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						全額自費特材 | 
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						| 健保代碼 | 
						藥品處置名稱 | 
						單位 | 
						自費價 | 
					 
					
						| FBZ016687001 | 
						Numelock II Polyaxial Locking System(肱骨)         | 
						EA   | 
						52,000.00 | 
					 
					
						| FBA011101NZ1 | 
						OSTEOBOND COPOLYMER BONE CEMENT 40G/20ML骨水泥     | 
						EA   | 
						1,260.00 | 
					 
					
						| FBZ019366001 | 
						超耐磨墊片                                         | 
						EA   | 
						45,000.00 | 
					 
					
						| FBZ021578001 | 
						低溫骨水泥                                         | 
						包   | 
						28,600.00 | 
					 
					
						| FBZ007815015 | 
						LCP for Distal Femur遠端股骨鎖定加壓骨板           | 
						支   | 
						66,700.00 | 
					 
					
						| FBZ021272001 | 
						埋頭中空加壓螺釘                                   | 
						EA   | 
						20,000.00 | 
					 
					
						| FBZ007815013 | 
						肱骨上端鎖定骨板3.5mm                              | 
						EA   | 
						49,800.00 | 
					 
					
						| FBZ020311001 | 
						史賽克"伽瑪三股骨固定系統-長釘組                 " | 
						組   | 
						66,000.00 | 
					 
					
						| FBZ021080001 | 
						Radius                                             | 
						組   | 
						45,000.00 | 
					 
					
						| FBZ022256001 | 
						Orthovita"Cortoss Bone Augmentation Material     " | 
						組   | 
						72,800.00 | 
					 
					
						| FBZ007815007 | 
						信迪思3.5mm鎖定加壓重建骨板                        | 
						EA   | 
						33,000.00 | 
					 
					
						| FBZ007815018 | 
						AO LCP 2.4 Distal Radins Plate                     | 
						EA   | 
						42,000.00 | 
					 
					
						| FBZ004530014 | 
						INTAI"ANATOMY PLATE SYSTEM/Distl Volar Radius    " | 
						EA   | 
						48,000.00 | 
					 
					
						| FBZ018914001 | 
						純鈦迷你鎖定加壓骨板                               | 
						EA   | 
						32,400.00 | 
					 
					
						|              | 
						阿基里斯腱(大體肌腱)                               | 
						     | 
						96,000.00 | 
					 
					
						| FBZ004530008 | 
						INTAI"Anatomy Plate System:Proximal Humeral Plate" | 
						EA   | 
						63,000.00 | 
					 
				
			 
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