2016 COIDA Prosthetics Rate
Description
Code
A60091
A60092
A60096
Consultation (30 minutes)
Consultation (1 hour)
Prosthetic Repairs (To be charged only once)
Rate
261.11
522.21
522.21
Prosthetics
Description
Code
FOOT PROSTHESIS
A20010
Toe filler
2153.08
A20020
Fore-foot prosthesis - moulded leather or similar
3148.06
A20030
Mid-foot prosthesis Cat 1 - moulded leather or similar
4002.19
A20031
Mid-foot prosthesis Cat 2 - laminated SACH type foot
13994.95
A20035
A20040
A20045
A20050
Mid-foot prosthesis Cat 3 - laminated CRA + energy
foot
Chopart prosthesis - Cat 1/2
Chopart prosthesis -Refit
O'Conners extension Cat 1/2
A20070
A20071
A20081
A20082
A20090
Symes prosthesis - CAT 1&2
Symes prosthesis - Refit CAT 1&2
Symes prosthesis - CAT 3
Symes prosthesis - Refit CAT 3
Symes test socket - diagnostic
38440.26
22985.40
16089.78
21650.80
0.00
23020.03
16114.02
27161.35
19012.94
4499.75
BELOW KNEE PROSTHESIS
A20530
A20561
A20590
BK exoskeletal CAT 1&2
BK endoskeletal CAT 1&2
BK endoskeletal CAT 3
21986.68
31170.00
35178.67
Additions to Below knee prosthesis
A20634
A20640
A20645
BK flexible inner socket
BK test socket - diagnostic
BK skin cosmesis
3715.89
3448.72
4656.40
Refit of Below knee prosthesis
NOTE: Refit includes new cosmetic cover
A20662
A20665
A20666
Refit BK exoskeletal CAT 1&2
Refit BK endoskeletal CAT 1&2
Refit BK endoskeletal CAT 3
19657.69
23020.03
26126.41
BK accessories and repairs
A20690
A20691
A20695
A20696
BK cosmetic foam replaced
BK cosmetic stocking
BK leather lining
BK pelite socket lining
5803.44
244.76
155.68
2396.29
2016 COIDA Prosthetics Rate
Description
Code
A20710
A20711
BK joint covers
2Z22 Bolt imported
Rate
398.25
352.55
THROUGH KNEE PROSTHESIS
A21010
A21030
A21040
A21075
A21076
TK exoskeletal CAT 1&2
TK endoskeletal CAT 1&2
TK endoskeletal CAT 3
TK test socket - diagnostic
TK foamcover replace
49733.55
59884.69
68084.24
4603.66
6498.61
Refit of Through knee prosthesis
NOTE: Refit includes new cosmetic cover
A21100
A21105
A21115
Refit TK exoskeletal CAT 1&2
Refit TK endoskeletal CAT 1&2
RefitTK endoskeletal CAT 3
36317.65
50958.78
59492.76
ABOVE KNEE PROSTHESIS
A21540
A21560
A21580
A21620
AK prosthesis - exoskeletal CAT 1&2
AK prosthesis - endoskeletal CAT 1&2
AK prosthesis endoskeletal CAT 3
AK test socket - diagnostic
38801.72
58461.00
63632.50
3901.44
Refit of Above knee prosthesis
NOTE: Refit includes new cosmetic cover
A21751
A21753
A21755
Refit AK exoskeletal CAT 1&2
Refit AK endoskeletal CAT 1&2
Refit AK endoskeletal CAT 3
28455.55
40351.74
50181.38
Additions and repairs to AK prosthesis
A21716
A21720
A21724
A21725
A21732
A21740
A21800
AK - Cosmetic cover - replaced
AK - cosmetic stocking
AK - flexible inner socket
AK - laminate shin CRA
AK - laminate thigh CRA
AK - socket lined with leather
AK - prosthetic skin
7220.68
363.18
7161.46
4268.94
5115.60
1748.36
4656.40
HIP DISARTICULATION PROSTHESIS
A22030
A22035
HD prosthesis endoskeletal CAT 1&2
HD prosthesis endoskeletal - Refit
100881.18
87449.33
ADDITIONS AND REPAIRS TO HD PROSTHESIS
A22031
Hip Joint 7E5
19141.88
PROSTHETIC COMPONENTS AND ACCESSORIES
PROSTHETIC ANKLES
A22500
Ankle - Cat 1/2single axis - with block
5553.80
2016 COIDA Prosthetics Rate
Code
Description
Rate
A22501
A22502
A22503
A22504
A22505
A22506
Ankle - Cat 1/2 single axis - without block
Ankle - Cat 1/2 single axis - modular steel
Ankle - Cat 3 single axis - modular titanium
Ankle - Cat 1/2 multi axis - with block
Ankle - Cat 1/2multi axis - without block
Ankle - Cat 1/2 multi axis - modular steel
3327.13
3277.54
5753.85
5648.22
3832.59
7163.04
A22507
A22508
A22509
A22510
A22511
8477.94
958.19
1759.57
3021.72
2826.56
A22512
A22513
Ankle - Cat 3 multi axis - modular Ti or composite
Ankle - Cat 1/2 SACH wooden block
Ankle - Cat 2 SACH modular steel
Ankle - Cat 3 SACH modular titanium
Ankle - Cat 1 SACH modular aluminium
Ankle multiflex alluminium CAT3/Dynamic
Response/Multiflex foot
Ankle tehlin single axis TAJ01
A22514
SNUBBER KITS
409007/9 Snubber Kit
5668.96
2726.38
661.95
PROSTHETIC FEET
Foot - Single axis with adapter
A22591/1
Foot cat 1/2 with ankle adapter greisinger plus 1A
7234.24
A22592
Foot - Cat 1 - with ankle Single axis Teh Lin TAJP1
2812.18
A22590/1
A22590/2
Foot - Single axis without ankle adapter
Foot - Cat 1/2 - w/o ankle Single axis
Foot - Cat 1/2 - w/o ankle SACH - SINGLE AXIS
1683.02
4312.48
A22590/3
A22590/4
Foot - Cat 1/2 - w/o ankle Single axis Teh Lin TFF02H
Foot - Cat 1 - w/o ankle Light duty 1G9
3223.64
3231.27
A22590/5
Foot Cat 1/2 with ankle and block single axis ,1H3
2825.29
A22591/2
Foot - multi-axis with ankle adapter
Foot - Cat 1/2 - with ankle Greisinger Plus 1A30
A22591
Foot - multi-axis without ankle adapter
Foot - Cat 1/2 - w/o ankle Greisinger 1A29
7043.44
A22600/1
A22600/2
A22600/3
A22600/4
Foot - SACH without ankle adapter
Foot - Cat 1/2 - w/o ankle SACH
Foot - Cat 1/2 - w/o ankle SACH - OWW
Foot - Cat 1/2 - w/o ankle SACH - Kingsly
Foot - Cat 1/2 - w/o ankle block Sach foot local
1386.72
3419.07
1452.39
1224.18
A22610/1
A22610/2
A22610/3
A22610/4
A22610/5
Foot - Dynamic without ankle adapter
Foot - Cat 3 - w/o ankle Dynamic 1D10
Foot - Cat 3 - w/o ankle Seattle carbon
Foot - Cat 3 - w/o ankle CC2 LIGHT OWW
Foot - Cat 3 - w/o ankle CCII OWW
Foot - Cat 3 - w/o ankle Energizer USMC
10851.37
5905.77
14330.96
12011.47
13854.25
8780.33
2016 COIDA Prosthetics Rate
Code
Description
Rate
A22610/6
Foot - Cat 3 - w/o ankle Seattle Lifecast
14330.96
A22611/1
Foot - Dynamic with pyramid adapter
Foot - Cat 3 - with ankle Dynamic PRO 1D25
11230.36
A22611/2
A22611/3
Foot - Cat 3 - with ankle SACH - Enhanced OWW
Foot-Cat 3 W/with ankle 1D35 dynamic plus foot
5908.33
8732.59
A22660/1
A22660/2
Foot - Multi axis dynamic without adapter
Foot - Cat 3 - w/o ankle Endolite multi flex
Foot - Cat 3 - w/o ankle Quantum
6592.26
8477.94
A22616/1
Foot - Multi-axis dynamic with pyramid adapter
Foot - Cat 3 - with ankle SACH - Multi axis 1M1
A22616/5
A22616/6
A22616/7
Foot - Cat 3 - with ankle Endolite Dynamic Response
Foot - Cat 3 - with ankle Flexfoot SURE-FLEX III
Foot - Cat 3 - with ankle CC HP OWW
Foot - Cat 3 - with ankle Single axis Teh Lin TGAPM or
TGAOM
Foot with pyramid blatchford super sach
Foot with parymid blatchford senior foot 120kG
A22615/1
A22615/2
Foot - Symes
Foot - SYMES Pigoroff
Foot - Kingsley Symes
A22616/2
A22616/3
A22616/4
10177.13
15138.57
18749.78
5908.33
10752.86
3939.01
6744.00
2281.42
3893.39
PROSTHETIC KNEES
A22679/1
Exoskeletal knee hinge BK
Knee - Cat 1/2 - BK joint 7U25
7778.89
A22678/1
Exoskeletal knee hinge TK
Knee - Cat 1/2 - TK joint 7G3
4824.57
A22680/1
Knee - exoskeletal knee single axis with manual
lock
Knee - Cat 1 - single axis 3P4
6122.77
A22681/1
Knee - exoskeletal single axis
Knee - Cat 2 3P1
8278.03
A22682/1
Knee - exoskeletal knee multi axis friction
Knee - Cat 2 swing phase control 3P23
9882.55
A22710/1
Knee - endoskeletal single axis with manual lock
Knee - Cat 1 3R40
6698.49
Knee single axis safety s/s stance phase control
2016 COIDA Prosthetics Rate
Code
Description
Rate
A22683/1
A22683/2
Knee - Cat 1 - safety 3R15
Single axis knee with extension
A22701/1
A22701/2
Knee multi axis steel mod S&SPC
Knee - Cat 2 - Habermann 3R20 s/s
Polycentric knee Cat2
7223.20
31291.09
0.00
0.00
20975.60
10687.67
A22702/1
A22702/2
A22702/3
Knee multi axis safety Ti or carbon mod S&SPC
Knee - Cat 2 - Habermann 3R36 titanium
Polycentric titanium Cat2
Knee Cat 2 Balance Safety 125Kg
13983.73
20975.60
13096.05
A22691/1
A22691/2
A22691/3
Multi axis knee with Ti or carbon with
pneumatic/hydraulic swing phase control
Knee - Cat 3 3R70
3R72 knee Cat 3
3R95 hydraulic safety knee alluminium Cat 3
47901.58
38703.40
37929.50
A22689/1
Knee single axis Ti with hydraulic swing phase
control
Knee - Cat 3 - single axis Ti, hydraulic 3R45
39001.04
A22689/2
Knee - Cat 3 TEH LIN hydraulic TGK 1H100 or 100S
48954.53
A22709/1
A22709/2
Knee multi axis stance flex, swing phase control
Knee - Cat 3 TOTAL - 7axis Polymer Friction
Knee - Cat 3 OWW GEOFLEX
43616.65
46980.57
A22709/3
Knee Cat 3 Total polmer friction
28273.47
A22707/1
Knee multi axis stance flex hydraulic swing phase
control
Knee - Cat 3 - 3R55
42803.20
A22700/1
Knee single axis Ti or carbon with hydraulic
S&SPC
Knee - Cat 3 - 3R80 - Hydraulic
55863.53
KNEES FOR THROUGH KNEE PROSTHESIS
A22686/1
Knee four bar manual lock s/s
Knee - Cat 1 - 4bar-linkage manual lock 3R23
17784.46
A22685/1
A22685/2
A22685/3
A22685/4
Knee four bar s/s
Knee - Cat 2 - 4bar-linkage 3R21
Knee - Cat 2 Teh LIN four bar TK4010
Knee - Cat 2 Teh LIN four bar TK4000S
TK four bar linkage Cat 2
15732.56
11717.94
9489.60
9930.22
Knee four bar Ti or carbon, hydraulic or pneumatic
SPC
A22688/1
Knee - Cat 3 - 4bar-linkage Ti, hydraulic 3R46
42674.30
A22688/2
TK 1900 total knee polymer friction Cat3
18848.97
2016 COIDA Prosthetics Rate
Description
Code
A22688/3
TK 2000 knee Cat3
Rate
28465.52
GENERAL PROSTHETIC ACCESSORIES
A22730
Patella buttons replaced
211.14
A22735
Re-alignment (dynamic)of AK / TK modular prosthesis
959.77
A22736
A22940
A22950
A22960
A22961
A22962
A22963
A22964
A22965
A22966
A22970
A22980
A22981
A22982
A22983
A22984
A22985
A22986
A22987
A22988
A22990
Re-alignment (dynamiC) of BK modular prosthesis
Stump care - Cleani-stump
Stump care - Ampu-aid
Stump care - talc
Stump / skin lotion
Stump lubricant
Stump cleaner
Stump moisturiser
Stump ointment
Stump moisturer derma clean
Stump care - balm
Stump coning bandage 6cm
Stump coning bandage 8cm
Stump coning bandage 10cm
Prosthetic sheath albert andre per apir
Prosthetic sheath merit
Fix prosthetic local 601 kneebrace
Stump sock with hole for pin local
Stump sock with pin imported
Dermaseal residual limb sock 453D7
Stump coning bandage 15cm
908.60
902.14
180.81
244.76
472.18
374.25
433.47
433.47
535.93
368.45
433.46
353.55
446.25
598.31
652.64
93.06
387.32
278.82
373.67
1807.16
652.64
ADAPTORS
A24001
A24002
A24003
A24004
A24005
A24006
A24007
A24008
2R2 tube adaptor stainless steel
Bibr-003 hawk tube adaptor short E05S-B0SS
2R3 tube adaptor stainless steel
Tubewith adaptor 1907-13
2R38 tube adaptor titanium
A-712010 tube adaptor alluminium short
A-712020 tube adaptor alluminium long
Bibr-004 hawk tube adaptor E05S-A SS
1726.68
786.97
1832.57
1240.32
3637.21
475.93
600.93
994.29
FOOT ADAPTORS
A24009
A24010
A24011
A24012
A24013
A24014
A24015
A24016
A24017
A24018
A24019
A24020
2R8=10 sach foot adaptor 1907-14
Sach foot adaptor 1907-14
2R8=8 sach foot adaptor stainless
2R31 sach foot adaptor titanium
2R54 sach foot adaptor alluminium
Bibr-001 hawk sach foot adaptor E01S-M10SS
2R10single axis foot adaptor stainless steel
2R51sinlge axis foot adaptor titanium
2R33 single axis foot adaptor titanium
2R14 connection plate for sach foot
Sach foam connector
2R22 connection cap for single axis foot
TUBE CLAMP ADAPTORS
1046.02
1121.64
1046.02
2415.49
1989.65
469.64
2600.50
5700.15
7569.95
141.95
141.95
296.70
2016 COIDA Prosthetics Rate
Code
A24021
A24022
A24023
A24024
A24025
Description
4R21 tube clamp adaptor stainless
Tube clamp connector 1907-22
4R82 tube clamp adaptor titanium
A-342100 tube clamp adaptor female pyramid
409054-Bl tube clamp adaptor
Rate
1628.95
1134.45
4437.72
1198.17
1740.07
SOCKET ADAPTORS
A24026
A24027
A24028
A24029
A24030
A24031
A24032
A24033
A24034
Bibr-005 hawk clamp adaptor E07S SS
4G70 TK lamination anchor
4R116 lamination anchor
4R41 lamination anchor/socket with rotate
4R43 lamination anchor
Rotating socket adaptor 1907-40
4R51 socket adaptor with rotation
4R37 socket adaptor with rotation
4R89 socket adaptor with rotation
882.18
4466.84
3683.75
3534.82
2059.45
3047.30
4256.20
2166.50
3466.17
A24035
A24036
A24037
A24038
A24039
A24040
A24041
A24042
A24043
A24044
A24045
A24046
A24047
A24048
A24049
A24050
Bibr-006 hawk 3 prong socket adaptor with rotation
Bibr-007 hawk 3 pyramid adaptor with rotation
4R100 socket adaptor titanium Bk
4R68 socket adaptor alluminium Bk
4R55 socket adaptor titanium
4R95 socket adaptor alluminium
4R22 socket adaptor stainless steel
2R63 socket adaptor stainles
BK socket adaptor with pyramid
4R42 socket adaptor stainless
3 prong socket adaptor
A-114040 4 prong socket adaptor
Bibr-008 3 prong fixed pyramid adaptor E11S SS
Bibr-009 4 prong socket adaptor E12S SS
5R1 socket attachment block
6PC599 socket lamination platform
1250.26
1165.64
3313.74
2277.03
2827.39
1638.26
1208.92
1471.86
1276.39
2022.22
1642.80
1798.82
1222.63
719.28
1457.91
4412.31
A24051
A24052
A24053
A24054
Boww-037 laminating socket attachment Block 70020
Boww-240 laminating socket attachment block
4R98 Sliding adaptor
Boww-200 pyramid sliding adaptor
941.41
983.72
4081.68
5248.60
SILICONE SLEEVES
A25001
A25002
A25003
A25004
A25006
A25008
A25009
A25010
6Y42 silicone sleeve without pin
6Y70 silicone gel liner
6Y80 sleeve transfemoral
14Y1 silicone arm liner
I-0104 original icecross sleeve without cover
i-4013 dermo lock in sleeve
I-5006 iceross comfort locking/ Cushion liner
I-6003 icecross synergy locking
A25011
A25014
A25015
A25016
A25017
A25018
A25019
I-7132 icecross transfemoral locking /cushion liner
GPDT general purpose liner
GPFR general purpose line
AKDT alps locking liner
AKFR alps cushion liner
Boww-016 alpha spirit cushion liner SP ALC5366
Boww-006 alpha original lock liner
5214.41
7511.33
8452.35
9487.17
5905.65
8011.90
7633.65
9141.16
10110.34
10633.83
10633.83
10657.72
10657.72
8525.53
10260.25
2016 COIDA Prosthetics Rate
Description
Code
A25020
A25021
Boww-221 alpha AK Lock in liner
Boww225 alpha AK cushion AKL
Rate
10461.23
8525.53
SEAL IN SLEEVES
A25022
A25023
A25024
I-4613 icecross dermo seal in sleeve
I-7532 icecross transfemoral seal in sleeve
I-7632 icecross transfemoral seal in conical
8997.63
11448.19
11448.19
SEAL IN SOCKS
A25025
A25026
K5313 seal in liner socks 3 ply
K5311 seal in liner sock 1ply
270.33
179.45
KNEE SLEEVES
A25027
A25028
A25029
A25030
A25031
A25032
453A2=1-4 derma comfort ORT knee sleeve
453A3=1-3 profelex knee sleeve
453A-4=1-3 profelex knee sleeve short
F-2011 icecross knee sleeve=35-62
BDAW-301 daw G-sleev
BDMI-182 medi genu sleeve Mk00203000
2432.82
2950.72
2622.86
2419.61
1358.16
1660.69
DISTAL CUPS
A25033
A25034
I-3000 distal cup
Boww-042 gel cups
2144.50
1026.03
VOLUME MANAGE PADS
A25035
A25036
Boww-045 volume manage pads X3
BPRO-002 1K10 protector pad
725.92
3865.04
PINS
A25037
A25038
A25039
6Y13=3 long pin only
L-192000 attachment pin standard
Boww-074 alpha lock pin
1537.02
688.60
793.32
SHUTTLE LOCKS
A36651
A25040
A25041
A25042
A25043
A25044
A25045
A25047
A25048
A25049
Shuttle lock fit
6A20 shuttle lock with distal adjustment pyramid
6A30=20 and 10shuttle lock
14A1 shuttle lock to attach 14Y1 Silicone liner
L-621000 ice ratchet
109108 blatchfordshuttle lock
Alps shuttle lock with pyramid S498-P
Boww-061 alpha lock kit
Boww-062 lanyard lock kit
Bibr-040 hawk shuttle lock E70
2914.51
10686.19
8749.77
8294.82
2482.89
7916.67
6192.15
5250.71
5584.96
4865.69
VALVES
A25050
21Y12 screw valve kit
3481.29
2016 COIDA Prosthetics Rate
Code
A25051
A25052
A25053
A25054
A25055
A25056
A25057
A25058
A25059
A25060
A25061
A25062
A25063
Description
21Y40 suction valve
21Y41 seat ring for 21Y40 valve
21Y105 valve kit for flexible sockets
4R140 one way valve for knee sleeves
L-552000 ice lock expulsion valve TF AK valve
L-551002 icelock expulsion valve TF BK valve
BMDI-240 medi vacu valve-1810723000
BUSN-001 green dot valve plastic
BUSN-002green dot valve stainless steel
Suction valve standard
Suction valve total contact
Suction valve Green dot standard
Suction valve Green dot total contact
Rate
503.80
144.27
1805.80
1448.60
1451.97
1303.44
611.39
1323.95
975.86
690.56
1263.26
1263.26
1263.26
REPAIR KITS
A26001
A26002
A26003
A26004
A26005
A26006
A26007
A26008
A26009
A26010
A26011
A26012
A26013
A26014
A26015
A26016
A26017
2D2 single component pack for 1A6 and1A29
2D3 for 1A20 foot
2D5 service pack gor 2R10 ankle
3D4 service kit for 3P23 knee
2D1 Service for 3R15/3R46/3R42 knees
4D13 service kit for 3R36/R20
4D18 service kit for 3R46 knee
4D19 repair kit for 3R55
4V34 declaration bumper
4H5=26 knee extension stop rubber
4H21 shin extension stop rubber
7U25 joint bearing 509K 11X5X16X5
7U25 joint big screw 501A22
7U25 small joint screw 501S6X8XM3.5
4B52 swinging block
4D7 repair kit for3R21/3R30
4F34 lock control unit AK (3R17/3R33/3R40/3R41)
KNEE
1098.81
671.83
344.47
1635.42
775.86
1348.10
1167.01
978.68
453.93
110.48
91.67
189.13
96.57
29.58
1646.09
2668.84
983.53
PARTIAL HAND PROSTHESIS
A30010
A30020
A30030
Partial hand passive
Partial hand functional
Partial opposition post
21095.62
29840.73
14716.42
PARTIAL HAND REPAIRS
A30050
A30060
A30070
Partial new silicone socket
Partial hand - cosmetic glove replaced
Partial hand - replace zip to glove
6739.21
5073.92
4690.04
WRIST DISARTICULATION PROSTHESIS
A30510
A30520
A30521
Wrist disarticulation - passive
Wrist disarticulation - functional
Refit Wrist Disarticulation
41062.02
54188.48
12262.99
BELOW ELBOW PROSTHESIS
A31010
Below elbow prosthesis -passive hand & cosmetic
cover
41062.02
2016 COIDA Prosthetics Rate
Description
Code
A31020
A31040
Below elbow prosthesis - functional hand & cosmetic
cover
BE test socket - diagnostic
Rate
54188.48
2303.41
ELBOW DISARTICULATION PROSTHESIS
A31510
A31520
A31530
A31531
Elbow disarticulation prosthesis - passive hand and
cosmetic cover
Elbow disarticulation prosthesis - functional hand and
cosmetic cover
ED test socket - diagnostic
Refit ED
ABOVE ELBOW PROSTHESIS
61181.91
79735.83
2303.41
25116.78
0.00
0.00
0.00
0.00
A32010
A32020
A32040
Above elbow prosthesis - passive hand & cosmetic
cover incl
Above elbow prosthesis - functional hand & cosmetic
cover incl
AE test socket - diagnostic
48130.78
63614.96
2303.41
ADDITIONAL CHARGES
A32060
A32065
A32067
Automatic locking elbow 12K4
Elbow joint with cable lock
Step-up joints for short BE or TE
15719.45
17683.69
0.00
Notes
Manual locking elbows 12K5 are supplied as standard.
Prosthetist may supply an automatic elbow on request
and adjust the fee accordingly
The cost of the standard elbow must be deducted and
the automatic elbow added.
Prosthetic hooks are not included with upper extremity
prosthesis as standard
SHOULDER DISARTICULATION PROSTHESIS
A32510/1
A32510/2
A32520
A33155
Shoulder disarticulation prosthesis manual elbow( incl.
passive hand& cosmetic cover
Shoulder disarticulation prosthesis electric elbow(incl.
passive hand &cosmetic cover
Shoulder disarticulation - functional hand & cosmetic
cover incl
Refit Shoulder disarticulation
66643.02
80892.35
82125.62
28743.96
ACCESSORIES
A33010
A33020
A33030
A33040
A33050
A33060
Cable - AE
Cable - BE
Corset - BE
Passive hand
Felt hand
Functional hand
2306.57
2108.21
2101.92
9888.85
9888.85
12414.60
2016 COIDA Prosthetics Rate
Code
Description
A33070
A33080
A33090
A33100
A33110
A33120
A33130
A33140
A33150
Harness - AE
Harness - BE
Hook elastics
Prosthetic glove - cosmetic
Prosthetic glove - leather
Prosthetic hook - aluminium
Prosthetic hook - steel
Refit AE
Refit BE
A33160
A33165
A33170
A33175
A33180
A33185
A33190
A33195
A33196
A33197
A33198
A33199
A33200
A33201
A33202
A33203
A33204
A33205
Wrist insert-Only with repairs or when hook is required
Wrist Unit inclusive of wrist insert
Manual locking elbow 12K5inclusive with new. Only
Re laminate BE
C708 Base Plate
21A29=25 Auxilla Loop
C711HD Hanger
C711 Standard Hanger
C713HD Ball Receiver
C713 Standard Ball Receiver
C703HD Ball Terminal
C703 Standard Ball Terminal
C701HD Triple Swivel
C703 Standard Triple Swivel
C709HD Retainer
C709 Standard Retainer
C710HD Cross Bar
C710 Standard Cross Bar
Rate
2108.25
2108.24
56.05
5033.97
1052.61
14438.04
18473.88
18699.52
11667.53
1358.01
5281.88
8154.86
1667.19
90.01
690.50
182.47
146.68
276.12
236.94
94.02
122.23
271.85
271.85
154.20
132.10
244.46
236.24
PROSTHETIC SOCKS
A35010
A35020
A35030
A35040
A35050
A35055
A35060
A35065
A35070
A35075
A35080
A35085
A35090
A35096
A35093
A35097
A35095
A35100
A35105
A35106
A35110
Stump sock - BK local
Stump sock - AK local
Stump sock - Arm local
Stump sock - Symes local
Stump sock - BK 5 ply - imported
Stump sock - BK 3 ply - imported
Stump sock - AK 5 ply - imported
Stump sock - AK 3 ply - imported
Stump sock - Arm 3 ply - imported
Stump sock - Arm 5 ply - imported
Stump sock - Symes 3 ply - imported
Stump sock - Symes 5 ply - imported
Prosthetic sheath - imported
Prosthetic sheath - Local
Prosthetic sheath with hole for pin - local
Stump sock with hole for pin - local
Stump sock with hole for pin imported
Protective sheath - American
Protective sheath - European (Derma seal)
Dermaseal residual limb sock 453D7
Fix Prosthesis - European (Daw)
377.56
422.26
271.91
700.63
747.07
700.63
747.07
700.65
377.56
447.83
1034.94
1127.78
423.83
93.06
96.01
278.82
373.67
2095.45
3533.52
1900.04
1006.19
A35120
A35121
A35130
A35140
Fix Prosthesis - American (silicone suspension liner)
Fix prosthesis local 601 kneebrace
Stump shrinker BK
Stump shrinker AK
495.84
387.32
799.50
1062.58
2016 COIDA Prosthetics Rate
Code
Description
Rate
SUSPENSION SYSTEMS
A21650
A21700
A21701
A21704
A21708
A21712
A20632
A20633
A20692
A20693
A20694
A20697
A20698
A20700
A20701
A20702
AK - hip-joint and pelvic band to prosthesis
AK - shoulder belt
AK - silesion belt
AK - silesion strap
AK - waist belt
AK - neoprene suspension belt
BK joints and thigh corset
Bk joints and weightbearing corset
BK back check strap
BK backlift
BK crutch strap
BK ptb strap
Front Control strap
BK thigh corset
BK waistbelt leather
BK waistbelt webbing
9111.32
922.93
845.30
256.28
888.82
2337.28
16374.29
18378.02
512.64
531.44
573.71
993.48
633.80
2754.74
1066.39
698.35
OCULAR PROSTHESIS
A53015
A53115
A53215
A53315
A53415
Prosthesis Consultation( Not payable with A56000)
Impression for Ocular Prosthesis
Iris Colour
Model Fitting
Prosthetic manufature and moulding
616.52
2488.92
1028.88
5061.21
5846.70
A53515
Follow-up (Within 6 months of new or replacement
prosthesis
but included
item 56000 and fitting (
Glass eye complete
withinconsultation
341.17
A53715
A53815
A53915
A54015
A54115
A54215
A54315
A54415
A54515
A56000
attached motivation )
Drill ball and socket (pegging to coral) "attached
motivation"
Trimming and Reshaping
Build up
Veining
Polishing
Materials for custom eye
Stock eye ( every 5years )
Haptic Lens (every 5 years)
Complete eye( includes consultation A53015)
4620.55
997.99
499.66
1478.85
697.11
308.93
1942.24
1387.51
3055.74
19383.49