| PRIMARY ORTHOPEDIC KNEE REPLACEMENT SYSTEM | | | | |
| 1 | Femoral component by whatsoever name/ specification | Titanium alloy (all variants) coated | 1 | ₹38,740 |
| 2 | Femoral component by whatsoever name/ specification | Oxidized zirconium (OxZr) alloy (all variants) | 1 | ₹38,740 |
| 3 | Femoral component by whatsoever name/ specification | Hi-flex | 1 | ₹25,860 |
| 4 | Femoral component by whatsoever name/ specification | Femoral component by whatsoever name/ specification | 1 | ₹24,090 |
| 5 | Tibial component or Tibial tray by whatsoever name/ specification | Titanium alloy (& it’s all variants) coated | 1 | ₹24,280 |
| 6 | Tibial component or Tibial tray by whatsoever name/ specification | Oxidized zirconium (OxZr) alloy | 1 | ₹24,280 |
| 7 | Tibial component or Tibial tray by whatsoever name/ specification | Cobalt chromium (CoCr) alloy & other than at Serial no 5 and 6 | 1 | ₹16,990 |
| 8 | Articulating surface or Insert by whatsoever name/ specification | Any Material | 1 | ₹9,550 |
| 9 | Patella by whatsoever name/specification | Any Material | 1 | ₹4,090 |
| 10 | Component having Tibial tray and Insert combined as single unit by whatsoever name/specification | Polyethylene or cross linked polyethylene or highly cross linked polyethylene or any other material | 1 | ₹12,960 |
| 11 | Components having Tibial Tray and Insert combined as single unit by whatsoever name called | Tibial: Metallic | 1 | ₹26,546 |
| | Insert: Polyethylene or Cross- linked polyethylene or highly cross-linked Polyethylene or any other material | | |
| REVISION ORTHOPEDIC KNEE REPLACEMENT SYSTEM | | | | |
| 12 | Femoral Component by whatsoever name/ specification | Any material | 1 | ₹62,770 |
| 13 | Tibial component or Tibial Tray by whatsoever name/ specification | Any material | 1 | ₹31,220 |
| 14 | Articulating surface or Insert by whatsoever name/ specification | Any material | 1 | ₹15,870 |
| 15 | Patella by whatsoever name/ specification | Any material | 1 | ₹4,090 |