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药品及医疗服务项目价格查询
项目名称 | 计价单位 | 价格 | 收费依据 | 规格 | 国家医保编码 | 北京医保编码 | 备注 |
---|---|---|---|---|---|---|---|
铂铬合金依维莫司洗脱冠状动脉支架系统波科H7493925108350 | 个 | 846.00 | 京医保2019-9 | 长度:8mm;直径:3.50mm; | C02020200101005113250000005 | C02020200101005113250000005 | |
铂铬合金依维莫司洗脱冠状动脉支架系统波科H7493925112270 | 个 | 846.00 | 京医保2019-9 | 长度:12mm;直径:2.75mm; | C02020200101005113250000009 | C02020200101005113250000009 | |
铂铬合金依维莫司洗脱冠状动脉支架系统波科H7493925112220 | 个 | 846.00 | 京医保2019-9 | 长度:12mm;直径:2.25mm; | C02020200101005113250000007 | C02020200101005113250000007 | |
铂铬合金依维莫司洗脱冠状动脉支架系统波科H7493925112250 | 个 | 846.00 | 京医保2019-9 | 长度:12mm;直径:2.50mm; | C02020200101005113250000008 | C02020200101005113250000008 | |
铂铬合金依维莫司洗脱冠状动脉支架系统波科H7493925112400 | 个 | 846.00 | 京医保2019-9 | 长度:12mm;直径:4.00mm; | C02020200101005113250000012 | C02020200101005113250000012 | |
铂铬合金依维莫司洗脱冠状动脉支架系统波科H7493925112300 | 个 | 846.00 | 京医保2019-9 | 长度:12mm;直径:3.00mm; | C02020200101005113250000010 | C02020200101005113250000010 | |
铂铬合金依维莫司洗脱冠状动脉支架系统波科H7493925116300 | 个 | 846.00 | 京医保2019-9 | 长度:16mm;直径:3.00mm; | C02020200101005113250000016 | C02020200101005113250000016 | |
铂铬合金依维莫司洗脱冠状动脉支架系统波科H7493925112350 | 个 | 846.00 | 京医保2019-9 | 长度:12mm;直径:3.50mm; | C02020200101005113250000011 | C02020200101005113250000011 | |
铂铬合金依维莫司洗脱冠状动脉支架系统波科H7493925116270 | 个 | 846.00 | 京医保2019-9 | 长度:16mm;直径:2.75mm; | C02020200101005113250000015 | C02020200101005113250000015 | |
铂铬合金依维莫司洗脱冠状动脉支架系统波科H7493925116250 | 个 | 846.00 | 京医保2019-9 | 长度:16mm;直径:2.50mm; | C02020200101005113250000014 | C02020200101005113250000014 | |
铂铬合金依维莫司洗脱冠状动脉支架系统波科H7493925116220 | 个 | 846.00 | 京医保2019-9 | 长度:16mm;直径:2.25mm; | C02020200101005113250000013 | C02020200101005113250000013 | |
铂铬合金依维莫司洗脱冠状动脉支架系统波科H7493925116350 | 个 | 846.00 | 京医保2019-9 | 长度:16mm;直径:3.50mm; | C02020200101005113250000017 | C02020200101005113250000017 | |
铂铬合金依维莫司洗脱冠状动脉支架系统波科H7493925116400 | 个 | 846.00 | 京医保2019-9 | 长度:16mm;直径:4.00mm; | C02020200101005113250000018 | C02020200101005113250000018 | |
铂铬合金依维莫司洗脱冠状动脉支架系统波科H7493925120220 | 个 | 846.00 | 京医保2019-9 | 长度:20mm;直径:2.25mm; | C02020200101005113250000019 | C02020200101005113250000019 | |
铂铬合金依维莫司洗脱冠状动脉支架系统波科H7493925120250 | 个 | 846.00 | 京医保2019-9 | 长度:20mm;直径:2.50mm; | C02020200101005113250000020 | C02020200101005113250000020 | |
铂铬合金依维莫司洗脱冠状动脉支架系统波科H7493925120270 | 个 | 846.00 | 京医保2019-9 | 长度:20mm;直径:2.75mm; | C02020200101005113250000021 | C02020200101005113250000021 | |
铂铬合金依维莫司洗脱冠状动脉支架系统波科H7493925120300 | 个 | 846.00 | 京医保2019-9 | 长度:20mm;直径:3.00mm; | C02020200101005113250000022 | C02020200101005113250000022 | |
铂铬合金依维莫司洗脱冠状动脉支架系统波科H7493925120350 | 个 | 846.00 | 京医保2019-9 | 长度:20mm;直径:3.50mm; | C02020200101005113250000023 | C02020200101005113250000023 | |
铂铬合金依维莫司洗脱冠状动脉支架系统波科H7493925120400 | 个 | 846.00 | 京医保2019-9 | 长度:20mm;直径:4.00mm; | C02020200101005113250000024 | C02020200101005113250000024 | |
铂铬合金依维莫司洗脱冠状动脉支架系统波科H7493925128270 | 个 | 846.00 | 京医保2019-9 | 长度:28mm;直径:2.75mm; | C02020200101005113250000033 | C02020200101005113250000033 |