S.No. | Orthopedic knee Implant system | Component | Feature/Material of the knee implant | Units (In Number) | Ceiling Price (In Rs.) | Ceiling Price (In Rs.) incl.GST |
PRIMARY | ||||||
| 1. | Primary knee replacement system | Femoral component by whatsoever name/specification | Titanium alloy (all variants) coated | 1 | 38,740 | 40,677 |
| 2. | Primary knee replacement system | Femoral component by whatsoever name/specification | Oxidized zirconium (OxZr) alloy (all variants) | 1 | 38,740 | 40,677 |
| 3 | Primary knee replacement system | Femoral component by whatsoever name/specification | Hi-flex | 1 | 25,860 | 27,153 |
| 4 | Primary Knee replacement system | Femoral component by whatsoever name/specification | Cobalt chromium (CoCr) alloy (all variants)& other than at serial no 1,2 and 3 | 1 | 24,090 | 25,295 |
| 5 | Primary knee replacement system | Tibial component or Tibial tray by whatsoever name/specification | Titanium alloy (& it’s all variants) coated | 1 | 24,280 | 25,494 |
| 6 | Primary knee replacement system | Tibial component or Tibial tray by whatsoever name/specification | Oxidized zirconium (OxZr) alloy | 1 | 24,280 | 25,494 |
| 7 | Primary knee replacement system | Tibial component or Tibial tray by whatsoever name/specification | Cobalt chromium (CoCr) alloy & other than at Serial no 5 and 6 | 1 | 16,990 | 17,840 |
| 8 | Primary knee replacement system | Articulating surface or Insert by whatsoever name/specification | Any Material | 1 | 9,550 | 10,028 |
| 9 | Primary knee replacement system | Patella by whatsoever name/specification | Any Material | 1 | 4,090 | 4,295 |
| 10 | Primary knee replacement system | Component having Tibial tray and Insert combined as single unit by whatsoever name/specification | Polyethylene or crosslinked polyethylene or highly crosslinked polyethylene or any other material | 1 | 12,960 | 13,608 |
| 11 | Primary knee replacement system | Components having Tibial Tray and Insert combined as single unit by whatsoever name called | Tibial: Metallic Insert: Polyethylene or Polyethylene or Cross- linked polyethylene or highly cross-linked Polyethylene or any other material | 1 | 26,546 | 27,873 |
REVISION | ||||||
| 12 | Revision Knee Replacement system | Femoral Component by whatsoever name/specification | Any material | 1 | 62,770 | 65,909 |
| 13 | Revision Knee Replacement system | Tibial component or Tibial Tray by whatsoever name/specification | Any material | 1 | 31,220 | 32,781 |
| 14 | Revision Knee Replacement system | Articulating surface or Insert by whatsoever name/specification | Any material | 1 | 15,870 | 16,664 |
| 15 | Revision Knee Replacement system | Patella by whatsoever name/specification | Any material | 1 | 4,090 | 4,295 |
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