PART B - Human Tissue List February 2015

PART B - Human Tissue List February 2015 Billing Code CARDIO-THORACIC Conduit - Aortic TBV56 Donor Tissue Bank of Victoria $1,505.00 Conduit - Aortic + Valve QHV09 The Prince Charles Hospital - Queensland Heart Valve Bank $6,962.00 Conduit - Arterial SHV03 Sydney Heart Valve Bank, St. Vincent's Hospital $1,263.00 Conduit - Pulmonary TBV03 Donor Tissue Bank of Victoria $1,504.00 Conduit - Pulmonary + Valve QHV08 The Prince Charles Hospital - Queensland Heart Valve Bank $7,294.00 Conduit - Pulmonary large QHV07 The Prince Charles Hospital - Queensland Heart Valve Bank $2,116.00 Patch - Mitral QHV03 The Prince Charles Hospital - Queensland Heart Valve Bank $1,926.00 Patch - Pericardium QHV05 The Prince Charles Hospital - Queensland Heart Valve Bank $2,116.00 Patch - Tricuspid QHV04 The Prince Charles Hospital - Queensland Heart Valve Bank $1,926.00 Pericardium TBV50 Donor Tissue Bank of Victoria $915.00 Thoracic Aorta QHV11 The Prince Charles Hospital - Queensland Heart Valve Bank $2,116.00 Valve - Aortic QHV01 The Prince Charles Hospital - Queensland Heart Valve Bank $7,294.00 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 $7,808.00 Valve - Mitral Page 1 of 15

QHV10 The Prince Charles Hospital - Queensland Heart Valve Bank $6,962.00 Valve - Pulmonary QHV02 The Prince Charles Hospital - Queensland Heart Valve Bank $7,294.00 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 $7,808.00 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 $527.00 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 $779.00 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 $274.00 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 $2,287.00 LEW01 Lions Eye Bank of Western Australia $2,500.00 QEB01 Queensland Eye Bank $2,321.00 SAE01 The Eye Bank of South Australia $1,890.00 Page 2 of 15

Cornea for Endothelial Keratoplasty LEN04 Lions NSW Eye Bank $2,695.00 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 $1,372.00 Sclera LEM02 Lions Eye Donation Service $150.00 LEN02 Lions NSW Eye Bank $343.00 LEW02 Lions Eye Bank of Western Australia $250.00 QEB02 Queensland Eye Bank $329.00 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 $1,733.00 RNB02 Hunter New England Bone Bank $1,470.00 Autologous Skull Flap - processed QBB56 The Queensland Bone Bank $2,195.00 Bone - Cancellous Bone Matrix, Lyophilised 40cc TBV52 Donor Tissue Bank of Victoria $683.00 Bone - Cancellous Bone Matrix, Lyophilised 80cc TBV53 Donor Tissue Bank of Victoria $1,364.00 Bone - Cancellous Crunch 15cc NBB62 New South Wales Bone Bank $1,169.00 Bone - Cancellous Crunch 30cc NBB61 New South Wales Bone Bank $2,131.00 Bone - Cancellous Crunch 60cc NBB60 New South Wales Bone Bank $3,232.00 Bone - Cancellous Cubes (6) Freeze Dried Page 3 of 15

QBB09 The Queensland Bone Bank $1,778.00 Bone - Cancellous Strips (2) Freeze Dried QBB10 The Queensland Bone Bank $751.00 Bone - Chips/cubes 40cc TBV09 Donor Tissue Bank of Victoria $1,254.00 Bone - Chips/cubes 80cc TBV10 Donor Tissue Bank of Victoria $2,247.00 Bone - Cortico-Cancellous Crunch (40/60) 15cc NBB65 New South Wales Bone Bank $1,169.00 Bone - Cortico-Cancellous Crunch (40/60) 30cc NBB64 New South Wales Bone Bank $2,131.00 Bone - Cortico-Cancellous Crunch (40/60) 60cc NBB63 New South Wales Bone Bank $3,232.00 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 $4,050.00 Bone - Milled 10-19 gr (20-38cc equivalent) Page 4 of 15

PBT64 Perth Bone and Tissue Bank $2,050.00 Bone - Milled 20-29gr (40-58cc equivalent) PBT08 Perth Bone and Tissue Bank $2,950.00 Bone - Milled 20g QBB45 The Queensland Bone Bank $2,202.00 Bone - Milled 20g Freeze Dried QBB03 The Queensland Bone Bank $2,789.00 Bone - Milled 30-50gr (60-100cc equivalent) PBT09 Perth Bone and Tissue Bank $3,550.00 Bone - Milled 30-50g Freeze Dried PBT38 Perth Bone and Tissue Bank $900.00 Bone - Milled 40cc TBV11 Donor Tissue Bank of Victoria $1,471.00 Bone - Milled 5-9 gr (10-18cc equivalent) PBT63 Perth Bone and Tissue Bank $1,150.00 Bone - Milled 80cc TBV12 Donor Tissue Bank of Victoria $2,508.00 Bone - Milled Femoral Head AUB02 Australian Biotechnologies $2,457.00 Bone - Ronguered Chips QBB68 The Queensland Bone Bank $2,235.00 Bone - Ronguered Chips Freeze Dried QBB67 The Queensland Bone Bank $2,789.00 Bone Plug/Dowel - Cancellous NBB05 New South Wales Bone Bank $1,584.00 PBT03 Perth Bone and Tissue Bank $1,200.00 TBV07 Donor Tissue Bank of Victoria $935.00 Bone Plug/Dowel - Tricortical TBV08 Donor Tissue Bank of Victoria $1,002.00 Cartilage - costal segments PBT11 Perth Bone and Tissue Bank $300.00 QBB12 The Queensland Bone Bank $232.00 Page 5 of 15

TBV17 Donor Tissue Bank of Victoria $596.00 Cortical Strut AUB05 Australian Biotechnologies $2,451.00 QBB52 The Queensland Bone Bank $487.00 TBV14 Donor Tissue Bank of Victoria $1,017.00 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 DBX Putty - 1.00cc SYN08 Synthes Australia Pty Ltd $1,450.00 DBX Putty - 2.5cc SYN09 Synthes Australia Pty Ltd $1,800.00 Disc - Freeze Dried QBB04 The Queensland Bone Bank $788.00 Elbow - joint QBB14 The Queensland Bone Bank $2,437.00 TBV18 Donor Tissue Bank of Victoria $6,076.00 Fascia Lata NBB09 New South Wales Bone Bank $1,193.00 TBV21 Donor Tissue Bank of Victoria $1,065.00 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 $6.00 Fascia Lata - Small (10cm x 5cm) PBT16 Perth Bone and Tissue Bank $854.00 Femoral Head ACT01 ACT Bone Bank $2,432.00 AUB03 Australian Biotechnologies $2,354.00 Page 6 of 15

CSA01 Rachel Forster Bone Bank $802.00 DHR01 Barwon Health Bone Bank $3,028.00 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 $2,390.00 RNB01 Hunter New England Bone Bank $2,500.00 TBV26 Donor Tissue Bank of Victoria $2,812.00 Femoral Head - Autologous QBB61 The Queensland Bone Bank $2,390.00 Femoral Head - Freeze Dried QBB28 The Queensland Bone Bank $2,390.00 Femoral Hemi-condyle NBB59 New South Wales Bone Bank $2,939.00 PBT21 Perth Bone and Tissue Bank $2,900.00 TBV46 Donor Tissue Bank of Victoria $1,517.00 Femoral Rings NBB17 New South Wales Bone Bank $2,078.00 PBT24 Perth Bone and Tissue Bank $1,800.00 QBB30 The Queensland Bone Bank $1,758.00 Femoral Rings - Freeze Dried QBB31 The Queensland Bone Bank $740.00 Femoral Shaft QBB23 The Queensland Bone Bank $2,483.00 Femoral Shaft - Freeze Dried QBB66 The Queensland Bone Bank $3,106.00 Femoral Shaft - Half NBB57 New South Wales Bone Bank $3,595.00 Femoral Shaft - Middle Third NBB13 New South Wales Bone Bank $3,244.00 TBV24 Donor Tissue Bank of Victoria $2,567.00 Femoral Shaft - Segment NBB56 New South Wales Bone Bank $2,183.00 Page 7 of 15

Femoral Shaft - Third NBB55 New South Wales Bone Bank $2,183.00 Femoral Shaft/Tibial Shaft - Middle third PBT19 Perth Bone and Tissue Bank $3,200.00 Femur - Distal (Shaft & Condyles) MVS02 Institute of Medical & Veterinary Science T/A South Australian Tissue Bank PBT17 Perth Bone and Tissue Bank $4,220.00 TBV22 Donor Tissue Bank of Victoria $4,505.00 Femur - Distal Half NBB10 New South Wales Bone Bank $3,595.00 QBB20 The Queensland Bone Bank $3,094.00 Femur - Distal third NBB11 New South Wales Bone Bank $3,372.00 Femur - Entire MVS03 Institute of Medical & Veterinary Science T/A South Australian Tissue Bank NBB12 New South Wales Bone Bank $8,023.00 QBB22 The Queensland Bone Bank $4,717.00 TBV23 Donor Tissue Bank of Victoria $7,440.00 Femur - Entire head removed PBT18 Perth Bone and Tissue Bank $8,000.00 Femur - Proximal (shaft, trochanter, neck) MVS04 Institute of Medical & Veterinary Science T/A South Australian Tissue Bank PBT20 Perth Bone and Tissue Bank $4,220.00 TBV25 Donor Tissue Bank of Victoria $4,473.00 Femur - Proximal half NBB15 New South Wales Bone Bank $3,780.00 QBB25 The Queensland Bone Bank $3,337.00 Femur - Proximal third NBB14 New South Wales Bone Bank $1,690.00 Femur - Proximal with femoral head TBV51 Donor Tissue Bank of Victoria $4,345.00 Fibula - Entire Page 8 of 15

MVS07 Institute of Medical & Veterinary Science T/A South Australian Tissue Bank NBB18 New South Wales Bone Bank $7,817.00 PBT25 Perth Bone and Tissue Bank $3,500.00 QBB32 The Queensland Bone Bank $2,930.00 TBV27 Donor Tissue Bank of Victoria $7,177.00 Fibula - Segment NBB54 New South Wales Bone Bank $3,053.00 PBT28 Perth Bone and Tissue Bank $2,000.00 Fibula - Segment (12cm) MVS14 Institute of Medical & Veterinary Science T/A South Australian Tissue Bank TBV29 Donor Tissue Bank of Victoria $1,347.00 Fibula - Segment (6cm) MVS13 Institute of Medical & Veterinary Science T/A South Australian Tissue Bank TBV28 Donor Tissue Bank of Victoria $935.00 Fibular Shaft TBV30 Donor Tissue Bank of Victoria $2,631.00 Hemipelvis - Acetabulum NBB21 New South Wales Bone Bank $3,759.00 PBT29 Perth Bone and Tissue Bank $2,940.00 QBB33 The Queensland Bone Bank $3,052.00 TBV31 Donor Tissue Bank of Victoria $3,532.00 Hemipelvis - Complete MVS08 Institute of Medical & Veterinary Science T/A South Australian Tissue Bank NBB24 New South Wales Bone Bank $8,411.00 PBT30 Perth Bone and Tissue Bank $7,000.00 QBB37 The Queensland Bone Bank $4,717.00 TBV32 Donor Tissue Bank of Victoria $7,815.00 Hemipelvis - iliac crest NBB22 New South Wales Bone Bank $3,500.00 PBT31 Perth Bone and Tissue Bank $2,000.00 QBB34 The Queensland Bone Bank $2,738.00 TBV33 Donor Tissue Bank of Victoria $3,209.00 Hemipelvis - Tricortical iliac wedge Page 9 of 15

NBB23 New South Wales Bone Bank $1,546.00 PBT32 Perth Bone and Tissue Bank $1,500.00 QBB35 The Queensland Bone Bank $1,321.00 TBV34 Donor Tissue Bank of Victoria $1,331.00 Hemipelvis - Tricortical iliac wedge Freeze Dried QBB36 The Queensland Bone Bank $812.00 Humeral Head TBV37 Donor Tissue Bank of Victoria $2,021.00 Humeral Head Addition NBB26 New South Wales Bone Bank $1,999.00 Humeral Shaft NBB50 New South Wales Bone Bank $3,998.00 QBB39 The Queensland Bone Bank $1,781.00 Humeral Shaft - Half NBB51 New South Wales Bone Bank $2,162.00 Humerus - Distal MVS19 Institute of Medical & Veterinary Science T/A South Australian Tissue Bank NBB25 New South Wales Bone Bank $3,053.00 TBV49 Donor Tissue Bank of Victoria $2,685.00 Humerus - Entire MVS20 Institute of Medical & Veterinary Science T/A South Australian Tissue Bank NBB29 New South Wales Bone Bank $4,066.00 QBB43 The Queensland Bone Bank $3,354.00 Humerus - Entire with rotator cuff NBB30 New South Wales Bone Bank $4,118.00 PBT33 Perth Bone and Tissue Bank $3,343.00 Humerus - Proximal NBB27 New South Wales Bone Bank $3,583.00 PBT35 Perth Bone and Tissue Bank $2,800.00 TBV36 Donor Tissue Bank of Victoria $3,280.00 Humerus - Proximal half with rotator cuff NBB28 New South Wales Bone Bank $3,595.00 Humerus - Proximal with rotator cuff Page 10 of 15

MVS09 Institute of Medical & Veterinary Science T/A South Australian Tissue Bank PBT34 Perth Bone and Tissue Bank $4,200.00 TBV35 Donor Tissue Bank of Victoria $3,142.00 Humerus - Ring NBB53 New South Wales Bone Bank $1,874.00 Ligament - Medial NBB31 New South Wales Bone Bank $2,305.00 TBV38 Donor Tissue Bank of Victoria $2,165.00 Meniscal Graft PBT47 Perth Bone and Tissue Bank $1,921.00 Meniscus QBB05 The Queensland Bone Bank $1,547.00 TBV40 Donor Tissue Bank of Victoria $1,492.00 Meniscus with Ligaments TBV39 Donor Tissue Bank of Victoria $2,578.00 Osteotomy Wedge PBT60 Perth Bone and Tissue Bank $2,000.00 Patella QBB47 The Queensland Bone Bank $871.00 TBV41 Donor Tissue Bank of Victoria $1,307.00 Patellar unit whole with or without tibial block PBT40 Perth Bone and Tissue Bank $2,954.00 Proximal Femur with Femoral Head PBT65 Perth Bone and Tissue Bank $6,300.00 Radius MVS18 Institute of Medical & Veterinary Science T/A South Australian Tissue Bank NBB06 New South Wales Bone Bank $3,913.00 PBT13 Perth Bone and Tissue Bank $1,800.00 QBB15 The Queensland Bone Bank $2,495.00 TBV19 Donor Tissue Bank of Victoria $3,671.00 Radius - Ring NBB49 New South Wales Bone Bank $2,399.00 Page 11 of 15

Radius - Shaft NBB47 New South Wales Bone Bank $3,850.00 Rib (5cm) MVS21 Institute of Medical & Veterinary Science T/A South Australian Tissue Bank $382.00 PBT41 Perth Bone and Tissue Bank $300.00 TBV43 Donor Tissue Bank of Victoria $705.00 Spinal Ring AUB07 Australian Biotechnologies $1,854.00 Tendon AUB10 Australian Biotechnologies $2,184.00 Tendon - Achilles NBB01 New South Wales Bone Bank $2,487.00 PBT61 Perth Bone and Tissue Bank $1,985.00 QBB62 The Queensland Bone Bank $2,124.00 TBV05 Donor Tissue Bank of Victoria $1,311.00 Tendon - Achilles Hemi QBB65 The Queensland Bone Bank $1,584.00 Tendon - Achilles with bone block NBB02 New South Wales Bone Bank $2,883.00 PBT01 Perth Bone and Tissue Bank $2,800.00 QBB01 The Queensland Bone Bank $2,124.00 TBV06 Donor Tissue Bank of Victoria $2,509.00 Tendon - Achilles with bone plug AUB09 Australian Biotechnologies $2,228.00 Tendon - Achilles with machined conical bone block NBB69 New South Wales Bone Bank $3,530.00 Tendon - EHL QBB69 The Queensland Bone Bank $2,124.00 Tendon - Gracilis QBB59 The Queensland Bone Bank $2,124.00 Tendon - Patellar QBB48 The Queensland Bone Bank $2,271.00 Page 12 of 15

Tendon - Patellar Hemi QBB63 The Queensland Bone Bank $1,735.00 Tendon - Patellar split with bone plugs PBT02 Perth Bone and Tissue Bank $2,500.00 Tendon - Patellar with bone plugs NBB33 New South Wales Bone Bank $2,778.00 TBV42 Donor Tissue Bank of Victoria $2,578.00 Tendon - Patellar with machined conical bone plug NBB68 New South Wales Bone Bank $3,425.00 Tendon - Patellar with Quads NBB72 New South Wales Bone Bank $2,826.00 Tendon - Peroneus Longus NBB73 New South Wales Bone Bank $2,826.00 Tendon - Semi tendinosis NBB70 New South Wales Bone Bank $2,827.00 QBB70 The Queensland Bone Bank $2,124.00 Tendon - Single (ant and post tibilias, FDL, EDL, hamstring, gracilis) PBT46 Perth Bone and Tissue Bank $2,800.00 Tendon - Tibialis Anterior NBB67 New South Wales Bone Bank $2,826.00 QBB58 The Queensland Bone Bank $2,124.00 TBV57 Donor Tissue Bank of Victoria $2,509.00 Tendon - Tibialis Posterior NBB71 New South Wales Bone Bank $2,826.00 QBB57 The Queensland Bone Bank $2,124.00 Tibia - Condyles only TBV47 Donor Tissue Bank of Victoria $2,030.00 Tibia - Distal MVS17 Institute of Medical & Veterinary Science T/A South Australian Tissue Bank QBB51 The Queensland Bone Bank $2,091.00 TBV48 Donor Tissue Bank of Victoria $2,612.00 Tibia - Plateau (prox 1/3) Page 13 of 15

NBB35 New South Wales Bone Bank $3,258.00 Tibia - Proximal NBB36 New South Wales Bone Bank $3,301.00 PBT45 Perth Bone and Tissue Bank $2,635.00 QBB54 The Queensland Bone Bank $2,614.00 Tibia - Proximal 16-25cm TBV45 Donor Tissue Bank of Victoria $2,941.00 Tibia - Proximal 7-15cm TBV44 Donor Tissue Bank of Victoria $3,047.00 Tibia - Proximal half MVS11 Institute of Medical & Veterinary Science T/A South Australian Tissue Bank Tibia Proximal third AUB06 Australian Biotechnologies $2,562.00 Tibia - Proximal with Patella QBB08 The Queensland Bone Bank $3,094.00 Tibia - Proximal with Patella & Tendon PBT44 Perth Bone and Tissue Bank $5,000.00 Tibia - Proximal with Patellar Tendon NBB46 New South Wales Bone Bank $5,158.00 Tibia - Ring NBB45 New South Wales Bone Bank $1,874.00 Tibia - Whole MVS16 Institute of Medical & Veterinary Science T/A South Australian Tissue Bank NBB37 New South Wales Bone Bank $5,260.00 QBB55 The Queensland Bone Bank $4,694.00 Tibia - Whole with Patella QBB64 The Queensland Bone Bank $4,717.00 Tibia - Whole with Patellar Tendon NBB44 New South Wales Bone Bank $7,059.00 Tibia Shaft QBB53 The Queensland Bone Bank $1,096.00 Tibial Shaft Page 14 of 15

NBB41 New South Wales Bone Bank $4,849.00 Tibial Shaft - half NBB43 New South Wales Bone Bank $3,170.00 Tibial Shaft - third NBB42 New South Wales Bone Bank $3,423.00 Tibial Shaft Freeze Dried QBB02 The Queensland Bone Bank $964.00 Tri Cortical Osteotomy NBB66 New South Wales Bone Bank $1,563.00 Ulna MVS15 Institute of Medical & Veterinary Science T/A South Australian Tissue Bank NBB07 New South Wales Bone Bank $3,606.00 PBT14 Perth Bone and Tissue Bank $1,500.00 QBB16 The Queensland Bone Bank $2,495.00 TBV20 Donor Tissue Bank of Victoria $3,396.00 Ulna - Ring NBB40 New South Wales Bone Bank $2,399.00 Ulna - Shaft NBB38 New South Wales Bone Bank $3,170.00 Grand Total: 286 Records Page 15 of 15