医用材料医保编码服务项目材料编诊疗项目名称码2011
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手术治疗椎管内麻醉（包括术后镇痛）椎管内麻醉（包括术后镇痛）椎管内麻醉（包括术后镇痛）支气管内麻醉支气管内麻醉术后镇痛（包括侧脑室及硬膜外连续镇痛）侧脑室连续镇痛体外循环（包括体外人工膜肺）体外循环（包括体外人工膜肺）体外循环（包括体外人工膜肺）体外循环（包括体外人工膜肺）体外循环（包括体外人工膜肺）体外循环（包括体外人工膜肺）体外循环（包括体外人工膜肺）体外循环（包括体外人工膜肺）体外循环（包括体外人工膜肺）体外循环（包括体外人工膜肺）体外循环（包括体外人工膜肺）体外循环（包括体外人工膜肺）体外循环（包括体外人工膜肺）体外循环（包括体外人工膜肺）颅骨骨瘤切除术颅骨骨瘤切除术开放性颅脑损伤清除术开放性颅脑损伤清除术开放性颅脑损伤清除术颅骨修补术颅骨修补术颅内压监护传感器置入术颅内压监护传感器置入术侧脑室分流术侧脑室分流术侧脑室分流术侧脑室分流术71033010000700010000330100007-171033010000700020000330100007-279033010000800010000330100008-1790330100009000100007103301000170001000070033010001700020000710330100017000300007003301000170004000070033010001700050000700330100017000600007003301000170007000071033010001700080000700330100017000900007003301000170010000071033010001700110000710330100017001200007103301000170013000071033010001700140000790330201002000100007103302010020002000072033020100600010000720330201006000200007103302010060003000071033020100900010000330100009-1330100017-1330100017-2330100017-3330100017-4330100017-5330100017-6330100017-7330100017-8330100017-9330100017-10330100017-11330100017-12330100017-13330100017-14330201002-1330201002-2330201006-1330201006-2330201006-3330201009-172033020100900020000330201009-2710330201018000100007103302010180002000071033020101900010000710330201019000200007103302010190003000071033020101900040000330201018-1330201018-2330201019-1330201019-2330201019-3330201019-471033020101900050000330201019-579033020101900060000330201019-679033020101900070000330201019-779033020101900080000330201019-872033020105100010000330201051-1720330201051000200007203302010550001000079033020105500020000790330202010000100007103302030040001000071033020300400020000710330203004000300007003302030140001000071033020400200010000720330204010000100007103302040110001000079033030000100010000790330300002000100007903303000050001000079033030001400010000790330300016000100007903303000190001000079033030002000010000790330300024000100007903303000250001000071033040000000010000710330400000000200007103304000000003000070033040000000040000710330400000000500007103304000000006000070033040000000070000710330400000000800007003304010030001000071033040100400010000790330401006000100007903304010170001000071033040200800010000700330402008000200007003304020100001000079033040300000010000790330403004000100007903304040010001000079033040401000010000790330404011000100007103304050060001000071033040500600020000330201051-2330201055-1330201055-2330202010-1330203004-1330203004-2330203004-3330203014-1330204002-1330204010-1330204011-1330300001-1330300002-1330300005-1330300014-1330300016-1330300019-1330300020-1330300024-1330300025-1330400000-1330400000-2330400000-3330400000-4330400000-5330400000-6330400000-7330400000-8330401003-1330401004-1330401006-1330401017-1330402008-1330402008-2330402010-1330403000-1330403004-1330404001-1330404010-1330404011-1330405006-1330405006-2侧脑室分流术侧脑室分流术侧脑室分流术侧脑室分流术脑脊液漏修补术（包括脑脊膜膨出修补术、开放性颅脑损伤清除术）脑脊液漏修补术颅缝骨化症整形术颅缝骨化症整形术面神经跨面移植术颅内巨大动静脉畸形栓塞后切除术颅内巨大动静脉畸形栓塞后切除术颅内巨大动静脉畸形栓塞后切除术颈动脉结扎术脊髓空洞症内引流术脊髓外露修补术脊髓动静脉畸形切除术垂体细胞移植术甲状旁腺腺瘤切除术（包括移植术）甲状旁腺细胞移植术甲状腺细胞移植术胎儿甲状腺移植术胸腺移值术胸腺细胞移植术微囊化牛肾上腺嗜铬细胞(BCC)移植术肾上腺移植术眼部手术眼部手术眼部手术眼部手术眼部手术眼部手术眼部手术眼部手术眼部手术内眦韧带断裂修复术上睑下垂矫正术睑退缩矫正术睑凹陷畸形矫正术鼻泪道再通术鼻泪道再通术泪小管填塞术结膜手术结膜囊成形术表层角膜镜片镶嵌术角膜移植术羊膜移植术人工虹膜隔植入术人工虹膜隔植入术非穿透性小梁切除+透明质酸钠凝胶充填术青光眼硅管植入术72033040000000090000330400000-971033040501400010000330405014-170033040501700010000330405017-1710330405017000200007103304050170003000071033040501700040000720330406000000100007103304060000002000071033040600000030000330405017-2330405017-3330405017-4330406000-1330406000-2330406000-379033040601600010000330406016-17103304060200001000071033040700000010000710330407000000200007003304070000003000071033040700000040000710330407000000500007903304070000006000079033040700000070000790330409000000100007903304090000002000079033040900000030000790330409018000100007003304090190001000071033040901900020000790330409025000100007903305010190001000079033050202000010000710330503009000100007103306000000002000071033060000000030000700330600000000400007003306000000005000070033060000000060000700330600000000700007903306010040001000079033060102200010000700330604007000100007903306040080001000079033060401100010000700330604011000200007903306040130001000070033060401400010000790330604016000100007903306040170001000070033060401900010000700330604023000100007903306040250001000079033060402500020000700330604029000100007903306040290002000070033060403500010000700330604035000200007003306040360001000079033060404000010000330406020-1330407000-1330407000-2330407000-3330407000-4330407000-5330407000-6330407000-7330409000-1330409000-2330409000-3330409018-1330409019-1330409019-2330409025-1330501019-1330502020-1330503009-1330600000-2330600000-3330600000-4330600000-5330600000-6330600000-7330601004-1330601022-1330604007-1330604008-1330604011-1330604011-2330604013-1330604014-1330604016-1330604017-1330604019-1330604023-1330604025-1330604025-2330604029-1330604029-2330604035-1330604035-2330604036-1330604040-1青光眼硅管植入术青光眼硅管植入术青光眼硅管植入术晶状体手术晶状体手术晶状体手术穿透性角膜移植联合白内障囊外摘除及人工晶体植入术(三联术)晶体张力环置入术视网膜、脉络膜、后房手术视网膜、脉络膜、后房手术视网膜、脉络膜、后房手术视网膜、脉络膜、后房手术视网膜、脉络膜、后房手术视网膜、脉络膜、后房手术视网膜、脉络膜、后房手术眼眶和眼球手术眼眶和眼球手术眼眶和眼球手术眼窝再造术眼眶壁骨折整复术眼眶壁骨折整复术眶距增宽症整形术耳廓畸形矫正术电子耳蜗植入术颌内动脉插管灌注术鼻、口、咽部手术鼻、口、咽部手术鼻、口、咽部手术鼻、口、咽部手术鼻、口、咽部手术鼻、口、咽部手术鼻、口、咽部手术鼻部分缺损修复术（包括鼻再造及矫正）鼻继发畸形修复术隆鼻术（包括继发畸形矫正术）拔牙创面搔刮术牙再植术（包括移植）牙槽嵴增高术牙槽嵴增高术上颌结节成形术口腔上颌窦瘘修补术唇颊沟加深术修复前软组织成型术牙槽突骨折结扎固定术牙齿萌出囊肿袋形术牙外科正畸术牙外科正畸术牙龈翻瓣术（包括牙龈切除术）牙龈翻瓣术龈瘤切除术龈瘤切除术牙周植骨术引导性牙周组织再生术72033060000000010000330600000-179033060100300010000330601003-170033060404100010000700330604043000100007203306050240001000070033060503500010000700330606000000100007003306060090001000070033060602400010000700330606025000100007003306060340001000070033060603400020000700330606039000100007003306070130001000070033060701300020000700330607014000100007903306070150001000079033060701700010000790330607017000200007003306080060001000070033060800700010000330604041-1330604043-1330605024-1330605035-1330606000-1330606009-1330606024-1330606025-1330606034-1330606034-2330606039-1330607013-1330607013-2330607014-1330607015-1330607017-1330607017-2330608006-1330608007-179033060802000010000330608020-170033060802100010000330608021-170033060802400010000330608024-172033060802400020000330608024-271033060802400030000330608024-379033060802600010000330608026-17003306080280001000079033060900000010000790330609000000200007903306090010001000079033060900500010000790330609005000200007103306090060001000079033060900800010000700330609008000200007903306090090001000079033060901000010000710330701005000100007103307010050002000071033070102000010000720330701029000100007103307010400001000079033070104000020000790330702012000100007203307030130001000071033070301300020000710330703015000100007203307030230001000071033070302800010000710330703028000200007103307030300001000071033080000000010000330608028-1330609000-1330609000-2330609001-1330609005-1330609005-2330609006-1330609008-1330609008-2330609009-1330609010-1330701005-1330701005-2330701020-1330701029-1330701040-1330701040-2330702012-1330703013-1330703013-2330703015-1330703023-1330703028-1330703028-2330703030-1330800000-1松动牙根管内固定术牙周纤维环状切断术髁状突肿物切除术舌下腺囊肿袋形术口腔成形手术唇畸形矫正术牙槽突裂植骨成形术齿龈成形术口腔颌面部缺损颞肌筋膜瓣修复术口腔颌面部缺损颞肌筋膜瓣修复术腭瘘修补术颌骨延长骨生成术颌骨延长骨生成术颧骨颧弓成型术颞下颌关节盘手术颞下颌关节成形术颞下颌关节成形术颌骨骨折外固定术髁状突陈旧性骨折整复术下颌骨缺损植骨修复术（网托碎骨移植术）下颌骨缺损网托碎骨移植术下颌骨缺损钛板重建术下颌骨缺损钛板重建术下颌骨缺损钛板重建术上颌骨缺损植骨修复术（包括网托碎骨移植术）上颌骨缺损网托碎骨移植术口腔种植手术口腔种植手术牙种植体植入术游离骨移植颌骨重建术游离骨移植颌骨重建术带血管游离骨移植颌骨重建术引导骨组织再生术引导骨组织再生术颜面器官缺损种植体植入术种植体二期手术气管切开术气管切开术喉狭窄成形及“T”型管置入术喉气管狭窄支架成形术气管瘘修复术气管瘘修复术肺移植术胸壁缺损修复术胸壁缺损修复术小儿鸡胸矫正术小儿鸡胸矫正术胸膜固定术膈肌修补术膈肌修补术膈肌肿瘤切除术心脏及血管系统手术72033070301500020000330703015-27203308000000002000071033080000000030000710330800000000400007103308000000005000071033080000000060000710330800000000700007103308000000008000071033080000000090000710330800000001000007203308010000001000079033080200000020000710330802006000100007203308030110001000070033080301700010000700330803017000200007903308030200001000079033080302100010000710330803022000100007203308030230001000071033080302700010000710330803027000200007103308030270003000071033080302700040000710330803027000500007103308040000001000072033080400000020000720330804000000300007203308040020001000071033080401300010000720330804023000100007203308040230002000072033080403500010000720330804035000200007203308040350003000072033080403500040000790330804041000100007903308040410002000071033080404300010000710330804052000100007103308040520002000071033080405200030000720330804052000400007203308040520005000072033080405200060000710330804052000700007903309000200001000070033100100900010000700331002009000100007103310020090002000071033100200900030000710331002009000400007003310020160001000079033100301000010000330800000-2330800000-3330800000-4330800000-5330800000-6330800000-7330800000-8330800000-9330800000-10330801000-1330802000-2330802006-1330803011-1330803017-1330803017-2330803020-1330803021-1330803022-1330803023-1330803027-1330803027-2330803027-3330803027-4330803027-5330804000-1330804000-2330804000-3330804002-1330804013-1330804023-1330804023-2330804035-1330804035-2330804035-3330804035-4330804041-1330804041-2330804043-1330804052-1330804052-2330804052-3330804052-4330804052-5330804052-6330804052-7330900020-1331001009-1331002009-1331002009-2331002009-3331002009-4331002016-1331003010-1心脏及血管系统手术心脏及血管系统手术心脏及血管系统手术心脏及血管系统手术心脏及血管系统手术心脏及血管系统手术心脏及血管系统手术心脏及血管系统手术心脏及血管系统手术心瓣膜和心间隔手术心脏血管手术（包括输卵管结扎术等）心脏血管手术非体外循环冠状动脉搭桥术室壁瘤切除术心脏表面临时起搏器安置术心脏表面临时起搏器安置术心脏移植术心肺移植术左右心室辅助泵安装术主动脉内球囊反搏置管术体外循环心脏不停跳心内直视手术体外循环心脏不停跳心内直视手术体外循环心脏不停跳心内直视手术体外循环心脏不停跳心内直视手术体外循环心脏不停跳心内直视手术其他血管手术其他血管手术其他血管手术颈静脉瘤成形术肠系膜上动脉取栓+移植术布加综合症经股静脉右房联合破膜术布加综合症经股静脉右房联合破膜术腔静脉切开滤网置放术腔静脉切开滤网置放术腔静脉切开滤网置放术腔静脉切开滤网置放术股腘动脉人工自体血管移植术股腘动脉人工自体血管移植术肢体动静脉切开取栓术先天性动静脉瘘栓塞+切除术先天性动静脉瘘栓塞+切除术先天性动静脉瘘栓塞+切除术先天性动静脉瘘栓塞+切除术先天性动静脉瘘栓塞+切除术先天性动静脉瘘栓塞+切除术先天性动静脉瘘栓塞+切除术异体脾脏移植术食管闭锁造瘘术胃肠造瘘术胃肠造瘘术胃肠造瘘术胃肠造瘘术胃减容术小肠移植术70033080200000010000330802000-17203310040280001000071033100402800020000710331004028000300007103310050000001000071033100500000020000710331005000000300007103310050000004000071033100500000050000710331005000000600007103310050000007000071033100500000080000700331005000000900007903310050180001000079033100502000010000720331005021000100007203310050210002000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手术治疗 手术治疗 手术治疗 手术治疗 手术治疗 手术治疗 手术治疗 手术治疗 手术治疗 手术治疗 手术治疗 手术治疗 手术治疗 手术治疗激光心肌打孔术连续动态血糖监测330100007-3331204002-1120100013-1120100014-1120400000-35120400000-36120400000-37120600000-21120900001-1121400000-1220800008-1支气管内麻醉包皮环切术动静脉置管护理一般专项护理注射注射注射换药胃肠减压引流管冲洗超声计算机图文报告医用特殊材料目录（2011版）
医用材料名称计价单位参考价格医保支单次住院最付类别高限额说明气管插管（支气管插管）加强型气管插管（加强型气管导管）一次性气管套管（200元以下）气管切开套管气管插管固定器金属气管导管三叉金属气管导管单腔气管导管双腔气管导管一次性气管导管一次性吸痰管一次性可调式（可控式）吸痰管一次性婴儿吸痰管小儿专用可控式吸痰器一次性造瘘袋多功能造瘘袋一次性胸腔造瘘袋一次性造瘘管肾造瘘管一次性吸氧导管（一次性鼻导管）一次性吸氧管（输氧管）吸氧鼻塞吸氧面罩(10元以下，含10元)吸氧面罩（10元以上）吸氧面罩(小儿)吸氧连接管硅胶面膜通气面罩氧气吸入器氧气枕一次性输液器一次性避光输液器一次性使用精密过滤输液器（含:防气泡管功能输液器）一次性使用空气净化输液器一次性采血器(含针)动脉采血器(含针)动脉血气注射器一次性使用注射器（避光）冠状动脉注射器胰岛素注射器（常用规格）自毁式安全注射器胰岛素笔式注射器环柄注射器(Merit)一次性注射针留置针（套管针,静脉留置针）肝素帽静脉延长管(三通旋塞带连接管)静脉延长管(避光)一次性使用压力延长管一次性输液连接管（输液接头）根根条套套套套根根根条条根根个个个根根根套个只只只根个只个副副个套套套支支根套支支套个副个副副根付12.60189.0090.00300.001.755.882.306.831.2511.6027.300.9042.390.447.3218.917.33.99346.50278.30.6010.5023.0013.651.801.803.6815.751262.001.05210.00126.000.2012.604.1410.1021.0050.000.31甲类乙类甲类乙类甲类乙类乙类乙类乙类甲类甲类乙类甲类乙类甲类乙类甲类甲类乙类甲类甲类甲类甲类乙类甲类甲类乙类乙类乙类甲类乙类乙类乙类甲类甲类甲类乙类甲类甲类自费自费自费自费乙类甲类甲类乙类乙类甲类材料特殊材料材料特殊材料材料特殊材料特殊材料特殊材料特殊材料材料材料特殊材料材料特殊材料材料特殊材料材料材料特殊材料材料材料材料材料特殊材料材料材料特殊材料特殊材料特殊材料材料特殊材料特殊材料特殊材料材料材料材料特殊材料材料材料特殊材料特殊材料特殊材料特殊材料特殊材料材料材料特殊材料特殊材料材料一次性输液延伸管静脉营养袋(A-1)静脉营养袋(C-4 1000)静脉营养袋(C-4 2000)静脉营养袋(C-4 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把根个只根根根套根个个132.0017.854.96196.65480.740.0020.007.351.426.3016.507.88113.402.7878.009.1318.0017.8526.25199.00312.00250.00331.001418.001260.00163.00336.005.465.465.46123.485.4610.004.0017.3324.154.25114.569.571050.8450283165050441202084.72241.5自费甲类甲类乙类乙类自费甲类甲类甲类甲类甲类甲类甲类甲类甲类甲类自费自费甲类乙类甲类甲类甲类甲类乙类乙类乙类乙类乙类甲类乙类甲类甲类甲类甲类甲类甲类甲类甲类甲类甲类乙类乙类乙类丙类乙类甲类甲类乙类乙类乙类乙类乙类乙类特殊材料材料材料特殊材料特殊材料特殊材料材料材料材料材料材料材料材料材料材料材料特殊材料特殊材料特殊材料特殊材料材料材料材料材料特殊材料特殊材料特殊材料特殊材料特殊材料材料特殊材料材料材料材料材料材料材料材料材料材料材料特殊材料特殊材料特殊材料特殊材料特殊材料材料材料特殊材料特殊材料特殊材料特殊材料特殊材料特殊材料5000.00一次性使用无菌穿刺导管取石篮取石气囊ACT试剂钢丝胸骨钢针负压吸引球吸引专用导管一次性吸引管一次性吸引连接管一次性使用动脉插管一次性使用静脉插管粘贴式集液袋电切灌洗液呼吸回路管探头血糖试纸片鼻咽电极蝶骨电极皮层电极一次性无痛麻醉手柄一次口腔器械盒明胶海棉玻璃离子额面金属接骨板（含接骨螺钉）人工鼻泪管创面用材料腭杆模型制备硅橡胶（口腔）琼脂材料（口腔）进口石膏材料（口腔）硅橡胶（记存模型）琼脂材料（记存）进口石膏材料（记存模型）硅橡胶（面部）琼脂材料（面部）进口石膏材料（面部）进口蜡模材料Periocheck试剂盒录象带计算机软盘照相及胶片化妆品照相底片及冲印石膏模型制备石膏模型制备分牙及牙体预备粘接带环方弓丝予成牵引弓套唇弓其他特殊材料（唇弓）更换弓丝弓丝附件根个个包根根根根根根根根个次根个片根根根只个个次块根次根次次次次次牙次次次次次次次次次次次次次次次次次次次次次414.751133609.005.5260.0060.0060.0012.002.1020.0010.003.0020.0010.003.0060.0030.0010.0060.0040.0020.0040.005.0030.00170.0020.0030.0013.0050.00乙类自费自费乙类甲类甲类甲类甲类甲类甲类甲类甲类甲类甲类甲类乙类甲类甲类甲类甲类自费甲类甲类甲类丙类乙类甲类自费自费自费自费自费自费自费自费自费自费自费自费自费自费自费自费自费自费自费自费自费自费自费自费自费自费自费自费5000.00特殊材料特殊材料特殊材料特殊材料材料材料材料材料材料材料材料材料材料材料材料特殊材料材料材料材料材料特殊材料材料材料材料特殊材料特殊材料材料材料材料特殊材料特殊材料特殊材料特殊材料特殊材料特殊材料特殊材料特殊材料特殊材料特殊材料特殊材料特殊材料特殊材料特殊材料特殊材料特殊材料特殊材料特殊材料特殊材料特殊材料特殊材料特殊材料特殊材料特殊材料特殊材料特殊材料各种弹簧其他附件其他材料其他材料附件氟保护漆高分子脱敏剂特殊填塞止血材料特殊结扎固定材料特殊材料特殊材料各种特殊材料（牙体桩钉固位修复）桩钉特殊材料各种特殊材料（前牙美容修复）各种特殊材料（树脂嵌体修复）特殊盖髓剂特殊充填材料（根管）特殊材料根管充填钛桩带环结扎丝特殊充填材料（根尖）特殊窝沟封闭剂树脂冠金属冠印模下颌舌弓导萌式保持器丝圈式保持器特殊矫正装置矫正牵引装置材料复诊更换牵引装置特殊根管充填材料透明压模垫硬石膏超硬石膏印模模型材料（全牙列垫固定）树脂高强纤维特殊材料特殊保护剂止血膏冠嵌体桩核根帽贴面桩冠固定桥特殊粘接材料（固定修复）次次次次牙牙次次牙次牙牙牙牙牙次次牙次次例根根次次牙牙次牙牙牙个次次次次次次次牙牙牙牙牙次次次次次次次次3.501.0020.005.0020.0018.0010.0010.0010.0030.0030.0010.0040.0040.0010.0035.00100.0020.0010.00400.00400.00400.005.0030.0010.0035.0020.0020.0040.0030.0030.00150.0030.0010.0050.00200.0010.0010.0010.0010.0020.001.0010.0030.005.6029.0023.00自费自费自费自费自费自费甲类甲类甲类甲类甲类自费自费自费自费自费自费甲类甲类乙类乙类乙类甲类自费自费自费自费自费自费自费自费自费自费自费自费自费自费自费自费甲类甲类自费甲类甲类自费自费自费自费自费自费自费自费特殊材料特殊材料特殊材料特殊材料特殊材料特殊材料材料材料材料材料材料特殊材料特殊材料特殊材料特殊材料特殊材料特殊材料材料材料特殊材料特殊材料特殊材料材料特殊材料特殊材料特殊材料特殊材料特殊材料特殊材料特殊材料特殊材料特殊材料特殊材料特殊材料特殊材料特殊材料特殊材料特殊材料特殊材料材料材料特殊材料材料材料特殊材料特殊材料特殊材料特殊材料特殊材料特殊材料特殊材料特殊材料特殊粘接剂活动桥个别托盘义齿咬合板局部义齿总义齿特制暂基托附着体模型材料铸造金属基托金属加强网焊接材料树脂牙成品牙瓷专用粘接剂硅橡胶（牙合）各种人工牙材料自凝塑料（义齿组织面重衬）热凝塑料（义齿）光固化树脂软塑料橡胶钢丝弯制卡环铸造钴铬合金贵金属合金卡环各种基托材料(钢)各种基托材料（金合金)钢丝支托扁钢丝支托铸造钴铬合金支托铸造金合金支托加固装置材料(金属丝）加固装置材料(扁钢丝)加固装置材料(尼龙网)加固装置材料(预成不锈钢网)加固装置材料(铸造不锈钢网)加固装置材料(金网)预成杆铸造不锈钢杆铸造金杆自凝塑料（塑料牙合颌面加高咬合）热凝塑料（牙合颌面）附着体材料(不锈钢成品、磁性附着体)铸造支架垫材料咬合板材料(塑料)咬合板材料(树脂)咬合板材料(铸造不锈钢)咬合板材料(铸造金合金)咬合板材料(铸造不锈钢或铸造金合金网+塑料)导板材料次次次次次次次次次次次次次牙牙次次次次次次次次次次次次次次次次次次次次次次次次次次次次个件件件件件件件次5.0010.005.005.005.0030.0020.0030.0020.0030.0060.00160.0030.0015.0045.00自费自费自费自费自费自费自费自费自费自费自费自费自费自费自费自费自费自费自费自费自费自费自费自费自费自费自费自费自费自费自费自费自费自费自费自费自费自费自费自费自费自费自费自费自费自费自费自费自费自费自费特殊材料特殊材料特殊材料特殊材料特殊材料特殊材料特殊材料特殊材料特殊材料特殊材料特殊材料特殊材料特殊材料特殊材料特殊材料特殊材料特殊材料特殊材料特殊材料特殊材料特殊材料特殊材料特殊材料特殊材料特殊材料特殊材料特殊材料特殊材料特殊材料特殊材料特殊材料特殊材料特殊材料特殊材料特殊材料特殊材料特殊材料特殊材料特殊材料特殊材料特殊材料特殊材料特殊材料特殊材料特殊材料特殊材料特殊材料特殊材料特殊材料特殊材料特殊材料特殊材料10.0010.0045.0045.0030.0030.00160.0060.00300.0080.00160.0020.0030.001000.00300.00300.00900.001200.00100.00自费义颌义齿义耳义鼻义眼铁钛合金丝软塑胶光敏树脂义齿夹板材料特殊粘接材料（正畸治疗）功能矫治器（I类错牙合正畸）活动矫治器增加的其他部件简单固定矫治器增加的其他弓丝简单固定矫治器增加的其他附件上下颌扩弓装置其他附加装置隐形固定器特殊材料功能矫治器（II类错牙合正畸）其他远中移动装置活动矫治器的增加其他部件Frankel 等功能矫治器咬合诱导常规固定矫治器Frankel功能矫治器Activator功能矫治器Twin-Block功能矫治器Herbst矫治器Activator增加扩弓装置口外弓其他辅助性矫治装置功能矫治器（II类错牙合正畸）上颌扩弓装置功能矫治颏兜前方牵引器头帽颏兜特殊材料乳牙期用于解除后牙反前牙反颌的活动矫治器前牙反颌的固定矫治器恒牙期用于解除后牙反颈牵引附加装置次次次次次次次次次牙次次次次个个牙个个个个个个个个个个个个个个个个个个个牙个个个个个300.0010.00160.0030.0030.0040.0030.0040.00160.0035.0030.00400.00120.00450.00400.00400.00400.00400.00400.00170.0030.00400.0040.00400.0020.00165.00400.0030.00120.00120.00120.00120.00120.00自费自费自费自费自费自费自费自费自费自费自费自费自费自费自费自费自费自费自费自费自费自费自费自费自费自费自费自费自费自费自费自费自费自费自费自费自费乙类乙类乙类乙类乙类特殊材料特殊材料特殊材料特殊材料特殊材料特殊材料特殊材料特殊材料特殊材料特殊材料特殊材料特殊材料特殊材料特殊材料特殊材料特殊材料特殊材料特殊材料特殊材料特殊材料特殊材料特殊材料特殊材料特殊材料特殊材料特殊材料特殊材料特殊材料特殊材料特殊材料特殊材料特殊材料特殊材料特殊材料特殊材料特殊材料特殊材料特殊材料特殊材料特殊材料特殊材料特殊材料低位头帽牵引等附加装置活动矫治器增加部件活动矫治器增加其他部件固定矫治器增加其他附加装置常规OSAS矫治器以外的附件特殊材料固定保持器正位器透明保持器唇侧Index材料唇侧Index材料光固化基板热压塑料板自凝塑料（外科引导牙合板）金属套管义齿修复材料进口软衬材料义齿修复材料进口软衬材料（附着体）栓道材料特殊材料个别托盘材料基台（颜面）贵金属包埋材料进口成型塑料金属材料激光焊接材料硅胶材料气管支架漂浮三腔导管漂浮四腔导管漂浮六腔导管漂浮导管（儿童用）漂浮导管置入套件漂浮导管置入套件（儿童用）漂浮微导管电生理诊断导管食管内心电图导管压力传感器单头压力传感器双头压力传感器三头压力传感器一次性传感器加强型一次性传感器PTC-D引流套管T2型PTC-D引流套管T1型S型引流套管测压套件动脉穿刺套针改良型动脉针动脉留置针（套管针）电极+消融导管消融导管连线射频消融隔离钳及连接带临时起搏电极个个个个个次个个个次次次次次次牙次牙次次次次次次次次次次套套套套套套套根根根根根根根根根根根根套套套支组根根根120.0030.0015.0030.00260.00140.0040.00600.00600.00300.00300.00300.00300.0080.0080.0030.00160.0030.0080.00360.00100.0030.0030.0030.0080.003360.001197.001197.003000.001155.00367.50367.505470.85302.00367.50294.00483.00787.00294.00903.002600.001260.00987.0055.00156.00107.1048.3012180.001596.00乙类自费自费自费自费自费自费自费自费自费自费自费自费自费自费自费自费自费自费自费自费自费自费自费自费自费自费自费丙类乙类乙类乙类乙类乙类乙类乙类乙类乙类乙类乙类乙类乙类乙类乙类乙类乙类乙类甲类甲类甲类乙类丙类乙类乙类乙类3000.0010000.00特殊材料特殊材料特殊材料特殊材料特殊材料特殊材料特殊材料特殊材料特殊材料特殊材料特殊材料特殊材料特殊材料特殊材料特殊材料特殊材料特殊材料特殊材料特殊材料特殊材料特殊材料特殊材料特殊材料特殊材料特殊材料特殊材料特殊材料特殊材料特殊材料特殊材料特殊材料特殊材料特殊材料特殊材料特殊材料特殊材料特殊材料特殊材料特殊材料特殊材料特殊材料特殊材料特殊材料特殊材料特殊材料特殊材料特殊材料材料材料材料特殊材料特殊材料特殊材料特殊材料特殊材料漂浮临时起搏电极心脏起搏器(含电极)左室导线递送系统经皮导入器植入式复律除颤器一次性复律除颤电极心导丝回收罐滤除白细胞输血器(二联袋200ml)滤除白细胞输血器(二联袋400ml)滤除白细胞输血器(四联袋200ml)滤除白细胞输血器(四联袋400ml)滤除白细胞输血器白细胞过滤器冷冻保存液供体（骨髓）供体（外周干细胞）脐血淋巴造影导管食道支架食管气囊食道球囊扩张导管贲门失弛缓症气囊扩张导管水囊扩张导管三腔管（三腔二囊管）四腔管圈套器套扎器一次性圈套器（息肉勒除器）胃内支架网篮肠道球囊（包括食道球囊）肠道支架胶囊胆道支架（包括胆管支架）一次性鼻胆引流管（一次性胆管引流管）导丝（鼻胆引流）十二指肠支架胆道扩张球囊胆道扩张探条人工肝材料一（含单针双腔针）人工肝材料二（不含单针双腔针血浆分离器及通路胆红素吸附器及通路、血路通道穿刺导管聚巩膜透析器内瘘穿刺针连接管血液透析管路系统透析管路根套套套套根根个副副副副副副ml个个ml根套套套套套根根次套根套套套套个套根根套套根套套套套套根个根根套套1659.0016600.002074.422060.0030000.001800.00336.0059.0063.0072.0076.0035.00178.00乙类丙类乙类乙类丙类乙类乙类自费甲类甲类甲类甲类甲类甲类乙类自费自费自费乙类丙类乙类乙类乙类乙类甲类乙类乙类乙类乙类丙类自费丙类丙类自费丙类乙类乙类丙类丙类乙类乙类乙类乙类乙类乙类乙类乙类乙类甲类甲类甲类15000.0015000.00特殊材料特殊材料特殊材料特殊材料特殊材料特殊材料特殊材料特殊材料材料材料材料材料材料材料特殊材料特殊材料特殊材料特殊材料特殊材料特殊材料特殊材料特殊材料特殊材料特殊材料材料特殊材料特殊材料特殊材料特殊材料特殊材料特殊材料特殊材料特殊材料特殊材料特殊材料特殊材料250.0036882200.001523.008270.004450.00147.00924.00100.002480.00472.503000.003000.005000.003000.003000.006750.004635.002600.00525.002800.005680.00500.001750.001200.003000.005000.00179.00115.50105.00特殊材料特殊材料特殊材料特殊材料特殊材料特殊材料特殊材料特殊材料特殊材料特殊材料特殊材料特殊材料材料材料材料血液透析器血路管道泰科血液透析管及附件腹透短管深静脉留置血透导管腹透管接头临时性血透导管慢性腹透管血滤器血滤管道血浆过滤器腔静脉滤器滤器及管路配套血液灌流器碳肾输尿管支架单盲端白色双J管支架普及型白色双J管支架输尿管支架管丝状探条气囊导管套装式一次性宫腔组织吸引管支根套根根个根根支套支套套套支个套套套套根根支根根根副套个套个根个套个个个副副根根根根套套只套套套根根根根173.2537.803708.00340.00693.002600.0014210.001648.00890.00714.0038.8964.001339.0010.00 343.61758.63甲类甲类自费甲类乙类乙类乙类乙类乙类乙类乙类乙类乙类乙类乙类丙类丙类丙类甲类甲类自费自费甲类乙类丙类丙类乙类乙类丙类丙类丙类乙类乙类乙类乙类乙类乙类乙类乙类乙类乙类乙类乙类乙类乙类乙类丙类乙类乙类乙类乙类乙类乙类3000.003000.003000.00材料材料特殊材料材料特殊材料特殊材料特殊材料特殊材料特殊材料特殊材料特殊材料特殊材料特殊材料特殊材料特殊材料特殊材料特殊材料特殊材料材料材料特殊材料特殊材料材料硬化剂硬化剂注射针介入手术用导管系统（含导丝）介入手术用血管内球囊动脉鞘可剥鞘血管内支架（包括冠脉支架、腔内覆膜支架、外周血管支架系统等）大动脉支架（包括主动脉支架、大动脉覆膜支架系统等）滤网溶栓导线压力泵压力泵装置及附件设备高压三通三联板三环注射器高压连接管高压注射器（注射泵）Y型连接器套件导管导引器械系统二尖瓣成形钢丝瓣膜球囊导管延伸器撕开鞘支架回收器支架推送器一次性自动注药泵封堵器封堵器输送系统封堵器附件旋磨术专用导丝旋磨导管旋切导管血管内超声导管5000.005000.0015000.0020000.0010000.00808.001575.00126.00189.00190.00163.88357.00207.901200.001200.00264.609135.001545.001957.0010000.00特殊材料特殊材料特殊材料特殊材料特殊材料经申请可增加至第二个经申请可增加至第二个特殊材料特殊材料特殊材料特殊材料特殊材料特殊材料特殊材料特殊材料特殊材料特殊材料特殊材料特殊材料特殊材料特殊材料特殊材料特殊材料特殊材料特殊材料特殊材料特殊材料特殊材料特殊材料特殊材料多普勒导丝主动脉内反搏动球囊血管内窥镜导管激光导管超声溶栓导管局部药物释放导管特殊材料（光导纤维）动脉导管吻合器缝合器（血管闭合器）闭合器组件钛夹可吸收钛夹可吸收缝合线不可吸收缝合线无损伤缝合线羊肠线生物可降解吻合环可吸收止血材料不可吸收止血材料生物敷料明胶海绵胶原蛋白止血海绵生物蛋白胶可吸收止血纱布不可吸收止血纱布可溶性止血纱布可吸收结扎夹伤口护理膜（电子膜）可吸收医用膜人工血管人工血管送放器（接头）栓塞材料栓塞弹簧圈血管成型用三件套一次性使用不粘双极电凝镊动脉瘤夹人工喉大隐静脉夹带线缝合针吸引器头连接管医用手术刨削器高频电刀（电刀笔）切割器脑血管栓塞材料气压止血带电锯骨蜡电刀头医用胶（包括耳脑胶等）气囊（包括止血气囊）主动脉瓣缝线医用透明质酸钠凝胶医用肌丁糖（玻璃酸钠）根个根根根根次根套把套个个根根包包个片片片包片2.5ml包片片只瓶套根个个只套套只只只根根次套套套个次次次次个根支支800.0073.50100.00299.0057.5028.375.751.864017.00283.0025.525.00156.00315.00130.0030.00250.0048.30840.001210.001421.40315.00336.001000.002500.00 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1236.002163.001236.00200.0010000.0010000.00心包补片（心脏补片）各种修补材料左心引流管左右心吸引管纵隔引流管心包引流管导管导丝电极人工心脏瓣膜银夹同种异体血管一次性特殊牵开器（冠脉分流器）室壁贴片材料起搏导线临时心脏起搏导线供体（心脏）供体（心脏和肺）人工辅助泵球囊反搏导管经冠状动脉窦逆行灌注管冠状动脉灌注插管冠状动脉灌注管逆向灌注管直角冠状动脉灌注管血管转流管血管人工补片股动静脉及导丝用于包裹的各种材料肠系膜上动脉取栓导管球囊扩张导管快速交换球囊扩张导管滤网及输送器滤网(下腔静脉过滤器）滤网栓(腔静脉滤网拴)腔静脉支架瓣膜刀其它能破坏瓣膜的代用品肢体动静脉取栓导管栓塞剂聚乙烯醇颗粒栓塞剂(PVA)明胶海绵颗粒栓塞剂MTI液态栓塞系统（进口）onyx液态栓塞系统（进口）可释放栓子（栓塞材料）动静脉瘘栓塞用导管供体（异体脾脏）特殊胃造瘘套管一次性胃肠造瘘管胃切开置造瘘管小肠切开置造瘘管内瘘针胃减容材料供体（小肠）次次根根根根根根根只个根个块根根个个个根根根根根根根块根次根根根个个个只个次根支支支条套盒根个根根次次根次个5.00600.0085.0094.50丙类乙类乙类乙类乙类乙类乙类乙类乙类丙类甲类自费乙类丙类甲类甲类自费自费乙类丙类乙类乙类乙类乙类乙类乙类丙类丙类丙类乙类丙类丙类丙类丙类丙类丙类自费自费乙类乙类乙类乙类丙类丙类丙类乙类自费甲类甲类乙类乙类乙类甲类自费3000.0010000.00特殊材料特殊材料特殊材料特殊材料特殊材料特殊材料特殊材料特殊材料特殊材料特殊材料材料特殊材料特殊材料特殊材料材料材料特殊材料特殊材料特殊材料特殊材料特殊材料特殊材料特殊材料特殊材料特殊材料特殊材料特殊材料特殊材料特殊材料特殊材料特殊材料特殊材料特殊材料特殊材料特殊材料特殊材料特殊材料特殊材料特殊材料特殊材料特殊材料特殊材料特殊材料特殊材料特殊材料特殊材料特殊材料材料材料特殊材料特殊材料特殊材料材料特殊材料3000.0012100.00301.00312.8020.001496.50489.005000.003000.0015000.003000.005000.005000.0010000.0010000.0010000.0015000.00892.505500.0018777.5016240.00892.501503.801308.106902.006902.0010657.50312.005000.005000.005000.008.00900.00900.00尾路肛门支架人工肛门袋人工肛门圈化疗泵化疗泵（植入式阀）化疗泵（不带返流装置）动、静脉化疗泵（植入式阀）动、静脉腹腔泵埋入式化疗泵肝动脉化疗泵导管光纤（激光光纤）肝缝线供体（肝）供体（多个联合器官）肝管支架+置入器肝管支架一次性引流导管（胆道引流管）胆道支架极放送系统钛钉先天胆道闭锁肝空肠Roux-y成形支架管供体（胆管）供体（胰腺）腹部补片门静脉支架转流泵特殊尿管普通气囊导尿管一次性导尿管一次性乳胶导尿管双腔气囊导尿管三腔气囊导尿管前列腺导尿管菌状导尿管网状支架前列腺支架疝气修补片（疝环充填补片）肾网袋供体（异体肾）尿道悬吊特殊穿刺针尿道延长悬吊器光纤前列腺汽化切割铲状电极电切电极等渗液（电切液）尿道支架输精管导管假体（阴茎）供体（卵巢）供体（输卵管）一次性热球囊悬吊材料（经闭孔无张力阴道悬吊系统）扩张用模具套个个个个个个个个根根根个个套套根套把套个个块套个根根根根根根根根套只片个个根个根套套次套个个个个个个套346.50754.001785.003500.003500.004789.50310.005887.008.005022.00丙类乙类乙类乙类乙类乙类乙类乙类乙类乙类乙类甲类自费自费丙类丙类甲类乙类乙类3000.003000.003000.00特殊材料特殊材料特殊材料特殊材料特殊材料特殊材料特殊材料特殊材料特殊材料特殊材料特殊材料材料特殊材料特殊材料特殊材料特殊材料材料特殊材料特殊材料特殊材料特殊材料特殊材料特殊材料特殊材料特殊材料材料材料材料材料材料材料材料材料特殊材料特殊材料特殊材料特殊材料特殊材料特殊材料特殊材料特殊材料特殊材料特殊材料特殊材料特殊材料特殊材料特殊材料特殊材料特殊材料特殊材料特殊材料材料759.00乙类自费自费丙类丙类乙类甲类甲类甲类甲类甲类甲类甲类甲类丙类丙类丙类乙类自费自费自费乙类乙类乙类乙类丙类自费自费乙类自费丙类自费甲类4480.50158.007.001.008.007.0017.0015.0015.001500.001800.003000.005000.003000.003000.001000.0063.00800.0016849453000.0010.005000.006749.75补片四肢骨内固定材料（含钢板、接骨板、螺钉等）四肢骨外固定材料（含外支架、螺钉等）脊柱内固定系统（包括颈椎内固定系统、胸腰椎固定系统、脊柱钛板固定系统、接骨板、钛板、钢板、螺钉、防脱出颈椎板等）横联器腰椎融合器（颈椎前路融合器）椎间盘融合器骨水泥骨水泥塞骨水泥髓腔塞骨水泥注入器（水泥注射枪）颈椎牵引器椎板夹方向调节器颈椎后路侧块系统骨盆外固定支架人工椎体人工半骨盆配套设备骨水泥套件骨水泥套件（万洁真空搅拌）骨水泥枪骨水泥腔塞骨盆钢板人工椎间盘异体神经肩胛骨人工关节肱骨人工关节人工股骨头(含远端塞、股骨柄、股骨小头等)人工股骨置换材料（含股骨骨干支架、股骨头、髋臼、髋臼杯、髋臼内衬、陶瓷头、股骨接骨板、固定钉等）股骨异体骨(灭活)异体关节(灭活)胫骨异体骨(灭活)半肩关节不带翼半肩关节带翼半肩关节全肩关节人工肩关节肿瘤肩关节人工肱骨头人工肘关节人工腕关节全髋关节系统（含股骨柄、股骨头、栓子等）联髋人工髋关节（含骨螺丝、全髋臼杯、全髋内衬、股骨柄、股骨头等）髋关节置换系统（含髋臼部件、股骨头、股骨头接口）个个个块套套套套盒盒套套块个套套套套套套个个块块套套套套套套套套套套套套套套套套套套盒个件17864.0013702.501650.001650.0019072.0021180.0031510.0024538.005150.0024360.0035100.009744.008932.001467.809160.006090.00525.00210.00504.00630.00丙类丙类丙类丙类乙类丙类丙类乙类乙类乙类乙类乙类乙类乙类丙类丙类丙类丙类乙类乙类乙类乙类乙类丙类丙类自费丙类丙类丙类丙类自费自费自费丙类丙类丙类丙类丙类丙类丙类丙类丙类丙类丙类丙类3000.0010000.0010000.0010000.00特殊材料特殊材料特殊材料特殊材料特殊材料特殊材料特殊材料特殊材料特殊材料特殊材料特殊材料特殊材料特殊材料特殊材料特殊材料特殊材料特殊材料特殊材料特殊材料特殊材料特殊材料特殊材料特殊材料特殊材料特殊材料特殊材料特殊材料特殊材料特殊材料特殊材料特殊材料特殊材料特殊材料特殊材料特殊材料特殊材料特殊材料特殊材料特殊材料特殊材料特殊材料特殊材料特殊材料特殊材料特殊材料7000.007000.0010000.0010000.0010000.0010000.00630.001242.00178.50200.0010000.0010000.0010000.0010000.003000.0010000.0027768.0010000.0010000.0010000.0010000.0010000.0010000.0010000.0010000.0010000.0010000.0010000.0010000.00人工髋关节（含股骨柄、、小球头、双动股骨头、螺钉、栓子等)）骨水泥套管组件髋关节假体（含股骨头、股骨柄、髋臼、双动头、防脱内杯、螺钉等）动力髋（含钢板、加压系统、螺钉等）定制翻修全髋关节人工髋关节(肿瘤型)半髋关节置换人工膝关节股骨解剖型可旋转表面膝全解剖型可旋转表面膝解剖型可旋转铰链膝可旋转稳定型膝关节全膝关节IB II后稳定型全膝关节NexGen 后稳定型全膝关节NexGen 高屈曲度,屈曲155度定制肿瘤型膝关节膝关节置换系统人工髁关节人工髌股关节人工关节（人工跖趾关节）人工关节人工髌腱煅烧骨人造骨一次性旋切探针套盒个套套套套套套套套套套套套套套套套套套套块个根个个次次次次个个个个个套套套付11368.00630.00丙类乙类丙类丙类丙类丙类丙类10000.00特殊材料特殊材料10000.0010000.0010000.0010000.006000.0010000.0010000.0010000.0010000.0010000.0010000.0010000.0010000.0010000.0010000.0010000.0010000.0010000.0010000.00特殊材料特殊材料特殊材料特殊材料特殊材料特殊材料特殊材料特殊材料特殊材料特殊材料特殊材料特殊材料特殊材料特殊材料特殊材料特殊材料特殊材料特殊材料特殊材料特殊材料特殊材料特殊材料特殊材料特殊材料特殊材料特殊材料特殊材料特殊材料特殊材料特殊材料特殊材料特殊材料特殊材料特殊材料特殊材料特殊材料材料材料28173.0033702.0043965.0048129.0024100.0026100.0028600.0030450.00丙类丙类丙类丙类丙类丙类丙类丙类丙类丙类丙类丙类丙类丙类自费自费自费乙类自费自费自费自费自费自费自费自费自费自费自费自费自费甲类甲类2785.194060.30乳房假体皮肤扩张器低温冷冻皮、新鲜皮低温冷冻组织、新鲜组织异体皮和制备异体皮及制备异体肌腱植入假体（颞）植入假体（额）植入材料（颏部）吸脂器各种规格肢具氧气自助具外固定材料37.00下肢固定支具上肢固定支具外固定材料（夹板）夹板固定物一次性银针一次性结肠透析管铜离子针自费医用特殊材料Y阀Y型止血阀血凝管血清管心房减压管桡动脉止血带一次性灌洗器连通板导引导管抗虹吸分流管硬化针栓塞微粒球带止血阀导管鞘微量泵一次性打孔材料血糖仪付套块套根根根支次个个根根根根个块根根根套个个次次21.0025.005.000.14105.00 甲类甲类甲类甲类甲类甲类甲类甲类自费甲类甲类甲类甲类甲类甲类甲类甲类乙类乙类乙类乙类乙类乙类乙类自费材料材料材料材料材料材料材料材料材料材料材料材料材料材料材料材料材料材料材料材料材料材料材料特殊材料材料一次性喉镜片包皮环切器留置针固定防水贴膜皮肤粘膜防护修复喷剂预冲式导管冲洗器点连式一次性止血带一次性使用自动止液输液器甲壳质及其他无纤维创面材料负压引流护创材料一次性电动脉冲冲洗吸引器超声PACS医用诊断报告胶片片个片瓶个个个个个个片乙类自费甲类自费乙类自费乙类自费乙类乙类自费特殊材料材料材料特殊材料特殊材料特殊材料特殊材料特殊材料特殊材料特殊材料特殊材料
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