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廠牌 |
品名規格 |
單位 |
健保碼 |
健保支付金額 |
病患自付差額 |
WRIGHT (裕強) |
CERAMIC TOTAL HIP SYSTEM 陶瓷人工髖關節組 |
ST |
FBHPCCERA1W2(整組) |
52,560 |
46,785 |
CERAMIC HIP SYSTEM:HEAD 2600-0004:2600-0009(陶瓷) |
PC |
FBHHCCERA1W2(細項) |
9,000 |
18,550 |
CERAMIC HIP SYSTEM:INSERT 7100-2846;7200-2852;3252；7300-3258；7400-3264(陶瓷) |
PC |
FBHLCCERA1W2(細項) |
5,490 |
28,235 |
FEMORAL STEM 370X；371X；372X-XXXX(一般) |
PC |
FBHS13708NW2(細項) |
30,888 |
無 |
HIP CUP 3000；367X；368X；381X-XXXX；3658-0040:80(一般) |
PC |
FBHC13671NW2(細項) |
12,645 |
無 |
 WRIGHT陶瓷人工髖關節組財管部已於960302正式建立收費標準,健保病患扣除健保給付一般關節組費用後,需自付差額46785元/組.
同意書已於960309重印新版給門診診室,骨科網頁請協助更新.
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