| 项目编码 | 名称 | 计价单位 | 价格(元) | |
| 1 | D0000007126 | 栓塞微粒球[S210GH] | 个 | 1597.00 |
| 2 | D0000001685 | 栓塞系统(商品名：HydroCoil)[100201H2HS-V] | 套 | 12007.00 |
| 3 | D0000001671 | 栓塞系统(商品名：HydroCoil)[100202H2HS-V] | 套 | 12007.00 |
| 4 | D0000001682 | 栓塞系统(商品名：HydroCoil)[100203H2HS-V] | 套 | 12007.00 |
| 5 | D0000001681 | 栓塞系统(商品名：HydroCoil)[100204H2HS-V] | 套 | 12007.00 |
| 6 | D0000001680 | 栓塞系统(商品名：HydroCoil)[100206H2HS-V] | 套 | 12007.00 |
| 7 | D0000001679 | 栓塞系统(商品名：HydroCoil)[100304H2HS-V] | 套 | 12007.00 |
| 8 | D0000001683 | 栓塞系统(商品名：HydroCoil)[100306H2HS-V] | 套 | 12007.00 |
| 9 | D0000001677 | 栓塞系统(商品名：HydroCoil)[100308H2HS-V] | 套 | 12007.00 |
| 10 | D0000001673 | 栓塞系统(商品名：HydroCoil)[100404H2HS-V] | 套 | 12007.00 |
| 11 | D0000001678 | 栓塞系统(商品名：HydroCoil)[100406H2HS-V] | 套 | 12007.00 |
| 12 | D0000001675 | 栓塞系统(商品名：HydroCoil)[100408H2HS-V] | 套 | 12007.00 |
| 13 | D0000001674 | 栓塞系统(商品名：HydroCoil)[100506H2HS-V] | 套 | 12007.00 |
| 14 | D0000001676 | 栓塞系统(商品名：HydroCoil)[100508H2HS-V] | 套 | 12007.00 |
| 15 | D0000001672 | 栓塞系统(商品名：HydroCoil)[100606H2HS-V] | 套 | 12007.00 |
| 16 | D0000001684 | 栓塞系统(商品名：HydroCoil)[100608H2HS-V] | 套 | 12007.00 |
| 17 | D0000005027 | 双固定螺钉[72202595] | 枚 | 4440.00 |
| 18 | D0000005026 | 双固定螺钉[72202599] | 枚 | 4440.00 |
| 19 | D0000005025 | 双固定螺钉[72202605] | 枚 | 4440.00 |
| 20 | D0000004986 | 双固定螺钉系统[7210301] | 块 | 2760.00 |
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