Schedule - Part B - Human Tissue List	February 2014
Billing Code	Facility	 Minimum Benefit	 Maximum Benefit
CARDIO-THORACIC
Conduit - Aortic
TBV56	Donor Tissue Bank of Victoria	$1,117.00
Conduit - Aortic + Valve
QHV09	The Prince Charles Hospital - Queensland Heart Valve Bank	$6,300.00
Conduit - Arterial
SHV03	Sydney Heart Valve Bank, St. Vincent's Hospital	$1,263.00
Conduit - Pulmonary
TBV03	Donor Tissue Bank of Victoria	$1,116.00
Conduit - Pulmonary + Valve
QHV08	The Prince Charles Hospital - Queensland Heart Valve Bank	$6,600.00
Conduit - Pulmonary large
QHV07	The Prince Charles Hospital - Queensland Heart Valve Bank	$1,915.00
Patch - Mitral
QHV03	The Prince Charles Hospital - Queensland Heart Valve Bank	$1,743.00
Patch - Pericardium
QHV05	The Prince Charles Hospital - Queensland Heart Valve Bank	$1,915.00
Patch - Tricuspid
QHV04	The Prince Charles Hospital - Queensland Heart Valve Bank	$1,743.00
Pericardium
TBV50	Donor Tissue Bank of Victoria	$540.00
Thoracic Aorta
QHV11	The Prince Charles Hospital - Queensland Heart Valve Bank	$1,915.00
Valve - Aortic
QHV01	The Prince Charles Hospital - Queensland Heart Valve Bank	$6,600.00
RPH01	Royal Perth Hospital T/A Heart Valve Bank	$6,406.00
SHV01	Sydney Heart Valve Bank, St. Vincent's Hospital	$6,842.00
TBV01	Donor Tissue Bank of Victoria	$7,278.00
Valve - Mitral
	Page 1 of 15

Billing Code	Facility	 Minimum Benefit	 Maximum Benefit
QHV10	The Prince Charles Hospital - Queensland Heart Valve Bank	$6,300.00
Valve - Pulmonary
QHV02	The Prince Charles Hospital - Queensland Heart Valve Bank	$6,600.00
RPH02	Royal Perth Hospital T/A Heart Valve Bank	$6,406.00
SHV02	Sydney Heart Valve Bank, St. Vincent's Hospital	$6,842.00
TBV02	Donor Tissue Bank of Victoria	$7,278.00
DERMATOLOGIC
Skin < 25cm² - acellular dermal matrix allograft from human origin
SYN03	Synthes Australia Pty Ltd	$2,200.00
Skin > 300cm² - acellular dermal matrix allograft from human origin
SYN07	Synthes Australia Pty Ltd	$27,000.00
Skin 100cm² - frozen skin graft from human origin
QBB72	The Queensland Bone Bank	$477.00
Skin 121 to 300cm² - acellular dermal matrix allograft from human origin
SYN06	Synthes Australia Pty Ltd	$14,000.00
Skin 200cm² - frozen skin graft from human origin
QBB73	The Queensland Bone Bank	$705.00
Skin 26 to 60cm² - acellular dermal matrix allograft from human origin
SYN04	Synthes Australia Pty Ltd	$3,500.00
Skin 50cm² - frozen skin graft from human origin
QBB71	The Queensland Bone Bank	$248.00
Skin 61 to 120cm² - acellular dermal matrix allograft from human origin
SYN05	Synthes Australia Pty Ltd	$5,700.00
OPHTHALMIC
Amniotic Membrane
LEM03	Lions Eye Donation Service	$770.00
Cornea
LEM01	Lions Eye Donation Service	$2,000.00
LEN01	Lions NSW Eye Bank	$2,026.00
LEW01	Lions Eye Bank of Western Australia	$2,500.00
QEB01	Queensland Eye Bank	$2,100.00
SAE01	The Eye Bank of South Australia	$1,890.00
	Page 2 of 15

Billing Code	Facility	 Minimum Benefit	 Maximum Benefit
Cornea for Endothelial Keratoplasty
LEW03	Lions Eye Bank of Western Australia	$3,000.00
SAE03	The Eye Bank of South Australia	$2,849.00
Cornea for Endothelial Lamellar Keratoplasty
LEM04	Lions Eye Donation Service	$2,660.00
Cornea For Lamellar
LEN03	Lions NSW Eye Bank	$1,216.00
Sclera
LEM02	Lions Eye Donation Service	$150.00
LEN02	Lions NSW Eye Bank	$304.00
LEW02	Lions Eye Bank of Western Australia	$250.00
QEB02	Queensland Eye Bank	$298.00
SAE02	The Eye Bank of South Australia	$230.00
ORTHOPAEDIC
Autologous Skull Flap
MVS23	Institute of Medical & Veterinary Science T/A South Australian Tissue Bank	$1,396.00
QBB60	The Queensland Bone Bank	$1,568.00
RNB02	Hunter New England Bone Bank	$1,470.00
Autologous Skull Flap - processed
QBB56	The Queensland Bone Bank	$1,986.00
Bone - Cancellous Bone Matrix, Lyophilised 40cc
TBV52	Victorian Institute of Forensic Medicine	$683.00
Bone - Cancellous Bone Matrix, Lyophilised 80cc
TBV53	Victorian Institute of Forensic Medicine	$1,364.00
Bone - Cancellous Crunch 15cc
NBB62	New South Wales Bone Bank	$903.00
Bone - Cancellous Crunch 30cc
NBB61	New South Wales Bone Bank	$1,647.00
Bone - Cancellous Crunch 60cc
NBB60	New South Wales Bone Bank	$2,498.00
Bone - Cancellous Cubes (6) Freeze Dried
QBB09	The Queensland Bone Bank	$1,609.00
	Page 3 of 15

Billing Code	Facility	 Minimum Benefit	 Maximum Benefit
Bone - Cancellous Strips (2) Freeze Dried
QBB10	The Queensland Bone Bank	$680.00
Bone - Chips/cubes 40cc
TBV09	Donor Tissue Bank of Victoria	$1,073.00
Bone - Chips/cubes 80cc
TBV10	Donor Tissue Bank of Victoria	$2,044.00
Bone - Cortico-Cancellous Crunch (40/60) 15cc
NBB65	New South Wales Bone Bank	$903.00
Bone - Cortico-Cancellous Crunch (40/60) 30cc
NBB64	New South Wales Bone Bank	$1,647.00
Bone - Cortico-Cancellous Crunch (40/60) 60cc
NBB63	New South Wales Bone Bank	$2,498.00
Bone – Cortico-Cancellous Crunch <20g Sterile
AUB08	Australian Biotechnologies	$2,215.00
Bone – Cortico-Cancellous Crunch <30g
AUB04	Australian Biotechnologies	$2,070.00
Bone - Demineralised Bone Matrix, DBX Putty, 10cc
SYN02	Synthes Australia Pty Ltd	$3,400.00
Bone - Demineralised Bone Matrix, DBX Putty, 5cc
SYN01	Synthes Australia Pty Ltd	$2,650.00
Bone - Demineralised Bone Matrix, Lyophilised 10g
TBV55	Donor Tissue Bank of Victoria	$1,157.00
Bone - Demineralised Bone Matrix, Lyophilised 5g
TBV54	Donor Tissue Bank of Victoria	$578.00
Bone - Milled <30g Freeze Dried
PBT37	Perth Bone and Tissue Bank	$750.00
Bone - Milled <5 gr (<10cc equivalent)
PBT62	Perth Bone and Tissue Bank	$550.00
Bone - Milled >50gr (100cc equivalent)
PBT10	Perth Bone and Tissue Bank	$3,745.00
Bone - Milled 10-19 gr (20-38cc equivalent)
PBT64	Perth Bone and Tissue Bank	$1,850.00
	Page 4 of 15

Billing Code	Facility	 Minimum Benefit	 Maximum Benefit
Bone - Milled 20-29gr (22-60cc equivalent)
PBT08	Perth Bone and Tissue Bank	$2,709.00
Bone - Milled 20g
QBB45	The Queensland Bone Bank	$1,993.00
Bone - Milled 20g Freeze Dried
QBB03	The Queensland Bone Bank	$2,524.00
Bone - Milled 30 - 50gr (60 - 100cc equivalent)
PBT09	Perth Bone and Tissue Bank	$3,330.00
Bone - Milled 30-50g Freeze Dried
PBT38	Perth Bone and Tissue Bank	$900.00
Bone - Milled 40cc
TBV11	Donor Tissue Bank of Victoria	$1,285.00
Bone - Milled 5-9 gr (10-18cc equivalent)
PBT63	Perth Bone and Tissue Bank	$950.00
Bone - Milled 80cc
TBV12	Donor Tissue Bank of Victoria	$2,299.00
Bone - Milled Femoral Head
AUB02	Australian Biotechnologies	$2,457.00
Bone - Ronguered Chips
QBB68	The Queensland Bone Bank	$2,022.00
Bone - Ronguered Chips Freeze Dried
QBB67	The Queensland Bone Bank	$2,524.00
Bone Plug/Dowel - Cancellous
NBB05	New South Wales Bone Bank	$1,224.00
PBT03	Perth Bone and Tissue Bank	$500.00
TBV07	Donor Tissue Bank of Victoria	$762.00
Bone Plug/Dowel - Tricortical
TBV08	Donor Tissue Bank of Victoria	$827.00
Cartilage - costal segments
PBT11	Perth Bone and Tissue Bank	$300.00
QBB12	The Queensland Bone Bank	$210.00
TBV17	Donor Tissue Bank of Victoria	$430.00
	Page 5 of 15

Billing Code	Facility	 Minimum Benefit	 Maximum Benefit
Cortical Strut
AUB05	Australian Biotechnologies	$2,451.00
QBB52	The Queensland Bone Bank	$441.00
TBV14	Donor Tissue Bank of Victoria	$842.00
Cortical Strut >15 - 20cm
PBT07	Perth Bone and Tissue Bank	$2,664.00
Cortical Strut >20cm
PBT48	Perth Bone and Tissue Bank	$3,032.00
Cortical Struts 10-15cm
PBT06	Perth Bone and Tissue Bank	$1,981.00
Disc - Freeze Dried
QBB04	The Queensland Bone Bank	$713.00
Elbow - joint
QBB14	The Queensland Bone Bank	$2,205.00
TBV18	Donor Tissue Bank of Victoria	$5,787.00
Fascia Lata
NBB09	New South Wales Bone Bank	$922.00
TBV21	Donor Tissue Bank of Victoria	$889.00
Fascia Lata - Large (15cm x 10cm)
PBT15	Perth Bone and Tissue Bank	$1,590.00
Fascia Lata - per sq cm
QBB11	The Queensland Bone Bank	$5.00
Fascia Lata - Small (10cm x 5cm)
PBT16	Perth Bone and Tissue Bank	$854.00
Femoral Head
ACT01	ACT Bone Bank	$2,432.00
APH01	The Avenue Private Hospital Bone Bank	$1,131.00
AUB03	Australian Biotechnologies	$2,354.00
CSA01	Rachel Forster Bone Bank	$802.00
DHR01	Barwon Health Bone Bank	$3,028.00
HBB01	The Hobart Private Hospital Bone Bank	$2,113.00
LPH01	Lingard Private Hospital Bone Bank	$1,103.00
MMH01	Mater Misericordiae Hospital Bone Bank Theatres	$400.00
	Page 6 of 15

Billing Code	Facility	 Minimum Benefit	 Maximum Benefit
MVS05	Institute of Medical & Veterinary Science T/A South Australian Tissue Bank	$2,370.00
NBB16	New South Wales Bone Bank	$2,354.00
PBT22	Perth Bone and Tissue Bank	$2,932.00
QBB27	The Queensland Bone Bank	$2,163.00
RNB01	Hunter New England Bone Bank	$2,250.00
SVN01	Mater Hospital	$731.00
TBV26	Donor Tissue Bank of Victoria	$2,596.00
Femoral Head - Autologous
QBB61	The Queensland Bone Bank	$2,163.00
Femoral Head - Freeze Dried
QBB28	The Queensland Bone Bank	$2,163.00
Femoral Hemi-condyle
NBB59	New South Wales Bone Bank	$2,271.00
PBT21	Perth Bone and Tissue Bank	$2,295.00
TBV46	Donor Tissue Bank of Victoria	$1,330.00
Femoral Rings
NBB17	New South Wales Bone Bank	$1,606.00
PBT24	Perth Bone and Tissue Bank	$1,662.00
QBB30	The Queensland Bone Bank	$1,591.00
Femoral Rings - Freeze Dried
QBB31	The Queensland Bone Bank	$670.00
Femoral Shaft
QBB23	The Queensland Bone Bank	$2,247.00
Femoral Shaft - Freeze Dried
QBB66	The Queensland Bone Bank	$2,811.00
Femoral Shaft - Half
NBB57	New South Wales Bone Bank	$2,778.00
Femoral Shaft - Middle Third
NBB13	New South Wales Bone Bank	$2,507.00
TBV24	Donor Tissue Bank of Victoria	$2,357.00
Femoral Shaft - Segment
NBB56	New South Wales Bone Bank	$1,687.00
Femoral Shaft - Third
	Page 7 of 15

Billing Code	Facility	 Minimum Benefit	 Maximum Benefit
NBB55	New South Wales Bone Bank	$1,687.00
Femoral Shaft/Tibial Shaft - Middle third
PBT19	Perth Bone and Tissue Bank	$2,791.00
Femur - Distal (Shaft & Condyles)
MVS02	Institute of Medical & Veterinary Science T/A South Australian Tissue Bank	$2,290.00
PBT17	Perth Bone and Tissue Bank	$3,771.00
TBV22	Donor Tissue Bank of Victoria	$4,251.00
Femur - Distal Half
NBB10	New South Wales Bone Bank	$2,778.00
QBB20	The Queensland Bone Bank	$2,800.00
Femur - Distal third
NBB11	New South Wales Bone Bank	$2,606.00
Femur - Entire
MVS03	Institute of Medical & Veterinary Science T/A South Australian Tissue Bank	$2,290.00
NBB12	New South Wales Bone Bank	$6,200.00
QBB22	The Queensland Bone Bank	$4,268.00
TBV23	Donor Tissue Bank of Victoria	$7,120.00
Femur - Entire head removed
PBT18	Perth Bone and Tissue Bank	$5,882.00
Femur - Proximal (shaft, trochanter, neck)
MVS04	Institute of Medical & Veterinary Science T/A South Australian Tissue Bank	$2,290.00
PBT20	Perth Bone and Tissue Bank	$3,771.00
TBV25	Donor Tissue Bank of Victoria	$4,220.00
Femur - Proximal half
NBB15	New South Wales Bone Bank	$2,921.00
QBB25	The Queensland Bone Bank	$3,020.00
Femur - Proximal third
NBB14	New South Wales Bone Bank	$1,306.00
Femur - Proximal with femoral head
TBV51	Donor Tissue Bank of Victoria	$4,095.00
Fibula - Entire
MVS07	Institute of Medical & Veterinary Science T/A South Australian Tissue Bank	$2,290.00
NBB18	New South Wales Bone Bank	$6,041.00
	Page 8 of 15

Billing Code	Facility	 Minimum Benefit	 Maximum Benefit
PBT25	Perth Bone and Tissue Bank	$2,967.00
QBB32	The Queensland Bone Bank	$2,651.00
TBV27	Donor Tissue Bank of Victoria	$6,863.00
Fibula - Segment
NBB54	New South Wales Bone Bank	$2,359.00
PBT28	Perth Bone and Tissue Bank	$1,472.00
Fibula - Segment (12cm)
MVS14	Institute of Medical & Veterinary Science T/A South Australian Tissue Bank	$2,290.00
TBV29	Donor Tissue Bank of Victoria	$1,164.00
Fibula - Segment (6cm)
MVS13	Institute of Medical & Veterinary Science T/A South Australian Tissue Bank	$2,290.00
TBV28	Donor Tissue Bank of Victoria	$762.00
Fibular Shaft
TBV30	Donor Tissue Bank of Victoria	$2,419.00
Hemipelvis - Acetabulum
NBB21	New South Wales Bone Bank	$2,905.00
PBT29	Perth Bone and Tissue Bank	$2,940.00
QBB33	The Queensland Bone Bank	$2,762.00
TBV31	Donor Tissue Bank of Victoria	$3,300.00
Hemipelvis - Complete
MVS08	Institute of Medical & Veterinary Science T/A South Australian Tissue Bank	$2,290.00
NBB24	New South Wales Bone Bank	$6,500.00
PBT30	Perth Bone and Tissue Bank	$5,411.00
QBB37	The Queensland Bone Bank	$4,268.00
TBV32	Donor Tissue Bank of Victoria	$7,487.00
Hemipelvis - iliac crest
NBB22	New South Wales Bone Bank	$2,705.00
PBT31	Perth Bone and Tissue Bank	$1,174.00
QBB34	The Queensland Bone Bank	$2,478.00
TBV33	Donor Tissue Bank of Victoria	$2,984.00
Hemipelvis - Tricortical iliac wedge
NBB23	New South Wales Bone Bank	$1,195.00
PBT32	Perth Bone and Tissue Bank	$1,067.00
	Page 9 of 15

Billing Code	Facility	 Minimum Benefit	 Maximum Benefit
QBB35	The Queensland Bone Bank	$1,195.00
TBV34	Donor Tissue Bank of Victoria	$1,149.00
Hemipelvis - Tricortical iliac wedge Freeze Dried
QBB36	The Queensland Bone Bank	$735.00
Humeral Head
TBV37	Donor Tissue Bank of Victoria	$1,823.00
Humeral Head Addition
NBB26	New South Wales Bone Bank	$1,545.00
Humeral Shaft
NBB50	New South Wales Bone Bank	$3,090.00
QBB39	The Queensland Bone Bank	$1,612.00
Humeral Shaft - Half
NBB51	New South Wales Bone Bank	$1,671.00
Humerus - Distal
MVS19	Institute of Medical & Veterinary Science T/A South Australian Tissue Bank	$2,290.00
NBB25	New South Wales Bone Bank	$2,359.00
TBV49	Donor Tissue Bank of Victoria	$2,472.00
Humerus - Entire
MVS20	Institute of Medical & Veterinary Science T/A South Australian Tissue Bank	$2,290.00
NBB29	New South Wales Bone Bank	$3,142.00
QBB43	The Queensland Bone Bank	$3,035.00
Humerus - Entire with rotator cuff
NBB30	New South Wales Bone Bank	$3,182.00
PBT33	Perth Bone and Tissue Bank	$3,343.00
Humerus - Proximal
NBB27	New South Wales Bone Bank	$2,769.00
PBT35	Perth Bone and Tissue Bank	$1,174.00
TBV36	Donor Tissue Bank of Victoria	$3,054.00
Humerus - Proximal half with rotator cuff
NBB28	New South Wales Bone Bank	$2,778.00
Humerus - Proximal with rotator cuff
MVS09	Institute of Medical & Veterinary Science T/A South Australian Tissue Bank	$2,290.00
PBT34	Perth Bone and Tissue Bank	$2,886.00
	Page 10 of 15

Billing Code	Facility	 Minimum Benefit	 Maximum Benefit
TBV35	Donor Tissue Bank of Victoria	$2,919.00
Humerus - Ring
NBB53	New South Wales Bone Bank	$1,448.00
Ligament - Medial
NBB31	New South Wales Bone Bank	$1,781.00
TBV38	Donor Tissue Bank of Victoria	$1,964.00
Meniscal Graft
PBT47	Perth Bone and Tissue Bank	$1,921.00
Meniscus
QBB05	The Queensland Bone Bank	$1,400.00
TBV40	Donor Tissue Bank of Victoria	$1,306.00
Meniscus with Ligaments
TBV39	Donor Tissue Bank of Victoria	$2,368.00
Osteotomy Wedge
PBT60	Perth Bone and Tissue Bank	$1,567.00
Patella
QBB47	The Queensland Bone Bank	$788.00
TBV41	Donor Tissue Bank of Victoria	$1,125.00
Patellar unit whole with or without tibial block
PBT40	Perth Bone and Tissue Bank	$2,954.00
Radius
MVS18	Institute of Medical & Veterinary Science T/A South Australian Tissue Bank	$2,290.00
NBB06	New South Wales Bone Bank	$3,024.00
PBT13	Perth Bone and Tissue Bank	$1,800.00
QBB15	The Queensland Bone Bank	$2,258.00
TBV19	Donor Tissue Bank of Victoria	$3,436.00
Radius - Ring
NBB49	New South Wales Bone Bank	$1,854.00
Radius - Shaft
NBB47	New South Wales Bone Bank	$2,975.00
Rib (5cm)
MVS21	Institute of Medical & Veterinary Science T/A South Australian Tissue Bank	$382.00
	Page 11 of 15

Billing Code	Facility	 Minimum Benefit	 Maximum Benefit
PBT41	Perth Bone and Tissue Bank	$300.00
TBV43	Donor Tissue Bank of Victoria	$537.00
Spinal Ring
AUB07	Australian Biotechnologies	$1,854.00
Tendon
AUB10	Australian Biotechnologies	$2,184.00
Tendon - Achilles
NBB01	New South Wales Bone Bank	$1,922.00
PBT61	Perth Bone and Tissue Bank	$1,985.00
QBB62	The Queensland Bone Bank	$1,922.00
TBV05	Donor Tissue Bank of Victoria	$1,129.00
Tendon - Achilles Hemi
QBB65	The Queensland Bone Bank	$1,433.00
Tendon - Achilles with bone block
NBB02	New South Wales Bone Bank	$2,228.00
PBT01	Perth Bone and Tissue Bank	$2,601.00
QBB01	The Queensland Bone Bank	$1,922.00
TBV06	Donor Tissue Bank of Victoria	$2,300.00
Tendon - Achilles with bone plug
AUB09	Australian Biotechnologies	$2,228.00
Tendon - Achilles with machined conical bone block
NBB69	New South Wales Bone Bank	$2,728.00
Tendon - EHL
QBB69	The Queensland Bone Bank	$1,922.00
Tendon - Gracilis
QBB59	The Queensland Bone Bank	$1,922.00
Tendon - Patellar
QBB48	The Queensland Bone Bank	$2,055.00
Tendon - Patellar Hemi
QBB63	The Queensland Bone Bank	$1,570.00
Tendon - Patellar split with bone plugs
PBT02	Perth Bone and Tissue Bank	$1,918.00
	Page 12 of 15

Billing Code	Facility	 Minimum Benefit	 Maximum Benefit
Tendon - Patellar with bone plugs
NBB33	New South Wales Bone Bank	$2,147.00
TBV42	Donor Tissue Bank of Victoria	$2,368.00
Tendon - Patellar with machined conical bone plug
NBB68	New South Wales Bone Bank	$2,647.00
Tendon - Patellar with Quads
NBB72	New South Wales Bone Bank	$2,184.00
Tendon - Peroneus Longus
NBB73	New South Wales Bone Bank	$2,184.00
Tendon - Semi tendinosis
NBB70	New South Wales Bone Bank	$2,185.00
QBB70	The Queensland Bone Bank	$1,922.00
Tendon - Single (ant and post tibilias, FDL, EDL, hamstring, gracilis)
PBT46	Perth Bone and Tissue Bank	$2,698.00
Tendon - Tibialis Anterior
NBB67	New South Wales Bone Bank	$2,184.00
QBB58	The Queensland Bone Bank	$1,922.00
TBV57	Donor Tissue Bank of Victoria	$2,300.00
Tendon - Tibialis Posterior
NBB71	New South Wales Bone Bank	$2,184.00
QBB57	The Queensland Bone Bank	$1,922.00
Tibia - Condyles only
TBV47	Donor Tissue Bank of Victoria	$1,832.00
Tibia - Distal
MVS17	Institute of Medical & Veterinary Science T/A South Australian Tissue Bank	$2,290.00
QBB51	The Queensland Bone Bank	$1,892.00
TBV48	Donor Tissue Bank of Victoria	$2,401.00
Tibia - Plateau (prox 1/3)
NBB35	New South Wales Bone Bank	$2,518.00
Tibia - Proximal
NBB36	New South Wales Bone Bank	$2,551.00
PBT45	Perth Bone and Tissue Bank	$2,635.00
	Page 13 of 15

Billing Code	Facility	 Minimum Benefit	 Maximum Benefit
QBB54	The Queensland Bone Bank	$2,365.00
Tibia - Proximal 16-25cm
TBV45	Donor Tissue Bank of Victoria	$2,722.00
Tibia - Proximal 7-15cm
TBV44	Donor Tissue Bank of Victoria	$2,826.00
Tibia - Proximal half
MVS11	Institute of Medical & Veterinary Science T/A South Australian Tissue Bank	$2,290.00
Tibia – Proximal third
AUB06	Australian Biotechnologies	$2,562.00
Tibia - Proximal with Patella
QBB08	The Queensland Bone Bank	$2,800.00
Tibia - Proximal with Patella & Tendon
PBT44	Perth Bone and Tissue Bank	$4,118.00
Tibia - Proximal with Patellar Tendon
NBB46	New South Wales Bone Bank	$3,986.00
Tibia - Ring
NBB45	New South Wales Bone Bank	$1,448.00
Tibia - Whole
MVS16	Institute of Medical & Veterinary Science T/A South Australian Tissue Bank	$2,290.00
NBB37	New South Wales Bone Bank	$4,065.00
QBB55	The Queensland Bone Bank	$4,248.00
Tibia - Whole with Patella
QBB64	The Queensland Bone Bank	$4,268.00
Tibia - Whole with Patellar Tendon
NBB44	New South Wales Bone Bank	$5,455.00
Tibia Shaft
QBB53	The Queensland Bone Bank	$992.00
Tibial Shaft
NBB41	New South Wales Bone Bank	$3,747.00
Tibial Shaft - half
NBB43	New South Wales Bone Bank	$2,450.00
Tibial Shaft - third
	Page 14 of 15

Billing Code	Facility	 Minimum Benefit	 Maximum Benefit
NBB42	New South Wales Bone Bank	$2,645.00
Tibial Shaft Freeze Dried
QBB02	The Queensland Bone Bank	$872.00
Tri Cortical Osteotomy
NBB66	New South Wales Bone Bank	$1,208.00
Ulna
MVS15	Institute of Medical & Veterinary Science T/A South Australian Tissue Bank	$2,290.00
NBB07	New South Wales Bone Bank	$2,787.00
PBT14	Perth Bone and Tissue Bank	$1,500.00
QBB16	The Queensland Bone Bank	$2,258.00
TBV20	Donor Tissue Bank of Victoria	$3,167.00
Ulna - Ring
NBB40	New South Wales Bone Bank	$1,854.00
Ulna - Shaft
NBB38	New South Wales Bone Bank	$2,450.00
Grand Total:	287 Records
	Page 15 of 15