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健保部份給付項目-腦室腹腔分流術導管組

腦室腹腔分流術導管組(整組式)

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
腦室腹腔分流術導管組(整組式) CDVPB12626N7“英特佳”內植用腦積水引流管組”INTEGRA”HYDROCEPHALUS VALVE SYSTEMS AND ACCESSORIES 博暘公司68850712761723
腦室腹腔分流術導管組(整組式) CDVPB18HPVCM“美的思”柯特曼霍金斯引流閥系統-可調式引流閥”MEDOS”CODMAN HAKIM VALVE SYSTEM-PROGRAMMABLE VALVE 科舉66150712759023
腦室腹腔分流術導管組(整組式) CDVPB23838CM“柯特曼”霍金斯引流閥系統-霍金斯可調式引流閥”CODMAN”HAKIM VALVE SYSTEM-HAKIM PROGRAMMABLE VALVE SHUNT SYSTEMS 科舉67500712760373
腦室腹腔分流術導管組(整組式) CDVPB28807CM“美的思”柯特曼史特斯引流閥-附配件、抗菌導管及具抗虹吸裝置”Medos”Codman Certas Plus Programmable Valve -ATTACHMENT、BACTISEAL CATHETER AND SIPHONGUARD 科舉1134007127106273
腦室腹腔分流術導管組(整組式) CDVPB42335M4“美敦力”史卓塔腦脊髓液可調式壓力閥-NSC”Medtronic”Strata Adjustable Valves-NSC 美敦力84500712777373
腦室腹腔分流術導管組(整組式) CDVPB423SSM4“美敦力”史卓塔腦脊髓液引流組-STRATA NSC 控制閥”MEDTRONIC”STRATA SHUNTS-STRATA NSC VALVE 美敦力65475712758348
腦室腹腔分流術導管組(整組式) CDVPB42836M4“美敦力”史卓塔腦脊髓液可調式壓力閥”Medtronic”Strata Adjustable Valves 美敦力104625712797498
腦室腹腔分流術導管組(整組式) CDVPB428SSM4“美敦力”史卓塔腦脊髓液引流組-STRATA II 控制閥”MEDTRONIC”STRATA SHUNTS-STRATA II VALVE 美敦力65475712758348
腦室腹腔分流術導管組(整組式) CDVPB80102CM“美的思”柯特曼史特斯引流閥-附配件及導管”Medos”Codman Certas Plus Programmable Valve -ATTACHMENT AND CATHETER 科舉84500712777373
腦室腹腔分流術導管組(整組式) CDVPB80506CM“美的思”柯特曼史特斯引流閥-附配件、導管及具抗虹吸裝置”Medos”Codman Certas Plus Programmable Valve-ATTACHMENT、CATHETER AND SIPHONGUARD 科舉1134007127106273
腦室腹腔分流術導管組(整組式) CDVPBPGAV1AE“雅氏”麥凱可調式腦脊髓液分流系統 Aesculap-Miethke ProGav Adjustable Shunt System 台灣柏朗74250712767123