| 项目编码 | 名称 | 计价单位 | 价格(元) | |
| 1 | D0000005236 | 伽玛(γ)型带锁髓内钉[加长γ-Ⅲ型髓腔钉(左) Ф11×400×121°(左)] | 枚 | 5288.00 |
| 2 | D0000005156 | 伽玛(γ)型带锁髓内钉[加长γ-Ⅲ型髓腔钉(左) Ф11×420×121°(左)] | 枚 | 5288.00 |
| 3 | D0000001719 | 肝素涂层血管内覆膜支 架系统(商品名:GORE VIABAHN)[10mm*10cm VBH101002W] | 套 | 30770.00 |
| 4 | D0000001722 | 肝素涂层血管内覆膜支 架系统(商品名:GORE VIABAHN)[10mm*2.5cm VBH100202W] | 套 | 30580.00 |
| 5 | D0000001720 | 肝素涂层血管内覆膜支 架系统(商品名:GORE VIABAHN)[10mm*5cm VBH100502W] | 套 | 30580.00 |
| 6 | D0000001717 | 肝素涂层血管内覆膜支 架系统(商品名:GORE VIABAHN)[11mm*10cm VBH111002W] | 套 | 30770.00 |
| 7 | D0000001718 | 肝素涂层血管内覆膜支 架系统(商品名:GORE VIABAHN)[11mm*2.5cm VBH110202W] | 套 | 30580.00 |
| 8 | D0000001716 | 肝素涂层血管内覆膜支 架系统(商品名:GORE VIABAHN)[11mm*5cm VBH110502W] | 套 | 30580.00 |
| 9 | D0000001712 | 肝素涂层血管内覆膜支 架系统(商品名:GORE VIABAHN)[13mm*10cm VBH131002W] | 套 | 30770.00 |
| 10 | D0000001714 | 肝素涂层血管内覆膜支 架系统(商品名:GORE VIABAHN)[13mm*2.5cm VBH130202W] | 套 | 30580.00 |
| 11 | D0000001715 | 肝素涂层血管内覆膜支 架系统(商品名:GORE VIABAHN)[13mm*5cm VBH130502W] | 套 | 30580.00 |
| 12 | D0000001727 | 肝素涂层血管内覆膜支 架系统(商品名:GORE VIABAHN)[5mm*10cm VBH051002W] | 套 | 30770.00 |
| 13 | D0000001729 | 肝素涂层血管内覆膜支 架系统(商品名:GORE VIABAHN)[5mm*2.5cm VBH050202W] | 套 | 30580.00 |
| 14 | D0000001733 | 肝素涂层血管内覆膜支 架系统(商品名:GORE VIABAHN)[5mm*5cm VBH050502W] | 套 | 30580.00 |
| 15 | D0000001725 | 肝素涂层血管内覆膜支 架系统(商品名:GORE VIABAHN)[6mm*10cm VBH061002W] | 套 | 30770.00 |
| 16 | D0000001734 | 肝素涂层血管内覆膜支 架系统(商品名:GORE VIABAHN)[6mm*2.5cm VBH060202W] | 套 | 30580.00 |
| 17 | D0000001731 | 肝素涂层血管内覆膜支 架系统(商品名:GORE VIABAHN)[6mm*5cm VBH060502W] | 套 | 30580.00 |
| 18 | D0000001723 | 肝素涂层血管内覆膜支 架系统(商品名:GORE VIABAHN)[7mm*10cm VBH071002W] | 套 | 30770.00 |
| 19 | D0000001732 | 肝素涂层血管内覆膜支 架系统(商品名:GORE VIABAHN)[7mm*2.5cm VBH070202W] | 套 | 30580.00 |
| 20 | D0000001730 | 肝素涂层血管内覆膜支 架系统(商品名:GORE VIABAHN)[7mm*5cm VBH070502W] | 套 | 30580.00 |