年度全民健康保險特材支付點數調整明細表 · 2015-10-30 · 項次特材代碼核價類別特材代碼英文名稱特材代碼中文名稱原支付點數調整後支

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項次特材代碼核價類別特材代碼英文名稱特材代碼中文名

稱

原支付

點數調整後支

付點數生效日期

1 BBF03FB040P2 BBF03A1

"PAHSCO"

FEEDING

BAG:FEEDING

PUMP SET

"太平洋"餵食袋:

雙袋機械式 110 100 105/01/01

2 BBF03F1200SG BBF03A1

"SIGMA"FEED

TUBE GUIDE

(NON-

STERILE):FEEDIN

G PUMP SET

"十美牌"餵食引

導器 (未滅菌):機

械式餵食袋

110 100 105/01/01

3 BBF03E1002M6 BBF03A1

"IMM" FEEDING

TUBE

ACCESSORIES(NO

N-

STERILE):FEEDIN

G PUMP SET

"宇仁"餵食引導

器 (未滅菌):機械

式餵食袋

110 100 105/01/01

4 BBF0373642SH BBF03A1

"KENDALL"

KANGAROO

ENTERAL

FEEDING PUMP

SETS

"肯特利"袋鼠灌

食管及袋 110 100 105/01/01

5 BBF0373006KD BBF03A1

"KENDALL"

KANGAROO

ENTERAL

FEEDING PUMP

SETS


食管及袋子 110 100 105/01/01

6 BBF0377512KG BBF03A1

APPLIX

SMART/VISION

PUMP SET BAG

愛普仕管灌餵食

管袋組合套 110 100 105/01/01


"KENDALL"KANG

AROO EPUMP

FEEDING SETS

"肯特利"袋鼠電

子灌食機用灌食

套組

110 100 105/01/01


"KENDALL"KANG

AROO 924 PUMP

SETS


食機用套組 110 100 105/01/01

9 CBB0221055LW CBB02A1

"LEMAITRE"DIST

AL PERFUSION

CATHETER

"樂脈"遠端灌流

導管 6,590 6,326 105/01/01

10CBP01TRKNCA

BCBP01A1

"ABBOTT"NC

TREK RX

CORONARY

DILATATION

CATHETER

"亞培"恩希快克

冠狀動脈氣球擴

張導管

6,843 6,217 105/01/01

104年度全民健康保險特材支付點數調整明細表

第 1 頁，共 104 頁


稱

原支付

點數調整後支



11 CBP031016TTM CBP01A1

"TERUMO"RYUJIN

PLUS PTCA

DILATATION

CATHETER

"泰爾茂"琉均柏

柆思冠狀動脈氣

球擴張導管

6,843 6,217 105/01/01

12CBP01VYGNCA

BCBP01A1

"ABBOTT"VOYAG

ER NC

CORONARY

DILATATION

CATHETER

"亞培"航行家恩

希冠狀動脈擴張

導管

6,843 6,217 105/01/01

13 CBP0338961SB CBP01A1

"BOSTON

SCIENTIFIC"APEX

PTCA

DILATATION

CATHETER

"波士頓科技"氣

球擴張導管(冠狀

動脈)

6,843 6,217 105/01/01

14CBP01MTLSCH

CCBP01A1

"HEXACATH"PTC

A DILATATION

CATHETER

MISTRAL

"海斯凱"敏追冠

狀動脈氣球擴張

導管(SC系列)

6,843 6,217 105/01/01

15 CBP03R4K15KE CBP01A1"KANEKA"RX

CATHETER

"卡內卡"經皮穿

刺冠狀動脈導管 6,843 6,217 105/01/01

16 CBP035265NAB CBP01A1

"ABBOTT"CROSSS

AIL CORONARY

DILATATION

CATHETER

"亞培"可思爾冠

狀動脈擴張導管 6,843 6,217 105/01/01

17 CBP0112510UV CBP01A1

INVADER CTO

CORONARY

ANGIOPLASTY

BALLOON

CATHETER入

侵者慢性全閉塞

氣球擴張導管(冠

狀動脈)

6,843 6,217 105/01/01

18 CBP03701XNCD CBP01A1

"CORDIS"DURA

STAR RX PTCA

DILATATION

CATHETER

"考迪斯"杜芮星

冠狀動脈擴張導

管

6,843 6,217 105/01/01

19 CBP01FF22BF2 CBP01A1

"INVATEC"FALCO

N FORTE PTCA

BALLOON

CATHETER

"英泰克"冠狀動

脈氣球導管 6,843 6,217 105/01/01

20 CBP01105TBRB CBP01A1

"ORBUSNEICH"SA

PPHIRE II

CORONARY

DILATATION

CATHETER

"奧爾"第二代塞

費爾冠狀動脈球

曩擴張術導管

6,843 6,217 105/01/01

第 2 頁，共 104 頁


稱

原支付

點數調整後支



21 CBP0339124SB CBP01A1

"BOSTON

SCIENTIFIC"NC

QUANTUM APEX

PTCA

DILATATION

CATHETER

"波士頓科技"康

騰艾佩斯氣球擴

張導管(冠狀動

脈)

6,843 6,217 105/01/01

22 CBP03EP75RCD CBP01A1

"CORDIS"EMPIRA

NC RX PTCA

DILATATION

CATHETER

"考迪斯"安博冠

狀動脈擴張導管 6,843 6,217 105/01/01

23CBP01PWRLNB

SCBP01A1

"BIOSENSORS"PO

WERLINE PTCA

CATHETER

"百盛"經皮冠狀

動脈成形術球囊

導管

6,843 6,217 105/01/01

24 CBP03EP85RCD CBP01A1

"CORDIS"EMPIRA

RX PTCA

DILATATION

CATHETER


狀動脈擴張導管 6,843 6,217 105/01/01


"ORBUSNEICH"SA

PPHIRE NC

CORONARY

DILATATION

CATHETER

"奧爾"神飛冠狀

動脈球囊擴張術

導管

6,843 6,217 105/01/01

26CBP03DCRK1T

MCBP01A1

"TERUMO"TAZUN

A PTCA

DILATATION

CATHETER

"泰爾茂"鈦速納


張導管

6,843 6,217 105/01/01

27 CBP03801XNCD CBP01A1

"CORDIS"FIRE

STAR RX PTCA

DILATATION

CATHETER

"考迪斯"法爾星

冠狀動脈擴張導

管

6,843 6,217 105/01/01

28 CBP03RAF25HC CBP01A1

"HEXACATH"RAF

ALE PTCA

DILATATION

CATHETER

"海斯凱"旋風冠


導管

6,843 6,217 105/01/01

29 CBP01CT480Y0 CBP01A1

"ACROSTAK"ACR

OSS CTO PTCA

BALLOON

CATHETER

"擴適達"高斯喜

通冠狀動脈氣球

導管

6,843 6,217 105/01/01

30 CBP03R2A15KE CBP01A1"KANEKA"RX

CATHETER

"卡內卡"經皮穿

刺冠狀動脈導管 6,843 6,217 105/01/01

第 3 頁，共 104 頁


稱

原支付

點數調整後支



31 CBP0337910SB CBP01A1

"BOSTON

SCIENTIFIC"MAV

ERICK XL

MONORAIL PTCA

DILATATION

CATHETER

"波士頓科技"馬

文瑞克氣球擴張

導管(冠狀動脈)

6,843 6,217 105/01/01

32 CBP0314039TM CBP01A1

"TERUMO"RYUJIN

PLUS PTCA

DILATATION

CATHETER



球擴張導管

6,843 6,217 105/01/01

33 CBP01FLC10F2 CBP01A1

"INVATEC"FALCO

N CTO PTCA

BALLOON

CATHETER

"英泰克"冠狀動

脈氣球導管 6,843 6,217 105/01/01

34CBP01MZXXXQ

RCBP01A1

"MERIL"MOZEC

RX PTCA

BALLOON

DILATATION

CATHETER

"渼瑞爾"莫利克


張導管(冠狀動

脈)

6,843 6,217 105/01/01


"ORBUSNEICH"SA

PPHIRE Ⅱ NC

CORONARY

DILATATION

CATHETER

"奧爾"第二代神

飛冠狀動脈球囊

擴張術導管

6,843 6,217 105/01/01


"ORBUSNEICH"SA

PPHIRE

CORONARY

DILATATION

CATHETER

"奧爾"塞費爾冠

狀動脈球囊擴張

術導管

6,843 6,217 105/01/01

37CBP02NCSPRM

4CBP01A1

"MEDTRONIC"NC

SPRINTER RAPID

EXCHANGE

BALLOON

DILATATION

CATHETER

"美敦力"史賓特

高壓快速交換氣


動脈)

6,843 6,217 105/01/01

38CBP03TREK1A

BCBP01A1

"ABBOTT"TREK

AND MINI TREK

RX CORONARY

DILATATION

CATHETER

"亞培"快克/小快

克冠狀動脈擴張

導管

6,843 6,217 105/01/01

39 CBP02R7R7FKE CBP01A1

"KANEKA"IKAZU

CHI RAPID

EXCHANGE PTCA

BALLOON

CATHETER

"卡內卡"雷快速

抽換冠狀動脈氣

球導管

6,843 6,217 105/01/01

第 4 頁，共 104 頁


稱

原支付

點數調整後支



40 CBP0314038TM CBP01A1

"TERUMO"RYUJIN

PLUS PTCA

DILATATION

CATHETER



球擴張導管

6,843 6,217 105/01/01

41 CBP01BC001BQ CBP01A1

"BIOTEQ"PTCA

BALLOON

DILATATION

CATHETER

"邦特"冠狀動脈

氣球擴張導管 6,843 6,217 105/01/01


"ORBUSNEICH"SA

PPHIRE NC

CORONARY

DILATATION

CATHETER

"奧爾"神飛冠狀

動脈球囊擴張術

導管

6,843 6,217 105/01/01

43CBP03ACRHPY

0CBP01A1

"ACROSTAK"ACR

OSS HP PTCA

BALLOON

CATHETER

"擴適達"高斯高

壓冠狀動脈氣球

導管

6,843 6,217 105/01/01

44 CBP02R5A85KE CBP01A1

"KANEKA"FORTIS

II PTCA

CATHETER

"卡內卡"佛緹斯

冠狀動脈成型術

導管

6,843 6,217 105/01/01

45CBP01DVW35A

SCBP01A1

"ASAHI"DOUVAN

PTCA

DILATATION

CATHETER

"朝日"朵凡氣球

擴張導管(冠狀動

脈)

6,843 6,217 105/01/01

46CBP01HPERBY

CCBP01A1

"LEPU"HOPER

PTCA BALLOON

DILATATION

CATHETER

"樂普"琥珀經皮

穿刺冠狀動脈球

囊導管

6,843 6,217 105/01/01

47 CBP03V391NAB CBP01A1

"ABBOTT"VOYAG

ER RX

CORONARY

DILATATION

CATHETER

"亞培"莫雅佳冠

狀動脈擴張導管 6,843 6,217 105/01/01

48 CBP0338080SB CBP01A1

QUANTUM

MAVERICK

MONORAIL

DILATION

CATHETER(PTCA

BALLOON

CATHETER)


騰馬文瑞克冠狀

動脈擴張導管

6,843 6,217 105/01/01

49CBP03H1RU1T

MCBP01A1

"TERUMO"HIRYU

PTCA

DILATATION

CATHETER

"泰爾茂"曦琉冠


導管

6,843 6,217 105/01/01

第 5 頁，共 104 頁


稱

原支付

點數調整後支



50CBP02SPRLGM

4CBP01A1

"MEDTRONIC"SPR

INTER LEGEND

RAPID

EXCHANGE

BALLOON

DILATATION


快速交換氣球擴

張導管(冠狀動

脈)

6,843 6,217 105/01/01

51CBP03EMERMS

BCBP01A1

"BOSTON

SCIENTIFIC"EMER

GE PTCA

DILATATION

CATHETER(MONO

RAIL)

D:1.20MM:4.00MM

L:8MM:30MM

"波士頓科技"宜

加冠狀動脈擴張

導管

6,843 6,217 105/01/01

52 CBP0150212BB CBP01A1

"B.BRAUN"SEQUE

NT PTCA

CATHETER

"柏朗"適可穩經

皮穿刺汽球擴張

導管

6,843 6,217 105/01/01

53 CBP0338928SB CBP01A1

"BOSTON

SCIENTIFIC"

MAVERICK 2

MONORAIL

BALLOON

CATHETER

"波士頓科技"第

二代馬文瑞克氣

球導管(冠狀動

脈)

6,843 6,217 105/01/01

54 CBP03389XXSB CBP01A1

"BOSTON

SCIENTIFIC"APEX

MONORAIL PTCA

DILATATION

CATHETER

"波士頓科技"艾

佩斯單軌氣球擴

張導管(冠狀動

脈)

6,843 6,217 105/01/01

55CBP02R7REVK

ECBP01A1

"KANEKA"PTCA

CATHETER

IKAZUCHI REV

"卡內卡"冠狀動

脈氣球導管 6,843 6,217 105/01/01

56 CBP0103012UZ CBP01A1

TURQUOISE PTCA

BALLOON

DILATATION

CATHETER

綠松石冠狀動脈

氣球擴張導管 6,843 6,217 105/01/01

57 CBP01BL729RB CBP01A2

"ORBUSNEICH"AZ

ULE CORONARY

STENT DELIVERY

SYSTEM

"奧爾"雅助冠狀

動脈血管支架輸

送系統

16,293 14,099 105/01/01

58 CBP01REBELSB CBP01A2

"BOSTON

SCIENTIFIC"REBE

L MONORAIL

PTCR CORONARY

STENT SYSTEM

"波士頓科技"瑞

柏爾單軌冠狀動

脈支架系統

16,293 14,099 105/01/01

第 6 頁，共 104 頁


稱

原支付

點數調整後支



59 CBP01PKE36BK CBP01A2

"BIOTRONIK"PRO-

KINETIC ENERGY

COBALT

CHROMIUM

(COCR)

CORONARY

STENT SYSTEM

"百多力"普凱能

鈷鉻冠狀動脈支

架系統

16,293 14,099 105/01/01

60 CBP0182926AB CBP01A2

"ABBOTT"FLEXM

ASTER F1

CORONARY

STENT:WITH

DELIVERY

SYSTEM

"亞培"飛快速專

家冠狀動脈支架

暨置放系統:含傳

輸系統

16,293 14,099 105/01/01

61 CBP01BLUE1BB CBP01A2

"B.BRAUN"COROF

LEX BLUE

CORONARY

STENT

SYSTEM:WITH

DELIVERY

SYSTEM

"柏朗"普弩冠狀

動脈血管支架系

統:含傳輸系統

16,293 14,099 105/01/01

62 CBP0122545SB CBP01A2

"BOSTON

SCIENTIFIC"OME

GA MONORAIL

PTCR CORONARY

STENT

SYSTEM:WITH

DELIVERY

SYSTEM

"波士頓科技"亞

美加單軌冠狀動

脈支架系統:含傳

輸系統

16,293 14,099 105/01/01

63 CBP012535SHC CBP01A2

"HEXACATH"

HELISTENT

CORONARY

STENT:WITH

DELIVERY

SYSTEM

"海斯凱"冠狀動

脈血管支架:含傳

輸系統

16,293 14,099 105/01/01

64 CBP012540SHC CBP01A2

"HEXACATH"

HELISTENT

CORONARY

STENT:WITH

DELIVERY

SYSTEM

"海斯凱"冠狀動

脈血管支架:含傳

輸系統

16,293 14,099 105/01/01

第 7 頁，共 104 頁


稱

原支付

點數調整後支



65CBP01MLVSTA

BCBP01A2

"ABBOTT"MULTI-

LINK VISION RX

CORONARY

STENT

SYSTEM:WITH

DELIVERY

SYSTEM

"亞培" 冠狀動脈

支架系統:含傳輸

系統

16,293 14,099 105/01/01

66 CBP01V7844AB CBP01A2

"ABBOTT"MULTI-

LINK VISION RX

CORONARY

STENT SYSTEM

:WITH DELIVERY

SYSTEM

"亞培" 冠狀動脈

支架系統:含傳輸

系統

16,293 14,099 105/01/01

67CBP01ML8STA

BCBP01A2

"ABBOTT"MULTI-

LINK 8

CORONARY

STENT

SYSTEM:WITH

DELIVERY

SYSTEM

"亞培"第八代冠

狀動脈支架系統:

含傳輸系統

16,293 14,099 105/01/01

68CBP011NTEGM

4CBP01A2

"MEDTRONIC"INT

EGRITY RAPID

EXCHANGE

CORONARY

STENT

SYSTEM:WITH

DELIVERY

SYSTEM

"美敦力"英泰爾

快速交換冠狀動

脈血管支架系統:

含傳輸系統

16,293 14,099 105/01/01

69CBP01ZETANA

BCBP01A2

"ABBOTT" MULTI-

LINK RX ZETA

CORONARY

STENT

SYSTEM:WITH

DELIVERY

SYSTEM

"亞培" 智達冠狀

動脈支架系統:含

傳輸系統

16,293 14,099 105/01/01

70 CBP01DFX08JF CBP01A2

"DURAFLEX"COR

ONARY STENT

SYSTEM:WITH

DELIVERY

SYSTEM

"杜拉佛克斯"冠

狀動脈血管支架

系統:含傳輸系統

16,293 14,099 105/01/01

第 8 頁，共 104 頁


稱

原支付

點數調整後支



71 CBP01BLUE2BB CBP01A2

"B.BRAUN"COROF

LEX BLUE

CORONARY

STENT

SYSTEM:WITH

DELIVERY

SYSTEM

"柏朗"普弩冠狀


統:含傳輸系統

16,293 14,099 105/01/01

72 CBP01AU729RB CBP01A2

"ORBUSNEICH"AZ

ULE CORONARY

STENT DELIVERY

SYSTEM

"奧爾"雅助冠狀

動脈血管支架輸

送系統

16,293 14,099 105/01/01

73CBP010MEGAS

BCBP01A2

"BOSTON

SCIENTIFIC"OME

GA MONORAIL

PTCR CORONARY

STENT

SYSTEM:WITH

DELIVERY

SYSTEM

"波士頓科技"亞

美加單軌冠狀動

脈支架系統:含傳

輸系統

16,293 14,099 105/01/01

74 CBP01GAZSTBS CBP01A2

"BIOSENSORS"GA

ZELLE

CORONARY

STENT

SYSTEM:WITH

DELIVERY

SYSTEM

"百盛"冠狀動脈

內支架系統:含傳

輸系統

16,293 14,099 105/01/01

75CBP01KANMET

MCBP01A2

"TERUMO"KANA

ME COBALT-

CHROMIUM

CORONARY

STENT

SYSTEM:WITH

DELIVERY

SYSTEM

"泰爾茂"凱樂鎂

冠狀動脈血管支

架系統:含傳輸系

統

16,293 14,099 105/01/01

76CBP01CHRCCY

VCBP01A2

"CID"CHRONO

CARBOSTENT

CORONARY

STENT WITH

DELIVERY

SYSTEM

"喜安汀"康保冠

狀動脈血管支架 16,293 14,099 105/01/01

第 9 頁，共 104 頁


稱

原支付

點數調整後支



77 CBP01V1S1NAB CBP01A2

"ABBOTT"MULTI-

LINK VISION RX

CORONARY

STENT

SYSTEM:WITH

DELIVERY

SYSTEM

"亞培"適見冠狀

動脈支架系統:含

傳輸系統

16,293 14,099 105/01/01

78 CBP0138938SB CBP01A2

"BOSTON

SCIENTIFIC"

LIBERTE

MONORAIL

CORONARY

STENT

SYSTEM:WITH

DELIVERY

SYSTEM

"波士頓科技"立

伯特單軌冠狀動

脈支架系統

16,293 14,099 105/01/01

79CBP03EPNCRC

DCBP01A4

"CORDIS"EMPIRA

NC RX PTCA

DILATATION

CATHETER


狀動脈擴張導管 7,547 6,586 105/01/01

80CBP03ERUNCX

WCBP01A4

"RONTIS"EUROPA

ULTRA NC PTCA

BALLOON

CATHETER

"朗迪"優霸恩喜

冠狀動脈氣球導

管

7,547 6,586 105/01/01

81CBP01MTLNCH

CCBP01A4

"HEXACATH"PTC

A DILATATION

CATHETER

MISTRAL

"海斯凱"敏追冠


導管(NC系列)

7,547 6,586 105/01/01

82 CBP06ELUT1BK CBP01A6

"BIOTRONIK"ORSI

RO SIROLIMUS

ELUTING

CORONARY

STENT SYSTEM

"百多力"歐禧樂

西羅莫司冠狀動

脈塗藥支架系統

(自付差額品項)

16,293 14,099 105/01/01

83CBP06ELUT1T

MCBP01A6

"TERUMO"NOBOR

I DRUG ELUTING

STENT SYSTEM

"泰爾茂"諾博樂

冠狀動脈塗藥支

架系統※自付差

額品項，超過部

分由病患自付

16,293 14,099 105/01/01

84 CBP06ELUT3M4 CBP01A6

"MEDTRONIC"EN

DEAVOR

RESOLUTE

ZOTAROLIMUS-

ELUTING

CORONARY

STENT SYSTEM

"美敦力"茵得芙

律動釋放型冠狀

動脈支架系統※

自付差額品項，

超過部分由病患

自付

16,293 14,099 105/01/01

第 10 頁，共 104 頁


稱

原支付

點數調整後支



85 CBP06ELUT1HC CBP01A6

"HEXACATH"PRE

MOUNTED

CORONARY

STENT

HELISTENT

TITAN2

"海斯凱"泰坦2冠


※自付差額品項

，超過部分由病

患自付

16,293 14,099 105/01/01

86 CBP06ELUT3BS CBP01A6

"BIOSENSORS"BIO

MATRIX

NEOFLEX DRUG

ELUTING

CORONARY

STENT SYSTEM

"柏盛"拜美翠尼

奧弗雷絲藥物釋

放冠狀動脈支架

系統(自付差額品

項)

16,293 14,099 105/01/01

87CBP06ELUT1Y

VCBP01A6

"CID"JANUS

OPTIMA

CARBOSTENT

WITH DELIVERY

SYSTEM

"喜安汀"真神奧

普帝馬塗藥冠狀

動脈血管支撐架



患自付

16,293 14,099 105/01/01

88 CBP06ELUT4SB CBP01A6

"BOSTON

SCIENTIFIC"TAXU

S ELEMENT

PACLITAXEL-

ELUTING

CORONARY

STENT SYSTEM

"波士頓科技"塔

克斯艾勒門紫杉

醇冠狀動脈塗藥

支架系統※自付

差額品項，超過

部分由病患自付

16,293 14,099 105/01/01


"BOSTON

SCIENTIFIC"PROM

US ELEMENT

EVEROLIMUS-

ELUTING

CORONARY

STENT SYSTEM

"波士頓科技"博

謨適艾勒門艾諾

莉茉斯冠狀動脈

塗藥支架系統※



自付

16,293 14,099 105/01/01


"BOSTON

SCIENTIFIC"PROM

US PREMIER

EVEROLIMUS-

ELUTING

CORONARY

STENT SYSTEM


謨適帕米爾艾諾





自付

16,293 14,099 105/01/01

第 11 頁，共 104 頁


稱

原支付

點數調整後支




"MEDTRONIC"RES

OLUTE

INTEGRITY

ZOTAROLIMUS-

ELUTING

CORONARY

STENT SYSTEM

"美敦力"律動英

泰爾釋放型冠狀




自付

16,293 14,099 105/01/01

92 CBP06ELUT5AB CBP01A6

"ABBOTT"XIENCE

XPEDITION 48

EVEROLIMUS

ELUTING

CORONARY

STENT SYSTEM

"亞培"賽恩斯征

長型艾諾莉茉斯


架系統(自付差額

品項)

16,293 14,099 105/01/01


"MEDTRONIC"EN

DEAVOR

RESOLUTE

ZOTAROLIMUS-

ELUTING

CORONARY

STENT SYSTEM

"美敦力"茵得芙

律動釋放型冠狀




自付

16,293 14,099 105/01/01


"BOSTON

SCIENTIFIC"TAXU

S LIBERTE

MONORAIL

PACLITAXEL-

ELUTING

CORONARY

STENT SYSTEM

"波士頓科技"塔

克斯紫杉醇釋放

型冠狀動脈支架

系統※自付差額

品項，超過部分

由病患自付

16,293 14,099 105/01/01


"BOSTON

SCIENTIFIC"SYNE

RGY

EVEROLIMUS-

ELUTING

CORONARY

STENT SYSTEM

"波士頓科技"新

能吉艾諾莉茉斯


架系統 (自付差

額品項)

16,293 14,099 105/01/01


"BIOSENSORS"BIO

MATRIX FLEX

DRUG ELUTING

CORONARY

STENT SYSTEM

"柏盛"拜美翠弗

雷絲藥物釋放冠

狀動脈支架系統



患自付

16,293 14,099 105/01/01

第 12 頁，共 104 頁


稱

原支付

點數調整後支




"BIOSENSORS"AX

XESS DRUG

ELUTING

CORONARY

BIFURCATION

STENT SYSTEM

"柏盛"亞瑟士藥

物釋放型冠狀動

脈分叉支架系統

(自付差額品項)

16,293 14,099 105/01/01


"ABBOTT"XIENCE

XPEDITION

EVEROLIMUS

ELUTING

CORONARY

STENT SYSTEM

"亞培"賽恩斯征

艾諾莉茉斯冠狀

動脈塗藥支架系

統※自付差額品

項，超過部分由

病患自付

16,293 14,099 105/01/01

99 CBP06ELUT1QR CBP01A6

"MERIL"BIOMIME

SIROLIMUS

ELUTING

CORONARY

STENT SYSTEM

"渼瑞爾"拜歐邁


架系統(自付差額

品項)

16,293 14,099 105/01/01


"ABBOTT"XIENCE

V EVEROLIMUS

ELUTING

CORONARY

STENT SYSTEM

"亞培"艾諾莉茉

斯冠狀動脈塗藥

支架系統※自付



16,293 14,099 105/01/01


"ABBOTT"XIENCE

PRIME

EVEROLIMUS

ELUTING

CORONARY

STENT SYSTEM

"亞培"賽恩斯優

艾諾莉茉斯冠狀

動脈塗藥支架系

統※自付差額品


病患自付

16,293 14,099 105/01/01


"BOSTON

SCIENTIFIC"SYNE

RGY

EVEROLIMUS-

ELUTING

PLATINUM

CHROMIUM

CORONARY

STENT SYSTEM

"波士頓科技"新

納吉艾諾莉茉斯


架系統 (自付差

額品項)

16,293 14,099 105/01/01

103 CBP06ELUT1RB CBP01A6"ORBUS"GENOUS

R STENT

"奧爾"傑納斯冠


輸送系統※自付



16,293 14,099 105/01/01

第 13 頁，共 104 頁


稱

原支付

點數調整後支



104 CBP06ELUT1BB CBP01A6

"B.BRAUN"COROF

LEX PLEASE

PACLITAXEL-

ELUTING

CORONARY

STENT SYSTEM

"柏朗"普利斯紫

杉醇釋放型冠狀


統 ※自付差額品


病患自付

16,293 14,099 105/01/01


"BOSTON

SCIENTIFIC"PROM

US ELEMENT

PLUS

EVEROLIMUS-

ELUTING

CORONARY

STENT SYSTEM


謨適艾勒門艾諾





自付

16,293 14,099 105/01/01

106CBP03SL0TWM

4CBP01A7

"MEDTRONIC"SPR

INTER LEGEND

OVER-THE-WIRE

BALLOON

DILATATION

CATHETER


雷勁同軸導線球

囊擴張導管(冠狀

動脈)

7,809 6,535 105/01/01

107CBP03V0TWNA

BCBP01A7

"ABBOTT"VOYAG

ER OTW

CORONARY

DILATATIOL

CATHETER

"亞培"莫雅佳甌

第冠狀動脈擴張

導管

7,809 6,535 105/01/01

108CBP03TREK2A

BCBP01A7

"ABBOTT"TREK

AND MINI TREK

OTW CORONARY

DILATATION

CATHETER

"亞培"快克/小快

克冠狀動脈氣球

擴張導管

7,809 6,535 105/01/01

109 CBP0338960SB CBP01A7

"BOSTON

SCIENTIFIC"APEX

OTW PTCA

DILATATION

CATHETER

"波士頓科技"氣


動脈)

7,809 6,535 105/01/01

110CBP01TREK3A

BCBP01A7

"ABBOTT"MINI

TREK Ⅱ OTW

CORONARY

DILATATION

CATHETER

"亞培"第二代小

快克冠狀動脈氣

球擴張導管

7,809 6,535 105/01/01

第 14 頁，共 104 頁


稱

原支付

點數調整後支



111 CBP0338081SB CBP01A7

"BOSTON

SCIENTIFIC"QUAN

TUM MAVERICK

PTCA

DILATATION

CATHETER

"波士頓科技"冠

狀動脈擴張導管 7,809 6,535 105/01/01

112 CBP0339125SB CBP01A7

"BOSTON

SCIENTIFIC"NC

QUANTUM APEX

PTCA

DILATATION

CATHETER


騰艾佩斯氣球擴

張導管(冠狀動

脈)

7,809 6,535 105/01/01

113CBP03EMERTS

BCBP01A7

"BOSTON

SCIENTIFIC"

EMERGE PTCA

DILATATION

CATHETER

"波士頓科技"宜

加同軸冠狀動脈

擴張導管

7,809 6,535 105/01/01

114 CBP03CT481Y0 CBP01A7

"ACROSTAK"ACR

OSS CTO PTCA

BALLOON

CATHETER(OTW)

"擴適達"高斯喜

通冠狀動脈氣球

導管

7,809 6,535 105/01/01

115 CBP02SPR32M4 CBP01A7

"MEDTRONIC"SPR

INTER OVER-THE-

WIRE BALLOON

DILATATION

CATHETER


同軸導線氣球擴

張導管

7,809 6,535 105/01/01

116 CBP0318634TM CBP01A7

"TERUMO"RYUJIN

PLUS OTW PTCA

DILATATION

CATHETER


柆思歐堤達步溜


張導管

7,809 6,535 105/01/01

117 CDD0200114FM CDD02A2

"FORTUNE"C.W.V.

DRAIN

SYSTEM(STERILE)

:SILICONE

ABDOMINAL

SUMP DRAIN

"富強"傷口引流

系統(滅菌)(引流

管/雙腔)

273 136 105/01/01

118 CDD0200120FM CDD02A2

"FORTUNE"C.W.V.

DRAIN

SYSTEM(STERILE)

:SILICONE

ABDOMINAL

SUMP DRAIN


系統(滅菌)(引流

管/雙腔)

273 136 105/01/01

第 15 頁，共 104 頁


稱

原支付

點數調整後支



119 CDD0425001Z1 CDD04A1

"ZIMMER"WOUND

DRAINAGE

SYSTEM(STERILE/

NON-

STERILE):HEMOV

AC

"西美"傷口引流

組(滅菌/未滅

菌)(真空傷口引

流套/PVC引流管

+PVC吸引球)

271 259 105/01/01

120 CDD0408705P2 CDD04A1

"PAHSCO"

WOUND

DRAINAGE

SYSTEM(STERILE)

"太平洋"真空傷

口引流套(滅

菌):PVC引流管

+PVC吸引球

271 259 105/01/01

121 CDD04PT503TM CDD04A1

"TERUMO"

PORTAINER

(STERILE):PORTA

BLE WOUND

SUCTION UNIT

"泰爾茂"創液抽

吸器(滅菌):PVC

引流管+PVC吸引

球

271 259 105/01/01

122CDD04PP400W

NCDD04A1

"SEWOON"

CLOSED WOUND

DRAINAGE

SYSTEM

(STERILE)

"世運"真空傷口

引流套(滅

菌):PVC引流管

+PVC吸引球

271 259 105/01/01

123 CDD0425951Z1 CDD04A1

"ZIMMER"WOUND

DRAINAGE

SYSTEM(STERILE/

NON-

STERILE):PVC

HEMOVAC

COMPACT

EVACUATOR KIT


組(滅菌/未滅


流套/PVC引流管

+PVC吸引球)

271 259 105/01/01

124 CDD0404360BA CDD04A1

"BARD"

NONPOWERED

WOUND SUCTION

DEVICES

(STERILE):400CC

THREE-SPRING

EVACUATOR KIT

W/PVC ROUND

DRAIN

"巴德"非動力式

傷口抽吸器具(滅


流套/PVC引流管

+PVC吸引球)

271 259 105/01/01

125 CDD0425904Z1 CDD04A1

"ZIMMER"WOUND

DRAINAGE

SYSTEM(STERILE/

NON-

STERILE):HEMOV

AC


組(滅菌/未滅


流套/PVC引流管

+PVC吸引球)

271 259 105/01/01

第 16 頁，共 104 頁


稱

原支付

點數調整後支



126 CDD0456025P2 CDD04A1

"PAHSCO"

CLOSED WOUND

DRAINAGE

SYSTEM(STERILE)

"太平洋"密閉式

真空傷口引流套

(滅菌):PVC引流

管+PVC吸引球+

穿刺針

271 259 105/01/01

127 CDD0456001P2 CDD04A1

"PAHSCO"

WOUND

DRAINAGE

SYSTEM(STERILE)


口引流套(滅

菌):PVC引流管

+PVC吸引球+穿

刺針

271 259 105/01/01

128 CDD0453101P2 CDD04A1

"PAHSCO"

CLOSED WOUND

DRAINAGE

SYSTEM(STERILE)



(滅菌):PVC引流

管+PVC吸引球+

穿刺針

271 259 105/01/01

129 CDD0430101P2 CDD04A1

"PAHSCO"

WOUND

DRAINAGE

SYSTEM(STERILE)


口引流套(滅

菌):PVC引流管

+PVC吸引球+穿

刺針

271 259 105/01/01

130CDD04HS2XXH

0CDD04B1

"HOSMED"CLOSE

D WOUND

VACUUM

DRAINAGE

SYSTEM

(STERILE):SILICO

NE CWV

RESERVOIR+DRAI

N

"世新"密閉式真

空傷口引流系統

(滅菌):矽質引流

管+矽質吸引球

455 391 105/01/01

131 CDD04CSB00LL CDD04B1

"LILY"WOUND

DRAINAGE

SYSTEM

(STERILE)

"怡安" 真空傷口

引流套 (滅菌):矽

質引流管+矽質吸

引球+穿刺針

455 391 105/01/01

132 CDD0420136FM CDD04B1

"FORTUNE"C.W.V.

DRAIN

SYSTEM(STERILE)

:ALL SILICONE

(RESERVOIR+DRA

IN)


系統(滅菌):矽質

引流管+矽質吸引

球

455 391 105/01/01

第 17 頁，共 104 頁


稱

原支付

點數調整後支



133CDD04CWVS1S

GCDD04B1

"SIGMA"

INTRODUCTION

DRAINAGE

CATHETER AND

ACCESSORIES

(STERILE):SIGMA

SILICONE C.W.V

SET

"十美牌" 導入/引

流導管及其附件


管+矽質吸引球

455 391 105/01/01

134CDD04SS200W

NCDD04B1

"SEWOON"

CLOSED WOUND

DRAINAGE

SYSTEM

(STERILE):SILICO

NE DRAIN WITH

RESERVOIR


引流套(滅菌):矽


引球

455 391 105/01/01

135CDD04SS100W

NCDD04B1

"SEWOON"

CLOSED WOUND

DRAINAGE

SYSTEM

(STERILE):SILICO

NE DRAIN WITH

RESERVOIR




引球

455 391 105/01/01

136 CDD0420131FM CDD04B1

"FORTUNE"C.W.V.

DRAIN

SYSTEM(STERILE)

:ALL SILICONE

(RESERVOIR+DRA

IN)




球

455 391 105/01/01

137 CDD042535NZ1 CDD04B1

"ZIMMER"WOUND

DRAINAGE

SYSTEM(STERILE/

NON-STERILE)


組(滅菌/未滅菌):

矽質引流管+矽質

吸引球+穿刺針

455 391 105/01/01

138 CDD0420135FM CDD04B1

"FORTUNE"C.W.V.

DRAIN

SYSTEM(STERILE)

:ALL SILICONE

(RESERVOIR+DRA

IN)




球

455 391 105/01/01

139 CDD0420134FM CDD04B1

"FORTUNE"C.W.V.

DRAIN

SYSTEM(STERILE)

:ALL SILICONE

(RESERVOIR+DRA

IN)




球

455 391 105/01/01

第 18 頁，共 104 頁


稱

原支付

點數調整後支



140 CDD0406648PC CDD04B1

"BMI" BULB

DRAINAGE

SYSTEM

"長安" 傷口廢液

引流組:矽質引流

管+矽質吸引球

455 391 105/01/01

141CDD04CWCV1E

FCDD04B1

"BESMED"

INTRODUCTION

DRAINAGE

CATHETER AND

ACCESSORIES

(STERILE):SILICO

NE C.W.V SET

"貝斯美德"導入/

引流導管及其附

件(滅菌)(矽質引

流管+矽質吸引

球)

455 391 105/01/01

142CDD04CWBSTS

GCDD04B1

"SIGMA"

INTRODUCTION

DRAINAGE

CATHETER AND

ACCESSORIES

(STERILE)




管+矽質吸引球+

穿刺針

455 391 105/01/01

143 CDD0420132FM CDD04B1

"FORTUNE"C.W.V.

DRAIN

SYSTEM(STERILE)

:ALL SILICONE

(RESERVOIR+DRA

IN)




球

455 391 105/01/01

144 CDD042560NZ1 CDD04B1

"ZIMMER"WOUND

DRAINAGE

SYSTEM(STERILE/

NON-STERILE)




吸引球+穿刺針

455 391 105/01/01

145CDD04MB125S

GCDD04B1

"SIGMA"

INTRODUCTION

DRAINAGE

CATHETER AND

ACCESSORIES

(STERILE)




管+矽質吸引球

455 391 105/01/01

146 CDD0408770P2 CDD04B1

"PAHSCO"

WOUND

DRAINAGE

SYSTEM(STERILE)

:SILICON VAC


口引流套(滅菌):


吸引球

455 391 105/01/01

147 CDD0420133FM CDD04B1

"FORTUNE"C.W.V.

DRAIN

SYSTEM(STERILE)

:ALL SILICONE

(RESERVOIR+DRA

IN)




球

455 391 105/01/01

第 19 頁，共 104 頁


稱

原支付

點數調整後支



148 CDD048410NM5 CDD04C1

"MICROTEK"

EASY TOUCH

WOUND-EVAC

CLOSED WOUND

SUCTION

SYSTEM(STERILE)

"邁克泰"真空傷


矽質引流管+PVC

吸引球

417 389 105/01/01

149 CDD0450511P2 CDD04C1

"PAHSCO"

CLOSED WOUND

DRAINAGE

SYSTEM(STERILE)




管+PVC吸引球+

穿刺針

417 389 105/01/01

150 CDD0510101P2 CDD05A2

"PAHSCO"

CLOSED WOUND

DRAINAGE

SYSTEM(STERILE)

:PVC VAC

DRAINAGE



(滅菌):PVC引流

管

125 113 105/01/01

151CDD05MFTR1S

GCDD05B2

"SIGMA"

INTRODUCTION

DRAINAGE

CATHETER AND

ACCESSORIES

(SILICONE):SILICO

N DRAINS

TUBE+TROCAR




管+穿刺針

271 243 105/01/01

152 CDD050308NFM CDD05B2

"FORTUNE"C.W.V.

DRAIN

SYSTEM(STERILE)

:SILICONE ROUND

DRAIN MIDDLE

PERFORATED



引流管

271 243 105/01/01

153 CDD0566484B0 CDD05B2

"BMI" BULB

DRAINAGE

SYSTEM:SILICON

E BULB

DRAINAGE



管

271 243 105/01/01

154 CDD0500SJPWN CDD05B2

"SEWOON"

CLOSED WOUND

DRAINAGE

SYSTEM

(STERILE):ALL

SILICONE WOUND

TUBINGW/TROCA

R NEEDLE



質引流管+穿刺針

271 243 105/01/01

第 20 頁，共 104 頁


稱

原支付

點數調整後支



155CDD05000SMW

NCDD05B2

"SEWOON"

CLOSED WOUND

DRAINAGE

SYSTEM

(STERILE):ALL

SILICONE WOUND

TUBINGW/TROCA

R NEEDLE



質引流管+穿刺針

271 243 105/01/01

156 CDD0501310C8 CDD05B2

"CARDINAL"

JACKSON PRATT

WOUND

DRAINAGE

DEVICES(STERILE

):SILICONE

DRAINS

"卡迪諾"傷口引

流裝置(滅菌):矽

質引流管

271 243 105/01/01

157 CDD0503203SM CDD05B2

"SIL-MED"

CLOSED WOUND

DRAINAGE

SYSTEMS(NON-

STERILE):EXTRA

STRENGTH FLAT

SUCTION DRAIN

"喜美"傷口引流

裝置(未滅菌):矽

質引流管

271 243 105/01/01

158 CDD0501420FM CDD05B2

"FORTUNE"C.W.V.

DRAIN

SYSTEM(STERILE)

:SILICON DRAINS

TUBE



引流管

271 243 105/01/01

159 CDD0501407FM CDD05B2

"FORTUNE"C.W.V.

DRAIN

SYSTEM(STERILE)

:SILICON DRAINS

TUBE



引流管

271 243 105/01/01

160 CDD0508711P2 CDD05B2

"PAHSCO"

WOUND

DRAINAGE

SYSTEM(STERILE)

:SILICON VAC

DRAINAGE ＆TROCAR



矽質引流管+穿刺

針

271 243 105/01/01

第 21 頁，共 104 頁


稱

原支付

點數調整後支



161CDD05MF104S

GCDD05B2

"SIGMA"

INTRODUCTION

DRAINAGE

CATHETER AND

ACCESSORIES

(STERILE):SILICO

NE SUCTION

DRAINAGE

TUBE(FLAT)




管

271 243 105/01/01

162 CDD0503204SM CDD05B2

"SIL-MED"

CLOSED WOUND

DRAINAGE

SYSTEMS(NON-

STERILE):EXTRA

STRENGTH FLAT

SUCTION DRAIN



質引流管

271 243 105/01/01

163 CDD0502099FM CDD05B2

"FORTUNE"C.W.V.

DRAIN

SYSTEM(STERILE)

:SILICON DRAINS

TUBE+TROCAR



引流管+穿刺針

271 243 105/01/01

164 CDD0501413FM CDD05B2

"FORTUNE"C.W.V.

DRAIN

SYSTEM(STERILE)

:SILICON DRAINS

TUBE


系統(滅菌):矽膠

引流管

271 243 105/01/01

165 CDD0566482B0 CDD05B2

"BMI" BULB

DRAINAGE

SYSTEM:SILICON

E BULB

DRAINAGE



管

271 243 105/01/01

166 CDD0566481B0 CDD05B2

"BMI" BULB

DRAINAGE

SYSTEM:SILICON

E BULB

DRAINAGE



管

271 243 105/01/01

167CDD0500SXLW

NCDD05B2

"SEWOON"CLOSE

D WOUND

DRAINAGE

SYSTEM(STERILE)

:SILICONE C.W.V

DRAIN

"世運"傷口引流

套(滅菌):矽質引

流管

271 243 105/01/01

第 22 頁，共 104 頁


稱

原支付

點數調整後支



168CDD0500SMAW

NCDD05B2

"SEWOON"CLOSE

D WOUND

DRAINAGE

SYSTEM(STERILE)

:SILICONE C.W.V

DRAIN


套(滅菌):矽質引

流管

271 243 105/01/01

169 CDD05CV110EF CDD05B2

"BESMED"

INTRODUCTION

DRAINAGE

CATHETER AND

ACCESSORIES

(STERILE):SILICO

NE C.W.V DRAIN



件(滅菌):矽質引

流管

271 243 105/01/01

170 CDD0530502P2 CDD05B2

"PAHSCO"DRAIN

(STERILE):SILICO

NE VAC

DRAINAGE ＆TROCAR

"太平洋"引流管


管+穿刺針

271 243 105/01/01

171 CDD05CD000EF CDD05B2

BESMED

INTRODUCTION

DRAINAGE

CATHETER AND

ACCESSORIES

(STERILE)

貝斯美德導入/引


(滅菌)

271 243.0 105/01/01

172 CDD05020XXH0 CDD05B2

"HOSMED"CLOSE

D WOUND

VACUUM

DRAINAGE

SYSTEM

(STERILE):SILICO

NE CWV DRAIN




管

271 243 105/01/01

173 CDD0513101P2 CDD05B2

"PAHSCO"

CLOSED WOUND

DRAINAGE

SYSTEM(STERILE)

:SILICONE VAC

DRAINAGE




管

271 243 105/01/01

174 CDD0501410FM CDD05B2

"FORTUNE"C.W.V.

DRAIN

SYSTEM(STERILE)

:SILICON DRAINS

TUBE



引流管

271 243 105/01/01

第 23 頁，共 104 頁


稱

原支付

點數調整後支



175 CDD050208NFM CDD05B2

"FORTUNE"C.W.V.

DRAIN

SYSTEM(STERILE)

:SILICONE ROUND

DRAIN END

PERFORATED



引流管

271 243 105/01/01

176 CDD05CSC00LL CDD05B2

"LILY"WOUND

DRAINAGE

SYSTEM

(STERILE):SILICO

N SUCTION

DRAINAGE TUBE



質引流管

271 243 105/01/01

177 CDD0501310L6 CDD05B2

"CARDINAL"

JACKSON PRATT

WOUND

DRAINAGE

DEVICES(STERILE

):SILICONE

DRAINS

"卡迪諾"傷口引

流裝置(滅菌):矽

質引流管

271 243 105/01/01

178 CDD052540NZ1 CDD05B2

"ZIMMER"WOUND

DRAINAGE

SYSTEM(STERILE/

NON-

STERILE):MINI-

SNYDER

HEMOVAC

SILICONE DRAIN

W/TROCAR



矽質引流管+穿刺

針

271 243 105/01/01

179 CDD0603101SM CDD06B3

"SIL-MED"

CLOSED WOUND

DRAINAGE

SYSTEMS(NON-

STERILE):SUCTIO

N RESERVOIR



質吸引球

242 168 105/01/01

180 CDD06CSB00LL CDD06B3

"LILY"WOUND

DRAINAGE

SYSTEM

(STERILE):SILICO

N SURGICAL CWV

RESERVOIR



質吸引球

210 146 105/01/01

181 CDD0613150FM CDD06B3

"FORTUNE"C.W.V.

DRAIN

SYSTEM(STERILE)

:SILICON

RESERVOIR



吸引球

210 146 105/01/01

第 24 頁，共 104 頁


稱

原支付

點數調整後支



182CDD060S100W

NCDD06B3

"SEWOON"

CLOSED WOUND

DRAINAGE

SYSTEM

(STERILE):ALL

SILICONE

BAROVAC

RESERVOIR



質吸引球

210 146 105/01/01

183CDD060S200W

NCDD06B3

"SEWOON"

CLOSED WOUND

DRAINAGE

SYSTEM

(STERILE):ALL

SILICONE

BAROVAC

RESERVOIR



質吸引球

210 146 105/01/01

184 CDD0620201P2 CDD06B3

"PAHSCO"

WOUND

DRAINAGE

SYSTEM(STERILE)

:SILICONE

EVACUATOR



矽質吸引球

210 146 105/01/01

185 CDD0601305C8 CDD06B3

"CARDINAL"

JACKSON PRATT

WOUND

DRAINAGE

SYSTEM(STERILE)

:SILICONE BULB

RESERVOIR

"卡迪諾"真空傷


矽質吸引球

210 146 105/01/01

186 CDD0625681Z1 CDD06B3

"ZIMMER"WOUND

DRAINAGE

SYSTEM(STERILE/

NON-

STERILE):SIKICON

E MINI SNYDER

HEMOVAC



矽質吸引球

210 146 105/01/01

187 CDD06021XXH0 CDD06B3

"HOSMED"CLOSE

D WOUND

VACUUM

DRAINAGE

SYSTEM

(STERILE):SILICO

NE CWV

RESERVOIR



(滅菌):矽質吸引

球

210 146 105/01/01

第 25 頁，共 104 頁


稱

原支付

點數調整後支



188CDD06MB125S

GCDD06B3

"SIGMA"

INTRODUCTION

DRAINAGE

CATHETER AND

ACCESSORIES

(SILICONE):MINI

BULB




球

210 146 105/01/01

189CDD060S400W

NCDD06B3

"SEWOON"CLOSE

D WOUND

DRAINAGE

SYSTEM(STERILE)


套(滅菌):矽質吸

引球

210 146 105/01/01

190 CDD0600640FM CDD06B3

"FORTUNE"C.W.V.

DRAIN

SYSTEM(STERILE)

:SILICONE

RESERVOIR



吸引球

210 146 105/01/01

191 CDD0608709P2 CDD06B3

"PAHSCO"

WOUND

DRAINAGE

SYSTEM(STERILE)

:SILICON VAC

RESERVOIR



矽質吸引球

210 146 105/01/01

192 CDD0566483B0 CDD06B3

"BMI" BULB

DRAINAGE

SYSTEM:SILICON

E BULB


引流組:矽質吸引

球

210 146 105/01/01

193CDD06CWVB1S

GCDD06B3

"SIGMA"

INTRODUCTION

DRAINAGE

CATHETER AND

ACCESSORIES

(SILICONE):SILICO

NE MINI BULB




球

210 146 105/01/01

194CDD06CW1S1E

FCDD06B3

"BESMED"

INTRODUCTION

DRAINAGE

CATHETER AND

ACCESSORIES

(STERILE):SILICO

NE C.W.V

RESERVOIR



件(滅菌):矽質吸

引球

210 146 105/01/01

第 26 頁，共 104 頁


稱

原支付

點數調整後支



195 CDP0145550SB CDP01A3

"BOSTON

SCIENTIFIC"

MICROVASIVE

RAPID

EXCHANGE

BILIARY STENT

"波士頓科技"快

速交換膽道支架

系統(含推進導管

及導引導管)

3,929 3,863 105/01/01

196 CDP01BSK12SB CDP01A4

"BOSTON

SCIENTIFIC"AMST

ERDAM BILIARY

STENT KIT

"波士頓科技"阿

姆斯特丹膽道支

架組(含推進導

管)

2,401 2,361 105/01/01

197 CDP0104015MV CDP01B2

"BOSTON

SCIENTIFIC"

FLEXIMA

NASOBILIARY

CATHETER

"波士頓科技"經

鼻膽道引流管 5,198 5,143 105/01/01

198CDP01ENBD1C

KCDP01B2

"COOK" NASAL

BILIARY

DRAINAGE SET

"曲克"鼻-膽道引

流管組 5,198 5,143 105/01/01

199CDP01NPDS1C

KCDP01B2

"COOK"NASAL

PANCREATIC

DRAINAGE SETS

"曲克"經鼻胰液

引流組 5,198 5,143 105/01/01

200 CDP0104015SB CDP01B2

"BOSTON

SCIENTIFIC"

FLEXIMA

NASOBILIARY

CATHETER


鼻膽道引流管 5,198 5,143 105/01/01

201 CDP01L001NCK CDP01B3"COOK" BILIARY

STENT SET

"曲克"膽道留置

管組 4,458 4,400 105/01/01

202 CDP01PV600LY CDP01B3

"OLYMPUS"

BILIARY

DRAINAGE TUBE

(BILIARY STENT

KIT)

"奧林柏斯"膽道

引流管(膽道支架

暨支架引導組)

4,458 4,400 105/01/01

203CDP01ZEBD1C

KCDP01B3

"COOK" BILIARY

STENT SET


管組 4,458 4,400 105/01/01


"OLYMPUS"

BILIARY

DRAINAGE TUBE

(BILIARY STENT

KIT)



暨支架引導組)

4,458 4,400 105/01/01


"OLYMPUS"

BILIARY

DRAINAGE TUBE

(BILIARY STENT

KIT)



暨支架引導組)

4,458 4,400 105/01/01

第 27 頁，共 104 頁


稱

原支付

點數調整後支



206 CDP01CLBS2CK CDP01B3

"COOK" COTTON-

LEUNG BILIARY

STENTS AND

INTRODUCERS

"曲克"膽道支架

暨支架引導系統 4,458 4,400 105/01/01

207 CDP01GPPS1FG CDP01B3

"ENDO-FLEX"

STENT

INTRODUCTION

SET GPPS

"福萊克斯"支架

放置套組 4,458 4,400 105/01/01

208CDP01CHB1NC

KCDP01B3

"COOK" BILIARY

STENT SET


管組 4,458 4,400 105/01/01

209CDP01ZEBD4C

KCDP01B3

"COOK" ZIMMON

BILIARY STENTS

AND

INTRODUCERS


暨支架引導系統 4,458 4,400 105/01/01

210 CDP01BSK1TSB CDP01B3

"BOSTON

SCIENTIFIC"AMST

ERDAM BILIARY

STENT KIT



架組(含推進導管

及導引導管)

4,458 4,400 105/01/01

211 CDP01ABSPLSB CDP01B3

"BOSTON

SCIENTIFIC"ADVA

NIX BILIARY

STENT WITH

NAVIFLEX RX

DELIVERY

SYSTEM


德凡斯膽道支架 4,458 4,400 105/01/01

212 CDP01BS001SB CDP01B3

"BOSTON

SCIENTIFIC"AMST

ERDAM BILIARY

STENT KIT



架組(含推進導管

及導引導管)

4,458 4,400 105/01/01

213 CDP0122551SB CDP01B3

Boston Scientific"

Advanix Biliary

Stent with NaviFlex

RX Delivery System


德凡斯膽道支架" 4,458 4,400 105/01/01

214 CDP010ATS1CK CDP01B3

"COOK"OASIS

ONE ACTION

STENT

INTRODUCTION

SYSTEM WITH ST-

2 SOEHENDRA

TANNENBAUM

BILIARY STENT

"曲克"歐爾喜斯

一步式支架引導

系統膽道支架

4,458 4,400 105/01/01

215 CDP010ACL3CK CDP01B3

"COOK" COTTON-

LEUNG BILIARY

STENTS AND

INTRODUCERS


暨支架引導系統 4,458 4,400 105/01/01

第 28 頁，共 104 頁


稱

原支付

點數調整後支



216CDP01GEPD2C

KCDP01B6

"COOK"GEENEN

PANCREATIC

STENT SET

"曲克"吉南胰管

支架組 4,087 4,070 105/01/01

217 CDP0175110PB CDP02A2

"PBN" SKATER

DRAINAGE

CATHETERS

"皮必恩"史凱特

引流管 1,352 1,314 105/01/01

218 CDP0242010CL CDP02A3

"CLINY"

CHOLANGIO

ENTERO

TUBE:DRAINAGE

TUBE

"可利尼"內廔導

管:引流導管 832 825 105/01/01

219 CDP01P001NCK CDP02A3

"COOK"BILIARY

DRAINAGE

CATHETER

"曲克"膽道引流

導管 800 793 105/01/01

220 CDP01P008NCK CDP02A3

"COOK"BILIARY

DRAINAGE

CATHETER

"曲克"膽道引流

導管 832 825 105/01/01

221CDP01NPAS3C

KCDP02A5

"COOK"NEFF

PERCUTANEOUS

ACCESS SETS

"曲克"涅夫經皮

引導組 1,666 1,560 105/01/01

222CDP01MP1S1C

KCDP02A5

"COOK"MICROPU

NCTURE

INTRODUCER

SETS

"曲克"微穿刺引

導器組 1,666 1,560 105/01/01

223CDP01NPAS2C

KCDP02A5

"COOK"NEFF

PERCUTANEOUS

ACCESS SETS


引導組 1,666 1,560 105/01/01

224CDP01NPAS1C

KCDP02A5

"COOK"NEFF

PERCUTANEOUS

ACCESS SETS


引導組 1,666 1,560 105/01/01

225CDP01MAKSSM

RCDP02A5

"Merit"MAK-Mini

Access Kit

"美瑞特"馬克迷

你血管導引套組 1,666 1,560 105/01/01

226CDP01MAS18M

RCDP02A5

"MERIT" PRELUDE

MINI ACCESS

SHEATH

INTRODUCERS

美瑞特福祿小血

管導引鞘 1,666 1,560 105/01/01

227 CDP0120704SB CDP02A5

"BOSTON

SCIENTIFIC"

ACCUSTICK II

PERCUTANEOUS

INTRODUCER

SYSTEM


皮式導引系統 1,666 1,560 105/01/01

第 29 頁，共 104 頁


稱

原支付

點數調整後支



228 CDP01FSA01CK CDP02B1

"COOK" OASIS

ONE ACTION

STENT

INTRODUCTION

SYSTEM

"曲克" 歐爾西思

單動支架置入系

統

2,000 1,965 105/01/01

229 CDP02ZS001CK CDP02B3"COOK" ZIMMON

BILIARY STENT

"曲克"季門膽道

留置管 2,033 1,912 105/01/01

230 CDP02PTFRBFG CDP02B3

"ENDO-FLEX"

PTFE BILIARY

STENT

"福萊克斯"膽道

引流管 2,033 1,912 105/01/01

231 CDP02TTS02CK CDP02B3

"COOK" ST-2

SOEHENDRA

TANNENBAUM

BILIARY STENT

"曲克"所亨多坦

念包膽道支架 2,033 1,912 105/01/01

232 CDP02SPS12CK CDP02B3

"COOK" ZIMMON

PANCREATIC

STENT SET

"曲克"西門胰管

支架組 2,033 1,912 105/01/01

233 CDP02LS01NCK CDP02B3"COOK" BILIARY

STENT SET


管組 2,033 1,912 105/01/01

234 CDP02CLS01CK CDP02B3

"COOK" COTTON-

LEUNG BILIARY

STENTS AND

INTRODUCERS:CO

TTON-LEUNG

BILIARY STENTS


暨支架引導系統:

膽道支架

2,033 1,912 105/01/01

235CDP02PADBSS

BCDP02B3

"BOSTON

SCIENTIFIC"AMST

ERDAM BILIARY

STENT KIT



架組

2,033 1,912 105/01/01

236 CDP02PEBSTFG CDP02B3"ENDO-FLEX"

BILIARY STENT

"福萊克斯"膽道

引流管 2,033 1,912 105/01/01

237CDP02CHB1NC

KCDP02B3

"COOK" BILIARY

STENT SET


管組 2,033 1,912 105/01/01

238 CDP02ZS003CK CDP02B3

"COOK" ZIMMON

BILIARY STENTS

AND

INTRODUCERS:ZI

MMON BILIARY

STENT


暨支架引導系統:

膽道支架

2,033 1,912 105/01/01

239CDP01ABSDSS

BCDP02B3

"BOSTON

SCIENTIFIC"ADVA

NIX BILIARY

STENT


德凡斯膽道支架 2,033 1,912 105/01/01

第 30 頁，共 104 頁


稱

原支付

點數調整後支



240 CEE01ET60SLL CEE01A2

"LILY"

EXTENSION

TUBE(SAFETY)

"怡安" 輸液延長

管(安全型) 23.0 19.8 105/01/01

241 CEE01TC15NLL CEE01A3"LILY" T-SITE

CONNECTOR

"怡安"Ｔ型延長

管 14.0 7.0 105/01/01

242 CET0105180BB CEE01A3

"B.

BRAUN"MINIMUM

VOLUME

EXTENSION

TUBING WITH T-

CONNECTOR

"柏朗"Ｔ型微量

輸液連接管 14.0 7.0 105/01/01

243 CET01B032NPW CEE01A3"PERFECT"

EXTENSION TUBE

"普惠"靜注延長

管 14.0 7.0 105/01/01

244 CEE01ET015SG CEE01A3

"SIGMA"

EXTENSION

TUBE:T-

CONNECTOR

"十美牌" 延長輸

液管:T型管 14.0 7.0 105/01/01

245CEE01A110NP

WCEE01A3

"PERFECT"EXTEN

SION TUBE


管 14.0 7.0 105/01/01

246CEE01ETAT1N

QCEE01A3

"INNOVATIVE"EX

TENSION SET/T-

CONNECTOR

"宇仁"延長管-T

型 14.0 7.0 105/01/01

247 CEE0135T01TZ CEE01A3"SUNDER"

EXTENSION SETS

"善德" 延長管(管

端接T型接頭) 14.0 7.0 105/01/01

248 CEE0108100P2 CEE01A3"PAHSCO"

EXTENSION SETS"太平洋" 延長管 14.0 7.0 105/01/01

249 ACA01NF005LL CEE01A5"LILY" INJECTION

CAP

"怡安" 輸液套留

置蓋(安全型) 43.1 27.4 105/01/01

250ACA0100CDVP

WCEE01A5

"PERFECT"I.V

LOCK(NEEDLESS

SAFETY)

"普惠"注射帽(免

針安全型) 43.1 27.4 105/01/01

251 CEE01R1000BB CEE01A5

"B.BRAUN"

SAFSITE VALVE

AND

ACCESSORIES

"柏朗"安注輸注

閥:無針式接頭 43.1 27.4 105/01/01

252 CEE01P8100SG CEE01A5

"SIGMA"NEEDLEL

ESS || INJECTION

ACCESS DEVICE

"十美牌"免針||型

輸液接頭 43.1 27.4 105/01/01

253 CEE01NFA012U CEE01A5

"CHIA

CHERNE"I.V.ADMI

NISTRATION

SET/NEEDLELESS

FEMALE

ADAPTOR

"佳承"輸液點滴

套-無針式接頭 43.1 27.4 105/01/01

第 31 頁，共 104 頁


稱

原支付

點數調整後支



254 CEE01N8000SG CEE01A5

"SIGMA"NEEDLEL

ESS INJECTION

ACCESS DEVICE

"十美牌"免針輸

液接頭: 43.1 27.4 105/01/01

255 CEE01C3300U2 CEE01A5

"ICU"MICROCLAV

E CONNECTOR

AND

ACCESSORIES

DEVICES

"愛西優"可來福

接頭及組件-無針

式接頭

43.1 27.4 105/01/01

256ACA0100CDNP

WCEE01A5

"PERFECT" IV

LOCK(SAFETY)

"普惠"注射帽(免

針安全型) 43.1 27.4 105/01/01

257 CEE01NE810Q4 CEE01A5

"NEEDLELESS"NE

EDLELESS

INJECTION

ACCESS DEVICE

"尼得立斯"免針

輸液接頭-無針式

接頭

43.1 27.4 105/01/01

258 CEE01C1000U2 CEE01A5

"ICU"CLAVE

CONNECTOR AND

ACCESSORIES

DEVICES

"愛喜優" 克萊福

接頭及組件:無針

式接頭

43.1 27.4 105/01/01

259 CEE012000EJ6 CEE01A5

"CAREFUSION"SM

ARTSITE NEEDLE

FREE VALVE

EXTENSION SETS

AND

COMPONENTS

"卡爾費森"無針

輸注閥組及配件:

無針輸注閥

43.1 27.4 105/01/01

260 CEE011VA27TZ CEE01A6

"SUNDER" I.V.

ADMINISTRATION

SET

"善德"輸液套(免

針式) 43.1 33.7 105/01/01

261 CEE01E005NPW CEE01A6

"PERFECT"SAFET

Y EXTENSION

TUBE WITH T

NEEDLE FREE

"普惠"免針安全

型T型輸液延長

管

43.1 33.7 105/01/01

262 CEE01VED02Q4 CEE01A6"Needleless"

Infusion Set

"尼得立斯"輸液

套(免針加藥型) 43.1 33.7 105/01/01

263 CEE01TC15SLL CEE01A6"LILY" T-SITE

CONNECTOR

"怡安"Ｔ型延長

管:免針式安全型 43.1 33.7 105/01/01

264 CEE01PET10SG CEE01A6

"SIGMA"NEEDLEL

ESS || INJECTION

ACCESS

DEVICE:SINGLE

EXTENSION TUBE


輸液接頭:延長管 43.1 33.7 105/01/01

265 CEE01PTT10SG CEE01A6

"SIGMA"NEEDLEL

ESS INJECTION

ACCESS

DEVICE:T-TYPE

EXTENSION TUBE


液接頭:T延長管 43.1 33.7 105/01/01

第 32 頁，共 104 頁


稱

原支付

點數調整後支



266 CEE01NTE10Q4 CEE01A6

"NEEDLELESS"NE

EDLELESS

INJECTION

ACCESS

DEVICE/T-TYPE

EXTENSION TUBE


輸液接頭-T型延

長管

43.1 33.7 105/01/01

267 CEE01ETN51SG CEE01A6"SIGMA"

EXTENSION TUBE

"十美牌" 延長輸

液管:無針式接頭

+延長管

43.1 33.7 105/01/01

268 CEE01NFS10M6 CEE01A6"IMM" Needle Free

Set

"宇仁"免針型輸

液加藥器-免針輸

液延長管

43.1 33.7 105/01/01

269 CEE01NFEYSLL CEE01A6

"LILY"INFUSION

SET+NEEDLE

FREE

"怡安"點滴輸液

套(附免針式安全

型加藥座)

43.1 33.7 105/01/01

270 CEE01ETNE1Q4 CEE01A6

"NEEDLELESS"NE

EDLELESS

INJECTION

ACCESS

DEVICE/EXTENSI

ON TUBE


輸液接頭-延長管 43.1 33.7 105/01/01

271 CEE01Q5102BD CEE01A6

"BD"Q-SYTE LUER

ACCESS SITE

EXTENSION SETS

"必帝"延長型無

針式輸液套接頭:

無針式接頭+延長

管(含T型)

43.1 33.7 105/01/01

272 CEE01F020NPW CEE01A6"PERFECT"

EXTENSION TUBE


管(免針安全型) 43.1 33.7 105/01/01

273 CEE01ETN10SG CEE01A6

"SIGMA"NEEDLEL

ESS INJECTION

ACCESS

DEVICE:SINGLE

EXTENSION TUBE


液接頭:延長管 43.1 33.7 105/01/01

274 CEE01ET067BB CEE01A6

"B.BRAUN"

SAFSITE NEEDLE-

FREE EXTENSION

SET

"柏朗"安注延長

導管組:無針式接

頭+延長管(含T

型)

43.1 33.7 105/01/01

275 CEE01ET116BB CEE01A6

"B.BRAUN"

SAFSITE NEEDLE-

FREE EXTENSION

SET


導管組:無針式接

頭+延長管(含T

型)

43.1 33.7 105/01/01


"PERFECT"EXTEN

SION

TUBE(SAFETY)


管(免針安全型) 43.1 33.7 105/01/01

第 33 頁，共 104 頁


稱

原支付

點數調整後支



277 CEE01ENT10SG CEE01A6

"SIGMA"NEEDLEL

ESS INJECTION

ACCESS

DEVICE:T-TYPE

EXTENSION TUBE


液接頭:T型延長

管

43.1 33.7 105/01/01

278 CEE01C3302U2 CEE01A6

“ICU” MicroCLAVE

CONNECTOR AND

ACCESSORIES

DEVICES

“愛西優”可來福

接頭及組件(無針

式接頭+延長管)

43.1 33.7 105/01/01


"PERFECT"

DISPOSABLE

INFUSION SET

"普惠"輸液套(免

針安全型) 43.1 33.7 105/01/01

280 CEE01AS303SG CEE01A6"SIGMA"

INFUSION SET

"十美牌"輸液器

(免針安全型) 43.1 33.7 105/01/01

281 CEE01B060NPW CEE01A6

"PERFECT"

DISPOSABLE

INFUSION SET-

SAFETY

"普惠"輸液套-Y

管免針安全型 43.1 33.7 105/01/01


"PERFECT"EXTEN

SION TUBE T

TYPE(SAFETY)


管:T型(免針安全

型)

43.1 33.7 105/01/01


"PERFECT"EXTEN

SION TUBE Y

TYPE(SAFETY)


管:Y型(免針安全

型)

43.1 33.7 105/01/01

284 CEE0120039J6 CEE01A6

"CAREFUSION"SM

ARTSITE NEEDLE

FREE VALVE

EXTENSION SETS

AND

COMPONENTS

"卡爾費森"無針

輸注閥組及配件:

無針輸注閥延長

管

43.1 33.7 105/01/01

285 CEE0110656LL CEE01A6"LILY"

EXTENSION TUBE

"怡安" 輸液延長

管:免針加藥座 43.1 33.7 105/01/01

286 CEE01C5060U2 CEE01A6

“ICU” MicroCLAVE

CONNECTOR AND

ACCESSORIES

DEVICES

“愛西優”可來福

接頭及組件(無針

式接頭+延長輸液

套)

43.1 33.7 105/01/01

287 CEE01050603B CEE01A6"KDL" Extension

Tubes

"康德萊"延長管

(含無針加藥接

頭)

43.1 33.7 105/01/01

288 CEE0135T21TZ CEE01A6"SUNDER"

EXTENSION SETS

"善德" 延長管-T

型延長管(免針

式)

43.1 33.7 105/01/01

第 34 頁，共 104 頁


稱

原支付

點數調整後支



289 CEE01PEY10SG CEE01A7

"SIGMA"NEEDLEL

ESS INJECTION

ACCESS

DEVICE:Y

"十美牌"免針型

輸液接頭:Y延長

管

51.5 33.7 105/01/01

290 CEE01NYE10Q4 CEE01A7

"NEEDLELESS"NE

EDLELESS

INJECTION

ACCESS

DEVICE/Y-TYPE

EXTENSION TUBE


輸液接頭-Y型延

長管

51.5 33.7 105/01/01

291 CEE01ETSTNLL CEE01A7"LILY"Extension

tube

"怡安"輸液延長

管(1路)-免針式安

全型

51.5 33.7 105/01/01

292 CEE0135Y21TZ CEE01A7"SUNDER"

EXTENSION SETS

"善德" 延長管-Y

型延長管(免針

式)

51.5 33.7 105/01/01

293 CEE01ENY10SG CEE01A7

"SIGMA"NEEDLEL

ESS INJECTION

ACCESS

DEVICE:Y


液接頭:Y型延長

管

51.5 33.7 105/01/01

294 CEE01NFS20M6 CEE01A7"IMM" Needle Free

Set


液加藥器-Y型免

針輸液延長管

51.5 33.7 105/01/01


"NEEDLELESS"NE

EDLELESS

INJECTION

ACCESS

DEVICE/3-WAY

EXTENSION TUBE


輸液接頭-三路延

長管

99.0 61.1 105/01/01

296CEE01NFSHYM

6CEE01A8

"IMM" Needle Free

Set


液加藥器-雙管路

延長管

99.0 61.1 105/01/01

297 CEE01ETN20SG CEE01A8

"SIGMA"NEEDLEL

ESS INJECTION

ACCESS

DEVICE:DOUBLE

EXTENSION TUBE


液接頭:2路延長

管

99.0 61.1 105/01/01


"NEEDLELESS"NE

EDLELESS

INJECTION

ACCESS

DEVICE/2-WAY

EXTENSION TUBE


輸液接頭-二路延

長管

99.0 61.1 105/01/01

第 35 頁，共 104 頁


稱

原支付

點數調整後支



299 CEE01ET33SBB CEE01A8

"B.BRAUN"

SAFSITE NEEDLE-

FREE EXTENSION

SET


導管組:無針式雙

接頭+延長管

99.0 61.1 105/01/01

300 CEE01ETG2SLL CEE01A8"LILY"Extension

tube

"怡安"輸液延長

管(2-4路)-免針式

安全型

99.0 61.1 105/01/01

301 CEE01C3322U2 CEE01A8

"ICU"MICROCLAV

E CONNECTOR

AND

ACCESSORIES

DEVICES

"愛西優"可來福

接頭及組件-無針

式雙接頭延長管

99.0 61.1 105/01/01

302 CEE01ENY20SG CEE01A8

"SIGMA"NEEDLEL

ESS INJECTION

ACCESS

DEVICE:Y


液接頭:三路免針

輸液接頭

99.0 61.1 105/01/01

303 CEE01PET20SG CEE01A8

"SIGMA"NEEDLEL

ESS || INJECTION

ACCESS

DEVICE:DOUBLE

EXTENSION TUBE


輸液接頭:2路延

長管

99.0 61.1 105/01/01

304 CEE01C4200U2 CEE01A8

"ICU" CLAVE

CONNECTOR AND

ACCESSORIES

DEVICES:NEEDLE

LESS PIGGYBACK

EXTENSION SET

DUAL PORT



式雙接頭延長管

99.0 61.1 105/01/01

305 CEE01050533B CEE01A8"KDL" Extension

Tubes(2-way)

"康德萊"延長管

(2路導管+無針加

藥接頭)

99.0 61.1 105/01/01

306 CEE01Q5100BD CEE01D5BD Q-SYTE LUER

ACCESS SITE


針式輸液套接頭 43.1 38.0 105/01/01

307 CEE01Q5101BD CEE01D6

"BD"Q-SYTE LUER

ACCESS SITE

EXTENSION SETS


針式輸液套接頭 43.1 38.0 105/01/01

308 CEE01T1100U2 CEE01D6

"ICU" CLAVE

CONNECTOR AND

ACCESSORIES

DEVICES:NON-

DEHP MINIBORE

EXT SET T-

CONNECTOR AND

BONDED CLAVE

CONNECTOR



式T延長管

43.1 38.0 105/01/01

第 36 頁，共 104 頁


稱

原支付

點數調整後支



309 CEE01C2000U2 CEE01D6

"ICU" CLAVE

CONNECTOR AND

ACCESSORIES

DEVICES:NEEDLE

LESS CONNECTOR

EXTENSION SET



式延長管

43.1 38.0 105/01/01

310 CEP01PT500GJ CEP01A1"JSM"PRESSURE

TUBING

"吉生"壓力連接

管 30.7 25.3 105/01/01

311 CEP01PT500SG CEP01A1"SIGMA"

PRESSURE TUBE

"十美牌" 耐壓延

長管 30.7 25.3 105/01/01


TUBING


管 30.7 25.3 105/01/01

313 CEP01PT072BD CEP01A1

"ARGON"

DISPOSABLE

PRESSURE

MONITORING

KIT:ARTERIAL

PRESSURE

TUBING

"愛琅" 血壓監視

組合套:中壓力連

接管

30.7 25.3 105/01/01

314 CEP01PT500H9 CEP01A1"HYM"PRESSURE

TUBING

"華億"壓力連接

管 30.7 25.3 105/01/01


"ARGON"

DISPOSABLE

PRESSURE

MONITORING

KIT:ARTERIAL

PRESSURE

TUBING



接管

30.7 25.3 105/01/01

316 CEP01PT006AG CEP01A1

"ARGON"

DISPOSABLE

PRESSURE

MONITORING

KIT:PRESSURE

TUBING


組合套:壓力連接

管

30.7 25.3 105/01/01

317 CEP01ETP01M6 CEP01A1"IMM" PRESSURE

TUBE

"宇仁" 高壓延長

管 30.7 25.3 105/01/01

318 CEP01PT048AG CEP01A1

"ARGON"

DISPOSABLE

PRESSURE

MONITORING

KIT:PRESSURE

TUBING


組合套:壓力連接

管

30.7 25.3 105/01/01

第 37 頁，共 104 頁


稱

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點數調整後支



319 CEP0190702NL CEP01A1

"NAVILYST"

PRESSURE

MONITORING

LINE

"娜維利斯特"壓

力偵測導線 30.7 25.3 105/01/01

320 CEP0190701SB CEP01A1

"NAVILYST"

PRESSURE

MONITORING

LINE

"娜維利斯特"壓

力偵測導線 30.7 25.3 105/01/01


"ARGON"

DISPOSABLE

PRESSURE

MONITORING

KIT:ARTERIAL

PRESSURE

TUBING



接管

30.7 25.3 105/01/01

322 CEP0108317P2 CEP01A1"PAHSCO"

PRESSURE TUBE

"太平洋" 壓力延

長管 30.7 25.3 105/01/01

323 CEP0108314P2 CEP01A1"PAHSCO"

PRESSURE TUBE

"太平洋" 壓力延

長管 30.7 25.3 105/01/01

324 CEP010544B3N CEP01A1"NEMOTO"Pressure

Tube

"根本"高壓延長

管-直型管300PSI 30.7 25.3 105/01/01

325 CEP01B330BBQ CEP01A1

"BIOTEQ"HIGH

PRESSURE

CONNECTING

TUBE

"邦特"中壓力連

接管:500PSI 30.7 25.3 105/01/01


TUBING


管 92.0 79.2 105/01/01

327 CEP01PTH12SG CEP01B1"SIGMA"

PRESSURE TUBE

"十美牌" 耐壓延

長管 57.0 32.7 105/01/01

328 CEP01PTPV1GJ CEP01B1"JSM"PRESSURE

TUBING


管 57.0 32.7 105/01/01

329 CEP01PTPVCGJ CEP01B1"JSM"PRESSURE

TUBING


管 57.0 32.7 105/01/01

330 CEP01ETP19M6 CEP01B1"IMM" PRESSURE

TUBE

"宇仁" 高壓延長

管 57.0 32.7 105/01/01

331 CEP01B024NPW CEP01B1

"PERFECT"

EXTENSION

TUBE:HIGH

PRESSURE

CONNECTING

TUBE


管:壓力連接管/高

壓

57.0 32.7 105/01/01

332 CEP010A01NPW CEP01B1"PERFECT"EXTEN

SION TUBE


管:高壓延長管800PSI

57.0 32.7 105/01/01

第 38 頁，共 104 頁


稱

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點數調整後支



333 CEP01PTHPTH9 CEP01B2"HYM"PRESSURE

TUBING

"華億"壓力連接

管(雙層) 314 267 105/01/01

334 CEP01PTHP1GJ CEP01B2"JSM"PRESSURE

TUBING


管 314 267 105/01/01

335 CEP01PTHPTGJ CEP01B2"JSM"PRESSURE

TUBING


管 314 267 105/01/01

336 CEP01HP30EMR CEP01B2

"MERIT" HIGH

PRESSURE

TUBING

"美瑞特" 高壓軟

管 314 267 105/01/01


"MERIT" HIGH

PRESSURE

TUBING


管 314 267 105/01/01


"MERIT" HIGH

PRESSURE

TUBING


管 314 267 105/01/01

339 CEP01A813ABQ CEP01B2

"BIOTEQ"GUIDIN

G

CATHETER:1200PS

I HIGH PRESSURE

CONNECTING

TUBE

"邦特"導引導管:

壓力連接管/高壓

(雙層):1200PSI

314 267 105/01/01

340 CEP0191031NL CEP01B2CONTRAST

INJECTION LINES

顯影劑注射導

線:1200PSI雙層 314 267 105/01/01

341 CEP01AL1505P CEP01B2

"PEROUSE"ALGAF

LEX CONNECTION

LINES

"普魯斯"艾加非

司壓力連接管 314 267 105/01/01

342 CEP011200PTP CEP01B2"TOP"ANGIOGRAP

HIC TUBE

"特浦"血管造影

劑注入延長管:雙

層

314 267 105/01/01

343 CEP0111507BB CEP01B2

"B.BRAUN"ANGIO

DYN HIGH

PRESSURE

TUBINGS

"柏朗"高壓連接

管(雙層):1200PSI 314 267 105/01/01

344 CEP012100DCD CEP01B2

"CORDIS"

EMERALD

DIAGNOSTICS

GUIDE

WIRE:EXTENSION

CATHETER

"考迪斯"引導線 314 267 105/01/01

345 CEE01HPC03CK CEP01B2"COOK"CONNECTI

NG TUBE

"曲克"連接管

1200PSI 314 267 105/01/01

346 CEE01H001NCK CEP01B2"COOK"CONNECTI

NG TUBE

"曲克"連接管:高

壓 314 267 105/01/01

347 CGS01402RNCD CGA1A00"CORDIS" AVANTI

SHEATH

"考迪斯"愛汎第

引導套 470 456 105/01/01

第 39 頁，共 104 頁


稱

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點數調整後支



348 CGS0111A00BQ CGA1A00"BIOTEQ"SHEATH

INTRODUCER KIT"邦特"導引鞘 470 456 105/01/01

349 CGS01402ANCD CGA1A00"CORDIS" AVANTI

SHEATH


引導套 470 456 105/01/01

350 CGS01SUH11SB CGA1A10

"BOSTON

SCIENTIFIC"

SUPER SHEATH

INTRODUCER

SHEATH

"波士頓科技"速

博血管導引鞘 583 537 105/01/01

351 CGS01SHSH7SB CGA1A10

"BOSTON

SCIENTIFIC"

SUPER SHEATH

INTRODUCER

SHEATH


博血管導引鞘 583 537 105/01/01

352 CGS011101AVE CGA1A10

"AVE"

PERCUTANEOUS

CATHETER

INTRODUCERS

"艾必依"經皮下

導引套 583 537 105/01/01

353 CGS01N6700ST CGA1A10

"SJM"FAST-CATH

HEMOSTASIS

INTRODUCERS

"聖猷達"費思凱

絲導管導引器 583 537 105/01/01


"SJM"FAST-CATH

HEMOSTASIS

INTRODUCERS


絲導管導引器 583 537 105/01/01


"SJM"FAST-CATH

HEMOSTASIS

INTRODUCERS


絲導管導引器 583 537 105/01/01


"SJM"FAST-CATH

HEMOSTASIS

INTRODUCERS


絲導管導引器 583 537 105/01/01

357 CGS01C485NST CGA1A10

"SJM"ENGAGE/

ENGAGE TR

INTRODUCER

(FEMORAL)

"聖猷達"茵給桔

導管導引器 583 537 105/01/01

358 CGS0146132AG CGA1A10

"ARGON"INTROD

UCER KITS AND

TRAY:INTRODUC

ER KIT

"雅客"導引器組 583 537 105/01/01

359CGS01SUM11S

BCGA1A10

"BOSTON

SCIENTIFIC"

SUPER SHEATH

INTRODUCER

SHEATH


博血管導引鞘 583 537 105/01/01

360 CGS0158F38MR CGA1A10

"MERIT"PRELUDE

SHEATH

INTRODUCERS

"美瑞特"動脈導

引鞘 583 537 105/01/01

第 40 頁，共 104 頁


稱

原支付

點數調整後支



361 CGS01504XNCD CGA1A10"CORDIS" AVANTI

SHEATH


引導套 583 537 105/01/01

362 CGS01504PNCD CGA1A10"CORDIS" AVANTI

SHEATH


引導套 583 537 105/01/01

363 CGS0146151AG CGA1A10

"ARGON"INTROD

UCER KITS AND

TRAY:INTRODUC

ER KIT

"雅客"導引器組 583 537 105/01/01

364 CGS0146134AG CGA1A10

"ARGON"INTROD

UCER KITS AND

TRAY:SHEATH

INTRODUCER

"雅客"導引器組 583 537 105/01/01

365 CGS0146133AG CGA1A10

"ARGON"INTROD

UCER KITS AND

TRAY:SHEATH

INTRODUCER

"雅客"導引器組 583 537 105/01/01

366 CGS0146131AG CGA1A10

"ARGON"INTROD

UCER KITS AND

TRAY:ONE PIECE

TUOHY-BORST

INTRODUCER

"雅客"導引器組 583 537 105/01/01

367 CGS0146070AG CGA1A10

"ARGON"INTROD

UCER KITS AND

TRAY:SHEATH

INTRODUCER

"雅客"導引器組 583 537 105/01/01

368 CGS0146064AG CGA1A10

"ARGON"INTROD

UCER KITS AND

TRAY:PEDIATRIC

INTRODUCER KIT

"雅客"導引器組 583 537 105/01/01

369 CGS0146005AG CGA1A10

"ARGON"INTROD

UCER KITS AND

TRAY:SHEATH

INTRODUCER

"雅客"導引器組 583 537 105/01/01

370 CGS0140764ST CGA1A10

"SJM" ULTIMUM

HEMOSTASIS

INTRODUCER

"聖猷達"雅帝明

導管導引器 583 537 105/01/01

371 CGS014076NST CGA1A10

"SJM" ULTIMUM

HEMOSTASIS

INTRODUCER


導管導引器 583 537 105/01/01

372 CGS0121322ST CGA1A10

FAST-CATH

HEMOSTASIS

INTRODUCER

費思凱絲止血導

管導引器 583 537 105/01/01



第 41 頁，共 104 頁


稱

原支付

點數調整後支



374 CGS0108503AR CGA1A10

"ARROW"PERCUT

ANEOUS SHEATH

INTRODUCER

SYSTEM

"亞諾"經皮導引

鞘組 583 537 105/01/01

375 CGS0107840ST CGA1A10

"SJM" ULTIMUM

HEMOSTASIS

INTRODUCER


導管導引器 583 537 105/01/01

376 CGS0107835ST CGA1A10

"SJM" ULTIMUM

HEMOSTASIS

INTRODUCER


導管導引器 583 537 105/01/01

377 CGS0107830ST CGA1A10

"SJM" ULTIMUM

HEMOSTASIS

INTRODUCER


導管導引器 583 537 105/01/01

378 CGS0106255ST CGA1A10

"SJM" MAXIMUM

HEMOSTASIS

INTRODUCER

"聖猷達"麥克斯

導管導引器 583 537 105/01/01

379 CGS0106249ST CGA1A10

"SJM" MAXIMUM

HEMOSTASIS

INTRODUCER


導管導引器 583 537 105/01/01

380 CGS0100011VE CGA1A10

"AVE"

PERCUTANEOUS

CATHETER

INTRODUCERS

"艾必依"經皮下

導引套 583 537 105/01/01

381 CGS0106351ST CGA1A10

"SJM" MAXIMUM

HEMOSTASIS

INTRODUCER


導管導引器 583 537 105/01/01


"SJM"FAST-CATH

HEMOSTASIS

INTRODUCERS


絲導管導引器 583 537 105/01/01


"SJM"FAST-CATH

HEMOSTASIS

INTRODUCERS


絲導管導引器 583 537 105/01/01

384CGS01PLD11M

RCGA1A10

"MERIT"PRELUDE

SHEATH

INTRODUCERS


引鞘 583 537 105/01/01

385CGS01CW08NA

RCGA1A14

"ARROW"PERCUT

ANEOUS SHEATH

INTRODUCER

SYSTEM


鞘組 790 784 105/01/01



387 CGS0108403AR CGA1A14

"ARROW"PERCUT

ANEOUS SHEATH

INTRODUCER

SYSTEM


鞘組 790 784 105/01/01

第 42 頁，共 104 頁


稱

原支付

點數調整後支



388CGS01MPS03C

KCGA1A15

"COOK"MICROPU

NCTURE

INTRODUCER

SETS


導器組 1,661 1,625 105/01/01

389CGS01MPS01C

KCGA1A15

"COOK"MICROPU

NCTURE

INTRODUCER

SETS


導器組 1,661 1,625 105/01/01

390CGS01MPS02C

KCGA1A15

"COOK"MICROPU

NCTURE

INTRODUCER

SETS


導器組 1,661 1,625 105/01/01

391 CGS0119042M0 CGA1A15

"MEDCOMP"MICR

O-STICK

INTRODUCER SET

AND

ACCESSORIES(4-

5FR

SHEATH+0.018

NITINOL

GUIDEWIRE+21G

"美德康"微穿刺

導引器組與配件 1,661 1,625 105/01/01

392CGS01MASNTM

RCGA1A15

"MERIT" PRELUDE

MINI ACCESS

SHEATH

INTRODUCERS

美瑞特福祿小血

管導引鞘 1,661 1,625 105/01/01

393CGS01MR190M

0CGA1A15

"MEDCOMP"MICR

O-STICK

INTRODUCER SET

AND

ACCESSORIES

"美德康"微穿刺

導引器組與配件 1,661 1,625 105/01/01

394 CGS01TR487ST CGA1A21

"SJM"ENGAGE/EN

GAGE TR

INTRODUCER(RA

DIA

INTRODUCER)


導管導引器 835 834 105/01/01


"SJM"ENGAGE/EN

GAGE TR

INTRODUCER(RA

DIA

INTRODUCER)


導管導引器 835 834 105/01/01

396 CGS01RCF04CK CGA1A21

"COOK" CHECK-

FLO PERFORMER

INTRODUCER

SETS

"曲克"闕克芙爾

引導器組 835 834 105/01/01

第 43 頁，共 104 頁


稱

原支付

點數調整後支



397 CGS01QG110TA CGA1A21

"TARGET"DISPOS

ABLE

INTRODUCER KIT

"天地合"鞘管組 835 834 105/01/01

398CGS01PMA25M

RCGA1A21

"MERIT"PRELUDE

MINI ACCESS

SHEATH

INTRODUCERS

"美瑞特"福祿小

血管導引鞘 835 834 105/01/01

399 CGS01BS092TM CGA1A21

"TERUMO"

RADIFOCUS

INTRODUCER II

"泰爾茂"攝影引

導套 835 834 105/01/01

400CGS01B40G7T

MCGA1A21

"TERUMO"

RADIFOCUS

INTRODUCER II


導套 835 834 105/01/01

401CGS01AVK11T

MCGA1A21

"TERUMO"RADIF

OCUS

INTRODUCER II

"泰爾茂"血管攝

影引導套 835 834 105/01/01

402 CGS01AS091TM CGA1A21

"TERUMO"

RADIFOCUS

INTRODUCER II


導套 835 834 105/01/01


"TERUMO"

RADIFOCUS

INTRODUCER II


影引導套 835 834 105/01/01


"TERUMO"

RADIFOCUS

INTRODUCER II


導套(附針，針

筒)

835 834 105/01/01

405 CGS01C407NST CGA1A21

"SJM" ULTIMUM

HEMOSTASIS

INTRODUCER


導管導引器 835 834 105/01/01

406CGS01B50N1T

MCGA1A21

"TERUMO"

RADIFOCUS

INTRODUCER II


導套 835 834 105/01/01

407CGS01A40K1T

MCGA1A21

"TERUMO"

RADIFOCUS

INTRODUCER II


導套 835 834 105/01/01

408CGS01AVK12T

MCGA1A21

"TERUMO"RADIF

OCUS

INTRODUCER II


影引導套 835 834 105/01/01

409 CGS0150461CD CGA1A21"CORDIS" AVANTI

SHEATH


引導套 835 834 105/01/01

410CGS01AVK14T

MCGA1A21

"TERUMO"RADIF

OCUS

INTRODUCER II


影引導套 835 834 105/01/01


"SJM" MAXIMUM

HEMOSTASIS

INTRODUCER


導管導引器 835 834 105/01/01

第 44 頁，共 104 頁


稱

原支付

點數調整後支



412CGS01AVK13T

MCGA1A21

"TERUMO"RADIF

OCUS

INTRODUCER II


影引導套 835 834 105/01/01

413CGS01RCFN1C

KCGA1A21

"COOK" CHECK-

FLO PERFORMER

INTRODUCER

SETS


引導器組 835 834 105/01/01

414CGS01MRKTPM

RCGA1A22

"MERIT"PRELUDE

MARKER TIP

SHEATH

INTRODUCERS (4-

8FR 11CM)

"美瑞特"福祿可

顯影導引鞘(鞘W/MARKER

TIP+擴張器+導

線、SIDEARM、W/VALVE)

820 804 105/01/01

415CGS01BVK12T

MCGA1A22

"TERUMO"RADIF

OCUS

INTRODUCER II


影引導套 820 804 105/01/01

416CGS01BVK11T

MCGA1A22

"TERUMO"RADIF

OCUS

INTRODUCER II


影引導套 820 804 105/01/01

417 CGS01BS091TM CGA1A22

"TERUMO"

RADIFOCUS

INTRODUCER II


導套 820 804 105/01/01

418CGS01B11MQT

MCGA1A22

"TERUMO"

RADIFOCUS

INTRODUCER II


導套 820 804 105/01/01

419 CGS01BL073TM CGA1A22

"TERUMO"

RADIFOCUS

INTRODUCER II


影引導套 820 804 105/01/01

420CGS01BVK14T

MCGA1A22

"TERUMO"RADIF

OCUS

INTRODUCER II


影引導套 820 804 105/01/01

421CGS01BVK13T

MCGA1A22

"TERUMO"RADIF

OCUS

INTRODUCER II


影引導套 820 804 105/01/01

422 CGS010511MCD CGA1A22

"CORDIS"BRITE

TIP

INTERVENTIONAL

SHEATH

"考迪斯"皮膜鞘

導引器 820 804 105/01/01

423CGS01KCFN3C

KCGA1A23

"COOK"FLEXOR

INTRODUCER"曲克"引導器 902 876 105/01/01

424CGS01KCFN1C

KCGA1A23

"COOK"FLEXOR

RADIAL

INTRODUCER

SHEATH SET

"曲克"福來瑟橈

動脈導入鞘組 902 876 105/01/01

第 45 頁，共 104 頁


稱

原支付

點數調整後支



425 CGS015056XCD CGA1A23

"CORDIS"

RADIALSOURCE

TRANSRADIAL

ACCESS KIT

4~6FR 6.5;10CM

"考迪斯"雷帝索

經橈骨皮膜鞘導

引器

902 876 105/01/01

426CGS01SUM25S

BCGA2A10

"BOSTON

SCIENTIFIC"SUPE

R SHEATH

INTRODUCER

SHEATH


博血管導引鞘 977 953 105/01/01


"COOK" CHECK-

FLO PERFORMER

INTRODUCER

SETS


引導器組 977 953 105/01/01

428CGS01PLD23M

RCGA2A10

"MERIT"PRELUDE

SHEATH

INTRODUCERS


引鞘 977 953 105/01/01


"SJM"FAST-CATH

HEMOSTASIS

INTRODUCERS


絲導管導引器 977 953 105/01/01

430CGS01DUH25S

BCGA2A10

"BOSTON

SCIENTIFIC"

SUPER SHEATH

INTRODUCER

SHEATH


博血管導引鞘 977 953 105/01/01

431 CGS01C4852ST CGA2A10

"SJM"ENGAGE/EN

GAGE TR

INTRODUCER

(FEMORAL)


導管導引器 977 953 105/01/01

432 CGS0140765ST CGA2A10

"SJM" ULTIMUM

HEMOSTASIS

INTRODUCER


導管導引器 977 953 105/01/01

433 CGS0111B10BQ CGA2A10"BIOTEQ"SHEATH


434 CGS0107851ST CGA2A10

"SJM" ULTIMUM

HEMOSTASIS

INTRODUCER


導管導引器 977 953 105/01/01

435 CGS0107691ST CGA2A10

"SJM" ULTIMUM

HEMOSTASIS

INTRODUCER


導管導引器 977 953 105/01/01


"SJM" ULTIMUM

HEMOSTASIS

INTRODUCER


導管導引器 977 953 105/01/01

437 CGS0107688ST CGA2A10

"SJM" ULTIMUM

HEMOSTASIS

INTRODUCER


導管導引器 977 953 105/01/01

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稱

原支付

點數調整後支




"SJM"ENGAGE/EN

GAGE TR

INTRODUCER(RA

DIA

INTRODUCER)


導管導引器 1,262 1,235 105/01/01

439CGS01RCFN2C

KCGA2A21

"COOK" CHECK-

FLO PERFORMER

INTRODUCER

SETS


引導器組 1,262 1,235 105/01/01


"COOK" CHECK-

FLO PERFORMER

INTRODUCER

SETS


引導器組 1,262 1,235 105/01/01

441 CGS01QG160TA CGA2A21

"TARGET"DISPOS

ABLE

INTRODUCER KIT

"天地合"鞘管組 1,262 1,235 105/01/01


"SJM" MAXIMUM

HEMOSTASIS

INTRODUCER


導管導引器 1,262 1,235 105/01/01

443 CGS01BL192TM CGA2A21

"TERUMO"

RADIFOCUS

INTRODUCER II


導套 1,262 1,235 105/01/01

444CGS01AVK22T

MCGA2A21

"TERUMO"RADIF

OCUS

INTRODUCER II


影引導套 1,262 1,235 105/01/01

445CGS01AVK21T

MCGA2A21

"TERUMO"RADIF

OCUS

INTRODUCER II


影引導套 1,262 1,235 105/01/01

446 CGS01AL191TM CGA2A21

"TERUMO"

RADIFOCUS

INTRODUCER II


導套 1,262 1,235 105/01/01

447CGS01A40K2T

MCGA2A21

"TERUMO"

RADIFOCUS

INTRODUCER II


影引導套 1,262 1,235 105/01/01

448CGS01A40GNT

MCGA2A21

"TERUMO"

RADIFOCUS

INTRODUCER II


導套 1,262 1,235 105/01/01

449 CGS0150462CD CGA2A21"CORDIS" AVANTI

SHEATH


引導套 1,262 1,235 105/01/01

450CGS01KCFN2C

KCGA2A23

"COOK"FLEXOR

RADIAL

INTRODUCER

SHEATH SET

"曲克"福來瑟橈

動脈導入鞘組 1,363 1,323 105/01/01

451CGS01KCFN4C

KCGA2A23

"COOK"FLEXOR

INTRODUCER"曲克"引導器 1,363 1,323 105/01/01

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稱

原支付

點數調整後支



452 CGS0150562CD CGA2A23

"CORDIS"

RADIALSOURCE

TRANSRADIAL

ACCESS KIT

4~6FR 20CM

"考迪斯"雷帝索

經橈骨皮膜鞘導

引器

1,363 1,323 105/01/01


"SJM"FAST-CATH

HEMOSTASIS

INTRODUCERS


絲導管導引器 2,850 2,726 105/01/01


"SJM"FAST-CATH

HEMOSTASIS

INTRODUCERS


絲導管導引器 2,850 2,726 105/01/01

455 CGS016890MCD CGA3A01

"CORDIS"BRITE

TIP

INTERVENTIONAL

SHEATH

"考迪斯"皮膜鞘

導引器 2,850 2,726 105/01/01

456CGS01A1MWSS

TCGA3A02

"SJM" CPS AIM SL

SLITTABLE INNER

CATHETER

"聖猷達"縱裂式

內導管 1,810 1,575 105/01/01

457CGS01A1MDSS

TCGA3A02

"SJM" CPS AIM SL

SLITTABLE INNER

CATHETER

"聖猷達"縱裂式

內導管 1,810 1,575 105/01/01

458 CGS01SEA14ST CGAP011"SJM"PEEL-AWAY

INTRODUCERS

"聖猷達"剝式導

管導引器 864 785 105/01/01

459CGS01PA6CMS

TCGAP011

"SJM"PEEL-AWAY

INTRODUCERS


管導引器 864.0 785 105/01/01

460 CGS01PA14NST CGAP011"SJM"PEEL-AWAY

INTRODUCERS


管導引器 864 785 105/01/01

461 CGS01PA140ST CGAP011"SJM"PEEL-AWAY

INTRODUCERS


管導引器 864.0 785 105/01/01

462 CGS01PA230ST CGAP011"SJM"PEEL-AWAY

INTRODUCERS


管導引器 864.0 785 105/01/01

463CGS01APK1TK

HCGAP011

"OSCOR"ADELAN

TE PEEL AWAY

INTRODUCER

SET(SHEATH+DIL

ATOR+GW+NEED

LE+SYRINGE)

"奧斯卡"導管導

引器 864.0 785 105/01/01

464CGS01APASDK

HCGAP011

"OSCOR"ADELAN

TE PEEL AWAY

INTRODUCER

SET(SHEATH+DIL

ATOR)

"奧斯卡"導管導

引器 864 785 105/01/01

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稱

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點數調整後支



465 CGS0193001GQ CGAP011

"GREATBATCH"

OPTISEAL

VALVED PTFE

PEELABLE

INTRODUCER

(S+D+SY+N+G.W)

"葛貝可"帶閥撕

裂式導引器 864 785 105/01/01

466 CGS0190703M0 CGAP011

"MEDCOMP"CENT

RAL VENOUS

CATHETERS AND

ACCESSORIES(PE

ELABLE

INTRODUCER)

"美德康"中央靜

脈導管與配件(剝

式導管導引器）

864 785 105/01/01

467 CGS0167090GQ CGAP011

"GREATBATCH"

PTFE PEELABLE

INTRODUCER KIT

"葛貝可"可剝式

導入管工具組 864 785 105/01/01

468CGS0162BTKM

4CGAP011

"MEDTRONIC"

PERCUTANEOUS

LEAD

INTRODUCERS

"美敦力"導線導

引器 864 785 105/01/01

469 CGS016207SM4 CGAP011

"MEDTRONIC"

PERCUTANEOUS

LEAD

INTRODUCERS


引器 864 785 105/01/01

470 CGS016207NM4 CGAP011

"MEDTRONIC"

PERCUTANEOUS

LEAD

INTRODUCERS


引器 864 785 105/01/01

471 CGS016031NBA CGAP011

"BARD"INTRO-

EZE

PERCUTANEOUS

INTRODUCER KIT

"巴德"經皮導引

套 864 785 105/01/01

472 CGS016014NDV CGAP011

"BARD"INTRO-

EZE

PERCUTANEOUS

INTRODUCER KIT

"巴德" 經皮導引

套 864 785 105/01/01

473 CGS01440132C CGAP011

"COVIDIEN"KEND

ALL CHRONIC

HEMODIALYSIS

CATHETERS:SHEA

TH INTRODUCER

"柯惠"肯特利慢

性血液透析導管:

導引器組

864 785 105/01/01

474 CGS01440042C CGAP011

"COVIDIEN"KEND

ALL CHRONIC

HEMODIALYSIS

CATHETERS:SHEA

TH INTRODUCER

"柯惠"肯特利慢

性血液透析導管:

導引器組

864 785 105/01/01

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稱

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點數調整後支



475 CGS0130484BB CGAP011

"B.BRAUN"CELSIT

E IMPLANTABLE

PORTS:INTRODUC

ER KIT

"柏朗" 舒載皮下

植入式注射座 864 785 105/01/01

476 CGS01200892C CGAP011

"COVIDIEN"AUTO

SUTURE

CHEMOSITE

IMPLANTABLE

DRUG DELIVERY

SYSTEM

"柯惠"植入型注

射系統 864 785 105/01/01

477 CGS01200392C CGAP011

"COVIDIEN"AUTO

SUTURE

CHEMOSITE

IMPLANTABLE

DRUG DELIVERY

SYSTEM

"柯惠"植入型注

射系統 864 785 105/01/01


"BARD"PTFE

PEEL-APART

PERCUTANEOUS

KITS

"巴德"剝撕式經

皮導引套組 864 785 105/01/01


"BARD"PTFE

PEEL-APART

PERCUTANEOUS

KITS

"巴德"剝撕式經

皮導引套組 864 785 105/01/01

480 CGS016207DM4 CGAP012

"MEDTRONIC"

PERCUTANEOUS

LEAD

INTRODUCERS


引器 1,198 1,104 105/01/01

481CGAP1HY100H

9CGAP1A1

"HYM" ANGIO

PACK"華億" 心導管包 2,413 2,359 105/01/01

482CGAP1HY211H

9CGAP1A2

"HYM" ANGIO

PACK"華億" 心導管包 880 860 105/01/01

483CGAP1APMAX

GJCGAP1A3

"JSM"ANGIO

PACK"吉生"心導管包 3,309.8 3,236 105/01/01

484 CGAP1AP212GJ CGAP1A4"JSM"ANGIO

PACK"吉生"心導管包 3,127.8 3,027 105/01/01


PACK

"吉生"心導管包-

基本包(含N+導

引鞘組+GW/合金0.035"260/300CM

+壓力連接管

500PSI*2+壓力連

接管1200PSI雙

層)

2,509 2,453 105/01/01

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點數調整後支




PACK"吉生"心導管包 1,482.8 1,449 105/01/01


PACK"吉生"心導管包 2,507.8 2,418 105/01/01

488 CGAP1AP923GJ CGAP1B2"JSM"ANGIO

PACK"吉生"心導管包 1,372.8 1,342 105/01/01

489CGPG156FXBC

MCGPG1A1

"CODMAN"ENVO

Y GUIDING

CATHETER

"柯特曼"導引導

管 1,744 1,513 105/01/01

490 CGPG15565FCD CGPG1A1

"CORDIS"VISTAB

RITETIP GUIDING

CATHETERS

"考迪斯"導引導

管 1,744 1,513 105/01/01

491 CGPG134356SB CGPG1A1

"BOSTON

SCIENTIFIC"

MACH 1 GUIDE

CATHETER


克導引導管 1,744 1,513 105/01/01


"BOSTON

SCIENTIFIC"MAC

H 1

PERIPHERALGUID

ING CATHETER


克週邊血管導引

導管

1,744 1,513 105/01/01

493 CGPG12X400BB CGPG1A1

B.BRAUN SERPIA

HYDROPHILIC

GUIDING

CATHETER

柏朗導引導管 1,744 1,513 105/01/01

494CGPG1SHB03M

4CGPG1A1

"MEDTRONIC"SHE

RPA NX

BALANCED

GUIDE

"美敦力"雪爾帕

導引導管 1,744 1,513 105/01/01

495CGPG1SHB02M

4CGPG1A1

"MEDTRONIC"SHE

RPA NX

BALANCED

GUIDE


導引導管 1,744 1,513 105/01/01

496CGPG1SHB01M

4CGPG1A1

"MEDTRONIC"SHE

RPA NX

BALANCED

GUIDE


導引導管 1,744 1,513 105/01/01

497CGPG1SHA03M

4CGPG1A1

"MEDTRONIC"

HERPA NX

ACTIVE GUIDE

CATHETERS


導引導管 1,744 1,513 105/01/01

498CGPG1SHA02M

4CGPG1A1

"MEDTRONIC"

HERPA NX

ACTIVE GUIDE

CATHETERS


導引導管 1,744 1,513 105/01/01

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點數調整後支



499CGPG1SHA01M

4CGPG1A1

"MEDTRONIC"

HERPA NX

ACTIVE GUIDE

CATHETERS


導引導管 1,744 1,513 105/01/01

500CGPG1SELE2M

4CGPG1A1

"MEDTRONIC"ATT

AIN SELECT II

DELIVERY

CATHETER

SYSTEM

"美敦力"艾坦賽

勒傳送導管系統 1,744 1,513 105/01/01

501CGPG1SCBR4C

KCGPG1A1

"COOK" SLIP-

CATH GUIDING

CATHETERS

"曲克"史利普導

引導管 1,744 1,513 105/01/01

502CGPG1SCBR3C

KCGPG1A1

"COOK" SLIP-

CATH GUIDING

CATHETERS


引導管 1,744 1,513 105/01/01

503CGPG1SCBR2C

KCGPG1A1

"COOK" SLIP-

CATH GUIDING

CATHETERS


引導管 1,744 1,513 105/01/01

504CGPG1SCBR1C

KCGPG1A1

"COOK" SLIP-

CATH GUIDING

CATHETERS


引導管 1,744 1,513 105/01/01

505CGPG1PBSMPA

SCGPG1A1

"ASAHI"

ZENYTEEX PTCA

GUIDING

CATHETER

"朝日"辛尼堤經

皮冠狀動脈成型

術導引導管

1,744 1,513 105/01/01

506CGPG1LA802M

4CGPG1A1

LAUNCHER

GUIDE CATHETER

"美敦力"浪曲導

引導管 1,744 1,513 105/01/01

507CGPG1LA801M

4CGPG1A1

LAUNCHER

GUIDE CATHETER


引導管 1,744 1,513 105/01/01

508CGPG1LA702M

4CGPG1A1

"MEDTRONIC"

LAUNCHER

GUIDE


引導管 1,744 1,513 105/01/01

509CGPG1LA701M

4CGPG1A1

"MEDTRONIC"

LAUNCHER

GUIDE


引導管 1,744 1,513 105/01/01

510CGPG1LA502M

4CGPG1A1

"MEDTRONIC"

LAUNCHER

GUIDE


引導管 1,744 1,513 105/01/01

511CGPG1LA501M

4CGPG1A1

"MEDTRONIC"

LAUNCHER

GUIDE


引導管 1,744 1,513 105/01/01

512CGPG1LA006M

4CGPG1A1

"MEDTRONIC"

LAUNCHER

GUIDE


引導管 1,744 1,513 105/01/01

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稱

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點數調整後支



513 CGPG1JLJRAAS CGPG1A1

"ASAHI"

ZENYTEEX PTCA

GUIDING

CATHETER

"朝日"辛尼堤經

皮冠狀動脈成型

術導引導管

1,744 1,513 105/01/01

514CGPG1GCH60T

MCGPG1A1

"TERUMO"

HEARTRAIL PTCA

GUIDING

CATHETER

"泰爾茂"哈得睿

兒導引導管 1,744 1,513 105/01/01

515CGPG1GCF90T

MCGPG1A1

"TERUMO"HEART

RAIL II PTCA

GUIDING

CATHETER


兒導引管第二代 1,744 1,513 105/01/01

516CGPG1GCF70T

MCGPG1A1

"TERUMO"

HEARTRAIL PTCA

GUIDING

CATHETER


兒導引導管 1,744 1,513 105/01/01

517CGPG1GCF60T

MCGPG1A1

"TERUMO"

HEARTRAIL PTCA

GUIDING

CATHETER


兒導引導管 1,744 1,513 105/01/01


"CORDIS"VISTAB

RITETIP GUIDING

CATHETERS


管 1,744 1,513 105/01/01

519CGPG1CNCRG

MRCGPG1A1

"MERIT"

CONCIERGE

GUIDING

CATHETER

美瑞特康捷導引

導管 1,744 1,513 105/01/01

520CGPG1CGC58M

RCGPG1A1

"MERIT"

CONCIERGE

GUIDING

CATHETER

美瑞特康捷導引

導管 1,744 1,513 105/01/01

521 CGPG17787FCM CGPG1A1

"CODMAN"ENVO

Y GUIDING

CATHETER

"柯特曼"導引導

管 1,744 1,513 105/01/01

522CGPG1672ADC

DCGPG1A1

"CORDIS"ADROIT

GUIDING

CATHETERS 6FR

"考迪斯"安卓特

導引導管 1,744 1,513 105/01/01


"CORDIS"VISTAB

RITETIP GUIDING

CATHETERS


管 1,744 1,513 105/01/01


"CORDIS"VISTAB

RITETIP GUIDING

CATHETERS


管 1,744 1,513 105/01/01


"CORDIS"VISTAB

RITETIP GUIDING

CATHETERS


管 1,744 1,513 105/01/01

第 53 頁，共 104 頁


稱

原支付

點數調整後支




"CORDIS"VISTAB

RITETIP GUIDING

CATHETERS


管 1,744 1,513 105/01/01

527 CGPG158882CD CGPG1A1

"CORDIS"VISTAB

RITETIP GUIDING

CATHETERS


管 1,744 1,513 105/01/01

528CGPG1CNVEYS

BCGPG1A1

"BOSTON

SCIENTIFIC"CONV

EY GUIDING

CATHETER


必導引導管 1,744 1,513 105/01/01

529CGPG1586XNC

DCGPG1A1

"CORDIS"VISTAB

RITETIP GUIDING

CATHETERS


管 1,744 1,513 105/01/01

530CGPG1574XNC

DCGPG1A1

"CORDIS"VISTAB

RITETIP GUIDING

CATHETERS


管 1,744 1,513 105/01/01

531 CGPG118084ZF CGPG1A2

"SPECTRANETICS

"QUICK-CROSS

EXTREME/SELECT

SUPPORT

CATHETERS

"史特勞斯"區克

斯極緻/選擇支撐

導管(直線型)

8,715 8,604 105/01/01

532 CGPG101827AS CGPG1A2

ASAHI MASTERS

PARKWAY

MICROCATHETER

"朝日"瑪仕特微

導管系列 8,715 8,604 105/01/01


"BOSTON

SCIENTIFIC"RUBI

CON SUPPORT

CATHETERS

"波士頓科技"盧

碧肯支撐導管 8,715 8,604 105/01/01


"SPECTRANETICS

"QUICK-CROSS

SUPPORT2

CATHETERS


斯導管 8,715 8,604 105/01/01


"SPECTRANETICS

"QUICK-CROSS

EXTREME/SELECT

SUPPORT

CATHETERS


斯極緻/選擇支撐

導管(角度型)

8,715 8,604 105/01/01

536CGPG1TAHSTM

4CGPG1A2

"MEDTRONIC"

TOTAL ACROSS

CROSSING

CATHETER

"美敦力"通透可

疏疏通導管 8,715 8,604 105/01/01

537 CGPG1STD74AS CGPG1A2

"ASAHI"STRIDE

MICROCATHETER

2.2FR

"朝日"斯卓德微

導管:(多功能探

測導管含3個探測

頭)

8,715 8,604 105/01/01

第 54 頁，共 104 頁


稱

原支付

點數調整後支



538 CGPG1SC014Y7 CGPG1A2

"EV3"TRAILBLAZ

ER SUPPORT

CATHETER

"伊維三"崔爾巴

特支持導管 8,715 8,604 105/01/01

539CGPG1MSC57V

SCGPG1A2

"VASCULAR

SOLUTIONS"MINN

IE SUPPORT

CATHETER

"法斯樂舒順"迷

你輔助導管 8,715 8,604 105/01/01

540CGPG1CXC01C

KCGPG1A2

"COOK"

CROSSCATH

SUPPORT

CATHETER

"曲克"庫斯凱支

持導管 8,715 8,604 105/01/01

541CGPG1CX101C

KCGPG1A2

"COOK"CXI

SUPPORT

CATHETER

"曲克"西斯艾支

持導管(含4個不

透線標記)

8,715 8,604 105/01/01

542CGPG1CX103C

KCGPG1A2

"COOK"CXI

SUPPORT

CATHETER

"曲克"西斯艾支

持導管 8,715 8,604 105/01/01

543CGS01ATTCSM

4CGS01A1

"MEDTRONIC"

ATTAIN

COMMAND LEFT

HEART DELIVERY

SYSTEM

"美敦力"艾坦左

心室傳送系統 6,528 6,377 105/01/01

544CGS01ATTANM

4CGS01A1

"MEDTRONIC

IRELAND"

ATTAIN LEFT-

HEART DELIVERY

SYSTEM

"美敦力愛爾蘭"

安坦左心室傳送

系統

6,528 6,377 105/01/01

545 CGS0135023BK CGS01A1

"BIOTRONIK"SCO

UTPRO

CORONARY

SINUS LEAD

DELIVERY

SYSTEM

"百多力"思考導

線引入裝置系統 6,528 6,377 105/01/01

546 CGS03JCD03CK CGS03A1 "COOK"DILATORS

"曲克"擴張器

(JCD20:24-45:52-

20自86.10.27生

效)

449 430 105/01/01

547 CGS04C304SM4 CGS04A1

"MEDTRONIC"SEL

ECTSITE

DEFLECTABLE

CATHETER

SYSTEM

"美敦力"賽勒克

可調彎導管系統 2,257 2,230 105/01/01

548 CGS01PSS35MR CGS05A1

"MERIT"PRELUDE

SHORT SHEATH

INTRODUCER

"美瑞特"福祿動

靜脈廔管用導引

鞘

1,308 1,306 105/01/01

第 55 頁，共 104 頁


稱

原支付

點數調整後支



549 CGS01PS18TMR CGS05A1

"MERIT"PRELUDE

SHORT SHEATH

INTRODUCER



鞘

1,308 1,306 105/01/01

550CGS01PSSMTM

RCGS05A2

"MERIT"PRELUDE

SHORT SHEATH

INTRODUCER



鞘

1,024 1,022 105/01/01

551CPC01SWL13W

8CPC01A2

"SUNG WON"

CENTRAL

VENOUS

CATHETER SET

"善旺"中央靜脈

導管組 439 416 105/01/01

552 CPC01STD11BB CPC01A2

CERTOFIX

CENTRAL

VENOUS

CATHETER(1

LUMEN)

舒鈦單腔中心靜

脈導管組 439 416 105/01/01

553 CPC01ECL11BB CPC01A2

CERTOFIX

CENTRAL

VENOUS

CATHETER (1

LUMEN)

舒鈦單腔中心靜

脈導管組 439 416 105/01/01

554 CPC01S14163G CPC01A2

"ELINE"CENTRAL

VENOUS

CATHETER SET-

SINGLE LUMEN

"以仁"中央靜脈

導管組-成人單腔 439 416 105/01/01

555 CPC01M1162ED CPC01A2

"EDWARDS"

MULTI-MED

CENTRAL

VENOUS

CATHETER SET

"愛德華"莫迪-美

中央靜脈輸注導

管組:單腔

439 416 105/01/01

556 CPC01E4301AR CPC01A2

"ARROW"CENTRA

L VEIN

CATHETERIZATIO

N SET I LUMEN

"亞諾"中央靜脈

導管組 439 416 105/01/01

557 CPC016816NAG CPC01A2

"ARGON"

CENTRAL

VENOUS

CATHETERS

"愛琅"中心靜脈

導管組:單腔 439 416 105/01/01

558 CPC01BCV11EE CPC01A2

"SYMPHON"CENT

RAL VENOUS

CATHTER SET:1

LUMEN CVP

CATHETER

"新豐"中央靜脈

導管組 439 416 105/01/01

第 56 頁，共 104 頁


稱

原支付

點數調整後支



559 CPC01114G53D CPC01A2

"FORNIA"

DISPOSABLE

CENTRAL

VENOUS

CATHETER

KITS:1LUMEN

"福尼亞" 中心靜

脈導管組:單腔 439 416 105/01/01

560 CPC0147631AG CPC01A2

"ARGON"

CENTRAL

CATHETER KITS

"雅客"中央導管

組:單腔 439 416 105/01/01

561 CPC0147630AG CPC01A2

"ARGON"

CENTRAL

CATHETER KITS

"雅客"中央導管

組:單腔 439 416 105/01/01

562 CPC0104301AR CPC01A2

"Arrow"Single-

Lumen Central

Venous

Catheterization

Set(C+N+D+G+S)

"亞諾"單腔中央

靜脈導管組(C+N+D+G+S)

439 416 105/01/01

563 CPC0101406M0 CPC01A2

SINGLE LUMEN

INFUSION

CATHETER SET

"美德康"多腔中

央靜脈輸液導管

與配件

439 416 105/01/01

564 CPC0104706AR CPC01A2

"ARROW"CENTRA

L VEIN

CATHETERIZATIO

N SET I LUMEN


導管組 439 416 105/01/01

565 CPC01E4700AR CPC01A2

"ARROW"CENTRA

L VEIN

CATHETERIZATIO

N SET(1 LUMEN)


導管組 439 416 105/01/01

566 CPC01C4400AR CPC01A2

"ARROW"CENTRA

L VEIN

CATHETERIZATIO

N SET I LUMEN


導管組 439 416 105/01/01

567 CPC01H1056AG CPC01A2

"ARGON"

CENTRAL

VENOUS

CATHETERS


導管組:單腔 439 416 105/01/01

568CPC02SWL24W

8CPC01A3

"SUNG WON"

CENTRAL

VENOUS

CATHETER SET


導管組 951 841 105/01/01


CERTOFIX

CENTRAL

VENOUS

CATHETER(2

LUMEN)

舒鈦雙腔中心靜

脈導管組 951 841 105/01/01

第 57 頁，共 104 頁


稱

原支付

點數調整後支



570 CPC02N7702AR CPC01A3

"ARROW"MULTI-

LUMEN CENTRAL

VENOUS

CATHETERIZATIO

N SETS

"亞諾"多重輸液

導管:雙腔 951 841 105/01/01

571 CPC02M271SED CPC01A3

"EDWARDS"

MULTI-MED

CENTRAL

VENOUS

CATHETER SET



管組:雙腔

951 841 105/01/01


CERTOFIX

CENTRAL

VENOUS

CATHETER (2

LUMEN)

舒鈦雙腔中心靜

脈導管組 951 841 105/01/01

573 CPC02D70163G CPC01A3

"ELINE"CENTRAL

VENOUS

CATHETER SET-

DOUBLE LUMEN


導管組-成人雙腔 951 841 105/01/01

574 CPC02CV782BS CPC01A3

"BIOSENSORS"CE

NTRAL VENOUS

CATHETER KIT

2LUMEN

"拜爾生"中央靜

脈導管組 951 841 105/01/01


"SYMPHON"CENT

RAL VENOUS

CATHTER SET:2

LUMEN CVP

CATHETER/SET


導管組 951 841 105/01/01

576 CPC026817NAG CPC01A3

"ARGON"

CENTRAL

VENOUS

CATHETERS


導管組:雙腔 951 841 105/01/01

577 CPC022L715M0 CPC01A3

DOUBLE LUMEN

INFUSION

CATHETER SET



與配件

951 841 105/01/01

578 CPC02278F53D CPC01A3

"FORNIA"

DISPOSABLE

CENTRAL

VENOUS

CATHETER

KITS:2LUMEN


脈導管組:雙腔 951 841 105/01/01

第 58 頁，共 104 頁


稱

原支付

點數調整後支



579 CPC0217702AR CPC01A3

"ARROW"MULTI-

LUMEN CENTRAL

VENOUS

CATHETERIZATIO

N SETS


導管:雙腔 951 841 105/01/01

580CPC01SWL23W

8CPC01A3

"SUNG WON"

CENTRAL

VENOUS

CATHETER SET


導管組 951 841 105/01/01

581 CPC03T70203G CPC01A4

"ELINE"CENTRAL

VENOUS

CATHETER SET-

TRIPLE LUMEN


導管組-成人三腔 1,118 850 105/01/01


CERTOFIX

CENTRAL

VENOUS

CATHETER

舒鈦三腔中心靜

脈導管組 1,118 850 105/01/01

583 CPC03M371SED CPC01A4

"EDWARDS"

MULTI-MED

CENTRAL

VENOUS

CATHETER SET



管組:3腔

1,118 850 105/01/01


CERTOFIX

CENTRAL

VENOUS

CATHETER (3

LUMEN)

舒鈦三腔中心靜

脈導管組 1,118 850 105/01/01

585 CPC03CV783BS CPC01A4

"BIOSENSORS"CE

NTRAL VENOUS

CATHETER KIT

3LUMEN

"拜爾生"中央靜

脈導管組 1,118 850 105/01/01


"SYMPHON"CENT

RAL VENOUS

CATHTER SET:3

LUMEN CVP

CATHETER


導管組 1,118 850 105/01/01

587 CPC0368172AG CPC01A4

"ARGON"

CENTRAL

VENOUS

CATHETERS


導管組:三腔 1,118 850 105/01/01

588 CPC0314703AR CPC01A4

"ARROW"MULTI-

LUMEN CENTRAL

VENOUS

CATHETERIZATIO

N SETS:TRIPLE-

LUMEN


導管:三腔 1,118 850 105/01/01

第 59 頁，共 104 頁


稱

原支付

點數調整後支



589 CPC033L715M0 CPC01A4

TRIPLE LUMEN

INFUSION

CATHETER SET



與配件

1,118 850 105/01/01

590CPC03SWL34W

8CPC01A4

"SUNG WON"

CENTRAL

VENOUS

CATHETER SET


導管組 1,118 850 105/01/01

591 CPC0315703AR CPC01A4

"ARROW"MULTI-

LUMEN CENTRAL

VENOUS

CATHETERIZATIO

N SETS:TRIPLE-

LUMEN


導管:三腔 1,118 850 105/01/01

592 CPC03378F53D CPC01A4

"FORNIA"

DISPOSABLE

CENTRAL

VENOUS

CATHETER

KITS:3LUMEN


脈導管組:三腔 1,118 850 105/01/01

593CPC01SWL33W

8CPC01A4

"SUNG WON"

CENTRAL

VENOUS

CATHETER SET


導管組 1,118 850 105/01/01

594 CPC01SAC20AR CPC01AA

"ARROW"ARTERI

AL

CATHETERIZATIO

N SET

"亞諾"動脈導管

組 381 379 105/01/01

595 CPC01R4020AR CPC01AA

"ARROW"ARTERI

AL

CATHETERIZATIO

N SET

"亞諾"動脈測壓

導管 381 379 105/01/01

596CPC02UDLM3C

KCPC01C2

SPECTRUM

CENTERAL

VENOUS

CATHETER

"曲克"抗感染導

管:雙腔 1,428 1,339 105/01/01

597CPC02UDLM2C

KCPC01C2

"COOK"SPECTRU

M AND

SPECTRUM GLIDE

CENTRAL

VENOUS

CATHETERS AND

SETS

"曲克"史派純和

史派純革來得中

央靜脈導管組:雙

腔

1,428 1,339 105/01/01

第 60 頁，共 104 頁


稱

原支付

點數調整後支



598 CPC02UDL81CK CPC01C2

"COOK"SPECTRU

M GLIDE

CENTRAL

VENOUS

CATHETERS AND

SETS

"曲克"史派純革

來得中央靜脈導

管:抗感染導管:雙

腔

1,428 1,339 105/01/01

599CPC02SUDLMC

KCPC01C2

"COOK"

SPECTRUM

CENTRAL

VENOUS

CATHETER

"曲克"中央靜脈

導管:雙腔 1,428 1,339 105/01/01

600 CPC02PTT12BB CPC01C2

CERTOFIX

CENTRAL

VENOUS

CATHETER

(PROTECT 2

LUMEN)

舒鈦抗感染雙腔

中心靜脈導管組 1,428 1,339 105/01/01

601 CPC02M27S1ED CPC01C2

"EDWARDS"

MULTI-MED

CENTRAL

VENOUS

CATHETER SET



管組:抗感染2腔

1,428 1,339 105/01/01

602 CPC02M2716ED CPC01C2

"EDWARDS"

MULTI-MED

CENTRAL

VENOUS

CATHETER SET




1,428 1,339 105/01/01

603CPC02CUDLMC

KCPC01C2

"COOK"SPECTRU

M AND

SPECTRUM GLIDE

CENTRAL

VENOUS

CATHETERS AND

SETS



央靜脈導管組:雙

腔

1,428 1,339 105/01/01

604 CPC02B1152AG CPC01C2

"ARGON"HYDROC

ATH ASSURE

HYDROPHILIC

ANTI-MICROBIAL

CENTRAL

VENOUS

CATHETER(2

LUMEN)

"愛琅"抑菌中心

靜脈導管(2腔) 1,428 1,339 105/01/01

605 CPC02A7702AR CPC01C2

"ARROW"ARROW

GARD CATHETER

(DOUBLE LUMEN

)

"亞諾"抗感染安

全尖端導管(大管

徑):雙腔

1,428 1,339 105/01/01

第 61 頁，共 104 頁


稱

原支付

點數調整後支



606 CPC0227702AR CPC01C2

"ARROW"

ARROWGARD

CATHETERS-

DOUBLE

LUMEN(C+N+D+G

+S)


全尖端導管-雙腔 1,428 1,339 105/01/01

607 CPC0225122AR CPC01C2

"ARROW"

ARROWGARD

CATHETERS-

LARGE BORE

TWO LUMEN

HEMODIALYSIS

CATHETER(C+N+

D+G+S)


全尖端導管-大管

徑雙腔輸液導管

組

1,428 1,339 105/01/01

608CPC03UTLMAC

KCPC01C3

"COOK"SPECTRU

M AND

SPECTRUM GLIDE

3 LUMEN CVP

CATHETER 5FR，7FR(C+D+GW+N+S

)



央靜脈導管組:三

腔

1,905 1,901 105/01/01

609CPC03UTLM3C

KCPC01C3

SPECTRUM

CENTERAL

VENOUS

CATHETER

"曲克"抗感染導

管:三腔 1,905 1,901 105/01/01

610CPC03UTLM1C

KCPC01C3

"COOK"SPECTRU

M AND

SPECTRUM GLIDE

CENTRAL

VENOUS

CATHETERS AND

SETS



央靜脈導管組

1,905 1,901 105/01/01

611 CPC03PTT13BB CPC01C3

CERTOFIX

CENTRAL

VENOUS

CATHETER

舒鈦抗感染三腔

中心靜脈導管組 1,905 1,901 105/01/01

612 CPC03M37S1ED CPC01C3

"EDWARDS"

MULTI-MED

CENTRAL

VENOUS

CATHETER SET




1,905 1,901 105/01/01

613 CPC03M3716ED CPC01C3

"EDWARDS"

MULTI-MED

CENTRAL

VENOUS

CATHETER SET




1,905 1,901 105/01/01

第 62 頁，共 104 頁


稱

原支付

點數調整後支



614CPC03CUTLMC

KCPC01C3

"COOK"SPECTRU

M AND

SPECTRUM GLIDE

CENTRAL

VENOUS

CATHETERS AND

SETS



央靜脈導管組

1,905 1,901 105/01/01


"ARGON"HYDROC

ATH ASSURE

HYDROPHILIC

ANTI-MICROBIAL

CENTRAL

VENOUS

CATHETER:3

LUMEN


靜脈導管:三腔 1,905 1,901 105/01/01


"ARROW"ARROW

GARD

CATHETERS:ANTI

SEPTIC LARGE

BORE TRIPLE-

LUMEN

亞諾抗感染安全

尖端導管:三腔 1,905 1,901 105/01/01


"ARROW"ARROW

GARD

CATHETERS:ANTI

SEPTIC TRIPLE-

LUMEN


全尖端導管:三腔 1,905 1,901 105/01/01

618 CPC0325123AR CPC01C3

"ARROW"

ARROWGARD

CATHETERS-

LARGE BORE

TRIPLE LUMEN

HEMODIALYSIS

CATHETER(C+N+

D+G+S)


全尖端導管-大管

徑三腔輸液導管

組

1,905 1,901 105/01/01

619 CPC0324703AR CPC01C3

"ARROW"

ARROWGARD

CATHETERS-

TRIPLE

LUMEN(C+N+D+G

+S)


全尖端導管-三腔 1,905 1,901 105/01/01

620CPC02SDLM1C

KCPC01C4

"COOK"

SPECTRUM

CENTRAL

VENOUS

CATHETER


導管:兒童雙腔抗

感染導管

1,835 1,787 105/01/01

第 63 頁，共 104 頁


稱

原支付

點數調整後支



621CPC02PEUD1C

KCPC01C4

"COOK"SPECTRU

M AND

SPECTRUM GLIDE

CENTRAL

VENOUS

CATHETERS AND

SETS



央靜脈導管組:兒

童雙腔抗感染導

管

1,835 1,787 105/01/01

622CPC02PEDUDC

KCPC01C4

"COOK"SPECTRU

M GLIDE

CENTRAL

VENOUS

CATHETERS AND

SETS

"曲克"史派純革

來得中央靜脈導

管:兒童雙腔抗感

染導管

1,835 1,787 105/01/01

623CPC02PEDSUC

KCPC01C4

"COOK"

SPECTRUM

CENTRAL

VENOUS

CATHETER


導管:兒童雙腔抗

感染

1,835 1,787 105/01/01

624 CPC02P2502AR CPC01C4

"ARROW"

ARROWGARD

CATHETERS-

PEDIATRIC

DOUBLE

LUMEN(C+N+D+G

+S)


全尖端導管-小兒

雙腔

1,835 1,787 105/01/01

625 CPC0222502AR CPC01C4

"ARROW"ARROW

GARD

CATHETERS:ANTI

SEPTIC

PEDIATRIC

DOUBLE LUMEN


全尖端導管:兒童

雙腔

1,835 1,787 105/01/01

626CPC03UTPEDC

KCPC01C5

"COOK"SPECTRU

M AND

SPECTRUM GLIDE

CENTRAL

VENOUS

CATHETERS AND

SETS




童三腔抗感染導

管

2,200 2,127 105/01/01

627 CPC03UTPE2CK CPC01C5

"COOK"SPECTRU

M GLIDE

CENTRAL

VENOUS

CATHETERS AND

SETS





管

2,200 2,127 105/01/01

第 64 頁，共 104 頁


稱

原支付

點數調整後支



628CPC03PEDUTC

KCPC01C5

"COOK"

SPECTRUM

CENTRAL

VENOUS

CATHETER





管

2,200 2,127 105/01/01

629 CPC0260048DV CPC01C7

"BARD" HICKMAN

HEMODIALYSIS

CATHETER

"巴德"希克曼血

液透析導管 2,743 2,652 105/01/01


"ARGON"HYDROC

ATH ASSURE

HYDROPHILIC

ANTI-MICROBIAL

CENTRAL

VENOUS

CATHETER:2

LUMEN


靜脈導管:雙腔 1,141 1,103 105/01/01

631 CPC01PMS03CK CPC01CC

"COOK"

FEMORAL/DISTAL

AORTIC

PRESSURE

MONITORING SET

"曲克"動脈壓力

監測組 1,490 1,440 105/01/01


"COOK"

FEMORAL/DISTAL

AORTIC

PRESSURE

MONITORING SET


監測組 1,490 1,440 105/01/01


"COOK"

FEMORAL/DISTAL

AORTIC

PRESSURE

MONITORING SET


監測組 1,490 1,440 105/01/01

634 CPC089FHS1ED CPC08A1

"EDWARDS" AVA

ADVANCED

VENOUS ACCESS

DEVICES

"愛德華"多功能

靜脈輸液套 2,600 2,536 105/01/01

635 CPC0885HS1ED CPC08A2

"EDWARDS" AVA

ADVANCED

VENOUS ACCESS

DEVICES

"愛德華"多功能

靜脈輸液套 2,734 2,643 105/01/01

第 65 頁，共 104 頁


稱

原支付

點數調整後支



636CPM02HP60RB

DCPM02A1

"ARGON"

DISPOSABLE

PRESSURE

MONITORING

KIT:1 DOME

PRESSURE

MONITORING KIT


組合套 310 280 105/01/01

637 CPM02BTR48BS CPM02A1

"BIOSENSORS"

BIOTRANS

SINGLE-USE

PRESSURE

MONITORING KIT

"拜爾生"拜爾特

司拋棄式血壓監

視組合

套:1DOME

310 280 105/01/01

638 CPM02BT481GJ CPM02A1

"JSM"PRESSURE

MONITORING

KIT:1DOME KIT

"吉生"血壓監視

組合套:1DOME

KIT

310 280 105/01/01

639 CPM02BTR24BS CPM02A2

"BIOSENSORS"

BIOTRANS

SINGLE-USE

PRESSURE

MONITORING

KIT=

"拜爾生"拜爾特

司拋棄式血壓監

視組合

套:2DOME

664 634 105/01/01

640 CPM02BT482GJ CPM02A2

"JSM"PRESSURE

MONITORING

KIT:2 DOME KIT


組合套:2 DOME

KIT

664 634 105/01/01

641 CPM03PX260ED CPM03A1

"EDWARDS"TRU

WAVE

DISPOSABLE

PRESSURE

TRANSDUCER

愛德華凸威壓力

傳導器:1

TRANSDUCER

369 320 105/01/01

642CPM03D4812H

MCPM03A1

"ARGON"

DISPOSABLE

PRESSURE

MONITORING KIT


組合套 369 320 105/01/01

643 CPM03D4812AG CPM03A1

"ARGON"

DISPOSABLE

PRESSURE

MONITORING KIT


組合

套:(TRAN+FLUS

H+TUBING+3W

AYX2)

369 320 105/01/01

644CPM03ADPT1G

JCPM03A1

"JSM"PRESSURE

MONITORING

KIT:1TRANSDUCE

R KIT


組合

套:1TRANSDUC

ER KIT

369 320 105/01/01

645 CPM038603TSG CPM03A1

"SIGMA"

PRESSURE

MONITOR KIT

"十美牌"壓力傳

導組 369 320 105/01/01

第 66 頁，共 104 頁


稱

原支付

點數調整後支



646 CPM0352026BB CPM03A1

COMBITRANS

MONITORING

SETS

康比得壓力監測

組 369 320 105/01/01

647 CPM0342584U2 CPM03A1

"ICU" TRANSPAC

IV MONITORING

KIT

"愛西優"壓力監

測套 369 320 105/01/01

648 CPM0342584HR CPM03A1

"ICU" TRANSPAC

IV MONITORING

KIT


測套 369 320 105/01/01

649CPM03PX2X2E

DCPM03A2

"EDWARDS"TRU

WAVE

DISPOSABLE

PRESSURE

TRANSDUCER


傳導器:2

TRANSDUCER

915 870 105/01/01

650CPM03ADPT2G

JCPM03A2

"JSM"PRESSURE

MONITORING

KIT:2TRANSDUCE

R KIT


組合

套:2TRANSDUC

ER KIT

915 870 105/01/01

651 CPM034812DAG CPM03A2

"ARGON"

DISPOSABLE

PRESSURE

MONITORING KIT


組合

套:2X(TR+FLU+

TUBING+3WAY

X2)

915 870 105/01/01

652 CPM0342652U2 CPM03A2

"ICU" TRANSPAC

IV MONITORING

KIT


測套 915 870 105/01/01

653 CPM0342652HR CPM03A2

"ICU" TRANSPAC

IV MONITORING

KIT:


測套 915 870 105/01/01

654 CPM0342597HR CPM03A2

"ICU" TRANSPAC

IV MONITORING

KIT


測套 915 870 105/01/01

655CPM03PX3X7E

DCPM03A3

"EDWARDS"TRU

WAVE

DISPOSABLE

PRESSURE

TRANSDUCER


傳導器:3

TRANSDUCER

1,105 1,014 105/01/01

656CPM03ADPT3G

JCPM03A3

"JSM"PRESSURE

MONITORING

KIT:3TRANSDUCE

R KIT


組合

套:3TRANSDUC

ER KIT

1,105 1,014 105/01/01

657 CPM034812TAG CPM03A3

"ARGON"

DISPOSABLE

PRESSURE

MONITORING KIT


組合

套:3X(TR+FLU+

TUB+3WAYX2)

1,105 1,014 105/01/01

第 67 頁，共 104 頁


稱

原支付

點數調整後支



658 CPM0342591U2 CPM03A3

"ICU" TRANSPAC

IV MONITORING

KIT


測套 1,105 1,014 105/01/01

659 CPM0342591HR CPM03A3

"ICU" TRANSPAC

IV MONITORING

KIT


測套 1,105 1,014 105/01/01

660 CPM03PX604ED CPM03A4

"EDWARDS"TRU

WAVE

DISPOSABLE

PRESSURE

TRANSDUCER

"愛德華"凸威壓

力傳導器 369 320 105/01/01

661 CPM03D2020AG CPM03A4

"ARGON"

DISPOSABLE

PRESSURE

MONITORING

KIT:TRANSDUCER

W/FLUSH


組合套:壓力轉換

器

369 320 105/01/01

662CPM03ADP3WG

JCPM03A4

"JSM"PRESSURE

MONITORING

KIT:1TRANSDUCE

R


組合

套:1TRANSDUC

ER

369 320 105/01/01

663 CPM03ADP00GJ CPM03A4

"JSM"PRESSURE

MONITORING

KIT:1TRANSDUCE

R


組合

套:1TRANSDUC

ER

369 320 105/01/01

664 CPM0352036BB CPM03A4

COMBITRANS

MONITORING

SETS:DISPOSABLE

TRANSDUCER

康比得壓力監測

組:壓力轉換器 369 320 105/01/01

665CPM030TNFRA

GCPM03A4

"ARGON"

DISPOSABLE

PRESSURE

MONITORING

KIT:TRANSDUCER


組合套:壓力轉換

器

369 320 105/01/01

666CPM03PX12NE

DCPM03B1

"EDWARDS"TRU

WAVE NEONATAL

PEDIATRIC

DISPOSABLE

PRESSURE

TRANSDUCER


力傳導器:兒童 1

TRANSDUCER

734 675 105/01/01

667CPM03DNN12A

GCPM03B1

"ARGON"

DISPOSABLE

PRESSURE

MONITORING KIT


組合套:兒童(TRAN+FLUSH+

TUBING+3WAY)

734 675 105/01/01

第 68 頁，共 104 頁


稱

原支付

點數調整後支



668CPM03PX1X0E

DCPM03C1

"EDWARDS"TRU

WAVE

DISPOSABLE

PRESSURE

TRANSDUCER (1

TR 2WAY)


力傳導器 644 592 105/01/01

669CPM03DDL60A

GCPM03C1

"ARGON"

DISPOSABLE

PRESSURE

MONITORING KIT


組合套:(2WAY) 644 592 105/01/01

670CPM03ADPTDG

JCPM03C1

"JSM"PRESSURE

MONITORING

KIT:1TRANSDUCE

R 2WAY KIT


組合

套:1TRANSDUC

ER 2WAY KIT

644 592 105/01/01

671FALSMNERP1R

QFALSMA1

"ROHTO"NEO EYE

INTRAOCULAR

LENS RP-11;RP12

"樂敦"新視人工

水晶體 1,555 1,532 105/01/01

672FALSMMZ30BA

1FALSMA1

"ALCON"CILCO

INTRAOCULAR

LENSES (PMMA)

"愛爾康"視而卡

人工水晶體 1,555 1,532 105/01/01

673FALSMMC71CA

1FALSMA1

"ALCON"CICLO

INTRAOCULAR

LENS


人工水晶體 1,555 1,532 105/01/01

674 FALSMLS100LS FALSMA1

"LENSTEC"

INTRAOCULAR

LENS

"蘭斯特"人工水

晶體 1,555 1,532 105/01/01

675FALSMDL52NA

2FALSMA1

"OII"DURALENS II

INTRAOCULAR

LENSES

"歐安眼"優樂藍

司人工水晶體 1,555 1,532 105/01/01

676FALSMCR5BUA

1FALSMA1

"ALCON"CICLO

INTRAOCULAR

LENS


人工水晶體 1,555 1,532 105/01/01

677FALSM95UVNS

ZFALSMA1

"BAUSCH ＆

LOMB"

INTRAOCULAR

LENSE

"博士倫"人工水

晶體眼球 1,555 1,532 105/01/01

678FALSMSFLEXB

9FALSMA2

"BAUSCH ＆

LOMB" SOFLEX

SE INTRAOCULAR

LENS

"博士倫"舒樂人

工水晶體(可折疊

式矽膠)

2,744 1,588 105/01/01

679 FAV01VA204LB FAV01A1

VISCAID

OPHTHALMIC

VISCOELASTIC

維視愛眼科黏彈

劑(0.4CC 1.5%

SODIUM

HYALURONATE

)

1,415 707 105/01/01

第 69 頁，共 104 頁


稱

原支付

點數調整後支



680 FAV01P0040A1 FAV01A1 PROVISC

"愛爾康比利時

廠"博微視玻璃體

替代物

1,415 707 105/01/01

681 FAV01AV050B9 FAV01A2

"BAUSCH＆

LOMB"AMVISC

VISCOELASTIC

"博士倫"安視可

人工玻璃體0.5ML

1,564 1,449 105/01/01

682 FAV01AP050B9 FAV01A2

"BAUSCH＆

LOMB"AMVISC

PLUS

VISCOELASTIC

"博士倫"安視平


1,564 1,449 105/01/01


VISCAID

OPHTHALMIC

VISCOELASTIC


劑(0.55CC 1.5%

SODIUM

HYALURONATE

)

1,564 1,449 105/01/01

684 FAV01PA001LB FAV01A2

PREVISCAID

OPHTHALMIC

VISCOELASTIC:0.5

5ML

護視安玻璃體替

代物:0.55ML 1,564 1,449 105/01/01


"愛爾康比利時


替代物

1,564 1,449 105/01/01

686FAV01HGV55A

2FAV01A2

"AMO" HEALON

GV

"眼力健"超黏喜

隆玻璃體替代物 1,564 1,449 105/01/01

687 FAV01H0506A2 FAV01A2 "AMO" HEALON 5"眼力健"喜隆五

玻璃體替代物 1,564 1,449 105/01/01

688 FAV01H0055A2 FAV01A2 "AMO" HEALON"眼力健"喜隆玻

璃體替代物 1,564 1,449 105/01/01

689 FAV01B0050A1 FAV01A2

VISCOAT-STERILE

OCULAR

VISCOELASTIC

SOLUTION

"愛爾康比利時

廠"微視玻璃體替

代物

1,564 1,449 105/01/01

690 FAV01AP080B9 FAV01A3

"BAUSCH＆

LOMB"AMVISC

PLUS

VISCOELASTIC

"博士倫"安視平


1,785 1,605 105/01/01

691 FAV01VT585A2 FAV01A3

"AMO"HEALON

ENDOCOAT

OPHTHALMIC

VISCOSURGICAL

DEVICE(OVD)

"眼力健"喜隆安

多玻璃體替代物 1,785 1,605 105/01/01

第 70 頁，共 104 頁


稱

原支付

點數調整後支




VISCAID

OPHTHALMIC

VISCOELASTIC


劑(1.0CC 1.5%

SODIUM

HYALURONATE

)

1,785 1,605 105/01/01


VISCAID

OPHTHALMIC

VISCOELASTIC


劑(0.8CC 1.5%

SODIUM

HYALURONATE

)

1,785 1,605 105/01/01

694FAV01VA10CL

BFAV01A3

VISCAID

OPHTHALMIC

VISCOELASTIC

和康維視愛眼科

黏彈劑 1.0CC 1,785 1,605 105/01/01

695FAV01VA08CL

BFAV01A3

VISCAID

OPHTHALMIC

VISCOELASTIC


劑 0.8ML 1,785 1,605 105/01/01

696 FAV01RN085RY FAV01A3

"RAYNER"RAYVIS

C OPHTHALMIC

VISCOELASTIC

"銳能"瑞威視人

工玻璃體 1,785 1,605 105/01/01


PREVISCAID

OPHTHALMIC

VISCOELASTIC:1.0

ML


代物:1.0ML 1,785 1,605 105/01/01


PREVISCAID

OPHTHALMIC

VISCOELASTIC:0.7

5ML


代物:0.75ML 1,785 1,605 105/01/01


"愛爾康比利時


替代物

1,785 1,605 105/01/01

700FAV01HGV85A

2FAV01A3

"AMO" HEALON

GV

"眼力健"超黏喜

隆玻璃體替代物 1,785 1,605 105/01/01

701 FAV01E01003H FAV01A3

"EYEKON"EYE

COAT SH SODIUM

HYALURONATE

VISCOELASTIC

"艾肯"明妥見人

工玻璃體 1,785 1,605 105/01/01

702 FAV01D3540A1 FAV01A3

DUOVISC-

VISCOELASTIC

SYSTEM

"愛爾康比利時

廠"多微視組合玻

璃體替代物

1,785 1,605 105/01/01

703 FAV01D0100A1 FAV01A3

DISCOVISC

OPHTHALMIC

VISCOSURGICAL

DEVICE

"愛爾康"利微視

眼用黏彈體手術

裝置:人工玻璃體

1,785 1,605 105/01/01

第 71 頁，共 104 頁


稱

原支付

點數調整後支



704 FAV01C0400R9 FAV01A3

"CROMA"EYEFILL

S.C.

VISCOELASTIC

SOLUTION

"寇瑪"艾飛人工

玻璃體 0.9ML 1,785 1,605 105/01/01

705 FAV01C0100R9 FAV01A3"CROMA"MEGAC

ROM

"寇瑪"明佳人工

玻璃體1CC 1,785 1,605 105/01/01

706 FAV01BC1001X FAV01A3

"CROMA-

PHARMA"BIOCOR

NEAL II

克洛法瑪拜耳克

尼人工玻璃體 1,785 1,605 105/01/01

707 FAV01B0075A1 FAV01A3

VISCOAT-STERILE

OCULAR

VISCOELASTIC

SOLUTION

"愛爾康比利時

廠"微視玻璃體替

代物

1,785 1,605 105/01/01

708 FAV01AV080B9 FAV01A3

"BAUSCH＆

LOMB"AMVISC

VISCOELASTIC

"博士倫"安視可


1,785 1,605 105/01/01

709 FAV01C0300R9 FAV01A4

"CROMA"EYEFILL

M.B

VISCOELASTIC

SOLUTION

"寇瑪"艾飛雙劑

人工玻璃體

0.55ML，0.8ML

2,021 1,605 105/01/01

710 FAV01C0200R9 FAV01A4

"CROMA"EYEFILL

HD

VISCOELASTIC

SOLUTION

"寇瑪"艾飛爾人

工玻璃體2.5ML;1.5ML

2,021 1,605 105/01/01

711 FAV01C0150R9 FAV01A4"CROMA"

VISICROM 2%

"寇瑪"人工玻璃

體1.5ML 2.5ML 2,021 1,605 105/01/01

712 FBS088320NLV FBS08A1

"LINVATEC"

CANNULATED

INTEREFERENCE

SCREW

"靈威

特"Cannulated固

定螺絲

4,113 4,023 105/01/01

713 FBS087207NSN FBS08A1

"SMITH ＆

NEPHEW"RCI

SCREW

"史耐輝"固定螺

釘:中空十字韌帶

固定螺絲

4,113 4,023 105/01/01

714 FBS0872070SN FBS08A1

"SMITH ＆

NEPHEW"

SOFTSILK SCREW

SYSTEM

"史耐輝" 柔絲介

面固定螺釘系統 4,113 4,023 105/01/01

715 FBS08718HE2R FBS08A1

"ORTHOMED"INT

ERFERENCE

SCREWS

"奧圖曼"介面螺

釘 4,113 4,023 105/01/01

716 FBS083512NLA FBS08A1

"LARS"LIGAMENT

:CANNULATED

SCREW

人工韌帶:縫合錨

釘 4,113 4,023 105/01/01

第 72 頁，共 104 頁


稱

原支付

點數調整後支



717 FBS081370TAW FBS08A1

"ARTHREX"CANN

ULATED

INTERFERENCE

SCREW

"艾思瑞斯"介面

骨螺絲釘 4,113 4,023 105/01/01

718 FBS0800234S2 FBS08A1

"STRYKER"ACL

INTERFERENCE

SCREW

"史賽克"前十字

韌帶界面固定螺

釘

4,113 4,023 105/01/01

719 FBS08CPV10BC FBS08A2

"BIOMATLANTE"

OSTEOTWIN

RESORBABLE

COMPOSITE

INTERFERENCE

SCREW

"瑪蘭尼"使得挺

吸收性複合式螺

絲

4,234 4,023 105/01/01

720 FBS08C8027LV FBS08A2

"LINVATEC"

BIOSCREW

XTRALOK

INTERFERENCE

FIXATION SCREW

"靈威特" 艾斯拉

克可吸收固定螺

絲:加長型可吸收

性固定螺絲

4,234 4,023 105/01/01

721 FBS08C8000LV FBS08A2

"LINVATEC"

ABSORBABLE

INTERFERENCE

SCREW

"靈威特"生物可

吸收性固定螺釘 4,234 4,023 105/01/01

722 FBS088020MLV FBS08A2

"LINVATEC"GENE

SYS MATRYX

INTERFERENCE

SCREW

"靈威特"傑耐斯

可吸收性螺釘 4,234 4,023 105/01/01

723 FBS0872075SN FBS08A2

"SMITH ＆

NEPHEW"BIORCI

SCREW SYSTEM

"史耐輝" RCI 可

吸收性界面固定

螺釘系統:固定螺

絲

4,234 4,023 105/01/01

724 FBS08623MS2R FBS08A2

"ORTHOMED"MIS

BIO

BIOABSORBABLE

INTERFERENCE

SCREWS

"奧圖曼"可吸收

介面骨釘 4,234 4,023 105/01/01


"LINVATEC"GENE

SYS MATRYX

INTERFERENCE

SCREW


可吸收性螺釘 4,234 4,023 105/01/01

726 FBS085015TLV FBS08A2

"CONMED

LINVATEC"MATR

YX

INTERFERENCE

SCREW

"康美靈威特"固

定螺釘(可吸收) 4,234 4,023 105/01/01

第 73 頁，共 104 頁


稱

原支付

點數調整後支



727 FBS082870CKL FBS08A2

"Karl Storz"

MegaFix-C

Bioabsorbable

Composite

Interference Screw

"卡爾斯特"美卡

菲士可吸收複合

式韌帶螺釘

4,234 4,023 105/01/01

728 FBS082545NT1 FBS08A2

"MITEK"

ABSOLUTE

ABSORBABLE

INTERFERENCE

SCREWS

"邁特"可吸收螺

絲釘系統 4,234 4,023 105/01/01

729 FBS081370BAW FBS08A2

"ARTHREX" BIO-

INTERFERENCE

SCREW

"艾思瑞斯" 吸收

性韌帶螺絲 4,234 4,023 105/01/01


"LINVATEC"GENE

SYS MATRYX

INTERFERENCE

SCREW


可吸收性螺釘 4,234 4,023 105/01/01

731 FBS0801768SN FBS08A2

"SMITH＆

NEPHEW"BIOSUR

E HA

INTERFERENCE

SCREW

"史耐輝"可吸收

性固定螺絲 4,234 4,023 105/01/01

732 FBS088059NLV FBS08A4

"LINVATEC"ENDO

PEARL

BIOABSORBABLE

SOFT TISSUE

FIXATION DEVICE

"靈威特"恩皮爾

軟組織固定器 4,100 4,079 105/01/01

733FBS08ARWSFA

WFBS08A5

"ARTHREX"

SUTURE

ANCHOR:W/FIBER

WIRE

"艾思瑞斯"縫合

錨釘:含高鋼性縫

線

3,918 3,413 105/01/01

734 FBS086140HLV FBS08A5

"LINVATEC"SUPE

R REVO-FT

SUTURE ANCHOR

"靈威特"軟組織

縫合錨釘(肩關

節)

3,918 3,413 105/01/01

735FHG21GKRS2V

8FHGD18Q

"MAQUET"

INTERGARD

KNITTED

VASCULAR

GRAFTS

"邁柯唯"英特佳

針織系列人工血

管

20,399 20,311 105/01/01

736 FHG21GK100V8 FHGD19N

"MAQUET"

INTERGARD

KNITTED

VASCULAR

GRAFTS



管

18,818 18,737 105/01/01

第 74 頁，共 104 頁


稱

原支付

點數調整後支



737FHG21WK015V

8FHGD21N

"MAQUET"

INTERGARD

WOVEN

VASCULAR

GRAFTS


編織系列人工血

管

4,608 4,588 105/01/01

738 FHG2112025TM FHGD22N

"TERUMO"GELSO

FT PLUS GELATIN

SEALED

POLYESTER

VASCULAR

PROSTHESES

"泰爾茂"傑斯弗

特加強型人工血

管

7,888 7,854 105/01/01

739FHG21WK031V

8FHGD23N

"MAQUET"

INTERGARD

WOVEN

VASCULAR

GRAFTS



管

9,849 9,553 105/01/01


"TERUMO"GELSO

FT PLUS GELATIN

SEALED

POLYESTER

VASCULAR

PROSTHESES

"泰爾茂"傑斯弗

特加強型人工血

管

9,849 9,553 105/01/01

741 FHG21GK041V8 FHGD24N

"MAQUET"

INTERGARD

KNITTED

VASCULAR

GRAFTS



管

10,234 10,190 105/01/01


"TERUMO"GELSE

AL GELATIN

SEALED

POLYESTER

VASCULAR

PROSTHESES

"泰爾茂"傑斯爾

人工血管 10,234 10,190 105/01/01

743FHG21WK016V

8FHGDA1N

"MAQUET"

INTERGARD

WOVEN

VASCULAR

GRAFTS



管

5,587 5,563 105/01/01

744FHG21W2050T

MFHGDA5N

"TERUMO"GELWE

AVE GELATIN

SEALED

POLYESTER

VASCULAR

PROSTHESES

"泰爾茂"傑衛人

工血管 12,416 12,362 105/01/01

第 75 頁，共 104 頁


稱

原支付

點數調整後支



745FHG21WK060V

8FHGDA6N

"MAQUET"

INTERGARD

WOVEN

VASCULAR

GRAFTS



管

14,899 14,835 105/01/01

746 FHG120401TMP FHGE11N

"IMPRA"

CARBOFLO

VASCULAR

GRAFT

"印帕" 卡邦人工

血管 3,363 3,304 105/01/01

747 FHG11VL100MP FHGE11N

"IMPRA"

VENAFLO EPTFE

VSCULAR

GRAFTS:STRAIGH

T GRAFT

"印帕"維那人工

血管:直式 3,363 3,304 105/01/01

748FHG11V106CM

PFHGE11N

"IMPRA"

VENAFLO EPTFE

VSCULAR

GRAFTS


血管 3,363 3,304 105/01/01

749 FHG110401CMP FHGE11N

"IMPRA"

CARBOFLO

VASCULAR

GRAFT


血管 3,363 3,304 105/01/01

750 FHG1104010MP FHGE11N

"IMPRA" EPTFE

VASCULAR

GRAFT:STRAIGHT

GRAFT

"印帕" 聚四氟乙

烯人工血管 3,363 3,304 105/01/01

751 FHG16F601CMP FHGE11Q

"IMPRA"

CARBOFLO

VASCULAR

GRAFT


血管 4,289 4,214 105/01/01

752 FHG16F401TMP FHGE11Q

"IMPRA"

CARBOFLO

VASCULAR

GRAFT


血管 4,289 4,214 105/01/01


"IMPRA"

CARBOFLO

VASCULAR

GRAFT


血管 6,279 6,170 105/01/01


"IMPRA"

VENAFLO EPTFE

VSCULAR

GRAFTS:STRAIGH

T GRAFT


血管:直式 6,279 6,170 105/01/01

第 76 頁，共 104 頁


稱

原支付

點數調整後支



755FHG11V206CM

PFHGE12N

"IMPRA"

VENAFLO EPTFE

VSCULAR

GRAFTS


血管 6,279 6,170 105/01/01


"IMPRA"

CARBOFLO

VASCULAR

GRAFT


血管 6,279 6,170 105/01/01


"IMPRA" EPTFE

VASCULAR

GRAFT:STRAIGHT

GRAFT


烯人工血管 6,279 6,170 105/01/01

758 FHG1606S20TM FHGE12Q

"TERUMO"SEALPT

FE GELATIN

SEALED EPTFE

VASCULAR

PROSTHESES

"泰爾茂"緻密人

工血管 8,114 7,973 105/01/01

759FHG1230STWB

AFHGE13N

"IMPRA" EPTFE

VASCULAR

GRAFT:STRAIGHT

GRAFT


烯人工血

管:6MM*30CM

8,714 8,563 105/01/01


"IMPRA"

CARBOFLO

VASCULAR

GRAFT


血管 8,714 8,563 105/01/01


"IMPRA"

VENAFLO EPTFE

VSCULAR

GRAFTS:STRAIGH

T GRAFT


血管:直式 8,714 8,563 105/01/01

762FHG11V306CM

PFHGE13N

"IMPRA"

VENAFLO EPTFE

VSCULAR

GRAFTS


血管 8,714 8,563 105/01/01

763 FHG1130S06BA FHGE13N

"IMPRA" EPTFE

VASCULAR

GRAFT:STRAIGHT

GRAFT


烯人工血

管:(STRAIGHT

6MM*30CM)

8,714 8,563 105/01/01


"IMPRA"

CARBOFLO

VASCULAR

GRAFT


血管 8,714 8,563 105/01/01


"IMPRA"

CARBOFLO

VASCULAR

GRAFT


血管 11,615 11,414 105/01/01

第 77 頁，共 104 頁


稱

原支付

點數調整後支



766 FHG16F3006BA FHGE13Q

"IMPRA" EPTFE

VASCULAR

GRAFT:FLEX

GRAFT


烯人工血

管:50CM

11,615 11,414 105/01/01

767 FHG336CF40MP FHGE14R

"IMPRA" EPTFE

VASCULAR

GRAFT:CENTER

FLEX GRAFT


烯人工血管 13,639 13,162 105/01/01

768FHG16CVL40M

PFHGE14R

"IMPRA"

VENAFLO EPTFE

VSCULAR

GRAFTS


血管 13,639 13,162 105/01/01

769FHG16CV604M

PFHGE14R

"IMPRA"

VENAFLO EPTFE

VSCULAR

GRAFTS


血管 13,639 13,162 105/01/01


"IMPRA"

CARBOFLO

VASCULAR

GRAFT


血管 13,639 13,162 105/01/01

771 FHG1421092AH FHGE14R

"ATRIUM"

ADVANTA PTFE

VASCULAR

GRAFTS

"亞翠恩"艾德凡

達聚四氟乙烯人

工血管

13,639 13,162 105/01/01

772 FHG1406C40SB FHGE14R

"MAQUET"

EXXCEL SOFT

EPTFE VASCULAR

GRAFT

"邁柯唯"人工血

管 13,639 13,162 105/01/01

773 FHG1406C40QM FHGE14R

"MAQUET"

EXXCEL SOFT

EPTFE VASCULAR

GRAFT


管 13,639 13,162 105/01/01

774 FHG1406545GX FHGE14R

"GORE" GORE-

TEX VASCULAR

GRAFTS:RINGED

GRAFT

"戈爾"特賜內植

人工血管 13,639 13,162 105/01/01


"IMPRA"

CARBOFLO

VASCULAR

GRAFT


血管 12,610 10,990 105/01/01


"IMPRA"

VENAFLO EPTFE

VSCULAR

GRAFTS:STRAIGH

T GRAFT


血管:直式 12,610 10,990 105/01/01

第 78 頁，共 104 頁


稱

原支付

點數調整後支



777FHG11V506CM

PFHGE15N

"IMPRA"

VENAFLO EPTFE

VSCULAR

GRAFTS


血管 12,610 10,990 105/01/01

778 FHG11D500CBA FHGE15N"BARD" DISTAFLO

BYPASS GRAFTS

"巴德"迪斯塔人

工血管 12,610 10,990 105/01/01

779 FHG11D5008BA FHGE15N"BARD" DISTAFLO

BYPASS GRAFTS


工血管: 50CM 12,610 10,990 105/01/01

780 FHG1106S50TM FHGE15N

"TERUMO"SEALPT

FE GELATIN

SEALED EPTFE

VASCULAR

PROSTHESES

"泰爾茂"緻密人

工血管 12,610 10,990 105/01/01

781 FHG1106050SB FHGE15N

"MAQUET"

EXXCEL SOFT

EPTFE VASCULAR

GRAFT


管 12,610 10,990 105/01/01


"IMPRA" EPTFE

VASCULAR

GRAFT:STRAIGHT

GRAFT


烯人工血管 12,610 10,990 105/01/01


"IMPRA"

CARBOFLO

VASCULAR

GRAFT


血管 12,610 10,990 105/01/01


"IMPRA" EPTFE

VASCULAR

GRAFT:CENTER

FLEX GRAFT


烯人工血管 16,948 16,654 105/01/01

785FHG16CVL50M

PFHGE15R

"IMPRA"

VENAFLO EPTFE

VSCULAR

GRAFTS


血管 16,948 16,654 105/01/01

786FHG16CV605M

PFHGE15R

"IMPRA"

VENAFLO EPTFE

VSCULAR

GRAFTS


血管 16,948 16,654 105/01/01


"IMPRA"

CARBOFLO

VASCULAR

GRAFT


血管 16,948 16,654 105/01/01


BYPASS GRAFTS

"巴德" 迪斯塔人

工血管:60CM 14,780 14,524 105/01/01


BYPASS GRAFTS


工血管:60CM 14,780 14,524 105/01/01

第 79 頁，共 104 頁


稱

原支付

點數調整後支




"IMPRA"

CARBOFLO

VASCULAR

GRAFT


血管 20,625 20,116 105/01/01


"IMPRA"

CARBOFLO

VASCULAR

GRAFT


血管 20,625 20,116 105/01/01

792FHG16DF6SCB

AFHGE16Q

"BARD" DISTAFLO

BYPASS GRAFTS


工血管:60CM 20,625 20,116 105/01/01

793 FHG16DF600BA FHGE16Q"BARD" DISTAFLO

BYPASS GRAFTS


工血管:60CM 20,625 20,116 105/01/01

794 FHG1506660SB FHGE16Q

"MAQUET"

EXXCEL SOFT

EPTFE VASCULAR

GRAFT


管 20,625 20,116 105/01/01

795 FHG12F0660MP FHGE16Q

"IMPRA" EPTFE

VASCULAR

GRAFT:FLEX

GRAFT


烯人工血管 20,625 20,116 105/01/01

796 FHG1721220AH FHGE17Q

"ATRIUM"

ADVANTA PTFE

VASCULAR

GRAFTS



工血管

22,555 22,269 105/01/01


"IMPRA"

CARBOFLO

VASCULAR

GRAFT


血管 22,555 22,269 105/01/01


"IMPRA"

CARBOFLO

VASCULAR

GRAFT


血管 22,555 22,269 105/01/01

799FHG16DF7SCB

AFHGE17Q

"BARD" DISTAFLO

BYPASS GRAFTS


工血管:70CM 22,555 22,269 105/01/01

800 FHG16DF700BA FHGE17Q"BARD" DISTAFLO

BYPASS GRAFTS


工血管:70CM 22,555 22,269 105/01/01

801 FHG1606670GX FHGE17Q

"GORE" GORE-

TEX VASCULAR

GRAFTS:REMOVA

BLE RINGED THIN

WALLED GRAFT


人工血管 22,555 22,269 105/01/01

第 80 頁，共 104 頁


稱

原支付

點數調整後支



802 FHG160577NGX FHGE17Q

"GORE" GORE-

TEX VASCULAR

GRAFTS:REMOVA

BLE RINGED THIN

WALLED GRAFT


人工血管 22,555 22,269 105/01/01

803 FHG1506770SB FHGE17Q

"MAQUET"

EXXCEL SOFT

EPTFE VASCULAR

GRAFT


管 22,555 22,269 105/01/01

804 FHG1506770QM FHGE17Q

"MAQUET"

EXXCEL SOFT

EPTFE VASCULAR

GRAFT


管 22,555 22,269 105/01/01


"IMPRA"

CARBOFLO

VASCULAR

GRAFT


血管 17,465 17,162 105/01/01


BYPASS GRAFTS


工血管:80CM 17,465 17,162 105/01/01


BYPASS GRAFTS


工血管:80CM 17,465 17,162 105/01/01


"IMPRA"

CARBOFLO

VASCULAR

GRAFT


血管 17,465 17,162 105/01/01

809FHG16VXT80A

HFHGE18R

"ATRIUM"

ADVANTA PTFE

VASCULAR

GRAFTS



工血管

22,488 22,099 105/01/01

810 FHG31VT246MP FHGE20N

"IMPRA"

VENAFLO EPTFE

VSCULAR

GRAFTS


血管 6,762 6,645 105/01/01

811FHG31VLT20M

PFHGE20N

"IMPRA"

VENAFLO EPTFE

VSCULAR

GRAFTS:STEPPED

GRAFT


血管:階級式 6,762 6,645 105/01/01

812 FHG1861020GX FHGE20S

"GORE" GORE-

TEX VASCULAR

GRAFTS:INTERIN

G GRAFT


人工血管:內環伸

展性人工血管

8,926 8,771 105/01/01

第 81 頁，共 104 頁


稱

原支付

點數調整後支



813 FHG3630A74BA FHGE33N

"IMPRA" EPTFE

VASCULAR

GRAFT:SHORT

TAPERED GRAFT


烯人工血管:7-

4MM*30CM

9,040 7,530 105/01/01

814 FHG31VT346MP FHGE33N

"IMPRA"

VENAFLO EPTFE

VSCULAR

GRAFTS


血管 9,040 7,530 105/01/01

815FHG31VLT30M

PFHGE33N

"IMPRA"

VENAFLO EPTFE

VSCULAR

GRAFTS:STEPPED

GRAFT


血管:階級式 9,040 7,530 105/01/01

816 FHG36VT454MP FHGE34Q

"IMPRA"

VENAFLO EPTFE

VSCULAR

GRAFTS


血管 15,800 15,601 105/01/01

817 FHG36T4740MP FHGE34Q

"IMPRA"

CARBOFLO

VASCULAR

GRAFT


血管 15,800 15,601 105/01/01

818 FHG3674A40MP FHGE34Q

"IMPRA"

CARBOFLO

VASCULAR

GRAFT


血管 15,800 15,601 105/01/01

819 FHG3647145GX FHGE34Q

"GORE" GORE-

TEX VASCULAR

GRAFTS:TAPERED

GRAFT WITH

REMOVAL

RINGED


人工血管 15,800 15,601 105/01/01

820 FHG3622125AH FHGE34Q

"ATRIUM"

ADVANTA PTFE

VASCULAR

GRAFTS



工血管

15,800 15,601 105/01/01

821FHG3146W45T

MFHGE34Q

"TERUMO"TAPER

FLO GELATIN

SEALED EPTFE

VASCULAR

PROSTHESES

"泰爾茂"特普弗

人工血管 15,800 15,601 105/01/01


"TERUMO"MAXIF

LO EXPANDED

EPTFE VASCULAR

PROSTHESES

"泰爾茂"麥斯弗

人工血管 15,800 15,601 105/01/01

第 82 頁，共 104 頁


稱

原支付

點數調整後支




"TERUMO"TAPER

FLO GELATIN

SEALED EPTFE

VASCULAR

PROSTHESES

"泰爾茂"特普弗

人工血管 15,800 15,601 105/01/01

824FHG36CVLT4M

PFHGE34R

"IMPRA"

VENAFLO EPTFE

VSCULAR

GRAFTS


血管 14,400 14,150 105/01/01

825 FHG34CFT40BA FHGE34R

"IMPRA" EPTFE

VASCULAR

GRAFT:STEPPED

CENTERFLEX

GRAFT


烯人工血管:4-

7MM*40CM

14,400 14,150 105/01/01

826FHG34CF40AB

AFHGE34R

"IMPRA" EPTFE

VASCULAR

GRAFT:SHORT

TAPERED

CENTERFLEX

GRAFT


烯人工血管:6，7-4MM*40CM

14,400 14,150 105/01/01

827 FHG3447S45MP FHGE34R

"IMPRA" EPTFE

VASCULAR

GRAFT:CENTERFL

EX STEPPED

GRAFT


烯人工血管 14,400 14,150 105/01/01

828 FHG31T4750MP FHGE35N

"IMPRA"

CARBOFLO

VASCULAR

GRAFT


血管 14,973 14,714 105/01/01

829 FHG36T4750MP FHGE35R

"IMPRA"

CARBOFLO

VASCULAR

GRAFT


血管 16,374 16,090 105/01/01


"IMPRA"

CARBOFLO

VASCULAR

GRAFT


血管 18,528 18,207 105/01/01

831 FHG36F7407MP FHGE37Q

"IMPRA"

CARBOFLO

VASCULAR

GRAFT


血管 22,179 21,795 105/01/01

832 FHG1806040GX FHGE40S

"GORE" GORE-

TEX VASCULAR

GRAFTS:INTERIN

G GRAFT


人工血管:內環伸

展性人工血管

14,915 14,657 105/01/01

第 83 頁，共 104 頁


稱

原支付

點數調整後支



833 FHG431401NGX FHGE44P

"GORE" GORE-

TEX VASCULAR

GRAFTS:STRETCH

VASCULAR

GRAFT

BIFURCATED


人工血管:伸展性

Y型人工血管

15,456 15,188 105/01/01

834 FPT01SC088A2 FPT01A1

"ALLERGAN"

TISSUE

EXPANDERS

"愛力根"組織擴

張器 11,500 11,229 105/01/01

835 FPT0135054NW FPT01A1"MENTOR" TISSUE

EXPANDER

"曼陀"組織擴張

器 11,500 11,229 105/01/01

836 FPT0120789L0 FPT01A1"SILIMED" TISSUE

EXPANDER

"賜妳媚"組織擴

張器 11,500 11,229 105/01/01

837NAN145312NA

GNAN11A1

"ARGON"

SPECIALTY

NEEDLE:AMC/3

ARTERIAL

NEEDLE

"雅客"特殊針頭:

動脈針 105 104 105/01/01

838 NAN1421100AG NAN11A1

"ARGON"

SPECIALTY

NEEDLE:AMC/3

ARTERIAL

NEEDLE


導線導引針 105 104 105/01/01

839 NAN1418275AG NAN11A1

"ARGON"

SPECIALTY

NEEDLE:AMC/4

ARTERIAL

NEEDLE WITH

FIXED WINGS


導線導引針 105 104 105/01/01

840 NAN141822NCK NAN11A1

"COOK"

DISPOSABLE

PERCUTANEOUS

ENTRY NEEDLES

"曲克"拋棄式經

皮穿刺針 105 104 105/01/01

841NAN11AP1NEH

9NAN11A1

"HYM" ANGIO

PACK:INTRODUC

ER NEEDLE

"華億" 心導管包:

導線導引針 60.0 59.4 105/01/01

842 NAN11A1820GJ NAN11A1"JSM"INTRODUCE

R NEEDLE"吉生"穿刺針 60.0 59.4 105/01/01

843 NAN1121200AG NAN11A1

"ARGON"

SPECIALTY

NEEDLE:AMC/4

ARTERIAL

NEEDLE


導線導引針 105 104 105/01/01

第 84 頁，共 104 頁


稱

原支付

點數調整後支



844 NAN1118275AG NAN11A1

"ARGON"

SPECIALTY

NEEDLE:AMC/4

ARTERIAL

NEEDLE


導線導引針 105 104 105/01/01

845NAN15DCM18C

KNAN15A1

"COOK"DISPOSAB

LE

PERCUTANEOUS

ENTRY NEEDLES

"曲克"拋棄式經

皮穿刺針 128 124 105/01/01

846NAN15AN72SM

RNAN15A1

"MERIT"

MAJESTIK SERIES

ANGIOGRAPHY

NEEDLES

"美瑞特" 血管攝

影穿刺針:導引穿

刺針(雙針)

128 124 105/01/01

847NAN15ADVAN

MRNAN15A1

"MERIT"ADVANC

E ANGIOGRAPHIC

NEEDLES

"美瑞特"高昇血

管攝影穿刺針:雙

針

128 124 105/01/01

848 NAN155324NAR NAN15A1

"ARROW"MULTI-

LUMEN CENTRAL

VENOUS

CATHETERIZATIO

N:INTRODUCER

NEEDLE

"亞諾"導引穿刺

針(雙針) 128 124 105/01/01

849NAN155324NA

GNAN15A1

"ARGON"

SPECIALTY

NEEDLE:PERCUT

ANEOUS ENTRY

NEEDLE


導引穿刺針(雙

針)

128 124 105/01/01

850 NAN1550400PB NAN15A1

SKATER

DRAINAGE SET

AND

ACCESSORIES:PU

NCTURE NEEDLE

W/STYLET

史凱特引流導管

組及配件:導引穿

刺針(雙針)

128 124 105/01/01

851 NAN1521500C3 NAN15A1

"C.M.C."

NEPHROSTOMY

KIT:DISPOSABLE

SELDING NEEDLE

"西美西"經皮腎

臟造廔組:導引穿

刺針

128 124 105/01/01

852NAN16AN18TM

RNAN16A1

"MERIT"

MAJESTIK SERIES

ANGIOGRAPHY

NEEDLES

"美瑞特" 血管攝

影穿刺針:導引穿

刺針(三針)

203 200 105/01/01

第 85 頁，共 104 頁


稱

原支付

點數調整後支



853NAN165341NA

GNAN16A1

"ARGON"

SPECIALTY

NEEDLE:ARTERIA

L CATHETER

NEEDLE


導引穿刺針(三

針)

203 200 105/01/01

854NDN051422WB

BNDN04A2

"B.BRAUN"

INTROCAN I.V.

CANNULA:PU

"柏朗"靜脈留置

針:PU 10.5 9.7 105/01/01

855NDN050024WB

BNDN04A2

"B.BRAUN"

INTROCAN I.V.

CANNULA:PU


針:PU 10.5 9.7 105/01/01

856 NDN04S1424BD NDN04A2

"BD" INSYTE I.V.

CATHETER:VIALO

N

"BD"靜脈留置

針:VIALON 10.5 9.7 105/01/01

857 NDN041824N2F NDN04A2

"MEDIFIRST"CAT

H PRO I.V

CATHETER:PU

"美德芙"靜脈留

置針:PU 10.5 9.7 105/01/01

858NDN041627NT

MNDN04A2

"TERUMO"

SURFLASH:IV

CATHETER:PU

"泰爾茂"紗爾續

靜脈留置針:PU 10.5 9.7 105/01/01

859 NDN041624N2F NDN04A2

"MEDIFIRST"CAT

H PRO I.V

CATHETER:PU

"美德芙"靜脈留

置針:PU 10.5 9.7 105/01/01

860 NDN041424P3B NDN04A2"KDL" I.V

CATHETER:PU

"康德萊"一次性

使用留置針:PU 10.5 9.7 105/01/01

861 NDN041422CBB NDN04A2

"B.BRAUN"

INTROCAN I.V.

CANNULA:PU


針:PU 10.5 9.7 105/01/01

862 NDN0405000HJ NDN04A2"SMITHS" OPTIVA

IV CATHETER:PU

"史密斯"奧迪發

靜脈留置針:PU 10.5 9.7 105/01/01

863 NDN040024CBB NDN04A2

"B.BRAUN"

INTROCAN I.V.

CANNULA:PU


針:PU 10.5 9.7 105/01/01

864 NDN04000011N NDN04A2"BIOCIV"I.V.

CATHETER:TPU

"百仕韋"靜脈留

置針:TPU 10.5 9.7 105/01/01

865NDN04SC5V1Y

ZNDN04A3

"MEDIKIT"

SUPERCATH 5

SAFETY I.V.

CATHETER

"美迪克"安全性

靜脈留置針 27.5 21.1 105/01/01

866 NDN04SC5J1YZ NDN04A3

"MEDIKIT”

SUPERCATH 5

SAFETY

I.V.CATHETER

“美迪克”安全性

靜脈留置針 27.5 21.1 105/01/01

第 86 頁，共 104 頁


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點數調整後支



867NDN04PUR03B

BNDN04A3

"B.

BRAUN"INTROCA

N SAFETY I.V.

CANNULAE

"柏朗"安全靜脈

留置針 27.5 21.1 105/01/01

868 NDN04FEP03NR NDN04A3Nipro Safetouch

Cath

"尼普洛"安全靜

脈留置針 27.5 21.1 105/01/01

869 NDN04FEP03BB NDN04A3

"B.

BRAUN"INTROCA

N SAFETY I.V.

CANNULAE


留置針 27.5 21.1 105/01/01

870NDN0451SNW2

KNDN04A3

"MASTER＆

FRANK"SAFETY

IV CATHETER

"欣意"安全靜脈

留置針 27.5 21.1 105/01/01

871NDN0442CWSB

BNDN04A3

"B.BRAUN"

INTROCAN I.V.

CANNULA:SAFET

Y


留置針 27.5 21.1 105/01/01

872 NDN043818ABD NDN04A3

"BD" INSYTE

AUTOGUARD

SHIELDED I.V.

CATHETER

"BD" 回縮式安全

靜脈導管 27.5 21.1 105/01/01

873 NDN042456NBD NDN04A3

BD INSYTE

AUTOGUARD

SHIELDED I.V.

CATHETER:24GX0

.56"

BD 回縮式安全

靜脈導管:小兒用24GX0.56"

27.5 21.1 105/01/01

874NDN041824AT

MNDN04A3

"TERUMO"SURSHI

ELD SURFLO II

"泰爾茂"舒適得

安全靜脈留置導

管

27.5 21.1 105/01/01

875 NDN0442603BB NDN04AC

"B.

BRAUN"VASOFIX

SAFETY

I.V.CANNULAE

"柏朗"菲適安全

靜脈留置針:附免

針加藥座

33.8 29.1 105/01/01

876 NDN0442689BB NDN04AD

"B.

BRAUN"VASOFIX

I.V. CANNULAE

"柏朗"菲適靜脈

留置針:附免針加

藥座

16.8 14.4 105/01/01

877NDN04BC001B

DNDN04AF

BD INSYTE

AUTOGUARD BC

SHIELD IV

CATHETER 16:24G

BD

BD安全性靜脈留

置針-血液控制 27.5 26.4 105/01/01

878 NDN0442511BB NDN04AF

"B.BRAUN"

INTROCAN

SAFETY 3 CLOSED

I.V. CATHETER

"柏朗"第三代安

全靜脈留置針 27.5 26.4 105/01/01

第 87 頁，共 104 頁


稱

原支付

點數調整後支



879 TKP04EZN2X1G TKP04A1

"E-Z-

EM"PERCUGUIDE

LESION MARKING

SYSTEM

"易置"乳房定位

針 984 953 105/01/01

880TKP04DKBL1C

KTKP04A1

"COOK"

DISPOSABLE

(KOPANS)BREAST

LESION

LOCALIZATION

DEVICES(NEEDLE

S+WIRE)

"曲

克"DISPOSABLE

乳房病灶定位器

材

984 953 105/01/01

881TKP04CHESBB

ATKP04A1

"BARD" BREAST

LOCALIZATION

NEEDLE

(STERILE):CHESB

ROUGH BREAST

LOCALIZATION

WIRES(NEEDLE+

WIRE)

"巴德"乳房定位

針(滅菌):切絲柏

乳房定位導線

984 953 105/01/01

882TKP04BREASB

ATKP04A1

"BARD"BREAST

LOCALIZATION

NEEDLE

"巴德"乳房定位

針:(NEEDLE+WI

RE)

984 953 105/01/01

883 TKP04BLN00AG TKP04A1

"ARGON"BREAST

LOCALIZATION

NEEDLE(NEEDLE+

HOOK WIRE)

"亞康恩"乳房定

位針 984 953 105/01/01

884 TKP04B20032N TKP04A1

"GTA"BALON

BREAST

LOCALIZATION

NEEDLE(NEEDLE+

WIRE)

"捷太"巴隆乳房

定位針 984 953 105/01/01

885 TKP0427160XL TKP04A1

"SOMATEX"BREA

ST

LOCALIZATION

NEEDLE

"首馬特"乳房定

位針 984 953 105/01/01

886 TKP0427100XL TKP04A1

"SOMATEX"BREA

ST

LOCALIZATION

NEEDLE

"首馬特"乳房定

位針 984 953 105/01/01

887 TKP0425303AG TKP04A1

"Argon" Breast

Localization Needle

(Sterile)

"亞康恩" 乳房定

位針 (滅菌) 984 953 105/01/01

888 TKP0425000AG TKP04A1

"ARGON"BREAST

LOCALIZATION

NEEDLE(NEEDLE+

HOOK WIRE)

"亞康恩"乳房定

位針(滅菌)-可重

新定位

984 953 105/01/01

第 88 頁，共 104 頁


稱

原支付

點數調整後支



889 TKP0423103AG TKP04A1

"Argon" Breast

Localization Needle

(Sterile)

"亞康恩" 乳房定

位針 (滅菌) 984 953 105/01/01

890 WBB0402050YS WBB04A1

"YASCO" ELASTIC

BANDAGE

(STERILE/NON-

STERILE):2"×

5Y(2311CM2)

"YASCO" 彈性繃

帶 (滅菌/未滅

菌):2"×

5Y(2311CM2)

10.6 5.3 105/01/01

891 WBB0402050UQ WBB04A1

"U.A.TOP"ELASTI

C BANDAGE(NON-

STERILE):2"×

5Y(2311CM2)

"優亞特"彈性繃

帶(未滅菌):2"×

5Y(2311CM2)

10.6 5.3 105/01/01

892WBB0402050M

GWBB04A1

"I-MING"

BANDAGE(STERIL

E/NON-

STERILE):2"×

5Y(2311CM2)

"愛民"繃帶(滅菌/

未滅菌):2"×

5Y(2311CM2)

10.6 5.3 105/01/01

893 WBB0402050KF WBB04A1

"K.F." ELASTIC

BANDAGE(STERIL

E/NON-

STERILE):2"×

5Y(2311CM2)

"國發"彈性繃帶

(滅菌/未滅菌):2"

×5Y(2311CM2)

10.6 5.3 105/01/01

894WBB0402050G

MWBB04A1

"GMTH"

BANDAGE

(STERILE / NON-

STERILE):2"×

5Y(2311CM2)

"卓和"繃帶 (滅菌

/未滅菌):2"×

5Y(2311CM2)

10.6 5.3 105/01/01

895 WBB0402050F0 WBB04A1

"FOR CARE"

ELASTIC

BANDAGE (NON-

STERILE):2"×

5Y(2311CM2)

"豐全"繃帶(未滅

菌):2"×

5Y(2311CM2)

10.6 5.3 105/01/01

896 WBB0402050EX WBB04A1

"MEDTECS"

ELASTIC

BANDAGE (NON-

STERILE):2"×

5Y(2311CM2)

"美德"彈性繃帶

(未滅菌):2"×

5Y(2311CM2)

10.6 5.3 105/01/01

897 WBB0402050C7 WBB04A1

"CSD" MEDICAL

BANDAGE:2"×

5Y(2311CM2)

"中衛"醫用繃

帶:2"×

5Y(2311CM2)

10.6 5.3 105/01/01

898 WBB0404050ZB WBB04A3

"CHUAN SHUN"

ELASTIC

BANDAGE (NON-

STERILE):4×

5Y(4622CM2)

"銓順"彈性繃帶

(未滅菌):4×

5Y(4622CM2)

13.2 11.0 105/01/01

第 89 頁，共 104 頁


稱

原支付

點數調整後支



899 WBB0404050YS WBB04A3

"YASCO" ELASTIC

BANDAGE

(STERILE/NON-

STERILE):4×

5Y(4622CM2)

"YASCO" 彈性繃

帶 (滅菌/未滅

菌):4×

5Y(4622CM2)

13.2 11.0 105/01/01

900 WBB0404050UQ WBB04A3

"U.A.TOP"ELASTI

C BANDAGE(NON-

STERILE)


帶(未滅菌) 13.2 11.0 105/01/01

901 WBB0404050RL WBB04A3

"RE-

ORDER"ELASTIC

BANDAGE(NON-

STERILE):4×

5Y(4622CM2)

"瑞歐德"彈性繃

帶(未滅菌):4×

5Y(4622CM2)

13.2 11.0 105/01/01

902WBB0404050M

GWBB04A3

"I-MING"

BANDAGE(STERIL

E/NON-STERILE):4

×5Y(4622CM2)


未滅菌):4×

5Y(4622CM2)

13.2 11.0 105/01/01

903 WBB0404050KF WBB04A3

"K.F." ELASTIC

BANDAGE(STERIL

E/NON-STERILE):4

×5Y(4622CM2)


(滅菌/未滅菌):4×

5Y(4622CM2)

13.2 11.0 105/01/01

904WBB0404050G

MWBB04A3

"GMTH"

BANDAGE

(STERILE / NON-

STERILE):4×

5Y(4622CM2)


/未滅菌):4×

5Y(4622CM2)

13.2 11.0 105/01/01

905 WBB0404050FF WBB04A3

"HAKUZO"CREPE

BANDAGES (NON-

STERILE):4×

5Y(4622CM2)

"白象"皺紋彈性

紗捲(未滅菌):4×

5Y(4622CM2)

13.2 11.0 105/01/01

906 WBB0404050F0 WBB04A3

"FOR CARE"

ELASTIC

BANDAGE (NON-

STERILE):4×

5Y(4622CM2)


菌):4×

5Y(4622CM2)

13.2 11.0 105/01/01

907 WBB0404050EZ WBB04A3

"MEDTECS"

ELASTIC

BANDAGE (NON-

STERILE):4×

5Y(4622CM2)


(未滅菌):4×

5Y(4622CM2)

13.2 11.0 105/01/01

908 WBB0404050EX WBB04A3

"MEDTECS"

ELASTIC

BANDAGE (NON-

STERILE):4×

5Y(4622CM2)


(未滅菌):4×

5Y(4622CM2)

13.2 11.0 105/01/01

第 90 頁，共 104 頁


稱

原支付

點數調整後支



909 WBB0404050C7 WBB04A3

"CSD" MEDICAL

BANDAGE:4×

5Y(4622CM2)

"中衛"醫用繃

帶:4×

5Y(4622CM2)

13.2 11.0 105/01/01

910 WBB0406050ZB WBB04A5

"CHUAN SHUN"

ELASTIC

BANDAGE (NON-

STERILE):6×

5Y(6934CM2)

"銓順"彈性繃帶

(未滅菌):6×

5Y(6934CM2)

18.0 17.7 105/01/01

911 WBB0406050YS WBB04A5

"YASCO" ELASTIC

BANDAGE

(STERILE/NON-

STERILE):6×

5Y(6934CM2)

"YASCO" 彈性繃

帶(滅菌/未滅

菌):6×

5Y(6934CM2)

18.0 17.7 105/01/01

912 WBB0406050UQ WBB04A5

"U.A.TOP"ELASTI

C BANDAGE(NON-

STERILE):6×

5Y(6934CM2)


帶(未滅菌):6×

5Y(6934CM2)

18.0 17.7 105/01/01

913 WBB0406050RL WBB04A5

"RE-

ORDER"ELASTIC

BANDAGE(NON-

STERILE):6×

5Y(6934CM2)

"瑞歐德"彈性繃

帶(未滅菌):6×

5Y(6934CM2)

18.0 17.7 105/01/01

914WBB0406050M

GWBB04A5

"I-MING"

BANDAGE(STERIL

E/NON-STERILE):6

×5Y(6934CM2)


未滅菌):6×

5Y(6934CM2)

18.0 17.7 105/01/01

915 WBB0406050KF WBB04A5

"K.F."ELASTIC

BANDAGE(STERIL

E/NON-STERILE):6

×5Y(6934CM2)


(滅菌/未滅菌):6×

5Y(6934CM2)

18.0 17.7 105/01/01

916WBB0406050G

MWBB04A5

"GMTH"

BANDAGE

(STERILE / NON-

STERILE):6×

5Y(6934CM2)


/未滅菌):6×

5Y(6934CM2)

18.0 17.7 105/01/01

917 WBB0406050FF WBB04A5

"HAKUZO"CREPE

BANDAGES (NON-

STERILE):6×

5Y(6934CM2)

"白象"皺紋彈性

紗捲(未滅菌):6×

5Y(6934CM2)

18.0 17.7 105/01/01

918 WBB0406050F0 WBB04A5

"FOR CARE"

ELASTIC

BANDAGE (NON-

STERILE):6×

5Y(6934CM2)


菌):6×

5Y(6934CM2)

18.0 17.7 105/01/01

第 91 頁，共 104 頁


稱

原支付

點數調整後支



919 WBB0406050EZ WBB04A5

"MEDTECS"

ELASTIC

BANDAGE (NON-

STERILE):6×

5Y(6934CM2)


(未滅菌):6×

5Y(6934CM2)

18.0 17.7 105/01/01

920 WBB0406050EX WBB04A5

"MEDTECS"

ELASTIC

BANDAGE (NON-

STERILE):6×

5Y(6934CM2)


(未滅菌):6×

5Y(6934CM2)

18.0 17.7 105/01/01

921 WBB0406050C7 WBB04A5

"CSD" MEDICAL

BANDAGE:6×

5Y(6934CM2)

"中衛"醫用繃

帶:6×

5Y(6934CM2)

18.0 17.7 105/01/01

922 WBB0703035NJ WBB07A2

"BSN"

PROSTHETIC AND

ORTHOTIC

ACCESSORY-

PLASTER

BANDAGE

"必史恩"義肢及

裝具用附件-石膏

繃帶 3"×3YDS

22.7 21.9 105/01/01

923 WBB0703031NS WBB07A2

"NOK-SAN CAST

PLASTER

BANDAGE(NON-

STEILE):3"×

3Y(2080CM2)

"諾克聖石膏繃帶

(未滅菌):3"×

3Y(2080CM2)

22.7 21.9 105/01/01

924 WBB0703030ZD WBB07A2

"DUK-IN" CAST

PLASTER

BANDAGE (NON-

STERILE)

"杜京"石膏繃帶

(未滅菌) 22.7 21.9 105/01/01

925 WBB0703030U6 WBB07A2

"YOUJIA"

CASTING TAPE

(NON-STERILE):3"

×3Y(2080CM2)

"优加"石膏繃帶

(未滅菌):3"×

3Y(2080CM2)

22.7 21.9 105/01/01

926 WBB0703030QP WBB07A2

"POP"PLASTER OF

PARIS

BANDAGE(NON-

STERILE):3"×

3Y(2080CM2)

"披歐披"石膏繃

帶(未滅菌):3"×

3Y(2080CM2)

22.7 21.9 105/01/01

927 WBB0703030NJ WBB07A2

"BSN"

PROSTHETIC AND

ORTHOTIC

ACCESSORY(NON

-

STERILE):PLASTE

R BANDAGE 3"×

3Y(2080CM2)


裝具用附件(未滅

菌:石膏繃帶 3"×

3Y(2080CM2)

22.7 21.9 105/01/01

第 92 頁，共 104 頁


稱

原支付

點數調整後支



928 WBB0703030C7 WBB07A2

"CSD"PLASTER OF

PAIRS BANDAGE

(NON-STERILE):3"

×3Y(2080CM2)

"中衛"石膏繃帶

(未滅菌):3"×

3Y(2080CM2)

22.7 21.9 105/01/01

929 WBB0703030AZ WBB07A2

"M＆A"POP

PLASTER OF

PARIS

BANDAGE(NON-

STERILE):3"×

3Y(2080CM2)

"美恩愛"石膏繃

帶(未滅菌):3"×

3Y(2080CM2)

22.7 21.9 105/01/01

930 WBB0703030A5 WBB07A2

"ALCARE"

CASTING (NON-

STERILE)

"愛樂康"石膏固

定帶(未滅菌) 22.7 21.9 105/01/01

931 WBB0702050AZ WBB07A2

"M＆A"POP

PLASTER OF

PARIS

BANDAGE(NON-

STERILE):2"×

5Y(2311CM2)

"美恩愛"石膏繃

帶(未滅菌):2"×

5Y(2311CM2)

22.7 21.9 105/01/01

932 WBB0704030U6 WBB07A3

"YOUJIA"

CASTING TAPE

(NON-STERILE)


(未滅菌) 24.4 24.2 105/01/01

933 WBB0704030C7 WBB07A3

"CSD"PLASTER OF

PAIRS BANDAGE

(Non-Sterile)

"中衛"石膏繃帶

(未滅菌) 24.4 24.2 105/01/01

934 WBB0706030U6 WBB07AA

"YOUJIA"

CASTING TAPE

(NON-STERILE):6"

×3Y


(未滅菌):6"×3Y 38.0 37.8 105/01/01

935 WBB0802041NJ WBB08A1

"BSN"

PROSTHETIC AND

ORTHOTIC

ACCESSORY(NON

-

STERILE):POLYES

TER CAST TAPE/2"

×4Y



菌):聚脂纖維/2"×

4Y

120 69.8 105/01/01

936 WBB0802040YK WBB08A1

"CONNECT"

ORTHOPEDIC

CASTING TAPE

(NON-

STERILE):POLYES

TER CAST TAPE/2"

×4Y

"可耐特"樹脂石

膏繃帶(未滅菌):

聚脂纖維/2"×4Y

120 69.8 105/01/01

第 93 頁，共 104 頁


稱

原支付

點數調整後支



937 WBB0802040Q6 WBB08A1

"CSD"NEMOA

CAST

ORTHOPAEDIC

CASTING

TAPE(NON-

STERILE):POLYES

TER CAST TAPE/2"

×4Y

"中衛"米尼亞聚

脂繃帶(未滅菌):

聚脂纖維/2"×4Y

120 69.8 105/01/01

938 WBB0802040Q5 WBB08A1

"S＆F"ROBO

CASTING

TAPE(NON-

STERILE):POLYES

TER CAST TAPE/2"

×4Y

"艾斯恩富"若玻

樹脂石膏繃帶(未

滅菌):聚脂纖維/2"×4Y

120 69.8 105/01/01

939 WBB0802040C7 WBB08A1

"CSD"

ORTHOPEDIC

CASTING TAPE

(NON-

STERILE):POLYES

TER CAST TAPE/2"

×4Y

"中衛"樹脂石膏

繃帶(未滅菌):聚

脂纖維/2"×4Y

120 69.8 105/01/01

940 WBB08020402B WBB08A1

"MEDIANA"

CASTING TAPE

(NON-

STERILE):POLYES

TER CAST TAPE/2"

×4Y

"瑪迪安納"樹脂

石膏繃帶(未滅

菌):聚脂纖維/2"×

4Y

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STERILE):POLYES

TER CAST TAPE/3"

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4Y

140 75.0 105/01/01

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"BSN"

PROSTHETIC AND

ORTHOTIC

ACCESSORY(NON

-

STERILE):POLYES

TER CAST TAPE/3"

×4Y

"必史恩" 義肢及


菌):聚酯纖維樹

脂石膏繃帶/3"×

4Y

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943 WBB0803040YK WBB08A2

"CONNECT"

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STERILE):POLYES

TER CAST TAPE/3"

×4Y



聚酯纖維/3"×4Y

140 75.0 105/01/01

944 WBB0803040Q7 WBB08A2

"KJC"PP-BAND

CASTING

TAPE(NON-

STERILE):POLYES

TER CAST TAPE/3"

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"錦井"必庇綁樹

脂石膏(未滅菌):

聚酯纖維/3"×4Y

140 75.0 105/01/01

945 WBB0803040Q6 WBB08A2

"CSD"NEMOA

CAST

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CASTING

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STERILE):POLYES

TER CAST TAPE/3"

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聚酯纖維/3"×4Y

140 75.0 105/01/01

946 WBB0803040Q5 WBB08A2

"S＆F"ROBO

CASTING

TAPE(NON-

STERILE):POLYES

TER CAST TAPE/3"

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滅菌):聚酯纖維/3"×4Y

140 75.0 105/01/01

947 WBB0803040HZ WBB08A2

"HORIZON"ORTH

OPEDIC CASTING

TAPE(NON-

STERILE):POLYES

TER CAST TAPE/3"

×4Y

"和豐"樹脂石膏


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140 75.0 105/01/01

948 WBB0803040C7 WBB08A2

"CSD"

ORTHOPEDIC

CASTING TAPE

(NON-

STERILE):POLYES

TER CAST TAPE/3"

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酯纖維/3"×4Y

140 75.0 105/01/01

949 WBB08030402B WBB08A2

"MEDIANA"

CASTING TAPE

(NON-

STERILE):POLYES

TER CAST TAPE/3"

×4Y


石膏繃帶(未滅


4Y

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950 WBB0817943A5 WBB08A3

"ALCARE"PROSTH

ETIC AND

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STERILE):POLYES

TER CAST TAPE/4"

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160 107.0 105/01/01

951 WBB0804041NJ WBB08A3

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PROSTHETIC AND

ORTHOTIC

ACCESSORY(NON

-

STERILE):POLYES

TER CAST TAPE/4"

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4Y

160 107 105/01/01

952 WBB0804040YK WBB08A3

"CONNECT"

ORTHOPEDIC

CASTING TAPE

(NON-

STERILE):POLYES

TER CAST TAPE/4"

×4Y



聚酯纖維/4"×4Y

160 107 105/01/01

953 WBB0804040Q6 WBB08A3

"CSD"NEMOA

CAST

ORTHOPAEDIC

CASTING

TAPE(NON-

STERILE):POLYES

TER CAST TAPE/4"

×4Y



聚酯纖維/4"×4Y

160 107 105/01/01

954 WBB0804040Q5 WBB08A3

"S＆F"ROBO

CASTING

TAPE(NON-

STERILE):POLYES

TER CAST TAPE/4"

×4Y




160 107 105/01/01

955 WBB0804040HZ WBB08A3

"HORIZON"ORTH

OPEDIC CASTING

TAPE(NON-

STERILE):POLYES

TER CAST TAPE/4"

×4Y



酯纖維/4"×4Y

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956 WBB0804040C7 WBB08A3

"CSD"

ORTHOPEDIC

CASTING TAPE

(NON-

STERILE):POLYES

TER CAST TAPE/4"

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酯纖維/4"×4Y

160 107 105/01/01

957 WBB08040402B WBB08A3

"MEDIANA"

CASTING TAPE

(NON-

STERILE):POLYES

TER CAST TAPE/4"

×4Y


石膏繃帶(未滅


4Y

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"ALCARE"PROSTH

ETIC AND

ORTHOTIC

ACCESSORY

(NON-

STERILE):POLYES

TER CAST TAPE/5"

×4Y





4Y

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959 WBB0805041NJ WBB08A4

"BSN"

PROSTHETIC AND

ORTHOTIC

ACCESSORY(NON

-

STERILE):POLYES

TER CAST TAPE/5"

×4Y





4Y

180 117 105/01/01

960 WBB0805040YK WBB08A4

"CONNECT"

ORTHOPEDIC

CASTING TAPE

(NON-

STERILE):POLYES

TER CAST TAPE/5"

×4Y



聚酯纖維/5"×4Y

180 117 105/01/01

961 WBB0805040Q6 WBB08A4

"CSD"NEMOA

CAST

ORTHOPAEDIC

CASTING

TAPE(NON-

STERILE):POLYES

TER CAST TAPE/5"

×4Y



聚酯纖維/5"×4Y

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962 WBB0805040Q5 WBB08A4

"S＆F"ROBO

CASTING

TAPE(NON-

STERILE):POLYES

TER CAST TAPE/5"

×4Y




180 117 105/01/01

963 WBB0805040HZ WBB08A4

"HORIZON"ORTH

OPEDIC CASTING

TAPE(NON-

STERILE):POLYES

TER CAST TAPE/5"

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酯纖維/5"×4Y

180 117 105/01/01

964 WBB0805040C7 WBB08A4

"CSD"

ORTHOPEDIC

CASTING TAPE

(NON-

STERILE):POLYES

TER CAST TAPE/5"

×4Y



酯纖維/5"×4Y

180 117 105/01/01

965 WBB08050402B WBB08A4

"MEDIANA"

CASTING TAPE

(NON-

STERILE):POLYES

TER CAST TAPE/5"

×4Y


石膏繃帶(未滅


4Y

180 117 105/01/01

966 WBB0806040YK WBB08A5

"CONNECT"

ORTHOPEDIC

CASTING TAPE

(NON-

STERILE):POLYES

TER CAST TAPE/6"

×4Y



聚酯纖維/6"×4Y

207 126 105/01/01

967 WBB0806040Q6 WBB08A5

"CSD"NEMOA

CAST

ORTHOPAEDIC

CASTING

TAPE(NON-

STERILE):POLYES

TER CAST TAPE/6"

×4Y



聚酯纖維/6"×4Y

207 126 105/01/01

968 WBB0806040Q5 WBB08A5

"S＆F"ROBO

CASTING

TAPE(NON-

STERILE):POLYES

TER CAST TAPE/6"

×4Y




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969 WBB0806040C7 WBB08A5

"CSD"

ORTHOPEDIC

CASTING TAPE

(NON-

STERILE):POLYES

TER CAST TAPE/6"

×4Y



酯纖維/6"×4Y

207 126 105/01/01

970 WBB0820400Q5 WBB08B1

"S＆F"ROBO

CASTING

TAPE(NON-

STERILE):FIBERG

LASS CAST

TAPE/2"×4Y



滅菌):玻璃纖維/2"×4Y

120 105 105/01/01

971 WBB0802041HZ WBB08B1

"HORIZON"ORTH

OPEDIC CASTING

TAPE(NON-

STERILE):FIBERG

LASS CAST

TAPE/2"×4.4Y


繃帶(未滅菌):玻

璃纖維/2"×4.4Y

120 105 105/01/01

972 WBB08020413M WBB08B1

"3M"SCOTCHCAS

T PREMIUM

CASTING

TAPE(NON-

STERILE):FIBERG

LASS CAST

TAPE/2"×4Y

"3M"石膏繃帶(未


120 105 105/01/01

973 WBB0802040Q8 WBB08B1

"OPTIMA

CAST"ORTHOPAE

DIC CASTING

TAPE(NON-

STERILE):FIBERG

LASS CAST

TAPE/2"×4Y

"歐替瑪"樹脂石


玻璃纖維/2"×4Y

120 105 105/01/01

974 WBB0802040K3 WBB08B1

"KANGDA"ORTHO

PEDIC CASTING

TAPE (NON-

STERILE):FIBERG

LASS CAST

TAPE/2"×4Y

"康達"樹脂石膏


璃纖維/2"×4Y

120 105 105/01/01

975 WBB08020403M WBB08B1

"3M"CASTING

PRODUCTS (NON-

STERILE):FIBERG

LASS CAST

TAPE/2"×4Y

"3M"石膏護具(未


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976 WBB0830400HZ WBB08B2

"HORIZON"ORTH

OPEDIC CASTING

TAPE(NON-

STERILE):FIBERG

LASS CAST

TAPE/3"×4.4Y



璃纖維/3"×4.4Y

140 105 105/01/01

977 WBB0803041HZ WBB08B2

"HORIZON"ORTH

OPEDIC CASTING

TAPE(NON-

STERILE):FIBERG

LASS CAST

TAPE/3"×4.4Y



璃纖維/3"×4.4Y

140 105 105/01/01

978 WBB08030413M WBB08B2

"3M"SCOTCHCAS

T PREMIUM

CASTING

TAPE(NON-

STERILE):FIBERG

LASS CAST

TAPE/3"×4Y



140 105 105/01/01

979 WBB0803040Q9 WBB08B2

"TOMATO"ORTHO

PAEDIC CASTING

TAPE(NON-

STERILE):FIBERG

LASS CAST

TAPE/3"×4Y

"特摩多"石膏繃

帶(未滅菌):玻璃

纖維/3"×4Y

140 105 105/01/01

980 WBB0803040Q8 WBB08B2

"OPTIMA

CAST"ORTHOPAE

DIC CASTING

TAPE(NON-

STERILE):FIBERG

LASS CAST

TAPE/3"×4Y



玻璃纖維/3"×4Y

140 105 105/01/01

981 WBB0803040Q3 WBB08B2

"DONG

HAE"ORTHOPEDI

C CASTING

TAPE(NON-

STERILE):FIBERG

LASS CAST

TAPE/3"×4Y

"桂台"輕石膏(未


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982 WBB0803040NJ WBB08B2

"BSN"

PROSTHETIC AND

ORTHOTIC

ACCESSORY(NON

-

STERILE):FIBERG

LASS CAST

TAPE/3"×4Y



菌):玻璃纖維樹


4Y

140 105 105/01/01

983 WBB0803040K3 WBB08B2

"KANGDA"ORTHO

PEDIC CASTING

TAPE (NON-

STERILE):FIBERG

LASS CAST

TAPE/3"×4Y



璃纖維/3"×4Y

140 105 105/01/01

984 WBB08030403M WBB08B2

"3M"CASTING

PRODUCTS (NON-

STERILE):FIBERG

LASS CAST

TAPE/3"×4Y



140 105 105/01/01

985 WBB0840400HZ WBB08B3

"HORIZON"ORTH

OPEDIC CASTING

TAPE(NON-

STERILE):FIBERG

LASS CAST

TAPE/4"×4.4Y



璃纖維樹脂石膏

繃帶/4"×4.4Y

160 123 105/01/01

986 WBB0804041HZ WBB08B3

"HORIZON"ORTH

OPEDIC CASTING

TAPE(NON-

STERILE):FIBERG

LASS CAST

TAPE/4"×4.4Y




繃帶/4"×4.4Y

160 123 105/01/01

987 WBB08040413M WBB08B3

"3M"SCOTCHCAS

T PREMIUM

CASTING

TAPE(NON-

STERILE):FIBERG

LASS CAST

TAPE/4"×4Y



160 123 105/01/01

988 WBB0804040Q9 WBB08B3

"TOMATO"ORTHO

PAEDIC CASTING

TAPE(NON-

STERILE):FIBERG

LASS CAST

TAPE/4"×4Y



纖維/4"×4Y

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989 WBB0804040Q8 WBB08B3

"OPTIMA

CAST"ORTHOPAE

DIC CASTING

TAPE(NON-

STERILE):FIBERG

LASS CAST

TAPE/4"×4Y



玻璃纖維/4"×4Y

160 123 105/01/01

990 WBB0804040Q3 WBB08B3

"DONG

HAE"ORTHOPEDI

C CASTING

TAPE(NON-

STERILE):FIBERG

LASS CAST

TAPE/4"×4Y



160 123 105/01/01

991 WBB0804040NJ WBB08B3

"BSN"

PROSTHETIC AND

ORTHOTIC

ACCESSORY(NON

-

STERILE):FIBERG

LASS CAST

TAPE/4"×4Y





4Y

160 123 105/01/01

992 WBB0804040K3 WBB08B3

"KANGDA"ORTHO

PEDIC CASTING

TAPE (NON-

STERILE):FIBERG

LASS CAST

TAPE/4"×4Y




繃帶/4"×4Y

160 123 105/01/01

993 WBB08040403M WBB08B3

"3M"CASTING

PRODUCTS (NON-

STERILE):FIBERG

LASS CAST

TAPE/4"×4Y



160 123 105/01/01

994 WBB0850400Q5 WBB08B4

"S＆F"ROBO

CASTING

TAPE(NON-

STERILE):FIBERG

LASS CAST

TAPE/5"×4Y




180 137 105/01/01

995 WBB0850400HZ WBB08B4

"HORIZON"ORTH

OPEDIC CASTING

TAPE(NON-

STERILE):FIBERG

LASS CAST

TAPE/5"×4.4Y



璃纖維/5"×4.4Y

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996 WBB0805041HZ WBB08B4

"HORIZON"ORTH

OPEDIC CASTING

TAPE(NON-

STERILE):FIBERG

LASS CAST

TAPE/5"×4.4Y



璃纖維/5"×4.4Y

180 137 105/01/01

997 WBB08050413M WBB08B4

"3M"SCOTCHCAS

T PREMIUM

CASTING

TAPE(NON-

STERILE):FIBERG

LASS CAST

TAPE/5"×4Y



180 137 105/01/01

998 WBB0805040Q9 WBB08B4

"TOMATO"ORTHO

PAEDIC CASTING

TAPE(NON-

STERILE):FIBERG

LASS CAST

TAPE/5"×4Y



纖維/5"×4Y

180 137 105/01/01

999 WBB0805040Q8 WBB08B4

"OPTIMA

CAST"ORTHOPAE

DIC CASTING

TAPE(NON-

STERILE):FIBERG

LASS CAST

TAPE/5"×4Y

"歐替瑪" 樹脂石


玻璃纖維/5"×4Y

180 137 105/01/01

1000 WBB0805040Q3 WBB08B4

"DONG

HAE"ORTHOPEDI

C CASTING

TAPE(NON-

STERILE):FIBERG

LASS CAST

TAPE/5"×4Y



180 137 105/01/01

1001 WBB0805040NJ WBB08B4

"BSN"

PROSTHETIC AND

ORTHOTIC

ACCESSORY(NON

-

STERILE):FIBERG

LASS CAST

TAPE/5"×4Y





4Y

180 137 105/01/01

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1002 WBB0805040K3 WBB08B4

"KANGDA"ORTHO

PEDIC CASTING

TAPE (NON-

STERILE):FIBERG

LASS CAST

TAPE/5"×4Y



璃纖維/5"×4Y

180 137 105/01/01

1003 WBB08050403M WBB08B4

"3M"CASTING

PRODUCTS (NON-

STERILE):FIBERG

LASS CAST

TAPE/5"×4Y



180 137 105/01/01

1004 WBB0806040Q3 WBB08B5

"DONG

HAE"ORTHOPEDI

C CASTING

TAPE(NON-

STERILE):FIBERG

LASS CAST

TAPE/6"×4Y



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年度全民健康保險特材支付點數調整明細表 · 2015-10-30 · 項次 特材代碼 核價類別 特材代碼英文名稱 特材代碼中文名 稱 原支付 點數 調整後支

年度全民健康保險特材支付點數調整明細表 · 2015-10-30 · 項次特材代碼核價類別特材代碼英文名稱特材代碼中文名稱原支付點數調整後支