Billing Codes
12 - Knee / 12.03 - TIBIAL TRAY COMPONENT - TOTAL KNEE ARTHROPLASTY / 12.03.04 - Cemented, Alloy, for Mobile Insert

12.03.04 - Cemented, Alloy, for Mobile Insert · Revision, Extra Thick

2 devices · 1 sponsors

March 2027 window closes in 92 days
Median benefit
$6497.00
Range
$6497–6497
Sponsors
1
Conditional listings
0

Comparator candidates

Code Device · sponsor Benefit Tier 1 comparator?
JJ634
LCS Complete Knee System - MBT Revision Thick Tray
JOHNSON & JOHNSON MEDICAL PTY LTD
$6497.00 eligible
JJ804
MBT Revision Thick Tibial Tray
JOHNSON & JOHNSON MEDICAL PTY LTD
$6497.00 eligible
2 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.

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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.