自費項目價目表(健保不給付) - edah.org.tw

1 ( ) 1142120001 / TS13140T 1450 ,000 Aaxter pillar Vertebral Spacer 49,740 ArthroCare Spine Convenience Pack(K7920-01) 56,340 ( ) 41110011,540 #UHSL113,640 #UHSM113,640 #UHSOV113,640 GC TOOTH MOUSSE 500 HX-610-135 Clip.(40pcs/set) ( )355 KD-630L Single Use Electrosurgical Knife 7,340 (SAGB) 2200-X 152,340 * (CP02030)1,000 * (CP02060)1,600 ,000 7,340 - 1600 (350 1610 125 -350 1670 )14,340 14,340 52,740 (1ml / tube)31,510 10 PLT-101615,495 10 PLT-103611,540 20 PLT-100717,790 200CC 30 23 KHZ Excel 23 KHZ Tubing SET (C3600)7,340 23 KHZ Excel 23 KHZ CEM Nosecone (C6623)530 23 KHZ (C4604 ELT) (1 Tip 6 Tip )

2 3,840 Cortex Screw/Pure Titanium 14 mm self-tapping1,355 Cortex Screw/Pure Titanium 16 mm self-tapping1,355 Cortex Screw/Pure Titanium 18 mm self-tapping1,355 Cortex Screw/Pure Titanium 20 mm self-tapping1,355 Cortex Screw/Pure Titanium 22 mm self-tapping1,355 Cortex Screw/Pure Titanium 24 mm self-tapping1,355 Cortex Screw/Pure Titanium 26 mm self-tapping1,355 Cortex Screw/Pure Titanium 28 mm self-tapping1,355 Cortex Screw/Pure Titanium 30 mm self-tapping1,355 Cortex Screw/Pure Titanium 32 mm self-tapping1,355 Cortex Screw/Pure Titanium 36 mm self-tapping1,355 Cortex Screw/Pure Titanium 38 mm self-tapping1,355 Cortex Screw/Pure Titanium 40 mm self-tapping1,355 Cortex Screw/Pure Titanium 45 mm self-tapping1,355 Cortex Screw/Pure Titanium 50 mm self-tapping1,355 Locking Head Screw self-tapping L 10mm2,910 Locking Head Screw self-tapping L 12mm2,910 Locking Head Screw self-tapping L 14mm2,910 Locking Head Screw self-tapping L 16mm2,910 Locking Head Screw self-tapping L 18mm2,910 Locking Head Screw self-tapping L 20mm2,910 Locking Head Screw self-tapping L 22mm2,910 Locking Head Screw self-tapping L 24mm2.

3 910 Locking Head Screw self-tapping L 26mm2,910 Locking Head Screw self-tapping L 28mm2,910 Locking Head Screw self-tapping L 30mm2,910 Locking Head Screw self-tapping L 35mm2,910 Locking Head Screw self-tapping L 40mm2,910 Locking Head Screw self-tapping L 45mm2,910 Locking Head Screw self-tapping L 50mm2,910 Locking Head Screw self-tapping L 60mm2,910 3D MAX MESH Large L (R) *16cm(4*6)10,100 3D / ( ) * (3*5)10,100 3M SSC CROWNS E6 5 CROWNS130 CORTEX SCREWS/26MM(SELF-TAPPING)2,090 CORTEX SCREWS/28MM(SELF-TAPPING)2,090 CORTEX SCREWS/30MM(SELF-TAPPING)2,090 CORTEX SCREWS/32MM(SELF-TAPPING)2,090 CORTEX SCREWS/38MM(SELF-TAPPING)2,090 CORTEX SCREWS/40MM(SELF-TAPPING)2,090 CORTEX SCREWS/56MM(SELF-TAPPING)2,090 CORTEX SCREWS/64MM(SELF-TAPPING)2,090 4 *4 10PC/ 10 4 PLT-10148,875 4 PLT-10246,690 4 PLT-10058,875 4 PLT-10138,150 4 PLT-10236,445 locking head screw st.

4 Length 14mm ,220 locking head screw st. length 20mm ,220 locking head screw st. length 22mm ,220 locking head screw st. length 24mm ,220 locking head screw st. length 26mm ,220 locking head screw st. length 28mm ,220 locking head screw st. length 30mm ,220 locking head screw st. length 32mm ,220 locking head screw st. length 34mm ,220 locking head screw st. length 36mm ,220 locking head screw st. length 38mm ,220 locking head screw st. length 40mm ,220 LOCKING HEAD SCREW/18MM3,490 LOCKING HEAD SCREW/26MM3,490 LOCKING HEAD SCREW/40MM3,490 LOCKING HEAD SCREW/55MM3,490 LOCKING HEAD SCREW/65MM3,490 LOCKING HEAD SCREW/75MM3,490 LOCKING HEAD SCREW/85MM3,490 LOCKING HEAD SCREWS/42MM(SD)3,220 LOCKING HEAD SCREWS/44MM(SD)3,220 LOCKING HEAD SCREWS/46MM(SD)3,220 LOCKING HEAD SCREWS/48MM(SD)3,220 LOCKING HEAD SCREWS/50MM(SD)3,220 LOCKING HEAD SCREWS/55MM(SD)3,220 LOCKING HEAD SCREWS/60MM(SD)3,220 LOCKING HEAD SCREWS/65MM(SD)3,220 5mm 30 CLIP/PC (TYCO 174006)640 CANCELLOUS BONE SCREWS(16TH)

5 /30MM2,170 6-0 SURGILON 1929-13190 6 PLT-10069,850 6 PLT-10388,875 6 PLT-10258,150 7209513 TRIVEX System Illuminator Tubing Set+7209514 resector kit34,500 8 PLT-10279,850 A133601( ) ,530 AEROCHAMBER PLUS WITH INFANT (ORANGE) ( )950 Anterior cruicate ligament *550mm (LCP88NE)68,340 Anterior cruicate ligament 6*300mm (LCA60 NEF)68,340 #6197-5-00117,940 41g #6197-1-00120,340 APPROACH SPINAL NEEDLE 250MM ( )3,700 Ball Electrode P-150-165 (B0512)1,260 Bi-Caval Femoral Cannula (BARD 58729 58733)20,940 Bionect Cream (15g/ )775 Bionect GauzePad (10*10cm/ )100 Bionect Gel (30g/ )2,435 Bolt ?

6 Self-tap L42 TAN green ( )10 CerviFix lamina clamp left TAN27,540 CerviFix occiput rod dia. pure TAN44,340 CerviFix pedicle clamp TAN23,940 Cervios curved 5mm ,660 Cervios curved 6mm ,660 Cervios chros OS curved 5mm ,660 Cervios chros OS curved 6mm ,660 Cervios chros OS curved 7mm ,660 Cervios chros OS curved 8mm ,660 Cimeosil Scar Gel 14g1,600 CLAVICLE HOOK PLATE 4*15MM ( )26,010 CLAVICLE HOOK PLATE 4*15MM ( )26,010 CLAVICLE HOOK PLATE 4*18MM ( )26,010 CLAVICLE HOOK PLATE 4*18MM( )26,010 CLAVICLE HOOK PLATE 6*15MM( )26,010 CLAVICLE HOOK PLATE 6*15MM( )26,010 CLAVICLE HOOK PLATE 6*18MM ( )26,010 CLAVICLE HOOK PLATE 6*18MM( )26,010 Clip 135 (HX-610-135)

7 40clip/set300 Coflex Interspinous Implants 12mm (UAI00012)76,740 Coflex Interspinous Implants 14mm (UAI00014)76,740 Coflex Interspinous Implants 16mm (UAI00016)76,740 Cool-Tip RF Electrode Kit 20cm ,740 Delta Chamber #2405332,340 Detachment System 6,640 Disposable 12mm subdermal EEG Needles 25/pkg490 Disposable 2*2 Electrode Set With Leads 24sets/pkg660 Disposable 2*4 Ground Plates Electrode With Leads 24poches/pkg545 DISPOSABLE CANNULA ( )1,350 DISPOSABLE CANNULA ( )1,350 DMS Liposome C (20ml)2,100 DMS Liposome (20ml)2,100 DMS 50ml1,550 DMS 20ml2,100 DMS (250ml)1,250 DMS (100ml)800 DMS 125ml800 DMS 3,800 DM ( )68 60ml/BT1,800 10ml/BT2,200 DuraSeal Dura Sealant System 5ml #20-205030,800 END CAP10 Endo Catch II Pouch 15mm (173049)7,620 Endo Catch Specimen Bag 10mm (173050G)5,660 ENEMASYRINGE (Nikko )420 Evolution Esophageal Stent System EVO-20-25-(8~15)-E53,940 Evolve (Modular Radial head) 56,340 SD ( )

8 44,340 EXTENDED H-PLATE LEFT LENGTH 22MM12,645 EXTENDED H-PLATE RIGHT LENGTH 22MM12,645 Filter and Vacuum Tubing #G19124 K-MAR-CT-300-LL2,010 Flap Fix 18mm8,040 Flap Fix 13mm8,040 GBotox Injection Needle 27G* 1,185 GDC CONNECTING CABLE (451102-4 )5,660 GeneX Synthetic Resorbable Bone Graft 10cc #900-01092,340 GeneX Synthetic Resorbable Bone Graft 5cc #900-00552,740 GOEMAR PHYSIOMER (baby spray) 115ml500 GOEMAR PHYSIOMER (gental jet) 135ml500 GOEMAR PHYSIOMER (strong jet) 210ml550 Grounding Pad 3,700 HAND MODULE CORTEX SCREW/10MM1,595 HAND MODULE CORTEX SCREW/11MM1,595 HAND MODULE CORTEX SCREW/12MM1,595 HAND MODULE CORTEX SCREW/14MM1,595 HAND MODULE CORTEX SCREW/16MM1,595 HAND MODULE CORTEX SCREW/20MM1,770 HAND MODULE CORTEX SCREW/6MM1,595 HAND MODULE CORTEX SCREW/7MM1,595 HAND MODULE CORTEX SCREW/8MM1,595 HAND MODULE CORTEX SCREW/9MM1,595 HAND MODULE CORTEX SCREW/10MM1,685 HAND MODULE CORTEX SCREW/12MM1,685 HAND MODULE CORTEX SCREW/13MM1,685 HAND MODULE CORTEX SCREW/16MM1,685 HAND MODULE CORTEX SCREW/18MM1.

9 685 HAND MODULE CORTEX SCREW/22MM1,685 HAND MODULE CORTEX SCREW/8MM1,685 HAND MODULE CORTEX SCREW/10MM2,020 HAND MODULE CORTEX SCREW/12MM2,020 HAND MODULE CORTEX SCREW/14MM2,020 HAND MODULE CORTEX SCREW/16MM2,020 HAND MODULE CORTEX SCREW/8MM2,020 HSG Catheters 7Fr.*40cm (660007040)1,660 Q (AP5 JEL) 30ml/bot2,400 (AP5) 30ml/bot2,000 (APPF) 15ml/bot2,000 ICSC Holding Pipette G32801 K-HPIP-1030 (10PC/BX)1,160 G32821 K-MPIP-3330 (10PC/BX)1,160 6Fr /26cm #BA788626 6,640 7Fr /26cm #BA7887266,640 Insufflation/Access Needle 14 Gauge / :S1000001,890 iNtrick #N-10122 (20 / )980 IRM715 KENNEDY * * 10 / ( 400422)715 kirschner wire with trocar tip L150mm1,355 KIRSCHNER WIRE WITH SPADE POINT ST.

10 STEEL ( )2,590 Knife Light (3300-001-000)5,520 laminaria(small) APRO 3mm*60mm 40PC/ 255 Lap-band ,740 LARS #L02100268,340 LARS #L02100168,340 LARS #L04100568,340 LC-DCP LENGTH 63MM13,045 LC-LCP ; 10holes ,460 LC-LCP ; 6 holes ,460 LC-LCP ; 7 holes ,460 LC-LCP ; 8 holes ,460 LC-LCP ; 9 holes ,460 LC-LCP broad 10holes12,720 LC-LCP broad 12holes19,275 LC-LCP broad 8 holes12,720 LC-LCP broad 9 holes12,720 LC-LCP narrow 6 holes ,800 narrow 7 holes ,800 narrow 8 holes ,800 narrow 9 holes ,800 narrow 10 holes ,800 LCP Distal Hum