Billing Codes
09 - Cardiothoracic / 09.04 - Atrio-Ventricular Rings and Bands / 09.04.05 - Atrio-Ventricular Ring or Band, Modified

09.04.05 - Atrio-Ventricular Ring or Band, Modified

15 devices · 4 sponsors

March 2027 window closes in 92 days
Median benefit
$2280.00
Range
$2280–2280
Sponsors
4
Conditional listings
0

Comparator candidates

Code Device · sponsor Benefit Tier 1 comparator?
EL049
McCarthy-Edwards IMR Etlogix Annuloplasty Ring (Model: 4100)
EDWARDS LIFESCIENCES PTY LIMITED
$2280.00 eligible
EL050
Edwards MC3 Tricuspid Ring Annuloplalsty System (Model: 4900)
EDWARDS LIFESCIENCES PTY LIMITED
$2280.00 eligible
EL059
Carpentier-Edwards PHYSIO ll Mitral Annuloplasty Ring
EDWARDS LIFESCIENCES PTY LIMITED
$2280.00 eligible
EL061
Carpentier-Edwards Physio Tricuspid Annuloplasty Ring
EDWARDS LIFESCIENCES PTY LIMITED
$2280.00 eligible
MC745
CG Future Composite Ring
MEDTRONIC AUSTRALASIA PTY LTD
$2280.00 eligible
MC844
Profile 3D Annuloplasty Ring
MEDTRONIC AUSTRALASIA PTY LTD
$2280.00 eligible
MI121
Contour 3D Tricuspid Annuloplasty Ring
MEDTRONIC AUSTRALASIA PTY LTD
$2280.00 eligible
MI183
SIMULUS Semi-Rigid Annuloplasty Ring
MEDTRONIC AUSTRALASIA PTY LTD
$2280.00 eligible
MI184
SIMULUS Semi-Rigid Annuloplasty Band
MEDTRONIC AUSTRALASIA PTY LTD
$2280.00 eligible
MI191
Colvin - Galloway Future Band Model 638B
MEDTRONIC AUSTRALASIA PTY LTD
$2280.00 eligible
MI511
SimuForm™ Annuloplasty Ring
MEDTRONIC AUSTRALASIA PTY LTD
$2280.00 eligible
MI540
Tri-Ad 2.0 Adams Tricuspid Band
MEDTRONIC AUSTRALASIA PTY LTD
$2280.00 eligible
SJ087
St Jude Medical Rigid Saddle Ring
ABBOTT MEDICAL AUSTRALIA PTY LTD.
$2280.00 eligible
XQ003
Memo 3D Mitral Semirigid Annuloplasty Ring
BTC CARDIO PTY LTD
$2280.00 eligible
XQ006
Memo 4D Mitral/tricuspid annuloplasty ring
BTC CARDIO PTY LTD
$2280.00 eligible
15 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.