material

“美敦力”費納導管“MEDTRONIC” PHENOM CATHETER

衛部醫器輸字第033953號

基本資訊

特材代碼
CMV01FG111M4
型號
FG11150-0615-2J;FG11150-0615-2R;FG11150-0615-2S;FG11150-0615-2X;FG11160-0615-1S;FG11160-0615-2J;FG11160-0615-2R;FG11160-0615-2S;FG11160-0615-2X;FG13150-0615-2J;FG13150-0615-2R;FG13150-0615-2S;FG13150-1015-2X;FG13150-1015-2S;FG13160-0615-1S;FG15135-0615-1S;FG15150-0615-1S;FG15150-0630-1S;FG15160-0615-1S;FG19105-0615-1S;FG19105-0630-1S;FG19120-0630-1S;FG19120-1015-1S;FG19120-1030-1S;FG19135-0615-1S;FG19135-1030-1S;(FG11160-0615-1S;FG11160-0615-2J;FG11160-0615-2R;FG11160-0615-2S;FG11160-0615-2X;FG13150-0615-2J;FG13150-0615-2R;FG13150-1015-2X;FG13150-1015-2S;FG15135-0615-1S;FG19105-0615-1S;FG19105-0630-1S;FG19120-0630-1S;FG19120-1015-1S;FG19135-0615-1S;FG19135-1030-1S自1110901刪除);(型號重整為FG11150-0615-2J;FG11150-0615-2R;FG11150-0615-2S;FG11150-0615-2X;FG13150-0615-2S;FG13160-0615-1S;FG15150-0615-1S;FG15150-0630-1S;FG15160-0615-1S;FG19120-1030-1S自1110901生效)
單位
支付點數
7204.0
給付規定
I203-17
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