Prosthetic and orthotic fees
Effective 1 July 2026
2026/27 rates
| Service Description | TAC Item Number | Maximum Payment Rate |
|---|---|---|
| Initial Consultation | PR600 | $76.15 |
| Initial Consultation (Telehealth) | PR600T | $76.15 |
| Standard Consultation | PR602 | $60.93 |
| Standard Consultation (Telehealth) | PR602T | $60.93 |
| Long Consultation | PR604 | $91.06 |
| Long Consultation (Telehealth) | PR604T | $91.06 |
| Prolonged Consultation | PR606 | $121.68 |
| Prolonged Consultation (Telehealth) | PR606T | $121.68 |
| Manufacture | ||
| Time to manufacture (per hour) (Greater than 1 hour should be charged pro-rata at hourly rate) | PR608 | $132.16 |
| Purchase of Standard Products / Equipment Standard products require the prior approval of the TAC and are payable at cost. | ||
| Details of the products must be included on the invoice for payment. | PR610 | As approved |
| Major Repair (Prosthesis) | PR614 | As approved |
| Total cost of consumables and materials only. Consultation and/or manufacturing time to be billed separately under corresponding item numbers. | ||
| New prostheses or change of prescription. (Total cost of consumables and materials only. Consultation and/or manufacturing time to be billed separately under corresponding item numbers) | PR612 | As approved |
| Prosthetic Management Review Form - lower extremity or upper extremity. (Total cost for completion of Form) | PR618* | $67.19 |
| Standard Consultation - up to 30 minutes Long Consultation - >30 minutes < 45 minutes Prolonged Consultation - >45 minutes <60 minutes | ||
2025/26 rates
| Service Description | TAC Item Number | Maximum Payment Rate |
|---|---|---|
| Initial Consultation | PR600 | $73.81 |
| Initial Consultation (Telehealth) | PR600T | $73.81 |
| Standard Consultation | PR602 | $59.06 |
| Standard Consultation (Telehealth) | PR602T | $59.06 |
| Long Consultation | PR604 | $88.27 |
| Long Consultation (Telehealth) | PR604T | $88.27 |
| Prolonged Consultation | PR606 | $117.95 |
| Prolonged Consultation (Telehealth) | PR606T | $117.95 |
| Manufacture | ||
| Time to manufacture (per hour) (Greater than 1 hour should be charged pro-rata at hourly rate) | PR608 | $128.11 |
| Purchase of Standard Products / Equipment Standard products require the prior approval of the TAC and are payable at cost. | ||
| Details of the products must be included on the invoice for payment. | PR610 | As approved |
| Major Repair (Prosthesis) | PR614 | As approved |
| Total cost of consumables and materials only. Consultation and/or manufacturing time to be billed separately under corresponding item numbers. | ||
| New prostheses or change of prescription. (Total cost of consumables and materials only. Consultation and/or manufacturing time to be billed separately under corresponding item numbers) | PR612 | As approved |
| Prosthetic Management Review Form - lower extremity or upper extremity. (Total cost for completion of Form) | PR618* | $65.13 |
| Standard Consultation - up to 30 minutes Long Consultation - >30 minutes < 45 minutes Prolonged Consultation - >45 minutes <60 minutes | ||
2026/27 rates
| Service Description | TAC Item Number | Maximum Payment Rate |
|---|---|---|
| Initial Consultation | PR600 | $76.15 |
| Initial Consultation (Telehealth) | PR600T | $76.15 |
| Standard Consultation | PR602 | $60.93 |
| Standard Consultation (Telehealth) | PR602T | $60.93 |
| Long Consultation | PR604 | $91.06 |
| Long Consultation (Telehealth) | PR604T | $91.06 |
| Prolonged Consultation | PR606 | $121.68 |
| Prolonged Consultation (Telehealth) | PR606T | $121.68 |
| Manufacture | ||
| Time to manufacture (per hour) (Greater than 1 hour should be charged pro-rata at hourly rate) | PR608 | $132.16 |
| Purchase of Standard Products / Equipment Standard products require the prior approval of the TAC and are payable at cost. | ||
| Details of the products must be included on the invoice for payment. | PR610 | As approved |
| Major Repair (Prosthesis) | PR614 | As approved |
| Total cost of consumables and materials only. Consultation and/or manufacturing time to be billed separately under corresponding item numbers. | ||
| New prostheses or change of prescription. (Total cost of consumables and materials only. Consultation and/or manufacturing time to be billed separately under corresponding item numbers) | PR612 | As approved |
| Prosthetic Management Review Form - lower extremity or upper extremity. (Total cost for completion of Form) | PR618* | $67.19 |
| Standard Consultation - up to 30 minutes Long Consultation - >30 minutes < 45 minutes Prolonged Consultation - >45 minutes <60 minutes | ||
2025/26 rates
| Service Description | TAC Item Number | Maximum Payment Rate |
|---|---|---|
| Initial Consultation | PR600 | $73.81 |
| Initial Consultation (Telehealth) | PR600T | $73.81 |
| Standard Consultation | PR602 | $59.06 |
| Standard Consultation (Telehealth) | PR602T | $59.06 |
| Long Consultation | PR604 | $88.27 |
| Long Consultation (Telehealth) | PR604T | $88.27 |
| Prolonged Consultation | PR606 | $117.95 |
| Prolonged Consultation (Telehealth) | PR606T | $117.95 |
| Manufacture | ||
| Time to manufacture (per hour) (Greater than 1 hour should be charged pro-rata at hourly rate) | PR608 | $128.11 |
| Purchase of Standard Products / Equipment Standard products require the prior approval of the TAC and are payable at cost. | ||
| Details of the products must be included on the invoice for payment. | PR610 | As approved |
| Major Repair (Prosthesis) | PR614 | As approved |
| Total cost of consumables and materials only. Consultation and/or manufacturing time to be billed separately under corresponding item numbers. | ||
| New prostheses or change of prescription. (Total cost of consumables and materials only. Consultation and/or manufacturing time to be billed separately under corresponding item numbers) | PR612 | As approved |
| Prosthetic Management Review Form - lower extremity or upper extremity. (Total cost for completion of Form) | PR618* | $65.13 |
| Standard Consultation - up to 30 minutes Long Consultation - >30 minutes < 45 minutes Prolonged Consultation - >45 minutes <60 minutes | ||
