204 Prescribed List billing codes
| Billing code | Product | Category | Benefit | Status | Last changed |
|---|---|---|---|---|---|
| LB001 | Independence Spacer | 13 - Spinal | $5948.00 | — | — |
| LB004 | TransContinental Spacer | 13 - Spinal | $3313.00 | — | — |
| LB005 | TransContinental M Spacer | 13 - Spinal | $3313.00 | — | — |
| LB006 | Signature Spacer | 13 - Spinal | $3313.00 | — | — |
| LB007 | Continental Spacer | 13 - Spinal | $3313.00 | — | — |
| LB008 | TRUSS® Thoracolumbar Plate with slider | 13 - Spinal | $2039.00 | — | — |
| LB009 | TRUSS® Thoracolumbar Plate | 13 - Spinal | $2039.00 | — | — |
| LB010 | TRUSS® Thoracolumbar Variable Angle Screws | 13 - Spinal | $186.00 | — | — |
| LB011 | TRUSS® Thoracolumbar Fixed Angle Screws | 13 - Spinal | $186.00 | — | — |
| LB012 | CITADEL® Anterior Lumbar Plate | 13 - Spinal | $2039.00 | — | — |
| LB013 | CITADEL® Anterior Variable Angled Bone Screws | 13 - Spinal | $186.00 | — | — |
| LB014 | CITADEL® Anterior Fixed Angles Bone Screws | 13 - Spinal | $186.00 | — | — |
| LB015 | VIP Anterior Cervical Plate | 13 - Spinal | $1297.00 | — | — |
| LB016 | VIP Anterior Cervical Fixed Angle Screws | 13 - Spinal | $186.00 | — | — |
| LB017 | VIP Anterior Cervical Variable Angle Screws | 13 - Spinal | $186.00 | — | — |
| LB018 | REVOLVE Stabilization System Poliaxial Screw | 13 - Spinal | $1085.00 | — | — |
| LB019 | REVOLVE Stabilization Locking Cap | 13 - Spinal | $560.00 | — | — |
| LB020 | REVOLVE Stabilization System Rods | 13 - Spinal | $340.00 | — | — |
| LB023 | REVERE Locking Cap | 13 - Spinal | $143.00 | — | — |
| LB025 | REVERE Hooks | 13 - Spinal | $755.00 | — | — |
| LB026 | REVERE Cross Connectors | 13 - Spinal | $1136.00 | — | — |
| LB027 | REVERE ADDITION Offset Connectors | 13 - Spinal | $705.00 | — | — |
| LB028 | REVERE ADDITION In-line Connectors | 13 - Spinal | $655.00 | — | — |
| LB029 | REVERE ADDITION Offset Rod Connectors with Integral Rod | 13 - Spinal | $705.00 | — | — |
| LB030 | REVERE H-LINK | 13 - Spinal | $1136.00 | — | — |
| LB031 | REVERE Integrated Staple Head Plate | 13 - Spinal | $380.00 | — | — |
| LB032 | REVERE Blocking Plate, Anterior Screw | 13 - Spinal | $218.00 | — | — |
| LB033 | REVERE Bone Screw, Anterior Plate | 13 - Spinal | $186.00 | — | — |
| LB034 | Colonial Spacers | 13 - Spinal | $2188.00 | — | — |
| LB038 | XTEND Anterior Cervical Plate | 13 - Spinal | $1297.00 | — | — |
| LB039 | XTEND Anterior Cervical Plate >55mm | 13 - Spinal | $1419.00 | — | — |
| LB040 | XTEND Anterior Cervical Extender Plate | 13 - Spinal | $1297.00 | — | — |
| LB041 | XTEND Variable Angled Screws | 13 - Spinal | $186.00 | — | — |
| LB042 | XTEND Fixed Angled Screws | 13 - Spinal | $186.00 | — | — |
| LB043 | ELLIPSE Stabilization System, Polyaxial Screw | 13 - Spinal | $996.00 | — | — |
| LB045 | ELLIPSE Stabilization System, Tapered Rod | 13 - Spinal | $432.00 | — | — |
| LB046 | ELLIPSE Stabilization System, Rod | 13 - Spinal | $340.00 | — | — |
| LB048 | ELLIPSE Stabilization System, Locking Cap | 13 - Spinal | $560.00 | — | — |
| LB049 | ELLIPSE® Stabilization System Hooks | 13 - Spinal | $755.00 | — | — |
| LB050 | ELLIPSE® Stabilization System Occipital Plate | 13 - Spinal | $1728.00 | — | — |
| LB051 | ELLIPSE Occipito Cervico Thoracic Stabilization System | 13 - Spinal | $389.00 | — | — |
| LB052 | ELLIPSE® Stabilization System Occipital Screw | 13 - Spinal | $186.00 | — | — |
| LB053 | CORRIDOR Fixation System Screw Cannulated Screws | 13 - Spinal | $171.00 | — | — |
| LB054 | CORRIDOR Fixation System Screw Non Cannulated Screws | 13 - Spinal | $186.00 | — | — |
| LB055 | Xpand Corpectomy Spacer System | 13 - Spinal | $3920.00 | — | — |
| LB056 | REVERE ADDITION In-line Rod Connectors with Integral Rod | 13 - Spinal | $655.00 | — | — |
| LB057 | ELLIPSE Stabilization System, Top Loading T-Connector | 13 - Spinal | $1136.00 | — | — |
| LB058 | ZYFUSE Facet Fixation System Screw with washer | 13 - Spinal | $171.00 | — | — |
| LB059 | ZYFUSE Facet Fixation System Screw | 13 - Spinal | $171.00 | — | — |
| LB060 | REVLOK Fenestrated Screw System Screw | 13 - Spinal | $1085.00 | — | — |
| LB061 | REVLOK Fenestrated Screw System Locking Cap | 13 - Spinal | $560.00 | — | — |
| LB062 | SI-LOK Stabilization System | 13 - Spinal | $1853.00 | — | — |
| LB065 | COALITION Spacer | 13 - Spinal | $4161.00 | — | — |
| LB066 | XP and R Corpectomy Spacer System | 13 - Spinal | $2755.00 | — | — |
| LB067 | BEACON™ Stabilization System Clamp | 13 - Spinal | $686.00 | — | — |
| LB068 | BEACON™ Stabilizer System Connector | 13 - Spinal | $686.00 | — | — |
| LB069 | BEACON™ Stabilization System Posted Screw | 13 - Spinal | $524.00 | — | — |
| LB070 | SUSTAIN spacer | 13 - Spinal | $2222.00 | — | — |
| LB071 | SUSTAIN Spacer | 13 - Spinal | $3313.00 | — | — |
| LB072 | ELLIPSE Stabilization System Parallel Connector | 13 - Spinal | $705.00 | — | — |
| LB073 | ELLIPSE Stabilization System In-line Connector | 13 - Spinal | $655.00 | — | — |
| LB074 | ELLIPSE® Stabilization System Lateral Connector | 13 - Spinal | $705.00 | — | — |
| LB075 | ELLIPSE® Stabilization System Lateral Connector | 13 - Spinal | $655.00 | — | — |
| LB076 | REVERE Rods | 13 - Spinal | $340.00 | — | — |
| LB077 | REVERE Rods Preshaped | 13 - Spinal | $555.00 | — | — |
| LB078 | REVERE Rods, Dual Unit | 13 - Spinal | $1352.00 | — | — |
| LB079 | REVERE Polyaxial Screw | 13 - Spinal | $996.00 | — | — |
| LB080 | REVERE TRANSITION HA coated Pedicle Screw | 13 - Spinal | $996.00 | — | — |
| LB081 | REVERE Cannulated Polyaxial Screw | 13 - Spinal | $1085.00 | — | — |
| LB082 | REVERE TRANSITION HA Coated Cannulated Polyaxial Screw | 13 - Spinal | $1085.00 | — | — |
| LB083 | REVERE Monoaxial Screw | 13 - Spinal | $728.00 | — | — |
| LB084 | REVERE TRANSITION HA Coated Monoaxial Screw | 13 - Spinal | $728.00 | — | — |
| LB085 | CREO Stabilization System Hook | 13 - Spinal | $755.00 | — | — |
| LB086 | CREO Stabilization System Cross Connector | 13 - Spinal | $1136.00 | — | — |
| LB087 | CREO Stabilization System Rod | 13 - Spinal | $340.00 | — | — |
| LB088 | CREO Stabilization System Locking Cap | 13 - Spinal | $560.00 | — | — |
| LB089 | CREO Stabilization System Preassembled Monoaxial Screw | 13 - Spinal | $728.00 | — | — |
| LB090 | CREO Stabilization System Preassembled Polyaxial Screw | 13 - Spinal | $996.00 | — | — |
| LB091 | CREO Stabilization Tapered Rod | 13 - Spinal | $432.00 | — | — |
| LB092 | CANOPY Laminoplasty System Plate | 13 - Spinal | $660.00 | — | — |
| LB093 | FORTIFY Ti Corpectomy Spacer Core | 13 - Spinal | $3920.00 | — | — |
| LB094 | PLYMOUTH Thoracolumbar Plate System Screw | 13 - Spinal | $186.00 | — | — |
| LB095 | PLYMOUTH Thoracolumbar Plate System Plate | 13 - Spinal | $2039.00 | — | — |
| LB096 | FORTIFY Ti Corpectomy Spacer Endplate | 13 - Spinal | $928.00 | — | — |
| LB097 | FORTIFY R Corpectomy Spacer Core | 13 - Spinal | $3920.00 | — | — |
| LB098 | FORTIFY R Corpectomy Spacer Endplate | 13 - Spinal | $928.00 | — | — |
| LB099 | CANOPY Laminoplasty System Screw | 13 - Spinal | $186.00 | — | — |
| LB100 | CREO AMP™ Modular Screw Shaft | 13 - Spinal | $524.00 | — | — |
| LB101 | CREO AMP™ Tulip | 13 - Spinal | $686.00 | — | — |
| LB102 | CREO AMP™ Sacral Plate | 13 - Spinal | $655.00 | — | — |
| LB103 | CREO AMP™ Lamina Clamp | 13 - Spinal | $755.00 | — | — |
| LB104 | SECURE Cervical Artificial Disc | 13 - Spinal | $6021.00 | — | — |
| LB106 | InterContinental Plate | 13 - Spinal | $2039.00 | — | — |
| LB107 | InterContinental HA Screws | 13 - Spinal | $186.00 | — | — |
| LB108 | SILC™ Clamp | 13 - Spinal | $655.00 | — | — |
| LB109 | SILC™ PET Band | 13 - Spinal | $757.00 | — | — |
| LB110 | ASSURE® Anterior Cervical Plate System – Plate | 13 - Spinal | $1297.00 | — | — |
| LB111 | ASSURE® Anterior Plate System – Plate | 13 - Spinal | $1419.00 | — | — |
| LB112 | ASSURE® Anterior Plate System – Screws | 13 - Spinal | $186.00 | — | — |
| LB113 | SP-Fix™ Spinous Process Fixation | 13 - Spinal | $1321.00 | — | — |
| LB114 | Unify Dynamic Anterior Cervical Plate System – Plate | 13 - Spinal | $1297.00 | — | — |
| LB115 | Unify Dynamic Anterior Cervical Plate System – Plate | 13 - Spinal | $1419.00 | — | — |
| LB116 | Unify Dynamic Anterior Cervical Plate System – Screws | 13 - Spinal | $274.00 | — | — |
| LB117 | Colonial - TPS ACDF System | 13 - Spinal | $2188.00 | — | — |
| LB118 | Continental TPS Spacer | 13 - Spinal | $3313.00 | — | — |
| LB119 | Assure-X Anterior Cervical Plate System - Plates | 13 - Spinal | $1179.00 | — | — |
| LB120 | Assure-X Anterior Cervical Plate System - Plates > 55mm | 13 - Spinal | $908.00 | — | — |
| LB121 | Assure-X Anterior Cervical Plate System - Screws | 13 - Spinal | $274.00 | — | — |
| LB122 | CREO MIS Posterior Stabilization System - Bone Screws | 13 - Spinal | $524.00 | — | — |
| LB123 | CREO MIS Posterior Stabilization System - Locking Cap | 13 - Spinal | $143.00 | — | — |
| LB124 | CREO MIS Posterior Stabilization System - Screw Head | 13 - Spinal | $686.00 | — | — |
| LB125 | CREO MIS Posterior Stabilization System | 13 - Spinal | $340.00 | — | — |
| LB126 | Sustain - O TPS | 13 - Spinal | $3313.00 | — | — |
| LB127 | Sustain - O TPS | 13 - Spinal | $2222.00 | — | — |
| LB128 | Signature-R, Signature-R TPS & Signature-Ti TLIF System | 13 - Spinal | $3313.00 | — | — |
| LB129 | CREO MCS - Screw Post | 13 - Spinal | $524.00 | — | — |
| LB130 | CREO MCS - Polyaxial Screw | 13 - Spinal | $996.00 | — | — |
| LB131 | Niko Corpectomy Spacer | 13 - Spinal | $3340.00 | — | — |
| LB132 | Sustain-IR and Sustain-IR Narrow | 13 - Spinal | $3313.00 | — | — |
| LB133 | Sustain-IR and Sustain-IR Narrow - Paired | 13 - Spinal | $2222.00 | — | — |
| LB134 | Calber Expandable Lumbar Fusion Device | 13 - Spinal | $3313.00 | — | — |
| LB135 | Caliber Expandable Lumbar Fusion Device - Paired | 13 - Spinal | $2222.00 | — | — |
| LB136 | TransContinental TPS | 13 - Spinal | $3313.00 | — | — |
| LB137 | Fortify® I Integrated Corpectomy Spacer System - Core | 13 - Spinal | $2016.00 | — | — |
| LB138 | Fortify I Integrated Corpectomy Spacer System - Endplates | 13 - Spinal | $928.00 | — | — |
| LB139 | Fortify® I-R Corpectomy Spacer System - Screws | 13 - Spinal | $186.00 | — | — |
| LB140 | Fortify® I-R Static Corpectomy Spacer System -Spacer | 13 - Spinal | $3340.00 | — | — |
| LB141 | RISE | 13 - Spinal | $3313.00 | — | — |
| LB142 | RISE - paired | 13 - Spinal | $2222.00 | — | — |
| LB143 | Rise IntraLIF | 13 - Spinal | $3313.00 | — | — |
| LB144 | RISE IntraLIF - paired | 13 - Spinal | $2222.00 | — | — |
| LB145 | Coalition Anchor | 13 - Spinal | $186.00 | — | — |
| LB146 | CAPITOL Polyaxial Screw | 13 - Spinal | $996.00 | — | — |
| LB147 | CAPITOL Locking Cap | 13 - Spinal | $143.00 | — | — |
| LB148 | CAPITOL Curved Rod | 13 - Spinal | $340.00 | — | — |
| LB149 | Canopy Radiolucent Spacer | 13 - Spinal | $660.00 | — | — |
| LB150 | Caliber -L | 13 - Spinal | $3313.00 | — | — |
| LB151 | QUARTEX Rods | 13 - Spinal | $340.00 | — | — |
| LB152 | QUARTEX Tapered Rods | 13 - Spinal | $432.00 | — | — |
| LB153 | QUARTEX Polyaxial Screws | 13 - Spinal | $996.00 | — | — |
| LB154 | QUARTEX Locking Cap | 13 - Spinal | $143.00 | — | — |
| LB155 | QUARTEX Hooks | 13 - Spinal | $755.00 | — | — |
| LB156 | QUARTEX Parallel Connectors | 13 - Spinal | $705.00 | — | — |
| LB157 | QUARTEX Lateral Connectors | 13 - Spinal | $705.00 | — | — |
| LB158 | QUARTEX Inline Connectors | 13 - Spinal | $655.00 | — | — |
| LB159 | QUARTEX T-Connectors | 13 - Spinal | $389.00 | — | — |
| LB160 | QUARTEX Occiptal Screws | 13 - Spinal | $186.00 | — | — |
| LB161 | QUARTEX Occipital Plate | 13 - Spinal | $1728.00 | — | — |
| LB162 | QUARTEX Occipital Clamp | 13 - Spinal | $349.00 | — | — |
| LB163 | QUARTEX Occipital Jointed Rod | 13 - Spinal | $1350.00 | — | — |
| LB164 | AFFIRM Vertebral Compression Fracture System - Access Pack | 06 - Specialist Orthopaedic | $152.00 | — | — |
| LB165 | Fortress and Fortress-Plus Bone Cement | 06 - Specialist Orthopaedic | $152.00 | — | — |
| LB166 | REVERE Anterior Dual Staple | 13 - Spinal | $380.00 | — | — |
| LB167 | REVERE Anterior Single Staple | 13 - Spinal | $380.00 | — | — |
| LB168 | REVERE Anterior Staple System - Washer | 13 - Spinal | $218.00 | — | — |
| LB169 | RISE-L Lateral Lumbar Interbody Fusion Device | 13 - Spinal | $3313.00 | — | — |
| LB170 | REVERE Anterior Staple System - Cross Connector | 13 - Spinal | $389.00 | — | — |
| LB171 | ELSA Expandable Lateral Interbody Fusion Spacer | 13 - Spinal | $5948.00 | — | — |
| LB172 | Altera Articulating Expandable TLIF | 13 - Spinal | $3313.00 | — | — |
| LB174 | Haven Dual Plates | 13 - Spinal | $832.00 | — | — |
| LB175 | ELSA ATP | 13 - Spinal | $5948.00 | — | — |
| LB176 | CREO Offset Connectors | 13 - Spinal | $705.00 | — | — |
| LB177 | CREO ADDITION-Inline Connectors | 13 - Spinal | $655.00 | — | — |
| LB178 | CREO ADDITION In-line Connectors with Integrated Rod | 13 - Spinal | $655.00 | — | — |
| LB179 | CREO ADDITION - Offset Connectors | 13 - Spinal | $705.00 | — | — |
| LB180 | CREO ADDITION Headed Rods | 13 - Spinal | $555.00 | — | — |
| LB181 | REFLECT Staple | 13 - Spinal | $380.00 | — | — |
| LB182 | CREO ADDITION - Z Rods | 13 - Spinal | $340.00 | — | — |
| LB183 | SIGNIFY Bioactive | 06 - Specialist Orthopaedic | $2185.00 | — | — |
| LB184 | SIGNIFY Bioactive | 06 - Specialist Orthopaedic | $1026.00 | — | — |
| LB185 | Independence MIS Anchor | 13 - Spinal | $186.00 | — | — |
| LB186 | CREO DLX Cross Connector | 13 - Spinal | $1136.00 | — | — |
| LB187 | CREO DLX Hook | 13 - Spinal | $755.00 | — | — |
| LB188 | CREO DLX Offset Connectors | 13 - Spinal | $705.00 | — | — |
| LB189 | CREO DLX Rods | 13 - Spinal | $340.00 | — | — |
| LB190 | CREO DLX Threaded Locking Cap | 13 - Spinal | $143.00 | — | — |
| LB191 | CREO DLX Polyaxial Screw | 13 - Spinal | $996.00 | — | — |
| LB192 | PROVIDENCE Variable Angle Screws | 13 - Spinal | $186.00 | — | — |
| LB193 | PROVIDENCE Fixed Angle Screws | 13 - Spinal | $186.00 | — | — |
| LB194 | PROVIDENCE Anterior Cervical Plates | 13 - Spinal | $1179.00 | — | — |
| LB195 | PROVIDENCE Anterior Cervical Plates > 55mm | 13 - Spinal | $908.00 | — | — |
| LB196 | COLOSSEUM Mesh Corpectomy Spacer | 13 - Spinal | $2616.00 | — | — |
| LB197 | COLLOSSEUM Mesh Endcap | 13 - Spinal | $1030.00 | — | — |
| LB198 | SUSTAIN-RT | 13 - Spinal | $2222.00 | — | — |
| LB199 | CREO S2AI Preferred Angle | 13 - Spinal | $1085.00 | — | — |
| LB200 | SUSTAIN-RT | 13 - Spinal | $3313.00 | — | — |
| LB201 | SUSTAIN Large | 13 - Spinal | $3313.00 | — | — |
| LB202 | HEDRON L | 13 - Spinal | $3313.00 | — | — |
| LB203 | HEDRON P | 13 - Spinal | $2222.00 | — | — |
| LB204 | HEDRON P | 13 - Spinal | $3313.00 | — | — |
| LB205 | HEDRON T | 13 - Spinal | $3313.00 | — | — |
| LB206 | HEDRON IA | 13 - Spinal | $5948.00 | — | — |
| LB207 | HEDRON IC | 13 - Spinal | $4161.00 | — | — |
| LB208 | HEDRON A | 13 - Spinal | $3313.00 | — | — |
| LB209 | HEDRON™ C | 13 - Spinal | $2188.00 | — | — |
| LB210 | CREO One | 13 - Spinal | $524.00 | — | — |
| LB211 | CREO® Side Loading Polyaxial Screw | 13 - Spinal | $996.00 | — | — |
| LB212 | CREO® Side Loading Rod | 13 - Spinal | $340.00 | — | — |
| LB213 | CREO® Side Loading Monoxial Screw | 13 - Spinal | $728.00 | — | — |
| LB214 | CREO® Side Loading Locking Sleeve | 13 - Spinal | $179.00 | — | — |
| LB215 | CREO® Side Loading Monoaxial Screw, Cannulated | 13 - Spinal | $889.00 | — | — |
| LB216 | CREO® Cross Connector | 13 - Spinal | $1136.00 | — | — |
| LB217 | SABLE Expandable Spacer | 13 - Spinal | $3313.00 | — | — |
| LB218 | SABLE Expandable Spacer | 13 - Spinal | $2222.00 | — | — |
Data sourced from Australian Government publications · Not an official government service · Why sponsors track the PL with us →