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

11.03.04.02 - Modified polyethylene

35 devices · 16 sponsors

March 2027 window closes in 92 days
Median benefit
$930.00
Range
$930–930
Sponsors
16
Conditional listings
0

Comparator candidates

Code Device · sponsor Benefit Tier 1 comparator?
BB377
Vitelene PE Cup Insert
B BRAUN AUSTRALIA PTY LTD
$930.00 eligible
BI972
E-Poly HXLPE Liner
ZIMMER BIOMET PTY LTD
$930.00 eligible
BV026
Procotyl L System /poly liner
MICROPORT ORTHOPEDICS PTY LIMITED
$930.00 eligible
BV059
PROCOTYL P E-Class Liner
MICROPORT ORTHOPEDICS PTY LIMITED
$930.00 eligible
CR163
Trinity polyethylene liner
Corin (Australia) Pty Limited
$930.00 eligible
CR216
Trinity ECiMA Liner
Corin (Australia) Pty Limited
$930.00 eligible
CR267
Dual Mobility Cup (MobiliT), Liner
Corin (Australia) Pty Limited
$930.00 eligible
DY210
Pinnacle Acetabular Cross Linked UHMWPE Insert
JOHNSON & JOHNSON MEDICAL PTY LTD
$930.00 eligible
FA006
Xonit X-PE Acetabular Liner
ADVITA ORTHO AUS PTY LTD
$930.00 eligible
GG008
FIN XLPE Liner
GRUPPO BIOIMPIANTI PTY LTD
$930.00 eligible
HT005
Adler PE Acetabular Liners
ADLER ORTHO AUSTRALIA PTY LTD
$930.00 eligible
LH697
Implacross PE liner
LIFEHEALTHCARE PTY LIMITED
$930.00 eligible
LI124
C2 Cross-Linked PE Liner
AMPLITUDE AUSTRALIA PTY LTD
$930.00 eligible
LI126
Austral XL Polyethylene Liner
AMPLITUDE AUSTRALIA PTY LTD
$930.00 eligible
MA503
Selexys Acetabular Cup Liner
ENOVIS SURGICAL AUSTRALIA PTY LTD
$930.00 eligible
MA600
Delta Non Constrained Liner
ENOVIS SURGICAL AUSTRALIA PTY LTD
$930.00 eligible
MA601
SPH Constrained Poly Liner
ENOVIS SURGICAL AUSTRALIA PTY LTD
$930.00 eligible
MN348
BI-MENTUM Dual Mobility System
JOHNSON & JOHNSON MEDICAL PTY LTD
$930.00 eligible
MU019
Medacta Highly Crosslinked UHMWPE Liner
MEDACTA AUSTRALIA PTY. LTD.
$930.00 eligible
QQ314
G7 Vivacit E Liners
ZIMMER BIOMET PTY LTD
$930.00 eligible
QQ766
REDAPT Revision Cemented XLPE Liner
SMITH & NEPHEW PTY LIMITED
$930.00 eligible
SF027
Cross Linked Acetabular Liner
SIGNATURE ORTHOPAEDICS PTY LTD
$930.00 eligible
SF039
Logical™ Acetabular Liner
SIGNATURE ORTHOPAEDICS PTY LTD
$930.00 eligible
SK318
X3 Trident Acetabular Inserts
STRYKER AUSTRALIA PTY LTD
$930.00 eligible
SM029
EP Fit & MPF Highly cross linked UHMWPE Insert
SMITH & NEPHEW PTY LIMITED
$930.00 eligible
SN291
Reflection/ Reflection3 (R3)
SMITH & NEPHEW PTY LIMITED
$930.00 eligible
SR067
Anatomic X3 Liners
STRYKER AUSTRALIA PTY LTD
$930.00 eligible
ST546
Stryker Acetabular Crossfire Insert
STRYKER AUSTRALIA PTY LTD
$930.00 eligible
ST549
Trident acetabular component system
STRYKER AUSTRALIA PTY LTD
$930.00 eligible
ST931
Stryker Acetabular Insert
STRYKER AUSTRALIA PTY LTD
$930.00 eligible
WN003
Vital-XE Acetabular Liner
PERMEDICA AUSTRALIA PTY LTD
$930.00 eligible
ZA067
Longevity XLPE Acetabular liner
ZIMMER BIOMET PTY LTD
$930.00 eligible
ZI357
Alpha Durasul Insert
ZIMMER BIOMET PTY LTD
$930.00 eligible
ZI620
Continuum Acetabular System
ZIMMER BIOMET PTY LTD
$930.00 eligible
ZI969
Vivacit-E Highly Crossed Linked Polyethylene Liner
ZIMMER BIOMET PTY LTD
$930.00 eligible
35 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.