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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H7493808008320 | 条 | 350.00 | 京医保2019-9号 | Model-Quantum Mav Mon 8mm x 3.25mm | C02020500200003113250000292 | C02020500200003 | |
| PTCA球囊扩张导管波科H7493808008350 | 条 | 350.00 | 京医保2019-9号 | Model-Quantum Mav Mon 8mm x 3.5mm | C02020500200003113250000293 | C02020500200003 | |
| PTCA球囊扩张导管波科H7493808008500 | 条 | 350.00 | 京医保2019-9号 | Model-Quantum Mav Mon 8mm x 5.0mm | C02020500200003113250000297 | C02020500200003 | |
| PTCA球囊扩张导管波科H7493808008450 | 条 | 350.00 | 京医保2019-9号 | Model-Quantum Mav Mon 8mm x 4.5mm | C02020500200003113250000296 | C02020500200003 | |
| 快速交换球囊扩张导管美敦力SPL20030X | 根 | 350.00 | 京医保2019-9号 | 外径:2.0mm；长度:3.0cm | C02020500200001042540000268 | C02020500200001 | |
| PTCA球囊扩张导管波科H7493918912200 | 条 | 363.00 | 京医保2019-9号 | Emerge MR 12mm x 2.00mm | C02020500200001113250000303 | C02020500200001 | |
| PTCA球囊扩张导管波科H7493918912120 | 条 | 363.00 | 京医保2019-9号 | Emerge MR 12mm x 1.20mm | C02020500200001113250000301 | C02020500200001 | |
| PTCA球囊扩张导管波科H7493918912150 | 条 | 363.00 | 京医保2019-9号 | Emerge MR 12mm x 1.50mm | C02020500200001113250000302 | C02020500200001 | |
| PTCA球囊扩张导管波科H7493918912220 | 条 | 363.00 | 京医保2019-9号 | Emerge MR 12mm x 2.25mm | C02020500200001113250000304 | C02020500200001 | |
| PTCA球囊扩张导管波科H7493918912300 | 条 | 363.00 | 京医保2019-9号 | Emerge MR 12mm x 3.00mm | C02020500200001113250000307 | C02020500200001 | |
| PTCA球囊扩张导管波科H7493918912250 | 条 | 363.00 | 京医保2019-9号 | Emerge MR 12mm x 2.50mm | C02020500200001113250000305 | C02020500200001 | |
| PTCA球囊扩张导管波科H7493918912270 | 条 | 363.00 | 京医保2019-9号 | Emerge MR 12mm x 2.75mm | C02020500200001113250000306 | C02020500200001 | |
| PTCA球囊扩张导管波科H7493918912320 | 条 | 363.00 | 京医保2019-9号 | Emerge MR 12mm x 3.25mm | C02020500200001113250000308 | C02020500200001 | |
| PTCA球囊扩张导管波科H7493918912350 | 条 | 363.00 | 京医保2019-9号 | Emerge MR 12mm x 3.50mm | C02020500200001113250000309 | C02020500200001 | |
| PTCA球囊扩张导管波科H7493918912370 | 条 | 363.00 | 京医保2019-9号 | Emerge MR 12mm x 3.75mm | C02020500200001113250000310 | C02020500200001 | |
| PTCA球囊扩张导管波科H7493918912400 | 条 | 363.00 | 京医保2019-9号 | Emerge MR 12mm x 4.00mm | C02020500200001113250000311 | C02020500200001 | |
| PTCA球囊扩张导管波科H7493918915200 | 条 | 363.00 | 京医保2019-9号 | Emerge MR 15mm x 2.00mm | C02020500200001113250000314 | C02020500200001 | |
| PTCA球囊扩张导管波科H7493918915120 | 条 | 363.00 | 京医保2019-9号 | Emerge MR 15mm x 1.20mm | C02020500200001113250000312 | C02020500200001 | |
| PTCA球囊扩张导管波科H7493918915150 | 条 | 363.00 | 京医保2019-9号 | Emerge MR 15mm x 1.50mm | C02020500200001113250000313 | C02020500200001 | |
| PTCA球囊扩张导管波科H7493918915220 | 条 | 363.00 | 京医保2019-9号 | Emerge MR 15mm x 2.25mm | C02020500200001113250000315 | C02020500200001 |