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
|
品名規格/健保使用規範
|
廠牌
|
健保給
付點數
|
病患自
付差額
|
|
FALSNASPPC6C
|
愛視睫預載式人工水晶體植入系統Aspicio Preloaded IOL Delivery System
|
Aspicio/愛視睫
|
2,744
|
30,856
|
|
FALSNASPPY6C
|
愛視睫預載式人工水晶體植入系統Aspicio Preloaded IOL Delivery System |
Aspicio/愛視睫
|
2,744
|
30,856
|
|
FALSNDEUV1JJ
|
添視明增視型第二代散光矯正新易載預載式人工水晶體Tecnis Eyhance Toric II IOL With Tecnis Simplicity Delivery System |
Johnson&Johnson/嬌生
|
2,744
|
54,826
|
| FALSNMERV1A2 |
添視明增視型人工水晶體Tecnis Eyhance IOL |
AMO/眼力健 |
2,744 |
39,055 |
| FALSNMULT3A2 |
添視明單片型多焦點人工水晶體TECNIS Multifocal 1 Pice Intraocular Lens |
AMO/眼力健 |
2,744 |
60,000 |
| FALSNMULTT8V |
路西斯散光人工水晶體Lucidis Toric IOL |
SAV-IOL/賽芙 |
2,744
|
89,930 |
| FALSNPLSZ14N |
預載式人工水晶體注入系統(預戴式淡黃色非球面人工水晶體)Pre-loaded IOL Injection System |
Nidek/尼德克 |
2,744 |
29,680 |
| FALSNSERVTA2 |
添視明新視延散光矯正單片型人工水晶體Tecnis Symfony Extended Range of Vision Toric 1-Piece IOL |
AMO/眼力健 |
2,744 |
94,456 |
| FALSNWAVE1S2 |
路西斯人工水晶體Lucidis IOL |
SAV-IOL/賽芙 |
2,744 |
60,000 |
| FALSNWAVE6A2 |
添視明愛妥非球面人工水晶體及預載式植入系統TECNIS IOL with iTec Preloaded Delivery System |
AMO/眼力健 |
2,744 |
30,856 |
| FALSNZFRV1JJ |
添視明視能及優視藍老花矯正軟式人工水晶體Tecnis Synergy OptiBlue IOL |
Johnson & Johnson/嬌生 |
2,744 |
85,000 |
更新日期:2023/06/21 公告單位:健保系統課