Reimbursement schedule for osseointegration components
Last updated on January 31, 2024To print this page, press CTRL+P
The following list represents the total PharmaCare funding for a minimum of three years.
| Osseointegration components | Sample details / part # |
|---|---|
| Taper sleeve | Mac #305024 / Ortho #78500030 |
| Dual cone adapter | (Sample BM101T6-1) |
| Bushing – has sheer pin | Mac #305124-3 / Ortho #78500100; 78500106; 78500112 |
| Pylon adapter | 2R38 |
| Tube clamp | 4R52 |
| 2 locking screws | # 78500040 78500060 Mac 305064, 305065 |
| Knee connector (clamp) different sizes or offset | Knee connector – different sizes or offset MAC 305105 (L); 305106 (R) / Ortho #78500206; 78500212; 78500215; 78500218; 78500221; 78500224; 78500306; 78500312; 78500315; 78500318; 78500321; 78500324 |
| Silicone cover/cap – covers abutment | Mac #306000; Ortho #78500020 |
| Foot | Vari-Flex Pyramid (note this foot includes vertical shock) |
| Foot | PLTO Pro-Flex LP Torsion (no torsion adapter) |
| Torsion adapters | 4R39 (torsion adapter) only with Vari-Flex foot |
| Positional rotator | 4R57 (button to twist) |
| Microprocessor knee | Rheo |