PART B - Human Tissue ListDecember 2007
CARDIO-THORACIC
Billing CodeFacilityMinimum BenefitMaximum Benefit
Aortic Valved Conduit Patch
QHV09The Prince Charles Hospital - Queensland Heart Valve Bank$4,706.00
Arterial Graft/Conduit
SHV03Sydney Heart Valve Bank, St. Vincent's Hospital$987.00
Heart Valve - Aortic
QHV01The Prince Charles Hospital - Queensland Heart Valve Bank$4,706.00
RPH01Royal Perth Hospital T/A Heart Valve Bank$3,833.00
SHV01Sydney Heart Valve Bank, St. Vincent's Hospital$5,350.00
TBV01Donor Tissue Bank of Victoria$5,923.00
Heart Valve - Pulmonary
QHV02The Prince Charles Hospital - Queensland Heart Valve Bank$4,706.00
RPH02Royal Perth Hospital T/A Heart Valve Bank$3,833.00
SHV02Sydney Heart Valve Bank, St. Vincent's Hospital$5,350.00
TBV02Donor Tissue Bank of Victoria$5,923.00
Mitral Valve Patch
QHV03The Prince Charles Hospital - Queensland Heart Valve Bank$985.00
Pericardium
TBV50Donor Tissue Bank of Victoria$440.00
Pericardium Patch
QHV05The Prince Charles Hospital - Queensland Heart Valve Bank$985.00
Pulmonary Conduit
TBV03Donor Tissue Bank of Victoria$909.00
Pulmonary Conduit - Large
QHV07The Prince Charles Hospital - Queensland Heart Valve Bank$985.00
Pulmonary Conduit - Small
QHV06The Prince Charles Hospital - Queensland Heart Valve Bank$985.00
Pulmonary Valved Conduit For Patch use
QHV08The Prince Charles Hospital - Queensland Heart Valve Bank$4,706.00
Page 1 of 15
CARDIO-THORACIC
Billing CodeFacilityMinimum BenefitMaximum Benefit
Tricuspid Valve Patch
QHV04The Prince Charles Hospital - Queensland Heart Valve Bank$985.00
Amnion Corneal Graft
AUB01Australian Biotechnologies$800.00
Cornea
LEM01Lions Eye Donation Service$1,747.00
LEN01Lions Eye Bank of NSW, Sydney Hospital$1,000.00
LEW01Lions Eye Bank of Western Australia$2,000.00
QEB01Queensland Eye Bank$1,345.00
SAE01The Eye Bank of South Australia$840.00
TBV04Donor Tissue Bank of Victoria$800.00
Cornea For Lamellar
LEN03Lions Eye Bank of NSW, Sydney Hospital$600.00
Cornea for Sclera
LEM02Lions Eye Donation Service$150.00
LEN02Lions Eye Bank of NSW, Sydney Hospital$150.00
SAE02The Eye Bank of South Australia$60.00
Human Amniotic Membrane for Transplantation
LEM03Lions Eye Donation Service$770.00
SCLERA
LEW02Lions Eye Bank of Western Australia$200.00
QEB02Queensland Eye Bank$230.00
Achilles Tendon
NBB01New South Wales Bone Bank$1,560.00
PBT01Perth Bone and Tissue Bank$2,000.00
QBB01The Queensland Bone Bank$1,745.00
TBV05Donor Tissue Bank of Victoria$904.00
Achilles Tendon - Machined Conical Bone Plug
NBB69New South Wales Bone Bank$2,425.00
Achilles Tendon with Bone Plug
NBB02New South Wales Bone Bank$1,995.00
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ORTHOPAEDIC
Billing CodeFacilityMinimum BenefitMaximum Benefit
TBV06Donor Tissue Bank of Victoria$1,841.00
Anterior Cruciate Ligament Unit
PBT02Perth Bone and Tissue Bank$1,700.00
Anterior Tibialis Tendon
NBB67New South Wales Bone Bank$2,000.00
Autologous Chondrocyte Transplantation
MTE01Mercy Tissue Engineering Pty Ltd$9,996.00
MTE03Mercy Tissue Engineering Pty Ltd$11,349.00
MVS22Institute of Medical & Veterinary Science T/A South Australian Tissue Bank$9,538.00
VAP01Verigen Australia Pty Ltd$9,556.00
Autologous Chondrocytes
MTE02Mercy Tissue Engineering Pty Ltd$2,509.00
VAP03Verigen Australia Pty Ltd$2,593.00
Autologous Chondrocytes Implant and Matrix
ORT01Orthogen Australia Pty Ltd$11,400.00
Autologous Skull Flap
MVS23Institute of Medical & Veterinary Science T/A South Australian Tissue Bank$1,396.00
Bone - Chips/cubes 40cc
TBV09Donor Tissue Bank of Victoria$874.00
Bone - Chips/cubes 80cc
TBV10Donor Tissue Bank of Victoria$1,663.00
Bone Plug/Dowel - Cancellous
PBT03Perth Bone and Tissue Bank$500.00
TBV07Donor Tissue Bank of Victoria$610.00
Bone Plug/Dowel - Tricortical
TBV08Donor Tissue Bank of Victoria$673.00
Cancellous Bone Matrix (CBM) - 40cc
TBV52Victorian Institute of Forensic Medicine$556.00
Cancellous Bone Matrix (CBM) - 80cc
TBV53Victorian Institute of Forensic Medicine$1,110.00
Cancellous Crunch - 15cc
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ORTHOPAEDIC
Billing CodeFacilityMinimum BenefitMaximum Benefit
NBB62New South Wales Bone Bank$835.00
Cancellous Crunch - 30cc
NBB61New South Wales Bone Bank$1,523.00
Cancellous Crunch - 60cc
NBB60New South Wales Bone Bank$2,310.00
Cartilage (costal) segments
PBT11Perth Bone and Tissue Bank$300.00
QBB12The Queensland Bone Bank$200.00
TBV17Donor Tissue Bank of Victoria$350.00
Cortical Struts (Freeze Dried) 1 strut
QBB02The Queensland Bone Bank$600.00
Cortical Struts (1 strut)
TBV14Donor Tissue Bank of Victoria$685.00
Cortical Struts (2 struts)
TBV13Donor Tissue Bank of Victoria$1,370.00
Cortical Struts 10-15cm
PBT06Perth Bone and Tissue Bank$1,550.00
Cortical Struts>15 - 20cm
PBT07Perth Bone and Tissue Bank$1,950.00
Cortical struts>20cm
PBT48Perth Bone and Tissue Bank$2,200.00
Cortico - Cancellous Freeze Dried 20g
QBB03The Queensland Bone Bank$1,925.00
Cortico-Cancellous Crunch (40/60) - 15cc
NBB65New South Wales Bone Bank$835.00
Cortico-Cancellous Crunch (40/60) - 30cc
NBB64New South Wales Bone Bank$1,523.00
Cortico-Cancellous Crunch (40/60) - 60cc
NBB63New South Wales Bone Bank$2,310.00
Demineralised Bone Matrix - 10g
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ORTHOPAEDIC
Billing CodeFacilityMinimum BenefitMaximum Benefit
TBV55Donor Tissue Bank of Victoria$960.00
Demineralised Bone Matrix - 5g
TBV54Donor Tissue Bank of Victoria$480.00
Disc - Freeze Dried
QBB04The Queensland Bone Bank$650.00
Dowel Plug
NBB05New South Wales Bone Bank$1,080.00
QBB13The Queensland Bone Bank$1,188.00
Elbow - joint
QBB14The Queensland Bone Bank$2,100.00
TBV18Donor Tissue Bank of Victoria$4,710.00
Fascia Lata
TBV21Donor Tissue Bank of Victoria$724.00
Fascia Lata - Large (15cm x 10cm)
PBT15Perth Bone and Tissue Bank$1,400.00
Fascia Lata - Small (>10cm x >5cm)
NBB09New South Wales Bone Bank$840.00
Fascia Lata - Small (10cm x 5cm)
PBT16Perth Bone and Tissue Bank$800.00
Fascia Lata (per sq cm)
NBB08New South Wales Bone Bank$4.00
QBB11The Queensland Bone Bank$5.00
Femoral Condyle
PBT21Perth Bone and Tissue Bank$1,900.00
Femoral Head
ACT01ACT Bone Bank$1,638.00
APH01The Avenue Private Hospital Bone Bank$1,131.00
CSA01Rachel Forster Bone Bank$802.00
DHR01Barwon Health$1,060.00
HBB01The Hobart Private Hospital Bone Bank$1,400.00
LPH01Lingard Private Hospital Bone Bank$1,103.00
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ORTHOPAEDIC
Billing CodeFacilityMinimum BenefitMaximum Benefit
MMH01Mater Misericordiae Hospital Bone Bank Theatres$400.00
MVS05Institute of Medical & Veterinary Science T/A South Australian Tissue Bank$1,595.00
NBB16New South Wales Bone Bank$1,750.00
PBT22Perth Bone and Tissue Bank$1,900.00
QBB27The Queensland Bone Bank$1,960.00
RNB01Hunter New England Bone Bank$1,780.00
SVN01Mater Hospital$731.00
TBV26Donor Tissue Bank of Victoria$2,113.00
Femoral Head - Half (Freeze Dried)
QBB29The Queensland Bone Bank$500.00
Femoral Head - Whole (Freeze Dried)
QBB28The Queensland Bone Bank$800.00
Femoral Rings
NBB17New South Wales Bone Bank$1,470.00
PBT24Perth Bone and Tissue Bank$1,400.00
QBB30The Queensland Bone Bank$1,445.00
Femoral Rings - (Freeze Dried)
QBB31The Queensland Bone Bank$650.00
Femur - Cortical Portions < 15cm
QBB17The Queensland Bone Bank$1,716.00
Femur - Cortical Portions > 15cm
QBB19The Queensland Bone Bank$1,606.00
Femur - Distal (Shaft & Condyles)
MVS02Institute of Medical & Veterinary Science T/A South Australian Tissue Bank$2,290.00
PBT17Perth Bone and Tissue Bank$2,900.00
TBV22Donor Tissue Bank of Victoria$3,460.00
Femur - Distal Half
NBB10New South Wales Bone Bank$2,555.00
Femur - Distal half > 15cm
QBB20The Queensland Bone Bank$2,555.00
Femur - Distal third
Page 6 of 15
ORTHOPAEDIC
Billing CodeFacilityMinimum BenefitMaximum Benefit
NBB11New South Wales Bone Bank$2,270.00
Femur - Distal third < 15cm
QBB21The Queensland Bone Bank$2,456.00
Femur - Entire
MVS03Institute of Medical & Veterinary Science T/A South Australian Tissue Bank$2,290.00
NBB12New South Wales Bone Bank$5,816.00
PBT18Perth Bone and Tissue Bank$4,900.00
QBB22The Queensland Bone Bank$3,870.00
TBV23Donor Tissue Bank of Victoria$5,794.00
Femur - Hemicondyle
NBB59New South Wales Bone Bank$2,100.00
Femur - Middle third
NBB13New South Wales Bone Bank$2,250.00
QBB23The Queensland Bone Bank$2,050.00
TBV24Donor Tissue Bank of Victoria$1,887.00
Femur - Proximal (shaft, trochanter, neck)
MVS04Institute of Medical & Veterinary Science T/A South Australian Tissue Bank$2,290.00
PBT20Perth Bone and Tissue Bank$2,900.00
Femur - Proximal half
NBB15New South Wales Bone Bank$2,755.00
Femur - Proximal half > 15cm
QBB25The Queensland Bone Bank$2,755.00
Femur - Proximal third
NBB14New South Wales Bone Bank$1,196.00
Femur - Proximal third < 15cm
QBB24The Queensland Bone Bank$2,305.00
Femur - Proximal with femoral head
TBV51Donor Tissue Bank of Victoria$3,332.00
Femur - Proximal without femoral head
TBV25Donor Tissue Bank of Victoria$3,434.00
Femur - Segment
Page 7 of 15
ORTHOPAEDIC
Billing CodeFacilityMinimum BenefitMaximum Benefit
NBB56New South Wales Bone Bank$1,500.00
Femur - Shaft Half
NBB57New South Wales Bone Bank$2,310.00
Femur - Shaft Third
NBB55New South Wales Bone Bank$1,500.00
Femur - Trochanter Milled
QBB26The Queensland Bone Bank$800.00
Femur- 1 Condyle only
TBV46Donor Tissue Bank of Victoria$1,065.00
Fibula - Entire
MVS07Institute of Medical & Veterinary Science T/A South Australian Tissue Bank$2,290.00
NBB18New South Wales Bone Bank$3,200.00
PBT25Perth Bone and Tissue Bank$2,100.00
QBB32The Queensland Bone Bank$2,405.00
TBV27Donor Tissue Bank of Victoria$6,041.00
Fibula - Segment
NBB54New South Wales Bone Bank$1,925.00
Fibula - Segment (12cm)
MVS14Institute of Medical & Veterinary Science T/A South Australian Tissue Bank$2,290.00
NBB20New South Wales Bone Bank$1,881.00
TBV29Donor Tissue Bank of Victoria$932.00
Fibula - Segment (6cm)
MVS13Institute of Medical & Veterinary Science T/A South Australian Tissue Bank$2,290.00
NBB19New South Wales Bone Bank$1,300.00
TBV28Donor Tissue Bank of Victoria$610.00
Fibula - Shaft
TBV30Donor Tissue Bank of Victoria$1,968.00
Fibula segment (prox / distal)
PBT28Perth Bone and Tissue Bank$1,200.00
Fibular Strut < 10cm:
QBB06The Queensland Bone Bank$1,331.00
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ORTHOPAEDIC
Billing CodeFacilityMinimum BenefitMaximum Benefit
Fibular Strut > 10cm:
QBB07The Queensland Bone Bank$1,469.00
Freeze Dried Milled Bone <30gm
PBT37Perth Bone and Tissue Bank$750.00
Freeze Dried Milled Bone 30 - 50gm
PBT38Perth Bone and Tissue Bank$900.00
Freeze-dried Cancellous Cubes (6)
QBB09The Queensland Bone Bank$1,469.00
Freeze-Dried Cancellous Strips (2)
QBB10The Queensland Bone Bank$650.00
Hemipelvis - Acetabulum
NBB21New South Wales Bone Bank$2,696.00
PBT29Perth Bone and Tissue Bank$2,400.00
QBB33The Queensland Bone Bank$2,505.00
TBV31Donor Tissue Bank of Victoria$2,686.00
Hemipelvis - Complete
MVS08Institute of Medical & Veterinary Science T/A South Australian Tissue Bank$2,290.00
NBB24New South Wales Bone Bank$6,116.00
PBT30Perth Bone and Tissue Bank$4,500.00
QBB37The Queensland Bone Bank$3,870.00
TBV32Donor Tissue Bank of Victoria$6,093.00
Hemipelvis - IIliac crest
NBB22New South Wales Bone Bank$2,321.00
PBT31Perth Bone and Tissue Bank$1,100.00
QBB34The Queensland Bone Bank$2,245.00
TBV33Donor Tissue Bank of Victoria$2,428.00
Hemipelvis - Tricortical Iliac Wedge
QBB35The Queensland Bone Bank$1,106.00
Hemipelvis - Tricortical Iliac Wedge (Freeze Dried
QBB36The Queensland Bone Bank$700.00
Hemipelvis -Tricortical iliac wedge
Page 9 of 15
ORTHOPAEDIC
Billing CodeFacilityMinimum BenefitMaximum Benefit
NBB23New South Wales Bone Bank$1,005.00
PBT32Perth Bone and Tissue Bank$600.00
TBV34Donor Tissue Bank of Victoria$920.00
Humeral Head
QBB44The Queensland Bone Bank$1,485.00
TBV37Donor Tissue Bank of Victoria$1,484.00
Humeral Head Addition
NBB26New South Wales Bone Bank$1,419.00
Humerus - Cortical portions/blocks < 10cm
QBB38The Queensland Bone Bank$1,221.00
Humerus - Cortical portions/blocks > 10cm
QBB39The Queensland Bone Bank$1,463.00
Humerus - Distal
MVS19Institute of Medical & Veterinary Science T/A South Australian Tissue Bank$2,290.00
TBV49Donor Tissue Bank of Victoria$1,979.00
Humerus - Distal half
NBB25New South Wales Bone Bank$1,200.00
Humerus - Entire
MVS20Institute of Medical & Veterinary Science T/A South Australian Tissue Bank$2,290.00
NBB29New South Wales Bone Bank$2,828.00
QBB43The Queensland Bone Bank$2,755.00
Humerus - Proximal half
NBB27New South Wales Bone Bank$1,658.00
QBB40The Queensland Bone Bank$1,445.00
Humerus - Proximal half with rotator cuff
NBB28New South Wales Bone Bank$2,500.00
QBB41The Queensland Bone Bank$2,430.00
Humerus - Proximal with rotator cuff
MVS09Institute of Medical & Veterinary Science T/A South Australian Tissue Bank$2,290.00
PBT34Perth Bone and Tissue Bank$2,500.00
TBV35Donor Tissue Bank of Victoria$2,336.00
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ORTHOPAEDIC
Billing CodeFacilityMinimum BenefitMaximum Benefit
Humerus - Proximal w'out rotator cuff
PBT35Perth Bone and Tissue Bank$1,100.00
QBB42The Queensland Bone Bank$1,445.00
TBV36Donor Tissue Bank of Victoria$2,485.00
Humerus - Ring
NBB53New South Wales Bone Bank$1,300.00
Humerus - Segment
NBB52New South Wales Bone Bank$1,400.00
Humerus - Shaft Half
NBB51New South Wales Bone Bank$1,500.00
Humerus - Shaft Whole
NBB50New South Wales Bone Bank$2,750.00
Humerus - Whole
PBT33Perth Bone and Tissue Bank$3,000.00
Humerus - Whole with rotator cuff
NBB30New South Wales Bone Bank$2,941.00
Medial Ligament
NBB31New South Wales Bone Bank$1,529.00
TBV38Donor Tissue Bank of Victoria$1,599.00
Meniscal Graft
PBT47Perth Bone and Tissue Bank$1,800.00
Meniscus
QBB05The Queensland Bone Bank$1,276.00
Meniscus with Ligaments
TBV39Donor Tissue Bank of Victoria$1,927.00
Meniscus without Ligaments
TBV40Donor Tissue Bank of Victoria$1,046.00
Milled Bone - 15cc
NBB58New South Wales Bone Bank$756.00
Milled Bone - 30g
Page 11 of 15
ORTHOPAEDIC
Billing CodeFacilityMinimum BenefitMaximum Benefit
NBB03New South Wales Bone Bank$1,103.00
Milled Bone - 40cc
TBV11Donor Tissue Bank of Victoria$1,046.00
Milled Bone - 60cc
QBB45The Queensland Bone Bank$1,843.00
Milled Bone - 60g
NBB04New South Wales Bone Bank$1,759.00
Milled Bone - 60g max
QBB46The Queensland Bone Bank$1,200.00
Milled Bone - 80cc
TBV12Donor Tissue Bank of Victoria$1,870.00
Milled Bone <30g
PBT08Perth Bone and Tissue Bank$1,600.00
Milled Bone >50g
PBT10Perth Bone and Tissue Bank$2,350.00
Milled Bone 30 - 50g
PBT09Perth Bone and Tissue Bank$2,050.00
Patella
NBB32New South Wales Bone Bank$875.00
QBB47The Queensland Bone Bank$750.00
TBV41Donor Tissue Bank of Victoria$915.00
Patella tendon
QBB48The Queensland Bone Bank$1,900.00
Patella Tendon - Machined Conical Bone Plug
NBB68New South Wales Bone Bank$1,925.00
Patella Tendon and Patella
TBV42Donor Tissue Bank of Victoria$1,927.00
Patella tendon with Bone Plugs
NBB33New South Wales Bone Bank$1,425.00
Patellar unit whole with tibial block
Page 12 of 15
ORTHOPAEDIC
Billing CodeFacilityMinimum BenefitMaximum Benefit
PBT40Perth Bone and Tissue Bank$2,100.00
Primary MACI plus 1/2
VAP02Verigen Australia Pty Ltd$10,891.00
Radius
MVS18Institute of Medical & Veterinary Science T/A South Australian Tissue Bank$2,290.00
NBB06New South Wales Bone Bank$2,673.00
PBT13Perth Bone and Tissue Bank$1,800.00
QBB15The Queensland Bone Bank$2,050.00
TBV19Donor Tissue Bank of Victoria$2,796.00
Radius - Ring
NBB49New South Wales Bone Bank$1,680.00
Radius - Segment
NBB48New South Wales Bone Bank$1,925.00
Radius - Shaft
NBB47New South Wales Bone Bank$2,750.00
Rib (5cm)
MVS21Institute of Medical & Veterinary Science T/A South Australian Tissue Bank$382.00
PBT41Perth Bone and Tissue Bank$300.00
TBV43Donor Tissue Bank of Victoria$437.00
Scaphoid
QBB49The Queensland Bone Bank$900.00
Semi Tendinosis Tendon
NBB70New South Wales Bone Bank$2,000.00
Shaft - Femur / Tibia Middle third
PBT19Perth Bone and Tissue Bank$2,500.00
Tibia - Condyles only
TBV47Donor Tissue Bank of Victoria$1,491.00
Tibia - Cortical < 15cm
QBB50The Queensland Bone Bank$1,405.00
Tibia - Cortical > 15 cm
QBB51The Queensland Bone Bank$1,716.00
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ORTHOPAEDIC
Billing CodeFacilityMinimum BenefitMaximum Benefit
Tibia - Distal
MVS17Institute of Medical & Veterinary Science T/A South Australian Tissue Bank$2,290.00
TBV48Donor Tissue Bank of Victoria$1,922.00
Tibia - Middle third seg
NBB34New South Wales Bone Bank$1,400.00
QBB53The Queensland Bone Bank$900.00
Tibia - Plateau (prox 1/3)
NBB35New South Wales Bone Bank$2,065.00
Tibia - Proximal third < 15cm
QBB54The Queensland Bone Bank$2,250.00
Tibia - Proximal third with Patella Tendon
QBB08The Queensland Bone Bank$2,555.00
Tibia - Proximal with Patella Tendon
NBB46New South Wales Bone Bank$3,647.00
Tibia - Proximal: without Patella
PBT45Perth Bone and Tissue Bank$2,300.00
Tibia - Proximal: 16-25cm
TBV45Donor Tissue Bank of Victoria$2,215.00
Tibia - Proximal: 7-15cm
TBV44Donor Tissue Bank of Victoria$2,299.00
Tibia - Proximal: half
MVS11Institute of Medical & Veterinary Science T/A South Australian Tissue Bank$2,290.00
NBB36New South Wales Bone Bank$2,290.00
Tibia - Proximal: with Patella & Tendon
PBT44Perth Bone and Tissue Bank$2,900.00
Tibia - Ring
NBB45New South Wales Bone Bank$1,300.00
Tibia - Shaft Half
NBB43New South Wales Bone Bank$2,200.00
Tibia - Shaft Third
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ORTHOPAEDIC
Billing CodeFacilityMinimum BenefitMaximum Benefit
NBB42New South Wales Bone Bank$2,168.00
Tibia - Shaft Whole
NBB41New South Wales Bone Bank$3,163.00
Tibia - Strut
QBB52The Queensland Bone Bank$400.00
Tibia - Whole
MVS16Institute of Medical & Veterinary Science T/A South Australian Tissue Bank$2,290.00
NBB37New South Wales Bone Bank$3,685.00
QBB55The Queensland Bone Bank$3,870.00
Tibia - Whole with Patella Tendon
NBB44New South Wales Bone Bank$5,042.00
Tibialis Tendon
PBT46Perth Bone and Tissue Bank$1,450.00
Tri Cortical Osteotomy
NBB66New South Wales Bone Bank$1,106.00
Ulna
MVS15Institute of Medical & Veterinary Science T/A South Australian Tissue Bank$2,290.00
NBB07New South Wales Bone Bank$2,464.00
PBT14Perth Bone and Tissue Bank$1,500.00
QBB16The Queensland Bone Bank$2,050.00
TBV20Donor Tissue Bank of Victoria$2,577.00
Ulna - Ring
NBB40New South Wales Bone Bank$1,680.00
Ulna - Segment
NBB39New South Wales Bone Bank$1,925.00
Ulna - Shaft
NBB38New South Wales Bone Bank$2,200.00
Grand Total:277 Records
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