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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H7493918930270 | 条 | 363.00 | 京医保2019-9号 | Emerge MR 30mm x 2.75mm | C02020500200001113250000337 | C02020500200001 | |
PTCA球囊扩张导管波科H7493918930250 | 条 | 363.00 | 京医保2019-9号 | Emerge MR 30mm x 2.50mm | C02020500200001113250000336 | C02020500200001 | |
PTCA球囊扩张导管波科H7493918930300 | 条 | 363.00 | 京医保2019-9号 | Emerge MR 30mm x 3.00mm | C02020500200001113250000338 | C02020500200001 | |
PTCA球囊扩张导管波科H7493918930370 | 条 | 363.00 | 京医保2019-9号 | Emerge MR 30mm x 3.75mm | C02020500200001113250000341 | C02020500200001 | |
PTCA球囊扩张导管波科H7493918930320 | 条 | 363.00 | 京医保2019-9号 | Emerge MR 30mm x 3.25mm | C02020500200001113250000339 | C02020500200001 | |
PTCA球囊扩张导管波科H7493918930400 | 条 | 363.00 | 京医保2019-9号 | Emerge MR 30mm x 4.00mm | C02020500200001113250000342 | C02020500200001 | |
PTCA球囊扩张导管波科H7493918930350 | 条 | 363.00 | 京医保2019-9号 | Emerge MR 30mm x 3.50mm | C02020500200001113250000340 | C02020500200001 | |
PTCA球囊扩张导管波科H7493918908200 | 条 | 363.00 | 京医保2019-9号 | Emerge MR 8mm x 2.00mm | C02020500200001113250000345 | C02020500200001 | |
PTCA球囊扩张导管波科H7493918908270 | 条 | 363.00 | 京医保2019-9号 | Emerge MR 8mm x 2.75mm | C02020500200001113250000348 | C02020500200001 | |
PTCA球囊扩张导管波科H7493918908120 | 条 | 363.00 | 京医保2019-9号 | Emerge MR 8mm x 1.20mm | C02020500200001113250000343 | C02020500200001 | |
PTCA球囊扩张导管波科H7493918908150 | 条 | 363.00 | 京医保2019-9号 | Emerge MR 8mm x 1.50mm | C02020500200001113250000344 | C02020500200001 | |
PTCA球囊扩张导管波科H7493918908300 | 条 | 363.00 | 京医保2019-9号 | Emerge MR 8mm x 3.00mm | C02020500200001113250000349 | C02020500200001 | |
PTCA球囊扩张导管波科H7493918908370 | 条 | 363.00 | 京医保2019-9号 | Emerge MR 8mm x 3.75mm | C02020500200001113250000352 | C02020500200001 | |
PTCA球囊扩张导管波科H7493918908320 | 条 | 363.00 | 京医保2019-9号 | Emerge MR 8mm x 3.25mm | C02020500200001113250000350 | C02020500200001 | |
PTCA球囊扩张导管波科H7493918908250 | 条 | 363.00 | 京医保2019-9号 | Emerge MR 8mm x 2.50mm | C02020500200001113250000347 | C02020500200001 | |
PTCA球囊扩张导管波科H7493918908220 | 条 | 363.00 | 京医保2019-9号 | Emerge MR 8mm x 2.25mm | C02020500200001113250000346 | C02020500200001 | |
PTCA球囊扩张导管波科H7493918908400 | 条 | 363.00 | 京医保2019-9号 | Emerge MR 8mm x 4.00mm | C02020500200001113250000353 | C02020500200001 | |
PTCA球囊扩张导管波科H7493918908350 | 条 | 363.00 | 京医保2019-9号 | Emerge MR 8mm x 3.50mm | C02020500200001113250000351 | C02020500200001 | |
快速交换球囊扩张导管美敦力SPL25006X | 根 | 350.00 | 京医保2019-9号 | 外径:2.5mm;长度:0.6cm | C02020500200001042540000253 | C02020500200001 | |
快速交换球囊扩张导管美敦力SPL40030X | 根 | 350.00 | 京医保2019-9号 | 外径:4.0mm;长度:3.0cm | C02020500200001042540000257 | C02020500200001 |