InfoCis121004 - Svaz zdravotních pojišťoven ČR

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Informační číselník Svazu zdravotních pojišťoven ČR říjen 2012Kód Název Doplněk názvu DRZ ZEM LIM1 OME1 IND1 UHR1 MFC DNC Doplatek ZAP1 EKV1 EKV20147034 IOPAMIGITA 370 MG/ML INJ SOLZAGK D D 21 653,16 21 859,41 206,25 0,00 1 028,5310X200ML/74000MG0147028 IOPAMIGITA 370 MG/ML INJ SOLZAGK D D 8 119,93 8 567,90 447,97 0,00 1 028,5310X75ML/27750MG0052219 SCANLUX 370 MG/ML INJ SOL 10X200ML/37GM ASBA A D 21 653,26 22 381,30 728,04 0,00 1 028,530147022 IOPAMIGITA 300 MG/ML INJ SOLZAGK D D 19 791,95 19 791,95 0,00 0,00 1 029,1830X75ML/22500MG0147021 IOPAMIGITA 300 MG/ML INJ SOLZAGK D D 13 482,67 13 482,67 0,00 0,00 1 051,6530X50ML/15000MG0147019 IOPAMIGITA 300 MG/ML INJ SOLZAGK D D 9 061,41 9 061,41 0,00 0,00 1 060,1910X100ML/30000MG0147025 IOPAMIGITA 300 MG/ML INJ SOLZAGK D D 36 586,02 36 586,02 0,00 0,00 1 070,1420X200ML/60000MG0147017 IOPAMIGITA 300 MG/ML INJ SOLZAGK D D 4 605,14 4 790,75 185,61 0,00 1 077,6010X50ML/15000MG0147020 IOPAMIGITA 300 MG/ML INJ SOLZAGK D D 5 526,16 5 712,87 186,71 0,00 1 077,6030X20ML/6000MG0147024 IOPAMIGITA 300 MG/ML INJ SOLZAGK D D 18 725,07 18 725,07 0,00 0,00 1 095,4210X200ML/60000MG0147018 IOPAMIGITA 300 MG/ML INJ SOLZAGK D D 7 271,67 7 462,78 191,11 0,00 1 134,3710X75ML/22500MG0052204 SCANLUX 300 MG/ML INJ SOL 10X100ML/30GM ASBA A D 9 695,57 9 695,57 0,00 0,00 1 134,380147016 IOPAMIGITA 300 MG/ML INJ SOLZAGK D D 1 939,11 2 103,98 164,87 0,00 1 134,3810X20ML/6000MG0052201 SCANLUX 300 MG/ML INJ SOL 10X50ML/15GM ASBA A D 4 847,78 5 137,78 290,00 0,00 1 134,380052207 SCANLUX 300 MG/ML INJ SOL 10X200ML/60GM ASBA A D 19 391,13 20 069,44 678,31 0,00 1 134,38V08AB05 parent. Jopromid0093626 ULTRAVIST 370 INJ SOL 1X200ML ABZB D D 2 165,33 3 062,07 896,74 0,00 1 028,510077018 ULTRAVIST 370 INJ SOL 10X50ML ABZB D D 5 413,32 7 982,33 2 569,01 0,00 1 028,520077019 ULTRAVIST 370 INJ SOL 10X100ML ABZB D D 10 826,63 14 922,34 4 095,71 0,00 1 028,530093625 ULTRAVIST 370 INJ SOL 1X100ML ABZB D D 1 082,66 1 634,47 551,81 0,00 1 028,560052591 ULTRAVIST 300 INJ SOL 1X200ML ABZB D D 1 939,11 2 669,65 730,54 0,00 1 134,380077024 ULTRAVIST 300 INJ SOL 10X20ML ABZB D D 1 939,11 2 934,45 995,34 0,00 1 134,380077016 ULTRAVIST 300 INJ SOL 10X50ML ABZB D D 4 847,78 7 203,41 2 355,63 0,00 1 134,380077017 ULTRAVIST 300 INJ SOL 10X100ML ABZB D D 9 695,57 13 479,63 3 784,06 0,00 1 134,380151205 ULTRAVIST 300 INJ SOL 8X500ML ZBZB D D 38 782,26 51 109,81 12 327,55 0,00 1 134,38V08AB07 parent. Joversol0014762 OPTIRAY 350 INJ SOL 10X30ML(A) ACDN D D 2 819,50 3 844,89 1 025,39 0,00 939,830014770 OPTIRAY 350 INJ SOL 10X50ML(A) ACDN D D 4 699,17 6 288,07 1 588,90 0,00 939,830014763 OPTIRAY 350 INJ SOL 10X100ML(A) ACDN D D 9 398,34 11 603,39 2 205,05 0,00 939,830014764 OPTIRAY 350 INJ SOL 10X200ML(A) ACDN D D 18 796,68 22 512,93 3 716,25 0,00 939,83ÚhradaVysvětlivky:UHR1 – úhrada, MFC – konečná cena, Doplatek – maximální doplatek, ZAP1 – započitatelný doplatek, DNC – dohodnutá nejvyšší cena,Úhrada EKV1, EKV2 – vypočtená úhrada za 1 ODTD nebo 1 DDD, k datu sestavení číselníku neúčtovaný LP pojišťovnám, LP bez doplatku pacientaStránka 298 z 302
Informační číselník Svazu zdravotních pojišťoven ČR říjen 2012Kód Název Doplněk názvu DRZ ZEM LIM1 OME1 IND1 UHR1 MFC DNC Doplatek ZAP1 EKV1 EKV20014767 OPTIRAY 350 INJ SOL 10X100ML(C) ACDN D D 9 398,34 14 513,04 5 114,70 0,00 939,830187722 OPTIRAY 350 INJ SOL 5X500ML(A) ZCDN D D 23 495,85 28 843,09 5 347,24 0,00 939,830014768 OPTIRAY 350 INJ SOL 10X125ML(C) ACDN D D 11 747,93 17 925,27 6 177,34 0,00 939,830014749 OPTIRAY 300 INJ SOL 10X100ML(A) ACDN D D 9 695,57 10 043,14 347,57 0,00 1 134,380014747 OPTIRAY 300 INJ SOL 10X50ML(A) ACDN D D 4 847,78 5 389,85 542,07 0,00 1 134,380014752 OPTIRAY 300 INJ SOL 10X30ML(B) ACDN D D 2 908,67 3 478,41 569,74 0,00 1 134,380014753 OPTIRAY 300 INJ SOL 10X50ML(B) ACDN D D 4 847,78 5 677,27 829,49 0,00 1 134,380014751 OPTIRAY 300 INJ SOL 10X200ML(A) ACDN D D 19 391,13 20 355,27 964,14 0,00 1 134,380014746 OPTIRAY 300 INJ SOL 10X20ML(A) ACDN D D 1 939,11 3 126,76 1 187,65 0,00 1 134,380014755 OPTIRAY 300 INJ SOL 10X100ML(C) ACDN D D 9 695,57 12 163,16 2 467,59 0,00 1 134,380014756 OPTIRAY 300 INJ SOL 10X125ML(C) ACDN D D 12 119,46 15 001,05 2 881,59 0,00 1 134,380014758 OPTIRAY 320 INJ SOL 10X50ML(B) ACDN D D 6 449,96 6 884,94 434,98 0,00 1 431,89V08AB09 parent. Jodixanol0045119 VISIPAQUE 270 MG I/ML INJ SOL 10X50ML-SKL AGHO N D 5 264,59 7 519,19 2 254,60 0,00 1 368,780017038 VISIPAQUE 270 MG I/ML INJ SOL 10X50ML-PP AGHO N D 5 264,59 7 519,19 2 254,60 0,00 1 368,780045125 VISIPAQUE 320 MG I/ML INJ SOL 6X200ML-SKL AGHO N D 15 479,90 16 553,05 1 073,15 0,00 1 431,890045123 VISIPAQUE 320 MG I/ML INJ SOL 10X50ML-SKL AGHO N D 6 449,96 7 848,36 1 398,40 0,00 1 431,890017039 VISIPAQUE 320 MG I/ML INJ SOL 10X50ML-PP AGHO N D 6 449,96 7 848,36 1 398,40 0,00 1 431,890042433 VISIPAQUE 320 MG I/ML INJ SOL 10X100ML-PP AGHO N D 12 899,92 20 264,21 7 364,29 0,00 1 431,890045124 VISIPAQUE 320 MG I/ML INJ SOL 10X100ML-SK AGHO N D 12 899,92 20 264,21 7 364,29 0,00 1 431,890042439 VISIPAQUE 320 MG I/ML INJ SOL 10X200ML-PP AGHO N D 25 799,85 37 410,56 11 610,71 0,00 1 431,890045122 VISIPAQUE 320 MG I/ML INJ SOL 10X20ML-SKL AGHO N D 2 579,99 3 278,89 698,90 0,00 1 431,900042411 VISIPAQUE 270 MG I/ML INJ SOL 10X100ML-PP AGHO N D 11 658,60 17 554,88 5 896,28 0,00 1 515,620045118 VISIPAQUE 270 MG I/ML INJ SOL 10X20ML-SKL AGHO N D 2 332,05 5 078,31 2 746,26 0,00 1 515,79V08AB10 parent. Jomeprol0022081 IOMERON 400 INJ SOL 1X50ML ABDK D D 490,21 844,09 353,88 0,00 862,740056338 IOMERON 400 INJ SOL 1X50ML ABDK D D 490,21 844,09 353,88 0,00 862,740056340 IOMERON 400 INJ SOL 1X100ML ABDK D D 980,43 1 561,31 580,88 0,00 862,750022075 IOMERON 400 INJ SOL 1X100ML ABDK D D 980,43 1 561,31 580,88 0,00 862,750137480 IOMERON 400 INJ SOL 1X500ML ABDK D D 4 902,11 8 132,44 3 230,33 0,00 862,770122995 IOMERON 400 INJ SOL 1X200ML ZPGK GR D 1 960,84 2 655,70 694,86 0,00 862,780056342 IOMERON 400 INJ SOL 1X200ML ABDK D D 1 960,84 2 655,70 694,86 0,00 862,780022077 IOMERON 400 INJ SOL 1X200ML ABDK D D 1 960,84 2 655,70 694,86 0,00 862,780056333 IOMERON 350 INJ SOL 1X100ML ABDK D D 939,83 1 425,89 486,06 0,00 939,830022058 IOMERON 350 INJ SOL 1X100ML ABDK D D 939,83 1 425,89 486,06 0,00 939,830137481 IOMERON 350 INJ SOL 1X500ML ABDK D D 4 699,17 5 882,14 1 182,97 0,00 939,830056331 IOMERON 350 INJ SOL 1X50ML ABDK D D 469,92 762,37 292,45 0,00 939,840022064 IOMERON 350 INJ SOL 1X50ML ABDK D D 469,92 762,37 292,45 0,00 939,840022061 IOMERON 350 INJ SOL 1X200ML ABDK D D 1 879,67 2 424,40 544,73 0,00 939,84Vysvětlivky:UHR1 – úhrada, MFC – konečná cena, Doplatek – maximální doplatek, ZAP1 – započitatelný doplatek, DNC – dohodnutá nejvyšší cena,Úhrada EKV1, EKV2 – vypočtená úhrada za 1 ODTD nebo 1 DDD, k datu sestavení číselníku neúčtovaný LP pojišťovnám, LP bez doplatku pacientaÚhradaStránka 299 z 302
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InfoCis121004 - Svaz zdravotních pojišťoven ČR

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