| 项目编码 | 名称 | 计价单位 | 价格(元) | |
| 1 | D0000006122 | 医用激光胶片[LZ-III-SRA3] | 张 | 11.60 |
| 2 | D0000006704 | 医用即溶止血纱布[50mm*60mm] | 片 | 439.00 |
| 3 | D0000006605 | 医用胶(商品名:康派特医用胶)[腔镜型 2.0ml] | 盒 | 855.00 |
| 4 | D0000006604 | 医用胶(商品名:康派特医用胶)[涂抹型 1.0ml] | 盒 | 306.00 |
| 5 | D681610 | 医用胶原蛋白海绵[100*100*1mm] | 片 | 696.00 |
| 6 | D0000006260 | 医用牵引带[骨盆下拉牵引带] | 付 | 34.00 |
| 7 | D0000006145 | 医用牵引带[颈椎牵引带] | 个 | 9.50 |
| 8 | D0000006271 | 医用牵引带[下肢牵引带(大号)] | 个 | 26.00 |
| 9 | D0000006144 | 医用牵引带[下肢牵引带(中号)] | 个 | 26.00 |
| 10 | D681853 | 医用生物胶体分散剂(汇涵术泰)[100ml] | 瓶 | 234.00 |
| 11 | D0000006313 | 医用钛夹[3号*120只] | 只 | 7.90 |
| 12 | D0000006012 | 医用体外引流袋[1000ml] | 个 | 1.30 |
| 13 | D0000006781 | 医用透明质酸钠凝胶[0.8ml] | 盒 | 74.00 |
| 14 | D0000006595 | 医用透明质酸钠凝胶[3ml] | 盒 | 187.00 |
| 15 | D0000006452 | 医用吸血海绵[海绵 8.0*1.5*2.0] | 片 | 58.00 |
| 16 | D0000000660 | 依维莫司洗脱冠状动脉支架系统(商品名:PROMUS Element)[2.25mm*16mm H7493911316220] | 套 | 14360.00 |
| 17 | D0000000661 | 依维莫司洗脱冠状动脉支架系统(商品名:PROMUS Element)[2.25mm*20mm H7493911320220] | 套 | 14360.00 |
| 18 | D0000000662 | 依维莫司洗脱冠状动脉支架系统(商品名:PROMUS Element)[2.25mm*24mm H7493911324220] | 套 | 14360.00 |
| 19 | D0000000669 | 依维莫司洗脱冠状动脉支架系统(商品名:PROMUS Element)[2.25mm*28mm H7493911328220] | 套 | 14360.00 |
| 20 | D0000000747 | 依维莫司洗脱冠状动脉支架系统(商品名:PROMUS Element)[2.50*32mm H7493911332250] | 套 | 14360.00 |