signia™ Powered Intelligent Stapling System</Name><Description>Powered, articulating, endoscopic intelligent stapler with Adaptive Firing and real time technology</Description><Size>30mm, 45mm, 60mm lengths</Size><SupplierCode>MI</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>194</SubCategoryID><GroupID>1582</GroupID><SubGroupID>4318</SubGroupID><Suffix>Endoscopic, Articulating/Roticulating, Powered</Suffix><ARTGs><ARTG>287923</ARTG><ARTG>287417</ARTG><ARTG>287262</ARTG></ARTGs><MinimumBenefit>447</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MN215</BillingCode><PriorBillingCodes><PriorBillingCode>MN134</PriorBillingCode><PriorBillingCode>MN191</PriorBillingCode></PriorBillingCodes><Name>Echelon</Name><Description>Disposable powered stapling device</Description><Size>35 to 60mm</Size><SupplierCode>JJ</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>GT224</BillingCode><Name>GORE®  SEAMGUARD® Bioabsorbable Staple Line Reinforcement</Name><Description>GORE® SEAMGUARD® Reinforcement is a synthetic 100% bioabsorbable material, constructed from Polyglycolic Acid:Trimethylene Carbonate. Buttressing material is engineered to reduce perioperative leaks and bleeding in a variety of minimally invasive surgeries.</Description><Size>1BSGEC60- for 60mm Ethicon Stapler Straight, 1BSGEC60A- for 60mm Ethicon Stapler, 1BSGEC45- for 45mm Ethicon Stapler, 1BSGTRI45P- for 45mm Endo GIA Tristapler Purple, 1BSGTRI45B-  for 45mm Endo GIA Tristapler Black, 1BSGTRI60P- for 60mm Endo GIA Tristapler Purple, 1BSGTRI60B- for 60mm Endo GIA Tristapler Black</Size><SupplierCode>GT</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>194</SubCategoryID><GroupID>1582</GroupID><SubGroupID>4319</SubGroupID><ARTGs><ARTG>153351</ARTG></ARTGs><MinimumBenefit>198</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2009-08-01</CycleStartDate><CycleEndDate>2025-03-01</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>JJ</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>194</SubCategoryID><GroupID>1582</GroupID><SubGroupID>4319</SubGroupID><ARTGs><ARTG>448305</ARTG></ARTGs><MinimumBenefit>198</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2024-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MI287</BillingCode><Name>Tri-Staple  2.0 Reinforced reloads</Name><Description>Tri-Staple  2.0 Reinforced reload preloaded with polyglycolic acid staple line reinforcement mesh and with intelligent chip that communicates with Signia  stapler.</Description><Size>45mm, 60mm</Size><SupplierCode>MI</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>194</SubCategoryID><GroupID>1582</GroupID><SubGroupID>4319</SubGroupID><Suffix>Integrated</Suffix><ARTGs><ARTG>350110</ARTG></ARTGs><MinimumBenefit>521</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MI219</BillingCode><Name>EEA Circular Stapler</Name><Description>Circular staplers</Description><Size>21mm to 34mm</Size><SupplierCode>MI</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>194</SubCategoryID><GroupID>1582</GroupID><SubGroupID>4320</SubGroupID><Suffix>Endoscopic, Circular</Suffix><ARTGs><ARTG>178517</ARTG></ARTGs><MinimumBenefit>671</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ER693</BillingCode><Name> IntoCare Circular Stapler including handle, powered</Name><Description>Endoscopic Circular Stapler inclusive of handle, powered</Description><Size>21-33 mm</Size><SupplierCode>ER</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>194</SubCategoryID><GroupID>1582</GroupID><SubGroupID>4320</SubGroupID><Suffix>Endoscopic, Circular</Suffix><ARTGs><ARTG>390947</ARTG></ARTGs><ChangeExplanation>New listing</ChangeExplanation><MinimumBenefit>671</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2025-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MI281</BillingCode><Name>EEA Circular Stapler with Tri Staple Technology</Name><Description>Circular staplers with 3 row staples, slope faced cartridge with a different  staple size in each staple row.</Description><Size>21mm to 33mm</Size><SupplierCode>MI</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>194</SubCategoryID><GroupID>1582</GroupID><SubGroupID>4320</SubGroupID><Suffix>Endoscopic, Circular</Suffix><ARTGs><ARTG>293808</ARTG></ARTGs><MinimumBenefit>671</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MN216</BillingCode><Name>Ethicon Intraluminal Stapler</Name><Description>Proximate and  Endopath staplers</Description><Size>21 - 33mm</Size><SupplierCode>JJ</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>IJ015</BillingCode><PriorBillingCodes><PriorBillingCode>ME219</PriorBillingCode></PriorBillingCodes><Name>Frankenman Linear Cutter Stapler</Name><Description>Single use, reloadable, linear cutter stapler containing titanium staples</Description><Size>61mm; 81mm; 100mm</Size><SupplierCode>IJ</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>194</SubCategoryID><GroupID>1582</GroupID><SubGroupID>4320</SubGroupID><ARTGs><ARTG>205319</ARTG><ARTG>205331</ARTG></ARTGs><MinimumBenefit>292</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>OB005</BillingCode><Name>Touchstone Linear Cutter Stapler 100mm</Name><Description>A device that incorporates a disposable staple cartridge that lays a double staggered row of staples on each side of a cutting knife.  Used for extensive bowel, gastric, gynaecological and thoracic surgical stapling procedures.</Description><Size>100mm length in staple line with choice of 3.8mm and 4.5mm titanium</Size><SupplierCode>OB</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>194</SubCategoryID><GroupID>1582</GroupID><SubGroupID>4320</SubGroupID><ARTGs><ARTG>262505</ARTG></ARTGs><MinimumBenefit>292</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2016-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>IJ030</BillingCode><Name>Frankenman Endoscopic Linear</Name><Description>Endoscopic Linear Cutting Stapler , 45 degree  articulation 
</Description><Size>60, 160, 260mm </Size><SupplierCode>IJ</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>194</SubCategoryID><GroupID>1582</GroupID><SubGroupID>4320</SubGroupID><Suffix>Articulating/Roticulating</Suffix><ARTGs><ARTG>410792</ARTG></ARTGs><ChangeExplanation>New listing</ChangeExplanation><MinimumBenefit>662</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2025-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ET066</BillingCode><Name>Insorb Subcuticular Stapler</Name><Description>A subcuticular (dermal) surgical delivery system loaded with resorbable staples/prostheses</Description><Size>Each staple is 5mm x 3mm</Size><SupplierCode>ET</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>194</SubCategoryID><GroupID>1582</GroupID><SubGroupID>4320</SubGroupID><ARTGs><ARTG>178665</ARTG></ARTGs><MinimumBenefit>292</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-02-01</CycleStartDate><CycleEndDate>2025-03-01</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>JJ</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>194</SubCategoryID><GroupID>1582</GroupID><SubGroupID>4320</SubGroupID><Suffix>Endoscopic, Circular</Suffix><ARTGs><ARTG>329572</ARTG></ARTGs><MinimumBenefit>671</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2024-11-01</CycleStartDate><CycleEndDate>2025-03-01</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>JJ</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>194</SubCategoryID><GroupID>1582</GroupID><SubGroupID>4320</SubGroupID><Suffix>Curved</Suffix><ARTGs><ARTG>118291</ARTG></ARTGs><MinimumBenefit>559</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2024-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>IJ037</BillingCode><Name>Frankenman Linear Stapler</Name><Description>Linear stapler preloaded with titanium staples
</Description><Size>30 - 90mm</Size><SupplierCode>IJ</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>194</SubCategoryID><GroupID>1582</GroupID><SubGroupID>4320</SubGroupID><ARTGs><ARTG>410791</ARTG></ARTGs><ChangeExplanation>New listing</ChangeExplanation><MinimumBenefit>292</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2025-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>AS077</BillingCode><Name>ENDO GIA*</Name><Description>Titanium Surgical Stapler</Description><Size>30 - 35mm</Size><SupplierCode>MI</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>194</SubCategoryID><GroupID>1582</GroupID><SubGroupID>4320</SubGroupID><Suffix>Endoscopic</Suffix><ARTGs><ARTG>181272</ARTG></ARTGs><MinimumBenefit>473</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>IJ033</BillingCode><Name>Suzhou Frankenman Haemorrhoidal (CPH) Staple</Name><Description>Circular stapler for rectal prolapse and haemorrhoids preloaded with titanium staples</Description><Size>Outside diameter: 32.5 - 36.5mm (White, Green, Lime Green) </Size><SupplierCode>IJ</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>194</SubCategoryID><GroupID>1582</GroupID><SubGroupID>4320</SubGroupID><Suffix>Circular</Suffix><ARTGs><ARTG>410611</ARTG></ARTGs><ChangeExplanation>New listing</ChangeExplanation><MinimumBenefit>648</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2025-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>AS075</BillingCode><Name>ENDO TA*</Name><Description>Titanium Surgical Stapler</Description><Size>30mm</Size><SupplierCode>MI</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>194</SubCategoryID><GroupID>1582</GroupID><SubGroupID>4320</SubGroupID><Suffix>Endoscopic</Suffix><ARTGs><ARTG>185016</ARTG></ARTGs><MinimumBenefit>473</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>OX035</BillingCode><Name>Mirus Circular Intraluminal Stapler</Name><Description>Disposable circular stapler with mechanism to measure tissue thickness</Description><Size>Available in 2 rows and 3 rows of staples</Size><SupplierCode>OX</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>194</SubCategoryID><GroupID>1582</GroupID><SubGroupID>4320</SubGroupID><Suffix>Circular</Suffix><ARTGs><ARTG>289056</ARTG></ARTGs><MinimumBenefit>648</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>IJ016</BillingCode><PriorBillingCodes><PriorBillingCode>ME217</PriorBillingCode></PriorBillingCodes><Name>Frankenman Circular Stapler</Name><Description>Curved intraluminal stapler preloaded with titanium staples.</Description><Size>21mm; 25mm; 28mm; 32mm</Size><SupplierCode>IJ</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>194</SubCategoryID><GroupID>1582</GroupID><SubGroupID>4320</SubGroupID><Suffix>Circular</Suffix><ARTGs><ARTG>292060</ARTG></ARTGs><MinimumBenefit>648</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>OB007</BillingCode><Name>Touchstone Prolapse Haemorrhoid Stapler</Name><Description>A surgical implanting device for placing a specific size of double staggered row of titanium staples in a circular fashion in the Anal and/or Rectal region for the circumferential excision of the prolapsed distal rectal muscosa, as described by Dr. Longo, Italy.</Description><Size>33mm and 36mm</Size><SupplierCode>OB</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>194</SubCategoryID><GroupID>1582</GroupID><SubGroupID>4320</SubGroupID><Suffix>Circular</Suffix><ARTGs><ARTG>262507</ARTG></ARTGs><MinimumBenefit>648</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2016-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>JJ056</BillingCode><Name>Proximate Articulating Linear Stapler</Name><Description>Articulating linear stapler preloaded with titanium staples</Description><Size>55mm</Size><SupplierCode>JJ</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>194</SubCategoryID><GroupID>1582</GroupID><SubGroupID>4320</SubGroupID><Suffix>Articulating/Roticulating</Suffix><ARTGs><ARTG>132167</ARTG></ARTGs><MinimumBenefit>662</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>IJ032</BillingCode><Name>Frankenman Linear Stapler </Name><Description>Single use, linear cutter stapler containing titanium staples</Description><Size>31 - 101mm</Size><SupplierCode>IJ</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>194</SubCategoryID><GroupID>1582</GroupID><SubGroupID>4320</SubGroupID><ARTGs><ARTG>410791</ARTG></ARTGs><ChangeExplanation>New listing</ChangeExplanation><MinimumBenefit>292</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2025-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>IJ018</BillingCode><PriorBillingCodes><PriorBillingCode>ME221</PriorBillingCode></PriorBillingCodes><Name>Frankenman Linear Stapler</Name><Description>Linear stapler preloaded with titanium staples</Description><Size>32mm; 46mm; 60mm; 90mm</Size><SupplierCode>IJ</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>194</SubCategoryID><GroupID>1582</GroupID><SubGroupID>4320</SubGroupID><ARTGs><ARTG>205331</ARTG><ARTG>205319</ARTG></ARTGs><MinimumBenefit>292</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>JJ050</BillingCode><Name>Proximate* Linear Stapler</Name><Description>Metal/Plastic linear stapler preloaded with titanium staples, manual closure</Description><Size>55 - 60mm</Size><SupplierCode>JJ</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>194</SubCategoryID><GroupID>1582</GroupID><SubGroupID>4320</SubGroupID><ARTGs><ARTG>132167</ARTG></ARTGs><MinimumBenefit>292</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>IJ034</BillingCode><Name>Frankenman Circular Stapler</Name><Description>Standard, Long Endosteer,  Cone Tip, Flip, Compact-Short, Compact Short Extended Anvil,  Intraluminal stapler preloaded with titanium staples.</Description><Size>Outer Diameter: 21 - 32mm</Size><SupplierCode>IJ</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>194</SubCategoryID><GroupID>1582</GroupID><SubGroupID>4320</SubGroupID><Suffix>Circular</Suffix><ARTGs><ARTG>410612</ARTG></ARTGs><ChangeExplanation>New listing</ChangeExplanation><MinimumBenefit>648</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2025-03-01</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>OX033</BillingCode><Name>Mirus Dial Linear Stapler</Name><Description>A disposable, reloadable linear stapler with dial</Description><Size>Accommodates staple line lengths of 30mm, 45mm, 60mm and 90mm.</Size><SupplierCode>OX</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>194</SubCategoryID><GroupID>1582</GroupID><SubGroupID>4320</SubGroupID><ARTGs><ARTG>289086</ARTG></ARTGs><MinimumBenefit>292</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>OB009</BillingCode><Name>JustRight 5mm Stapler</Name><Description>Endoscopic manual linear cutting stapler, single use</Description><Size>5mm shaft diameter  25mm jaw length  20cm length</Size><SupplierCode>OB</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>194</SubCategoryID><GroupID>1582</GroupID><SubGroupID>4320</SubGroupID><ARTGs><ARTG>306951</ARTG></ARTGs><MinimumBenefit>292</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2019-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>OX032</BillingCode><Name>Mirus Disposable Linear Cutter</Name><Description>Disposable, reloadable linear cutter stapler</Description><Size>Stapling line lengths of 60mm, 80mm and 100mm</Size><SupplierCode>OX</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>194</SubCategoryID><GroupID>1582</GroupID><SubGroupID>4320</SubGroupID><ARTGs><ARTG>289076</ARTG></ARTGs><MinimumBenefit>292</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>OX034</BillingCode><Name>Mirus Auto Linear Stapler</Name><Description>A disposable, reloadable linear stapler</Description><Size>Accommodates staple line lengths of 30mm, 45mm, 60mm and 90mm.</Size><SupplierCode>OX</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>194</SubCategoryID><GroupID>1582</GroupID><SubGroupID>4320</SubGroupID><ARTGs><ARTG>289086</ARTG></ARTGs><MinimumBenefit>292</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MI456</BillingCode><Name>GIA Stapler with Tri-Staple technology</Name><Description>Single use, reloadable stapler</Description><Size>60mm, 80mm</Size><SupplierCode>MI</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>194</SubCategoryID><GroupID>1582</GroupID><SubGroupID>4320</SubGroupID><ARTGs><ARTG>331481</ARTG></ARTGs><MinimumBenefit>292</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>OB002</BillingCode><Name>Touchstone Linear Cutter Stapler 80mm</Name><Description>A device that incorporates a disposable staple cartridge that lays a double staggered row of staples on each side of a cutting knife.  Used for extensive bowel, gastric, gynaecological and thoracic surgical stapling procedures.</Description><Size>80mm length in staple line with choice of 3.8mm, 4.2mm and 4.5mm titanium staples</Size><SupplierCode>OB</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>194</SubCategoryID><GroupID>1582</GroupID><SubGroupID>4320</SubGroupID><ARTGs><ARTG>262505</ARTG></ARTGs><MinimumBenefit>292</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2016-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MN217</BillingCode><Name>Proximate</Name><Description>Preloaded stapler</Description><Size>30-100mm</Size><SupplierCode>JJ</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>194</SubCategoryID><GroupID>1582</GroupID><SubGroupID>4320</SubGroupID><ARTGs><ARTG>132167</ARTG><ARTG>132166</ARTG><ARTG>133406</ARTG></ARTGs><MinimumBenefit>292</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MI212</BillingCode><PriorBillingCodes><PriorBillingCode>AS018</PriorBillingCode><PriorBillingCode>AS019</PriorBillingCode><PriorBillingCode>AS102</PriorBillingCode><PriorBillingCode>AS133</PriorBillingCode></PriorBillingCodes><Name>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>185015</ARTG><ARTG>181434</ARTG></ARTGs><ChangeExplanation>Change to Product name, ARTG</ChangeExplanation><MinimumBenefit>292</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Update</ActionFlag><CycleStartDate>2017-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>OB004</BillingCode><Name>Touchstone Circular Stapler</Name><Description>A surgical implanting device for placing s specific size of double staggered row of titanium staples in a circular fashion in the large bowel, small bowel or oesophagus to maintain function of the digestive tract.  A suitable size is used to match the lumen size of the patient's digestive tract</Description><Size>External dimension - 21mm, 25mm, 29mm or 33mm</Size><SupplierCode>OB</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>194</SubCategoryID><GroupID>1582</GroupID><SubGroupID>4320</SubGroupID><Suffix>Circular</Suffix><ARTGs><ARTG>263001</ARTG></ARTGs><MinimumBenefit>648</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2016-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>IJ014</BillingCode><PriorBillingCodes><PriorBillingCode>ME218</PriorBillingCode></PriorBillingCodes><Name>Frankenman Haemorrhoidal (CPH) Stapler</Name><Description>Circular stapler for rectal prolapse and haemorrhoids preloaded with titanium staples</Description><Size>Outside diameter: 32.5mm; 34.5mm</Size><SupplierCode>IJ</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>194</SubCategoryID><GroupID>1582</GroupID><SubGroupID>4320</SubGroupID><Suffix>Circular</Suffix><ARTGs><ARTG>205330</ARTG></ARTGs><MinimumBenefit>648</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>OX036</BillingCode><Name>Mirus Hemorrhoids Stapler</Name><Description>Disposable stapler with 2 or 3 staggered rows of titanium staples</Description><Size>Available in models with 2 rows and 3 rows of staples</Size><SupplierCode>OX</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>194</SubCategoryID><GroupID>1582</GroupID><SubGroupID>4320</SubGroupID><Suffix>Circular</Suffix><ARTGs><ARTG>289057</ARTG></ARTGs><MinimumBenefit>648</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>AS179</BillingCode><Name>EEA Haemorrhoid and Prolapse Stapler</Name><Description>Stapling instrument for control of rectal prolapse and haemorrhoid disease.</Description><Size>33mm Circular Stapling line, 3.5 mm and 4.8mm Staple leg length.</Size><SupplierCode>MI</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>194</SubCategoryID><GroupID>1582</GroupID><SubGroupID>4320</SubGroupID><Suffix>Circular</Suffix><ARTGs><ARTG>178674</ARTG></ARTGs><MinimumBenefit>648</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2010-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>JJ443</BillingCode><Name>Proximate Intraluminal Stapler PPH</Name><Description>Proximate Hemorrhoidal Circular Stapler PPH</Description><Size>One Size Only</Size><SupplierCode>JJ</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>194</SubCategoryID><GroupID>1582</GroupID><SubGroupID>4320</SubGroupID><Suffix>Circular</Suffix><ARTGs><ARTG>99218</ARTG></ARTGs><MinimumBenefit>648</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>JJ812</BillingCode><Name>CONTOUR Curved Cutter Stapler</Name><Description>Curved cutter and stapler for gastrointestinal transaction and resection.</Description><Size>40mm</Size><SupplierCode>JJ</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>194</SubCategoryID><GroupID>1582</GroupID><SubGroupID>4320</SubGroupID><Suffix>Curved</Suffix><ARTGs><ARTG>118291</ARTG></ARTGs><MinimumBenefit>559</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2010-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>JJ184</BillingCode><Name>Endopath Multi Stapler</Name><Description>Endoscopic titanium stapler with staples</Description><Size>11mm shaft diameter</Size><SupplierCode>JJ</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>194</SubCategoryID><GroupID>1582</GroupID><SubGroupID>4320</SubGroupID><Suffix>Endoscopic</Suffix><ARTGs><ARTG>124512</ARTG></ARTGs><MinimumBenefit>473</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MI304</BillingCode><Name>ReliaTack Articulating Reloadable Fixation Device with Deep Purchase Tacks (Reloads x 5)</Name><Description>5 x absorbable deep purchase reloads to be used with ReliaTack articulating tacking device</Description><Size>7.0 mm  5 Tacks</Size><SupplierCode>MI</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>194</SubCategoryID><GroupID>1582</GroupID><SubGroupID>6003</SubGroupID><Suffix>5 Tacks, Absorbable</Suffix><ARTGs><ARTG>315822</ARTG></ARTGs><MinimumBenefit>162</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2019-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MI305</BillingCode><Name>ReliaTack Articulating Reloadable Fixation Device with Deep Purchase Tacks (Reloads x 8)</Name><Description>8 x absorbable deep purchase reloads to be used with ReliaTack articulating tacking device</Description><Size>7.0 mm  8 tacks</Size><SupplierCode>MI</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>194</SubCategoryID><GroupID>1582</GroupID><SubGroupID>6003</SubGroupID><Suffix>8 Deep Purchase Tack, absorbable</Suffix><ARTGs><ARTG>315822</ARTG></ARTGs><MinimumBenefit>258</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2019-07-01</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>DE726</BillingCode><PriorBillingCodes><PriorBillingCode>MG048</PriorBillingCode></PriorBillingCodes><Name>Glutack</Name><Description>Catheter for controlled application of surgical adhesive.</Description><Size>25, 40, 50 drops</Size><SupplierCode>DE</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>194</SubCategoryID><GroupID>1582</GroupID><SubGroupID>6004</SubGroupID><Suffix>Synthetic, Endoscopic</Suffix><ARTGs><ARTG>313580</ARTG></ARTGs><MinimumBenefit>211</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2020-11-01</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</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><MinimumBenefit>463</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2024-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>DE611</BillingCode><Name>Cor-Knot®Quick Load 6 Pouch</Name><Description>The Cor-Knot®Quick load 6 contains six single sterile Cor-Knot® Titanium Fasteners for use with the Cor-Knot® device kit</Description><Size>One size</Size><SupplierCode>DE</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>194</SubCategoryID><GroupID>1582</GroupID><SubGroupID>5988</SubGroupID><ARTGs><ARTG>219813</ARTG></ARTGs><MinimumBenefit>308</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>DE610</BillingCode><Name>Cor-Knot®Quick Load single</Name><Description>The Cor-Knot®Quick Load houses one sterile Cor-Knot®Titanium Fastener for use with the Cor-Knot®device kit</Description><Size>One size</Size><SupplierCode>DE</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>194</SubCategoryID><GroupID>1582</GroupID><SubGroupID>5988</SubGroupID><ARTGs><ARTG>219813</ARTG></ARTGs><MinimumBenefit>50</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-02-01</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SN910</BillingCode><Name>Genesis II</Name><Description>CR HA Porous</Description><Size>1-8</Size><SupplierCode>SN</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>2025-03-01</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>2025-03-01</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SN911</BillingCode><Name>Genesis II</Name><Description>PS HA Porous</Description><Size>1-8</Size><SupplierCode>SN</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MN229</BillingCode><Name>Dermabond</Name><Description>Topical Skin Adhesive</Description><Size>Per 0.36 - 0.75ml vial</Size><SupplierCode>JJ</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>194</SubCategoryID><GroupID>1580</GroupID><SubGroupID>4247</SubGroupID><Suffix>Synthetic</Suffix><ARTGs><ARTG>171563</ARTG></ARTGs><MinimumBenefit>23</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BX252</BillingCode><Name>CoSeal Surgical Sealant</Name><Description>Composition: two synthetic polyethelene glycols (PEG's), COH102 and COH206, premixed and filled into one syringe, a dilute hydrogen chloride solution and a sodium phosphate/sodium carbonate solution</Description><Size>2ml</Size><SupplierCode>BX</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>194</SubCategoryID><GroupID>1580</GroupID><SubGroupID>4247</SubGroupID><Suffix>Synthetic</Suffix><ARTGs><ARTG>181132</ARTG></ARTGs><MinimumBenefit>128</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</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><MinimumBenefit>128</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BB383</BillingCode><Name>Histoacryl</Name><Description>Topical and Surgical Adhesive</Description><Size>0.5ml per ampoule</Size><SupplierCode>BB</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>194</SubCategoryID><GroupID>1580</GroupID><SubGroupID>4247</SubGroupID><Suffix>Synthetic</Suffix><ARTGs><ARTG>206441</ARTG></ARTGs><MinimumBenefit>23</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LH596</BillingCode><Name>Liquiband Surgical</Name><Description>Surgical Adhesive</Description><Size>0.8gm ampoule</Size><SupplierCode>LH</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>194</SubCategoryID><GroupID>1580</GroupID><SubGroupID>4247</SubGroupID><Suffix>Synthetic</Suffix><ARTGs><ARTG>151324</ARTG></ARTGs><MinimumBenefit>23</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-08-01</CycleStartDate><CycleEndDate>2025-03-01</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><MinimumBenefit>128</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2024-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MI286</BillingCode><Name>LiquiBand® Exceed™</Name><Description>Topical Tissue Adhesive with Applicator</Description><Size>0.8 mL, 0.36mL</Size><SupplierCode>MI</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>194</SubCategoryID><GroupID>1580</GroupID><SubGroupID>4247</SubGroupID><Suffix>Synthetic</Suffix><ARTGs><ARTG>266148</ARTG></ARTGs><MinimumBenefit>23</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MN230</BillingCode><Name>Dermabond Prineo</Name><Description>Topical skin adhesive with self-adhering mesh</Description><Size>22 - 60cm</Size><SupplierCode>JJ</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MI317</BillingCode><PriorBillingCodes><PriorBillingCode>SQ124</PriorBillingCode></PriorBillingCodes><Name>INDERMIL Flexifuze</Name><Description>Topical Tissue Adhesive with Applicator</Description><Size>0.75g per ampoule</Size><SupplierCode>MI</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>194</SubCategoryID><GroupID>1580</GroupID><SubGroupID>4247</SubGroupID><Suffix>Synthetic</Suffix><ARTGs><ARTG>322769</ARTG></ARTGs><MinimumBenefit>23</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2019-11-01</CycleStartDate><CycleEndDate>2025-03-01</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><MinimumBenefit>128</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2024-11-01</CycleStartDate><CycleEndDate>2025-03-01</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><MinimumBenefit>128</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2024-11-01</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>DE721</BillingCode><PriorBillingCodes><PriorBillingCode>MG047</PriorBillingCode></PriorBillingCodes><Name>Glubran Tiss2</Name><Description>Tissue adhesive</Description><Size>0.25 ml, 0.35 ml, 0.50 ml</Size><SupplierCode>DE</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>194</SubCategoryID><GroupID>1580</GroupID><SubGroupID>4247</SubGroupID><Suffix>Synthetic</Suffix><ARTGs><ARTG>158442</ARTG></ARTGs><MinimumBenefit>23</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2020-11-01</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BB382</BillingCode><Name>Histoacryl Flexible</Name><Description>Topical Skin Adhesive</Description><Size>0.5ml per ampoule</Size><SupplierCode>BB</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>194</SubCategoryID><GroupID>1580</GroupID><SubGroupID>4247</SubGroupID><Suffix>Synthetic</Suffix><ARTGs><ARTG>221444</ARTG></ARTGs><MinimumBenefit>23</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>XW002</BillingCode><Name>Exofin Fusion</Name><Description>Topical skin adhesive with self-adhering mesh</Description><Size>22, 30, 60cm</Size><SupplierCode>XW</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>194</SubCategoryID><GroupID>1580</GroupID><SubGroupID>4247</SubGroupID><Suffix>Synthetic</Suffix><ARTGs><ARTG>479185</ARTG></ARTGs><ChangeExplanation>New listing</ChangeExplanation><MinimumBenefit>128</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2025-03-01</CycleStartDate><CycleEndDate>2025-03-01</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><MinimumBenefit>128</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2024-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>XW003</BillingCode><Name>Exofin Topical Skin Adhesive</Name><Description>Polymerising 2-octyl topical adhesive - tube and pen</Description><Size>0.5ml, 1ml</Size><SupplierCode>XW</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>194</SubCategoryID><GroupID>1580</GroupID><SubGroupID>4247</SubGroupID><Suffix>Synthetic</Suffix><ARTGs><ARTG>479187</ARTG></ARTGs><ChangeExplanation>New listing</ChangeExplanation><MinimumBenefit>128</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2025-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>XW001</BillingCode><Name>derma+flex</Name><Description>Topical Skin Adhesive</Description><Size>0.7ml</Size><SupplierCode>XW</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>194</SubCategoryID><GroupID>1580</GroupID><SubGroupID>4247</SubGroupID><Suffix>Synthetic</Suffix><ARTGs><ARTG>479186</ARTG></ARTGs><ChangeExplanation>New listing</ChangeExplanation><MinimumBenefit>128</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2025-03-01</CycleStartDate><CycleEndDate>2025-03-01</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>XF</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>194</SubCategoryID><GroupID>1580</GroupID><SubGroupID>4247</SubGroupID><Suffix>Synthetic</Suffix><ARTGs><ARTG>207169</ARTG></ARTGs><MinimumBenefit>128</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2024-11-01</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BX253</BillingCode><Name>CoSeal Surgical Sealant</Name><Description>Composition: two synthetic polyethelene glycols (PEG's), COH102 and COH206, premixed and filled into a syringe, a dilute hydrogen chloride solution and a sodium phosphate sodium carbonate solution</Description><Size>4ml</Size><SupplierCode>BX</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>194</SubCategoryID><GroupID>1580</GroupID><SubGroupID>4248</SubGroupID><Suffix>Synthetic</Suffix><ARTGs><ARTG>181132</ARTG></ARTGs><MinimumBenefit>516</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BX254</BillingCode><Name>CoSeal Surgical Sealant</Name><Description>Composition: two synthetic polyethelene glycols (PEG's), COH102 and COH206, premixed and filled into a syringe, a dilute hydrogen chloride solution and a sodium phosphate sodium carbonate solution</Description><Size>8ml</Size><SupplierCode>BX</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>194</SubCategoryID><GroupID>1580</GroupID><SubGroupID>4249</SubGroupID><Suffix>Synthetic</Suffix><ARTGs><ARTG>181132</ARTG></ARTGs><MinimumBenefit>963</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BX263</BillingCode><Name>COSEAL Spray Accessory Kit</Name><Description>Spray Accessory kit for Coseal: A hydrogel that acts as a sealant by adhering to itself and the tissues it contacts.  COSEAL is designed to completely seal suture lines along vascular reconstructions to prevent fluids from leaking.</Description><Size>One size available</Size><SupplierCode>BX</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>194</SubCategoryID><GroupID>1580</GroupID><SubGroupID>4250</SubGroupID><Suffix>Extender</Suffix><ARTGs><ARTG>299913</ARTG></ARTGs><MinimumBenefit>25</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2008-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BX282</BillingCode><Name>Floseal Special Applicator Tips</Name><Description>Floseal Malleable and Trimmable Applicator with Tips specifically designed for use with Floseal Haemostatic Matrix</Description><Size>14cm</Size><SupplierCode>BX</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>194</SubCategoryID><GroupID>1580</GroupID><SubGroupID>4250</SubGroupID><Suffix>Extender</Suffix><ARTGs><ARTG>167776</ARTG></ARTGs><MinimumBenefit>25</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2010-08-01</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</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><MinimumBenefit>22</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2024-11-01</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>JJ976</BillingCode><Name>SURGICEL Endoscopic Applicator</Name><Description>2-in-1 endoscopic applicator for delivery of SURGICEL Powder.</Description><Size>38 cm</Size><SupplierCode>JJ</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>194</SubCategoryID><GroupID>1580</GroupID><SubGroupID>4250</SubGroupID><Suffix>Rigid Delivery System</Suffix><ARTGs><ARTG>312494</ARTG></ARTGs><ChangeExplanation>New listing</ChangeExplanation><MinimumBenefit>68</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2025-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BX275</BillingCode><Name>COSEAL Extended Applicator 22 cm</Name><Description>22cm extended applicator for COSEAL. Coseal, is listed on the Prostheses List, is a hydrogel that acts as a sealant by adhering to itself and the tissues it contacts.  COSEAL is designed to completely seal suture lines along vascular reconstructions to prevent fluids from leaking.</Description><Size>A 22 cm long malleable applicator</Size><SupplierCode>BX</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>194</SubCategoryID><GroupID>1580</GroupID><SubGroupID>4250</SubGroupID><Suffix>Extender</Suffix><ARTGs><ARTG>180922</ARTG></ARTGs><MinimumBenefit>25</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2008-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>DE723</BillingCode><PriorBillingCodes><PriorBillingCode>MG035</PriorBillingCode></PriorBillingCodes><Name>Glubran 2 Catheter for Laparoscopy</Name><Description>Catheter for laparoscopic application of Glubran 2.</Description><Size>One size only</Size><SupplierCode>DE</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>194</SubCategoryID><GroupID>1580</GroupID><SubGroupID>4250</SubGroupID><Suffix>Extender</Suffix><ARTGs><ARTG>162589</ARTG></ARTGs><MinimumBenefit>25</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2020-11-01</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BX280</BillingCode><Name>Coseal Duplospray Applicator 20cm</Name><Description>COSEAL, which is listed on the Prostheses List, is a hydrogel that acts as a sealant by adhering to itself and the tissues it contacts. COSEAL is designed to completely seal suture lines along vascular reconstructions to prevent fluids from leaking. This a</Description><Size>20 cm</Size><SupplierCode>BX</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>194</SubCategoryID><GroupID>1580</GroupID><SubGroupID>4250</SubGroupID><Suffix>Laparoscopic Extender</Suffix><ARTGs><ARTG>115590</ARTG></ARTGs><MinimumBenefit>53</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2010-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BX279</BillingCode><Name>Coseal Duplospray Applicator 30cm</Name><Description>COSEAL, which is listed on the Prostheses List, is a hydrogel that acts as a sealant by adhering to itself and the tissues it contacts.  COSEAL is designed to completely seal suture lines along vascular reconstructions to prevent fluids from leaking.</Description><Size>30cm</Size><SupplierCode>BX</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>194</SubCategoryID><GroupID>1580</GroupID><SubGroupID>4250</SubGroupID><Suffix>Laparoscopic Extender</Suffix><ARTGs><ARTG>115590</ARTG></ARTGs><MinimumBenefit>53</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2010-02-01</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BX270</BillingCode><Name>COSEAL Applicator Tips 7 cm</Name><Description>Applicator tips for COSEAL. Coseal which is listed on the Prostheses List, is a hydrogel that acts as a sealant by adhering to itself and the tissues it contacts.  COSEAL is designed to completely seal suture lines along vascular reconstructions to prevent fluids from leaking.</Description><Size>A 7cm long applicator tip</Size><SupplierCode>BX</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>194</SubCategoryID><GroupID>1580</GroupID><SubGroupID>4250</SubGroupID><Suffix>Applicator Tip</Suffix><ARTGs><ARTG>180922</ARTG></ARTGs><MinimumBenefit>22</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2008-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BA267</BillingCode><Name>Progel Platinum Surgical Sealant Spray Tip</Name><Description>Spray tip to be used in conjunction with Progel Platinum Surgical Sealant</Description><Size>5cm (packs of 2)</Size><SupplierCode>BA</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>194</SubCategoryID><GroupID>1580</GroupID><SubGroupID>4250</SubGroupID><Suffix>Applicator Tip</Suffix><ARTGs><ARTG>260665</ARTG></ARTGs><MinimumBenefit>22</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2016-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>DE722</BillingCode><PriorBillingCodes><PriorBillingCode>MG034</PriorBillingCode></PriorBillingCodes><Name>Glubran 2 Applicators</Name><Description>Dispensing tip/Drop control device for applying Glubran 2.</Description><Size>5-6 and 7-8 French</Size><SupplierCode>DE</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>194</SubCategoryID><GroupID>1580</GroupID><SubGroupID>4250</SubGroupID><Suffix>Applicator Tip</Suffix><ARTGs><ARTG>162589</ARTG></ARTGs><MinimumBenefit>22</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2020-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MN041</BillingCode><Name>Endoscopic Applicator</Name><Description>Rigid applicator</Description><Size>34cm</Size><SupplierCode>JJ</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BX273</BillingCode><Name>Floseal Endoscopic Applicator</Name><Description>Used as an adjunct to haemostasis when control of bleeding by ligature or conventional surgical procedures is ineffective or impractical.</Description><Size>A 41cm - 47cm long disposable cannulated applicator, with or without malleable tip.</Size><SupplierCode>BX</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>194</SubCategoryID><GroupID>1580</GroupID><SubGroupID>4250</SubGroupID><Suffix>Rigid Delivery System</Suffix><ARTGs><ARTG>115590</ARTG></ARTGs><MinimumBenefit>68</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2008-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BX341</BillingCode><Name>EASYGRIP FLO-41</Name><Description>sterile, single-use endoscopic applicator device designed for single handed application, particularly  during laparoscopic and robotic procedures through an easy, precise, and controlled delivery of Floseal.</Description><Size>41cm</Size><SupplierCode>BX</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>194</SubCategoryID><GroupID>1580</GroupID><SubGroupID>4250</SubGroupID><Suffix>Rigid Delivery System</Suffix><ARTGs><ARTG>115590</ARTG></ARTGs><MinimumBenefit>68</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2019-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>FY002</BillingCode><PriorBillingCodes><PriorBillingCode>MQ039</PriorBillingCode></PriorBillingCodes><Name>PuraStat Applicator</Name><Description>PuraStat is used as an adjunct to haemostasis when control of bleeding by ligature or conventional surgical procedures is ineffective or impractical.</Description><Size>250mm</Size><SupplierCode>FY</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>194</SubCategoryID><GroupID>1580</GroupID><SubGroupID>4250</SubGroupID><Suffix>Rigid Delivery System</Suffix><ARTGs><ARTG>283717</ARTG></ARTGs><MinimumBenefit>68</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2019-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>DE727</BillingCode><PriorBillingCodes><PriorBillingCode>MG044</PriorBillingCode></PriorBillingCodes><Name>Glubran 2 Spray Device</Name><Description>Spray device for nebulized application of Glubran 2</Description><Size>Cannula length: 5cm, 40cm, 30cm, 33cm</Size><SupplierCode>DE</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>194</SubCategoryID><GroupID>1580</GroupID><SubGroupID>4250</SubGroupID><Suffix>Rigid Delivery System</Suffix><ARTGs><ARTG>321253</ARTG></ARTGs><MinimumBenefit>68</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2020-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BA266</BillingCode><Name>Progel Platinum Surgical Sealant Extender Spray Tip</Name><Description>Extender Spray tip to be used in conjunction with Progel Platinum Surgical Sealant</Description><Size>16cm, 29cm</Size><SupplierCode>BA</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>194</SubCategoryID><GroupID>1580</GroupID><SubGroupID>4250</SubGroupID><Suffix>Rigid Delivery System</Suffix><ARTGs><ARTG>260665</ARTG></ARTGs><MinimumBenefit>68</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2016-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BX335</BillingCode><Name>Peri-Strips dry with Veritas Collagen Matrix Linear Single Firing</Name><Description>Peri-Strips Dry with Veritas is a remodeable material designed to increase staple line strength for surgical repair of soft tissue deficiencies</Description><Size> 30-130mm</Size><SupplierCode>BX</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>194</SubCategoryID><GroupID>1580</GroupID><SubGroupID>4251</SubGroupID><ARTGs><ARTG>385671</ARTG></ARTGs><MinimumBenefit>301</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2014-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>JI006</BillingCode><PriorBillingCodes><PriorBillingCode>LH572</PriorBillingCode></PriorBillingCodes><Name>Steritalc</Name><Description>Sterile granules of talc implanted in pleural space to act as permanent adhesive</Description><Size>3 grams &amp; 4 grams</Size><SupplierCode>JI</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>194</SubCategoryID><GroupID>1580</GroupID><SubGroupID>4252</SubGroupID><ARTGs><ARTG>143613</ARTG></ARTGs><MinimumBenefit>129</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BA265</BillingCode><Name>Progel Platinum Surgical Sealant</Name><Description>Progel Pleural Air Leak Sealant is a single use device intended for application to visceral pleura.</Description><Size>4ml</Size><SupplierCode>BA</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>194</SubCategoryID><GroupID>1580</GroupID><SubGroupID>5768</SubGroupID><ARTGs><ARTG>262979</ARTG></ARTGs><MinimumBenefit>718</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2016-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>AS212</BillingCode><Name>Veriset</Name><Description>Veriset is an absorbable topical hemostatic device intended for use in surgical procedures as an adjunct to hemostatsis when conventional methods are ineffective or impractical.  Veriset does not consist of any human or animal components</Description><Size>2cm x 4cm (8cm2)</Size><SupplierCode>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>2025-03-01</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><MinimumBenefit>208</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2024-11-01</CycleStartDate><CycleEndDate>2025-03-01</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><MinimumBenefit>412</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2024-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>AS213</BillingCode><Name>Veriset</Name><Description>Veriset is an absorbable topical hemostatic device intended for use in surgical procedures as an adjunct to hemostasis when conventional methods are ineffective or impractical.  Veriset does not consist of any human or animal components.</Description><Size>5cm x 10cm (50cm2)
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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ME227</BillingCode><Name>Optima XCEL Detachment Controller</Name><Description>The EXCEL Detachment Controller is used to detach the Pusher from the Coil after the coil is deployed, it is compatible with all Optima Coil configurations and is used to detach all coils needed for a single patient.</Description><Size>one size</Size><SupplierCode>ME</SupplierCode><CategoryID>25</CategoryID><SubCategoryID>225</SubCategoryID><GroupID>1689</GroupID><SubGroupID>4495</SubGroupID><ARTGs><ARTG>312282</ARTG></ARTGs><MinimumBenefit>211</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>PN008</BillingCode><Name>Penumbra Coil System / Penumbra Coil Detachment Handle</Name><Description>A single detachment handle which is compatible with all Penumbra Coil configurations and can be used to detach all coils needed for a single patient.</Description><Size>One size only</Size><SupplierCode>PN</SupplierCode><CategoryID>25</CategoryID><SubCategoryID>225</SubCategoryID><GroupID>1689</GroupID><SubGroupID>4495</SubGroupID><ARTGs><ARTG>193558</ARTG></ARTGs><MinimumBenefit>211</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2011-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>PN015</BillingCode><Name>Penumbra Smart Coil Detachment Handle</Name><Description>The Penumbra Smart Coil System is comprised of the Penumbra Smart Coil and the Penumbra Smart Coil Detachment Handle. The SMART Coil Detachment Handle is a plastic handle used to mechanically detach the Penumbra SMART Coil Implant. The Detachment Handle is a sterile, single patient device</Description><Size>One size only</Size><SupplierCode>PN</SupplierCode><CategoryID>25</CategoryID><SubCategoryID>225</SubCategoryID><GroupID>1689</GroupID><SubGroupID>4495</SubGroupID><ARTGs><ARTG>233479</ARTG></ARTGs><MinimumBenefit>231</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2016-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>AS197</BillingCode><Name>LRS Actuator</Name><Description>LRS Actuator is a sterile, hand held mechanical unit with a thumb slide that detaches the coil. When the slider is retracted while the pusher is loaded, it releases the coil into the targeted vaculature. Coils cannot be deployed without the use of the actuator.</Description><Size>Length 5.75", Diameter 1", Weight 28 grams</Size><SupplierCode>MI</SupplierCode><CategoryID>25</CategoryID><SubCategoryID>225</SubCategoryID><GroupID>1689</GroupID><SubGroupID>4495</SubGroupID><ARTGs><ARTG>150013</ARTG></ARTGs><MinimumBenefit>211</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2013-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HW466</BillingCode><Name>InZone Detachment System</Name><Description>InZone Detachment System is specifically designed for use with the Target Detachable Coils</Description><Size>One size</Size><SupplierCode>JV</SupplierCode><CategoryID>25</CategoryID><SubCategoryID>225</SubCategoryID><GroupID>1689</GroupID><SubGroupID>4495</SubGroupID><ARTGs><ARTG>208838</ARTG></ARTGs><MinimumBenefit>211</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LH787</BillingCode><PriorBillingCodes><PriorBillingCode>CB015</PriorBillingCode></PriorBillingCodes><Name>V-Grip Detachment Controller</Name><Description>A battery powered device used to control detachment of an implantable embolisation coil from a delivery pusher.</Description><Size>One size only</Size><SupplierCode>LH</SupplierCode><CategoryID>25</CategoryID><SubCategoryID>225</SubCategoryID><GroupID>1689</GroupID><SubGroupID>4495</SubGroupID><ARTGs><ARTG>148674</ARTG></ARTGs><ChangeExplanation>
Billing code transferred from CB015
Sponsor transferred from Culpan Medical Pty Ltd</ChangeExplanation><MinimumBenefit>211</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2013-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ME215</BillingCode><Name>Copernic RC</Name><Description>Venous remodelling balloon</Description><Size>Diameter:  8.0 - 10mm
Balloon Length:  80mm
Catheter Length:  160mm</Size><SupplierCode>ME</SupplierCode><CategoryID>25</CategoryID><SubCategoryID>225</SubCategoryID><GroupID>1689</GroupID><SubGroupID>6022</SubGroupID><ARTGs><ARTG>170159</ARTG></ARTGs><MinimumBenefit>1500</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LH786</BillingCode><PriorBillingCodes><PriorBillingCode>CB013</PriorBillingCode></PriorBillingCodes><Name>Scepter Occlusion Balloon Catheter</Name><Description>Intravascular occlusion balloon catheter</Description><Size>Balloon diameter: 4mm
Balloon lengths: 10 - 20mm</Size><SupplierCode>LH</SupplierCode><CategoryID>25</CategoryID><SubCategoryID>225</SubCategoryID><GroupID>1689</GroupID><SubGroupID>6022</SubGroupID><ARTGs><ARTG>194400</ARTG></ARTGs><ChangeExplanation>
Billing code transferred from CB013
Sponsor transferred from Culpan Medical Pty Ltd</ChangeExplanation><MinimumBenefit>1500</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2013-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HW558</BillingCode><Name>TransForm Occlusion Balloon Catheters</Name><Description>The TransForm Occlusion Balloon Catheter consists of a single lumen catheter shaft with a balloon attached at the distal end. The balloon is available in a compliant version and a super compliant version. Radiopaque markers are located at the proximal and distal ends of the balloon to facilitate fluoroscopic visualization. The balloon catheter is recommended for use with a Stryker Neurovascular 0.014 in (0.36 mm) guidewire to seal the distal segment of the catheter lumen allowing inflation of the balloon. The guidewire can be moved distally or proximally once beyond the distal tip (seal portion) of the catheter and still maintain a positive seal for inflating the balloon. The distal outer segment of the catheter shaft is coated with a hydrophilic material that reduces friction during manipulation in the vessel. A luer fitting hub at the proximal end of the catheter is used for the attachment of accessories.</Description><Size>Effective Length: 150 cm  Balloon Outer Diameter: 3 mm - 7 mm  Balloon Nominal Length: 5 mm - 30 mm  Maximum Catheter Shaft Outer Diameter: 2.8 F</Size><SupplierCode>JV</SupplierCode><CategoryID>25</CategoryID><SubCategoryID>225</SubCategoryID><GroupID>1689</GroupID><SubGroupID>6022</SubGroupID><ARTGs><ARTG>223661</ARTG></ARTGs><MinimumBenefit>1500</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2015-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>AS198</BillingCode><Name>ev3 Occlusion Balloon Catheters</Name><Description>Single lumen balloon catheter to temporarily occlude the central lumen allowing inflation of the balloon during neurosurgical and vascular procedures.</Description><Size>3-7mm diameter; 7-30mm length</Size><SupplierCode>MI</SupplierCode><CategoryID>25</CategoryID><SubCategoryID>225</SubCategoryID><GroupID>1689</GroupID><SubGroupID>6022</SubGroupID><ARTGs><ARTG>152746</ARTG></ARTGs><MinimumBenefit>1500</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2013-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>AS220</BillingCode><Name>Parietex Progrip Composite Mesh</Name><Description>Pre-Cut, slit mesh with self gripping overlapping flap - right or left knitted (monofilament polyester with polylactic acid monofilament resorbable pins on one of the sides)</Description><Size>Elliptic slit 12x8cm left side, elliptic slit 12x8cm right side, elliptic slit 14x9 left side, elliptic slit right side 14x9cm</Size><SupplierCode>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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>AS219</BillingCode><Name>PROGRIP™ Laparoscopic Self-Fixating Composite Mesh</Name><Description>Laparoscopic self-fixating composite right or left or bilateral anatomical mesh (knitted monofilament polyester with monofilament polylactic acid resorbable grips on one side and a resorbable film made of collagen from porcine origin and glycerol, on the other side)</Description><Size>10x15 cm  Rectangular Bilateral Anatomical,  10x15 cm  Rectangular Right Anatomical, 10x15 cm  Left Anatomical,  13x09 cm  Right Anatomical, 
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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>AS161</BillingCode><Name>Parietene ProGrip Mesh (PRE-SHAPED)</Name><Description>Pre-Cut, slit mesh with self gripping overlapping flap - right or left</Description><Size>12 x 8cm elliptic</Size><SupplierCode>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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>AS241</BillingCode><Name>Symbotex Skirted Composite Mesh</Name><Description>Non-absorbable three-dimensional polyester skirted composite mesh. On the opposite side, the absorbable hydrophilic film minimizes tissue attachment to the mesh in case of direct contact with the viscera. A flap attached to the reinforcement helps place and fix the mesh.</Description><Size>8 cm Round, 15x10 cm Rectangle</Size><SupplierCode>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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>AS211</BillingCode><Name>Parietex Composite Ventral Patch</Name><Description>Parietex Composite ventral patch is used for the reinforcement of soft tissues during surgical repair. It is indicated for the treatment of ventral defects (primary and incisional hernias).</Description><Size>4.6cm, 6.6cm, 8.6cm</Size><SupplierCode>MI</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>194</SubCategoryID><GroupID>1783</GroupID><SubGroupID>5438</SubGroupID><Suffix>Coated, Contoured</Suffix><ARTGs><ARTG>258212</ARTG></ARTGs><MinimumBenefit>407</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2016-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>AS224</BillingCode><Name>PROGRIP™ Laparoscopic Self-Fixating Composite Mesh</Name><Description>Laparoscopic self-fixating composite right or left anatomical mesh (knitted monofilament polyester with monofilament polylactic acid resorbable grips on one side and a resorbable film made of collagen from porcine origin and glycerol, on the other side)</Description><Size>16 x 12 cm right anatomical, 
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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>AS235</BillingCode><Name>Symbotex Composite Mesh</Name><Description>Non-absorbable three-dimensional polyester composite mesh. On the opposite side, the absorbable hydrophilic film minimizes tissue attachment to the mesh in case of direct contact with the viscera.</Description><Size>Round 15 cm, 12 cm, 9 cm
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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>JJ467</BillingCode><Name>ULTRAPRO Mesh</Name><Description>ULTRAPRO Mesh N3</Description><Size>10 x 15cm</Size><SupplierCode>JJ</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>AS217</BillingCode><Name>Symbotex Composite Mesh with pre placed suture</Name><Description>Non-absorbable three-dimensional polyester composite mesh with pre placed sutures. (Non absorbable pre-placed sutures are tied to the mesh. A died marking is positioned on the center of the textile and helps center and orient the mesh.)</Description><Size>Rectangular 15x10 cm
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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BA246</BillingCode><Name>Ventrio ST</Name><Description>Bioresorbable Barrier/Permanent Mesh</Description><Size>7.6cm circle, 11.4cm circle, 8 x 12cm oval, 11 x 14cm oval</Size><SupplierCode>BA</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>194</SubCategoryID><GroupID>1783</GroupID><SubGroupID>5438</SubGroupID><Suffix>Coated</Suffix><ARTGs><ARTG>219324</ARTG></ARTGs><MinimumBenefit>352</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2014-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BA237</BillingCode><Name>Ventralight ST</Name><Description>Bioresorbable Barrier/Permanent Mesh</Description><Size>11.4cm circle, 10.2 x 15.2cm oval</Size><SupplierCode>BA</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>194</SubCategoryID><GroupID>1783</GroupID><SubGroupID>5438</SubGroupID><Suffix>Coated</Suffix><ARTGs><ARTG>219332</ARTG></ARTGs><MinimumBenefit>352</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2014-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MS030</BillingCode><Name>Titanized Mesh Implants [TiMESH, TiLENE, TiLENE Blue]</Name><Description>Prosthetic warp-knitted fabric made of monofil polypropylene threads with an encapsulating titanic coating</Description><Size>Weight: 16 g/m² - 65 g/m²; Surface Area: ≤ 200cm²</Size><SupplierCode>MS</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>194</SubCategoryID><GroupID>1783</GroupID><SubGroupID>5438</SubGroupID><Suffix>Coated</Suffix><ARTGs><ARTG>97288</ARTG></ARTGs><MinimumBenefit>352</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>AS214</BillingCode><Name>PROGRIP™ Laparoscopic Self-Fixating Composite Mesh</Name><Description>Laparoscopic self-fixating composite mesh (knitted monofilament polyester with monofilament polylactic acid resorbable grips on one side and a resorbable film made of collagen from porcine origin and glycerol, on the other side)</Description><Size>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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>JJ448</BillingCode><Name>PROCEED Surgical Mesh</Name><Description>PROCEED Surgical Mesh N1</Description><Size>4x6 inches oval</Size><SupplierCode>JJ</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>AS162</BillingCode><Name>Parietene ProGrip Mesh (FLAT)</Name><Description>Mesh with self gripping FLAT</Description><Size>15 x 9cm RECTANGLE</Size><SupplierCode>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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>JJ446</BillingCode><Name>PROCEED Surgical Mesh</Name><Description>PROCEED Surgical Mesh B1</Description><Size>2x4 (inches)</Size><SupplierCode>JJ</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>JJ449</BillingCode><Name>PROCEED Surgical Mesh</Name><Description>PROCEED Surgical Mesh D1</Description><Size>4x8 inches</Size><SupplierCode>JJ</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>JJ240</BillingCode><Name>VYPRO II Mesh</Name><Description>Composition - equal part Vicryl polyglactin yarn - non-absorbable Prolene polypropylene yarn.  Partly absorbable lightweight mesh for tension free-inguinal hernia techniques</Description><Size>Small 6 x 11cm</Size><SupplierCode>JJ</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>194</SubCategoryID><GroupID>1783</GroupID><SubGroupID>5438</SubGroupID><ARTGs><ARTG>128896</ARTG></ARTGs><MinimumBenefit>86</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>JJ565</BillingCode><Name>ULTRAPRO Mesh</Name><Description>Composite Mesh</Description><Size>7.6cm x 15cm</Size><SupplierCode>JJ</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>JJ465</BillingCode><Name>ULTRAPRO Mesh</Name><Description>ULTRAPRO Mesh S3</Description><Size>6 x 11cm</Size><SupplierCode>JJ</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MN192</BillingCode><Name>PHYSIOMESH Open</Name><Description>Flexible Composite Mesh</Description><Size>≤200cm²</Size><SupplierCode>JJ</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>JJ466</BillingCode><Name>ULTRAPRO Mesh</Name><Description>ULTRAPRO Mesh P3</Description><Size>10 x 12cm</Size><SupplierCode>JJ</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>JJ242</BillingCode><Name>VYPRO II Mesh</Name><Description>Composition - equal part Vicryl polyglactin yarn - non-absorbable Prolene polypropylene yarn.  Partly absorbable lightweight mesh for tension free-inguinal hernia techniques</Description><Size>Large 15 x 10cm</Size><SupplierCode>JJ</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>194</SubCategoryID><GroupID>1783</GroupID><SubGroupID>5438</SubGroupID><ARTGs><ARTG>128896</ARTG></ARTGs><MinimumBenefit>86</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</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>JJ</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>JJ241</BillingCode><Name>VYPRO II Mesh</Name><Description>Composition - equal part Vicryl polyglactin yarn - non-absorbable Prolene polypropylene yarn.  Partly absorbable lightweight mesh for tension free-inguinal hernia techniques</Description><Size>Medium 12 x 10cm</Size><SupplierCode>JJ</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>194</SubCategoryID><GroupID>1783</GroupID><SubGroupID>5438</SubGroupID><ARTGs><ARTG>128896</ARTG></ARTGs><MinimumBenefit>86</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>JJ817</BillingCode><Name>Proceed™ Ventral Patch</Name><Description>3D, sterile, self expanding, partially absorbable, flexible laminate mesh for hernia or other abdominal, fascial defect repair that require addition of a reinforcing or bridging material to obtain the desired surgical result.</Description><Size>small (4.3cm x 4.3cm)</Size><SupplierCode>JJ</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>194</SubCategoryID><GroupID>1783</GroupID><SubGroupID>5438</SubGroupID><Suffix>Coated</Suffix><ARTGs><ARTG>161186</ARTG></ARTGs><MinimumBenefit>352</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2010-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>JJ816</BillingCode><Name>Proceed™ Ventral Patch</Name><Description>3D, sterile, self expanding, partially absorbable, flexible laminate mesh for hernia or other abdominal, fascial defect repair that require addition of a reinforcing or bridging material to obtain the desired surgical result.</Description><Size>medium (6.4cm x 6.4cm)</Size><SupplierCode>JJ</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>194</SubCategoryID><GroupID>1783</GroupID><SubGroupID>5438</SubGroupID><Suffix>Coated</Suffix><ARTGs><ARTG>161186</ARTG></ARTGs><MinimumBenefit>352</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2010-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>JJ447</BillingCode><Name>PROCEED Surgical Mesh</Name><Description>PROCEED Surgical Mesh R1</Description><Size>3x6 inches</Size><SupplierCode>JJ</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>AS236</BillingCode><Name>Parietex Progrip Composite Mesh</Name><Description>Monofilament polyester with polylactic acid monofilament resorbable pins on one of the sides</Description><Size>15x9 rectangular</Size><SupplierCode>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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BA226</BillingCode><Name>Bard Mesh</Name><Description>Ventralex Patch</Description><Size>4.3cm circle, 6.4cm circle, 8cm circle</Size><SupplierCode>BA</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>194</SubCategoryID><GroupID>1783</GroupID><SubGroupID>5438</SubGroupID><Suffix>Coated</Suffix><ARTGs><ARTG>400716</ARTG></ARTGs><MinimumBenefit>352</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2013-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BA236</BillingCode><Name>Ventralex ST</Name><Description>Bioresorbable Barrier/Permanent Mesh</Description><Size>4.3cm circle, 6.4cm circle, 8.0cm circle</Size><SupplierCode>BA</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>194</SubCategoryID><GroupID>1783</GroupID><SubGroupID>5438</SubGroupID><Suffix>Coated</Suffix><ARTGs><ARTG>219323</ARTG></ARTGs><MinimumBenefit>352</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2014-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>JJ585</BillingCode><Name>Ultrapro Hernia System</Name><Description>Ultrapro Hernia System. Mesh Made From Composite of Monocryl &amp; Prolene</Description><Size>Small to Large Oval</Size><SupplierCode>JJ</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>194</SubCategoryID><GroupID>1783</GroupID><SubGroupID>5438</SubGroupID><Suffix>Contoured</Suffix><ARTGs><ARTG>132509</ARTG></ARTGs><MinimumBenefit>271</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2007-06-01</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>JJ451</BillingCode><Name>PROCEED Surgical Mesh</Name><Description>PROCEED Surgical Mesh G1</Description><Size>6x8 inches oval</Size><SupplierCode>JJ</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>AS215</BillingCode><Name>Symbotex Composite Mesh</Name><Description>Non-absorbable three-dimensional polyester composite mesh. (On the opposite side, the absorbable hydrophilic film minimizes tissue attachment to the mesh in case of direct contact with the viscera)</Description><Size>Elliptical 25x15 cm, 
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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>AS238</BillingCode><Name>Symbotex Skirted Composite Mesh</Name><Description>Non-absorbable three-dimensional polyester skirted, coated, contoured composite mesh. On the opposite side, the absorbable hydrophilic film minimizes tissue attachment to the mesh in case of direct contact with the viscera. A flap attached to the reinforcement helps place and fix the mesh.</Description><Size>20 x15 cm Rectangle</Size><SupplierCode>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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>AS239</BillingCode><Name>Symbotex Composite Mesh with pre placed suture</Name><Description>Non-absorbable three-dimensional polyester composite mesh with pre placed sutures. (Non absorbable pre-placed sutures are tied to the mesh. A died marking is positioned on the center of the textile and helps center and orient the mesh.)</Description><Size>Rectangular 20x15 cm
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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BA242</BillingCode><Name>Ventralight ST with ECHO PS Positioning System</Name><Description>Bioresorbable Barrier/Permanent Mesh</Description><Size>201-400cm2</Size><SupplierCode>BA</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>194</SubCategoryID><GroupID>1783</GroupID><SubGroupID>5439</SubGroupID><Suffix>Coated, Complex delivery System</Suffix><ARTGs><ARTG>219333</ARTG></ARTGs><MinimumBenefit>911</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2014-02-01</CycleStartDate><CycleEndDate>2025-03-01</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>JJ</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BA304</BillingCode><Name>Ventralight™ ST Mesh with Echo 2™ Positioning System </Name><Description>Ventralight™ ST Mesh is an abdominal hernia surgical mesh of composite-polymer, indicated for use in the reconstruction of soft tissue deficiencies, such as for the repair of hernias. The Echo 2™ Positioning System is intended to facilitate the delivery and positioning of the soft tissue prosthesis during laparoscopic hernia repair.</Description><Size>11cm  10cm x 15cm  15cm  15cm x 20cm  15cm x 25cm</Size><SupplierCode>BA</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>194</SubCategoryID><GroupID>1783</GroupID><SubGroupID>5439</SubGroupID><Suffix>Coated, Complex delivery System</Suffix><ARTGs><ARTG>365351</ARTG></ARTGs><MinimumBenefit>911</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BA238</BillingCode><Name>Ventralight ST</Name><Description>Bioresorbable Barrier/Permanent Mesh</Description><Size>15.2 x 20.3cm oval, 15.2 x 25.4cm oval</Size><SupplierCode>BA</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>194</SubCategoryID><GroupID>1783</GroupID><SubGroupID>5439</SubGroupID><Suffix>Coated</Suffix><ARTGs><ARTG>219332</ARTG></ARTGs><MinimumBenefit>721</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2014-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>AS218</BillingCode><Name>PROGRIP™ Laparoscopic Self-Fixating Composite Mesh</Name><Description>Laparoscopic self-fixating composite mesh (knitted monofilament polyester with monofilament polylactic acid resorbable grips on one side and a resorbable film made of collagen from porcine origin and glycerol, on the other side)</Description><Size>16 x 14 cm rectangular</Size><SupplierCode>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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>JJ450</BillingCode><Name>PROCEED Surgical Mesh</Name><Description>PROCEED Surgical Mesh M1</Description><Size>6x6 inches</Size><SupplierCode>JJ</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>AS225</BillingCode><Name>Parietex Progrip Composite Mesh</Name><Description>Monofilament polyester with polylactic acid monofilament resorbable pins on one of the sides</Description><Size>Rectangular 15x15cm, 20x15cm</Size><SupplierCode>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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MN193</BillingCode><Name>PHYSIOMESH Open</Name><Description>Flexible Composite Mesh</Description><Size>201-400cm²</Size><SupplierCode>JJ</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MS033</BillingCode><Name>Titanized Mesh Implants (TiMESH, TiLENE, TiLENE Blue, TiLOOP Bra, TiLOOP Bra MPX)</Name><Description>Prosthetic warp-knitted fabric made of monofil polypropylene threads with an encapsulating titanic coating</Description><Size>Weight: 16 g/m² - 65 g/m² ; Surface Area: 201cm² - 400cm²</Size><SupplierCode>MS</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>194</SubCategoryID><GroupID>1783</GroupID><SubGroupID>5439</SubGroupID><Suffix>Coated</Suffix><ARTGs><ARTG>97288</ARTG></ARTGs><MinimumBenefit>721</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>AA019</BillingCode><Name>4D VENTRAL COMPOSITE MESH</Name><Description>4D VENTRAL COMPOSITE MESH</Description><Size>15 X 15 CM</Size><SupplierCode>AA</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>194</SubCategoryID><GroupID>1783</GroupID><SubGroupID>5439</SubGroupID><Suffix>Coated</Suffix><ARTGs><ARTG>354550</ARTG></ARTGs><MinimumBenefit>721</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BA247</BillingCode><Name>Ventrio ST</Name><Description>Bioresorbable Barrier/Permanent Mesh</Description><Size>13.8 x 17.8cm oval, 15.5 x 25.7cm oval</Size><SupplierCode>BA</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>194</SubCategoryID><GroupID>1783</GroupID><SubGroupID>5439</SubGroupID><Suffix>Coated</Suffix><ARTGs><ARTG>219324</ARTG></ARTGs><MinimumBenefit>721</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2014-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>JJ173</BillingCode><Name>VICRYL Mesh</Name><Description>Polyglactin 910 - synthetic absorbable mesh.</Description><Size>15cm x 15cm</Size><SupplierCode>JJ</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>194</SubCategoryID><GroupID>1783</GroupID><SubGroupID>5439</SubGroupID><ARTGs><ARTG>143774</ARTG></ARTGs><MinimumBenefit>137</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>JJ468</BillingCode><Name>ULTRAPRO Mesh</Name><Description>ULTRAPRO Mesh M3</Description><Size>15 x 15cm</Size><SupplierCode>JJ</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>JJ243</BillingCode><Name>VYPRO II Mesh</Name><Description>Composition - equal part Vicryl polyglactin yarn - non-absorbable Prolene polypropylene yarn.  Partly absorbable lightweight mesh for tension free-inguinal hernia techniques</Description><Size>Extra large 15 x 15cm</Size><SupplierCode>JJ</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>194</SubCategoryID><GroupID>1783</GroupID><SubGroupID>5439</SubGroupID><ARTGs><ARTG>128896</ARTG></ARTGs><MinimumBenefit>137</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>AA020</BillingCode><Name>4D VENTRAL COMPOSITE MESH</Name><Description>4D VENTRAL COMPOSITE MESH</Description><Size>15 X 30 CM, 20 X 25 CM.</Size><SupplierCode>AA</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>194</SubCategoryID><GroupID>1783</GroupID><SubGroupID>5440</SubGroupID><Suffix>Coated</Suffix><ARTGs><ARTG>354550</ARTG></ARTGs><MinimumBenefit>966</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BA306</BillingCode><Name>Ventralight™ ST Mesh with Echo 2™ Positioning System</Name><Description>Ventralight™ ST Mesh is an abdominal hernia surgical mesh of composite-polymer, indicated for use in the reconstruction of soft tissue deficiencies, such as for the repair of hernias. The Echo 2™ Positioning System is intended to facilitate the delivery and positioning of the soft tissue prosthesis during laparoscopic hernia repair.</Description><Size>18cm x 23cm  20cm  20cm x 25cm  </Size><SupplierCode>BA</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>194</SubCategoryID><GroupID>1783</GroupID><SubGroupID>5440</SubGroupID><Suffix>Coated, Integrated Delivery System</Suffix><ARTGs><ARTG>365351</ARTG></ARTGs><MinimumBenefit>1074</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BA243</BillingCode><Name>Ventralight ST with ECHO PS Positioning System</Name><Description>Bioresorbable Barrier/Permanent Mesh</Description><Size>401-600cm2</Size><SupplierCode>BA</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>194</SubCategoryID><GroupID>1783</GroupID><SubGroupID>5440</SubGroupID><Suffix>Coated, Integrated Delivery System</Suffix><ARTGs><ARTG>219333</ARTG></ARTGs><MinimumBenefit>1074</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2014-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>AS233</BillingCode><Name>Symbotex Composite Mesh with pre placed suture</Name><Description>Non-absorbable three-dimensional polyester composite mesh with pre placed sutures. (Non absorbable pre-placed sutures are tied to the mesh. A died marking is positioned on the center of the textile and helps center and orient the mesh.)</Description><Size>Rectangular 30x20 cm, Rectangular  25x20 cm</Size><SupplierCode>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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MS035</BillingCode><Name>Titanized Mesh Implants [TiMESH, TiLOOP Bra MPX]</Name><Description>Prosthetic warp-knitted fabric made of monofil polypropylene threads with an encapsulating titanic coating</Description><Size>Weight: 16 g/m² - 65 g/m² ; Surface Area: 401cm² - 600cm²</Size><SupplierCode>MS</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>194</SubCategoryID><GroupID>1783</GroupID><SubGroupID>5440</SubGroupID><Suffix>Coated</Suffix><ARTGs><ARTG>97288</ARTG></ARTGs><MinimumBenefit>966</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>AS222</BillingCode><Name>Parietex Progrip Composite Mesh</Name><Description>Monofilament polyester with polylactic acid monofilament resorbable pins on one of the sides</Description><Size>Rectangular 30x15cm</Size><SupplierCode>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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BA248</BillingCode><Name>Ventrio ST</Name><Description>Bioresorbable Barrier/Permanent Mesh</Description><Size>19.6 x 24.6cm oval, 22.1 x 27.1cm oval</Size><SupplierCode>BA</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>194</SubCategoryID><GroupID>1783</GroupID><SubGroupID>5440</SubGroupID><Suffix>Coated</Suffix><ARTGs><ARTG>219324</ARTG></ARTGs><MinimumBenefit>966</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2014-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BA239</BillingCode><Name>Ventralight ST</Name><Description>Bioresorbable Barrier/Permanent Mesh</Description><Size>17.8 x 22.9cm oval, 20.3 x 25.4cm oval</Size><SupplierCode>BA</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>194</SubCategoryID><GroupID>1783</GroupID><SubGroupID>5440</SubGroupID><Suffix>Coated</Suffix><ARTGs><ARTG>219332</ARTG></ARTGs><MinimumBenefit>966</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2014-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MN194</BillingCode><Name>PHYSIOMESH Open</Name><Description>Flexible Composite Mesh</Description><Size>401-600cm²</Size><SupplierCode>JJ</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>JJ453</BillingCode><Name>PROCEED Surgical Mesh</Name><Description>PROCEED Surgical Mesh J1</Description><Size>8x12 inches</Size><SupplierCode>JJ</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>2025-03-01</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>JJ</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>JJ469</BillingCode><Name>ULTRAPRO Mesh</Name><Description>ULTRAPRO Mesh T1</Description><Size>15x30cm</Size><SupplierCode>JJ</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>JJ452</BillingCode><Name>PROCEED Surgical Mesh</Name><Description>PROCEED Surgical Mesh H1</Description><Size>8x10 inches oval</Size><SupplierCode>JJ</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>AS216</BillingCode><Name>Symbotex Composite Mesh</Name><Description>Non-absorbable three-dimensional polyester mesh provides long term reinforcement of soft tissues. (On the opposite side, the absorbable
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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>AS223</BillingCode><Name>Symbotex Skirted Composite Mesh</Name><Description>Non-absorbable three-dimensional polyester skirted composite mesh. On the opposite side, the absorbable hydrophilic film minimizes tissue attachment to the mesh in case of direct contact with the viscera. A flap attached to the reinforcement helps place and fix the mesh.</Description><Size>30x20 cm Rectangle
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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MN195</BillingCode><Name>PHYSIOMESH Open</Name><Description>Flexible Composite Mesh
</Description><Size>601cm²-1000cm²</Size><SupplierCode>JJ</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>AS230</BillingCode><Name>Symbotex Composite Mesh</Name><Description>Non-absorbable three-dimensional polyester composite mesh. (On the opposite side, the absorbable hydrophilic film minimizes tissue attachment to the mesh in case of direct contact with the viscera.)</Description><Size>Elliptical 40x24cm, 34x20cm</Size><SupplierCode>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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BA240</BillingCode><Name>Ventralight ST</Name><Description>Bioresorbable Barrier/Permanent Mesh</Description><Size>22.4 x 33.0cm oval</Size><SupplierCode>BA</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>194</SubCategoryID><GroupID>1783</GroupID><SubGroupID>5503</SubGroupID><Suffix>Coated</Suffix><ARTGs><ARTG>219332</ARTG></ARTGs><MinimumBenefit>1013</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2014-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>JJ454</BillingCode><Name>PROCEED Surgical Mesh</Name><Description>PROCEED Surgical Mesh T1</Description><Size>10x13 inches oval</Size><SupplierCode>JJ</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>AS237</BillingCode><Name>Symbotex Composite Mesh with pre placed suture</Name><Description>Non-absorbable three-dimensional polyester composite mesh with pre placed sutures. (Non absorbable pre-placed sutures are tied to the mesh. A died marking is positioned on the center of the textile and helps center and orient the mesh.)</Description><Size>Elliptical 40x24cm, Elliptical 34x20 cm</Size><SupplierCode>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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BA249</BillingCode><Name>Ventrio ST</Name><Description>Bioresorbable Barrier/Permanent Mesh</Description><Size>27.4 x 34.9cm oval</Size><SupplierCode>BA</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>194</SubCategoryID><GroupID>1783</GroupID><SubGroupID>5503</SubGroupID><Suffix>Coated</Suffix><ARTGs><ARTG>219324</ARTG></ARTGs><MinimumBenefit>1013</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2014-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>AA021</BillingCode><Name>4D VENTRAL COMPOSITE MESH </Name><Description>4D VENTRAL COMPOSITE MESH</Description><Size>30 X 30 </Size><SupplierCode>AA</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>194</SubCategoryID><GroupID>1783</GroupID><SubGroupID>5503</SubGroupID><Suffix>Coated</Suffix><ARTGs><ARTG>354550</ARTG></ARTGs><MinimumBenefit>1013</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BA244</BillingCode><Name>Ventralight ST with ECHO PS Positioning System</Name><Description>Bioresorbable Barrier/Permanent Mesh</Description><Size>25.4 x 33.0cm oval</Size><SupplierCode>BA</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>194</SubCategoryID><GroupID>1783</GroupID><SubGroupID>5503</SubGroupID><Suffix>Coated, Integrated Delivery System</Suffix><ARTGs><ARTG>219333</ARTG></ARTGs><MinimumBenefit>1121</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2014-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>JJ456</BillingCode><Name>PROCEED Surgical Mesh</Name><Description>PROCEED Surgical Mesh L1</Description><Size>12x12 inches</Size><SupplierCode>JJ</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>JJ455</BillingCode><Name>PROCEED Surgical Mesh</Name><Description>PROCEED Surgical Mesh W1</Description><Size>10x14 inches</Size><SupplierCode>JJ</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BA307</BillingCode><Name>Ventralight™ ST Mesh with Echo 2™ Positioning System </Name><Description>Ventralight™ ST Mesh is an abdominal hernia surgical mesh of composite-polymer, indicated for use in the reconstruction of soft tissue deficiencies, such as for the repair of hernias. The Echo 2™ Positioning System is intended to facilitate the delivery and positioning of the soft tissue prosthesis during laparoscopic hernia repair.</Description><Size>25cm x 33cm</Size><SupplierCode>BA</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>194</SubCategoryID><GroupID>1783</GroupID><SubGroupID>5503</SubGroupID><Suffix>Coated, Integrated Delivery System</Suffix><ARTGs><ARTG>365351</ARTG></ARTGs><MinimumBenefit>1121</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MS038</BillingCode><Name>Titanized Mesh Implants [TiLENE, TiMESH, TiLOOP Bra Pocket)</Name><Description>Prosthetic warp-knitted fabric made of monofil polypropylene threads with an encapsulating titanic coating</Description><Size>Weight: 16 g/m² - 65 g/m²; Surface Area: 601cm² - 1000cm²</Size><SupplierCode>MS</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>194</SubCategoryID><GroupID>1783</GroupID><SubGroupID>5503</SubGroupID><Suffix>Coated</Suffix><ARTGs><ARTG>97288</ARTG></ARTGs><MinimumBenefit>1013</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2007-06-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>JJ020</BillingCode><Name>Vicryl Mesh</Name><Description>1 sheet/box</Description><Size>Large - 30cm x 30cm</Size><SupplierCode>JJ</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>194</SubCategoryID><GroupID>1783</GroupID><SubGroupID>5503</SubGroupID><ARTGs><ARTG>143774</ARTG></ARTGs><MinimumBenefit>271</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>JJ470</BillingCode><Name>ULTRAPRO Mesh</Name><Description>ULTRAPRO Mesh L1</Description><Size>30x30cm</Size><SupplierCode>JJ</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>2025-03-01</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>JJ</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BA245</BillingCode><Name>Ventralight ST with ECHO PS positioning System</Name><Description>Bioresorbable Barrier/Permanent Mesh</Description><Size>30.5 x 35.6cm oval</Size><SupplierCode>BA</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>194</SubCategoryID><GroupID>1783</GroupID><SubGroupID>5505</SubGroupID><Suffix>Coated, Integrated Delivery System</Suffix><ARTGs><ARTG>219333</ARTG></ARTGs><MinimumBenefit>2996</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2014-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BA305</BillingCode><Name>Ventralight™ ST Mesh with Echo 2™ Positioning System </Name><Description>Ventralight™ ST Mesh is an abdominal hernia surgical mesh of composite-polymer, indicated for use in the reconstruction of soft tissue deficiencies, such as for the repair of hernias. The Echo 2™ Positioning System is intended to facilitate the delivery and positioning of the soft tissue prosthesis during laparoscopic hernia repair</Description><Size>30cm x 35cm</Size><SupplierCode>BA</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>194</SubCategoryID><GroupID>1783</GroupID><SubGroupID>5505</SubGroupID><Suffix>Coated, Integrated Delivery System</Suffix><ARTGs><ARTG>365351</ARTG></ARTGs><MinimumBenefit>2996</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BA241</BillingCode><Name>Ventralight ST</Name><Description>Bioresorbable Barrier/Permanent Mesh</Description><Size>30.5 x 35.6cm oval</Size><SupplierCode>BA</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>194</SubCategoryID><GroupID>1783</GroupID><SubGroupID>5505</SubGroupID><Suffix>Coated</Suffix><ARTGs><ARTG>219332</ARTG></ARTGs><MinimumBenefit>2875</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2014-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>AA022</BillingCode><Name>4D VENTRAL COMPOSITE MESH</Name><Description>4D VENTRAL COMPOSITE MESH</Description><Size>30 X 50 CM</Size><SupplierCode>AA</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>194</SubCategoryID><GroupID>1783</GroupID><SubGroupID>5505</SubGroupID><Suffix>Coated</Suffix><ARTGs><ARTG>354550</ARTG></ARTGs><MinimumBenefit>2875</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>AS231</BillingCode><Name>Symbotex Composite Mesh</Name><Description>Non-absorbable three-dimensional polyester composite mesh. On the opposite side, the absorbable hydrophilic film minimizes tissue attachment to the mesh in case of direct contact with the viscera.</Description><Size>Rectangular 42x32cm,
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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>AS226</BillingCode><Name>Symbotex Composite Mesh with pre placed suture</Name><Description>Non-absorbable three-dimensional polyester composite mesh with pre placed sutures. (Non absorbable pre-placed sutures are tied to the mesh. A died marking is positioned on the center of the textile and helps center and orient the mesh.)</Description><Size>Rectangular 42x32 cm, Rectangular 37x28 cm</Size><SupplierCode>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>2025-03-01</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BB086</BillingCode><Name>Celsite Epoxy Peritoneal Port</Name><Description>Epoxy/titanium</Description><Size>32x27x13mm</Size><SupplierCode>BB</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>188</SubCategoryID><GroupID>1522</GroupID><SubGroupID>4164</SubGroupID><ARTGs><ARTG>133738</ARTG></ARTGs><MinimumBenefit>424</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BB083</BillingCode><Name>Celsite Epoxy Dual Access Port</Name><Description>Dual lumen power injectable implanted port</Description><Size>Standard/small/baby</Size><SupplierCode>BB</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>188</SubCategoryID><GroupID>1522</GroupID><SubGroupID>4437</SubGroupID><ARTGs><ARTG>133738</ARTG></ARTGs><MinimumBenefit>555</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>XP002</BillingCode><PriorBillingCodes><PriorBillingCode>UW002</PriorBillingCode></PriorBillingCodes><Name>Axonics PNE Lead Implant Kit</Name><Description>Peripheral Nerve Evaluation Kit including lead, cables and implant tools</Description><Size>One size only</Size><SupplierCode>XP</SupplierCode><CategoryID>26</CategoryID><SubCategoryID>232</SubCategoryID><GroupID>1714</GroupID><SubGroupID>6036</SubGroupID><ARTGs><ARTG>298140</ARTG><ARTG>312912</ARTG></ARTGs><ChangeExplanation>
Billing code transferred from UW002
Sponsor transferred from PLEXUS RA PTY LTD</ChangeExplanation><MinimumBenefit>753</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2022-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MI169</BillingCode><Name>Interstim Trial Lead and Screener Kit </Name><Description>Trial lead and screener cables kit</Description><Size>One size only</Size><SupplierCode>MI</SupplierCode><CategoryID>26</CategoryID><SubCategoryID>232</SubCategoryID><GroupID>1714</GroupID><SubGroupID>6036</SubGroupID><ARTGs><ARTG>137440</ARTG></ARTGs><MinimumBenefit>753</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2015-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MI074</BillingCode><Name>Sacral Nerve Stimulation Lead</Name><Description>4 Electrode tined lead (Non-MRI and MRI Leads)</Description><Size>28 - 41cm</Size><SupplierCode>MI</SupplierCode><CategoryID>26</CategoryID><SubCategoryID>232</SubCategoryID><GroupID>1714</GroupID><SubGroupID>5339</SubGroupID><Suffix>tined</Suffix><ARTGs><ARTG>355030</ARTG><ARTG>355041</ARTG></ARTGs><MinimumBenefit>4199</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2013-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>XP007</BillingCode><PriorBillingCodes><PriorBillingCode>UW007</PriorBillingCode></PriorBillingCodes><Name>Axonics Tined Lead</Name><Description>Tined lead for sacral neuromodulation</Description><Size>One size only</Size><SupplierCode>XP</SupplierCode><CategoryID>26</CategoryID><SubCategoryID>232</SubCategoryID><GroupID>1714</GroupID><SubGroupID>5339</SubGroupID><Suffix>tined</Suffix><ARTGs><ARTG>297953</ARTG></ARTGs><ChangeExplanation>
Billing code transferred from UW007
Sponsor transferred from PLEXUS RA PTY LTD</ChangeExplanation><MinimumBenefit>4199</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2022-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>XP011</BillingCode><PriorBillingCodes><PriorBillingCode>UW011</PriorBillingCode></PriorBillingCodes><Name>Axonics PNE Lead</Name><Description>Trial Lead</Description><Size>One size only</Size><SupplierCode>XP</SupplierCode><CategoryID>26</CategoryID><SubCategoryID>232</SubCategoryID><GroupID>1714</GroupID><SubGroupID>5340</SubGroupID><ARTGs><ARTG>312912</ARTG></ARTGs><ChangeExplanation>
Billing code transferred from UW011
Sponsor transferred from PLEXUS RA PTY LTD</ChangeExplanation><MinimumBenefit>373</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2022-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MC185</BillingCode><Name>Sacral Nerve Stimulation Unilateral</Name><Description>Interstim Temporary test stimulation lead</Description><Size>Various</Size><SupplierCode>MI</SupplierCode><CategoryID>26</CategoryID><SubCategoryID>232</SubCategoryID><GroupID>1714</GroupID><SubGroupID>5340</SubGroupID><ARTGs><ARTG>137440</ARTG></ARTGs><MinimumBenefit>373</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>XP001</BillingCode><PriorBillingCodes><PriorBillingCode>UW001</PriorBillingCode></PriorBillingCodes><Name>Axonics Tined Lead Extension</Name><Description>Percutaneous extension</Description><Size>One size only</Size><SupplierCode>XP</SupplierCode><CategoryID>26</CategoryID><SubCategoryID>232</SubCategoryID><GroupID>1714</GroupID><SubGroupID>5341</SubGroupID><ARTGs><ARTG>325940</ARTG><ARTG>312913</ARTG></ARTGs><ChangeExplanation>
Billing code transferred from UW001
Sponsor transferred from PLEXUS RA PTY LTD</ChangeExplanation><MinimumBenefit>1434</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2022-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BI966</BillingCode><Name>Oxford Meniscal Knee System</Name><Description>Femoral Component, Porous HA Coated CoCr, Ti, HA</Description><Size>Extra Small - Extra Large</Size><SupplierCode>ZI</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>150</SubCategoryID><GroupID>1355</GroupID><SubGroupID>3920</SubGroupID><ARTGs><ARTG>206977</ARTG></ARTGs><MinimumBenefit>2180</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2008-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HT013</BillingCode><PriorBillingCodes><PriorBillingCode>TZ025</PriorBillingCode></PriorBillingCodes><Name>Genus Uni Cementless Co-Por Femoral Component</Name><Description>Genus Uni Cementless Femoral Component manufactured using CoPor - (CoCr powder manaufacturing) to provide a monolithic structure with three dimensional porous matrix at the bone interface which is then HA coated.</Description><Size>Sizes 1-6 RM/LL and LM/RL</Size><SupplierCode>HT</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>150</SubCategoryID><GroupID>1355</GroupID><SubGroupID>3920</SubGroupID><ARTGs><ARTG>287897</ARTG></ARTGs><MinimumBenefit>2180</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>JJ006</BillingCode><Name>Spongostan Absorbable Haemostat</Name><Description>Anal 20s (Box of 20)</Description><Size>80 x 30mm</Size><SupplierCode>JJ</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>191</SubCategoryID><GroupID>1553</GroupID><SubGroupID>4199</SubGroupID><Suffix>Anatomically Conforming</Suffix><ARTGs><ARTG>144852</ARTG></ARTGs><MinimumBenefit>15</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LH405</BillingCode><Name>Gelita-Spon Absorbable Gelatin Sponge-Gelita- Spon IR Sponge</Name><Description>Gelita- Spon IR is a sterile, single-use, fully bioabsorbable gelatin sponge indicated to achieve rapid haemostasis(e.g. surgically or trauma induced) by tamponade, and arterial embolisation. also indicated for use as a vehicle for a wide range of therapeutic agents including antibiotics, thrombin and chemotherapeutics without reduction in the sponge's haemostatic effect.</Description><Size>GS-322-Gelita-Spon IR Sponge; 200s-3x2x2mm                                                        GS- 344- Gelita- Spon IR Sponge; 100s-4x4x4mm</Size><SupplierCode>LH</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>191</SubCategoryID><GroupID>1553</GroupID><SubGroupID>4199</SubGroupID><ARTGs><ARTG>155094</ARTG></ARTGs><MinimumBenefit>8</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2009-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LH414</BillingCode><Name>Gelita-Spon Absorbable Gelatin Sponge-Gelita- Spon Standard</Name><Description>Gelita-Spon Standard is a sterile, single- use, fully bioabsorbable gelatin sponge indicated to achieve rapid haemostasis(e.g. surgically or trauma induced)by tamponade, and arterial embolisation . also indicated for use as a vehicle for a wide range of therapeutic agents, including antibiotics, thrombin and chemotherapeutics without reduction in the sponge's haemostatic effect.</Description><Size>GS-010-Gelita-Spon Standard; 10s-80x50x10m       GS-060-Gelita-Spon Standard Size 12-7; 10s-60x20x7mm                                                                       GS-060-Gelita-Spon Standard Size 12-7; 10s-60x20x7mm                                                                       GS-650- Gelita Spon Standard Size 200; 10s-125x80x10mm                                                                  GS-110-Gelita-Spon Standard Size Special 20; 20s-80x50x1mm                                                              GS-950-Gelita-Spon Standard Film; 20s-200x70x0.5mm</Size><SupplierCode>LH</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>191</SubCategoryID><GroupID>1553</GroupID><SubGroupID>4199</SubGroupID><ARTGs><ARTG>155096</ARTG></ARTGs><MinimumBenefit>8</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2009-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>JJ007</BillingCode><Name>Spongostan Absorbable Haemostat</Name><Description>Anal 5s (Box of 5)</Description><Size>80 x 30mm</Size><SupplierCode>JJ</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>191</SubCategoryID><GroupID>1553</GroupID><SubGroupID>4199</SubGroupID><Suffix>Anatomically Conforming</Suffix><ARTGs><ARTG>144852</ARTG></ARTGs><MinimumBenefit>15</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>PU059</BillingCode><Name>Gelfoam Sterile Sponge</Name><Description>Sterile, pliable, nonantigenic surgical sponge prepared from specially treated purified gelatine solution</Description><Size>12 - 20mm x 60mm x 7mm, individually packaged for use</Size><SupplierCode>PU</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>191</SubCategoryID><GroupID>1553</GroupID><SubGroupID>4199</SubGroupID><Suffix>Low Antigenicity</Suffix><ARTGs><ARTG>17051</ARTG></ARTGs><MinimumBenefit>15</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2010-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LH410</BillingCode><Name>Gelita-Spon Absorbable Gelatin Sponge Anal-Vaginal Tampon</Name><Description>'Gelita-Spon Anal-Vaginal Tampon is a sterile, single use, fully bioabsorbable gelatin sponge  indicated to achieve rapid haemostasis by tamponade, also indicated for use as a vehicle for a wide range of therapeutic agents, including antibiotics, thrombin and chemotherapeutics without reduction in the sponge's haemostatic effect.</Description><Size>3x8cm</Size><SupplierCode>LH</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>191</SubCategoryID><GroupID>1553</GroupID><SubGroupID>4199</SubGroupID><ARTGs><ARTG>155095</ARTG></ARTGs><MinimumBenefit>8</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2009-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>JJ003</BillingCode><Name>Spongostan Absorbable Haemostat</Name><Description>Standard (Box of 20)</Description><Size>70 x 50 x 10mm</Size><SupplierCode>JJ</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>191</SubCategoryID><GroupID>1553</GroupID><SubGroupID>4199</SubGroupID><ARTGs><ARTG>144852</ARTG></ARTGs><MinimumBenefit>8</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>JJ005</BillingCode><Name>Spongostan Absorbable Haemostat</Name><Description>Special (Box of 20)</Description><Size>70 x 50 x 1mm</Size><SupplierCode>JJ</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>191</SubCategoryID><GroupID>1553</GroupID><SubGroupID>4199</SubGroupID><ARTGs><ARTG>144852</ARTG></ARTGs><MinimumBenefit>8</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>JJ015</BillingCode><Name>Spongostan Absorbable Haemostat</Name><Description>Dental (Box of 24)</Description><Size>10 x 10 x 10mm</Size><SupplierCode>JJ</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>191</SubCategoryID><GroupID>1553</GroupID><SubGroupID>4199</SubGroupID><ARTGs><ARTG>144852</ARTG></ARTGs><MinimumBenefit>8</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LH412</BillingCode><Name>Gelita-Spon Absorbable Gelatin Sponge-Gelita- Spon Dental Cube</Name><Description>Gelita-Spon Dental Cube is a  sterile, single-use, indicated to achieve rapid haemostasis dental surgery (oral bone and soft tissue), a void filler to mitigate against the risk of sclerosis created by tooth extraction, root amputations, and the removal of cysts, tumours and impacted teeth.  its absorptive capacity being a function of the amount of gelatin incorporated and, hence, the physical size of the sponge. also indicated for use as a vehicle for a wide range of therapeutic agents.</Description><Size>GS-310 - Gelita-Spon Dental Cubes; 50s - 10 x 10 x 10mm</Size><SupplierCode>LH</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>191</SubCategoryID><GroupID>1553</GroupID><SubGroupID>4199</SubGroupID><ARTGs><ARTG>155093</ARTG></ARTGs><MinimumBenefit>8</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2009-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LH411</BillingCode><Name>Gelita-Spon Absorbable Gelatin Sponge - Gelita-Spon ENT Sponge</Name><Description>GelitaSpon  ENT Sponge is a sterile, single use, water insoluble, fully bioabsorbable, firm, high-density gelatin sponge  indicated to achieve rapid haemostasis during ENT surgery .</Description><Size>8x5x1 cm &amp; 1x1x1cm</Size><SupplierCode>LH</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>191</SubCategoryID><GroupID>1553</GroupID><SubGroupID>4199</SubGroupID><ARTGs><ARTG>155092</ARTG></ARTGs><MinimumBenefit>8</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2009-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>JJ004</BillingCode><Name>Spongostan Absorbable Haemostat</Name><Description>Film (Box of 20)</Description><Size>200 x 70 x 0.5mm</Size><SupplierCode>JJ</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>191</SubCategoryID><GroupID>1553</GroupID><SubGroupID>4200</SubGroupID><ARTGs><ARTG>144852</ARTG></ARTGs><MinimumBenefit>27</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>PU060</BillingCode><Name>Gelfoam Sterile Sponge</Name><Description>Sterile, pliable, nonantigenic surgical sponge prepared from specially treated purified gelatine solution</Description><Size>100 - 80mm x 125mm x 10mm in individual packet</Size><SupplierCode>PU</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>191</SubCategoryID><GroupID>1553</GroupID><SubGroupID>4200</SubGroupID><Suffix>Low Antigenicity</Suffix><ARTGs><ARTG>17051</ARTG></ARTGs><MinimumBenefit>64</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2010-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>JJ616</BillingCode><Name>Global AP Shoulder</Name><Description>Ball Taper Adjustable Neck Assembly</Description><Size>N/A</Size><SupplierCode>JJ</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>2025-03-01</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><MinimumBenefit>998</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2010-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HW869</BillingCode><PriorBillingCodes><PriorBillingCode>WR339</PriorBillingCode></PriorBillingCodes><Name>Aequalis Reversed Shoulder Eccentric humeral Insert (High Mobility Cup)</Name><Description>Eccentric Humeral Insert (High Mobility Cup) for Aequalis Reversed Shoulder</Description><Size>36mm and 42mm, 2mm eccentric +6mm and +9mm, 4mm eccentric +9mm and +12mm</Size><SupplierCode>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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ZA110</BillingCode><Name>Comprehensive Reverse Humeral Cup</Name><Description>Humeral Cup</Description><Size>Standard or Retentive</Size><SupplierCode>ZI</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HW950</BillingCode><PriorBillingCodes><PriorBillingCode>WR439</PriorBillingCode></PriorBillingCodes><Name>Aequalis Ascend Flex Reversed Insert</Name><Description>Reversed insert/ retentive reversed insert - UHMWPE and Ti Alloy</Description><Size>Diameter: 33mm, 36mm, 39mm, 42mm  Thickness: 6mm, 9mm  Angulation: 7.5º, 12.5º, 17.5º</Size><SupplierCode>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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MN170</BillingCode><Name>Delta Xtend Reverse Shoulder System - Humeral Cup</Name><Description>High Mobility, Standard and Retentive polyethylene humeral cup</Description><Size>Diameter 38 – 42mm, +3 – +9 mm</Size><SupplierCode>JJ</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>131</SubCategoryID><GroupID>1276</GroupID><SubGroupID>4069</SubGroupID><ARTGs><ARTG>307889</ARTG><ARTG>307890</ARTG><ARTG>307891</ARTG></ARTGs><ChangeExplanation>Change to Product name, ARTG, Description, Size</ChangeExplanation><MinimumBenefit>774</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Update</ActionFlag><CycleStartDate>2013-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LC176</BillingCode><Name>SMR Reverse Liner (Cup) UHMWPE X-Lima</Name><Description>Reverse Liner UHMWPE X-Lima</Description><Size>36mm x +3/+6mm Standard &amp; Retentive</Size><SupplierCode>LC</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>131</SubCategoryID><GroupID>1276</GroupID><SubGroupID>4069</SubGroupID><ARTGs><ARTG>212774</ARTG></ARTGs><MinimumBenefit>774</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2014-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BH055</BillingCode><Name>Comprehensive shoulder - reverse humeral cup</Name><Description>Reverse shoulder humeral bearing, highly cross linked UHMWPE</Description><Size>(Standard or Retentive) x (std, +3) x (36 to 41)mm</Size><SupplierCode>ZI</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>2025-03-01</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>210914</ARTG><ARTG>210933</ARTG></ARTGs><MinimumBenefit>774</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2010-02-01</CycleStartDate><CycleEndDate>2025-03-01</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><MinimumBenefit>774</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2023-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>EX048</BillingCode><Name>Equinoxe Humeral Liner</Name><Description>The Equinoxe Reverse Shoulder System includes a reverse semi-constrained prosthesis for use in total-shoulder joint replacement procedures in cases with an irreparable or nonfunctional rotator cuff.</Description><Size>Liner: 36mm+0, 36mm+2.5, 38mm+0, 38mm+2.5, 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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LC177</BillingCode><Name>SMR Reverse Liner (Cup) CoCrMo</Name><Description>Reverse Liner Standard &amp; Excentric CoCrMo</Description><Size>Dia 40 - 44mm x Short to Long</Size><SupplierCode>LC</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>131</SubCategoryID><GroupID>1276</GroupID><SubGroupID>4069</SubGroupID><ARTGs><ARTG>212775</ARTG></ARTGs><MinimumBenefit>774</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2014-02-01</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MA532</BillingCode><Name>Affinis Inverse inlay</Name><Description>Humeral Cup</Description><Size>36+0 to 42+6mm</Size><SupplierCode>MA</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>131</SubCategoryID><GroupID>1276</GroupID><SubGroupID>4069</SubGroupID><ARTGs><ARTG>215500</ARTG></ARTGs><MinimumBenefit>774</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-08-01</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ZI577</BillingCode><Name>Anatomical Shoulder</Name><Description>Anatomical Inverse/Reverse Humeral Poly inlay</Description><Size>36mm x 0, 3 &amp; 6mm; 40mm x 0, 3 &amp; 6mm.</Size><SupplierCode>ZI</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>131</SubCategoryID><GroupID>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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BH342</BillingCode><Name>Comprehensive Segmental Revision System (SRS)</Name><Description>Comprehensive SRS Humeral Coupler</Description><Size>100mm</Size><SupplierCode>ZI</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BH343</BillingCode><Name>Comprehensive Segmental Revision System (SRS)</Name><Description>Comprehensive SRS Anti Rotation Intercalary Segment</Description><Size>30mm</Size><SupplierCode>ZI</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>2025-03-01</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LC042</BillingCode><Name>SMR Shoulder System</Name><Description>Short and Revision Cemented Stem</Description><Size>Dia 12-20mm x length 80-210mm</Size><SupplierCode>LC</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>131</SubCategoryID><GroupID>1276</GroupID><SubGroupID>4063</SubGroupID><ARTGs><ARTG>218715</ARTG><ARTG>218783</ARTG></ARTGs><MinimumBenefit>3755</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2009-08-01</CycleStartDate><CycleEndDate>2025-03-01</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>ZI</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>2025-03-01</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MA479</BillingCode><Name>Affinis Shoulder System</Name><Description>Affinis Fracture Stem - diaphyseal, cemented, short</Description><Size>6/125, 9/125, 12/125, 12/125, 9/200, 12/200</Size><SupplierCode>MA</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>131</SubCategoryID><GroupID>1276</GroupID><SubGroupID>4063</SubGroupID><ARTGs><ARTG>219731</ARTG></ARTGs><MinimumBenefit>3755</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2007-12-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>EX051</BillingCode><Name>Equinoxe Humeral Long Stem</Name><Description>The long/revision stem is intended for cemented fixation only. The long/revision stem is advised when the distal bone quality is insufficient to adequately anchor the primary stems (typically as a result of mid-humeral fractures)</Description><Size>8x175mm, 8x215mm, 10x200mm, 12x200mm</Size><SupplierCode>FA</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>131</SubCategoryID><GroupID>1276</GroupID><SubGroupID>4063</SubGroupID><ARTGs><ARTG>264382</ARTG></ARTGs><MinimumBenefit>3755</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2010-02-01</CycleStartDate><CycleEndDate>2025-03-01</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>JJ</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HW967</BillingCode><PriorBillingCodes><PriorBillingCode>WR458</PriorBillingCode></PriorBillingCodes><Name>Aequalis Ascend Flex Cemented Humeral Stem</Name><Description>Convertible humeral stem for cemented used</Description><Size>Length: 66mm, 74mm, 82mm, 88mm, 90mm, 98mm, 109mm, 120mm.    Size: 2 to 8.     Angulation: 127.5º, 132.5º, 137.5º</Size><SupplierCode>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>2025-03-01</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>JJ</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HW889</BillingCode><PriorBillingCodes><PriorBillingCode>WR361</PriorBillingCode></PriorBillingCodes><Name>Aequalis Reversed Shoulder, Cemented Stem</Name><Description>Aequalis Reversed Shoulder prosthesis, Cemented Stem, CoCr</Description><Size>Diam 6.5mm to 15mm, Length 100 to 210mm</Size><SupplierCode>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>2025-03-01</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>JJ</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BH341</BillingCode><Name>Comprehensive Segmental Revision System (SRS)</Name><Description>Comprehensive SRS Intercalary Segment</Description><Size>30-120mm</Size><SupplierCode>ZI</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HU259</BillingCode><PriorBillingCodes><PriorBillingCode>DE258</PriorBillingCode></PriorBillingCodes><Name>Eclipse Humeral Head Prosthesis</Name><Description>Eclipse Humeral Head Prosthesis Cage Screw</Description><Size>Small - X-Large</Size><SupplierCode>HU</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>131</SubCategoryID><GroupID>1276</GroupID><SubGroupID>4064</SubGroupID><ARTGs><ARTG>308799</ARTG></ARTGs><MinimumBenefit>2660</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HW890</BillingCode><PriorBillingCodes><PriorBillingCode>WR362</PriorBillingCode></PriorBillingCodes><Name>Aequalis Reversed Shoulder, Cementless Stem</Name><Description>Aequalis Reversed Shoulder prosthetis, Cementless stem Ti, HA Coated</Description><Size>Diam 6.5mm to 154mm, Length 100mm to 210mm</Size><SupplierCode>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>2025-03-01</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>2025-03-01</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LC179</BillingCode><Name>SMR Resurfacing Humeral Stem</Name><Description>Resurfacing Humeral Stem Ti6AI4V - Uncemented</Description><Size>Dia 11-13mm x length 32-36mm</Size><SupplierCode>LC</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>131</SubCategoryID><GroupID>1276</GroupID><SubGroupID>4064</SubGroupID><ARTGs><ARTG>211983</ARTG></ARTGs><MinimumBenefit>2660</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2014-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MA480</BillingCode><Name>Affinis Humeral Head</Name><Description>Affinis Humeral Head - Ceramic</Description><Size>39 to 53</Size><SupplierCode>MA</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>131</SubCategoryID><GroupID>1276</GroupID><SubGroupID>4067</SubGroupID><Suffix>Cer</Suffix><ARTGs><ARTG>215501</ARTG><ARTG>215480</ARTG></ARTGs><MinimumBenefit>1449</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2007-12-01</CycleStartDate><CycleEndDate>2025-03-01</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>JJ</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LC181</BillingCode><Name>SMR CTA Humeral Head</Name><Description>CTA Humeral Head CoCRMo</Description><Size>42 - 54mm</Size><SupplierCode>LC</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>131</SubCategoryID><GroupID>1276</GroupID><SubGroupID>4067</SubGroupID><Suffix>EL</Suffix><ARTGs><ARTG>211950</ARTG></ARTGs><MinimumBenefit>3941</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2014-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>EX058</BillingCode><Name>Equinoxe Humeral Head</Name><Description>The humeral head is used in hemi-shoulder and total-shoulder joint replacement procedures and for use in fractures of the proximal humerus and for use in total-shoulder joint replacement procedures in conjunction with an irreparable or nonfunctional rotator cuff. Multiple head heights for each diameter provides surgeon flexibility in patients with soft tissue challenges</Description><Size>38mm - 53mm</Size><SupplierCode>FA</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>131</SubCategoryID><GroupID>1276</GroupID><SubGroupID>4067</SubGroupID><ARTGs><ARTG>265513</ARTG></ARTGs><MinimumBenefit>1261</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2010-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HW863</BillingCode><PriorBillingCodes><PriorBillingCode>WR332</PriorBillingCode></PriorBillingCodes><Name>Aequalis Primary Shoulder Prostheses</Name><Description>Aequalis Primary Eccentric Humeral Head, CoCr</Description><Size>Diameter: 37, 39, 41, 43, 46, 48, 50, 52, 54mm</Size><SupplierCode>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>2025-03-01</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>ZI</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ST672</BillingCode><Name>Osteonics Solar Shoulder Prostheses </Name><Description>Humeral head polyethylene</Description><Size>40-55mm by 12-34mm</Size><SupplierCode>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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>JJ554</BillingCode><Name>DELTA Xtend</Name><Description>Delta Xtend CTA Head Extended Lip</Description><Size>48 + 52; 21, 26mm</Size><SupplierCode>JJ</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LC180</BillingCode><Name>SMR Humeral Head</Name><Description>Humeral Head CoCrMo</Description><Size>Diameter (mm) 38 to 54  Offset 2 - 7 mm Eccentric  Shape Standard or Flattened</Size><SupplierCode>LC</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>131</SubCategoryID><GroupID>1276</GroupID><SubGroupID>4067</SubGroupID><ARTGs><ARTG>221715</ARTG></ARTGs><MinimumBenefit>1261</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2014-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>JJ965</BillingCode><Name>Global Shoulder System</Name><Description>Humeral heads</Description><Size>40–56mm</Size><SupplierCode>JJ</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HW214</BillingCode><Name>Howmedica Modular Resection System</Name><Description>Humeral Head Fixed -  Vitallium</Description><Size>One size only</Size><SupplierCode>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>2025-03-01</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><MinimumBenefit>1261</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2010-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HU260</BillingCode><PriorBillingCodes><PriorBillingCode>DE174</PriorBillingCode></PriorBillingCodes><Name>Univers Fracture Prostheses</Name><Description>Metal head</Description><Size>43/15 - 51/22</Size><SupplierCode>HU</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>131</SubCategoryID><GroupID>1276</GroupID><SubGroupID>4067</SubGroupID><ARTGs><ARTG>308825</ARTG><ARTG>308824</ARTG></ARTGs><MinimumBenefit>1261</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ST673</BillingCode><Name>Osteonics Solar Shoulder Prostheses</Name><Description>Dual offset humeral head polyethylene</Description><Size>40,45,50mm Diameter by 15, 18, 21mm Thickness</Size><SupplierCode>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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ST027</BillingCode><Name>Solar Total Shoulder System</Name><Description>Dual Offset Humeral Heads</Description><Size>40-50mm diameter, 15-21mm thickness</Size><SupplierCode>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>2025-03-01</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HW949</BillingCode><PriorBillingCodes><PriorBillingCode>WR438</PriorBillingCode></PriorBillingCodes><Name>Aequalis Ascend Flex Humeral Head</Name><Description>Cobalt chrome humeral head</Description><Size>Diameter: 37mm, 39mm, 41mm, 43mm, 46mm, 48mm, 50mm, 52mm, 54mm  Height: 13.5mm, 14mm, 15mm, 16mm, 17mm, 18mm, 19mm, 23mm, 27mm  Offset: 1.5mm, 3.5mm, 4mm</Size><SupplierCode>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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HW945</BillingCode><PriorBillingCodes><PriorBillingCode>WR434</PriorBillingCode></PriorBillingCodes><Name>Simpliciti - Humeral Head</Name><Description>Anatomic humeral head, centred, CoCr</Description><Size>39 x 14, 41 x 15, 43 x 16, 46 x 17, 48 x 18, 50 x 16, 50 x 19, 52 x 19, 52 x 23</Size><SupplierCode>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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BH349</BillingCode><Name>Comprehensive Segmental Revision System (SRS)</Name><Description>Comprehensive SRS Super EAS Head</Description><Size>Length (mm) 15-22,  Diameter (mm) 40-54</Size><SupplierCode>ZI</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>2025-03-01</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>JJ</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>2025-03-01</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>DP962</BillingCode><Name>Delta Shoulder system</Name><Description>DELTA Humeral Head INOX / ST.Steel / Nichtrostender St.</Description><Size>36 - 42 mm in +0-+4</Size><SupplierCode>JJ</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MA448</BillingCode><Name>Affinis Total Shoulder</Name><Description>Humeral Head - CoCr</Description><Size>Diameter 39, 41, 43, 45, 47, 49, 51, 53mm</Size><SupplierCode>MA</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>131</SubCategoryID><GroupID>1276</GroupID><SubGroupID>4067</SubGroupID><ARTGs><ARTG>220762</ARTG></ARTGs><MinimumBenefit>1261</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LC183</BillingCode><Name>SMR Resurfacing CTA Humeral Head</Name><Description>CTA Resurfacing Humeral Head CoCrMo +Poro+Ti+Ha Coated</Description><Size>42 - 54mm</Size><SupplierCode>LC</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>131</SubCategoryID><GroupID>1276</GroupID><SubGroupID>4068</SubGroupID><Suffix>EL</Suffix><ARTGs><ARTG>211951</ARTG></ARTGs><MinimumBenefit>5220</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2014-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HW868</BillingCode><PriorBillingCodes><PriorBillingCode>WR338</PriorBillingCode></PriorBillingCodes><Name>Aequalis Resurfacing Shoulder</Name><Description>Resurfacing humeral head</Description><Size>12 head sizes from 37mm x 13.5mm to 54mm x 27mm, 3 stem lengths: 30, 35 and 40mm</Size><SupplierCode>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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>JJ787</BillingCode><Name>Global CAP Resurfacing Humeral Head Implant</Name><Description>Global CAP Conservative Anatomical Prosthesis (Shoulder Humeral Head Surface Replacement)</Description><Size>40-56mm Diameter</Size><SupplierCode>JJ</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LC182</BillingCode><Name>SMR Resurfacing Humeral Head</Name><Description>Resurfacing Humeral Head CoCrMo + Poro+Ti+HA coated</Description><Size>42 - 54mm</Size><SupplierCode>LC</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>131</SubCategoryID><GroupID>1276</GroupID><SubGroupID>4068</SubGroupID><ARTGs><ARTG>211982</ARTG></ARTGs><MinimumBenefit>3040</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2014-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HW875</BillingCode><PriorBillingCodes><PriorBillingCode>WR345</PriorBillingCode></PriorBillingCodes><Name>Aequalis Reversed Fracture Shoulder - Revision</Name><Description>Monobloc Humeral Stem CoCr and HA coated proximally</Description><Size>Length 170, 180 or 210mm Dia 7 9 11 13mm</Size><SupplierCode>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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LC044</BillingCode><Name>SMR Large Resection Stem</Name><Description>Resection Stem Large Ti6AI4V</Description><Size>7-10mm Dia x 50-80 Height</Size><SupplierCode>LC</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>131</SubCategoryID><GroupID>1276</GroupID><SubGroupID>4057</SubGroupID><ARTGs><ARTG>211984</ARTG></ARTGs><MinimumBenefit>3771</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2009-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MA526</BillingCode><Name>Affinis Inverse Stem, cemented</Name><Description>Humeral component - cemented. Monoblock primary stem for reverse inlay</Description><Size>6,9,12,15mm</Size><SupplierCode>MA</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>131</SubCategoryID><GroupID>1276</GroupID><SubGroupID>4057</SubGroupID><Suffix>Reverse</Suffix><ARTGs><ARTG>215275</ARTG></ARTGs><MinimumBenefit>6301</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>JJ971</BillingCode><Name>DELTA Xtend</Name><Description>Monoblock Humeral Stem</Description><Size>8-14mm</Size><SupplierCode>JJ</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>131</SubCategoryID><GroupID>1276</GroupID><SubGroupID>4057</SubGroupID><Suffix>Reverse</Suffix><ARTGs><ARTG>307886</ARTG></ARTGs><ChangeExplanation>Change to ARTG</ChangeExplanation><MinimumBenefit>6301</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Update</ActionFlag><CycleStartDate>2015-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MA528</BillingCode><Name>Affinis Inverse revision stem, cemented</Name><Description>Monoblock Revision Humeral Stem</Description><Size>6x180 to 12x230mm</Size><SupplierCode>MA</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>131</SubCategoryID><GroupID>1276</GroupID><SubGroupID>4057</SubGroupID><Suffix>Reverse</Suffix><ARTGs><ARTG>224955</ARTG></ARTGs><MinimumBenefit>6301</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MA523</BillingCode><Name>Affinis Shoulder System</Name><Description>Stem Cemented - adjustable cone</Description><Size>6, 9, 12 and 15mm</Size><SupplierCode>MA</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>131</SubCategoryID><GroupID>1276</GroupID><SubGroupID>4057</SubGroupID><ARTGs><ARTG>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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HW874</BillingCode><PriorBillingCodes><PriorBillingCode>WR344</PriorBillingCode></PriorBillingCodes><Name>Aequalis Reversed fracture-standard</Name><Description>Monobloc Humeral Stem CoCr cemented</Description><Size>Length 130mm Dia 7 9 11 13 15</Size><SupplierCode>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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>JJ969</BillingCode><Name>Global Shoulder System</Name><Description>Humeral Stem</Description><Size>6-16mm</Size><SupplierCode>JJ</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BI884</BillingCode><Name>Comprehensive Fracture Stem</Name><Description>Fracture Stem Cobalt Chrome, Titanium</Description><Size>4,6,8,10,12,14mm</Size><SupplierCode>ZI</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>EX055</BillingCode><Name>Equinoxe Humeral Stem, Fracture</Name><Description>The fracture stem is intended for cemented fixation only and is advised for 3 &amp; 4 part fractures of the proximal humerus</Description><Size>Fracture: left: 6.5mm - 12.5mm, right 6.5mm- 12.5mm Long stem fracture: left
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>2025-03-01</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><MinimumBenefit>3771</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2010-02-01</CycleStartDate><CycleEndDate>2025-03-01</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><MinimumBenefit>6301</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BH047</BillingCode><Name>Comprehensive Shoulder System</Name><Description>Humeral Stems, standard, mini, micro and revision, porous coated, Ti</Description><Size>4mm to 20mm Diameter</Size><SupplierCode>ZI</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>131</SubCategoryID><GroupID>1276</GroupID><SubGroupID>4058</SubGroupID><ARTGs><ARTG>262959</ARTG><ARTG>227906</ARTG><ARTG>218352</ARTG></ARTGs><MinimumBenefit>3325</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2010-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ZA017</BillingCode><Name>Comprehensive Nano Humeral Component</Name><Description>stemless humeral component</Description><Size>30-40mm</Size><SupplierCode>ZI</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>2025-03-01</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>2025-03-01</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>2025-03-01</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>210915</ARTG><ARTG>210917</ARTG></ARTGs><MinimumBenefit>3325</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2010-02-01</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HU257</BillingCode><PriorBillingCodes><PriorBillingCode>DE173</PriorBillingCode></PriorBillingCodes><Name>Univers Fracture Prostheses</Name><Description>Shaft</Description><Size>8-13mm</Size><SupplierCode>HU</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>131</SubCategoryID><GroupID>1276</GroupID><SubGroupID>4058</SubGroupID><ARTGs><ARTG>308823</ARTG></ARTGs><MinimumBenefit>3325</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-07-01</CycleStartDate><CycleEndDate>2025-03-01</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>JJ</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HW946</BillingCode><PriorBillingCodes><PriorBillingCode>WR435</PriorBillingCode></PriorBillingCodes><Name>Simpliciti - Nucleus</Name><Description>Uncemented humeral component, titanium, coated with a sintered titanium CP Ti bead coating</Description><Size>1,2,3</Size><SupplierCode>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>2025-03-01</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>283579</ARTG><ARTG>283578</ARTG></ARTGs><MinimumBenefit>6013</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SQ119</BillingCode><Name>Verso Shoulder System - Humeral Shell</Name><Description>Verso Shoulder Humeral Shell</Description><Size>Standard &amp; Stemmed</Size><SupplierCode>SQ</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>131</SubCategoryID><GroupID>1276</GroupID><SubGroupID>4058</SubGroupID><Suffix>Reverse</Suffix><ARTGs><ARTG>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>2025-03-01</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><MinimumBenefit>6013</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2019-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ZI528</BillingCode><Name>Zimmer Trabecular Metal Reverse Shoulder System</Name><Description>Trabecular Metal Humeral Stem Titanium Alloy and Tantalum</Description><Size>8mm-18mm x 130mm-170mm</Size><SupplierCode>ZI</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>131</SubCategoryID><GroupID>1276</GroupID><SubGroupID>4058</SubGroupID><Suffix>Reverse</Suffix><ARTGs><ARTG>230880</ARTG><ARTG>228451</ARTG></ARTGs><MinimumBenefit>6013</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2006-11-30</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MA529</BillingCode><Name>Affinis Inverse Revision stem, uncemented</Name><Description>Monoblock Revision Humeral Stem</Description><Size>6 to 12 x180 to 230mm</Size><SupplierCode>MA</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>131</SubCategoryID><GroupID>1276</GroupID><SubGroupID>4058</SubGroupID><Suffix>Reverse</Suffix><ARTGs><ARTG>238292</ARTG></ARTGs><MinimumBenefit>6013</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MA527</BillingCode><Name>Affinis Inverse Stem, uncemented</Name><Description>Monoblock Humeral Stem</Description><Size>6 to 15 mm</Size><SupplierCode>MA</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>131</SubCategoryID><GroupID>1276</GroupID><SubGroupID>4058</SubGroupID><Suffix>Reverse</Suffix><ARTGs><ARTG>215274</ARTG></ARTGs><MinimumBenefit>6013</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MN374</BillingCode><Name>Global Shoulder System</Name><Description>Humeral Stem</Description><Size>6-16mm</Size><SupplierCode>JJ</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>131</SubCategoryID><GroupID>1276</GroupID><SubGroupID>4058</SubGroupID><ARTGs><ARTG>223854</ARTG><ARTG>234874</ARTG><ARTG>234875</ARTG></ARTGs><MinimumBenefit>3325</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2023-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MA522</BillingCode><Name>Affinis Shoulder System</Name><Description>Stem Cementless - Titanium, adjustable cone</Description><Size>6, 7.5, 9, 10.5, 12, 13.5 and 15mm</Size><SupplierCode>MA</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>131</SubCategoryID><GroupID>1276</GroupID><SubGroupID>4058</SubGroupID><ARTGs><ARTG>219395</ARTG></ARTGs><MinimumBenefit>3325</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2011-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HW867</BillingCode><PriorBillingCodes><PriorBillingCode>WR337</PriorBillingCode></PriorBillingCodes><Name>Aequalis Fracture Shoulder HA Coated</Name><Description>Fracture shoulder humeral stem Cobalt Chrome, HA coated</Description><Size>Diam 6.5mm - 130mm and 170mm lengths, Diam 9mm - 130mm, 180mm and 210mm lengths. Diam 12mm - 130mm, 180mm and 210mm lengths</Size><SupplierCode>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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MA543</BillingCode><Name>Affinis Shoulder System – Humeral Stem</Name><Description>Humeral stem and trunion, uncemented, Ti with Ti Plasma Spray and CaP coating</Description><Size>1-6</Size><SupplierCode>MA</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>131</SubCategoryID><GroupID>1276</GroupID><SubGroupID>4058</SubGroupID><ARTGs><ARTG>215479</ARTG></ARTGs><MinimumBenefit>3325</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2015-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HW948</BillingCode><PriorBillingCodes><PriorBillingCode>WR437</PriorBillingCode></PriorBillingCodes><Name>Aequalis Ascend Flex PTC Humeral Stem</Name><Description>Convertible humeral stem with proximal PTC titanium plasma spray coating</Description><Size>Length: 66mm, 70mm, 74mm, 78mm, 82mm, 86mm, 88mm, 90mm, 93mm, 94mm, 98mm, 104mm, 109mm, 115mm, 120mm, 125mm, 130mm  Sizes: 1 to 9  Angulation: 127.5º, 132.5º, 137.5º</Size><SupplierCode>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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ST674</BillingCode><Name>Osteonics Solar Shoulder Prostheses </Name><Description>Humeral stem polyethylene</Description><Size>3,5,7,9,11</Size><SupplierCode>JV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>131</SubCategoryID><GroupID>1276</GroupID><SubGroupID>4058</SubGroupID><ARTGs><ARTG>128449</ARTG><ARTG>12875</ARTG></ARTGs><MinimumBenefit>3325</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>FA007</BillingCode><Name>Equinoxe Humeral Stem, Primary, Press-Fit</Name><Description>Press-Fit Humeral Stem</Description><Size>7 – 19mm</Size><SupplierCode>FA</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>131</SubCategoryID><GroupID>1276</GroupID><SubGroupID>4058</SubGroupID><ARTGs><ARTG>244995</ARTG></ARTGs><MinimumBenefit>3325</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-08-01</CycleStartDate><CycleEndDate>2025-03-01</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><MinimumBenefit>2314</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2010-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BH339</BillingCode><Name>Comprehensive Segmental Revision System (SRS)</Name><Description>Comprepehnsive SRS Proximal Body</Description><Size>42mm to 68mm</Size><SupplierCode>ZI</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BH340</BillingCode><Name>Comprehensive Segmental Revision System (SRS)</Name><Description>Comprehensive SRS Tumour Body</Description><Size>51mm to 71mm</Size><SupplierCode>ZI</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>2025-03-01</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MA536</BillingCode><Name>Affinis Fracture Inverse</Name><Description>Metaphyseal body with Ti plama spray plus CaPcoating- includes humeralcup with CoCr bearing surface</Description><Size>39 to 42</Size><SupplierCode>MA</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>131</SubCategoryID><GroupID>1276</GroupID><SubGroupID>4060</SubGroupID><ARTGs><ARTG>224971</ARTG></ARTGs><MinimumBenefit>2451</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HU258</BillingCode><PriorBillingCodes><PriorBillingCode>DE256</PriorBillingCode></PriorBillingCodes><Name>Eclipse Humeral Head Prosthesis</Name><Description>Eclipse Humeral Head Prosthesis Trunnion</Description><Size>41 - 53mm</Size><SupplierCode>HU</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>131</SubCategoryID><GroupID>1276</GroupID><SubGroupID>4060</SubGroupID><ARTGs><ARTG>308802</ARTG></ARTGs><MinimumBenefit>2451</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LC189</BillingCode><Name>SMR Reverse Humeral Body with Locking Screw</Name><Description>SMR  Humeral Body -Reverse</Description><Size>Reverse Humeral body - short;  Reverse humeral body - finned;  Reverse humeral body - Standard HA Coated; 140° Reverse Humeral body - short; 140° Reverse humeral body - finned;  140°Reverse humeral body - Standard HA Coated</Size><SupplierCode>LC</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>131</SubCategoryID><GroupID>1276</GroupID><SubGroupID>4060</SubGroupID><Suffix>Reverse</Suffix><ARTGs><ARTG>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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MA481</BillingCode><Name>Affinis Shoulder System</Name><Description>Affinis Fracture Stem - metaphyseal, uncemented</Description><Size>15.5, Part 2- 18</Size><SupplierCode>MA</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>131</SubCategoryID><GroupID>1276</GroupID><SubGroupID>4060</SubGroupID><ARTGs><ARTG>219732</ARTG></ARTGs><MinimumBenefit>2451</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2007-12-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>JJ973</BillingCode><Name>Delta Shoulder System</Name><Description>Epiphysis</Description><Size>Size 1 or 2; Offset Centred, Eccentric Left, Eccentric Right</Size><SupplierCode>JJ</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>131</SubCategoryID><GroupID>1276</GroupID><SubGroupID>4060</SubGroupID><ARTGs><ARTG>307922</ARTG></ARTGs><ChangeExplanation>Change to ARTG, Description, Size</ChangeExplanation><MinimumBenefit>2451</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Update</ActionFlag><CycleStartDate>2015-02-01</CycleStartDate><CycleEndDate>2025-03-01</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>JJ</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>2025-03-01</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MN221</BillingCode><Name>Global Unite Shoulder System</Name><Description>Anatomic Proximal Body</Description><Size>6 to 16</Size><SupplierCode>JJ</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LC188</BillingCode><Name>SMR Humeral Body with Locking Screw</Name><Description>Humeral Body Ti6aI4V - Finned - Trauma</Description><Size>Short/Medium/Long</Size><SupplierCode>LC</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>131</SubCategoryID><GroupID>1276</GroupID><SubGroupID>4060</SubGroupID><ARTGs><ARTG>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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HW870</BillingCode><PriorBillingCodes><PriorBillingCode>WR340</PriorBillingCode></PriorBillingCodes><Name>Aequalis Reversed Shoulder -Metaphysis (Cemented or Cementless)</Name><Description>Cemented: CoCr and UMWHPE, Cementless: CoCr, HA Coated and UMWHPE</Description><Size>D.36mm &amp; 42mm</Size><SupplierCode>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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SK427</BillingCode><Name>Solar Reunion Humeral Fracture System</Name><Description>Solar Reunion Humeral Fracture System</Description><Size>Short &amp; Long</Size><SupplierCode>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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BH338</BillingCode><Name>Comprehensive Segmental Revision System (SRS)</Name><Description>Comprehensive SRS Distal Humeral Body</Description><Size>50mm to 70mm</Size><SupplierCode>ZI</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>131</SubCategoryID><GroupID>1275</GroupID><SubGroupID>3673</SubGroupID><ARTGs><ARTG>126999</ARTG></ARTGs><MinimumBenefit>4387</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2013-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LH663</BillingCode><PriorBillingCodes><PriorBillingCode>OO123</PriorBillingCode></PriorBillingCodes><Name>MUTARS Distal Humerus</Name><Description>MUTARS Distal Humerus</Description><Size>50mm, 30mm</Size><SupplierCode>LH</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>131</SubCategoryID><GroupID>1275</GroupID><SubGroupID>3673</SubGroupID><ARTGs><ARTG>221739</ARTG><ARTG>284227</ARTG></ARTGs><MinimumBenefit>4387</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HW377</BillingCode><Name>Souter Strathclyde Elbow</Name><Description>Humeral - Long stem, left and right</Description><Size>Medium, Large</Size><SupplierCode>JV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>131</SubCategoryID><GroupID>1275</GroupID><SubGroupID>3673</SubGroupID><ARTGs><ARTG>16236</ARTG><ARTG>166620</ARTG></ARTGs><MinimumBenefit>4387</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ST819</BillingCode><Name>Osteonics Solar Elbow System - long humeral assembly</Name><Description>Titanium alloy with polyethylene bushing</Description><Size>Standard, large</Size><SupplierCode>JV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>131</SubCategoryID><GroupID>1275</GroupID><SubGroupID>3673</SubGroupID><ARTGs><ARTG>166620</ARTG><ARTG>12875</ARTG></ARTGs><MinimumBenefit>4387</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ZA026</BillingCode><Name>Nexel Elbow</Name><Description>Humeral Component</Description><Size>Sizes 4-6 with multiple stem lengths</Size><SupplierCode>ZI</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>131</SubCategoryID><GroupID>1275</GroupID><SubGroupID>3673</SubGroupID><ARTGs><ARTG>213309</ARTG></ARTGs><MinimumBenefit>4387</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2019-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HW985</BillingCode><Name>Latitude EV Humeral Stem</Name><Description>Cobalt-chromium humeral stem with Ti Plasma spray</Description><Size>Length - Standard, 150mm, 200mm  Size - Small (Left or Right), Medium (Left or Right), Large (Left or Right)</Size><SupplierCode>JV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>131</SubCategoryID><GroupID>1275</GroupID><SubGroupID>3673</SubGroupID><ARTGs><ARTG>200974</ARTG></ARTGs><MinimumBenefit>4387</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ST818</BillingCode><Name>Osteonics Solar Elbow System - humeral assembly</Name><Description>Titanium alloy with polyethylene bushing</Description><Size>Standard, large</Size><SupplierCode>JV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>131</SubCategoryID><GroupID>1275</GroupID><SubGroupID>3673</SubGroupID><ARTGs><ARTG>12875</ARTG><ARTG>166619</ARTG></ARTGs><MinimumBenefit>4387</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HW379</BillingCode><Name>Souter Strathclyde Elbow</Name><Description>Revision Humeral  - Custom, Long Stem</Description><Size>A, B, C, D</Size><SupplierCode>JV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>131</SubCategoryID><GroupID>1275</GroupID><SubGroupID>3673</SubGroupID><ARTGs><ARTG>166620</ARTG><ARTG>16236</ARTG></ARTGs><MinimumBenefit>4387</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ZI004</BillingCode><Name>Coonrad-Morrey Elbow</Name><Description>Humerus - Titanium</Description><Size>4, 6, 8 inch, Left &amp; Right</Size><SupplierCode>ZI</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>131</SubCategoryID><GroupID>1275</GroupID><SubGroupID>3673</SubGroupID><ARTGs><ARTG>95733</ARTG></ARTGs><MinimumBenefit>4387</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ373</BillingCode><PriorBillingCodes><PriorBillingCode>LM532</PriorBillingCode></PriorBillingCodes><Name>Align Radial Head System</Name><Description>Titanium alloy stems with titanium plasma spray coating   </Description><Size>7 - 11mm</Size><SupplierCode>LH</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>131</SubCategoryID><GroupID>1275</GroupID><SubGroupID>3674</SubGroupID><ARTGs><ARTG>279801</ARTG></ARTGs><MinimumBenefit>1259</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HW694</BillingCode><PriorBillingCodes><PriorBillingCode>WR022</PriorBillingCode></PriorBillingCodes><Name>Evolve Modular Radial Head</Name><Description>Cobalt chromium alloy, standard and plus stems</Description><Size>Stem 4.5 - 9.5mm Standard, +2 &amp; +4mm</Size><SupplierCode>JV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>131</SubCategoryID><GroupID>1275</GroupID><SubGroupID>3674</SubGroupID><ARTGs><ARTG>118455</ARTG></ARTGs><MinimumBenefit>1259</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MO271</BillingCode><Name>Acumed Total Radial Head</Name><Description>Stem</Description><Size>Standard Stems 6-10mm diameter 0-8mm neck height, Long Stems 6-12mm diameter</Size><SupplierCode>MO</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>131</SubCategoryID><GroupID>1275</GroupID><SubGroupID>3674</SubGroupID><ARTGs><ARTG>126428</ARTG></ARTGs><MinimumBenefit>1259</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2006-11-30</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HW885</BillingCode><PriorBillingCodes><PriorBillingCode>WR357</PriorBillingCode></PriorBillingCodes><Name>RHS Radial Head System, Radial Stem</Name><Description>RHS Elbow prosthesis, Proximal Radial Stem, Press-fit Short Stems or Long Cemented Stems, Ti Co</Description><Size>Press-Fit Short Stems: 6 to 10mm , neck 13mm or 16mm. Cementeed Long Stems: 6.5 or 8mm, neck 19 or 22mm</Size><SupplierCode>JV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>131</SubCategoryID><GroupID>1275</GroupID><SubGroupID>3674</SubGroupID><ARTGs><ARTG>94231</ARTG></ARTGs><MinimumBenefit>1259</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HW888</BillingCode><PriorBillingCodes><PriorBillingCode>WR360</PriorBillingCode></PriorBillingCodes><Name>Latitude Elbow Prosthesis</Name><Description>Latitude Radial Stem component</Description><Size>Diam 6.5mm or 5mm</Size><SupplierCode>JV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>131</SubCategoryID><GroupID>1275</GroupID><SubGroupID>3674</SubGroupID><ARTGs><ARTG>200973</ARTG></ARTGs><MinimumBenefit>1259</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HW928</BillingCode><PriorBillingCodes><PriorBillingCode>WR408</PriorBillingCode></PriorBillingCodes><Name>MoPyC-Modular Pyrocarbon Radial head Prosthesis</Name><Description>A modular titanium stem for radial head prosthesis</Description><Size>7mm, 8mm, 9mm, 10mm</Size><SupplierCode>JV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>131</SubCategoryID><GroupID>1275</GroupID><SubGroupID>3674</SubGroupID><ARTGs><ARTG>94231</ARTG></ARTGs><MinimumBenefit>1259</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LM104</BillingCode><Name>Ascension Radial Head</Name><Description>Proximal Radial Stem</Description><Size>01/02/03/04, standard &amp; long</Size><SupplierCode>LM</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>131</SubCategoryID><GroupID>1275</GroupID><SubGroupID>3674</SubGroupID><ARTGs><ARTG>112685</ARTG></ARTGs><MinimumBenefit>1259</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2011-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HW695</BillingCode><PriorBillingCodes><PriorBillingCode>WR023</PriorBillingCode></PriorBillingCodes><Name>WMT Orthopaedic Implants Radial/Ulna Head</Name><Description>Radial head implant HP silastic</Description><Size>1, 1.5, 2, 2.5, 3</Size><SupplierCode>JV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>131</SubCategoryID><GroupID>1275</GroupID><SubGroupID>3675</SubGroupID><ARTGs><ARTG>118455</ARTG></ARTGs><MinimumBenefit>1267</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HW696</BillingCode><PriorBillingCodes><PriorBillingCode>WR025</PriorBillingCode></PriorBillingCodes><Name>Evolve Modular Radial Head</Name><Description>Cobalt chromium alloy head</Description><Size>Head 18-28mm Std, +2 and +4mm</Size><SupplierCode>JV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>131</SubCategoryID><GroupID>1275</GroupID><SubGroupID>3675</SubGroupID><ARTGs><ARTG>118455</ARTG></ARTGs><MinimumBenefit>1267</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HW887</BillingCode><PriorBillingCodes><PriorBillingCode>WR359</PriorBillingCode></PriorBillingCodes><Name>Latitude Elbow Prosthesis</Name><Description>Latitude Radial Head component</Description><Size>Small, Medium, Large, Large +</Size><SupplierCode>JV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>131</SubCategoryID><GroupID>1275</GroupID><SubGroupID>3675</SubGroupID><ARTGs><ARTG>200973</ARTG></ARTGs><MinimumBenefit>1267</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MO270</BillingCode><Name>Acumed Total Radial Head</Name><Description>Head</Description><Size>20-28mm</Size><SupplierCode>MO</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>131</SubCategoryID><GroupID>1275</GroupID><SubGroupID>3675</SubGroupID><ARTGs><ARTG>126428</ARTG></ARTGs><MinimumBenefit>1267</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2006-11-30</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ372</BillingCode><PriorBillingCodes><PriorBillingCode>LM531</PriorBillingCode></PriorBillingCodes><Name>Align Radial Head </Name><Description>CoCr Radial Head with Lock Screw</Description><Size>18 - 26mm </Size><SupplierCode>LH</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>131</SubCategoryID><GroupID>1275</GroupID><SubGroupID>3675</SubGroupID><ARTGs><ARTG>279801</ARTG></ARTGs><MinimumBenefit>1267</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2022-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HW886</BillingCode><PriorBillingCodes><PriorBillingCode>WR358</PriorBillingCode></PriorBillingCodes><Name>RHS Radial Head System, Radial Head</Name><Description>RHS Elbow prosthesis, Radial Head, Ti Co</Description><Size>18mm to 24mm</Size><SupplierCode>JV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>131</SubCategoryID><GroupID>1275</GroupID><SubGroupID>3675</SubGroupID><ARTGs><ARTG>94231</ARTG></ARTGs><MinimumBenefit>1267</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LM105</BillingCode><Name>Ascension Radial head</Name><Description>Proximal Radial Head</Description><Size>20/22/24mm</Size><SupplierCode>LM</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>131</SubCategoryID><GroupID>1275</GroupID><SubGroupID>3675</SubGroupID><ARTGs><ARTG>112685</ARTG></ARTGs><MinimumBenefit>1267</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2011-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HW381</BillingCode><Name>Radial Head Prostheses</Name><Description>Radial Head - Small, Medium, Large</Description><Size>8 - 15mm</Size><SupplierCode>JV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>131</SubCategoryID><GroupID>1275</GroupID><SubGroupID>3675</SubGroupID><ARTGs><ARTG>166613</ARTG></ARTGs><MinimumBenefit>1267</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HW927</BillingCode><PriorBillingCodes><PriorBillingCode>WR407</PriorBillingCode></PriorBillingCodes><Name>MoPyC-Modular Pyrocarbon Radial head Prosthesis</Name><Description>A modular pyrocarbon radial head / neck prosthesis</Description><Size>18mm, 20mm, 22mm</Size><SupplierCode>JV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>131</SubCategoryID><GroupID>1275</GroupID><SubGroupID>3675</SubGroupID><ARTGs><ARTG>94231</ARTG></ARTGs><MinimumBenefit>1267</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LH673</BillingCode><PriorBillingCodes><PriorBillingCode>OO134</PriorBillingCode></PriorBillingCodes><Name>MUTARS ulna anchorage</Name><Description>MUTARS ulna anchorage</Description><Size>left/right 70mm</Size><SupplierCode>LH</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>131</SubCategoryID><GroupID>1275</GroupID><SubGroupID>3676</SubGroupID><ARTGs><ARTG>221739</ARTG></ARTGs><MinimumBenefit>3398</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HW944</BillingCode><PriorBillingCodes><PriorBillingCode>WR433</PriorBillingCode></PriorBillingCodes><Name>Latitude EV Ulnar Stem</Name><Description>Chromium cobalt ulnar stem with Ti Plasma spray</Description><Size>Stem length: Short, Standard, 70mm, 125mm, 150mm</Size><SupplierCode>JV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>131</SubCategoryID><GroupID>1275</GroupID><SubGroupID>3676</SubGroupID><ARTGs><ARTG>201352</ARTG></ARTGs><MinimumBenefit>3398</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HW380</BillingCode><Name>Souter Strathclyde Elbow</Name><Description>Revision Ulnar - Custom, Long stem</Description><Size>Small, Medium</Size><SupplierCode>JV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>131</SubCategoryID><GroupID>1275</GroupID><SubGroupID>3676</SubGroupID><ARTGs><ARTG>166619</ARTG><ARTG>16236</ARTG></ARTGs><MinimumBenefit>3398</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ZI003</BillingCode><Name>Coonrad-Morrey Elbow</Name><Description>Ulna - Titanium</Description><Size>Petite, Left, Right</Size><SupplierCode>ZI</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>131</SubCategoryID><GroupID>1275</GroupID><SubGroupID>3676</SubGroupID><ARTGs><ARTG>95731</ARTG></ARTGs><MinimumBenefit>3398</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ZA028</BillingCode><Name>Nexel Elbow</Name><Description>Ulnar Component</Description><Size>75mm-115mm</Size><SupplierCode>ZI</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>131</SubCategoryID><GroupID>1275</GroupID><SubGroupID>3676</SubGroupID><ARTGs><ARTG>213309</ARTG></ARTGs><MinimumBenefit>3398</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2019-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HW866</BillingCode><PriorBillingCodes><PriorBillingCode>WR335</PriorBillingCode></PriorBillingCodes><Name>Tornier Latitude Total Elbow Prosthesis</Name><Description>Ulnar component, CoCr + UHMWPE</Description><Size>Small, Medium, Large</Size><SupplierCode>JV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>131</SubCategoryID><GroupID>1275</GroupID><SubGroupID>3676</SubGroupID><ARTGs><ARTG>201352</ARTG></ARTGs><MinimumBenefit>3398</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HW378</BillingCode><Name>Souter Strathclyde Elbow</Name><Description>Ulnar - Retentive, non retentive</Description><Size>50 - 90mm (Non), 70 - 90mm (Retentive)</Size><SupplierCode>JV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>131</SubCategoryID><GroupID>1275</GroupID><SubGroupID>3676</SubGroupID><ARTGs><ARTG>166619</ARTG><ARTG>16236</ARTG></ARTGs><MinimumBenefit>3398</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LH685</BillingCode><PriorBillingCodes><PriorBillingCode>OO177</PriorBillingCode></PriorBillingCodes><Name>MUTARS Ulna Anchorage</Name><Description>MUTARS Ulna Anchorage Component</Description><Size>Left/Right 70-100mm</Size><SupplierCode>LH</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>131</SubCategoryID><GroupID>1275</GroupID><SubGroupID>3676</SubGroupID><ARTGs><ARTG>221739</ARTG></ARTGs><MinimumBenefit>3398</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LH671</BillingCode><PriorBillingCodes><PriorBillingCode>OO132</PriorBillingCode></PriorBillingCodes><Name>MUTARS Proximal ulna</Name><Description>MUTARS Proximal ulna</Description><Size>60mm</Size><SupplierCode>LH</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>131</SubCategoryID><GroupID>1275</GroupID><SubGroupID>3676</SubGroupID><ARTGs><ARTG>284268</ARTG><ARTG>221739</ARTG></ARTGs><MinimumBenefit>3398</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HW938</BillingCode><PriorBillingCodes><PriorBillingCode>WR425</PriorBillingCode></PriorBillingCodes><Name>Latitude Elbow Prosthesis – Humeral Screw</Name><Description>Humeral Screw for revision surgery</Description><Size>Small, Medium and Large</Size><SupplierCode>JV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>131</SubCategoryID><GroupID>1275</GroupID><SubGroupID>3678</SubGroupID><ARTGs><ARTG>200974</ARTG></ARTGs><MinimumBenefit>788</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HW224</BillingCode><Name>Howmedica Modular Resection System</Name><Description>Humeral Axis -  Vitallium</Description><Size>One size only</Size><SupplierCode>JV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>131</SubCategoryID><GroupID>1275</GroupID><SubGroupID>3678</SubGroupID><ARTGs><ARTG>242296</ARTG></ARTGs><MinimumBenefit>788</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BH062</BillingCode><Name>Discovery Elbow System</Name><Description>2 x Condyle Bearings, 2 x screws, Poly articulation bearings</Description><Size>Std, Revision</Size><SupplierCode>ZI</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>131</SubCategoryID><GroupID>1275</GroupID><SubGroupID>4052</SubGroupID><ARTGs><ARTG>126999</ARTG></ARTGs><MinimumBenefit>1368</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2010-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HW881</BillingCode><PriorBillingCodes><PriorBillingCode>WR352</PriorBillingCode></PriorBillingCodes><Name>Latitude Elbow Prosthesis</Name><Description>Latitude Humeral Spool component, standard or anatomic, CoCr + PEEK</Description><Size>Standard spool: Small, Medium, Large, Large +, anterior, posterior or centered,   Anatomic Spool: Small, Medium, Large, Large +, Left and Right, Anterior Centred and Posterior Offset</Size><SupplierCode>JV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>131</SubCategoryID><GroupID>1275</GroupID><SubGroupID>4052</SubGroupID><ARTGs><ARTG>200974</ARTG></ARTGs><MinimumBenefit>1368</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ZI005</BillingCode><Name>Coonrad-Morrey Elbow</Name><Description>Bushing -  Polyethylene, Titanium</Description><Size>1 &amp; 2</Size><SupplierCode>ZI</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>131</SubCategoryID><GroupID>1275</GroupID><SubGroupID>4052</SubGroupID><ARTGs><ARTG>95733</ARTG></ARTGs><MinimumBenefit>1368</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HW937</BillingCode><PriorBillingCodes><PriorBillingCode>WR424</PriorBillingCode></PriorBillingCodes><Name>Latitude Total Elbow Prosthesis – Ulnar Bushing</Name><Description>Ultra-high molecular weight polyethylene ulnar bushing</Description><Size>Small, Medium, Large – Right and Left</Size><SupplierCode>JV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>131</SubCategoryID><GroupID>1275</GroupID><SubGroupID>4052</SubGroupID><ARTGs><ARTG>201352</ARTG></ARTGs><MinimumBenefit>1368</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2021-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ZA029</BillingCode><Name>Nexel Elbow</Name><Description>Accessories (1 Humeral Bearing, 2 Ulnar Bearings and 1 Axle Pin)</Description><Size>Various</Size><SupplierCode>ZI</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>131</SubCategoryID><GroupID>1275</GroupID><SubGroupID>4052</SubGroupID><ARTGs><ARTG>213309</ARTG></ARTGs><MinimumBenefit>1368</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2019-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HW199</BillingCode><Name>Howmedica Modular Resection System</Name><Description>Circlip -  Vitallium</Description><Size>One size only</Size><SupplierCode>JV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>131</SubCategoryID><GroupID>1275</GroupID><SubGroupID>4053</SubGroupID><ARTGs><ARTG>261514</ARTG><ARTG>242296</ARTG></ARTGs><MinimumBenefit>70</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HW223</BillingCode><Name>Howmedica Modular Resection System</Name><Description>Ulna Joint -  Vitallium</Description><Size>One size only</Size><SupplierCode>JV</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>131</SubCategoryID><GroupID>1275</GroupID><SubGroupID>4055</SubGroupID><ARTGs><ARTG>128026</ARTG></ARTGs><MinimumBenefit>3594</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ET088</BillingCode><Name>Comfort Drain</Name><Description>The Comfort Drain is a silicone anorectal fistula drainage catheter, that is designed to provide a knotless closure of the drain.</Description><Size>Inner Diameter: 0.3mm, Outer Diameter: 1.5mm, Length: 180mm.</Size><SupplierCode>ET</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>193</SubCategoryID><GroupID>1577</GroupID><SubGroupID>7363</SubGroupID><ARTGs><ARTG>220607</ARTG></ARTGs><MinimumBenefit>114</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2020-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>RK001</BillingCode><Name>Rocket IPC Pleural/Peritoneal Tunnelled Catheter Insertion kit</Name><Description>Rocket IPC Pleural/Peritoneal Tunnelled Catheter Insertion kit with catheter</Description><Size>16fg x 69cm silicone catheter with cuff</Size><SupplierCode>RK</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>193</SubCategoryID><GroupID>1577</GroupID><SubGroupID>4242</SubGroupID><ARTGs><ARTG>166369</ARTG></ARTGs><MinimumBenefit>384</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2012-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>WA002</BillingCode><Name>Fuhrman Pleural/Pneumopericardial Drainage Set</Name><Description>Percutaneous drainage kit.  Components: Introducer needle, wire guide, dilator, radiopaque pigtail catheter, three-way stopcock, and multipurpose tubing adapter.</Description><Size>Catheter length 15cm, 6-10.2 Fr</Size><SupplierCode>WC</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>FN002</BillingCode><Name>Pleurx</Name><Description>Pleurx Pleural Catheter Mini Kit</Description><Size>Catheter 24cm x 15.5Fr</Size><SupplierCode>FN</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>193</SubCategoryID><GroupID>1577</GroupID><SubGroupID>4242</SubGroupID><ARTGs><ARTG>321900</ARTG></ARTGs><MinimumBenefit>384</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2019-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MS065</BillingCode><Name>ASEPT Pleural Drainage System</Name><Description>Indwelling tunnelled pleural catheter insertion kit</Description><Size>15F x 66cm silicone catheter with fenestrations and cuff</Size><SupplierCode>MS</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>193</SubCategoryID><GroupID>1577</GroupID><SubGroupID>4242</SubGroupID><ARTGs><ARTG>285155</ARTG></ARTGs><MinimumBenefit>384</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2014-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>WA001</BillingCode><Name>Thal-Quick Chest Tube Set</Name><Description>The set consists of introducer needle, wire guide, dilators, coaxial chest tube inserter and clear catheter with radiopaque strip.</Description><Size>8-36 Fr, Length: 18-41cm</Size><SupplierCode>WC</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>WA005</BillingCode><Name>Wayne Pneumothorax Set</Name><Description>Wayne Pneumothorax Set for Seldinger Placement.  Set includes: introducer needle, wire guide, dilator, pigtail catheter, and Cook Chest Drain Valve</Description><Size>Length: 29cm, 14Fr</Size><SupplierCode>WC</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ME207</BillingCode><Name>TRU-CLOSE THORACIC VENT</Name><Description>Device for the treatment of spontanious, traumatic or iatrogenic simple pneumothorax.Allowing for amubulation during resolution and the aspiration of small amount of fluids</Description><Size>Catheter outer diameter = 11 French, catheter length = 10cm
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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>DE603</BillingCode><Name>PleuraFlow® Active Clearance Technology® (ACT)</Name><Description>Pleural drainage catheter</Description><Size>20; 24; 28;32FR</Size><SupplierCode>DE</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>193</SubCategoryID><GroupID>1577</GroupID><SubGroupID>4242</SubGroupID><ARTGs><ARTG>218317</ARTG><ARTG>324895</ARTG></ARTGs><MinimumBenefit>384</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-02-01</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BS229</BillingCode><Name>Flexima vanSonnenburg Sump Catheter</Name><Description>Dual lumen catheters that drain cavity contents by application of suction</Description><Size>Length up to 35cm</Size><SupplierCode>BS</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>193</SubCategoryID><GroupID>1577</GroupID><SubGroupID>4243</SubGroupID><ARTGs><ARTG>132027</ARTG></ARTGs><MinimumBenefit>384</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2013-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LH788</BillingCode><PriorBillingCodes><PriorBillingCode>CB016</PriorBillingCode></PriorBillingCodes><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>LH</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>193</SubCategoryID><GroupID>1577</GroupID><SubGroupID>4243</SubGroupID><ARTGs><ARTG>223261</ARTG></ARTGs><ChangeExplanation>
Billing code transferred from CB016
Sponsor transferred from Culpan Medical Pty Ltd</ChangeExplanation><MinimumBenefit>384</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2015-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BS227</BillingCode><Name>Flexima All-Purpose Drainage Catheter</Name><Description>All-purpose drainage catheters for abscesses and fluid collections.</Description><Size>Length up to 25cm</Size><SupplierCode>BS</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>193</SubCategoryID><GroupID>1577</GroupID><SubGroupID>4243</SubGroupID><ARTGs><ARTG>132027</ARTG></ARTGs><MinimumBenefit>90</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2013-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>WC315</BillingCode><Name>Multipurpose Drainage Catheter</Name><Description>Catheter used in a variety of drainage applications</Description><Size>8.5-14 Fr, Length: 15-60cm</Size><SupplierCode>WC</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>193</SubCategoryID><GroupID>1577</GroupID><SubGroupID>4243</SubGroupID><ARTGs><ARTG>139357</ARTG></ARTGs><MinimumBenefit>96</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2013-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ME223</BillingCode><PriorBillingCodes><PriorBillingCode>NG075</PriorBillingCode></PriorBillingCodes><Name>General Purpose Drainage Catheter</Name><Description>Abscess Drainage Catheters</Description><Size>6FR x 12CM through to 28FR x 50CM</Size><SupplierCode>ME</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>193</SubCategoryID><GroupID>1577</GroupID><SubGroupID>4243</SubGroupID><ARTGs><ARTG>98030</ARTG></ARTGs><MinimumBenefit>384</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MS068</BillingCode><Name>ASEPT Peritoneal Drainage System</Name><Description>Indwelling tunnelled peritoneal catheter insertion kit</Description><Size>Catheter: 71 cm x 15.5F</Size><SupplierCode>MS</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>193</SubCategoryID><GroupID>1577</GroupID><SubGroupID>4243</SubGroupID><ARTGs><ARTG>285155</ARTG></ARTGs><MinimumBenefit>384</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2018-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LH789</BillingCode><PriorBillingCodes><PriorBillingCode>CB017</PriorBillingCode></PriorBillingCodes><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>LH</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>193</SubCategoryID><GroupID>1577</GroupID><SubGroupID>5489</SubGroupID><ARTGs><ARTG>223261</ARTG></ARTGs><ChangeExplanation>
Billing code transferred from CB017
Sponsor transferred from Culpan Medical Pty Ltd</ChangeExplanation><MinimumBenefit>97</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Insert</ActionFlag><CycleStartDate>2015-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>WC317</BillingCode><Name>Ultrathane Biliary Drainage Catheter</Name><Description>Used for biliary drainage applications.</Description><Size>8.5-14 Fr, 40-60cm length</Size><SupplierCode>WC</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>193</SubCategoryID><GroupID>1577</GroupID><SubGroupID>5489</SubGroupID><ARTGs><ARTG>138381</ARTG></ARTGs><MinimumBenefit>97</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2014-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BS250</BillingCode><Name>Flexima Biliary Drainage Catheter</Name><Description>Biliary drainage catheters for drainage of the biliary tree</Description><Size>Length up to 35cm</Size><SupplierCode>BS</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>193</SubCategoryID><GroupID>1577</GroupID><SubGroupID>5489</SubGroupID><ARTGs><ARTG>132027</ARTG></ARTGs><MinimumBenefit>97</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2013-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>FN005</BillingCode><PriorBillingCodes><PriorBillingCode>ZQ010</PriorBillingCode></PriorBillingCodes><Name>Safe-T-Centesis Drainage system</Name><Description>Safe-T-Centesis drainage for para/thoracentesis</Description><Size>6FR and 8FR pigtail catheter with Veress technology</Size><SupplierCode>FN</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>193</SubCategoryID><GroupID>1577</GroupID><SubGroupID>6000</SubGroupID><ARTGs><ARTG>120894</ARTG></ARTGs><MinimumBenefit>125</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2019-03-01</CycleStartDate><CycleEndDate>2025-03-01</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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>OW008</BillingCode><Name>One-Step Centesis Catheter</Name><Description>Drainage catheter available in straight, pigtail, valved and non-valved with introducer needle</Description><Size>4 French to 8 French
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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>OW010</BillingCode><Name>ReSolve Locking and Non-Locking Drainage Catheters</Name><Description>Hydrophilic locking and non-locking drainage catheters</Description><Size>6.5 - 14 French</Size><SupplierCode>OW</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>193</SubCategoryID><GroupID>1577</GroupID><SubGroupID>6001</SubGroupID><ARTGs><ARTG>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>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>RQ079</BillingCode><Name>I-Seed AgX100 Cartridge Brachytherapy Kit</Name><Description>The I-Seed AgX100 Cartridge brachytherapy kit comprises 8 or fewer cartridges (max. 20 seed) in a vertical seed magazine, VSM20. The kit is supplied sterile and is compatible with the Mick applicator.</Description><Size>The I-Seed AgX100 Cartridge Brachytherapy Kit generally contains 8 or fewer cartridges, each a max. 20 seeds, a total of 80-100 seeds. Each seed comprises a silver rod with the source within 4.5 x 0.8mm sealed titanium capsule.</Size><SupplierCode>RQ</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>187</SubCategoryID><GroupID>1521</GroupID><SubGroupID>4162</SubGroupID><ARTGs><ARTG>205023</ARTG></ARTGs><MinimumBenefit>5766</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>RQ078</BillingCode><Name>TheraStrand Rx with AgX100 Brachytherapy Kit</Name><Description>The TheraStrand RX brachytherapy kit is prescription-loaded and supplied sterile.  The prescription generally comprises 25 needles containing the brachytherapy I-125 sources (80-100 seeds) sequenced per the physician's treatment plan.  All sources are of the same activity/strength.</Description><Size>The seed includes a silver rod with I 125 contained in a sealed titanium capsule of 4.5 mm length and 0.8 mm in diameter.</Size><SupplierCode>RQ</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>187</SubCategoryID><GroupID>1521</GroupID><SubGroupID>4162</SubGroupID><ARTGs><ARTG>205063</ARTG></ARTGs><MinimumBenefit>5766</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BA253</BillingCode><Name>ReadyLink® Implant</Name><Description>BrachySource® Seed Implants in the ReadyLink® Delivery System.  Up to 120 seeds per patient.</Description><Size>Seeds are 4.5mm x 0.8mm welded titanium capsule preconnected in user defined trains.</Size><SupplierCode>BA</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>187</SubCategoryID><GroupID>1521</GroupID><SubGroupID>4162</SubGroupID><ARTGs><ARTG>225230</ARTG><ARTG>225237</ARTG><ARTG>225238</ARTG><ARTG>225231</ARTG><ARTG>225229</ARTG></ARTGs><MinimumBenefit>5766</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2014-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BA252</BillingCode><Name>BrachySource® I-125 Implant</Name><Description>BrachySource® Seeds supplied either loose, in Cartridges or needles or as a calibration source.  Up to 120 seeds per patient.</Description><Size>Seeds are a 4.5mm x 0.8mm welded titanium capsule.</Size><SupplierCode>BA</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>187</SubCategoryID><GroupID>1521</GroupID><SubGroupID>4162</SubGroupID><ARTGs><ARTG>225229</ARTG><ARTG>225231</ARTG><ARTG>225230</ARTG><ARTG>225237</ARTG><ARTG>225238</ARTG></ARTGs><MinimumBenefit>5766</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2014-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>CL002</BillingCode><Name>Advantage I-125 Seed</Name><Description>Advantage I-125 seeds are sealed radioactive sources containing Iodine-125 for interstitial brachytherapy</Description><Size>3mm x 0.5mm silver rod within 4.5 x 0.8mm sealed titanium capsule, up to 120 seeds</Size><SupplierCode>CL</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>187</SubCategoryID><GroupID>1521</GroupID><SubGroupID>4162</SubGroupID><ARTGs><ARTG>154457</ARTG></ARTGs><MinimumBenefit>5766</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2010-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>CL001</BillingCode><Name>Advantage I-125 Pre-load</Name><Description>Advantage I-125 Pre-load consists of stranded Advantage I-125 seeds pre-loaded on prescription into brachytherapy needles specifically for treatment of an individual patient.  They arrive sterile and pre-packaged ready for use in theatre</Description><Size>Stranded seeds are pre-loaded in brachytherapy needles in a prescribed configuration; up to 120 seeds</Size><SupplierCode>CL</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>187</SubCategoryID><GroupID>1521</GroupID><SubGroupID>4162</SubGroupID><ARTGs><ARTG>175081</ARTG></ARTGs><MinimumBenefit>5766</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2009-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BA251</BillingCode><Name>BrachySource® I-125 seeds</Name><Description>Single BrachySource® Seeds supplied either loose, in Cartridges or needles or as a calibration source.  To be used only if more than 120 seeds are used per patient.</Description><Size>Seeds are a 4.5mm x 0.8mm welded titanium capsule.</Size><SupplierCode>BA</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>187</SubCategoryID><GroupID>1521</GroupID><SubGroupID>4163</SubGroupID><ARTGs><ARTG>225229</ARTG><ARTG>225231</ARTG><ARTG>225230</ARTG><ARTG>225237</ARTG><ARTG>225238</ARTG></ARTGs><MinimumBenefit>73</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2014-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>RQ076</BillingCode><Name>Theragenics C20 IsoLoader Magazines in TPSII Individual - 20 seeds per magazine - sterile</Name><Description>The C20 IsoLoader cartridge is a shielded cartridge holding up to 20 I125 seeds, supplied in accordance with the surgeon's requirements.  Benefit is per seed.</Description><Size>1 representation in a delivery magazine with a loading of up to 20 seeds</Size><SupplierCode>RQ</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>187</SubCategoryID><GroupID>1521</GroupID><SubGroupID>4163</SubGroupID><ARTGs><ARTG>271520</ARTG></ARTGs><MinimumBenefit>73</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2016-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>RQ077</BillingCode><Name>TheraStrand RX with I-Seed AgX100 I125 implants</Name><Description>AgX100 I-125 Seeds pre-loaded. The billing code is to be applied only if more than 100 seeds are used per patient. Benefit is per seed.</Description><Size>One representation with a loading of more than 100 seeds. The seed includes a silver rod with I 125 contained in a sealed titanium capsule of 4.5 mm length and 0.8 mm in diameter</Size><SupplierCode>RQ</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>187</SubCategoryID><GroupID>1521</GroupID><SubGroupID>4163</SubGroupID><ARTGs><ARTG>205063</ARTG></ARTGs><MinimumBenefit>73</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2017-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>CL003</BillingCode><Name>Advantage I-125 Seed</Name><Description>The Advantage I-125 seed is a sealed radioactive source containing Iodine-125 for interstitial brachytherapy</Description><Size>3mm x 0.5mm silver rod within 4.5 x 0.8mm sealed titanium capsule</Size><SupplierCode>CL</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>187</SubCategoryID><GroupID>1521</GroupID><SubGroupID>4163</SubGroupID><ARTGs><ARTG>154457</ARTG></ARTGs><MinimumBenefit>73</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2010-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MC952</BillingCode><Name>Valiant Captivia</Name><Description>Valient Stent Graft with Captivia Delivery System</Description><Size>22-46mm diameter, 150mm length</Size><SupplierCode>MI</SupplierCode><CategoryID>24</CategoryID><SubCategoryID>207</SubCategoryID><GroupID>1625</GroupID><SubGroupID>4442</SubGroupID><ARTGs><ARTG>169353</ARTG></ARTGs><MinimumBenefit>9952</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2010-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>WC322</BillingCode><Name>Zenith Alpha Thoracic Endovascular Graft Distal Component</Name><Description>Thoracic Distal Graft (short)</Description><Size>Diameter: 28-46mm.  Length: 142-160mm.</Size><SupplierCode>WC</SupplierCode><CategoryID>24</CategoryID><SubCategoryID>207</SubCategoryID><GroupID>1625</GroupID><SubGroupID>4442</SubGroupID><ARTGs><ARTG>281254</ARTG></ARTGs><MinimumBenefit>9952</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2014-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>WC275</BillingCode><Name>Zenith TX2 TAA Endovascular Graft with Pro_Form and the Z-Trak Plus Introduction System Short Proximal Component</Name><Description>Short Thoracic Proximal Graft</Description><Size>Diameter 22mm - 42mm
Length 115mm - 167mm</Size><SupplierCode>WC</SupplierCode><CategoryID>24</CategoryID><SubCategoryID>207</SubCategoryID><GroupID>1625</GroupID><SubGroupID>4442</SubGroupID><ARTGs><ARTG>164328</ARTG></ARTGs><MinimumBenefit>9952</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2010-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MI149</BillingCode><Name>Valiant Thoracic FreeFlo Tapered stent graft</Name><Description>Valiant Thoracic FreeFlo Tapered Stent Graft with Captivia Delivery System</Description><Size>Proximal diameter: 26 to 46 mm; distal diameter: 22 to 42 mm; stent graft covered length: 152 to 162 mm. Catheter outer diameter: 22 to 25F</Size><SupplierCode>MI</SupplierCode><CategoryID>24</CategoryID><SubCategoryID>207</SubCategoryID><GroupID>1625</GroupID><SubGroupID>4442</SubGroupID><ARTGs><ARTG>169353</ARTG></ARTGs><MinimumBenefit>9952</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2014-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>GT260</BillingCode><Name>Conformable GORE TAG Thoracic Endoprosthesis</Name><Description>Conformable GORE TAG</Description><Size>Diameters (mm): 21, 26, 28, 31, 34, 37, 40, 45
Length (cm) 15</Size><SupplierCode>GT</SupplierCode><CategoryID>24</CategoryID><SubCategoryID>207</SubCategoryID><GroupID>1625</GroupID><SubGroupID>4442</SubGroupID><ARTGs><ARTG>157814</ARTG></ARTGs><MinimumBenefit>9952</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2011-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>WC326</BillingCode><Name>Zenith Alpha Thoracic Endovascular Graft Proximal Tapered Component</Name><Description>Tapered Thoracic Proximal Graft (short)</Description><Size>Proximal diameter: 32-46mm.  Length: 161-179mm.</Size><SupplierCode>WC</SupplierCode><CategoryID>24</CategoryID><SubCategoryID>207</SubCategoryID><GroupID>1625</GroupID><SubGroupID>4442</SubGroupID><ARTGs><ARTG>281255</ARTG></ARTGs><MinimumBenefit>9952</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2014-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MC960</BillingCode><Name>Valiant Captivia</Name><Description>Valiant Stent Graft with captivia delivery system</Description><Size>22 - 46 mm diameter: 100mm length</Size><SupplierCode>MI</SupplierCode><CategoryID>24</CategoryID><SubCategoryID>207</SubCategoryID><GroupID>1625</GroupID><SubGroupID>4442</SubGroupID><ARTGs><ARTG>169353</ARTG></ARTGs><MinimumBenefit>9952</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2010-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>WC307</BillingCode><Name>Zenith TX2 Dissection Endovascular Graft with Pro-Form and the Z-Trak Plus Introduction System (Short proximal component)</Name><Description>Short Thoracic Proximal Graft</Description><Size>Diameter 22mm - 42mm 
Length 117mm - 165</Size><SupplierCode>WC</SupplierCode><CategoryID>24</CategoryID><SubCategoryID>207</SubCategoryID><GroupID>1625</GroupID><SubGroupID>4442</SubGroupID><ARTGs><ARTG>197412</ARTG></ARTGs><MinimumBenefit>9952</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2013-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>WC240</BillingCode><Name>Zenith Thoracic Endovascular Graft</Name><Description>Thoracic Distal Graft</Description><Size>26mm to 42mm diameter, 127mm to 179mm Length</Size><SupplierCode>WC</SupplierCode><CategoryID>24</CategoryID><SubCategoryID>207</SubCategoryID><GroupID>1625</GroupID><SubGroupID>4442</SubGroupID><ARTGs><ARTG>164328</ARTG></ARTGs><MinimumBenefit>9952</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2008-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>GT259</BillingCode><Name>Conformable GORE TAG Thoracic Endoprosthesis</Name><Description>Conformable GORE TAG</Description><Size>Straight Stent Grafts:
Diameters (mm): 21, 26, 28, 31, 34, 37, 40, 45
Length (cm): 10
Tapered Stent Grafts:
Diameters (mm): 26x21; 31x26
Lengths (cm): 10</Size><SupplierCode>GT</SupplierCode><CategoryID>24</CategoryID><SubCategoryID>207</SubCategoryID><GroupID>1625</GroupID><SubGroupID>4442</SubGroupID><ARTGs><ARTG>157814</ARTG></ARTGs><MinimumBenefit>9952</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2011-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>WC324</BillingCode><Name>Zenith Alpha Thoracic Endovascular Graft Proximal Component</Name><Description>Straight Thoracic Proximal Graft (short)</Description><Size>Diameter: 24-46mm. Length: 105-179mm.</Size><SupplierCode>WC</SupplierCode><CategoryID>24</CategoryID><SubCategoryID>207</SubCategoryID><GroupID>1625</GroupID><SubGroupID>4442</SubGroupID><ARTGs><ARTG>281253</ARTG></ARTGs><MinimumBenefit>9952</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2014-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>WC327</BillingCode><Name>Zenith Alpha Thoracic Endovascular Graft Proximal Tapered Component</Name><Description>Tapered Thoracic Proximal Graft (long)</Description><Size>Proximal diameter: 32-46mm. Length: 201-233mm.</Size><SupplierCode>WC</SupplierCode><CategoryID>24</CategoryID><SubCategoryID>207</SubCategoryID><GroupID>1625</GroupID><SubGroupID>4443</SubGroupID><ARTGs><ARTG>281255</ARTG></ARTGs><MinimumBenefit>13086</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2014-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>WC323</BillingCode><Name>Zenith Alpha Thoracic Endovascular Graft Distal Component</Name><Description>Thoracic Distal Graft (long)</Description><Size>Diameter: 28-46mm.  Length: 190-229mm.</Size><SupplierCode>WC</SupplierCode><CategoryID>24</CategoryID><SubCategoryID>207</SubCategoryID><GroupID>1625</GroupID><SubGroupID>4443</SubGroupID><ARTGs><ARTG>281254</ARTG></ARTGs><MinimumBenefit>13086</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2014-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>WC325</BillingCode><Name>Zenith Alpha Thoracic Endovascular Graft Proximal Component</Name><Description>Straight Thoracic Proximal Graft (long)</Description><Size>Diameter: 28-46mm.  Length: 201-233mm.</Size><SupplierCode>WC</SupplierCode><CategoryID>24</CategoryID><SubCategoryID>207</SubCategoryID><GroupID>1625</GroupID><SubGroupID>4443</SubGroupID><ARTGs><ARTG>281253</ARTG></ARTGs><MinimumBenefit>13086</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2014-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>WC276</BillingCode><Name>Zenith TX2 TAA Endovascular Graft with Pro-Form and the Z-Trak Plus Introduction System - Long Proximal Component</Name><Description>Long Thoracic Proximal Endovascular Graft</Description><Size>Diameter: 22mm-42mm Length: 192mm-216mm</Size><SupplierCode>WC</SupplierCode><CategoryID>24</CategoryID><SubCategoryID>207</SubCategoryID><GroupID>1625</GroupID><SubGroupID>4443</SubGroupID><ARTGs><ARTG>164328</ARTG></ARTGs><MinimumBenefit>13086</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2010-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MC958</BillingCode><Name>Valiant Captivia</Name><Description>Valiant Stent Graft with Captivia Delivery System</Description><Size>24-46mm diameter, 200mm length</Size><SupplierCode>MI</SupplierCode><CategoryID>24</CategoryID><SubCategoryID>207</SubCategoryID><GroupID>1625</GroupID><SubGroupID>4443</SubGroupID><ARTGs><ARTG>169353</ARTG></ARTGs><MinimumBenefit>13086</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2010-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>GT261</BillingCode><Name>Conformable GORE TAG Thoracic Endoprosthesis</Name><Description>Conformable GORE TAG</Description><Size>Diameters (mm): 21, 26, 28, 31, 34, 37, 40, 45
Length (cm): 20</Size><SupplierCode>GT</SupplierCode><CategoryID>24</CategoryID><SubCategoryID>207</SubCategoryID><GroupID>1625</GroupID><SubGroupID>4443</SubGroupID><ARTGs><ARTG>157814</ARTG></ARTGs><MinimumBenefit>13086</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2011-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>WC305</BillingCode><Name>Zenith TX2 Dissection Endovascular Graft with Pro-Form and the Z-Trak Plus Introduction System (Long proximal component)</Name><Description>Long thoracic proximal graft</Description><Size>Diameter 28mm-42mm; Length 194mm-218</Size><SupplierCode>WC</SupplierCode><CategoryID>24</CategoryID><SubCategoryID>207</SubCategoryID><GroupID>1625</GroupID><SubGroupID>4443</SubGroupID><ARTGs><ARTG>197412</ARTG></ARTGs><MinimumBenefit>13086</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2013-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>WC241</BillingCode><Name>Zenith Thoracic Endovascular Graft</Name><Description>Thoracic Distal Graft</Description><Size>26mm to 42mm diameter, 180mm to 207mm Length</Size><SupplierCode>WC</SupplierCode><CategoryID>24</CategoryID><SubCategoryID>207</SubCategoryID><GroupID>1625</GroupID><SubGroupID>4443</SubGroupID><ARTGs><ARTG>164328</ARTG></ARTGs><MinimumBenefit>13086</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>No Change</ActionFlag><CycleStartDate>2008-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>PBT37</BillingCode><Name>Bone - Milled &lt;30g Freeze Dried</Name><SupplierCode>PBT</SupplierCode><CategoryID>3</CategoryID><ChangeExplanation>DELETE</ChangeExplanation><MinimumBenefit>0</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>750</HumanTissueAmount><ActionFlag>Delete</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Human Tissue</ItemType><BillingCode>PBT38</BillingCode><Name>Bone - Milled 30-50g Freeze Dried</Name><SupplierCode>PBT</SupplierCode><CategoryID>3</CategoryID><ChangeExplanation>DELETE</ChangeExplanation><MinimumBenefit>0</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>900</HumanTissueAmount><ActionFlag>Delete</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</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><ChangeExplanation>DELETE</ChangeExplanation><MinimumBenefit>0</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>1514</HumanTissueAmount><ActionFlag>Delete</ActionFlag><CycleStartDate>2009-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>JJ444</BillingCode><Name>Ethicon Endo-Surgery Gastric band sutureless port and applier</Name><Description>Implantable infusion port &amp; locking connector for adjustable gastric band. Replacement port &amp; locking connector for use with adjustable gastric band.</Description><Size>One size only</Size><SupplierCode>MN</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>190</SubCategoryID><GroupID>1779</GroupID><ARTGs><ARTG>94734</ARTG></ARTGs><ChangeExplanation>DELETE</ChangeExplanation><MinimumBenefit>524</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Delete</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ET081</BillingCode><Name>A.M.I. B-Band</Name><Description>Adjustable gastric banding implant for stabilising the gastroenterostomy stoma. The A.M.I B-Band is a soft gastric bypass band which serves as a restrictive component in gastric bypass surgery. Restriction is achieved by placing the device around the remaining stomach pouch in order to prevent long term dilation of the gastrojejunostomy and to ensure a controlled emptying of the stomach pouch.</Description><Size>Adjustable band length: 4.0cm - 7.5cm. Band height: 10mm</Size><SupplierCode>ET</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>190</SubCategoryID><GroupID>1781</GroupID><ARTGs><ARTG>96737</ARTG></ARTGs><ChangeExplanation>DELETE</ChangeExplanation><MinimumBenefit>2073</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Delete</ActionFlag><CycleStartDate>2016-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>JJ832</BillingCode><Name>Swedish Adjustable Gastric Band</Name><Description>Silicone</Description><Size>One size only</Size><SupplierCode>MN</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>190</SubCategoryID><GroupID>1548</GroupID><ARTGs><ARTG>94766</ARTG></ARTGs><ChangeExplanation>DELETE</ChangeExplanation><MinimumBenefit>2791</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Delete</ActionFlag><CycleStartDate>2011-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ET042</BillingCode><Name>Soft Gastric Banding System</Name><Description>Sterile long term implant for the treatment of obesity.  Supplied in kit format with catheter, port and huber needles</Description><Size>One size only</Size><SupplierCode>ET</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>190</SubCategoryID><GroupID>1548</GroupID><ARTGs><ARTG>96737</ARTG></ARTGs><ChangeExplanation>DELETE</ChangeExplanation><MinimumBenefit>2791</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Delete</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</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><ChangeExplanation>DELETE</ChangeExplanation><MinimumBenefit>217</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Delete</ActionFlag><CycleStartDate>2022-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>AB084</BillingCode><PriorBillingCodes><PriorBillingCode>DE605</PriorBillingCode></PriorBillingCodes><Name>HaemoCer Haemostatic Powder</Name><Description>Absorbable Polysaccharide Haemostat</Description><Size>2gms</Size><SupplierCode>AB</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>191</SubCategoryID><GroupID>1552</GroupID><ARTGs><ARTG>205062</ARTG></ARTGs><ChangeExplanation>DELETE</ChangeExplanation><MinimumBenefit>90</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Delete</ActionFlag><CycleStartDate>2022-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LN009</BillingCode><Name>Viscos HPMC</Name><Description>Hydroxypropylmethylcellulose, viscoelastic solution for intraocular application. Pre-loaded in single-use sterile syringe with single-use injection cannula.</Description><Size>2 mL</Size><SupplierCode>LN</SupplierCode><CategoryID>1</CategoryID><SubCategoryID>142</SubCategoryID><GroupID>1329</GroupID><ARTGs><ARTG>300480</ARTG></ARTGs><ChangeExplanation>DELETE</ChangeExplanation><MinimumBenefit>52</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Delete</ActionFlag><CycleStartDate>2018-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LN012</BillingCode><Name>SIDA-BLUE</Name><Description>A sterile solution of trypan blue, a selective tissue-staining agent used in ophthalmic surgery.</Description><Size>1mL vial or 1mL glass pre-filled syringe (PFS)</Size><SupplierCode>LN</SupplierCode><CategoryID>1</CategoryID><SubCategoryID>142</SubCategoryID><GroupID>1330</GroupID><ARTGs><ARTG>317719</ARTG></ARTGs><ChangeExplanation>DELETE</ChangeExplanation><MinimumBenefit>34</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Delete</ActionFlag><CycleStartDate>2019-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>EG001</BillingCode><Name>Capsular Tension Rings Clear</Name><Description>PMMA Implant</Description><Size>10/08, 12/10, 13/11mm</Size><SupplierCode>EG</SupplierCode><CategoryID>1</CategoryID><SubCategoryID>143</SubCategoryID><GroupID>1331</GroupID><ARTGs><ARTG>145740</ARTG></ARTGs><ChangeExplanation>DELETE</ChangeExplanation><MinimumBenefit>99</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Delete</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>EG018</BillingCode><Name>RINGJECT</Name><Description>Preloaded Capsular tension ring</Description><Size>12/10, 13/11</Size><SupplierCode>EG</SupplierCode><CategoryID>1</CategoryID><SubCategoryID>143</SubCategoryID><GroupID>1331</GroupID><Suffix>pl</Suffix><ARTGs><ARTG>145740</ARTG></ARTGs><ChangeExplanation>DELETE</ChangeExplanation><MinimumBenefit>152</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Delete</ActionFlag><CycleStartDate>2015-02-01</CycleStartDate><CycleEndDate>2025-03-01</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><ChangeExplanation>DELETE</ChangeExplanation><MinimumBenefit>4962</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Delete</ActionFlag><CycleStartDate>2023-03-01</CycleStartDate><CycleEndDate>2025-03-01</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><ChangeExplanation>DELETE</ChangeExplanation><MinimumBenefit>4750</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Delete</ActionFlag><CycleStartDate>2012-02-01</CycleStartDate><CycleEndDate>2025-03-01</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><ChangeExplanation>DELETE</ChangeExplanation><MinimumBenefit>8978</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Delete</ActionFlag><CycleStartDate>2024-07-01</CycleStartDate><CycleEndDate>2025-03-01</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><ChangeExplanation>DELETE</ChangeExplanation><MinimumBenefit>2280</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Delete</ActionFlag><CycleStartDate>2022-07-01</CycleStartDate><CycleEndDate>2025-03-01</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><ChangeExplanation>DELETE</ChangeExplanation><MinimumBenefit>2280</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Delete</ActionFlag><CycleStartDate>2022-07-01</CycleStartDate><CycleEndDate>2025-03-01</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><ChangeExplanation>DELETE</ChangeExplanation><MinimumBenefit>728</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Delete</ActionFlag><CycleStartDate>2023-07-01</CycleStartDate><CycleEndDate>2025-03-01</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><ChangeExplanation>DELETE</ChangeExplanation><MinimumBenefit>728</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Delete</ActionFlag><CycleStartDate>2015-08-01</CycleStartDate><CycleEndDate>2025-03-01</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><ChangeExplanation>DELETE</ChangeExplanation><MinimumBenefit>812</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Delete</ActionFlag><CycleStartDate>2021-07-01</CycleStartDate><CycleEndDate>2025-03-01</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><ChangeExplanation>DELETE</ChangeExplanation><MinimumBenefit>524</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Delete</ActionFlag><CycleStartDate>2015-08-01</CycleStartDate><CycleEndDate>2025-03-01</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><ChangeExplanation>DELETE</ChangeExplanation><MinimumBenefit>1085</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Delete</ActionFlag><CycleStartDate>2021-03-01</CycleStartDate><CycleEndDate>2025-03-01</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><ChangeExplanation>DELETE</ChangeExplanation><MinimumBenefit>996</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Delete</ActionFlag><CycleStartDate>2016-02-01</CycleStartDate><CycleEndDate>2025-03-01</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><ChangeExplanation>DELETE</ChangeExplanation><MinimumBenefit>186</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Delete</ActionFlag><CycleStartDate>2021-03-01</CycleStartDate><CycleEndDate>2025-03-01</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><ChangeExplanation>DELETE</ChangeExplanation><MinimumBenefit>186</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Delete</ActionFlag><CycleStartDate>2023-07-01</CycleStartDate><CycleEndDate>2025-03-01</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><ChangeExplanation>DELETE</ChangeExplanation><MinimumBenefit>186</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Delete</ActionFlag><CycleStartDate>2021-03-01</CycleStartDate><CycleEndDate>2025-03-01</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><ChangeExplanation>DELETE</ChangeExplanation><MinimumBenefit>186</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Delete</ActionFlag><CycleStartDate>2016-08-01</CycleStartDate><CycleEndDate>2025-03-01</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><ChangeExplanation>DELETE</ChangeExplanation><MinimumBenefit>186</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Delete</ActionFlag><CycleStartDate>2014-08-01</CycleStartDate><CycleEndDate>2025-03-01</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><ChangeExplanation>DELETE</ChangeExplanation><MinimumBenefit>143</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Delete</ActionFlag><CycleStartDate>2023-07-01</CycleStartDate><CycleEndDate>2025-03-01</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><ChangeExplanation>DELETE</ChangeExplanation><MinimumBenefit>143</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Delete</ActionFlag><CycleStartDate>2015-02-01</CycleStartDate><CycleEndDate>2025-03-01</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><ChangeExplanation>DELETE</ChangeExplanation><MinimumBenefit>143</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Delete</ActionFlag><CycleStartDate>2015-08-01</CycleStartDate><CycleEndDate>2025-03-01</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><ChangeExplanation>DELETE</ChangeExplanation><MinimumBenefit>143</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Delete</ActionFlag><CycleStartDate>2014-08-01</CycleStartDate><CycleEndDate>2025-03-01</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><ChangeExplanation>DELETE</ChangeExplanation><MinimumBenefit>686</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Delete</ActionFlag><CycleStartDate>2015-08-01</CycleStartDate><CycleEndDate>2025-03-01</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><ChangeExplanation>DELETE</ChangeExplanation><MinimumBenefit>349</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Delete</ActionFlag><CycleStartDate>2014-08-01</CycleStartDate><CycleEndDate>2025-03-01</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><ChangeExplanation>DELETE</ChangeExplanation><MinimumBenefit>655</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Delete</ActionFlag><CycleStartDate>2015-02-01</CycleStartDate><CycleEndDate>2025-03-01</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><ChangeExplanation>DELETE</ChangeExplanation><MinimumBenefit>655</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Delete</ActionFlag><CycleStartDate>2015-08-01</CycleStartDate><CycleEndDate>2025-03-01</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><ChangeExplanation>DELETE</ChangeExplanation><MinimumBenefit>655</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Delete</ActionFlag><CycleStartDate>2015-08-01</CycleStartDate><CycleEndDate>2025-03-01</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><ChangeExplanation>DELETE</ChangeExplanation><MinimumBenefit>705</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Delete</ActionFlag><CycleStartDate>2023-07-01</CycleStartDate><CycleEndDate>2025-03-01</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><ChangeExplanation>DELETE</ChangeExplanation><MinimumBenefit>705</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Delete</ActionFlag><CycleStartDate>2015-08-01</CycleStartDate><CycleEndDate>2025-03-01</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><ChangeExplanation>DELETE</ChangeExplanation><MinimumBenefit>705</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Delete</ActionFlag><CycleStartDate>2023-07-01</CycleStartDate><CycleEndDate>2025-03-01</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><ChangeExplanation>DELETE</ChangeExplanation><MinimumBenefit>755</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Delete</ActionFlag><CycleStartDate>2014-08-01</CycleStartDate><CycleEndDate>2025-03-01</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><ChangeExplanation>DELETE</ChangeExplanation><MinimumBenefit>340</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Delete</ActionFlag><CycleStartDate>2015-08-01</CycleStartDate><CycleEndDate>2025-03-01</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><ChangeExplanation>DELETE</ChangeExplanation><MinimumBenefit>340</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Delete</ActionFlag><CycleStartDate>2014-08-01</CycleStartDate><CycleEndDate>2025-03-01</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><ChangeExplanation>DELETE</ChangeExplanation><MinimumBenefit>340</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Delete</ActionFlag><CycleStartDate>2023-07-01</CycleStartDate><CycleEndDate>2025-03-01</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><ChangeExplanation>DELETE</ChangeExplanation><MinimumBenefit>555</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Delete</ActionFlag><CycleStartDate>2023-07-01</CycleStartDate><CycleEndDate>2025-03-01</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><ChangeExplanation>DELETE</ChangeExplanation><MinimumBenefit>555</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Delete</ActionFlag><CycleStartDate>2024-07-01</CycleStartDate><CycleEndDate>2025-03-01</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><ChangeExplanation>DELETE</ChangeExplanation><MinimumBenefit>3529</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Delete</ActionFlag><CycleStartDate>2014-02-01</CycleStartDate><CycleEndDate>2025-03-01</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><ChangeExplanation>DELETE</ChangeExplanation><MinimumBenefit>3529</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Delete</ActionFlag><CycleStartDate>2014-02-01</CycleStartDate><CycleEndDate>2025-03-01</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><ChangeExplanation>DELETE</ChangeExplanation><MinimumBenefit>1836</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Delete</ActionFlag><CycleStartDate>2010-02-01</CycleStartDate><CycleEndDate>2025-03-01</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><ChangeExplanation>DELETE</ChangeExplanation><MinimumBenefit>2007</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Delete</ActionFlag><CycleStartDate>2010-02-01</CycleStartDate><CycleEndDate>2025-03-01</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><ChangeExplanation>DELETE</ChangeExplanation><MinimumBenefit>992</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Delete</ActionFlag><CycleStartDate>2010-02-01</CycleStartDate><CycleEndDate>2025-03-01</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>DELETE</ChangeExplanation><MinimumBenefit>1020</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Delete</ActionFlag><CycleStartDate>2013-02-01</CycleStartDate><CycleEndDate>2025-03-01</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><ChangeExplanation>DELETE</ChangeExplanation><MinimumBenefit>337</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Delete</ActionFlag><CycleStartDate>2010-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SJ390</BillingCode><Name>Confirm RX</Name><Description>Insertable Cardiac Monitor</Description><Size>5cm X 0.95cm X 0.33cm</Size><SupplierCode>SJ</SupplierCode><CategoryID>27</CategoryID><SubCategoryID>293</SubCategoryID><GroupID>2962</GroupID><ARTGs><ARTG>292930</ARTG></ARTGs><ChangeExplanation>DELETE</ChangeExplanation><MinimumBenefit>2886</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Delete</ActionFlag><CycleStartDate>2017-08-01</CycleStartDate><CycleEndDate>2025-03-01</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><ChangeExplanation>DELETE</ChangeExplanation><MinimumBenefit>24367</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Delete</ActionFlag><CycleStartDate>2013-08-01</CycleStartDate><CycleEndDate>2025-03-01</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><ChangeExplanation>DELETE</ChangeExplanation><MinimumBenefit>2554</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Delete</ActionFlag><CycleStartDate>2017-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MB022</BillingCode><Name>Zephyr Hydraulic  Penile Implant</Name><Description>This hydraulic  penile implant is made from silicone elastomer and comprises of two inflatable cylinders. a reservoir and a pump.</Description><Size>All sizes contained in one system pack. (13, 16, 19 cm)</Size><SupplierCode>MB</SupplierCode><CategoryID>26</CategoryID><SubCategoryID>230</SubCategoryID><GroupID>1709</GroupID><Suffix>A</Suffix><ARTGs><ARTG>216415</ARTG></ARTGs><ChangeExplanation>DELETE</ChangeExplanation><MinimumBenefit>9893</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Delete</ActionFlag><CycleStartDate>2014-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MB027</BillingCode><Name>Zephyr Hydraulic Phalloplasty Penile Implant</Name><Description>Hydraulic phalloplasty penile implant</Description><Size>120-210 mm</Size><SupplierCode>MB</SupplierCode><CategoryID>26</CategoryID><SubCategoryID>230</SubCategoryID><GroupID>1709</GroupID><Suffix>A</Suffix><ARTGs><ARTG>320689</ARTG></ARTGs><ChangeExplanation>DELETE</ChangeExplanation><MinimumBenefit>9893</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Delete</ActionFlag><CycleStartDate>2017-08-01</CycleStartDate><CycleEndDate>2025-03-01</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><ChangeExplanation>DELETE</ChangeExplanation><MinimumBenefit>9606</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Delete</ActionFlag><CycleStartDate>2022-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>CB018</BillingCode><Name>Skater Nephrostomy Drainage Catheter</Name><Description>A drainage catheter intended for use for Nephrostomy applications either by direct stick or modified seldinger technique.</Description><Size>6 - 14 Fr</Size><SupplierCode>CB</SupplierCode><CategoryID>26</CategoryID><SubCategoryID>234</SubCategoryID><GroupID>1718</GroupID><ARTGs><ARTG>223260</ARTG></ARTGs><ChangeExplanation>DELETE</ChangeExplanation><MinimumBenefit>91</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Delete</ActionFlag><CycleStartDate>2015-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>RW001</BillingCode><Name>Deflux</Name><Description>Deflux is a sterile, highly viscous gel of dextranomer microspheres and non-animal stabilised hyaluronic acid constituting a biocompatible and biodegradable implant for the treatment of vesicoureteral reflux.  The stabilised hyaluronic acid acts mainly as</Description><Size>1ml in syringe</Size><SupplierCode>RW</SupplierCode><CategoryID>26</CategoryID><SubCategoryID>235</SubCategoryID><GroupID>1719</GroupID><ARTGs><ARTG>345790</ARTG></ARTGs><ChangeExplanation>DELETE</ChangeExplanation><MinimumBenefit>950</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Delete</ActionFlag><CycleStartDate>2019-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MC750</BillingCode><Name>Durepair</Name><Description>Dura Substitute, Collagen</Description><Size>1" x 1"</Size><SupplierCode>MI</SupplierCode><CategoryID>25</CategoryID><SubCategoryID>219</SubCategoryID><GroupID>1657</GroupID><Suffix>Biological</Suffix><ARTGs><ARTG>134482</ARTG></ARTGs><ChangeExplanation>DELETE</ChangeExplanation><MinimumBenefit>320</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Delete</ActionFlag><CycleStartDate>2007-12-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MI081</BillingCode><Name>Durepair</Name><Description>Dura Substitute, Collagen</Description><Size>1"-2" x 2"-3"</Size><SupplierCode>MI</SupplierCode><CategoryID>25</CategoryID><SubCategoryID>219</SubCategoryID><GroupID>1658</GroupID><Suffix>Biological</Suffix><ARTGs><ARTG>134482</ARTG></ARTGs><ChangeExplanation>DELETE</ChangeExplanation><MinimumBenefit>477</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Delete</ActionFlag><CycleStartDate>2013-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MC753</BillingCode><Name>Durepair</Name><Description>Dura Substitute, Collagen</Description><Size>3" x 3"</Size><SupplierCode>MI</SupplierCode><CategoryID>25</CategoryID><SubCategoryID>219</SubCategoryID><GroupID>1659</GroupID><Suffix>Biological</Suffix><ARTGs><ARTG>134482</ARTG></ARTGs><ChangeExplanation>DELETE</ChangeExplanation><MinimumBenefit>944</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Delete</ActionFlag><CycleStartDate>2007-12-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MC754</BillingCode><Name>Durepair</Name><Description>Dura Substitute, Collagen</Description><Size>4" x 5"</Size><SupplierCode>MI</SupplierCode><CategoryID>25</CategoryID><SubCategoryID>219</SubCategoryID><GroupID>1660</GroupID><Suffix>Biological</Suffix><ARTGs><ARTG>134482</ARTG></ARTGs><ChangeExplanation>DELETE</ChangeExplanation><MinimumBenefit>1592</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Delete</ActionFlag><CycleStartDate>2007-12-01</CycleStartDate><CycleEndDate>2025-03-01</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>DELETE</ChangeExplanation><MinimumBenefit>446</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Delete</ActionFlag><CycleStartDate>2024-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MC941</BillingCode><Name>Pocket Adaptors for Spinal Cord Stimulation</Name><Description>Pocket Adaptors for Spinal Cord Stimulation (Single and Dual Channel)</Description><Size>12.9cm, 25.5cm and 27.4cm</Size><SupplierCode>MI</SupplierCode><CategoryID>25</CategoryID><SubCategoryID>222</SubCategoryID><GroupID>1680</GroupID><ARTGs><ARTG>165114</ARTG></ARTGs><ChangeExplanation>DELETE</ChangeExplanation><MinimumBenefit>1362</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Delete</ActionFlag><CycleStartDate>2010-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>PN022</BillingCode><Name>ACCLINO Flex Plus Stent</Name><Description>Acclino Flex Plus Stent is a self-expanding lasercut Nitinol stent for aneurysm neck bridging in case of stent assisted coiling procedures. It is intended for use with embolisation materials for the treatment of intracranial aneurysms. It provides an increased range and is suitable for vessel diameters from 1.5 to 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>DELETE</ChangeExplanation><MinimumBenefit>6769</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Delete</ActionFlag><CycleStartDate>2020-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>CB012</BillingCode><Name>LVIS Intraluminal Support Device</Name><Description>Self-expanding intracranial vascular stent</Description><Size>Diameters: 2.5, 3.0, 3.5, 4.0, 4.5, 5.5mm  Lengths: 8-67mm</Size><SupplierCode>CB</SupplierCode><CategoryID>25</CategoryID><SubCategoryID>225</SubCategoryID><GroupID>1687</GroupID><ARTGs><ARTG>194409</ARTG></ARTGs><ChangeExplanation>DELETE</ChangeExplanation><MinimumBenefit>6769</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Delete</ActionFlag><CycleStartDate>2013-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>PN023</BillingCode><Name>ACCERO Stent</Name><Description>ACCERO Stent is a highly visible,braided self-expanding stent with BlueXide® surface technology.The self-expanding braided stent is characterised by an excellent opening behaviour,  superior wall apposition and a very smooth surface. It is intended for use with embolization materials in the treatment of intracranial aneurysms. Accero’s full range of sizes can be delivered through a small 0.0170” microcatheter and can be resheathed up to 95%.    </Description><Size>Stent Diameter (mm): 2.5, 3.0, 3.5,4.0, 4.5           Stent Length (mm): 10, 15, 20, 25</Size><SupplierCode>PN</SupplierCode><CategoryID>25</CategoryID><SubCategoryID>225</SubCategoryID><GroupID>1687</GroupID><ARTGs><ARTG>321603</ARTG></ARTGs><ChangeExplanation>DELETE</ChangeExplanation><MinimumBenefit>6769</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Delete</ActionFlag><CycleStartDate>2021-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>CB010</BillingCode><Name>Hydrocoils</Name><Description>Framing and filling coils with Hydrogel.</Description><Size>Diam: 1-24mm  Length: 1-50cm</Size><SupplierCode>CB</SupplierCode><CategoryID>25</CategoryID><SubCategoryID>225</SubCategoryID><GroupID>1688</GroupID><ARTGs><ARTG>137933</ARTG></ARTGs><ChangeExplanation>DELETE</ChangeExplanation><MinimumBenefit>1043</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Delete</ActionFlag><CycleStartDate>2012-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>CB011</BillingCode><Name>Microplex Coils</Name><Description>Framing and filling coils</Description><Size>Diam: 1-24mm
Length: 1-68cm</Size><SupplierCode>CB</SupplierCode><CategoryID>25</CategoryID><SubCategoryID>225</SubCategoryID><GroupID>1688</GroupID><ARTGs><ARTG>137934</ARTG></ARTGs><ChangeExplanation>DELETE</ChangeExplanation><MinimumBenefit>1043</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Delete</ActionFlag><CycleStartDate>2012-08-01</CycleStartDate><CycleEndDate>2025-03-01</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><ChangeExplanation>DELETE</ChangeExplanation><MinimumBenefit>2306</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Delete</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</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><ChangeExplanation>DELETE</ChangeExplanation><MinimumBenefit>1245</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Delete</ActionFlag><CycleStartDate>2023-11-01</CycleStartDate><CycleEndDate>2025-03-01</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><ChangeExplanation>DELETE</ChangeExplanation><MinimumBenefit>2059</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Delete</ActionFlag><CycleStartDate>2016-02-01</CycleStartDate><CycleEndDate>2025-03-01</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><ChangeExplanation>DELETE</ChangeExplanation><MinimumBenefit>103</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Delete</ActionFlag><CycleStartDate>2016-08-01</CycleStartDate><CycleEndDate>2025-03-01</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><ChangeExplanation>DELETE</ChangeExplanation><MinimumBenefit>1762</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Delete</ActionFlag><CycleStartDate>2018-02-01</CycleStartDate><CycleEndDate>2025-03-01</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><ChangeExplanation>DELETE</ChangeExplanation><MinimumBenefit>1762</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Delete</ActionFlag><CycleStartDate>2018-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>OL012</BillingCode><Name>Canal Wall Prosthesis</Name><Description>Grote, HA</Description><Size>Small - Large</Size><SupplierCode>OL</SupplierCode><CategoryID>22</CategoryID><SubCategoryID>196</SubCategoryID><GroupID>1565</GroupID><SubGroupID>4154</SubGroupID><ARTGs><ARTG>123372</ARTG></ARTGs><ChangeExplanation>DELETE</ChangeExplanation><MinimumBenefit>94</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Delete</ActionFlag><CycleStartDate>2010-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>UP003</BillingCode><PriorBillingCodes><PriorBillingCode>LM332</PriorBillingCode></PriorBillingCodes><Name>Stapes</Name><Description>a) NiTiBOND   b) Soft CliP   c) K-Piston   d) Angular Piston   e) CliP Piston aWengen   f) CliP Piston MVP  g) Lenticle Cup</Description><Size>a) Diameter - 0.4 or 0.6mm in lengths - 3.5 to 5.5mm   b)  Diameter - 0.4 or 0.6mm in lengths 3.5 to 5.5mm   c) Diameter - 0.4 or 0.6mm in lengths 3.5 to 10mm   d) Diameter 0.4 or 0.6mm in lengths 4.25, 4.5, 4.75mm   e) Diameter - 0.4mm or 0.6mm in lengths 3.5 to 5.5mm   f) Diameter 0.4 or 0.6mm in lengths - 5 to 6.25mm  g) lengths - 3 to 4.5mm</Size><SupplierCode>UP</SupplierCode><CategoryID>22</CategoryID><SubCategoryID>196</SubCategoryID><GroupID>1565</GroupID><SubGroupID>4154</SubGroupID><ARTGs><ARTG>119746</ARTG></ARTGs><ChangeExplanation>DELETE</ChangeExplanation><MinimumBenefit>94</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Delete</ActionFlag><CycleStartDate>2019-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>OL073</BillingCode><Name>Dornhoffer Prostheses</Name><Description>Hydroxyapetite head/HAPEX shaft PORP and TORP</Description><Size>0.8mm Shaft Dia TORP, 1.3mm Shaft Diameter PORP</Size><SupplierCode>OL</SupplierCode><CategoryID>22</CategoryID><SubCategoryID>196</SubCategoryID><GroupID>1565</GroupID><SubGroupID>4157</SubGroupID><ARTGs><ARTG>123372</ARTG></ARTGs><ChangeExplanation>DELETE</ChangeExplanation><MinimumBenefit>343</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Delete</ActionFlag><CycleStartDate>2010-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>RW004</BillingCode><Name>Barrigel</Name><Description>Biodegradable gel of 9ml hyaluronic acid supplied in a kit of three 3 ml syringes</Description><Size>One size only</Size><SupplierCode>RW</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>187</SubCategoryID><GroupID>1792</GroupID><SubGroupID>6281</SubGroupID><ARTGs><ARTG>339926</ARTG></ARTGs><ChangeExplanation>DELETE</ChangeExplanation><MinimumBenefit>1730</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Delete</ActionFlag><CycleStartDate>2021-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>RW003</BillingCode><Name>Barrigel</Name><Description>Biodegrable gel of hyaluronic acid supplied in a 3ml syringe</Description><Size>3ml</Size><SupplierCode>RW</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>187</SubCategoryID><GroupID>1792</GroupID><SubGroupID>6061</SubGroupID><ARTGs><ARTG>339926</ARTG></ARTGs><ChangeExplanation>DELETE</ChangeExplanation><MinimumBenefit>843</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Delete</ActionFlag><CycleStartDate>2021-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>GT228</BillingCode><Name>GORE® SEAMGUARD® Bioabsorbable Staple Line Reinforcement (Circular)</Name><Description>GORE® SEAMGUARD® Reinforcement is a synthetic 100% bioabsorbable material, constructed from Polyglycolic Acid:Trimethylene Carbonate. Buttressing material is engineered to reduce perioperative leaks and bleeding in a variety of minimally invasive surgeries. Configured for a range of circular/EEA staplers- 25mm, 28mm, 29mm, 31mm, 33mm &amp; 34mm</Description><Size>Circular Seamguard is configured for a range of circular/EEA staplers- 25mm, 28mm, 29mm, 31mm, 33mm &amp; 34mm for both Johnson &amp; Johnson &amp; Medtronic Circular Staplers</Size><SupplierCode>GT</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>194</SubCategoryID><GroupID>1582</GroupID><SubGroupID>4319</SubGroupID><ARTGs><ARTG>153352</ARTG></ARTGs><ChangeExplanation>DELETE</ChangeExplanation><MinimumBenefit>198</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Delete</ActionFlag><CycleStartDate>2009-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>AS110</BillingCode><Name>DFS Disposable Fascia Stapler</Name><Description>Stainless Steel</Description><Size>One Size Only</Size><SupplierCode>MI</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>194</SubCategoryID><GroupID>1582</GroupID><SubGroupID>4320</SubGroupID><ARTGs><ARTG>180134</ARTG></ARTGs><ChangeExplanation>DELETE</ChangeExplanation><MinimumBenefit>292</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Delete</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>CK003</BillingCode><Name>Endox Visu-Loc Clip Applier</Name><Description>Single-use laparoscopic clip applier</Description><Size>Medium, Large</Size><SupplierCode>CK</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>194</SubCategoryID><GroupID>1581</GroupID><SubGroupID>4258</SubGroupID><Suffix>Laparoscopic</Suffix><ARTGs><ARTG>137044</ARTG></ARTGs><ChangeExplanation>DELETE</ChangeExplanation><MinimumBenefit>180</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Delete</ActionFlag><CycleStartDate>2007-12-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>CK001</BillingCode><Name>Microline Pentax Disposable 10ml Titanium K2 Clip Cartridge</Name><Description>Disposable cartridge containing 19 surgical grade titanium clips delivered using a re-usable hand piece applier</Description><Size>medium/large clip</Size><SupplierCode>CK</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>194</SubCategoryID><GroupID>1581</GroupID><SubGroupID>4259</SubGroupID><ARTGs><ARTG>129715</ARTG></ARTGs><ChangeExplanation>DELETE</ChangeExplanation><MinimumBenefit>52</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Delete</ActionFlag><CycleStartDate>2007-12-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>CU003</BillingCode><Name>Neofuser Pump</Name><Description>Continuous flow rate ambulatory and disposable silicone balloon infusion pump</Description><Size>Volume 100ml, 275ml, 450ml</Size><SupplierCode>CU</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>188</SubCategoryID><GroupID>1524</GroupID><SubGroupID>5358</SubGroupID><Suffix>Set</Suffix><ARTGs><ARTG>286078</ARTG></ARTGs><ChangeExplanation>DELETE</ChangeExplanation><MinimumBenefit>92</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Delete</ActionFlag><CycleStartDate>2017-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>CU005</BillingCode><Name>Neofuser Bolus Pump</Name><Description>Ambulatory and disposable silicone balloon infusion pump with bolus function</Description><Size>Volume 100ml, 275ml, 450ml</Size><SupplierCode>CU</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>188</SubCategoryID><GroupID>1524</GroupID><SubGroupID>5359</SubGroupID><Suffix>Bolus</Suffix><ARTGs><ARTG>286078</ARTG></ARTGs><ChangeExplanation>DELETE</ChangeExplanation><MinimumBenefit>367</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Delete</ActionFlag><CycleStartDate>2017-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>CU004</BillingCode><Name>Neofuser Vario Pump</Name><Description>Variable flow rate ambulatory and disposable silicone balloon infusion pump</Description><Size>Volume 60ml, 100ml, 180ml, 275ml, 450ml</Size><SupplierCode>CU</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>188</SubCategoryID><GroupID>1524</GroupID><SubGroupID>5359</SubGroupID><Suffix>Set</Suffix><ARTGs><ARTG>286078</ARTG></ARTGs><ChangeExplanation>DELETE</ChangeExplanation><MinimumBenefit>319</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Delete</ActionFlag><CycleStartDate>2017-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ET094</BillingCode><PriorBillingCodes><PriorBillingCode>WC247</PriorBillingCode></PriorBillingCodes><Name>Biodesign Surgisis 8-Layer Tissue Graft</Name><Description>Biodesign Surgisis 8-layer Tissue Graft is 8 layers of compressed and perforated porcine sis collagen matrix, non cross-linked, remodelable and resorbable tissue graft</Description><Size>13cm x 22cm</Size><SupplierCode>ET</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>194</SubCategoryID><GroupID>1798</GroupID><SubGroupID>5492</SubGroupID><Suffix>Coated</Suffix><ARTGs><ARTG>153048</ARTG></ARTGs><ChangeExplanation>DELETE</ChangeExplanation><MinimumBenefit>1341</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Delete</ActionFlag><CycleStartDate>2021-07-01</CycleStartDate><CycleEndDate>2025-03-01</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><ChangeExplanation>DELETE</ChangeExplanation><MinimumBenefit>384</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Delete</ActionFlag><CycleStartDate>2015-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>CB017</BillingCode><Name>Skater Biliary Drainage Catheter</Name><Description>Used for biliary drainage applications</Description><Size>Biliary Drainage Catheter w/Locking Pigtail
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><ChangeExplanation>DELETE</ChangeExplanation><MinimumBenefit>97</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Delete</ActionFlag><CycleStartDate>2015-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>KG006</BillingCode><Name>Rayner "Sulcoflex" Aspheric Multi-focal Pseudophakic Secondary IOL</Name><Description>Acrylic, Aspheric Multi-focal Pseudophakic Secondary IOL: Sulcus-Fixated with Undulating Haptics and Posterior Haptic Angulation</Description><Size>6.5mm / 13.5mm - 5.00D+5.00D sphere with  + 3.00 Addition</Size><SupplierCode>KG</SupplierCode><CategoryID>1</CategoryID><SubCategoryID>141</SubCategoryID><GroupID>1328</GroupID><SubGroupID>3896</SubGroupID><Suffix>at</Suffix><ARTGs><ARTG>100926</ARTG></ARTGs><ChangeExplanation>DELETE</ChangeExplanation><MinimumBenefit>668</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Delete</ActionFlag><CycleStartDate>2009-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>KG025</BillingCode><PriorBillingCodes><PriorBillingCode>DV254</PriorBillingCode></PriorBillingCodes><Name>Rayner Premium Sulcoflex Multifocal Toric Supplementary IOL</Name><Description>653Z-Premium Multifocal Toric Supplementary IOL</Description><Size>-7D to +7D (Spherical Equivalent) Cylinder 1D, 4D, 5D, 6D Addition 3.5D</Size><SupplierCode>KG</SupplierCode><CategoryID>1</CategoryID><SubCategoryID>141</SubCategoryID><GroupID>1328</GroupID><SubGroupID>3896</SubGroupID><Suffix>at, t1</Suffix><ARTGs><ARTG>100926</ARTG></ARTGs><ChangeExplanation>DELETE</ChangeExplanation><MinimumBenefit>973</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Delete</ActionFlag><CycleStartDate>2019-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>KG026</BillingCode><PriorBillingCodes><PriorBillingCode>DV255</PriorBillingCode></PriorBillingCodes><Name>Rayner Standard Sulcoflex Multifocal Toric Supplementary IOL</Name><Description>653Z-Standard Multifocal Toric Supplementary IOL</Description><Size>-3D to +3D (Spherical Equivalent) Cylinders 2D and 3D Addition 3.5D</Size><SupplierCode>KG</SupplierCode><CategoryID>1</CategoryID><SubCategoryID>141</SubCategoryID><GroupID>1328</GroupID><SubGroupID>3896</SubGroupID><Suffix>at, t1</Suffix><ARTGs><ARTG>100926</ARTG></ARTGs><ChangeExplanation>DELETE</ChangeExplanation><MinimumBenefit>973</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Delete</ActionFlag><CycleStartDate>2019-11-01</CycleStartDate><CycleEndDate>2025-03-01</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><ChangeExplanation>DELETE</ChangeExplanation><MinimumBenefit>389</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Delete</ActionFlag><CycleStartDate>2014-08-01</CycleStartDate><CycleEndDate>2025-03-01</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><ChangeExplanation>DELETE</ChangeExplanation><MinimumBenefit>389</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Delete</ActionFlag><CycleStartDate>2023-07-01</CycleStartDate><CycleEndDate>2025-03-01</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><ChangeExplanation>DELETE</ChangeExplanation><MinimumBenefit>1136</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Delete</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</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><ChangeExplanation>DELETE</ChangeExplanation><MinimumBenefit>1136</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Delete</ActionFlag><CycleStartDate>2017-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MI194</BillingCode><Name>Sophono Alpha Bone Conduction Hearing System, Implant</Name><Description>Alpha Implant</Description><Size>-</Size><SupplierCode>MI</SupplierCode><CategoryID>22</CategoryID><SubCategoryID>196</SubCategoryID><GroupID>1560</GroupID><SubGroupID>4151</SubGroupID><Suffix>Abutment &amp; Fixture</Suffix><ARTGs><ARTG>272642</ARTG></ARTGs><ChangeExplanation>DELETE</ChangeExplanation><MinimumBenefit>1833</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Delete</ActionFlag><CycleStartDate>2016-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>OL003</BillingCode><Name>Bile Duct Stent</Name><Description>Polyethylene Stents</Description><Size>7FR - 12FR 3cm - 15cm</Size><SupplierCode>OL</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>192</SubCategoryID><GroupID>1556</GroupID><SubGroupID>4218</SubGroupID><ARTGs><ARTG>145851</ARTG></ARTGs><ChangeExplanation>DELETE</ChangeExplanation><MinimumBenefit>74</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Delete</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MB023</BillingCode><Name>Allium Biliary Stent</Name><Description>Endoscopic or Transhepatic biliary stent made of nitinol with copolymer covering and unraveling technology for atraumatic removal</Description><Size>Stent length - 60, 80, 100, 120mm. Diameter  - 8, 10mm. Anchor optional</Size><SupplierCode>MB</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>192</SubCategoryID><GroupID>1556</GroupID><SubGroupID>4235</SubGroupID><ARTGs><ARTG>205006</ARTG></ARTGs><ChangeExplanation>DELETE</ChangeExplanation><MinimumBenefit>2730</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Delete</ActionFlag><CycleStartDate>2014-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ET093</BillingCode><PriorBillingCodes><PriorBillingCode>WC245</PriorBillingCode></PriorBillingCodes><Name>Surgisis Biodesign Recto-Vaginal Fistula Plug</Name><Description>Small intestine submucous porcine collagen matrix, non-crosslinked, supports native tissue remodelling, healing and closure of recto-vaginal fistulas. Conical shape with attached button.</Description><Size>2mm width x 5.5cm length; 4mm wide tapering to 2mm wide x 5.5cm length; 7mm wide tapering to 2mm wide x 5.5 length.</Size><SupplierCode>ET</SupplierCode><CategoryID>21</CategoryID><SubCategoryID>194</SubCategoryID><GroupID>1691</GroupID><SubGroupID>4519</SubGroupID><ARTGs><ARTG>153046</ARTG><ARTG>230911</ARTG></ARTGs><ChangeExplanation>DELETE</ChangeExplanation><MinimumBenefit>903</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Delete</ActionFlag><CycleStartDate>2021-07-01</CycleStartDate><CycleEndDate>2025-03-01</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>210541</ARTG><ARTG>210540</ARTG><ARTG>210542</ARTG></ARTGs><ChangeExplanation>DELETE</ChangeExplanation><MinimumBenefit>1802</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Delete</ActionFlag><CycleStartDate>2010-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>EG009</BillingCode><Name>Artisan Anterior Chamber Intraocular Lens</Name><Description>Aphakia Model
Composition: PMMA</Description><Size>5.00mm Optic Diameter x 8.5 in overall length</Size><SupplierCode>EG</SupplierCode><CategoryID>1</CategoryID><SubCategoryID>140</SubCategoryID><GroupID>1324</GroupID><SubGroupID>3887</SubGroupID><Suffix>ifc</Suffix><ARTGs><ARTG>92476</ARTG></ARTGs><ChangeExplanation>DELETE</ChangeExplanation><MinimumBenefit>203</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Delete</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</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><ChangeExplanation>DELETE</ChangeExplanation><MinimumBenefit>1026</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Delete</ActionFlag><CycleStartDate>2021-11-01</CycleStartDate><CycleEndDate>2025-03-01</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><ChangeExplanation>DELETE</ChangeExplanation><MinimumBenefit>722</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Delete</ActionFlag><CycleStartDate>2015-08-01</CycleStartDate><CycleEndDate>2025-03-01</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><ChangeExplanation>DELETE</ChangeExplanation><MinimumBenefit>722</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Delete</ActionFlag><CycleStartDate>2015-08-01</CycleStartDate><CycleEndDate>2025-03-01</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><ChangeExplanation>DELETE</ChangeExplanation><MinimumBenefit>722</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Delete</ActionFlag><CycleStartDate>2006-03-24</CycleStartDate><CycleEndDate>2025-03-01</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><ChangeExplanation>DELETE</ChangeExplanation><MinimumBenefit>722</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Delete</ActionFlag><CycleStartDate>2013-02-01</CycleStartDate><CycleEndDate>2025-03-01</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><ChangeExplanation>DELETE</ChangeExplanation><MinimumBenefit>1140</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Delete</ActionFlag><CycleStartDate>2015-08-01</CycleStartDate><CycleEndDate>2025-03-01</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><ChangeExplanation>DELETE</ChangeExplanation><MinimumBenefit>1140</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Delete</ActionFlag><CycleStartDate>2006-03-24</CycleStartDate><CycleEndDate>2025-03-01</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><ChangeExplanation>DELETE</ChangeExplanation><MinimumBenefit>2185</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Delete</ActionFlag><CycleStartDate>2021-11-01</CycleStartDate><CycleEndDate>2025-03-01</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><ChangeExplanation>DELETE</ChangeExplanation><MinimumBenefit>4370</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Delete</ActionFlag><CycleStartDate>2021-11-01</CycleStartDate><CycleEndDate>2025-03-01</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><ChangeExplanation>DELETE</ChangeExplanation><MinimumBenefit>1425</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Delete</ActionFlag><CycleStartDate>2015-08-01</CycleStartDate><CycleEndDate>2025-03-01</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><ChangeExplanation>DELETE</ChangeExplanation><MinimumBenefit>442</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Delete</ActionFlag><CycleStartDate>2020-03-01</CycleStartDate><CycleEndDate>2025-03-01</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><ChangeExplanation>DELETE</ChangeExplanation><MinimumBenefit>181</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Delete</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</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><ChangeExplanation>DELETE</ChangeExplanation><MinimumBenefit>930</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Delete</ActionFlag><CycleStartDate>2010-02-01</CycleStartDate><CycleEndDate>2025-03-01</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><ChangeExplanation>DELETE</ChangeExplanation><MinimumBenefit>3226</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Delete</ActionFlag><CycleStartDate>2010-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>EG012</BillingCode><Name>Artisan Anterior Chamber IOL</Name><Description>Phakic Intraocular Lens Myopic / Hyperopic</Description><Size>5.00mm Optic Diameter x 8.5 in overall length;</Size><SupplierCode>EG</SupplierCode><CategoryID>1</CategoryID><SubCategoryID>140</SubCategoryID><GroupID>1325</GroupID><SubGroupID>3888</SubGroupID><ARTGs><ARTG>92476</ARTG></ARTGs><ChangeExplanation>DELETE</ChangeExplanation><MinimumBenefit>552</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Delete</ActionFlag><CycleStartDate>2010-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>EG019</BillingCode><Name>Artisan Toric (Custom) T1</Name><Description>AC Iris clip IOL Toric</Description><Size>5.00mm Optic Diameter x 7.5 Overall</Size><SupplierCode>EG</SupplierCode><CategoryID>1</CategoryID><SubCategoryID>140</SubCategoryID><GroupID>1325</GroupID><SubGroupID>3888</SubGroupID><Suffix>t1, ifc</Suffix><ARTGs><ARTG>92476</ARTG></ARTGs><ChangeExplanation>DELETE</ChangeExplanation><MinimumBenefit>934</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Delete</ActionFlag><CycleStartDate>2015-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>EG020</BillingCode><Name>Artisan Toric (Custom) T2</Name><Description>AC Iris clip IOL Toric</Description><Size>5.00mm Optic Diameter x 7.5 Overall</Size><SupplierCode>EG</SupplierCode><CategoryID>1</CategoryID><SubCategoryID>140</SubCategoryID><GroupID>1325</GroupID><SubGroupID>3888</SubGroupID><Suffix>t2, ifc</Suffix><ARTGs><ARTG>92476</ARTG></ARTGs><ChangeExplanation>DELETE</ChangeExplanation><MinimumBenefit>1180</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Delete</ActionFlag><CycleStartDate>2015-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>EG010</BillingCode><Name>Artiflex Anterior Chamber Intraocular Lens</Name><Description>Optic: Hydrophobic Polysiloxane. Haptic: PMMA</Description><Size>6mm optic diameter x 8.5 in overall length</Size><SupplierCode>EG</SupplierCode><CategoryID>1</CategoryID><SubCategoryID>140</SubCategoryID><GroupID>1325</GroupID><SubGroupID>3889</SubGroupID><ARTGs><ARTG>92476</ARTG></ARTGs><ChangeExplanation>DELETE</ChangeExplanation><MinimumBenefit>565</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Delete</ActionFlag><CycleStartDate>2006-03-24</CycleStartDate><CycleEndDate>2025-03-01</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><ChangeExplanation>DELETE</ChangeExplanation><MinimumBenefit>5948</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Delete</ActionFlag><CycleStartDate>2014-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>GW051</BillingCode><Name>WEGO Nailing Systems</Name><Description>Femoral Nail</Description><Size>≤ 200mm</Size><SupplierCode>GW</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1228</GroupID><SubGroupID>3326</SubGroupID><ARTGs><ARTG>324374</ARTG></ARTGs><ChangeExplanation>DELETE</ChangeExplanation><MinimumBenefit>910</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Delete</ActionFlag><CycleStartDate>2020-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>GW052</BillingCode><Name>WEGO Nailing Systems</Name><Description>Femoral Nail</Description><Size>≥220mm</Size><SupplierCode>GW</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1228</GroupID><SubGroupID>3327</SubGroupID><ARTGs><ARTG>324374</ARTG></ARTGs><ChangeExplanation>DELETE</ChangeExplanation><MinimumBenefit>1188</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Delete</ActionFlag><CycleStartDate>2020-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MN187</BillingCode><Name>Neuflex Finger</Name><Description>Silicon Interpositional device</Description><Size>0-60</Size><SupplierCode>MN</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>131</SubCategoryID><GroupID>1274</GroupID><SubGroupID>6146</SubGroupID><Suffix>Total</Suffix><ARTGs><ARTG>97976</ARTG></ARTGs><ChangeExplanation>DELETE</ChangeExplanation><MinimumBenefit>1330</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Delete</ActionFlag><CycleStartDate>2016-02-01</CycleStartDate><CycleEndDate>2025-03-01</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><ChangeExplanation>DELETE</ChangeExplanation><MinimumBenefit>621</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Delete</ActionFlag><CycleStartDate>2010-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>GW003</BillingCode><Name>WEGO Nailing Systems</Name><Description>Locking Screw for IM Nails</Description><Size>4.0-6.5mm x 18-130mm</Size><SupplierCode>GW</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1229</GroupID><SubGroupID>3713</SubGroupID><ARTGs><ARTG>324374</ARTG><ARTG>324375</ARTG></ARTGs><ChangeExplanation>DELETE</ChangeExplanation><MinimumBenefit>139</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Delete</ActionFlag><CycleStartDate>2020-07-01</CycleStartDate><CycleEndDate>2025-03-01</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><ChangeExplanation>DELETE</ChangeExplanation><MinimumBenefit>139</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Delete</ActionFlag><CycleStartDate>2023-11-01</CycleStartDate><CycleEndDate>2025-03-01</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><ChangeExplanation>DELETE</ChangeExplanation><MinimumBenefit>139</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Delete</ActionFlag><CycleStartDate>2023-11-01</CycleStartDate><CycleEndDate>2025-03-01</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><ChangeExplanation>DELETE</ChangeExplanation><MinimumBenefit>96</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Delete</ActionFlag><CycleStartDate>2023-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>GW012</BillingCode><Name>WEGO Nailing Systems</Name><Description>End Cap for Nails</Description><Size>0-20mm</Size><SupplierCode>GW</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1229</GroupID><SubGroupID>5363</SubGroupID><ARTGs><ARTG>324375</ARTG><ARTG>324374</ARTG></ARTGs><ChangeExplanation>DELETE</ChangeExplanation><MinimumBenefit>96</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Delete</ActionFlag><CycleStartDate>2020-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>GW046</BillingCode><Name>WEGO Nailing Systems</Name><Description>Femoral Neck Lag Screw</Description><Size>75 - 120mm</Size><SupplierCode>GW</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1229</GroupID><SubGroupID>3341</SubGroupID><ARTGs><ARTG>324374</ARTG></ARTGs><ChangeExplanation>DELETE</ChangeExplanation><MinimumBenefit>199</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Delete</ActionFlag><CycleStartDate>2020-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>GW007</BillingCode><Name>WEGO Trauma Systems</Name><Description>Standard Bone Screw Systems</Description><Size>Standard ( ≥4.5mm) 10-130mm</Size><SupplierCode>GW</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3369</SubGroupID><ARTGs><ARTG>324381</ARTG></ARTGs><ChangeExplanation>DELETE</ChangeExplanation><MinimumBenefit>57</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Delete</ActionFlag><CycleStartDate>2020-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>GW005</BillingCode><Name>WEGO Trauma Systems</Name><Description>Standard Locking Screw Systems</Description><Size>Standard ( ≥4.5mm) 10-120mm</Size><SupplierCode>GW</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3369</SubGroupID><Suffix>LK</Suffix><ARTGs><ARTG>324381</ARTG></ARTGs><ChangeExplanation>DELETE</ChangeExplanation><MinimumBenefit>123</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Delete</ActionFlag><CycleStartDate>2020-07-01</CycleStartDate><CycleEndDate>2025-03-01</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><ChangeExplanation>DELETE</ChangeExplanation><MinimumBenefit>351</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Delete</ActionFlag><CycleStartDate>2023-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BU020</BillingCode><Name>MAGNEZIX CS 4.8</Name><Description>Compression screw for bone fixation.</Description><Size>Diameter 4.8mm
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><ChangeExplanation>DELETE</ChangeExplanation><MinimumBenefit>351</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Delete</ActionFlag><CycleStartDate>2017-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>GW065</BillingCode><Name>WEGO Trauma Systems</Name><Description>Self-tapping Cannulated Screw</Description><Size>Standard ( ≥4.5mm)</Size><SupplierCode>GW</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3369</SubGroupID><Suffix>CN,DT</Suffix><ARTGs><ARTG>324381</ARTG></ARTGs><ChangeExplanation>DELETE</ChangeExplanation><MinimumBenefit>351</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Delete</ActionFlag><CycleStartDate>2021-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>GW053</BillingCode><Name>WEGO Trauma Systems</Name><Description>Standard Cannulated Screw Systems</Description><Size>Standard ( ≥4.5mm) 20-120mm</Size><SupplierCode>GW</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3369</SubGroupID><Suffix>CN</Suffix><ARTGs><ARTG>324381</ARTG></ARTGs><ChangeExplanation>DELETE</ChangeExplanation><MinimumBenefit>185</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Delete</ActionFlag><CycleStartDate>2020-07-01</CycleStartDate><CycleEndDate>2025-03-01</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>DELETE</ChangeExplanation><MinimumBenefit>185</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Delete</ActionFlag><CycleStartDate>2024-11-01</CycleStartDate><CycleEndDate>2025-03-01</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>DELETE</ChangeExplanation><MinimumBenefit>351</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Delete</ActionFlag><CycleStartDate>2024-11-01</CycleStartDate><CycleEndDate>2025-03-01</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>DELETE</ChangeExplanation><MinimumBenefit>362</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Delete</ActionFlag><CycleStartDate>2024-11-01</CycleStartDate><CycleEndDate>2025-03-01</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>DELETE</ChangeExplanation><MinimumBenefit>102</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Delete</ActionFlag><CycleStartDate>2024-11-01</CycleStartDate><CycleEndDate>2025-03-01</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>DELETE</ChangeExplanation><MinimumBenefit>178</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Delete</ActionFlag><CycleStartDate>2024-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>GW037</BillingCode><Name>WEGO Trauma Systems</Name><Description>Small Bone Screw Systems</Description><Size>Small (2.71mm – 4.49mm)</Size><SupplierCode>GW</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3370</SubGroupID><Suffix>LK</Suffix><ARTGs><ARTG>324381</ARTG></ARTGs><ChangeExplanation>DELETE</ChangeExplanation><MinimumBenefit>102</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Delete</ActionFlag><CycleStartDate>2020-07-01</CycleStartDate><CycleEndDate>2025-03-01</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><ChangeExplanation>DELETE</ChangeExplanation><MinimumBenefit>102</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Delete</ActionFlag><CycleStartDate>2023-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ZZ071</BillingCode><PriorBillingCodes><PriorBillingCode>EF010</PriorBillingCode></PriorBillingCodes><Name>Bone Screw</Name><Description>Locking Screw</Description><Size>2.71mm – 4.49mm</Size><SupplierCode>ZZ</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3370</SubGroupID><Suffix>LK</Suffix><ARTGs><ARTG>239817</ARTG></ARTGs><ChangeExplanation>DELETE</ChangeExplanation><MinimumBenefit>102</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Delete</ActionFlag><CycleStartDate>2021-11-01</CycleStartDate><CycleEndDate>2025-03-01</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><ChangeExplanation>DELETE</ChangeExplanation><MinimumBenefit>102</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Delete</ActionFlag><CycleStartDate>2024-07-01</CycleStartDate><CycleEndDate>2025-03-01</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><ChangeExplanation>DELETE</ChangeExplanation><MinimumBenefit>102</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Delete</ActionFlag><CycleStartDate>2024-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BU019</BillingCode><Name>MAGNEZIX CS 3.2</Name><Description>Compression screw for bone fixation.</Description><Size>Diameter 3.2mm
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><ChangeExplanation>DELETE</ChangeExplanation><MinimumBenefit>362</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Delete</ActionFlag><CycleStartDate>2017-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>GW064</BillingCode><Name>WEGO Trauma Systems</Name><Description>Self-tapping Cannulated Screw</Description><Size>Small (2.71mm – 4.49mm)</Size><SupplierCode>GW</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3370</SubGroupID><Suffix>CN,DT</Suffix><ARTGs><ARTG>324381</ARTG></ARTGs><ChangeExplanation>DELETE</ChangeExplanation><MinimumBenefit>362</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Delete</ActionFlag><CycleStartDate>2021-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LM133</BillingCode><Name>TriMed Compression Screws</Name><Description>'Compression Screws</Description><Size>3.0-4.5mm</Size><SupplierCode>LM</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3370</SubGroupID><Suffix>CN</Suffix><ARTGs><ARTG>229704</ARTG></ARTGs><ChangeExplanation>DELETE</ChangeExplanation><MinimumBenefit>178</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Delete</ActionFlag><CycleStartDate>2012-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>GW006</BillingCode><Name>WEGO Trauma Systems</Name><Description>Cannulated Bone Screw Systems</Description><Size>Small (2.71mm – 4.49mm)</Size><SupplierCode>GW</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3370</SubGroupID><Suffix>CN</Suffix><ARTGs><ARTG>324381</ARTG></ARTGs><ChangeExplanation>DELETE</ChangeExplanation><MinimumBenefit>178</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Delete</ActionFlag><CycleStartDate>2020-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>GW054</BillingCode><Name>WEGO Trauma Systems</Name><Description>Small Bone Screw Systems</Description><Size>Small (2.71mm – 4.49mm)</Size><SupplierCode>GW</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3370</SubGroupID><ARTGs><ARTG>324381</ARTG></ARTGs><ChangeExplanation>DELETE</ChangeExplanation><MinimumBenefit>46</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Delete</ActionFlag><CycleStartDate>2020-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ZZ070</BillingCode><PriorBillingCodes><PriorBillingCode>EF007</PriorBillingCode></PriorBillingCodes><Name>Bone Screw</Name><Description>Cortical Bone Screw</Description><Size>2.71mm – 4.49mm</Size><SupplierCode>ZZ</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3370</SubGroupID><ARTGs><ARTG>239817</ARTG></ARTGs><ChangeExplanation>DELETE</ChangeExplanation><MinimumBenefit>46</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Delete</ActionFlag><CycleStartDate>2021-11-01</CycleStartDate><CycleEndDate>2025-03-01</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><ChangeExplanation>DELETE</ChangeExplanation><MinimumBenefit>46</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Delete</ActionFlag><CycleStartDate>2024-07-01</CycleStartDate><CycleEndDate>2025-03-01</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><ChangeExplanation>DELETE</ChangeExplanation><MinimumBenefit>46</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Delete</ActionFlag><CycleStartDate>2024-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>GW008</BillingCode><Name>WEGO Trauma Systems</Name><Description>Mini Bone Screw Systems</Description><Size>Mini (2.01 – 2.7 mm); lengths 5 - 70mm.</Size><SupplierCode>GW</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3371</SubGroupID><ARTGs><ARTG>324381</ARTG></ARTGs><ChangeExplanation>DELETE</ChangeExplanation><MinimumBenefit>58</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Delete</ActionFlag><CycleStartDate>2020-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ZZ078</BillingCode><PriorBillingCodes><PriorBillingCode>EF029</PriorBillingCode></PriorBillingCodes><Name>Bone Screw</Name><Description>Cortical Bone Screw</Description><Size>2.01mm – 2.7mm</Size><SupplierCode>ZZ</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3371</SubGroupID><ARTGs><ARTG>239817</ARTG></ARTGs><ChangeExplanation>DELETE</ChangeExplanation><MinimumBenefit>58</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Delete</ActionFlag><CycleStartDate>2021-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>GW039</BillingCode><Name>WEGO Trauma Systems</Name><Description>Mini Bone Screw Systems</Description><Size>Mini (2.01 – 2.7 mm)</Size><SupplierCode>GW</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3371</SubGroupID><Suffix>LK</Suffix><ARTGs><ARTG>324381</ARTG></ARTGs><ChangeExplanation>DELETE</ChangeExplanation><MinimumBenefit>98</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Delete</ActionFlag><CycleStartDate>2020-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ZZ077</BillingCode><PriorBillingCodes><PriorBillingCode>EF026</PriorBillingCode></PriorBillingCodes><Name>Arix Locking Screw</Name><Description>Locking Screw</Description><Size>2.01 – 2.7 mm</Size><SupplierCode>ZZ</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3371</SubGroupID><Suffix>LK</Suffix><ARTGs><ARTG>239817</ARTG></ARTGs><ChangeExplanation>DELETE</ChangeExplanation><MinimumBenefit>98</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Delete</ActionFlag><CycleStartDate>2021-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LM132</BillingCode><Name>TriMed Compression Screws</Name><Description>Compression Screws</Description><Size>2.0mm – 2.5mm</Size><SupplierCode>LM</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3371</SubGroupID><Suffix>LK</Suffix><ARTGs><ARTG>229704</ARTG></ARTGs><ChangeExplanation>DELETE</ChangeExplanation><MinimumBenefit>98</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Delete</ActionFlag><CycleStartDate>2012-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BU018</BillingCode><Name>MAGNEZIX CS 2.7</Name><Description>Compression screw for bone fixation.</Description><Size>Diameter 2.7mm
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><ChangeExplanation>DELETE</ChangeExplanation><MinimumBenefit>348</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Delete</ActionFlag><CycleStartDate>2017-02-01</CycleStartDate><CycleEndDate>2025-03-01</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>DELETE</ChangeExplanation><MinimumBenefit>156</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Delete</ActionFlag><CycleStartDate>2024-11-01</CycleStartDate><CycleEndDate>2025-03-01</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>DELETE</ChangeExplanation><MinimumBenefit>348</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Delete</ActionFlag><CycleStartDate>2024-11-01</CycleStartDate><CycleEndDate>2025-03-01</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>DELETE</ChangeExplanation><MinimumBenefit>58</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Delete</ActionFlag><CycleStartDate>2024-11-01</CycleStartDate><CycleEndDate>2025-03-01</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><ChangeExplanation>DELETE</ChangeExplanation><MinimumBenefit>1244</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Delete</ActionFlag><CycleStartDate>2023-03-01</CycleStartDate><CycleEndDate>2025-03-01</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><ChangeExplanation>DELETE</ChangeExplanation><MinimumBenefit>1244</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Delete</ActionFlag><CycleStartDate>2023-03-01</CycleStartDate><CycleEndDate>2025-03-01</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><ChangeExplanation>DELETE</ChangeExplanation><MinimumBenefit>1244</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Delete</ActionFlag><CycleStartDate>2023-03-01</CycleStartDate><CycleEndDate>2025-03-01</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><ChangeExplanation>DELETE</ChangeExplanation><MinimumBenefit>1244</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Delete</ActionFlag><CycleStartDate>2023-03-01</CycleStartDate><CycleEndDate>2025-03-01</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><ChangeExplanation>DELETE</ChangeExplanation><MinimumBenefit>1207</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Delete</ActionFlag><CycleStartDate>2023-03-01</CycleStartDate><CycleEndDate>2025-03-01</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><ChangeExplanation>DELETE</ChangeExplanation><MinimumBenefit>1207</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Delete</ActionFlag><CycleStartDate>2023-03-01</CycleStartDate><CycleEndDate>2025-03-01</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><ChangeExplanation>DELETE</ChangeExplanation><MinimumBenefit>572</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Delete</ActionFlag><CycleStartDate>2023-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>GW047</BillingCode><Name>WEGO Trauma Systems</Name><Description>Locking Plate Systems</Description><Size>≤ 6 holes</Size><SupplierCode>GW</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5258</SubGroupID><Suffix>LK</Suffix><ARTGs><ARTG>324402</ARTG></ARTGs><ChangeExplanation>DELETE</ChangeExplanation><MinimumBenefit>250</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Delete</ActionFlag><CycleStartDate>2020-07-01</CycleStartDate><CycleEndDate>2025-03-01</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><ChangeExplanation>DELETE</ChangeExplanation><MinimumBenefit>250</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Delete</ActionFlag><CycleStartDate>2022-07-01</CycleStartDate><CycleEndDate>2025-03-01</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><ChangeExplanation>DELETE</ChangeExplanation><MinimumBenefit>250</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Delete</ActionFlag><CycleStartDate>2022-07-01</CycleStartDate><CycleEndDate>2025-03-01</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><ChangeExplanation>DELETE</ChangeExplanation><MinimumBenefit>594</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Delete</ActionFlag><CycleStartDate>2024-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>GW034</BillingCode><Name>WEGO Trauma Systems</Name><Description>Small Fragment Plating System</Description><Size>≤ 6 Holes</Size><SupplierCode>GW</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5258</SubGroupID><ARTGs><ARTG>324402</ARTG></ARTGs><ChangeExplanation>DELETE</ChangeExplanation><MinimumBenefit>130</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Delete</ActionFlag><CycleStartDate>2020-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>GW066</BillingCode><Name>WEGO Trauma Systems</Name><Description>1/3 Tubular Plate</Description><Size>7-15 holes</Size><SupplierCode>GW</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5259</SubGroupID><ARTGs><ARTG>324402</ARTG></ARTGs><ChangeExplanation>DELETE</ChangeExplanation><MinimumBenefit>113</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Delete</ActionFlag><CycleStartDate>2021-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>GW048</BillingCode><Name>WEGO Trauma Systems</Name><Description>Locking Plate Systems</Description><Size>7-15 Holes</Size><SupplierCode>GW</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5259</SubGroupID><Suffix>LK</Suffix><ARTGs><ARTG>324402</ARTG></ARTGs><ChangeExplanation>DELETE</ChangeExplanation><MinimumBenefit>240</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Delete</ActionFlag><CycleStartDate>2020-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SY037</BillingCode><Name>AO/ASIF Plates</Name><Description>Specialty Plate</Description><Size>7-15 hole</Size><SupplierCode>MN</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5259</SubGroupID><Suffix>Com</Suffix><ARTGs><ARTG>157069</ARTG></ARTGs><ChangeExplanation>DELETE</ChangeExplanation><MinimumBenefit>247</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Delete</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</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>DELETE</ChangeExplanation><MinimumBenefit>577</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Delete</ActionFlag><CycleStartDate>2024-11-01</CycleStartDate><CycleEndDate>2025-03-01</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>DELETE</ChangeExplanation><MinimumBenefit>577</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Delete</ActionFlag><CycleStartDate>2024-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>GW058</BillingCode><Name>WEGO Trauma Systems</Name><Description>Locking Compression Plates</Description><Size>≥16 holes</Size><SupplierCode>GW</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5260</SubGroupID><Suffix>LK</Suffix><ARTGs><ARTG>324402</ARTG></ARTGs><ChangeExplanation>DELETE</ChangeExplanation><MinimumBenefit>591</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Delete</ActionFlag><CycleStartDate>2020-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SY724</BillingCode><Name>AO/ASIF Plates</Name><Description>Non-Locking Fragment Plates</Description><Size>≥16 Holes</Size><SupplierCode>MN</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5260</SubGroupID><ARTGs><ARTG>157069</ARTG></ARTGs><ChangeExplanation>DELETE</ChangeExplanation><MinimumBenefit>539</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Delete</ActionFlag><CycleStartDate>2012-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>GW026</BillingCode><Name>WEGO Trauma Systems</Name><Description>Non-Locking Plate Systems</Description><Size>≤ 6 holes</Size><SupplierCode>GW</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5261</SubGroupID><ARTGs><ARTG>324402</ARTG></ARTGs><ChangeExplanation>DELETE</ChangeExplanation><MinimumBenefit>417</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Delete</ActionFlag><CycleStartDate>2020-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>GW040</BillingCode><Name>WEGO Trauma Systems</Name><Description>Locking Compression Plates</Description><Size>≤ 6 Holes</Size><SupplierCode>GW</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5261</SubGroupID><Suffix>LK</Suffix><ARTGs><ARTG>324402</ARTG></ARTGs><ChangeExplanation>DELETE</ChangeExplanation><MinimumBenefit>550</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Delete</ActionFlag><CycleStartDate>2020-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>GW013</BillingCode><Name>WEGO Trauma Systems</Name><Description>Locking Compression Plates</Description><Size>≤ 6 Holes</Size><SupplierCode>GW</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5261</SubGroupID><Suffix>Com, LK</Suffix><ARTGs><ARTG>324402</ARTG></ARTGs><ChangeExplanation>DELETE</ChangeExplanation><MinimumBenefit>993</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Delete</ActionFlag><CycleStartDate>2020-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ZZ074</BillingCode><PriorBillingCodes><PriorBillingCode>EF020</PriorBillingCode></PriorBillingCodes><Name>Arix Hand Plating System</Name><Description>Mini Locking Plates</Description><Size>≤ 6 holes</Size><SupplierCode>ZZ</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5261</SubGroupID><Suffix>Com, VAL</Suffix><ARTGs><ARTG>239812</ARTG></ARTGs><ChangeExplanation>DELETE</ChangeExplanation><MinimumBenefit>971</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Delete</ActionFlag><CycleStartDate>2021-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ZZ073</BillingCode><PriorBillingCodes><PriorBillingCode>EF019</PriorBillingCode></PriorBillingCodes><Name>Arix Hand Plating System</Name><Description>Mini Plates</Description><Size>≤ 6 holes</Size><SupplierCode>ZZ</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5261</SubGroupID><Suffix>VAL</Suffix><ARTGs><ARTG>239812</ARTG></ARTGs><ChangeExplanation>DELETE</ChangeExplanation><MinimumBenefit>907</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Delete</ActionFlag><CycleStartDate>2021-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>GW017</BillingCode><Name>WEGO Trauma Systems</Name><Description>Locking Compression Plate</Description><Size>7 - 15 Holes</Size><SupplierCode>GW</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5262</SubGroupID><Suffix>LK</Suffix><ARTGs><ARTG>324402</ARTG></ARTGs><ChangeExplanation>DELETE</ChangeExplanation><MinimumBenefit>354</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Delete</ActionFlag><CycleStartDate>2020-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>GW033</BillingCode><Name>WEGO Trauma Systems</Name><Description>Locking Compression Plate</Description><Size>7 - 15 Holes</Size><SupplierCode>GW</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5262</SubGroupID><Suffix>Com, LK</Suffix><ARTGs><ARTG>324402</ARTG></ARTGs><ChangeExplanation>DELETE</ChangeExplanation><MinimumBenefit>489</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Delete</ActionFlag><CycleStartDate>2020-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ZZ076</BillingCode><PriorBillingCodes><PriorBillingCode>EF022</PriorBillingCode></PriorBillingCodes><Name>Arix Hand Plating System</Name><Description>Mini Locking Plate</Description><Size>≥ 7 to ≤ 15 holes</Size><SupplierCode>ZZ</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5262</SubGroupID><Suffix>Com, VAL</Suffix><ARTGs><ARTG>239812</ARTG></ARTGs><ChangeExplanation>DELETE</ChangeExplanation><MinimumBenefit>812</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Delete</ActionFlag><CycleStartDate>2021-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ZZ075</BillingCode><PriorBillingCodes><PriorBillingCode>EF021</PriorBillingCode></PriorBillingCodes><Name>Locking Plate System</Name><Description>Variable Locking Plate</Description><Size>≥ 7 to ≤ 15 holes</Size><SupplierCode>ZZ</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5262</SubGroupID><Suffix>VAL</Suffix><ARTGs><ARTG>239812</ARTG></ARTGs><ChangeExplanation>DELETE</ChangeExplanation><MinimumBenefit>797</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Delete</ActionFlag><CycleStartDate>2021-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>GW004</BillingCode><Name>WEGO Trauma Systems</Name><Description>Non-Locking Plate Systems</Description><Size>7-15 Holes</Size><SupplierCode>GW</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5262</SubGroupID><ARTGs><ARTG>324402</ARTG></ARTGs><ChangeExplanation>DELETE</ChangeExplanation><MinimumBenefit>362</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Delete</ActionFlag><CycleStartDate>2020-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>GW015</BillingCode><Name>WEGO Trauma Systems</Name><Description>Non-Locking Plate Systems</Description><Size>≥ 16 holes</Size><SupplierCode>GW</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5263</SubGroupID><ARTGs><ARTG>324402</ARTG></ARTGs><ChangeExplanation>DELETE</ChangeExplanation><MinimumBenefit>431</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Delete</ActionFlag><CycleStartDate>2020-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SY629</BillingCode><Name>'AO/ASIF Plates</Name><Description>Non-locking Plates</Description><Size>≥ 16 holes</Size><SupplierCode>MN</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5263</SubGroupID><ARTGs><ARTG>157069</ARTG></ARTGs><ChangeExplanation>DELETE</ChangeExplanation><MinimumBenefit>431</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Delete</ActionFlag><CycleStartDate>2012-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>GW055</BillingCode><Name>WEGO Trauma Systems </Name><Description>Supracondylar Femur Plates</Description><Size>≤ 6 holes</Size><SupplierCode>GW</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5267</SubGroupID><Suffix>Com, LK</Suffix><ARTGs><ARTG>324402</ARTG></ARTGs><ChangeExplanation>DELETE</ChangeExplanation><MinimumBenefit>850</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Delete</ActionFlag><CycleStartDate>2020-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>GW014</BillingCode><Name>WEGO Trauma Systems</Name><Description>Supracondylar Femur Plates</Description><Size>≥ 7 to ≤ 15 holes</Size><SupplierCode>GW</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5268</SubGroupID><Suffix>Com, LK</Suffix><ARTGs><ARTG>324402</ARTG></ARTGs><ChangeExplanation>DELETE</ChangeExplanation><MinimumBenefit>850</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Delete</ActionFlag><CycleStartDate>2020-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ194</BillingCode><Name>ARIX Clavicle System-Hook Plates</Name><Description>3.5mm clavicle hook plate</Description><Size>5-6 holes</Size><SupplierCode>ZZ</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5270</SubGroupID><Suffix>VAL</Suffix><ARTGs><ARTG>409165</ARTG></ARTGs><ChangeExplanation>DELETE</ChangeExplanation><MinimumBenefit>1261</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Delete</ActionFlag><CycleStartDate>2024-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>GW067</BillingCode><Name>WEGO Trauma Systems - Titanium Alloy</Name><Description>Clavicle Plating System - Titanium Alloy</Description><Size>≤ 6 holes</Size><SupplierCode>GW</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5270</SubGroupID><Suffix>LK</Suffix><ARTGs><ARTG>324402</ARTG></ARTGs><ChangeExplanation>DELETE</ChangeExplanation><MinimumBenefit>1208</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Delete</ActionFlag><CycleStartDate>2022-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>KG015</BillingCode><Name>Rayner C-flex Advance Aspheric IOL</Name><Description>Mini incision pre-loaded  aspheric IOL</Description><Size>Power range +8.0 - +34.0 dioptres in 0.5 increments</Size><SupplierCode>KG</SupplierCode><CategoryID>1</CategoryID><SubCategoryID>141</SubCategoryID><GroupID>1327</GroupID><SubGroupID>3890</SubGroupID><Suffix>at, pl</Suffix><ARTGs><ARTG>220612</ARTG></ARTGs><ChangeExplanation>DELETE</ChangeExplanation><MinimumBenefit>270</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Delete</ActionFlag><CycleStartDate>2015-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BL052</BillingCode><Name>Enhanced enVista IOL</Name><Description>The enhanced enVista (Model MX60E) is an ultraviolet-absorbing, posterior chamber, hydrophobic acrylic intraocular lens (IOL). They have an aspheric lens optic, square posterior edge, and modified C haptics. The lenses can be folded for insertion into the eye.</Description><Size>Specification:   Optic Body Diameter 6.0   Overall Diameter 12.5 Haptic Angulations Planar Haptic   Lens Power Range +0.0 to +34.0 Diopters (0.0 to +10.0 in 1.0 Diopter increments, +10.0 to +30.0 in 0.5 Diopter increments, and +30.0 to +34.0 in 1.0 Diopter increments)</Size><SupplierCode>BL</SupplierCode><CategoryID>1</CategoryID><SubCategoryID>141</SubCategoryID><GroupID>1327</GroupID><SubGroupID>3892</SubGroupID><Suffix>at</Suffix><ARTGs><ARTG>98915</ARTG></ARTGs><ChangeExplanation>DELETE</ChangeExplanation><MinimumBenefit>232</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Delete</ActionFlag><CycleStartDate>2022-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LN013</BillingCode><Name>Vision Pro Hydrophobic Acrylic Aspheric Intraocular Lens (RS60A)</Name><Description>Hydrophobic Acrylic Aspheric Posterior Chamber Foldable IOL</Description><Size>Aspheric IOL: +0 to +34 D in 0.5 D increments; Overall diameter 13mm, Optic size 6mm.</Size><SupplierCode>LN</SupplierCode><CategoryID>1</CategoryID><SubCategoryID>141</SubCategoryID><GroupID>1327</GroupID><SubGroupID>3892</SubGroupID><Suffix>at</Suffix><ARTGs><ARTG>344091</ARTG></ARTGs><ChangeExplanation>DELETE</ChangeExplanation><MinimumBenefit>232</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Delete</ActionFlag><CycleStartDate>2020-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LN014</BillingCode><Name>Vision Pro Preloaded Hydrophobic Acrylic Aspheric Intraocular Lens (PRS60A)</Name><Description>Preloaded, Hydrophobic Acrylic Aspheric Posterior Chamber Foldable IOL</Description><Size>Aspheric IOL: +0 to +34 D in 0.5 D increments; Overall diameter 13mm, Optic size 6mm</Size><SupplierCode>LN</SupplierCode><CategoryID>1</CategoryID><SubCategoryID>141</SubCategoryID><GroupID>1327</GroupID><SubGroupID>3892</SubGroupID><Suffix>at, pl</Suffix><ARTGs><ARTG>357110</ARTG></ARTGs><ChangeExplanation>DELETE</ChangeExplanation><MinimumBenefit>239</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Delete</ActionFlag><CycleStartDate>2021-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>DV252</BillingCode><Name>HOYA iSert® 251</Name><Description>Preloaded injector system, Micro-incision, Aspheric, Blue-Blocker, Single Piece, Hydrophobic</Description><Size>+6.0D to 30.0D (5 steps)</Size><SupplierCode>DV</SupplierCode><CategoryID>1</CategoryID><SubCategoryID>141</SubCategoryID><GroupID>1327</GroupID><SubGroupID>3892</SubGroupID><Suffix>at, pl, vblf</Suffix><ARTGs><ARTG>287542</ARTG></ARTGs><ChangeExplanation>DELETE</ChangeExplanation><MinimumBenefit>291</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Delete</ActionFlag><CycleStartDate>2011-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>KG001</BillingCode><Name>Rayner C-Flex</Name><Description>Hydrophilic HEMA-MMA copolymer, foldable with injector</Description><Size>5.75mm dia optic, 12.00mm dia overall</Size><SupplierCode>KG</SupplierCode><CategoryID>1</CategoryID><SubCategoryID>141</SubCategoryID><GroupID>1327</GroupID><SubGroupID>3892</SubGroupID><ARTGs><ARTG>100926</ARTG></ARTGs><ChangeExplanation>DELETE</ChangeExplanation><MinimumBenefit>214</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Delete</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>KG002</BillingCode><Name>Superflex</Name><Description>Hydrophilic HEMA-MMA copolymer, foldable with injector</Description><Size>6.25mm dia optic, 12.5mm dia overall</Size><SupplierCode>KG</SupplierCode><CategoryID>1</CategoryID><SubCategoryID>141</SubCategoryID><GroupID>1327</GroupID><SubGroupID>3892</SubGroupID><ARTGs><ARTG>100926</ARTG></ARTGs><ChangeExplanation>DELETE</ChangeExplanation><MinimumBenefit>214</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Delete</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>KG009</BillingCode><Name>Rayner "M-Flex" Mulitfocal Foldable IOL</Name><Description>Acrylic, Foldable, Single piece multi-zoned refractive aspheric multifocal with Amon-Apple 360 Degree Square edge, Anti Vaulting Haptics</Description><Size>6.5mm Optic-Overall diameter 12.5mm: +3D or + 4D Addition: +14D to +25D in 1.0D increments: +8.5D to +23.5D in 0.5D increments</Size><SupplierCode>KG</SupplierCode><CategoryID>1</CategoryID><SubCategoryID>141</SubCategoryID><GroupID>1327</GroupID><SubGroupID>3893</SubGroupID><Suffix>at</Suffix><ARTGs><ARTG>100926</ARTG></ARTGs><ChangeExplanation>DELETE</ChangeExplanation><MinimumBenefit>619</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Delete</ActionFlag><CycleStartDate>2009-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LN004</BillingCode><Name>ALSAFIT TRIFOCAL VF</Name><Description>Single piece trifocal aspheric foldable intraocular lens for implantation into the capsular bag. Violet filter.</Description><Size>Diopter power range: 0.0 D to +32.00 D (0.50 D increments).
Optic size: 6mm. Overall length: 11.0mm.</Size><SupplierCode>LN</SupplierCode><CategoryID>1</CategoryID><SubCategoryID>141</SubCategoryID><GroupID>1327</GroupID><SubGroupID>3893</SubGroupID><Suffix>at, vblf</Suffix><ARTGs><ARTG>268033</ARTG></ARTGs><ChangeExplanation>DELETE</ChangeExplanation><MinimumBenefit>651</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Delete</ActionFlag><CycleStartDate>2016-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>KG010</BillingCode><Name>Rayner M-Flex Toric (Standard)</Name><Description>Acrylic, Foldable, Single Piece, Multi-zoned Refractive Aspheric Toric Mulitfocal with Amon-Apple enhanced 360 degree Square edge, Anti Vaulting Haptics</Description><Size>5.75mm / 12.0mm: 6.25mm / 12.5mm +3.00D or +4.00D Addition FAR: +14.0D to +32.00D in 0.5 STEPS: +2.00D +3.00D  +4.00D Cylinder. NEAR: +14.0D to 27.0D in 0.5 STEPS: +2.00D +3.00D  +4.00D Cylinder</Size><SupplierCode>KG</SupplierCode><CategoryID>1</CategoryID><SubCategoryID>141</SubCategoryID><GroupID>1327</GroupID><SubGroupID>3893</SubGroupID><Suffix>at, t1</Suffix><ARTGs><ARTG>100926</ARTG></ARTGs><ChangeExplanation>DELETE</ChangeExplanation><MinimumBenefit>902</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Delete</ActionFlag><CycleStartDate>2009-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>KG011</BillingCode><Name>Rayner "M-Flex" Toric (Non Standard)</Name><Description>Acrylic, Foldable, Single Piece, Muli-Zoned Refractive, Toric Multifocal with Amon-Apple enhanced 360 Degree square edge, Anti-vaulting Haptics, Patient Specific.</Description><Size>5.75/12.0mm: 6.25/12.5mm +3.00D to +4.00D Addition FAR: +14.0D to +32.0D in 0.5D Increments: NEAR: +14.0D to +27.0D in 0.50D Increments Cylinder: 1.0D to 1.5D and 2.5D to 6.00D in 0.5 increments</Size><SupplierCode>KG</SupplierCode><CategoryID>1</CategoryID><SubCategoryID>141</SubCategoryID><GroupID>1327</GroupID><SubGroupID>3893</SubGroupID><Suffix>at, t1</Suffix><ARTGs><ARTG>100926</ARTG></ARTGs><ChangeExplanation>DELETE</ChangeExplanation><MinimumBenefit>902</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Delete</ActionFlag><CycleStartDate>2009-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>AM022</BillingCode><Name>AMS 700 Series Inflatable Penile Prostheses Cylinders</Name><Description>700 Series (Non InhibiZone)</Description><Size>12, 14, 15, 16, 18, 21cm</Size><SupplierCode>BS</SupplierCode><CategoryID>26</CategoryID><SubCategoryID>230</SubCategoryID><GroupID>1710</GroupID><SubGroupID>5330</SubGroupID><ARTGs><ARTG>106606</ARTG></ARTGs><ChangeExplanation>DELETE</ChangeExplanation><MinimumBenefit>3344</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Delete</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>AM044</BillingCode><Name>AMS 700 Series Inflatable Penile Prostheses Reservoir non Inhibizone</Name><Description>700 Series (Non InhibiZone)</Description><Size> 50, 65, 100ml</Size><SupplierCode>BS</SupplierCode><CategoryID>26</CategoryID><SubCategoryID>230</SubCategoryID><GroupID>1710</GroupID><SubGroupID>5331</SubGroupID><ARTGs><ARTG>106606</ARTG></ARTGs><ChangeExplanation>DELETE</ChangeExplanation><MinimumBenefit>1705</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Delete</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>AM046</BillingCode><Name>AMS 700 Series Inflatable Penile Prostheses Deactivation Package</Name><Description>700 Series (Non InhibiZone)</Description><Size>One Size</Size><SupplierCode>BS</SupplierCode><CategoryID>26</CategoryID><SubCategoryID>230</SubCategoryID><GroupID>1710</GroupID><SubGroupID>5333</SubGroupID><ARTGs><ARTG>106606</ARTG></ARTGs><ChangeExplanation>DELETE</ChangeExplanation><MinimumBenefit>128</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Delete</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>AM040</BillingCode><Name>AMS 700 Series Inflatable Penile Prostheses with InhibiZone Deactivation Package</Name><Description>700 Series with InhibiZone</Description><Size>One Size</Size><SupplierCode>BS</SupplierCode><CategoryID>26</CategoryID><SubCategoryID>230</SubCategoryID><GroupID>1710</GroupID><SubGroupID>5333</SubGroupID><ARTGs><ARTG>125444</ARTG></ARTGs><ChangeExplanation>DELETE</ChangeExplanation><MinimumBenefit>128</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Delete</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>AM045</BillingCode><Name>AMS 700 Series Inflatable Penile Prostheses Accessory Kit</Name><Description>700 Series (Non InhibiZone)</Description><Size>One Size</Size><SupplierCode>BS</SupplierCode><CategoryID>26</CategoryID><SubCategoryID>230</SubCategoryID><GroupID>1710</GroupID><SubGroupID>5334</SubGroupID><ARTGs><ARTG>106606</ARTG></ARTGs><ChangeExplanation>DELETE</ChangeExplanation><MinimumBenefit>655</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Delete</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>OL079</BillingCode><Name>Falope-Ring Bands</Name><Description>Fallopian Tube Clip (each)</Description><Size>5mm - 12mm</Size><SupplierCode>OL</SupplierCode><CategoryID>26</CategoryID><SubCategoryID>233</SubCategoryID><GroupID>1716</GroupID><SubGroupID>5345</SubGroupID><ARTGs><ARTG>130442</ARTG><ARTG>136671</ARTG></ARTGs><ChangeExplanation>DELETE</ChangeExplanation><MinimumBenefit>37</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Delete</ActionFlag><CycleStartDate>2011-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BS330</BillingCode><Name>Precision Montage MRI IPG</Name><Description>MRI Conditional, 16-output, multi-channel, zero-volt rechargeable neurostimulation system IPG with 3D algorythmic programming</Description><Size>One Size Only</Size><SupplierCode>BS</SupplierCode><CategoryID>25</CategoryID><SubCategoryID>222</SubCategoryID><GroupID>1677</GroupID><SubGroupID>4481</SubGroupID><Suffix>Multi waveform, Recharge protection</Suffix><ARTGs><ARTG>400291</ARTG></ARTGs><ChangeExplanation>DELETE</ChangeExplanation><MinimumBenefit>23465</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Delete</ActionFlag><CycleStartDate>2017-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SJ374</BillingCode><Name>Prodigy IPG</Name><Description>Implantable Pulse Generator</Description><Size>26g</Size><SupplierCode>SJ</SupplierCode><CategoryID>25</CategoryID><SubCategoryID>222</SubCategoryID><GroupID>1677</GroupID><SubGroupID>4481</SubGroupID><Suffix>Multi waveform, Recharge protection</Suffix><ARTGs><ARTG>376449</ARTG></ARTGs><ChangeExplanation>DELETE</ChangeExplanation><MinimumBenefit>23465</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Delete</ActionFlag><CycleStartDate>2016-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>CB015</BillingCode><Name>V-Grip Detachment Controller</Name><Description>A battery powered device used to control detachment of an implantable embolisation coil from a delivery pusher.</Description><Size>One size only</Size><SupplierCode>CB</SupplierCode><CategoryID>25</CategoryID><SubCategoryID>225</SubCategoryID><GroupID>1689</GroupID><SubGroupID>4495</SubGroupID><ARTGs><ARTG>148674</ARTG></ARTGs><ChangeExplanation>DELETE</ChangeExplanation><MinimumBenefit>211</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Delete</ActionFlag><CycleStartDate>2013-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>CB013</BillingCode><Name>Scepter Occlusion Balloon Catheter</Name><Description>Intravascular occlusion balloon catheter</Description><Size>Balloon diameter: 4mm
Balloon lengths: 10 - 20mm</Size><SupplierCode>CB</SupplierCode><CategoryID>25</CategoryID><SubCategoryID>225</SubCategoryID><GroupID>1689</GroupID><SubGroupID>6022</SubGroupID><ARTGs><ARTG>194400</ARTG></ARTGs><ChangeExplanation>DELETE</ChangeExplanation><MinimumBenefit>1500</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Delete</ActionFlag><CycleStartDate>2013-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LH508</BillingCode><Name>Martin Osteosynthesis 1.5mm System Mesh thin 50cm2</Name><Description>Mesh, Titanium</Description><Size>0.2-0.49mm thick, 11-50cm2</Size><SupplierCode>LH</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>199</SubCategoryID><GroupID>1585</GroupID><SubGroupID>4204</SubGroupID><ARTGs><ARTG>202851</ARTG></ARTGs><ChangeExplanation>DELETE</ChangeExplanation><MinimumBenefit>584</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Delete</ActionFlag><CycleStartDate>2014-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>JJ441</BillingCode><Name>Titanium Mesh</Name><Description>Titanium Mesh Sterile</Description><Size>0.2mm thickness, 15cm x 15cm</Size><SupplierCode>MN</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>199</SubCategoryID><GroupID>1585</GroupID><SubGroupID>4206</SubGroupID><ARTGs><ARTG>143829</ARTG></ARTGs><ChangeExplanation>DELETE</ChangeExplanation><MinimumBenefit>1462</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Delete</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LH492</BillingCode><Name>Standard Approach Mesh</Name><Description>Pre-contoured titanium mesh implants for 11 standard approaches.</Description><Size>0.6mm thick</Size><SupplierCode>LH</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>199</SubCategoryID><GroupID>1585</GroupID><SubGroupID>4210</SubGroupID><ARTGs><ARTG>202842</ARTG></ARTGs><ChangeExplanation>DELETE</ChangeExplanation><MinimumBenefit>2072</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Delete</ActionFlag><CycleStartDate>2013-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LH511</BillingCode><Name>Martin Osteosynthesis 1.5mm System Mesh 200cm2</Name><Description>Mesh, Titanium</Description><Size>0.5-0.8mm thick, &gt;200cm2</Size><SupplierCode>LH</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>199</SubCategoryID><GroupID>1585</GroupID><SubGroupID>4210</SubGroupID><ARTGs><ARTG>202851</ARTG></ARTGs><ChangeExplanation>DELETE</ChangeExplanation><MinimumBenefit>2072</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Delete</ActionFlag><CycleStartDate>2014-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>DD017</BillingCode><Name>3D Knee System Femoral Component </Name><Description>Femoral Component, cemented, CoCr </Description><Size>Size 2 to 12</Size><SupplierCode>DD</SupplierCode><CategoryID>17</CategoryID><SubCategoryID>149</SubCategoryID><GroupID>1348</GroupID><SubGroupID>3906</SubGroupID><ARTGs><ARTG>161909</ARTG></ARTGs><ChangeExplanation>DELETE</ChangeExplanation><MinimumBenefit>2793</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Delete</ActionFlag><CycleStartDate>2010-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>GW002</BillingCode><Name>WEGO Nailing Systems</Name><Description>Tibial Nail</Description><Size>&gt; 220mm</Size><SupplierCode>GW</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1228</GroupID><SubGroupID>3329</SubGroupID><ARTGs><ARTG>324375</ARTG></ARTGs><ChangeExplanation>DELETE</ChangeExplanation><MinimumBenefit>963</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Delete</ActionFlag><CycleStartDate>2020-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>GW049</BillingCode><Name>WEGO Trauma Systems</Name><Description>Clavicle Plating System</Description><Size>7 - 15 Holes</Size><SupplierCode>GW</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5271</SubGroupID><Suffix>LK</Suffix><ARTGs><ARTG>324402</ARTG></ARTGs><ChangeExplanation>DELETE</ChangeExplanation><MinimumBenefit>1260</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Delete</ActionFlag><CycleStartDate>2020-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>GW035</BillingCode><Name>WEGO Trauma Systems</Name><Description>Distal Humerus Plating System</Description><Size>≤ 6 Holes</Size><SupplierCode>GW</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5273</SubGroupID><Suffix>LK</Suffix><ARTGs><ARTG>324402</ARTG></ARTGs><ChangeExplanation>DELETE</ChangeExplanation><MinimumBenefit>1205</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Delete</ActionFlag><CycleStartDate>2020-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>GW036</BillingCode><Name>WEGO Trauma Systems</Name><Description>Humerus Plating Systems</Description><Size>7 - 15 Holes</Size><SupplierCode>GW</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5274</SubGroupID><Suffix>LK</Suffix><ARTGs><ARTG>324402</ARTG></ARTGs><ChangeExplanation>DELETE</ChangeExplanation><MinimumBenefit>1330</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Delete</ActionFlag><CycleStartDate>2020-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>GW023</BillingCode><Name>WEGO Trauma Systems</Name><Description>Humerus Plating Systems</Description><Size>≥ 16 Holes</Size><SupplierCode>GW</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5275</SubGroupID><Suffix>LK</Suffix><ARTGs><ARTG>324402</ARTG></ARTGs><ChangeExplanation>DELETE</ChangeExplanation><MinimumBenefit>1330</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Delete</ActionFlag><CycleStartDate>2020-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>GW038</BillingCode><Name>WEGO Trauma Systems</Name><Description>Periarticular Radius Plating Systems</Description><Size>≤ 6 Holes</Size><SupplierCode>GW</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5276</SubGroupID><Suffix>LK</Suffix><ARTGs><ARTG>324402</ARTG></ARTGs><ChangeExplanation>DELETE</ChangeExplanation><MinimumBenefit>1113</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Delete</ActionFlag><CycleStartDate>2020-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>GW022</BillingCode><Name>WEGO Trauma Systems</Name><Description>Periarticular Radius Plating Systems</Description><Size>7 - 15 Holes</Size><SupplierCode>GW</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5277</SubGroupID><Suffix>VAL</Suffix><ARTGs><ARTG>324402</ARTG></ARTGs><ChangeExplanation>DELETE</ChangeExplanation><MinimumBenefit>1183</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Delete</ActionFlag><CycleStartDate>2020-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>GW041</BillingCode><Name>WEGO Trauma Systems</Name><Description>Periarticular Radius Plating Systems</Description><Size>7 - 15 Holes</Size><SupplierCode>GW</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5277</SubGroupID><Suffix>LK</Suffix><ARTGs><ARTG>324402</ARTG></ARTGs><ChangeExplanation>DELETE</ChangeExplanation><MinimumBenefit>1126</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Delete</ActionFlag><CycleStartDate>2020-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ693</BillingCode><Name>ARIX Elbow System- Proximal Radius Plates </Name><Description>Proximal Radius Plates </Description><Size>7-10 holes </Size><SupplierCode>ZZ</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5277</SubGroupID><Suffix>VAL</Suffix><ARTGs><ARTG>409165</ARTG></ARTGs><ChangeExplanation>DELETE</ChangeExplanation><MinimumBenefit>1183</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Delete</ActionFlag><CycleStartDate>2024-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ803</BillingCode><Name>ARIX Wrist System - Volar Distal Radius Plates </Name><Description>Volar Distal Radius Plates </Description><Size>8-11 holes</Size><SupplierCode>ZZ</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5277</SubGroupID><Suffix>VAL</Suffix><ARTGs><ARTG>409165</ARTG></ARTGs><ChangeExplanation>DELETE</ChangeExplanation><MinimumBenefit>1183</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Delete</ActionFlag><CycleStartDate>2024-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>GW030</BillingCode><Name>WEGO Trauma Systems</Name><Description>Periarticular Radius Plating Systems</Description><Size>≥ 16 Holes</Size><SupplierCode>GW</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5278</SubGroupID><Suffix>LK</Suffix><ARTGs><ARTG>324402</ARTG></ARTGs><ChangeExplanation>DELETE</ChangeExplanation><MinimumBenefit>1234</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Delete</ActionFlag><CycleStartDate>2020-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>GW042</BillingCode><Name>WEGO Trauma Systems</Name><Description>Periarticular Ulna Plating System</Description><Size>≤ 6 Holes</Size><SupplierCode>GW</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5279</SubGroupID><Suffix>LK</Suffix><ARTGs><ARTG>324402</ARTG></ARTGs><ChangeExplanation>DELETE</ChangeExplanation><MinimumBenefit>778</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Delete</ActionFlag><CycleStartDate>2020-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>GW025</BillingCode><Name>WEGO Trauma Systems</Name><Description>Perarticular Ulna Plating Systems</Description><Size>7 - 15 holes</Size><SupplierCode>GW</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5280</SubGroupID><Suffix>LK</Suffix><ARTGs><ARTG>324402</ARTG></ARTGs><ChangeExplanation>DELETE</ChangeExplanation><MinimumBenefit>1126</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Delete</ActionFlag><CycleStartDate>2020-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ212</BillingCode><Name>ARIX Elbow System- Olecranon</Name><Description>Olecranon, Medial, Lateral, Posterolateral</Description><Size>5-17 holes </Size><SupplierCode>ZZ</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5280</SubGroupID><Suffix>VAL</Suffix><ARTGs><ARTG>409165</ARTG></ARTGs><ChangeExplanation>DELETE</ChangeExplanation><MinimumBenefit>1198</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Delete</ActionFlag><CycleStartDate>2024-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ332</BillingCode><Name>ARIX Elbow System- Olecranon</Name><Description>Olecranon, Medial, Lateral, Posterolateral</Description><Size>5-17 holes </Size><SupplierCode>ZZ</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5280</SubGroupID><Suffix>VAL</Suffix><ARTGs><ARTG>409165</ARTG></ARTGs><ChangeExplanation>DELETE</ChangeExplanation><MinimumBenefit>1198</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Delete</ActionFlag><CycleStartDate>2024-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>GW059</BillingCode><Name>WEGO Trauma Systems</Name><Description>Periarticular Ulan Plating System</Description><Size>≥ 16 Holes</Size><SupplierCode>GW</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5281</SubGroupID><Suffix>LK</Suffix><ARTGs><ARTG>324402</ARTG></ARTGs><ChangeExplanation>DELETE</ChangeExplanation><MinimumBenefit>1159</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Delete</ActionFlag><CycleStartDate>2020-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ169</BillingCode><Name>Intrapelvic Acetabular System</Name><Description>Intrapelvic Acetabular Plate</Description><Size>small and large</Size><SupplierCode>MN</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5285</SubGroupID><ARTGs><ARTG>157069</ARTG></ARTGs><ChangeExplanation>DELETE</ChangeExplanation><MinimumBenefit>760</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Delete</ActionFlag><CycleStartDate>2024-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>GW016</BillingCode><Name>WEGO Trauma Systems</Name><Description>Periarticular Femur Plates</Description><Size>≤ 6 holes</Size><SupplierCode>GW</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5286</SubGroupID><Suffix>LK</Suffix><ARTGs><ARTG>324402</ARTG></ARTGs><ChangeExplanation>DELETE</ChangeExplanation><MinimumBenefit>1143</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Delete</ActionFlag><CycleStartDate>2020-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>GW056</BillingCode><Name>WEGO Trauma Systems </Name><Description>Periarticular Femur Plates</Description><Size>≥ 7 to ≤ 15 holes</Size><SupplierCode>GW</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5287</SubGroupID><Suffix>LK</Suffix><ARTGs><ARTG>324402</ARTG></ARTGs><ChangeExplanation>DELETE</ChangeExplanation><MinimumBenefit>1171</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Delete</ActionFlag><CycleStartDate>2020-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>GW057</BillingCode><Name>WEGO Trauma Systems </Name><Description>Periarticular Femur Plates</Description><Size>≥ 16 holes</Size><SupplierCode>GW</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5288</SubGroupID><Suffix>LK</Suffix><ARTGs><ARTG>324402</ARTG></ARTGs><ChangeExplanation>DELETE</ChangeExplanation><MinimumBenefit>1498</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Delete</ActionFlag><CycleStartDate>2020-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>GW060</BillingCode><Name>WEGO Trauma Systems</Name><Description>Periarticular Fibula Plating System</Description><Size>7 - 15 Holes</Size><SupplierCode>GW</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5290</SubGroupID><Suffix>LK</Suffix><ARTGs><ARTG>324402</ARTG></ARTGs><ChangeExplanation>DELETE</ChangeExplanation><MinimumBenefit>1194</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Delete</ActionFlag><CycleStartDate>2020-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>GW061</BillingCode><Name>WEGO Trauma Systems</Name><Description>Periarticular Fibula Plating Systems</Description><Size>≥ 16 Holes</Size><SupplierCode>GW</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5291</SubGroupID><Suffix>LK</Suffix><ARTGs><ARTG>324402</ARTG></ARTGs><ChangeExplanation>DELETE</ChangeExplanation><MinimumBenefit>892</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Delete</ActionFlag><CycleStartDate>2020-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>GW018</BillingCode><Name>WEGO Trauma Systems</Name><Description>Periarticular Tibia Plating Systems</Description><Size>≤ 6 Holes</Size><SupplierCode>GW</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5292</SubGroupID><Suffix>LK</Suffix><ARTGs><ARTG>324402</ARTG></ARTGs><ChangeExplanation>DELETE</ChangeExplanation><MinimumBenefit>1365</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Delete</ActionFlag><CycleStartDate>2020-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SY729</BillingCode><Name>AO/ASIF Plates</Name><Description>Anatomic Tibial Plates</Description><Size>≤ 6 holes</Size><SupplierCode>MN</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5292</SubGroupID><ARTGs><ARTG>157069</ARTG></ARTGs><ChangeExplanation>DELETE</ChangeExplanation><MinimumBenefit>929</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Delete</ActionFlag><CycleStartDate>2012-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SY730</BillingCode><Name>AO/ASIF Plates</Name><Description>Anatomic Tibial Plates</Description><Size>7 - 15 Holes</Size><SupplierCode>MN</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5293</SubGroupID><ARTGs><ARTG>157069</ARTG></ARTGs><ChangeExplanation>DELETE</ChangeExplanation><MinimumBenefit>925</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Delete</ActionFlag><CycleStartDate>2012-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>GW062</BillingCode><Name>WEGO Trauma Systems </Name><Description>Periarticular Tibia Plating Systems</Description><Size>7 - 15 Holes</Size><SupplierCode>GW</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5293</SubGroupID><Suffix>LK</Suffix><ARTGs><ARTG>324402</ARTG></ARTGs><ChangeExplanation>DELETE</ChangeExplanation><MinimumBenefit>1182</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Delete</ActionFlag><CycleStartDate>2020-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>GW063</BillingCode><Name>WEGO Trauma Systems</Name><Description>Periarticular Tibia Plating Systems</Description><Size>≥ 16 Holes</Size><SupplierCode>GW</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5294</SubGroupID><Suffix>LK</Suffix><ARTGs><ARTG>324402</ARTG></ARTGs><ChangeExplanation>DELETE</ChangeExplanation><MinimumBenefit>1338</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Delete</ActionFlag><CycleStartDate>2020-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SY017</BillingCode><Name>AO/ASIF Plates</Name><Description>Calcaneal Plates</Description><Size>7 - 15 holes</Size><SupplierCode>MN</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1694</GroupID><SubGroupID>5296</SubGroupID><ARTGs><ARTG>157069</ARTG></ARTGs><ChangeExplanation>DELETE</ChangeExplanation><MinimumBenefit>509</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Delete</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ209</BillingCode><Name>ARIX 1.5-2.3 Non-Locking screws</Name><Description>Non-Locking screws</Description><Size>1.5-2.0mm</Size><SupplierCode>ZZ</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3372</SubGroupID><ARTGs><ARTG>409165</ARTG></ARTGs><ChangeExplanation>DELETE</ChangeExplanation><MinimumBenefit>46</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Delete</ActionFlag><CycleStartDate>2024-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>GW010</BillingCode><Name>WEGO Trauma Systems</Name><Description>Micro Bone Screw Systems</Description><Size>Micro (≤ 2.0mm)</Size><SupplierCode>GW</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3372</SubGroupID><ARTGs><ARTG>324381</ARTG></ARTGs><ChangeExplanation>DELETE</ChangeExplanation><MinimumBenefit>46</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Delete</ActionFlag><CycleStartDate>2020-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ZZ072</BillingCode><PriorBillingCodes><PriorBillingCode>EF015</PriorBillingCode></PriorBillingCodes><Name>Bone Screw</Name><Description>Cortical Bone Screw</Description><Size>≤ 2.0mm</Size><SupplierCode>ZZ</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3372</SubGroupID><ARTGs><ARTG>239817</ARTG></ARTGs><ChangeExplanation>DELETE</ChangeExplanation><MinimumBenefit>46</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Delete</ActionFlag><CycleStartDate>2021-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ211</BillingCode><Name>ARIX 2.0mm Non-Locking screws </Name><Description>Non-Locking screws</Description><Size>2.00mm</Size><SupplierCode>ZZ</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3372</SubGroupID><ARTGs><ARTG>409165</ARTG></ARTGs><ChangeExplanation>DELETE</ChangeExplanation><MinimumBenefit>46</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Delete</ActionFlag><CycleStartDate>2024-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BU017</BillingCode><Name>MAGNEZIX CS 2.0</Name><Description>Absorbable compression screw.</Description><Size>Diameter 2.0mm</Size><SupplierCode>BU</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3372</SubGroupID><Suffix>DT</Suffix><ARTGs><ARTG>283491</ARTG></ARTGs><ChangeExplanation>DELETE</ChangeExplanation><MinimumBenefit>200</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Delete</ActionFlag><CycleStartDate>2017-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>GW011</BillingCode><Name>WEGO Trauma Systems</Name><Description>Micro Bone Screw Systems</Description><Size>Micro (≤ 2.0mm)</Size><SupplierCode>GW</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3372</SubGroupID><Suffix>LK</Suffix><ARTGs><ARTG>324381</ARTG></ARTGs><ChangeExplanation>DELETE</ChangeExplanation><MinimumBenefit>104</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Delete</ActionFlag><CycleStartDate>2020-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ZZ079</BillingCode><PriorBillingCodes><PriorBillingCode>EF014</PriorBillingCode></PriorBillingCodes><Name>Bone Screw</Name><Description>Locking Screw</Description><Size>≤ 2.0mm</Size><SupplierCode>ZZ</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3372</SubGroupID><Suffix>LK</Suffix><ARTGs><ARTG>239817</ARTG></ARTGs><ChangeExplanation>DELETE</ChangeExplanation><MinimumBenefit>104</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Delete</ActionFlag><CycleStartDate>2021-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ208</BillingCode><Name>ARIX 1.5-2.0 Locking screws</Name><Description>Locking screws</Description><Size>1.5-2.0mm</Size><SupplierCode>ZZ</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3372</SubGroupID><Suffix>LK</Suffix><ARTGs><ARTG>409165</ARTG></ARTGs><ChangeExplanation>DELETE</ChangeExplanation><MinimumBenefit>104</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Delete</ActionFlag><CycleStartDate>2024-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>HJ004</BillingCode><Name>Snap-off Type II Screw</Name><Description>Snap-off screw, self-drilling, self-tapping, conical thread</Description><Size>Diameter 2mm. Length 10-17mm</Size><SupplierCode>HJ</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3372</SubGroupID><Suffix>Breakoff</Suffix><ARTGs><ARTG>340314</ARTG></ARTGs><ChangeExplanation>DELETE</ChangeExplanation><MinimumBenefit>273</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Delete</ActionFlag><CycleStartDate>2021-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ331</BillingCode><Name>ARIX 2.0mm Non-Locking screws </Name><Description>Non-Locking screws</Description><Size>2.00mm</Size><SupplierCode>ZZ</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3372</SubGroupID><ARTGs><ARTG>409165</ARTG></ARTGs><ChangeExplanation>DELETE</ChangeExplanation><MinimumBenefit>46</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Delete</ActionFlag><CycleStartDate>2024-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>GW009</BillingCode><Name>WEGO Trauma Systems </Name><Description>Washers</Description><Size>10-13mm</Size><SupplierCode>GW</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1231</GroupID><SubGroupID>3374</SubGroupID><ARTGs><ARTG>324402</ARTG></ARTGs><ChangeExplanation>DELETE</ChangeExplanation><MinimumBenefit>49</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Delete</ActionFlag><CycleStartDate>2020-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>OL076</BillingCode><Name>Ureteral Stents </Name><Description>Single J Ureteric Stent, silicone</Description><Size>7 - 8.5 F x 90cm</Size><SupplierCode>OL</SupplierCode><CategoryID>26</CategoryID><SubCategoryID>227</SubCategoryID><GroupID>1702</GroupID><SubGroupID>5325</SubGroupID><ARTGs><ARTG>136671</ARTG><ARTG>130442</ARTG></ARTGs><ChangeExplanation>DELETE</ChangeExplanation><MinimumBenefit>154</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Delete</ActionFlag><CycleStartDate>2011-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>UW002</BillingCode><Name>Axonics PNE Lead Implant Kit</Name><Description>Peripheral Nerve Evaluation Kit including lead, cables and implant tools</Description><Size>One size only</Size><SupplierCode>UW</SupplierCode><CategoryID>26</CategoryID><SubCategoryID>232</SubCategoryID><GroupID>1714</GroupID><SubGroupID>6036</SubGroupID><ARTGs><ARTG>298140</ARTG><ARTG>312912</ARTG></ARTGs><ChangeExplanation>DELETE</ChangeExplanation><MinimumBenefit>753</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Delete</ActionFlag><CycleStartDate>2022-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>UW007</BillingCode><Name>Axonics Tined Lead</Name><Description>Tined lead for sacral neuromodulation</Description><Size>One size only</Size><SupplierCode>UW</SupplierCode><CategoryID>26</CategoryID><SubCategoryID>232</SubCategoryID><GroupID>1714</GroupID><SubGroupID>5339</SubGroupID><Suffix>tined</Suffix><ARTGs><ARTG>297953</ARTG></ARTGs><ChangeExplanation>DELETE</ChangeExplanation><MinimumBenefit>4199</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Delete</ActionFlag><CycleStartDate>2022-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>UW011</BillingCode><Name>Axonics PNE Lead</Name><Description>Trial Lead</Description><Size>One size only</Size><SupplierCode>UW</SupplierCode><CategoryID>26</CategoryID><SubCategoryID>232</SubCategoryID><GroupID>1714</GroupID><SubGroupID>5340</SubGroupID><ARTGs><ARTG>312912</ARTG></ARTGs><ChangeExplanation>DELETE</ChangeExplanation><MinimumBenefit>373</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Delete</ActionFlag><CycleStartDate>2022-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>UW001</BillingCode><Name>Axonics Tined Lead Extension</Name><Description>Percutaneous extension</Description><Size>One size only</Size><SupplierCode>UW</SupplierCode><CategoryID>26</CategoryID><SubCategoryID>232</SubCategoryID><GroupID>1714</GroupID><SubGroupID>5341</SubGroupID><ARTGs><ARTG>312913</ARTG><ARTG>325940</ARTG></ARTGs><ChangeExplanation>DELETE</ChangeExplanation><MinimumBenefit>1434</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Delete</ActionFlag><CycleStartDate>2022-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MI300</BillingCode><Name>PVAC Gold Phased RF catheter</Name><Description>The Pulmonary Vein Ablation Catheter (PVAC) Gold is a three-dimensional, anatomically designed, multi-electrode phased RF catheter used to map, pace, and ablate the pulmonary veins.</Description><Size>9Fr</Size><SupplierCode>MI</SupplierCode><CategoryID>27</CategoryID><SubCategoryID>290</SubCategoryID><GroupID>2946</GroupID><SubGroupID>7349</SubGroupID><Suffix>Medtronic, single unit</Suffix><ARTGs><ARTG>235158</ARTG></ARTGs><ChangeExplanation>DELETE</ChangeExplanation><MinimumBenefit>6399</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Delete</ActionFlag><CycleStartDate>2019-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>DD075</BillingCode><PriorBillingCodes><PriorBillingCode>SK624</PriorBillingCode></PriorBillingCodes><Name> STAR Ankle Prosthesis</Name><Description>Talar Component, cemented</Description><Size>xx-Small - x- large</Size><SupplierCode>DD</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>124</SubCategoryID><GroupID>1460</GroupID><SubGroupID>4040</SubGroupID><ARTGs><ARTG>237795</ARTG></ARTGs><ChangeExplanation>DELETE</ChangeExplanation><MinimumBenefit>2185</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Delete</ActionFlag><CycleStartDate>2021-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>DD078</BillingCode><PriorBillingCodes><PriorBillingCode>SK627</PriorBillingCode></PriorBillingCodes><Name>STAR Ankle Prosthesis</Name><Description>Talar Component, cementless</Description><Size>xx- small - x-large</Size><SupplierCode>DD</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>124</SubCategoryID><GroupID>1460</GroupID><SubGroupID>4040</SubGroupID><ARTGs><ARTG>237795</ARTG></ARTGs><ChangeExplanation>DELETE</ChangeExplanation><MinimumBenefit>2185</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Delete</ActionFlag><CycleStartDate>2021-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ079</BillingCode><PriorBillingCodes><PriorBillingCode>ER383</PriorBillingCode><PriorBillingCode>AE266</PriorBillingCode></PriorBillingCodes><Name>Hintermann Series H3™ Total Ankle Prosthesis-Talar Component</Name><Description>Hintermann Series H3™ Total Ankle Prosthesis-Talar component, left or right, primary or revision, CoCr, plasma sprayed titanium coating and a hydroxyapatite coating</Description><Size>0-6</Size><SupplierCode>AAB</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>124</SubCategoryID><GroupID>1460</GroupID><SubGroupID>4040</SubGroupID><ARTGs><ARTG>289321</ARTG></ARTGs><ChangeExplanation>DELETE</ChangeExplanation><MinimumBenefit>2185</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Delete</ActionFlag><CycleStartDate>2023-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ080</BillingCode><PriorBillingCodes><PriorBillingCode>ER384</PriorBillingCode><PriorBillingCode>AE267</PriorBillingCode></PriorBillingCodes><Name>Hintermann Series H3™ Total Ankle Prosthesis-Tibial Component</Name><Description>Hintermann Series H3™ Total Ankle Prosthesis-Tibial Component, left or right, primary or revision, CoCr, plasma sprayed titanium coating and a hydroxyapatite coating</Description><Size>0-6, 8 or 12mm thickness (revision)</Size><SupplierCode>AAB</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>124</SubCategoryID><GroupID>1460</GroupID><SubGroupID>4041</SubGroupID><ARTGs><ARTG>289424</ARTG></ARTGs><ChangeExplanation>DELETE</ChangeExplanation><MinimumBenefit>1900</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Delete</ActionFlag><CycleStartDate>2023-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>DD079</BillingCode><PriorBillingCodes><PriorBillingCode>SK628</PriorBillingCode></PriorBillingCodes><Name> STAR Ankle Prosthesis</Name><Description>Tibial Component, cementless</Description><Size>xx-small - x-large</Size><SupplierCode>DD</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>124</SubCategoryID><GroupID>1460</GroupID><SubGroupID>4041</SubGroupID><ARTGs><ARTG>237795</ARTG></ARTGs><ChangeExplanation>DELETE</ChangeExplanation><MinimumBenefit>1900</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Delete</ActionFlag><CycleStartDate>2021-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>DD076</BillingCode><PriorBillingCodes><PriorBillingCode>SK625</PriorBillingCode></PriorBillingCodes><Name> STAR Ankle Prosthesis</Name><Description>Tibial Component, cemented</Description><Size>xx-small - x-large</Size><SupplierCode>DD</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>124</SubCategoryID><GroupID>1460</GroupID><SubGroupID>4041</SubGroupID><ARTGs><ARTG>237795</ARTG></ARTGs><ChangeExplanation>DELETE</ChangeExplanation><MinimumBenefit>1900</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Delete</ActionFlag><CycleStartDate>2021-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ZZ044</BillingCode><Name>OrthoTin TMJ Fossa Component</Name><Description>Titanium fossa component with UHMWPE bearing surface</Description><Size>The device is custom made so the size will vary</Size><SupplierCode>ZZ</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>200</SubCategoryID><GroupID>1596</GroupID><SubGroupID>4354</SubGroupID><ARTGs><ARTG>293845</ARTG></ARTGs><ChangeExplanation>DELETE</ChangeExplanation><MinimumBenefit>4114</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Delete</ActionFlag><CycleStartDate>2018-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ZZ045</BillingCode><Name>OrthoTin TMJ Ramus Component</Name><Description>TiN coated titanium mandibular ramus</Description><Size>The device is custom made so the size will vary</Size><SupplierCode>ZZ</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>200</SubCategoryID><GroupID>1596</GroupID><SubGroupID>4358</SubGroupID><ARTGs><ARTG>293845</ARTG></ARTGs><ChangeExplanation>DELETE</ChangeExplanation><MinimumBenefit>4738</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Delete</ActionFlag><CycleStartDate>2018-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ZZ048</BillingCode><Name>Lyka Smith Patient Specific Plate</Name><Description>3D printed custom plate</Description><Size>The device is custom so the size will vary</Size><SupplierCode>ZZ</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>200</SubCategoryID><GroupID>1596</GroupID><SubGroupID>4358</SubGroupID><Suffix>Biomodelled</Suffix><ARTGs><ARTG>293845</ARTG></ARTGs><ChangeExplanation>DELETE</ChangeExplanation><MinimumBenefit>2952</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Delete</ActionFlag><CycleStartDate>2018-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ZZ049</BillingCode><Name>Lyka Smith Patient Specific Guides</Name><Description>Patient specific surgical guide</Description><Size>The device is custom made so the size will vary.</Size><SupplierCode>ZZ</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>200</SubCategoryID><GroupID>1596</GroupID><SubGroupID>5498</SubGroupID><Suffix>Biomodelled</Suffix><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><ChangeExplanation>DELETE</ChangeExplanation><MinimumBenefit>1450</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Delete</ActionFlag><CycleStartDate>2018-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ZZ047</BillingCode><Name>OrthoTin Surgical Guide</Name><Description>Patient specific surgical guide</Description><Size>The device is custom so the size may vary</Size><SupplierCode>ZZ</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>200</SubCategoryID><GroupID>1596</GroupID><SubGroupID>5498</SubGroupID><Suffix>Biomodelled</Suffix><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><ChangeExplanation>DELETE</ChangeExplanation><MinimumBenefit>1450</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Delete</ActionFlag><CycleStartDate>2018-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>BU016</BillingCode><Name>MAGNEZIX Pin and Screw</Name><Description>Bioabsorbable bone pin and screw.</Description><Size>Diameter 1.5, 2.0, 2.7 and 3.2mm
Length 8 - 50mm
Diameter 2.0, 2.7 and 3.5mm
Length 6 - 40mm</Size><SupplierCode>BU</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1772</GroupID><SubGroupID>5365</SubGroupID><Suffix>AB</Suffix><ARTGs><ARTG>283491</ARTG></ARTGs><ChangeExplanation>DELETE</ChangeExplanation><MinimumBenefit>257</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Delete</ActionFlag><CycleStartDate>2017-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>DD077</BillingCode><PriorBillingCodes><PriorBillingCode>SK626</PriorBillingCode></PriorBillingCodes><Name> STAR Ankle Prosthesis</Name><Description>UHMWPE Sliding Core</Description><Size>6- 14mm</Size><SupplierCode>DD</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>124</SubCategoryID><GroupID>1269</GroupID><SubGroupID>3646</SubGroupID><ARTGs><ARTG>237795</ARTG></ARTGs><ChangeExplanation>DELETE</ChangeExplanation><MinimumBenefit>591</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Delete</ActionFlag><CycleStartDate>2021-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>QQ078</BillingCode><PriorBillingCodes><PriorBillingCode>ER385</PriorBillingCode><PriorBillingCode>AE265</PriorBillingCode></PriorBillingCodes><Name>Hintermann Series H3™ Total Ankle Prosthesis-Inlay</Name><Description>Hintermann Series H3™ Total Ankle Prosthesis-Inlay, UHMW Polyethylene</Description><Size>0-6, thickness 5-9 mm</Size><SupplierCode>AAB</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>124</SubCategoryID><GroupID>1269</GroupID><SubGroupID>3646</SubGroupID><ARTGs><ARTG>289319</ARTG></ARTGs><ChangeExplanation>DELETE</ChangeExplanation><MinimumBenefit>591</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Delete</ActionFlag><CycleStartDate>2023-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MB006</BillingCode><Name>Adjustable Continence Therapy for Men</Name><Description>ProACT Device: Prosthesis designed for the treatment of male SUI comprising of a single silicone balloon attached via a conduit to titanium and rubber ports allowing for post operative adjustment.</Description><Size>6 - 14cm</Size><SupplierCode>MB</SupplierCode><CategoryID>26</CategoryID><SubCategoryID>226</SubCategoryID><GroupID>1786</GroupID><SubGroupID>5450</SubGroupID><ARTGs><ARTG>163939</ARTG></ARTGs><ChangeExplanation>DELETE</ChangeExplanation><MinimumBenefit>3938</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Delete</ActionFlag><CycleStartDate>2010-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MB003</BillingCode><Name>Adjustable Continence Therapy for Women</Name><Description>ACT Device: Prosthesis designed for the treatment of female SUI comprising of a single silicone balloon attached via a conduit to titanium and rubber ports allowing for post operative adjustment.</Description><Size>6 - 14cm</Size><SupplierCode>MB</SupplierCode><CategoryID>26</CategoryID><SubCategoryID>226</SubCategoryID><GroupID>1786</GroupID><SubGroupID>5450</SubGroupID><ARTGs><ARTG>163939</ARTG></ARTGs><ChangeExplanation>DELETE</ChangeExplanation><MinimumBenefit>3938</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Delete</ActionFlag><CycleStartDate>2010-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MB005</BillingCode><Name>Adjustable Continence Therapy for Men</Name><Description>ProACT Device: prosthesis designed for the treatment of male SUI comprising of silicone balloons x2 attached via a conduit to titanium and rubber ports allowing for post operative adjustment.</Description><Size>6 - 14cm</Size><SupplierCode>MB</SupplierCode><CategoryID>26</CategoryID><SubCategoryID>226</SubCategoryID><GroupID>1786</GroupID><SubGroupID>5451</SubGroupID><ARTGs><ARTG>163939</ARTG></ARTGs><ChangeExplanation>DELETE</ChangeExplanation><MinimumBenefit>7876</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Delete</ActionFlag><CycleStartDate>2010-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MB004</BillingCode><Name>Adjustable Continence Therapy device for women</Name><Description>ACT Device: prosthesis designed for the treatment of female SUI comprising of silicone balloons x 2 attached via a conduit to titanium and rubber ports allowing for post operative adjustment.</Description><Size>6 - 14cm</Size><SupplierCode>MB</SupplierCode><CategoryID>26</CategoryID><SubCategoryID>226</SubCategoryID><GroupID>1786</GroupID><SubGroupID>5451</SubGroupID><ARTGs><ARTG>163939</ARTG></ARTGs><ChangeExplanation>DELETE</ChangeExplanation><MinimumBenefit>7876</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Delete</ActionFlag><CycleStartDate>2010-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ET085</BillingCode><Name>VICTO Adjustable Artificial Sphincter Pump Replacement Kit</Name><Description>A replacement control pump for the VICTO Adjustable Artificial Sphincter, artificial urinary sphincter.</Description><Size>1 size.</Size><SupplierCode>ET</SupplierCode><CategoryID>26</CategoryID><SubCategoryID>226</SubCategoryID><GroupID>1696</GroupID><SubGroupID>5306</SubGroupID><ARTGs><ARTG>203685</ARTG></ARTGs><ChangeExplanation>DELETE</ChangeExplanation><MinimumBenefit>4700</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Delete</ActionFlag><CycleStartDate>2019-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>AM029</BillingCode><Name>AMS 800 Artificial Urinary Sphincter Pump</Name><Description>Control Pump</Description><Size>One size</Size><SupplierCode>BS</SupplierCode><CategoryID>26</CategoryID><SubCategoryID>226</SubCategoryID><GroupID>1696</GroupID><SubGroupID>5306</SubGroupID><ARTGs><ARTG>131706</ARTG></ARTGs><ChangeExplanation>DELETE</ChangeExplanation><MinimumBenefit>4700</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Delete</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ET087</BillingCode><Name>VICTO Adjustable Artificial Sphincter Cuff Replacement Kit</Name><Description>A replacement cuff for a VICTO Adjustable Artificial Sphincter, artificial urinary sphincter.</Description><Size>3.7cm, 4.0cm, 4.5cm, and 5.0cm.</Size><SupplierCode>ET</SupplierCode><CategoryID>26</CategoryID><SubCategoryID>226</SubCategoryID><GroupID>1696</GroupID><SubGroupID>5307</SubGroupID><ARTGs><ARTG>203685</ARTG></ARTGs><ChangeExplanation>DELETE</ChangeExplanation><MinimumBenefit>2483</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Delete</ActionFlag><CycleStartDate>2019-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>AM001</BillingCode><Name>AMS 800 Artificial Urinary Sphincter Cuff</Name><Description>Occlusive Cuff</Description><Size>13 Cuff sizes from 3.5 to 11.0 cm: Size: 3.5, 4, 4.5, 5, 5.5, 6, 6.5, 7, 7.5, 8, 9, 10, 11cm</Size><SupplierCode>BS</SupplierCode><CategoryID>26</CategoryID><SubCategoryID>226</SubCategoryID><GroupID>1696</GroupID><SubGroupID>5307</SubGroupID><ARTGs><ARTG>131706</ARTG></ARTGs><ChangeExplanation>DELETE</ChangeExplanation><MinimumBenefit>2483</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Delete</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>AM021</BillingCode><Name>AMS 800 Artificial Urinary Sphincter Cuff</Name><Description>Silicone cuff for artificial urinary sphincter. For the implantation of the second cuff for the AMS 800</Description><Size>13 Cuff sizes from 3.5 to 11.0 cm: Size: 3.5, 4, 4.5, 5, 5.5, 6, 6.5, 7, 7.5, 8, 9, 10, 11cm</Size><SupplierCode>BS</SupplierCode><CategoryID>26</CategoryID><SubCategoryID>226</SubCategoryID><GroupID>1696</GroupID><SubGroupID>5307</SubGroupID><ARTGs><ARTG>131706</ARTG></ARTGs><ChangeExplanation>DELETE</ChangeExplanation><MinimumBenefit>2483</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Delete</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ET086</BillingCode><Name>VICTO Adjustable Artificial Sphincter Balloon Replacement Kit</Name><Description>A replacement pressure regulating balloon for the VICTO Adjustable Artificial Sphincter, artificial urinary sphincter.</Description><Size>1 size.</Size><SupplierCode>ET</SupplierCode><CategoryID>26</CategoryID><SubCategoryID>226</SubCategoryID><GroupID>1696</GroupID><SubGroupID>5308</SubGroupID><ARTGs><ARTG>203685</ARTG></ARTGs><ChangeExplanation>DELETE</ChangeExplanation><MinimumBenefit>1954</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Delete</ActionFlag><CycleStartDate>2019-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>AM028</BillingCode><Name>AMS 800 Artificial urinary sphincter Pressure Regulating Balloon</Name><Description>Pressure Regulating Balloon</Description><Size>51 - 60cm, 61 -70cm, 71 - 80cm</Size><SupplierCode>BS</SupplierCode><CategoryID>26</CategoryID><SubCategoryID>226</SubCategoryID><GroupID>1696</GroupID><SubGroupID>5308</SubGroupID><ARTGs><ARTG>131706</ARTG></ARTGs><ChangeExplanation>DELETE</ChangeExplanation><MinimumBenefit>1954</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Delete</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>AM030</BillingCode><Name>AMS 800 Artificial Urinary Sphincter Accessory Kit</Name><Description>Accessory Kit</Description><Size>One Size</Size><SupplierCode>BS</SupplierCode><CategoryID>26</CategoryID><SubCategoryID>226</SubCategoryID><GroupID>1696</GroupID><SubGroupID>5310</SubGroupID><ARTGs><ARTG>131706</ARTG></ARTGs><ChangeExplanation>DELETE</ChangeExplanation><MinimumBenefit>655</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Delete</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ET057</BillingCode><Name>VICTO Artificial Urinary Sphincter</Name><Description>VICTO Artificial Urinary Sphincter with conditional occlusion, inflatable hydraulic device.</Description><Size>Four cuff sizes: 3.7cm, 4.0cm, 4.5cm, and 5.0cm.</Size><SupplierCode>ET</SupplierCode><CategoryID>26</CategoryID><SubCategoryID>226</SubCategoryID><GroupID>1696</GroupID><SubGroupID>5311</SubGroupID><ARTGs><ARTG>203685</ARTG></ARTGs><ChangeExplanation>DELETE</ChangeExplanation><MinimumBenefit>9500</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Delete</ActionFlag><CycleStartDate>2009-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SJ187</BillingCode><Name>Lamitrode S Series Leads</Name><Description>Lamitrode S Series, 4 Channel, Model # 3246</Description><Size>Length = 60cm, 90cm, 110cm</Size><SupplierCode>SJ</SupplierCode><CategoryID>25</CategoryID><SubCategoryID>222</SubCategoryID><GroupID>1679</GroupID><SubGroupID>4486</SubGroupID><Suffix>4 electrodes</Suffix><ARTGs><ARTG>126076</ARTG></ARTGs><ChangeExplanation>DELETE</ChangeExplanation><MinimumBenefit>3041</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Delete</ActionFlag><CycleStartDate>2009-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SJ186</BillingCode><Name>Lamitrode S Series Leads</Name><Description>Lamitrode S Series, 4 Channel, Model # 3243</Description><Size>Length = 30cm</Size><SupplierCode>SJ</SupplierCode><CategoryID>25</CategoryID><SubCategoryID>222</SubCategoryID><GroupID>1679</GroupID><SubGroupID>4486</SubGroupID><Suffix>4 electrodes</Suffix><ARTGs><ARTG>126076</ARTG></ARTGs><ChangeExplanation>DELETE</ChangeExplanation><MinimumBenefit>3041</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Delete</ActionFlag><CycleStartDate>2009-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ZZ059</BillingCode><Name>Lyka Smith Jeil Le Fort Locking Screws</Name><Description>Titanium Locking Screws</Description><Size>Diameter 2-2.4mm  Length 4-20mm</Size><SupplierCode>ZZ</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>199</SubCategoryID><GroupID>1590</GroupID><SubGroupID>4323</SubGroupID><Suffix>Locking</Suffix><ARTGs><ARTG>310093</ARTG></ARTGs><ChangeExplanation>DELETE</ChangeExplanation><MinimumBenefit>88</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Delete</ActionFlag><CycleStartDate>2020-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LH516</BillingCode><Name>Martin Osteosynthesis 1.5mm System Screw</Name><Description>Self retaining, Titanium</Description><Size>3-7mm length, 1.5-1.8mm diam</Size><SupplierCode>LH</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>199</SubCategoryID><GroupID>1590</GroupID><SubGroupID>4323</SubGroupID><ARTGs><ARTG>212844</ARTG></ARTGs><ChangeExplanation>DELETE</ChangeExplanation><MinimumBenefit>42</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Delete</ActionFlag><CycleStartDate>2014-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ZZ058</BillingCode><Name>Lyka Smith Jeil LeForte System Screws</Name><Description>Self tapping and self drilling screws</Description><Size>Diameter- 1.3 - 2.7mm  Length 2-20mm</Size><SupplierCode>ZZ</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>199</SubCategoryID><GroupID>1590</GroupID><SubGroupID>4323</SubGroupID><ARTGs><ARTG>310093</ARTG></ARTGs><ChangeExplanation>DELETE</ChangeExplanation><MinimumBenefit>42</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Delete</ActionFlag><CycleStartDate>2020-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SY252</BillingCode><Name>AO/ASIF Facio-Maxillary Plates</Name><Description>Flapfix - Plates for fixation of cranial bone flaps</Description><Size>10 - 20mm</Size><SupplierCode>MN</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>199</SubCategoryID><GroupID>1591</GroupID><SubGroupID>4337</SubGroupID><ARTGs><ARTG>157706</ARTG></ARTGs><ChangeExplanation>DELETE</ChangeExplanation><MinimumBenefit>93</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Delete</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MB029</BillingCode><Name>YellowStar Ureteric Stent</Name><Description>PUR ureteral stent with PC treatment (Phosphorylcholine-coating) and Dirigenta Steering Device</Description><Size>4.7-8Fr   Lengths 24-30cm</Size><SupplierCode>MB</SupplierCode><CategoryID>26</CategoryID><SubCategoryID>227</SubCategoryID><GroupID>1701</GroupID><SubGroupID>5322</SubGroupID><Suffix>Therm</Suffix><ARTGs><ARTG>327784</ARTG></ARTGs><ChangeExplanation>DELETE</ChangeExplanation><MinimumBenefit>196</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Delete</ActionFlag><CycleStartDate>2021-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MB016</BillingCode><Name>Allium Ureteral Stent</Name><Description>Round Nitinol stent with copolymer covering and supplied premounted on a delivery tool. Intended to be inserted into the lower ureter to allow free flow of urine from the kidney to the bladder.</Description><Size>8mm x 100mm, 8mm x 120mm, 10mm x 100mm, 10mm x 120mm</Size><SupplierCode>MB</SupplierCode><CategoryID>26</CategoryID><SubCategoryID>227</SubCategoryID><GroupID>1701</GroupID><SubGroupID>5323</SubGroupID><Suffix>Therm</Suffix><ARTGs><ARTG>205005</ARTG></ARTGs><ChangeExplanation>DELETE</ChangeExplanation><MinimumBenefit>2996</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Delete</ActionFlag><CycleStartDate>2013-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MB028</BillingCode><Name>Allium URS Long Ureteral stent</Name><Description>Fully covered, flexible, extra long ureteral stent</Description><Size>9 mm diameter
200 mm length</Size><SupplierCode>MB</SupplierCode><CategoryID>26</CategoryID><SubCategoryID>227</SubCategoryID><GroupID>1701</GroupID><SubGroupID>5323</SubGroupID><Suffix>Therm</Suffix><ARTGs><ARTG>205005</ARTG></ARTGs><ChangeExplanation>DELETE</ChangeExplanation><MinimumBenefit>2996</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Delete</ActionFlag><CycleStartDate>2018-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>UW004</BillingCode><Name>Axonics Patient Remote Control</Name><Description>Remote patient controller for Axonics Sacral Neurmodulation System</Description><Size>One size only</Size><SupplierCode>UW</SupplierCode><CategoryID>26</CategoryID><SubCategoryID>232</SubCategoryID><GroupID>1713</GroupID><SubGroupID>5337</SubGroupID><ARTGs><ARTG>325941</ARTG></ARTGs><ChangeExplanation>DELETE</ChangeExplanation><MinimumBenefit>1330</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Delete</ActionFlag><CycleStartDate>2022-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>UW005</BillingCode><Name>Axonics Charging System</Name><Description>Charger and dock with belt and adhesive carriers for Axonics Sacral Neuromodulation System</Description><Size>One size only</Size><SupplierCode>UW</SupplierCode><CategoryID>26</CategoryID><SubCategoryID>232</SubCategoryID><GroupID>1713</GroupID><SubGroupID>7367</SubGroupID><ARTGs><ARTG>297956</ARTG></ARTGs><ChangeExplanation>DELETE</ChangeExplanation><MinimumBenefit>1215</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Delete</ActionFlag><CycleStartDate>2022-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>UW006</BillingCode><Name>Axonics Trial Stimulator</Name><Description>External neurostimulator with belt</Description><Size>One size only</Size><SupplierCode>UW</SupplierCode><CategoryID>26</CategoryID><SubCategoryID>232</SubCategoryID><GroupID>1713</GroupID><SubGroupID>5518</SubGroupID><ARTGs><ARTG>313220</ARTG></ARTGs><ChangeExplanation>DELETE</ChangeExplanation><MinimumBenefit>1140</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Delete</ActionFlag><CycleStartDate>2022-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>UW008</BillingCode><Name>Axonics Lead Implant Kit</Name><Description>Lead introducer kit including needles, sheath and tools</Description><Size>One size only</Size><SupplierCode>UW</SupplierCode><CategoryID>26</CategoryID><SubCategoryID>232</SubCategoryID><GroupID>1715</GroupID><SubGroupID>5342</SubGroupID><ARTGs><ARTG>298140</ARTG></ARTGs><ChangeExplanation>DELETE</ChangeExplanation><MinimumBenefit>514</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Delete</ActionFlag><CycleStartDate>2022-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>UW009</BillingCode><Name>Axonics Foramen Needles</Name><Description>6 Foramen needles</Description><Size>Short and Long</Size><SupplierCode>UW</SupplierCode><CategoryID>26</CategoryID><SubCategoryID>232</SubCategoryID><GroupID>1715</GroupID><SubGroupID>5343</SubGroupID><ARTGs><ARTG>298140</ARTG></ARTGs><ChangeExplanation>DELETE</ChangeExplanation><MinimumBenefit>21</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Delete</ActionFlag><CycleStartDate>2022-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>UW010</BillingCode><Name>Axonics Stimulation Cable</Name><Description>Cable for trial and implant</Description><Size>One size only</Size><SupplierCode>UW</SupplierCode><CategoryID>26</CategoryID><SubCategoryID>232</SubCategoryID><GroupID>1715</GroupID><SubGroupID>5517</SubGroupID><ARTGs><ARTG>314969</ARTG></ARTGs><ChangeExplanation>DELETE</ChangeExplanation><MinimumBenefit>190</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Delete</ActionFlag><CycleStartDate>2022-11-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MC945</BillingCode><Name>Medtronic ACTIVA Recharging System for Deep Brain Stimulation</Name><Description>Recharging System for Deep Brain Stimulation</Description><Size>One size only</Size><SupplierCode>MI</SupplierCode><CategoryID>25</CategoryID><SubCategoryID>221</SubCategoryID><GroupID>1673</GroupID><SubGroupID>4475</SubGroupID><ARTGs><ARTG>121279</ARTG></ARTGs><ChangeExplanation>DELETE</ChangeExplanation><MinimumBenefit>1782</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Delete</ActionFlag><CycleStartDate>2010-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MB013</BillingCode><Name>Allium Bulbar Urethral Stent</Name><Description>Round Nitinol stent with co-polymer covering and supplied premounted on a delivery tool.</Description><Size>50, 55, 60, 80 mm</Size><SupplierCode>MB</SupplierCode><CategoryID>26</CategoryID><SubCategoryID>256</SubCategoryID><GroupID>1800</GroupID><SubGroupID>5501</SubGroupID><ARTGs><ARTG>205004</ARTG></ARTGs><ChangeExplanation>DELETE</ChangeExplanation><MinimumBenefit>2351</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Delete</ActionFlag><CycleStartDate>2013-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MB015</BillingCode><Name>Allium Triangle Prostatic Urethral Stent</Name><Description>Round Nitinol stent with copolymer covering and supplied premounted on a delivery tool. For longer term temporary treatment of bladder outlet obstruction caused by enlarged prostate.</Description><Size>Body lengths 30, 40, 50, 60, 65mm
main body calibre 45Fr</Size><SupplierCode>MB</SupplierCode><CategoryID>26</CategoryID><SubCategoryID>256</SubCategoryID><GroupID>1800</GroupID><SubGroupID>5501</SubGroupID><ARTGs><ARTG>205004</ARTG></ARTGs><ChangeExplanation>DELETE</ChangeExplanation><MinimumBenefit>2351</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Delete</ActionFlag><CycleStartDate>2013-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MB014</BillingCode><Name>Allium Round Posterior Urethral Stent</Name><Description>Round Nitinol stent with copolymer covering and supplied premounted on a delivery tool. For longer term temporary treatment of bladder outlet obstruction caused by  male stenotic posterior urethra or  stenotic bladder-neck.</Description><Size>The RPS has a body length of 40mm and a main body calibre of 45Fr</Size><SupplierCode>MB</SupplierCode><CategoryID>26</CategoryID><SubCategoryID>256</SubCategoryID><GroupID>1800</GroupID><SubGroupID>5501</SubGroupID><ARTGs><ARTG>205004</ARTG></ARTGs><ChangeExplanation>DELETE</ChangeExplanation><MinimumBenefit>2351</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Delete</ActionFlag><CycleStartDate>2013-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MI049</BillingCode><Name>Medtronic Neurostimulation Screening Cable</Name><Description>Screening Cable</Description><Size>One size only</Size><SupplierCode>MI</SupplierCode><CategoryID>25</CategoryID><SubCategoryID>222</SubCategoryID><GroupID>1690</GroupID><SubGroupID>5484</SubGroupID><ARTGs><ARTG>119991</ARTG></ARTGs><ChangeExplanation>DELETE</ChangeExplanation><MinimumBenefit>181</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Delete</ActionFlag><CycleStartDate>2012-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MC689</BillingCode><Name>Lead Revision Kits</Name><Description>Sterile Revision Kit for Octad leads 45cm (3550-26), Sterile Revision Kit for Octad leads 60-75cm (3550-27)</Description><Size>30 &amp; 45cm; 60 &amp; 75cm</Size><SupplierCode>MI</SupplierCode><CategoryID>25</CategoryID><SubCategoryID>222</SubCategoryID><GroupID>1690</GroupID><SubGroupID>4499</SubGroupID><ARTGs><ARTG>240576</ARTG></ARTGs><ChangeExplanation>DELETE</ChangeExplanation><MinimumBenefit>492</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Delete</ActionFlag><CycleStartDate>2006-03-24</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SJ461</BillingCode><Name>Port Plug</Name><Description>Port Plug</Description><Size>One size only</Size><SupplierCode>SJ</SupplierCode><CategoryID>25</CategoryID><SubCategoryID>222</SubCategoryID><GroupID>1690</GroupID><SubGroupID>4500</SubGroupID><ARTGs><ARTG>278846</ARTG><ARTG>333461</ARTG><ARTG>279015</ARTG></ARTGs><ChangeExplanation>DELETE</ChangeExplanation><MinimumBenefit>152</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Delete</ActionFlag><CycleStartDate>2021-07-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MC930</BillingCode><Name>3550-P4 Passing Elevator Accessory Kit</Name><Description>Kit Contents: 4 Passing Elevators compatible with various leads</Description><Size>One size</Size><SupplierCode>MI</SupplierCode><CategoryID>25</CategoryID><SubCategoryID>222</SubCategoryID><GroupID>1690</GroupID><SubGroupID>4501</SubGroupID><ARTGs><ARTG>121280</ARTG></ARTGs><ChangeExplanation>DELETE</ChangeExplanation><MinimumBenefit>152</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Delete</ActionFlag><CycleStartDate>2010-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MI038</BillingCode><Name>Medtronic Neurostimulation Accessories (Wrenches and screws)</Name><Description>Accessories for implant of neurostimulation lead</Description><Size>One size only</Size><SupplierCode>MI</SupplierCode><CategoryID>25</CategoryID><SubCategoryID>222</SubCategoryID><GroupID>1690</GroupID><SubGroupID>4501</SubGroupID><ARTGs><ARTG>121280</ARTG></ARTGs><ChangeExplanation>DELETE</ChangeExplanation><MinimumBenefit>152</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Delete</ActionFlag><CycleStartDate>2012-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MC931</BillingCode><Name>3550-63 Percutaneous Lead Introducer Accessory Kit</Name><Description>Percutaneous Lead Introducer Accessory Kit</Description><Size>One size only</Size><SupplierCode>MI</SupplierCode><CategoryID>25</CategoryID><SubCategoryID>222</SubCategoryID><GroupID>1690</GroupID><SubGroupID>4501</SubGroupID><ARTGs><ARTG>121280</ARTG></ARTGs><ChangeExplanation>DELETE</ChangeExplanation><MinimumBenefit>152</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Delete</ActionFlag><CycleStartDate>2010-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MI052</BillingCode><Name>Medtronic Neurostimulation Accessory Kits</Name><Description>EZ Anchor, Boot and Anchor Kit</Description><Size>Various</Size><SupplierCode>MI</SupplierCode><CategoryID>25</CategoryID><SubCategoryID>222</SubCategoryID><GroupID>1690</GroupID><SubGroupID>4501</SubGroupID><ARTGs><ARTG>240576</ARTG></ARTGs><ChangeExplanation>DELETE</ChangeExplanation><MinimumBenefit>152</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Delete</ActionFlag><CycleStartDate>2012-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LH504</BillingCode><Name>Martin Osteosynthesis 1.5mm System 8-15 hole plate</Name><Description>Plate, Titanium</Description><Size>&lt;0.5mm thick, 8-15 holes</Size><SupplierCode>LH</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>199</SubCategoryID><GroupID>1589</GroupID><SubGroupID>4265</SubGroupID><ARTGs><ARTG>202851</ARTG></ARTGs><ChangeExplanation>DELETE</ChangeExplanation><MinimumBenefit>193</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Delete</ActionFlag><CycleStartDate>2014-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LH506</BillingCode><Name>Martin Osteosynthesis 1.5mm System 16-32 hole plate</Name><Description>Plate, Titanium</Description><Size>&lt;0.5mm thick, 16-32 holes</Size><SupplierCode>LH</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>199</SubCategoryID><GroupID>1589</GroupID><SubGroupID>4266</SubGroupID><ARTGs><ARTG>202851</ARTG></ARTGs><ChangeExplanation>DELETE</ChangeExplanation><MinimumBenefit>283</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Delete</ActionFlag><CycleStartDate>2014-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ZZ060</BillingCode><Name>Lyka Smith Jeil Le Forte Plates 4-7 Holes</Name><Description>Titanium plates in a variety of shapes for reconstruction</Description><Size>Thickness - 0.5-0.8mm   4-7 Holes</Size><SupplierCode>ZZ</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>199</SubCategoryID><GroupID>1589</GroupID><SubGroupID>4271</SubGroupID><ARTGs><ARTG>310093</ARTG></ARTGs><ChangeExplanation>DELETE</ChangeExplanation><MinimumBenefit>166</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Delete</ActionFlag><CycleStartDate>2020-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LH507</BillingCode><Name>Martin Osteosynthesis 1.5mm System Burr hole plate</Name><Description>Burr Hole Plate, Titanium</Description><Size>0.6mm thick, 4-7 holes</Size><SupplierCode>LH</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>199</SubCategoryID><GroupID>1589</GroupID><SubGroupID>4271</SubGroupID><Suffix>Burr</Suffix><ARTGs><ARTG>202851</ARTG></ARTGs><ChangeExplanation>DELETE</ChangeExplanation><MinimumBenefit>166</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Delete</ActionFlag><CycleStartDate>2014-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ZZ063</BillingCode><Name>Lyka Smith Jeil Le Forte Locking Plates 4-7 Holes</Name><Description>Titanium locking plates of various shapes for reconstruction</Description><Size>4-7 holes  Thickness - 0.5-0.99mm</Size><SupplierCode>ZZ</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>199</SubCategoryID><GroupID>1589</GroupID><SubGroupID>4271</SubGroupID><Suffix>Locking</Suffix><ARTGs><ARTG>310093</ARTG></ARTGs><ChangeExplanation>DELETE</ChangeExplanation><MinimumBenefit>190</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Delete</ActionFlag><CycleStartDate>2020-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ZZ061</BillingCode><Name>Lyka Smith Jeil Le Forte Locking Plates 8-32 holes</Name><Description>Titanium locking plates for craniofacial reconstruction</Description><Size>Thickness - 0.8mm  Holes - 8-32</Size><SupplierCode>ZZ</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>199</SubCategoryID><GroupID>1589</GroupID><SubGroupID>4277</SubGroupID><Suffix>Locking</Suffix><ARTGs><ARTG>310093</ARTG></ARTGs><ChangeExplanation>DELETE</ChangeExplanation><MinimumBenefit>259</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Delete</ActionFlag><CycleStartDate>2020-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LH505</BillingCode><Name>Martin Osteosynthesis 1.5mm System 8-32 hole plate</Name><Description>Plate, 0.6mm thick, Titanium</Description><Size>8-32 hole</Size><SupplierCode>LH</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>199</SubCategoryID><GroupID>1589</GroupID><SubGroupID>4277</SubGroupID><ARTGs><ARTG>202851</ARTG></ARTGs><ChangeExplanation>DELETE</ChangeExplanation><MinimumBenefit>199</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Delete</ActionFlag><CycleStartDate>2014-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>ZZ062</BillingCode><Name>Lyka Smith Jeil Le Forte Plates 8-32 Holes</Name><Description>Titanium plates in a variety of shapes for reconstruction</Description><Size>Thickness 0.5 - 0.8mm  8-20 Holes</Size><SupplierCode>ZZ</SupplierCode><CategoryID>23</CategoryID><SubCategoryID>199</SubCategoryID><GroupID>1589</GroupID><SubGroupID>4277</SubGroupID><ARTGs><ARTG>310093</ARTG></ARTGs><ChangeExplanation>DELETE</ChangeExplanation><MinimumBenefit>199</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Delete</ActionFlag><CycleStartDate>2020-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>RI042</BillingCode><Name>Fortilink®-SC</Name><Description>Cervical standalone fusion cage</Description><Size>Width: 16-20mm  Length: 12-16mm  Height: 6-12mm</Size><SupplierCode>RI</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>174</SubCategoryID><GroupID>1486</GroupID><SubGroupID>4134</SubGroupID><ARTGs><ARTG>346071</ARTG></ARTGs><ChangeExplanation>DELETE</ChangeExplanation><MinimumBenefit>2188</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Delete</ActionFlag><CycleStartDate>2021-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MN235</BillingCode><PriorBillingCodes><PriorBillingCode>JJ520</PriorBillingCode><PriorBillingCode>JJ899</PriorBillingCode></PriorBillingCodes><Name>CONCORDE Spine System</Name><Description>Interbody Fusion Device</Description><Size>7-18mm</Size><SupplierCode>MN</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>174</SubCategoryID><GroupID>1486</GroupID><SubGroupID>4135</SubGroupID><ARTGs><ARTG>149723</ARTG><ARTG>98094</ARTG></ARTGs><ChangeExplanation>DELETE</ChangeExplanation><MinimumBenefit>3313</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Delete</ActionFlag><CycleStartDate>2018-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>RI033</BillingCode><Name>Fortilink®-SA</Name><Description>Interbody fusion device with integrated locking mechanism</Description><Size>Width 32mm-40mm  Length 25mm-29mm  Height 10mm -22mm</Size><SupplierCode>RI</SupplierCode><CategoryID>19</CategoryID><SubCategoryID>174</SubCategoryID><GroupID>1486</GroupID><SubGroupID>4135</SubGroupID><ARTGs><ARTG>346071</ARTG></ARTGs><ChangeExplanation>DELETE</ChangeExplanation><MinimumBenefit>3313</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Delete</ActionFlag><CycleStartDate>2021-03-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>CR118</BillingCode><Name>LARS Ligament Staple</Name><Description>CoCr synthetic ligament anchor</Description><Size>Width 8mm &amp; length 20mm</Size><SupplierCode>CR</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1773</GroupID><SubGroupID>5514</SubGroupID><ARTGs><ARTG>138574</ARTG></ARTGs><ChangeExplanation>DELETE</ChangeExplanation><MinimumBenefit>127</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Delete</ActionFlag><CycleStartDate>2007-12-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>CR202</BillingCode><Name>Ligament Advanced Reinforcement System (LARS) Artificial Ligament – LAC 20</Name><Description>Woven polyester prosthetic ligament</Description><Size>20 fibres</Size><SupplierCode>CR</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1776</GroupID><SubGroupID>5398</SubGroupID><ARTGs><ARTG>138573</ARTG></ARTGs><Note>That an Artificial Ligament should only be funded for intra-articular cases where no non-synthetic graft sources (allografts and autografts) are available.</Note><ChangeExplanation>DELETE</ChangeExplanation><MinimumBenefit>4217</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Delete</ActionFlag><CycleStartDate>2013-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>CR203</BillingCode><Name>Ligament Advanced Reinforcement System (LARS) Artificial Ligament - LAC 30</Name><Description>Woven polyester prosthetic ligament</Description><Size>30 fibres</Size><SupplierCode>CR</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1776</GroupID><SubGroupID>5398</SubGroupID><ARTGs><ARTG>138573</ARTG></ARTGs><Note>That an Artificial Ligament should only be funded for intra-articular cases where no non-synthetic graft sources (allografts and autografts) are available.</Note><ChangeExplanation>DELETE</ChangeExplanation><MinimumBenefit>4217</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Delete</ActionFlag><CycleStartDate>2013-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>LM070</BillingCode><Name>Lockdown Shoulder Stabilisation System </Name><Description>Woven Polyester Prosthetic Ligament</Description><Size>5 to 20cm</Size><SupplierCode>LM</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1776</GroupID><SubGroupID>5398</SubGroupID><ARTGs><ARTG>433851</ARTG></ARTGs><ChangeExplanation>DELETE</ChangeExplanation><MinimumBenefit>4217</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Delete</ActionFlag><CycleStartDate>2007-12-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>CR204</BillingCode><Name>Ligament Advanced Reinforcement System (LARS) Artificial Ligament - MCL 32</Name><Description>Woven polyester prosthetic ligament</Description><Size>32 fibres</Size><SupplierCode>CR</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1776</GroupID><SubGroupID>5398</SubGroupID><ARTGs><ARTG>138573</ARTG></ARTGs><Note>That an Artificial Ligament should only be funded for intra-articular cases where no non-synthetic graft sources (allografts and autografts) are available.</Note><ChangeExplanation>DELETE</ChangeExplanation><MinimumBenefit>4217</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Delete</ActionFlag><CycleStartDate>2013-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>CR201</BillingCode><Name>Ligament Advanced Reinforcement System (LARS) Artificial Ligament -  AC30RA </Name><Description>Woven polyester prosthesic ligament</Description><Size>30 fibres</Size><SupplierCode>CR</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1776</GroupID><SubGroupID>5398</SubGroupID><ARTGs><ARTG>138573</ARTG></ARTGs><Note>That an Artificial Ligament should only be funded for intra-articular cases where no non-synthetic graft sources (allografts and autografts) are available.</Note><ChangeExplanation>DELETE</ChangeExplanation><MinimumBenefit>4217</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Delete</ActionFlag><CycleStartDate>2013-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>CR214</BillingCode><Name>Ligament Advanced Reinforcement System (LARS) Artificial Ligament</Name><Description>Woven polyester prosthetic ligaments</Description><Size>8 fibres</Size><SupplierCode>CR</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1776</GroupID><SubGroupID>5398</SubGroupID><ARTGs><ARTG>138573</ARTG></ARTGs><Note>That an Artificial Ligament should only be funded for intra-articular cases where no non-synthetic graft sources (allografts and autografts) are available.</Note><ChangeExplanation>DELETE</ChangeExplanation><MinimumBenefit>4217</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Delete</ActionFlag><CycleStartDate>2014-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>CR205</BillingCode><Name>Ligament Advanced Reinforcement System (LARS) Artificial Ligament  - Rotator Cuff CR 25</Name><Description>Woven polyester prosthetic ligament</Description><Size>40 fibres</Size><SupplierCode>CR</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1776</GroupID><SubGroupID>5398</SubGroupID><ARTGs><ARTG>138573</ARTG></ARTGs><Note>That an Artificial Ligament should only be funded for intra-articular cases where no non-synthetic graft sources (allografts and autografts) are available.</Note><ChangeExplanation>DELETE</ChangeExplanation><MinimumBenefit>4217</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Delete</ActionFlag><CycleStartDate>2013-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>CR206</BillingCode><Name>Ligament Advanced Reinforcement System (LARS) Artificial Ligament  - Rotator Cuff CR 30</Name><Description>Woven polyester prosthetic ligament</Description><Size>48 fibres</Size><SupplierCode>CR</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1776</GroupID><SubGroupID>5398</SubGroupID><ARTGs><ARTG>138573</ARTG></ARTGs><Note>That an Artificial Ligament should only be funded for intra-articular cases where no non-synthetic graft sources (allografts and autografts) are available.</Note><ChangeExplanation>DELETE</ChangeExplanation><MinimumBenefit>4217</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Delete</ActionFlag><CycleStartDate>2013-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>CR032</BillingCode><Name>Ligament Advanced Reinforcement System (LARS) Artificial Ligament</Name><Description>Woven polyester prosthetic ligaments</Description><Size>60,80,100,120,160 &amp; Y shaped fibres</Size><SupplierCode>CR</SupplierCode><CategoryID>13</CategoryID><SubCategoryID>123</SubCategoryID><GroupID>1776</GroupID><SubGroupID>5398</SubGroupID><ARTGs><ARTG>138573</ARTG></ARTGs><Note>That an Artificial Ligament should only be funded for intra-articular cases where no non-synthetic graft sources (allografts and autografts) are available.</Note><ChangeExplanation>DELETE</ChangeExplanation><MinimumBenefit>4217</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Delete</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MC244</BillingCode><Name>Medtronic Australasia DBS Lead Model 3389,  Medtronic quadripolar Itrel II- 7424DBS, Active Implantable Stimulator &amp; Ancillary Equipment</Name><Description>Deep brain stimulation lead with four platinum iridium electrodes Models 3387 and 3389.  Electrode spacing is 1.5mm apart for Model 3387 and 0.5mm apart for Model 3389.  PTFE, polyurethane, platinum/iridium, nickel alloy, tungsten</Description><Size>28 - 40cm</Size><SupplierCode>MI</SupplierCode><CategoryID>25</CategoryID><SubCategoryID>221</SubCategoryID><GroupID>1674</GroupID><SubGroupID>4476</SubGroupID><ARTGs><ARTG>137138</ARTG><ARTG>137374</ARTG></ARTGs><ChangeExplanation>DELETE</ChangeExplanation><MinimumBenefit>3746</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Delete</ActionFlag><CycleStartDate>2005-10-31</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SJ348</BillingCode><Name>Prodigy Patient Programmer</Name><Description>Prodigy Patient Programmer for use with Prodigy Neurostimulator.</Description><Size>One size. </Size><SupplierCode>SJ</SupplierCode><CategoryID>25</CategoryID><SubCategoryID>222</SubCategoryID><GroupID>1678</GroupID><SubGroupID>4483</SubGroupID><ARTGs><ARTG>230778</ARTG></ARTGs><ChangeExplanation>DELETE</ChangeExplanation><MinimumBenefit>1354</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Delete</ActionFlag><CycleStartDate>2015-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SJ355</BillingCode><Name>Axium Neurostimulator System - Programmer - Patient</Name><Description>Programmer - patient</Description><Size>1 size (1 presentation)</Size><SupplierCode>SJ</SupplierCode><CategoryID>25</CategoryID><SubCategoryID>222</SubCategoryID><GroupID>1678</GroupID><SubGroupID>4483</SubGroupID><ARTGs><ARTG>202322</ARTG><ARTG>300051</ARTG></ARTGs><ChangeExplanation>DELETE</ChangeExplanation><MinimumBenefit>1354</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Delete</ActionFlag><CycleStartDate>2015-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SJ183</BillingCode><Name>Eon Neurostimulation System</Name><Description>Eon Programmer #3851</Description><Size>.</Size><SupplierCode>SJ</SupplierCode><CategoryID>25</CategoryID><SubCategoryID>222</SubCategoryID><GroupID>1678</GroupID><SubGroupID>4483</SubGroupID><ARTGs><ARTG>127127</ARTG></ARTGs><ChangeExplanation>DELETE</ChangeExplanation><MinimumBenefit>1354</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Delete</ActionFlag><CycleStartDate>2009-08-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>MI139</BillingCode><Name>Medtronic Patient Recharger System</Name><Description>Recharging system for Surescan MRI Neurostimulators Model 97754</Description><Size>One size only</Size><SupplierCode>MI</SupplierCode><CategoryID>25</CategoryID><SubCategoryID>222</SubCategoryID><GroupID>1678</GroupID><SubGroupID>4497</SubGroupID><ARTGs><ARTG>121279</ARTG></ARTGs><ChangeExplanation>DELETE</ChangeExplanation><MinimumBenefit>1215</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Delete</ActionFlag><CycleStartDate>2014-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem><ProsthesisItem><ItemType>Prosthesis</ItemType><BillingCode>SJ349</BillingCode><Name>Prodigy Charging System</Name><Description>Prodigy Charging System for use with Prodigy Neurostimulator.</Description><Size>One size</Size><SupplierCode>SJ</SupplierCode><CategoryID>25</CategoryID><SubCategoryID>222</SubCategoryID><GroupID>1678</GroupID><SubGroupID>4497</SubGroupID><ARTGs><ARTG>230779</ARTG></ARTGs><ChangeExplanation>DELETE</ChangeExplanation><MinimumBenefit>1215</MinimumBenefit><MaximumBenefit>0</MaximumBenefit><HumanTissueAmount>0</HumanTissueAmount><ActionFlag>Delete</ActionFlag><CycleStartDate>2015-02-01</CycleStartDate><CycleEndDate>2025-03-01</CycleEndDate></ProsthesisItem></ProsthesisItems></Prosthesis>