S.No.

Orthopedic knee Implant systemComponentFeature/Material of the knee implantUnits (In
Number)
Ceiling Price (In Rs.)Ceiling Price (In Rs.) incl.GST
PRIMARY
1.Primary knee replacement systemFemoral component by whatsoever name/specificationTitanium alloy (all variants) coated138,74040,677
2.Primary knee replacement systemFemoral component by whatsoever name/specificationOxidized zirconium (OxZr) alloy (all variants)138,74040,677
3Primary knee replacement systemFemoral component by whatsoever name/specificationHi-flex125,86027,153
4Primary Knee replacement systemFemoral component by whatsoever name/specificationCobalt chromium (CoCr) alloy (all variants)& other than at serial no 1,2 and 3124,09025,295
5Primary knee replacement systemTibial component or Tibial tray by whatsoever name/specificationTitanium alloy (& it’s all variants) coated124,28025,494
6Primary knee replacement systemTibial component or Tibial tray by whatsoever name/specificationOxidized zirconium (OxZr) alloy124,28025,494
7Primary knee replacement systemTibial component or Tibial tray by whatsoever name/specificationCobalt chromium (CoCr) alloy & other than at Serial no 5 and 6116,99017,840
8Primary knee replacement systemArticulating surface or Insert by whatsoever name/specificationAny Material19,55010,028
9Primary knee replacement systemPatella by whatsoever name/specificationAny Material14,0904,295
10Primary knee replacement systemComponent having Tibial tray and Insert combined as single unit by whatsoever name/specificationPolyethylene or crosslinked polyethylene or highly crosslinked polyethylene or any other material112,96013,608
11Primary knee replacement systemComponents having Tibial Tray and Insert combined as single unit by whatsoever name calledTibial: Metallic
Insert: Polyethylene or Polyethylene or Cross- linked polyethylene or highly cross-linked Polyethylene or any other material
126,54627,873
REVISION
12Revision Knee Replacement systemFemoral Component by whatsoever name/specificationAny material162,77065,909
13Revision Knee Replacement systemTibial component or Tibial Tray by whatsoever name/specificationAny material131,22032,781
14Revision Knee Replacement systemArticulating surface or Insert by whatsoever name/specificationAny material115,87016,664
15Revision Knee Replacement systemPatella by whatsoever name/specificationAny material14,0904,295

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