| 项目编码 | 名称 | 计价单位 | 价格(元) | |
| 1 | D0000000594 | 药物洗脱冠脉支架系统(商品名:Endeavor Resolute)[ERES35030X] | 套 | 14949.00 |
| 2 | D0000000516 | 药物洗脱冠脉支架系统(商品名:Endeavor Resolute)[ERES40009X] | 套 | 14949.00 |
| 3 | D0000000518 | 药物洗脱冠脉支架系统(商品名:Endeavor Resolute)[ERES40012X] | 套 | 14949.00 |
| 4 | D0000000509 | 药物洗脱冠脉支架系统(商品名:Endeavor Resolute)[ERES40015X] | 套 | 14949.00 |
| 5 | D0000000593 | 药物洗脱冠脉支架系统(商品名:Endeavor Resolute)[ERES40018X] | 套 | 14949.00 |
| 6 | D0000000513 | 药物洗脱冠脉支架系统(商品名:Endeavor Resolute)[ERES40024X] | 套 | 14949.00 |
| 7 | D0000000505 | 药物洗脱冠脉支架系统(商品名:Endeavor Resolute)[ERES40030X] | 套 | 14949.00 |
| 8 | D0000001045 | 药物洗脱外周球囊扩张导管[DHA03080B] | 根 | 26900.00 |
| 9 | D0000000825 | 药物洗脱外周球囊扩张导管[DHA03120B] | 付 | 26900.00 |
| 10 | D0000000969 | 药物洗脱外周球囊扩张导管[DHA35080B] | 根 | 26900.00 |
| 11 | D0000000955 | 药物洗脱外周球囊扩张导管[DHA35120B] | 根 | 26900.00 |
| 12 | D0000000938 | 药物洗脱外周球囊扩张导管[ORC04080B] | 根 | 26900.00 |
| 13 | D0000000937 | 药物洗脱外周球囊扩张导管[ORC04100B] | 根 | 26900.00 |
| 14 | D0000000944 | 药物洗脱外周球囊扩张导管[ORC04120B] | 根 | 26900.00 |
| 15 | D0000000828 | 药物洗脱外周球囊扩张导管[ORC04150A] | 付 | 26900.00 |
| 16 | D0000000936 | 药物洗脱外周球囊扩张导管[ORC04150B] | 根 | 26900.00 |
| 17 | D0000000943 | 药物洗脱外周球囊扩张导管[ORC04200B] | 根 | 26900.00 |
| 18 | D0000000914 | 药物洗脱外周球囊扩张导管[ORC05060B] | 根 | 24900.00 |
| 19 | D0000000931 | 药物洗脱外周球囊扩张导管[ORC05080B] | 根 | 26900.00 |
| 20 | D0000000933 | 药物洗脱外周球囊扩张导管[ORC05100B] | 根 | 26900.00 |