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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H7493925124270 | 个 | 846.00 | 京医保2019-9 | 长度:24mm;直径:2.75mm; | C02020200101005113250000027 | C02020200101005113250000027 | |
铂铬合金依维莫司洗脱冠状动脉支架系统波科H7493925124300 | 个 | 846.00 | 京医保2019-9 | 长度:24mm;直径:3.00mm; | C02020200101005113250000028 | C02020200101005113250000028 | |
铂铬合金依维莫司洗脱冠状动脉支架系统波科H7493925128220 | 个 | 846.00 | 京医保2019-9 | 长度:28mm;直径:2.25mm; | C02020200101005113250000031 | C02020200101005113250000031 | |
铂铬合金依维莫司洗脱冠状动脉支架系统波科H7493925124400 | 个 | 846.00 | 京医保2019-9 | 长度:24mm;直径:4.00mm; | C02020200101005113250000030 | C02020200101005113250000030 | |
铂铬合金依维莫司洗脱冠状动脉支架系统波科H7493925124250 | 个 | 846.00 | 京医保2019-9 | 长度:24mm;直径:2.50mm; | C02020200101005113250000026 | C02020200101005113250000026 | |
铂铬合金依维莫司洗脱冠状动脉支架系统波科H7493925124220 | 个 | 846.00 | 京医保2019-9 | 长度:24mm;直径:2.25mm; | C02020200101005113250000025 | C02020200101005113250000025 | |
铂铬合金依维莫司洗脱冠状动脉支架系统波科H7493925124350 | 个 | 846.00 | 京医保2019-9 | 长度:24mm;直径:3.50mm; | C02020200101005113250000029 | C02020200101005113250000029 | |
铂铬合金依维莫司洗脱冠状动脉支架系统波科H7493925128250 | 个 | 846.00 | 京医保2019-9 | 长度:28mm;直径:2.50mm; | C02020200101005113250000032 | C02020200101005113250000032 | |
铂铬合金依维莫司洗脱冠状动脉支架系统波科H7493925128300 | 个 | 846.00 | 京医保2019-9 | 长度:28mm;直径:3.00mm; | C02020200101005113250000034 | C02020200101005113250000034 | |
铂铬合金依维莫司洗脱冠状动脉支架系统波科H7493925128400 | 个 | 846.00 | 京医保2019-9 | 长度:28mm;直径:4.00mm; | C02020200101005113250000036 | C02020200101005113250000036 | |
铂铬合金依维莫司洗脱冠状动脉支架系统波科H7493925128350 | 个 | 846.00 | 京医保2019-9 | 长度:28mm;直径:3.50mm; | C02020200101005113250000035 | C02020200101005113250000035 | |
铂铬合金依维莫司洗脱冠状动脉支架系统波科H7493925138400 | 个 | 846.00 | 京医保2019-9 | 长度:38mm;直径:4.00mm; | C02020200101005113250000047 | C02020200101005113250000047 | |
铂铬合金依维莫司洗脱冠状动脉支架系统波科H7493925138300 | 个 | 846.00 | 京医保2019-9 | 长度:38mm;直径:3.00mm; | C02020200101005113250000045 | C02020200101005113250000045 | |
铂铬合金依维莫司洗脱冠状动脉支架系统波科H7493925138270 | 个 | 846.00 | 京医保2019-9 | 长度:38mm;直径:2.75mm; | C02020200101005113250000044 | C02020200101005113250000044 | |
铂铬合金依维莫司洗脱冠状动脉支架系统波科H7493925132300 | 个 | 846.00 | 京医保2019-9 | 长度:32mm;直径:3.00mm; | C02020200101005113250000040 | C02020200101005113250000040 | |
铂铬合金依维莫司洗脱冠状动脉支架系统波科H7493925132270 | 个 | 846.00 | 京医保2019-9 | 长度:32mm;直径:2.75mm; | C02020200101005113250000039 | C02020200101005113250000039 | |
铂铬合金依维莫司洗脱冠状动脉支架系统波科H7493925132400 | 个 | 846.00 | 京医保2019-9 | 长度:32mm;直径:4.00mm; | C02020200101005113250000042 | C02020200101005113250000042 | |
铂铬合金依维莫司洗脱冠状动脉支架系统波科H7493925132220 | 个 | 846.00 | 京医保2019-9 | 长度:32mm;直径:2.25mm; | C02020200101005113250000037 | C02020200101005113250000037 | |
铂铬合金依维莫司洗脱冠状动脉支架系统波科H7493925138350 | 个 | 846.00 | 京医保2019-9 | 长度:38mm;直径:3.50mm; | C02020200101005113250000046 | C02020200101005113250000046 | |
铂铬合金依维莫司洗脱冠状动脉支架系统波科H7493925132250 | 个 | 846.00 | 京医保2019-9 | 长度:32mm;直径:2.50mm; | C02020200101005113250000038 | C02020200101005113250000038 |