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 HEH01M1N1TMY HEMOCONCENTRATOR WITH CONNECTOR PACKAGE,TUBING" 米得克 " 血液濃縮器 * 3300 HFF01096NTP3 TPN FILTER 0.2UUM 80 HFF0209930BB STERIFIX INFUSION FILTER 00.2UM(T.P.N) 80 HFF02C1103BT TPN FILTER W/EXTENSION TUBE 80 HFF02C8363BT TPN 0.22 MICRO FILTER 80 HFF02E25YFLL TPN FILTER W/EXTENSION TUBE 80 HFF02EF010SG TPN FILTER SET 0.22UM 80 HFF02EF15YSG TPN FILTER SET 0.22UM 80 HFF02ET15FLL TPN FILTER W/EXTENSION TUBE 80 HHF01P1ASDTM LEUKOCYTE REMOVAL FILTER IMUGARD III-PL* 1400 HHF01P214YTM LEUKOCYTE REMOVAL FILTER IMUGARD III-PL 12UNIT Y TYPE 1400 HHF01PLX10AS SEPACELL LEUKOCYTE REMOVAL FILTER( 血小板專用 ) 過濾 12 UNIT* 1400 HHF01PPBBFFA LENKOCYTE REMOVAL FILTER FOR PLATELET CONCENTRATES* 1400 HHF01PPBSFFA LENKOCYTE REMOVAL FILTER FOR PLATELET CONCENTRATES* 1400 HHF01PXL8YP3 LEUKOCYTE REMOVAL FILTER FOR PLATELATE 1400 HHF02R204YTM LEUKOCYTE REMOVAL FILTER IMUGARD III-RC 500CC Y TYPE 615 HHF02R500AAS SEPACELL LEUKOCYTE REMOVAL FILTER 1000CC( 紅血球專用 ) 820 HHF02R602ETM IMUGARD III-RC LEUKOCYTE REMOVAL FILTER* 615 HHF02RCL1YP3 LEUKOCYTE REMOVAL FILTER FOR RBC 615 HHF02RM1N1FA LENKOCYTE REMOVAL FILTER FOR RED CELL CONCENTRATES* 615 HHF02RPBB2FA LEUKOCYTE REMOVAL FILTER FOR RED CELL CONCENTRATE 過濾 1000CC* 820 HHF02RPBBFFA LENKOCYTE REMOVAL FILTER FOR RED CELL CONCENTRATES* 615 HHF02RPBS2FA LEUKOCYTE REMOVAL FILTER FOR RED CELL CONCENTRATE 過濾 1000CC* 820 HHF02RPBSFFA LENKOCYTE REMOVAL FILTER FOR RED CELL CONCENTRATES* 615 HHF04500A3AS SEPACELL LEUKOCYTE REMOVAL FILTER FOR RBC 2 UNIT 820 HHF04R500AAS LEUKOCYTE REMOVAL FILTER( 紅血球專用 ) 過濾 1000CC 820 310
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 HHM010040SP3 BLOOD TRANSFUSION FILTER 40UM 1500CC 305 HHM0104435BB " 柏朗 " 永久性腔靜脈過濾器 "B.BRAUN" VENATECH LP PERMANENT VENA CAVA FILTER( 含 PUNCTURE KIT,GUIDE WIRE,FILTER INTRODUCER,DILATOR,FILTER,SHEATH) 35000 HHM0111649AB " 亞培 " 阿克奈防血塊栓塞保護系統 "ABBOTT" RX ACCUNET EMBOLIC PROTECTION SYSTEM* 35000 HHM012120FN6 VERSATILE VENA CAVA FILTER SYSTEM 含 FILTER+INTRO+DILA+DELIVERY KIT(PUSHWIRE+Y ADAPTER) 35000 HHM01445TWSB FILTER WIRE EX SYETEM L 190CM,300CM* 35000 HHM01466XNCD TRAPEASE PERMANENT VENA CAVA FILTER AND INTRODUCTION KIT 35000 HHM01500TWSB GREENFIELD VENA CAVA FILTER SET(INTRODUCER+FILTER+SHEATH/DILATOR+ADAPTER) 35000 HHM0150300SB GREENFIELD VENA CAVA FILTER SYSTEM(INTRODUCER+FILTER+SHEATH/DILATOR+ADAPTER) 35000 HHM0150301SB GREENFIELD VENA CAVA FILTER SYSTEM(INTRODUCER+FILTER+SHEATH/DILATOR+ADAPTER) 35000 HHM0182945AB "ABBOTT"EMBOSHIELD PRO EMBOLIC PROTECTION SYSTEM 血管保護盾 35000 HHM0192010SB FILTERWIRE EMBOLIC PROTECTION SYSTEM L190CM,300CM* 35000 HHM01CELECCK " 曲克 " 色列克特腔靜脈濾器 "COOK" CELECT VENA CAVA FILTER 35000 HHM01DV445F2 " 英泰克 " 戴芙血栓清除導管 "INVATEC"DIVER CE RAPID EXCHANGE CLOT EXTRACTION CATHETER* 15000 HHM01DVMAXF2 " 英泰克 " 戴芙血栓清除導管加大型 "INVATEC" DIVER CE MAX CLOT EXTRACTIOM CATHETER 15000 HHM01EPSNNST " 聖猷達 " 栓塞防護系統 "SJM"PROXIS EMBOLIC PROTECTION SYSTEM* 35000 HHM01EXPRTM4 美敦力 ” 吸除導管 "MEDTRONIC" EXPORT XT ASPIRATION CATHETER* 15000 HHM01FETCHF3 " 普希士 " 快取血栓清除導管 "POSSIS" FETCH ASPIRATION CATHETER* 15000 HHM01G1462M4 " 美敦力 " 保護導線加上暫時阻斷吸除系統 GUARDWIRE PLUS TEMPORARY OCCLUSION AND ASPIRATION SYSTEM(EXPORT XT ASPIRATION CATHETER)* 15000 HHM01G146SM4 GUARDWIRE PLUS TEMPORARY OCCLUSION AND ASPIRATION SYSTEM* 35000 HHM01P5010VS " 法斯樂舒順 " 普倫特羅賓血栓清除導管 "VASCULAR SOLUTIONS" PRONTO LP EXTRACTION CATHETER* 15000 HHM01Q5070VS " 法斯樂舒順 " 快特血栓清除導管 "VASCULAR SOLUTIONS" QXT EXTRACTION CATHETER* 15000 HHM01SPDEREY 史派德栓塞防護系統 "EV3"SPIDER FX EMBOLIC PROTECTION DEVICE* 35000 HHM01T2R9SKE ” 卡內卡 ” 史隆巴斯特血栓抽吸導管 "KANEKA" THROMBUSTER II* 15000 HHM01TUL1PCK HHM01TULIPCK COOK GUNTHER TULIP VENA CAVA MREYE FILTER SET(INTRODUCER+FILTER+SHEATH/DILATOR+ADAPTER) COOK GUNTHER TULIP VENA CAVA MREYE FILTER SET(INTRODUCER+FILTER+SHEATH/DILATOR+ADAPTER) 35000 35000 HHM02040SNP3 BLOOD TRANSFUSION FILTER 40UM 移除微血栓輸血過濾器 ( 小兒科專用 ) 305 311
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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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