健保部份給付項目-人工髖關節

健保部份給付項目

特殊材質人工髖關節

類別品項代碼中英文品名廠商計價單位自費金額健保價保險差額
雙極式陶瓷人工髖關節組FBHBCCERA1S2“史賽克”采登特髖臼杯系統:陶瓷雙極式人工髖關節組”STRYKER”TRIDENT POLY ACETABULAR SYSTEM:CERAMIC BIPOLAR HIP SYSTEM 史賽克 組631263519527931
雙極式陶瓷人工髖關節組FBHBCUTF1TU0“聯合”DELTA陶瓷球頭雙極式人工髖關節系統(楔形骨柄)”UNITED”BIPOLAR SYSTEM (UTF STEM)-DELTA CERAMIC HEAD 聯合 SET940553519558860
陶瓷人工髖關節：股骨頭FBHHCCERA1S2“史賽克”采登特髖臼杯系統:陶瓷股骨頭”STRYKER”TRIDENT POLY ACETABULAR SYSTEM:CERAMIC HEAD 史賽克 EA15400435211048
陶瓷人工髖關節：股骨頭FBHHCCERA1U0“聯合”人工髖關節組:陶瓷股小球 CERAMIC FEMORAL HEAD 聯合骨科 EA32200435227848
陶瓷人工髖關節：股骨頭FBHHCCERA2S2“史賽克”采登特髖臼杯系統:陶瓷股骨頭”STRYKER”TRIDENT POLY ACETABULAR SYSTEM:CERAMIC HEAD 史賽克 EA51975435247623
陶瓷人工髖關節：股骨頭FBHHCCERA2Z1“捷邁”百優人工髖關節系統:陶瓷股骨頭”ZIMMER”BIOLOX CERAMIC FEMORAL HEADS: CERAMIC HEAD 捷邁 EA74250435269898
陶瓷人工髖關節：股骨頭FBHHCCERA5U0“聯合”人工髖關節組:陶瓷股小球”UNITED”CERAMIC FEMORAL HEAD DELTA 聯合 EA67500435263148
陶瓷人工髖關節：股骨頭FBHHCCERA7U0“聯合”襯套式陶瓷股小球”UNITED”BIOLOX OPTION CERAMIC FEMORAL HEAD 聯合 EA74250435269898
陶瓷人工髖關節：內襯FBHLC406XNU0“聯合”優磨二代全髖臼植入物:陶瓷髖臼杯內襯”UNITED”HIP SYSTEM:U-MOTION II DELTA CERAMIC LINER 聯合 EA31500401827482
陶瓷人工髖關節：內襯FBHLCCERA1S2“史賽克”采登特髖臼杯系統:陶瓷髖臼杯內襯”STRYKER”TRIDENT POLY ACETABULAR SYSTEM:CERAMIC INSERT 史賽克 EA36000401831982
陶瓷人工髖關節：內襯FBHLCCERA2Z1“捷邁”百優人工髖關節系統:陶瓷髖臼杯內襯”ZIMMER”BIOLOX CERAMIC FEMORAL HEADS:BIOLOX DELTA TAPER LINER(CERAMIC) 捷邁 EA35000401830982
抗氧化超耐磨襯墊FBHLE4067NU0“聯合”優磨二代全髖臼植入物-抗氧化高耐磨聚乙烯全髖臼內襯”United”Hip System- U-Motion II E-XPE Cup Liner 聯合 個60750401856732
陶瓷全人工髖關節組FBHPC7000NU0“聯合”優磨二代全人工髖關節(陶瓷巨頭對高耐磨聚乙烯襯墊)”UNITED”U-MOTION II TOTAL HIP SYSTEM:DELTA CERAMIC HEAD 聯合 SET1043963939665000
陶瓷全人工髖關節組FBHPC7100NU0“聯合”優磨二代全人工髖關節(陶瓷巨頭對陶瓷襯墊)”UNITED”U-MOTION II TOTAL HIP SYSTEM:DELTA CERAMIC HEAD TO CERAMIC LINER 聯合 SET1352553939695859
陶瓷全人工髖關節組FBHPCCERA1S2“史賽克”采登特髖臼杯系統:陶瓷髖關節組(陶瓷HEAD+陶瓷LINER)”STRYKER”TRIDENT POLY ACETABULAR SYSTEM:CERAMIC TOTAL HIP SYSTEM 史賽克 組874253939648029
陶瓷全人工髖關節組FBHPCCERA1U0“聯合”人工髖關節組:陶瓷全人工髖關節組(陶瓷HEAD+陶瓷LINER) CERAMIC TOTAL HIP SYSTEM 聯合骨科 SET1164743939677078
陶瓷全人工髖關節組FBHPCUTF1TU0“聯合”全人工髖關節系統(楔形骨柄):DELTA巨頭陶瓷對陶瓷櫬墊”UNITED”TOTAL HIP SYSTEM (UTF STEM)-Delta CERAMIC HEAD TO CERAMIC LINER 聯合 SET1329143939693518
陶瓷全人工髖關節組FBHPCUTF1XU0“聯合”DELTA陶瓷球頭全人工髖關節系統(楔形骨柄)”UNITED”TOTAL HIP SYSTEM(UTF STEM)(DELTA CERAMIC HEAD) 聯合 SET973623939657966
重建型陶瓷人工髖關節組FBHRC6000NU0“聯合”優磨二代重建型全人工髖關節組(陶瓷巨頭對高耐磨聚乙烯襯墊)”UNITED”U-MOTION II REVISION HIP SYSTEM(DELTA CERAMIC HEAD TO XPE LINER 聯合 SET1171505279664354
重建型陶瓷人工髖關節組FBHRC6100NU0“聯合”優磨二代重建型全人工髖關節組(陶瓷巨頭對陶瓷襯墊)”UNITED”U-MOTION II REVISION HIP SYSTEM(DELTA CERAMIC HEAD TO CERAMIC LINER 聯合 SET1463145279693518
重建型陶瓷人工髖關節組FBHRCCERA1S2“史賽克”采登特髖臼杯系統:重建型(陶瓷HEAD+陶瓷LINER)”STRYKER”TRIDENT POLY ACETABULAR SYSTEM:CERAMIC REVISION HIP SYSTEM 史賽克 SET995215279646725