Billing Codes
09 - Cardiothoracic / 09.04 - Atrio-Ventricular Rings and Bands / 09.04.04 - Atrio-Ventricular Ring or Band, Standard

09.04.04 - Atrio-Ventricular Ring or Band, Standard

9 devices · 4 sponsors

March 2027 window closes in 92 days
Median benefit
$2090.00
Range
$2090–2090
Sponsors
4
Conditional listings
0

Comparator candidates

Code Device · sponsor Benefit Tier 1 comparator?
EL028
Baxter Sterile Grafts, Implants & Prostheses, Non-Animal Origin Annuloplasty: Ring-Mitral
EDWARDS LIFESCIENCES PTY LIMITED
$2090.00 eligible
MC005
Medtronic Duran Annuloplasty Ring; Duran Ancore Ring 620R; Duran Ancore Chordal Model 620R
MEDTRONIC AUSTRALASIA PTY LTD
$2090.00 eligible
MI181
SIMULUS Flexible Annuloplasty Ring
MEDTRONIC AUSTRALASIA PTY LTD
$2090.00 eligible
MI182
SIMULUS Flexible Annuloplasty Band
MEDTRONIC AUSTRALASIA PTY LTD
$2090.00 eligible
MI192
Duran Ancore Band 620B
MEDTRONIC AUSTRALASIA PTY LTD
$2090.00 eligible
MI509
SimuPlus™ Annuloplasty Ring
MEDTRONIC AUSTRALASIA PTY LTD
$2090.00 eligible
MI510
SimuPlus™ Annuloplasty Band
MEDTRONIC AUSTRALASIA PTY LTD
$2090.00 eligible
SA127
AnnuloFlo Annuloplasty System
Livanova Australia Pty Limited
$2090.00 eligible
SJ035
SJM Tailor Annuloplasty Ring
ABBOTT MEDICAL AUSTRALIA PTY LTD.
$2090.00 eligible
9 device(s).

Tier pre-screener

Indicative only — pathway choice is the sponsor's responsibility.

4-year benefit estimate

For the HPP utilisation section — arithmetic on your inputs.

YearLowHigh
4-year total

Data: current Prescribed List · Calculations are based on published government data and figures you enter — a lookup and arithmetic tool, not regulatory or billing advice · Not an official government service.