Centre fixes price ceiling of Orthopaedic knee implants

Centre fixes price ceiling of Orthopaedic knee implants

As per the GOI circular on price capping of Orthopaedic Knee implant by NPPA (National Pharmaceutical Pricing Authority), new prices of knee implants have been implemented effective 16th August 2017.

Ceiling Prices on Orthopaedic Knee Implant

Ceiling Prices on Primary Knee Implant
Ortho Knee Implant Component Material Ceiling Price without GST Ceiling Price with GST (5%)
Primary Knee Femoral Component Titanium Alloy ₹38,740 ₹40,677
Primary Knee Femoral Component Oxidized Zirconium ₹38,740 ₹40,677
Primary Knee Femoral Component Hi-Flex ₹25,860 ₹27,153
Primary Knee Femoral Component Cobalt Chromium ₹24,090 ₹25,295
Primary Knee Tibial Component Titanium Alloy ₹24,280 ₹25,494
Primary Knee Tibial Component Oxidized Zirconium ₹24,280 ₹25,494
Primary Knee Tibial Component Cobalt Chromium ₹16,990 ₹17,840
Primary Knee Articulating Surface Any Material ₹9,550 ₹10,028
Primary Knee Patella Any Material ₹4,090 ₹4,295
Primary Knee Tibial Tray + Insert Polyethylene or crosslinked polyethylene or high crosslinked polyethylene ₹12,960 ₹13,608
Primary Knee Tibial Tray + Insert Tibial: Metallic Insert: Polyethylene or crosslinked
polyethylene or high crosslinked polyethylene or any other material
₹26,546 ₹27,873
“It is noticed that orthopaedic knee implants are having unjustified, unreasonable and irrational high trade margins leading to their exorbitant prices, which affects the out-of-pocket expenses of patients and lakhs of patients are not able to pay for arthroplasty procedures due to exorbitant prices,” said the NPPA notification.
Ceiling Prices on Revision Knee Implant
Ortho Knee Implant Component Material Ceiling Price without GST Ceiling Price with GST(5%)
Revision Knee Femoral Component Any Material ₹62,770 ₹65,909
Revision Knee Tibial Component Any Material ₹31,220 ₹32,781
Revision Knee Articulating Surface Any Material ₹15,870 ₹16,664
Revision Knee Patella Any Material ₹4,090 ₹4,295

According to Arthritis and Sports Medicine Clinic, a total knee replacement prosthesis has four components:

  1. Femoral component (made of metal), which is fixed to the cut surface of the femur (thigh bone);
  2. Tibial component (made of metallic tray), which is fixed on the cut surface of the tibia (leg bone);
  3. Polyethylene liner (made of plastic), which is interposed between the femoral and tibial component and acts as an articulation; and
  4. Patellar component (made of plastic), which is fixed on the cut surface of the patella (knee cap).
 These components are usually fixed to bone using bone cement (polymethyl methacrylate).

Noting that osteoarthritis is likely to become fourth leading cause of disability by 2020, the price control body said: “The estimated patients who require knee replacement surgeries, both diagnosed and undiagnosed, is about 1.5 to 2 crore, out of which only about 1 lakh-plus well-off patients are in a position to pay for it every year.”

Source: http://www.firstpost.com/india/centre-fixes-price-ceiling-of-knee-implants-nppa-notification-brings-huge-relief-for-patients-3938331.html

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