| 项目编码 | 名称 | 计价单位 | 价格(元) | |
| 1 | D0000000742 | 依维莫司洗脱冠状动脉支架系统(商品名：PROMUS Element)[3.50*38mm H7493911338350] | 套 | 14360.00 |
| 2 | D0000000679 | 依维莫司洗脱冠状动脉支架系统(商品名：PROMUS Element)[3.5mm*12mm H7493911312350] | 套 | 14360.00 |
| 3 | D0000000682 | 依维莫司洗脱冠状动脉支架系统(商品名：PROMUS Element)[3.5mm*16mm H7493911316350] | 套 | 14360.00 |
| 4 | D0000000684 | 依维莫司洗脱冠状动脉支架系统(商品名：PROMUS Element)[3.5mm*20mm H7493911320350] | 套 | 14360.00 |
| 5 | D0000000678 | 依维莫司洗脱冠状动脉支架系统(商品名：PROMUS Element)[3.5mm*24mm H7493911324350] | 套 | 14360.00 |
| 6 | D0000000681 | 依维莫司洗脱冠状动脉支架系统(商品名：PROMUS Element)[3.5mm*28mm H7493911328350] | 套 | 14360.00 |
| 7 | D0000000746 | 依维莫司洗脱冠状动脉支架系统(商品名：PROMUS Element)[4.00*32mm H7493911332400] | 套 | 14360.00 |
| 8 | D0000000748 | 依维莫司洗脱冠状动脉支架系统(商品名：PROMUS Element)[4.00*38mm H7493911338400] | 套 | 14360.00 |
| 9 | D0000000683 | 依维莫司洗脱冠状动脉支架系统(商品名：PROMUS Element)[4.0mm*12mm H7493911312400] | 套 | 14360.00 |
| 10 | D0000000680 | 依维莫司洗脱冠状动脉支架系统(商品名：PROMUS Element)[4.0mm*16mm H7493911316400] | 套 | 14360.00 |
| 11 | D0000000687 | 依维莫司洗脱冠状动脉支架系统(商品名：PROMUS Element)[4.0mm*20mm H7493911320400] | 套 | 14360.00 |
| 12 | D0000000686 | 依维莫司洗脱冠状动脉支架系统(商品名：PROMUS Element)[4.0mm*24mm H7493911324400] | 套 | 14360.00 |
| 13 | D0000000685 | 依维莫司洗脱冠状动脉支架系统(商品名：PROMUS Element)[4.0mm*28mm H7493911328400] | 套 | 14360.00 |
| 14 | D681254 | 异物钳(7F 圈套) | 套 | 1800.00 |
| 15 | D6428 | 异物钳(FG-32L-1) | 把 | 6975.00 |
| 16 | D6810714 | 异物钳(螺旋形) | 套 | 1800.00 |
| 17 | D10496 | 异物钳(胃石切割器WF-2417DTH) | 套 | 7500.00 |
| 18 | D6810699 | 异物钳(钻石型) | 套 | 1800.00 |
| 19 | D64130 | 异物钳[FB-26C-1] | 把 | 4760.00 |
| 20 | D0000006733 | 引流导管及附件[引流管 10mm CV-0110] | 盒 | 1085.00 |
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