| 项目编码 | 名称 | 计价单位 | 价格(元) | |
| 1 | D0000000739 | 依维莫司洗脱冠状动脉支架系统(商品名:PROMUS Element)[2.50*38mm H7493911338250] | 套 | 14360.00 |
| 2 | D0000000663 | 依维莫司洗脱冠状动脉支架系统(商品名:PROMUS Element)[2.5mm*16mm H7493911316250] | 套 | 14360.00 |
| 3 | D0000000670 | 依维莫司洗脱冠状动脉支架系统(商品名:PROMUS Element)[2.5mm*20mm H7493911320250] | 套 | 14360.00 |
| 4 | D0000000666 | 依维莫司洗脱冠状动脉支架系统(商品名:PROMUS Element)[2.5mm*24mm H7493911324250] | 套 | 14360.00 |
| 5 | D0000000667 | 依维莫司洗脱冠状动脉支架系统(商品名:PROMUS Element)[2.5mm*28mm H7493911328250] | 套 | 14360.00 |
| 6 | D0000000744 | 依维莫司洗脱冠状动脉支架系统(商品名:PROMUS Element)[2.75*32mm H7493911332270] | 套 | 14360.00 |
| 7 | D0000000740 | 依维莫司洗脱冠状动脉支架系统(商品名:PROMUS Element)[2.75*38mm H7493911338270] | 套 | 14360.00 |
| 8 | D0000000668 | 依维莫司洗脱冠状动脉支架系统(商品名:PROMUS Element)[2.75mm*12mm H7493911312270] | 套 | 14360.00 |
| 9 | D0000000664 | 依维莫司洗脱冠状动脉支架系统(商品名:PROMUS Element)[2.75mm*16mm H7493911316270] | 套 | 14360.00 |
| 10 | D0000000665 | 依维莫司洗脱冠状动脉支架系统(商品名:PROMUS Element)[2.75mm*20mm H7493911320270] | 套 | 14360.00 |
| 11 | D0000000672 | 依维莫司洗脱冠状动脉支架系统(商品名:PROMUS Element)[2.75mm*24mm H7493911324270] | 套 | 14360.00 |
| 12 | D0000000673 | 依维莫司洗脱冠状动脉支架系统(商品名:PROMUS Element)[2.75mm*28mm H7493911328270] | 套 | 14360.00 |
| 13 | D0000000745 | 依维莫司洗脱冠状动脉支架系统(商品名:PROMUS Element)[3.00*32mm H7493911332300] | 套 | 14360.00 |
| 14 | D0000000741 | 依维莫司洗脱冠状动脉支架系统(商品名:PROMUS Element)[3.00*38mm H7493911338300] | 套 | 14360.00 |
| 15 | D0000000674 | 依维莫司洗脱冠状动脉支架系统(商品名:PROMUS Element)[3.0mm*12mm H7493911312300] | 套 | 14360.00 |
| 16 | D0000000675 | 依维莫司洗脱冠状动脉支架系统(商品名:PROMUS Element)[3.0mm*16mm H7493911316300] | 套 | 14360.00 |
| 17 | D0000000676 | 依维莫司洗脱冠状动脉支架系统(商品名:PROMUS Element)[3.0mm*20mm H7493911320300] | 套 | 14360.00 |
| 18 | D0000000677 | 依维莫司洗脱冠状动脉支架系统(商品名:PROMUS Element)[3.0mm*24mm H7493911324300] | 套 | 14360.00 |
| 19 | D0000000671 | 依维莫司洗脱冠状动脉支架系统(商品名:PROMUS Element)[3.0mm*28mm H7493911328300] | 套 | 14360.00 |
| 20 | D0000000743 | 依维莫司洗脱冠状动脉支架系统(商品名:PROMUS Element)[3.50*32mm H7493911332350] | 套 | 14360.00 |