Billing Codes
11 - Hip / 11.03 - ACETABULAR COMPONENTS / 11.03.04 - Insert/Liner

11.03.04.01 - Unmodified polyethylene

9 devices · 8 sponsors

March 2027 window closes in 92 days
Median benefit
$688.00
Range
$688–688
Sponsors
8
Conditional listings
0

Comparator candidates

Code Device · sponsor Benefit Tier 1 comparator?
BB237
Plasmacup PE insert
B BRAUN AUSTRALIA PTY LTD
$688.00 eligible
CR228
Dual Mobility Cup, Liner
Corin (Australia) Pty Limited
$688.00 eligible
LO033
Link acetabular Insert
LINK ORTHOPAEDICS AUSTRALIA PTY LIMITED
$688.00 eligible
LO152
BetaCup Cementless Acetabular Cup System
LINK ORTHOPAEDICS AUSTRALIA PTY LIMITED
$688.00 eligible
MA419
SeleXys Acetabular UHMWPE Liner
ENOVIS SURGICAL AUSTRALIA PTY LTD
$688.00 eligible
MU010
Medacta UHMWPE Liner
MEDACTA AUSTRALIA PTY. LTD.
$688.00 eligible
OH435
Samo acetabular cup poly insert
Orthotech Pty Ltd
$688.00 eligible
PF011
Atlas Acetabular Cup System
PERIOS PTY LTD
$688.00 eligible
ST561
Strker Omnifit/SecurFit Acetabular Insert
STRYKER AUSTRALIA PTY LTD
$688.00 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.