Proposed national artificial limb scheme - indicator of prosthesis cost
: Full tables of prosthesis cost
Please read Structure and Cost derivation prior to viewing full tables

These prices will change daily with component usage and costs. They also change quarterly with WCI.

Cost Changes last occured ,2008-07-28 00:00:00
Code ALS Price AUD$ DESCRIPTION ALS INTERPRETATION
1A
2997.78892842 Below Elbow - Work Prosthesis, Moulded socket, Hook, Cable & Harness.
A below elbow work prosthesis that is harness operated and suspended, custom fabricated, rigid socket, solid arm section, friction wrist, hook, cable & harness. This procedure includes casting, cast preparation and alignment.
1B
2169.16474164 Below Elbow - Dress Prosthesis (self suspend), Moulded Socket, Cosmetic Hand and Glove.
A below elbow dress prosthesis that self suspends, custom fabricated, rigid socket, solid arm section, friction wrist, cosmetic hand and glove. This procedure includes casting, cast preparation and alignment.
1C
2575.54377054 Below Elbow - Dress Prosthesis (harness suspend), Moulded Socket, Cosmetic Hand and Glove, Cable & Harness.
A below elbow dress prosthesis that is harness operated and suspended, custom fabricated, rigid socket, solid arm section, friction wrist, cosmetic hand and glove, cable & harness. This procedure includes casting, cast preparation and alignment.
1F
1334.18920284 Partial Hand Prosthesis, Moulded socket, Hand and Glove.
A partial hand prosthesis that is custom fabricated. This procedure includes casting and cast preparation.
2A
4302.81076173 Above Elbow - Work Prosthesis, Moulded socket, Elbow unit, Hook, Cable & Harness.
Above elbow work prosthesis that is harness operated and suspended, custom fabricated, rigid socket, elbow unit, solid arm section, friction wrist, hook, cable & harness. This procedure includes casting, cast preparation and alignment.
2C
3136.69133934 Above Elbow -Dress Prosthesis, Moulded socket, Elbow unit, Cosmetic Hand & Glove, Cable & Harness.
Above elbow dress prosthesis that is harness operated and suspended, custom fabricated, rigid socket, elbow unit, friction wrist, cosmetic hand and glove, cable & harness. This procedure includes casting, cast preparation and alignment.
3B
3714.37509339 Shoulder Disarticulation Prosthesis - Modular, Moulded socket, Shoulder Unit, Elbow Unit, Cosmetic Hand & Glove, Cable & Harness. Including Soft Cover.
A modular shoulder disarticulation prosthesis that is custom fabricated, rigid socket, modular arm components, shoulder unit, elbow unit, friction wrist, cosmetic hand and glove, cable & harness. This procedure includes casting, cast preparation and alignment.
3C
6829.52088429 Shoulder Disarticulation Prosthesis - Standard, Moulded socket, Shoulder Unit, Elbow Unit, Hook, Cable & Harness.
A shoulder disarticulation prosthesis that is custom fabricated, rigid socket, solid arm section, shoulder unit, elbow unit, friction wrist, hook, including harness hook operation and suspension. This procedure includes casting, cast preparation and alignment.
4A
2238.0961044 Ankle, Symes, Moulded Socket, SACH Foot
A prosthesis for a Symes amputation, custom fabricated from a model of the patient, requires one of several types of suspension, has a rigid socket, and utilises special styles of SACH feet. This procedure includes casting and cast preparation and dynamic alignment.
4C
2385.8263494 Partial Foot, Moulded Socket, Tibial Tubercle Height, with Toe Filler
A partial foot prosthesis that is custom fabricated from a model of the patient. It is at tibial tubercle level and used when maximum support is required. It has a rigid or semi-rigid sole and a toe filler. This procedure includes casting and cast preparation.
5A
2341.0878699 Below Knee, Exoskeletal System, Moulded Socket, SACH Foot.
A patella tendon bearing trans-tibial (BK) prosthesis, custom fabricated, rigid socket, non-alignable exoskeletal solid shin section, including supracondylar suspension or PTB strap. This procedure includes casting and cast preparation and dynamic alignment.
5E
2571.05601597 Below Knee, Endoskeletal System, Moulded Socket, SACH Foot, Including Soft Cover and Finishing
A patella tendon bearing trans-tibial (BK) prosthesis, custom fabricated, rigid socket, alignable endoskeletal shin section (a tube connection from the socket to the foot), SACH foot, soft cover, stocking type non-protective finish, including supracondylar suspension or PTB strap. This procedure includes casting and cast preparation and dynamic alignment.
6A
3784.71135588 Below Knee, Exoskeletal System, Moulded Socket, Joints and Thigh Lacer, SACH Foot.
A trans-tibial (BK) prosthesis, custom fabricated, non end-bearing rigid socket, exoskeletal hard shin section with side joints, a custom fabricated thigh lacer (corset) of leather or equal, SACH foot, cosmetic finish. This procedure includes casting and cast preparation and dynamic alignment.
6B
3823.13898915 Below Knee, Endoskeletal System, Moulded Socket, Joints and Thigh Lacer, SACH Foot. Including Soft Cover and Finishing.
A trans-tibial (BK) prosthesis, custom fabricated, non end-bearing rigid socket, with side joints, a custom fabricated thigh lacer (corset) of leather or equal, alignable endoskeletal shin section (a tube connection from the socket to the foot), soft cover, stocking type non-protective finish, SACH foot. This procedure includes casting and cast preparation and dynamic alignment.
6C
4072.02212508 Below Knee, Exoskeletal System, Moulded Socket, Joints and Ischial bearing thigh section, SACH Foot.
A trans-tibial (BK) prosthesis, custom fabricated, non end-bearing rigid socket, exoskeletal hard shin section with side joints, a custom fabricated Ischial bearing thigh section of laminate or equal, SACH foot, cosmetic finish. This procedure includes casting and cast preparation and dynamic alignment.
6D
4110.44975835 Below Knee, Endoskeletal System, Moulded Socket, Joints and Ischial bearing thigh section, SACH Foot. Including Soft Cover and Finishing.
A trans-tibial (BK) prosthesis, custom fabricated, non end-bearing rigid socket, alignable endoskeletal shin section (a tube connection from the socket to the foot), SACH foot, soft cover, stocking type non-protective finish, section with side joints, a custom fabricated Ischial bearing thigh section of laminate or equal, SACH foot. This procedure includes casting and cast preparation and dynamic alignment.
7A
5430.51976857 Knee Disarticulation (or Through Knee), Endoskeletal System, Moulded Socket, SACH Foot, Including Soft Cover and Finishing
A knee disarticulation prosthesis, custom fabricated, end-bearing rigid socket, a knee joint made especially for knee disarticulation prosthesis, alignable endoskeletal shin section, (a tube connection from the knee to the foot), soft cover, stocking type non-protective finish, SACH foot. This procedure includes casting and cast preparation and dynamic alignment.
7B
4742.41391988 Knee Disarticulation (or Through Knee), Exoskeletal system, Moulded Socket (Laminate or Leather), External Knee Joints, Shin, SACH Foot
An exoskeletal knee disarticulation type of prosthesis, custom fabricated, end-bearing leather or rigid socket, side joints, rigid shin section, SACH foot, cosmetic finish. This procedure includes casting and cast preparation and dynamic alignment.
8A
4558.61122704 Above Knee, Exoskeletal system, Moulded Suction Socket, Single Axis Constant Friction Knee, Shin, SACH Foot
A trans-femoral (AK) exoskeletal prosthesis, custom fabricated, rigid socket, unicentric knee, shin section, SACH foot, cosmetic finish. This procedure includes casting and cast preparation and dynamic alignment.
8B
4855.88807613 Above Knee, Endoskeletal System, Moulded Suction Socket, SACH Foot, Single Axis Knee, Including Soft Cover and Finishing
A trans-femoral (AK) prosthesis, custom fabricated, rigid socket, Single Axis Knee , alignable endoskeletal shin section, (a tube connection from the knee to the foot), soft cover, stocking type non-protective finish, SACH foot. This procedure includes casting and cast preparation and dynamic alignment.
9A
4478.64165021 Above Knee, Exoskeletal system, Moulded Socket, Single Axis Constant Friction Knee, Shin, SACH Foot, Waist Band.
A trans-femoral (AK) exoskeletal prosthesis, custom fabricated, rigid socket, unicentric knee, shin section, SACH foot, cosmetic finish, pelvic suspension system . This procedure includes casting and cast preparation and dynamic alignment.
9B
4967.4590121 Above Knee, Endoskeletal System, Moulded Socket, Single Axis Knee, SACH Foot, Waist Band, Including Soft Cover and Finishing.
A trans-femoral (AK) prosthesis, custom fabricated, non end-bearing rigid socket, unicentric knee unit, non-alignable tubular shin section, SACH foot, soft cover, stocking type non-protective finish, pelvic suspension system. This procedure includes casting and cast preparation and dynamic alignment.
10A
5723.65498341 Hip Disarticulation, Canadian Type, Exoskeletal system, Moulded Socket, Hip Joint, Single Axis Constant Friction Knee, Shin, SACH Foot
An exoskeletal hip disarticulation prosthesis, custom fabricated, socket, hip joint, thigh section, unicentric knee, shin section, SACH foot, cosmetic finish. This procedure includes casting and cast preparation and dynamic alignment.
10B
5956.51923828 Hip Disarticulation, Canadian Type, Endoskeletal System, Moulded Socket, Hip Joint, Single Axis Knee, SACH Foot, Including Soft Cover and Finishing
A hip disarticulation prosthesis, custom fabricated socket, hip joint, alignable tubular thigh section, Single Axis Knee joint, alignable tubular shin section, SACH foot, soft cover, stocking type non- protective finish. This procedure includes casting and cast preparation and dynamic alignment.
SUPPLEMENTSSupplementary components For LimbsAlternative components for use in limbs
REPAIRSList of Repairs For LimbsTime costs for repairs

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