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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 |
|---|---|---|---|---|---|---|---|
| PTCA球囊扩张导管波科H7493808015270 | 条 | 350.00 | 京医保2019-9号 | Model-Quantum Mav Mon 15mm x 2.75mm | C02020500200003113250000259 | C02020500200003 | |
| PTCA球囊扩张导管波科H7493808012500 | 条 | 350.00 | 京医保2019-9号 | Model-Quantum Mav Mon 12mm x 5.0mm | C02020500200003113250000255 | C02020500200003 | |
| PTCA球囊扩张导管波科H7493808015220 | 条 | 350.00 | 京医保2019-9号 | Model-Quantum Mav Mon 15mm x 2.25mm | C02020500200003113250000257 | C02020500200003 | |
| PTCA球囊扩张导管波科H7493808015250 | 条 | 350.00 | 京医保2019-9号 | Model-Quantum Mav Mon 15mm x 2.5mm | C02020500200003113250000258 | C02020500200003 | |
| PTCA球囊扩张导管波科H7493808012450 | 条 | 350.00 | 京医保2019-9号 | Model-Quantum Mav Mon 12mm x 4.5mm | C02020500200003113250000254 | C02020500200003 | |
| PTCA球囊扩张导管波科H7493808015320 | 条 | 350.00 | 京医保2019-9号 | Model-Quantum Mav Mon 15mm x 3.25mm | C02020500200003113250000261 | C02020500200003 | |
| PTCA球囊扩张导管波科H7493808015350 | 条 | 350.00 | 京医保2019-9号 | Model-Quantum Mav Mon 15mm x 3.5mm | C02020500200003113250000262 | C02020500200003 | |
| PTCA球囊扩张导管波科H7493808015370 | 条 | 350.00 | 京医保2019-9号 | Model-Quantum Mav Mon 15mm x 3.75mm | C02020500200003113250000263 | C02020500200003 | |
| PTCA球囊扩张导管波科H7493808015400 | 条 | 350.00 | 京医保2019-9号 | Model-Quantum Mav Mon 15mm x 4.0mm | C02020500200003113250000264 | C02020500200003 | |
| PTCA球囊扩张导管波科H7493808015500 | 条 | 350.00 | 京医保2019-9号 | Model-Quantum Mav Mon 15mm x 5.0mm | C02020500200003113250000266 | C02020500200003 | |
| PTCA球囊扩张导管波科H7493808015450 | 条 | 350.00 | 京医保2019-9号 | Model-Quantum Mav Mon 15mm x 4.5mm | C02020500200003113250000265 | C02020500200003 | |
| PTCA球囊扩张导管波科H7493808020200 | 条 | 350.00 | 京医保2019-9号 | Model-Quantum Mav Mon 20mm x 2.0mm | C02020500200003113250000267 | C02020500200003 | |
| PTCA球囊扩张导管波科H7493808020220 | 条 | 350.00 | 京医保2019-9号 | Model-Quantum Mav Mon 20mm x 2.25mm | C02020500200003113250000268 | C02020500200003 | |
| PTCA球囊扩张导管波科H7493808020300 | 条 | 350.00 | 京医保2019-9号 | Model-Quantum Mav Mon 20mm x 3.0mm | C02020500200003113250000271 | C02020500200003 | |
| PTCA球囊扩张导管波科H7493808020350 | 条 | 350.00 | 京医保2019-9号 | Model-Quantum Mav Mon 20mm x 3.5mm | C02020500200003113250000273 | C02020500200003 | |
| PTCA球囊扩张导管波科H7493808020270 | 条 | 350.00 | 京医保2019-9号 | Model-Quantum Mav Mon 20mm x 2.75mm | C02020500200003113250000270 | C02020500200003 | |
| PTCA球囊扩张导管波科H7493808020250 | 条 | 350.00 | 京医保2019-9号 | Model-Quantum Mav Mon 20mm x 2.5mm | C02020500200003113250000269 | C02020500200003 | |
| PTCA球囊扩张导管波科H7493808020320 | 条 | 350.00 | 京医保2019-9号 | Model-Quantum Mav Mon 20mm x 3.25mm | C02020500200003113250000272 | C02020500200003 | |
| 植皮刀刀片捷迈10.63CM*1.88CM | 片 | 360.00 | 京医保〔2019〕9号 | 10.63cm*1.88cm | C03480511500000075510000001 | C03480511500000 | |
| PTCA球囊扩张导管波科H7493808020370 | 条 | 350.00 | 京医保2019-9号 | Model-Quantum Mav Mon 20mm x 3.75mm | C02020500200003113250000274 | C02020500200003 |