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

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
CHT0179003DL PEDIATRIC TOURNIQUET KIT 258
CHT017903SCX TOURNIQUE KIT WITH SNARE(PEDIATRIC) 258
CHT017903SU8 TOURNIQUET KIT WITH SNARE(1 紅 2 藍 3 白 ) 導 管 綁 帶 組 附 鐵 線 258
CHT01A32NSH9 HEART LUNG PACK:A32 CUSTOMER PACK(TUBING+ORGANIZER+PRE-BYPASS FILTER) 4873
CHT01CH207H9 HEART LUNG PACK( 含 PRE-BYPASS FILTER) 4137
CHT01CSS01TV CSS PERFUSION TUBING SET ( 含 TUBING+PRE-BYPASS FILTER +ORGANIZER+SUCKER X 2) 5500
CHT01CSS02TV CSS PERFUSION TUBING SET ( 含 TUBING+PRE-BYPASS FILTER+SUCKER X 2) 5252
CHT01CSS03TV CSS PERFUSION TUBING SET ( 含 TUBING+PRE-BYPASS FILTER) 4137
CHT01CSS04TV CSS PERFUSION TUBING SET ( 只 含 TUBING) 3829
CHT01ECTB1M6 EXTRACORPOREAL TUBING PACK( 含 PRE-BYPASS FILTER+SUCKERX2+ORGANIZER) 5500
CHT01ECTBSM6 EXTRACORPOREAL TUBING PACK( 含 PRE-BYPASS FILTER) 4137
CHT01HS101H9 HEART LUNG PACK( 含 ORGANIZER+PRE-BYPASS FILTER+SUCKERX2) 5500
CHT01HTA12H9
CHT01MY100M4
HEART LUNG PACK HSIN TUNG A12 ADULT( 含 ORGANIZER+PRE-BYPASS FILTER+SUCKER
X2+ARTERIAL FILTER)
MYOTHERMXP CARDIOPLEGIA DELIVERY SYSTEM(BLOOD MIXING+CONDUCER+COIL
TUBING+MP4)
7315
3173
CHT01TS100L5 TOURNIQUET KIT WITH SNARE 258
CHT01TS130L5 TOURNIQUET KIT 258
CHT01VBCBRGH VISION BLOOD CARDIOPLEGIA SYSTEM(BLOOD MIXING+CONDUCER+COIL TUBING) 2884
CHT03A25PLH9 HEART LUNG PACK:A25 PRIME LINE(TUBING 49"+ Y CONNECTOR) 291
CHV0100012ED SINGLE STAGE VENOUS RETURN CANNULAE(12:40FR/ 直 ) 771
CHV0100028ED SINGLE STAGE VENOUS RETURN CANNULAE 771
CHV0100040ED SINGLE STAGE VENOUS RETURN CANNULAE(12:40FR/ 彎 ) 771
CHV0104882TM MALLEABLE VENOUS RETURN CATHETER REINFORCED 24FR 1029
CHV0114032TM 2 STAGE VENOUS RETURN CANNULA 803
CHV0116471TM VENOUS RETURN CAHTTER W/WIRE REINFORCED 803
CHV0166112M4 SINGLE STAGE VENOUS CANNULA 771
CHV0167312DL VENOUS CANNULAR 12,16,20,31FR (PEDIATRIC) 1034
58