全民健康保險醫療費用支付標準第八部第六章特殊材料品項表修正品項1

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全民健康保險醫療費用支付標準第八部第六章特殊材料品項表修正品項特材代碼中英文品名支付點數 CLPA165750BA X-PORT ISP IMPLANTED PORT WITH MICROINTRODUCER KIT(P+C+N+I)* 適應正請見備註欄 10370 CLPA170754BA X-PORT ISP IMPLANTED PORT WITH INTERMEDIATE KIT(P+C+N+I)* 適應正請見備註欄 10370 CLPA17505NBA "BARD"GROSHONG PERIPHERALLY INSERTED CENTRAL VENOUS DUAL-LUMEN W/INTRODUCER KIT* 3500 CLPA176174BA "BARD"GROSHONG NXT CLEAR VUE 4FR.SINGLE LUMEN(PICC) 葛羅祥刻立回中央靜脈導管 * 2960 CLPA17715NBA SINGLE LUMEN GROSHONG PERIPHERALLY INSERT CENTRAL VENOUS CATH 3,4FR 2960 CLPA177255BA DUAL LUMEN GROSHONG PERIPHERALLY INSERT CENTRAL VENOUS CATH 3000 CLPA1MS41NBD CLPA1P0R45SB CLPA1P1CC1CK CLPA1P1CC2CK CLPA1P1CC3CK CLPA1P1CC4CK CLPA1P1CC5CK CLPA1P1CC6CK 1 LUMEN FIST PICC PROCEDURE KIT 3:5FRX65CM (C+G+I+T-PORT)※ 限癌症化療及癌症末期之疼痛治療使用 "BOSTON SCIENTIFIC"VAXCEL IMPLANTABLE PORTS WITH PASV TECHNOLOGY (SINGLE LUMEN)(P+C+NX2+I)* TURBO-FLO PERIPHERALLY INSERTED CENTRAL VENOUS CATHETER(PICC) SET-ONE LUMEN (C+D+G+N)* 適應請見備註欄 TURBO-FLO PERIPHERALLY INSERTED CENTRAL VENOUS CATHETER(PICC) SET-ONE LUMEN (C+D+G+N)* 適應請見備註欄 TURBO-FLO PERIPHERALLY INSERTED CENTRAL VENOUS CATHETER(PICC) SET-TWOLUMEN (C+D+G+N)* 適應請見備註欄 TURBO-FLO PERIPHERALLY INSERTED CENTRAL VENOUS CATHETER(PICC) SET-TWOLUMEN (C+D+G+N)* 適應請見備註欄 TURBO-FLO OVER THE WIRE PERIPHERALLY INSERTED CENTRAL VENOUS CATHETER(PICC)SET(SINGLE LUMEN C+I+G)* TURBO-FLO OVER THE WIRE PERIPHERALLY INSERTED CENTRAL VENOUS CATHETER(PICC)SET(DOUBLE LUMEN C+I+G)* 3050 10370 3050 3050 3500 3500 3050 3500 CLPA1P1CC7CK "COOK"TURBO-JECT PICC SET(CATH+INTRODUCER) 週邊導入中央靜脈導管組 ( 單腔 )* 3050 CLPA1P1CC8CK "COOK"TURBO-JECT PICC SET(CATH+INTRODUCER) 週邊導入中央靜脈導管組 ( 雙腔 )* 3500 CLPA1PD41NBD CLPA1PP1C1M0 CLPA1PP1C2M0 CLPA1PS41NBD 2 LUMEN FIST PICC PROCEDURE KIT 65CM (C+G+I+T-PORT)※ 限癌症化療及癌症末期之疼痛治療使用 "MEDCOMP"PRO-PICC PERIPHERALLY INSERTED CENTRAL VEIN CATHETER SET(SINGLE LUMEN C+N+G+D) 普羅匹克週邊導入中央靜脈導管組 * "MEDCOMP"PRO-PICC PERIPHERALLY INSERTED CENTRAL VEIN CATHETER SET(DOUBLE LUMEN C+N+G+D) 普羅匹克週邊導入中央靜脈導管組 * 1 LUMEN FIST PICC PROCEDURE KIT 1.9:5FRX65CM (C+G+I+T-PORT)※ 限癌症化療及癌症末期之疼痛治療使用 3500 3050 3500 3050 CLPA1VP100GH SINGLE PLASTIC VAS PORT (PORT+CATH+NEEDLE+INTRODUCER) 10370 CLPA1VP150GH SINGLE PLASTIC VASPORT SYSTEM(PORT+CATH+NEEDLE+INTRODUCER)* 10370 CLPA1VTXTRRH "RITA"VORTEX TR PORT SYSTEM(P+C+N+I) 植入型注射系統 * 10370 CLS040114NPW INFUSION SET W/BURETTE W/VALVE 100CC 68 CLS0404965HR SOLUSET 100X60 PRECISION VOLUME IV SET W/100ML BURETTE AND MICRODRIP CHAMBER 94.5 CLS040520VBB DOSIFIX VOLUME CONTROL ADMMINISTRATION SET 120ML WITH VALVE 68 168
全民健康保險醫療費用支付標準第八部第六章特殊材料品項表修正品項特材代碼中英文品名支付點數 CLS040708NPW PERFECT DISPOSABLE INFUSION SET(W/BURETTE W/VALVE) 68 CLS041VC01TZ VOLUME CONTROL I.V ADMINISTRATION SET 60 CLS041VPB3JS JMS INFUSION SET WITH BURET 100CC 63 CLS046369NPW INFUSION SET W/BURETTE W/VALVE 150CC,200CC 68 CLS04BR150SG VOLUME METERIC ADMINISTRATION SET W/FILTER 63 CLS04BRM08LL INFUSION SET WITH BURETTE 100CC 63 CLS04BS120SG VOLUME METERIC ADMISTRATION SET W/VALVE W/FILTER 68 CLS04BS150SG VOLUME METERIC ADMINISTRATION SET W/VALUE W/FILTER 68 CLS04BT100SG VOLUMEMETRIC ADMINSTRATION SET 63 CLS04BT120SG VOLUME METERIC ADMISTRATION SET W/FILTER 63 CLS04BT163BQ Infusion set 100ml with valve &filter 68 CLS04BT164BQ Infusion set 150ml with valve &filter 68 CLS04BUM08LL INFUSION SET WITH BURETTE( 雙路式 ) 63 CLS04BV100SG VOLUMEMMETRIC ADMINSTRATION SET 100ML WITH VALVE 68 CLS04BV150SG VOLUMEMMETRIC ADMINSTRATION SET 150ML WITH VALVE 68 CLS04C5894BT BURETROL IV SOLUTION ADMINISTRATION SET W/ VALVE 68 CLS04CSBACLL "LILY"VOLUME METERIC ADMINISTRATION SET W/VALVE 精密輸液套 68 CLS04CSBESLL "LILY"VOLUME METERIC ADMINISTRATION SET(W/VALVE)* 68 CLS04CSBRBLL VOLUME METERIC ADMINISTRATION SET 100ML 120ML 150ML 附過濾網 60 CLS04CSBVFLL VOLUME METERIC ADMINISTRATION SET 100ML 120ML 150ML 附過濾網 60 CLS04CSBVSLL VOLUME METERIC ADMINISTRATION SET 100ML 120ML 150ML W/VALVE 附止水閥、附過濾網 68 CLS04IVC01TZ VOLUME CONTROL I.V ADMINISTRATION SET 60 CLS04IVPBFJS INFUSION SET PEDIATRIC 100ML BURET W/FLOAT VALVE 68 CLS04M270LTM TERUFUSION VOLUMETRIC SOLUTION ADMINISTRAION SET WITH VALVE 68 CLS04SBAFHLL VOLUME METERIC ADMINISTRATION SET 150CC W/VALVE 68 CLS04VB10LFP "MEDPRO"INFUSION SET 輸液套 60 169
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全民健康保險醫療費用支付標準第八部第六章特殊材料品項表修正品項1

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