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健保部分給付項目「特殊功能人工水晶體」之相關規定說明
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特材代碼
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品名規格/健保使用規範
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廠牌
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健保給
付點數
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病患自
付差額
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FALSNASPPC6C
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愛視睫預載式人工水晶體植入系統(非球面) aspicio Preloaded IOL Delivery System
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ICARES
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2,744
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30,856
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FALSNASPPY6C
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愛視睫預載式人工水晶體植入系統(非球面、可濾部份藍光) aspicio Preloaded IOL Delivery System |
ICARES
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2,744
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30,856
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FALSNDEUV1JJ
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“嬌生” 添視明增視型第二代散光矯正新易載預載式人工水晶體“JOHNSON & JOHNSON” TECNIS EYHANCE TORIC II IOL WITH TECNIS SIMPLICITY DELIVERY SYSTEM |
JOHNSON & JOHNSON
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2,744
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54,826
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| FALSNMERV1A2 |
“眼力健”添視明增視型人工水晶體 “AMO” Tecnis Eyhance IOL |
AMO,ALLERGAN |
2,744 |
39,055 |
| FALSNMULT3A2 |
"眼力健"添視明單片型多焦點人工水晶體:多焦點軟式人工水晶體 "AMO"TECNIS MULTIFOCAL 1-PIECE INTRAOCULAR |
AMO,ALLERGAN |
2,744 |
60,000 |
| FALSNMULTT8V |
“賽芙”路西斯散光人工水晶體“SAV-IOL” LUCIDIS TORIC IOL |
賽芙 |
2,744
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89,930 |
| FALSNPLSZ14N |
"尼德克" 預載式人工水晶體注入系統:非球面軟式人工水晶體 "Nidek" Pre-loaded IOL Injection System |
NIDEK |
2,744 |
29,680 |
| FALSNSERVTA2 |
"眼力健"添視明新視延散光矯正單片型人工水晶體 "AMO" Tecnis Symfony Extended Range of Vision Toric 1-Piece IOL |
AMO,ALLERGAN |
2,744 |
94,456 |
| FALSNWAVE1S2 |
“賽芙”路西斯人工水晶體(非球面+焦距延伸) “SAV-IOL” Lucidis IOL |
OSTEONICS;
HOWMEDICA;
STRYKER |
2,744 |
60,000 |
| FALSNWAVE4A2 |
"眼力健"添視明單片型摺疊式人工水晶體:非球面軟式人工水晶體 "AMO"TECNIS 1 PIECE ACRYLIC INTRAOCULAR LENS |
AMO,ALLERGAN |
2,744 |
29,756 |
| FALSNZFRV1JJ |
“嬌生”添視明視能及優視藍老花矯正軟式人工水晶體“JOHNSON & JOHNSON” TECNIS SYNERGY OPTIBLUE IOL |
JOHNSON & JOHNSON |
2,744 |
85,000 |
更新日期:2024/01/26 公告單位:健保系統課
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