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療 (:0936060016) 不異 102.03.06 / 數量 100 300 (3 ) 4 100, 200 ()(2 ) 3 100 () 200 200 1 200, 2 100 勞 150 ( 勞 ( )) 1,000 年金 500 500 2,000 陸來 1 200, 2 50 50 50 100 200 20 200 1,000 勞流 100 歷 () 400 歷 () 500 理 300 若異異不 -1-

150 ( 2 ) 100 歷 200 ( ), 5 ( ) 100 OCT 200 200 500 1 100 Copy CD 200 V 5,000 4,500 3,800 3,200 1,900 600 800 尿量 800 Hippuric acid( 尿 ) 800 洛 300 Barbiturates 800 Drug abuse Screen 1,870 Basic drug screen 2,300 Clostrium Difficle Ag (stool) 1,000 SOD-RBC 600 t-gsh 600 GSHPX 600 E 600 1,000 600 1,000 MIC of Penicillin 800 Nicotine 400 BTA (urine) 850 若異異不 -2-

-22/NMP-22 1,500 Chromosome 4,000 Homocystein 400 Cyfra 21-1 800 B () 300 CENP 600 EliA CCP 狀 1,200 Cystatin-C 600 SMA 2,200 CAP Common Allergy Test 300 CAP Specific Allergen Test 500 phadiatop 500 ACE 1,200 MAST 36 Allergens Test 2,000 150 DR-70( ) 3,900 Chromosome () 6,000 2,400 25-OH Vitamin D3 900 CAP Allergy Test () 1,950 CAP Allergy Test() 1,950 尿 2,400 5,000 金 4,500 CA72-4 800 NSE 神 800 (Mt8993) 粒 2,000 (Mt8344) 粒 2,000 (Mt3243) 粒 2,000 (Mt3460 11778 14484) 粒 2,500 (GJB2) 聾 2,000 HSV HSV PCR 1,000 CMV CMV PCR 1,000 EBV EBV PCR 1,000 類 (HPV) 1,200 若異異不 -3-

類 (HPV ) 1,500 精 1,000 精 1,800 精 (IUI) 2,500 精 (ISCI) 10,000 AMH 勒 800 精卵 (GIFT) 7,000 (Embryo culture) 8,000 ( 卵 ) IVF 9,000 (ET) 4,000 ( ) ( ) 4,000 6,000 冷 Embryo cryo 4,000 Embryo Thawing 2,000 精冷 Semen storage 2,000 ~ ~ 冷 10,000 12,000 1,000 500 冷 500 冷 ~ 1,500 冷 3,000 精冷 500 精冷 ~ 1,500 精冷 3,000 濾 540 CVS 刺 6,500 異 650 50 異 200 若異異不 -4-

240 Clean Intermittent self Catheterization Topography 480 400 EGFR (exon18,19,20,21) 9,600 Kras 2,500 40,000 螺 400 20,000 16,800 切 50,000 80,000 () - 36,000 \- - 32,400 () - 28,000 15,000 12,000 祥 7,000 車理 150 車理 150 ( ) 車理 150 聯車理 150 車理 90 250 福 1,800 ( ) 3,200 ( 女 ) 3,600 \(1)( 256 切量 ) \(2)( 256 切 ) \(3)( 256 切狀 ) 20,000 25,000 30,000 福 \( 3T 256 切.PET/CT) 108,000 若異異不 -5-

\( 3T +256 切狀 68,000 [ 臨 ]B.B. Lotion 25%,100ml/btl btl 195 (450) B-I Oint 1% 450g/btl btl 570 Hydroquinone Oint 4% 10g/tub tub 200 Mucaine (Ulstal) Susp () 10ml/pack pack 16 Berton Nasal Spray 0.1% 20ml/btl btl 129 Alugel 300mg/tab tab 2 ( 臨 )Antabuse 400mg/tab tab 46 Antibiophilus 250mg/cap cap 9 Calcium Carbonate 500mg/tab(Ca:200mg/tab) tab 0.99 Suwell() tab 1.5 Thiamine 50mg/tab tab 0.5 Vitamine B1 10mg/tab tab 1 Agifutol 500mg/vial vial 林 200 Aldara Cream 5% 0.25g/pack pack 3M 334 Androgel 50mg/5g/pack pack 150 Loceryl Nail Lacquer 5% 3ml/btl btl 2,700 Polyxal Gel 15g/tub tub 1,890 [ 臨 ]Allergenic D.f. 5ml/vial vial 1 [ 臨 ]Allergenic D.p. 5ml/vial vial 1 [ 臨 ]( )HBIG(B ) 0.5ml/syringe syringe Bayer 3,300 Carnitene 1g/5ml/amp amp 553 Cervarix 0.5ml/vial vial GSK 3,900 Cetrotide 0.25mg/vial vial 2,000 Dipeptiven 100ml/btl btl Fresenius 2,000 Diagnogreen 25mg/vial vial 1,000 Dynastat 40mg/vial vial 500 Gardasil Vaccine() 0.5ml/vial vial MSD 3,700 Gonal-F 75IU/vial vial 1,500 Gonal-f () 450IU/0.75ml/pen pen 6,800 ( )Hepatitis A Vaccine 0.5ml/vial vial GSK 1,200 ( )Engerix-B (B ) 1ml/vial vial GSK 500 若異異不 -6-

[ ]Hexabrix 320 100ml/btl btl GSK 1,300 [ 臨 ]M-M-R Single dose/vial vial MSD 460 [ ]Omnipaque 300mgI/ml,10ml/vial vial 910 [ ]Omnipaque 350mgI/ml,100ml/btl btl 910 Ovidrel 250mcg/vial vial 1,200 Pneumovax 23() 0.5ml/vial vial MSD 1,200 ( 臨 )Tuberculin PPD 20 T.U./2ml/vial vial 1,040 Prevenar Vaccine 0.5ml/syringe syringe 3,200 ( 臨 )Simulect 20mg/vial vial 諾 65,000 Stronger Neo-Minophagen C 20ml/amp amp Tetabulin 250IU/vial vial Bayer 1,872 [ ]Ultravist 370/100ml 0.769mg/ml,100ml/btl Ultravist 300 50ml/btl(Iodine:300mg/ml) 300 btl Bayer 1,030 btl Bayer 500 [ ]Visipaque 320mg/ml,100ml/btl btl 1,950 [ ]Xenetix 350 350mgI/ml;100ml/btl btl 1,040 [ 臨 ]Zenapax 25mg/5ml/vial vial Roche 24,000 Gastrografin 100ml/btl btl Bayer 850 Niflec Powder() 137.155g/pack pack 380 Phospho-Soda() 45ml/btl btl 200 Rotarix ( 輪狀 ) 1 dose/vial vial GSK 2,500 Systane Oph. Solution 15ml/btl btl Alcon 290 Difflam Spray 1.5mg/ml 30ml/btl btl 250 Apano (Ru-486)(4 ) 200mg/tab tab 1,636.5 Cialis 20mg/tab tab Lilly 500 Fosrenol 750mg/chewable tab tab 2,250 Livial (28's/box) 2.5mg/tab tab Organon 875 Meliane() 0.075mg+0.02mg/tab tab Bayer 300 Miyarisan BM 40mg/1g/pack pack 20 Propecia 1mg/tab tab MSD 75 [ 臨 ]Tamiflu 75mg/cap cap Roche 110 Viagra 100mg/tab tab 450 Xenical 120mg/cap cap Roche 33 若異異不 -7-

切 () 6,400 IUD 300 1,000 (SAFHS 6 ) 療 4,500 不 500 6,000 5,500 切 7,500 精 ( 切 ) 7,000 ( 行 ) 5,000 雷 - 27,000 卵 6,500 卵 7,000 立療 150,000 立療 141,500 療 Digital Port Films 1,000 3-D 2,000 Rapid Arc 12,000 療 ( ) 5,000 療 20,000 4,000 20,000 1,000 林 1,100 利朗 1ml 20,000 朗 0.5ml 12,000 (1/3vial) 8,000 (1/2vial) 12,000 (2/3vial) 15,000 (1vial) 20,000 Breast massage 1,000 金 5,000 金 8,000 金 12,000 金 15,000 若異異不 -8-

金金 20,000 金 2,000 不 2,000 () 600 / 600 4,000 6,000 () 70,000 35,000 狀狀 90,000 ~120,000 / 15,000 () 80,000 雷 / 2,000~6,000 / 60,000~100,000 / 60,000~100,000 / 250,000~350000 / 3,000~6,000 () / 15,000~30,000 / 60,000~100,000 50,000 ( ) / 15,000~30,000 / 2,000~5,000 金 5,000 金 5,000 2,500 ( ) 10,000 OMC () 21,000 () 11,000 () 8,000 S.O.M.I 13,000 S.O.M.I 85,000 若異異不 -9-

+( ) 24,000 +( ) 18,000 ( ) 22,000 O () 15,000 () 24,000 ( ) 13,000 () 6,000 () 18,000 () 13,000 () 15,000 9,500 ( ) 9,000 () 4,200 () 5,500 3,000 ( ) 4,000 糖尿 () 4,000 () 3,000 ( ) 4,500 丹 3,500 24,000 () 7,500 () 5,500 () 6,500 () 5,000 7,000 5,000 ( ) 8,000 25,000 () 3,500 () 5,500 ( ) 22,000 ( ) 16,000 500 600 若異異不 -10-

420 880 350 (2 ) 350 660 300 500 ( ) 7,500 ( ) 6,500 6,500 () 16,000 ONP / 9,000 /( ) 9,500 1,300 () 4,500 () 1,200 易拉 4,500 () 8,500 ICB FOS-Dual-C Size-J J ICB 5,000 ICB FOS-Dual-C Size-XS XS ICB 5,000 ICB FOS-Dual-C Size-S S ICB 5,000 ICB FOS-Dual-C Size-M M ICB 5,000 ICB FOS-Dual-C Size-SJ 藍 SJ ICB 5,000 ICB FOS-Dual-C Size-J 藍 J ICB 5,000 ICB FOS-Dual-C Size-XS 藍 XS ICB 5,000 ICB FOS-Dual-C Size-S 藍 S ICB 5,000 ICB FOS-Dual-C Size-M 藍 M ICB 5,000 ICB FOS-Dual-C Size-SJ 綠 SJ ICB 5,000 ICB FOS-Dual-C Size-J 綠 J ICB 5,000 ICB FOS-Dual-C Size-XS 綠 XS ICB 5,000 ICB FOS-Dual-C Size-S 綠 S ICB 5,000 ICB FOS-Dual-C Size-M 綠 M ICB 5,000 ICB FOF-Dual-C Size-J J ICB 5,000 ICB FOF-Dual-C Size-XS XS ICB 5,000 ICB FOF-Dual-C Size-S S ICB 5,000 若異異不 -11-

ICB FOF-Dual-C Size-M M ICB 5,000 ICB FOF-Dual-C Size-J 藍 J ICB 5,000 ICB FOF-Dual-C Size-XS 藍 XS ICB 5,000 ICB FOF-Dual-C Size-S 藍 S ICB 5,000 ICB FOF-Dual-C Size-M 藍 M ICB 5,000 ICB FOF-Dual-C Size-J 綠 J ICB 5,000 ICB FOF-Dual-C Size-XS 綠 XS ICB 5,000 ICB FOF-Dual-C Size-S 綠 S ICB 5,000 ICB FOF-Dual-C Size-M 綠 M ICB 5,000 ICB NEW FOC Size-S S ICB 5,000 ICB NEW FOC Size-M M ICB 5,000 ICB Fos-Dual(Sports)Size-J J ICB 5,000 ICB Fos-Dual(Sports)Size-XS XS ICB 5,000 ICB Fos-Dual(Sports)Size-S S ICB 5,000 ICB Fos-Dual(Sports)Size-M M ICB 5,000 ICB FOF-Dual(Sports)Size-J J ICB 5,000 ICB FOF-Dual(Sports)Size-XS ICB FOF-Dual(Sports)Size-S ICB FOF-Dual(Sports)Size-M ICB FOF-MULTI Size T XS ICB 5,000 S ICB 5,000 M ICB 5,000 T ICB 5,000 ICB FOF-MULTI Size K K ICB 5,000 ICB FOF-MULTI Size SJ ICB FOS-MULTI Size T ICB FOS-MULTI Size K SJ ICB 5,000 T ICB 5,000 K ICB 5,000 ICB FOF-C-G-Y SIZE-L 綠 L ICB 5,000 ICB FOF-Dual(Sports)SIZE-L L ICB 5,000 ICB HL-468 4mm S ICB 350 ICB HL-468 4mm M ICB 350 ICB HL-468 4mm L ICB 350 若異異不 -12-

ICB HL-468 6mm S ICB 350 ICB HL-468 6mm M ICB 350 ICB HL-468 6mm L ICB 350 ICB HL-468 8mm S ICB 350 ICB HL-468 8mm M ICB 350 ICB HL-468 8mm L ICB 350 ICB DOME S ICB 350 ICB DOME L ICB 350 ICB FF-46 4 Forefoot 4&6 Drgrees ICB 350 ICB FF-46 6 Forefoot 4&6 Drgrees ICB 350 ICB RF-24 2 Forefoot 2&4 Drgrees ICB 350 ICB RF-24 4 Forefoot 2&4 Drgrees ICB 350 C8301 2.5~6cm Applied Applied 3,000 C8302 5~9cm Applied Applied 3,200 C8304 11~17cm Applied Applied 4,550 C8312 2~4cm(Applied) Applied 3,000 01-3707 7" 漏 01-3707 Biomet 58,500 01-3708 8" 漏 01-3708 Biomet 58,500 01-3709 9" 漏 01-3709 Biomet 58,500 01-3710 10" 漏 01-3710 Biomet 58,500 01-3711 11" 漏 01-3711 Biomet 58,500 01-3712 12" 漏 01-3712 Biomet 58,500 01-3713 13" 漏 01-3713 Biomet 58,500 01-3714 14" 漏 01-3714 Biomet 58,500 01-3715 15" 漏 01-3715 Biomet 58,500 01-3716 16" 漏 01-3716 Biomet 58,500 01-3717 17" 漏 01-3717 Biomet 58,500 01-3801 漏 01-3801 Biomet 23,400 Coflex Coflex 98,000 泥 () Depuy 26,000 Cervios/Plivios Cage Synthes 42,500 福 ( ) Seprafilm 12,000 若異異不 -13-

福 ( ) Seprafilm 7,150 福 ( ) Seprafilm 4,000 TD-M006S 2.5X2.5CM Terumo 5,000 Terumo TD-M013S 2.5X5CM Terumo 10,000 Terumo TD-M025S 5X5cm 5X5CM Terumo 20,000 AMS Malleable 650 ( ) AMS 85,000 AMS Ambicor ( ) AMS 188,000 AMS 700CX(M)( 參 ) AMS 200,000 AMS 700CX(R)( 參 +) AMS 230,000 Biliary Stent Mitech 易 51,600 Covered Esophageal Stent Mitech 易 80,400 CT-2020 冷療 2cm Tyco 38,000 ACT-2030 冷療 3cm Tyco 38,000 Floseal 5ml Baxter 16,100 () Metro 26,000 7000TFX 25mm 25mm Edwards 156,000 7000TFX 27mm 27mm Edwards 156,000 7000TFX 29mm 29mm Edwards 156,000 7000TFX 31mm 31mm Edwards 156,000 7000TFX 33mm 33mm Edwards 156,000 3000TFX 19mm 19mm Edwards 156,000 3000TFX 21mm 21mm Edwards 156,000 3000TFX 23mm 23mm Edwards 156,000 3000TFX 25mm 25mm Edwards 156,000 3000TFX 27mm 27mm Edwards 156,000 3000TFX 29mm 29mm Edwards 156,000 090001 Cystoscopic needle 090001 Cook 2,200 力 + 度 110-4BT Integra 26,000 力 110-4G Integra 32,500 力 + 流 110-4HM Integra 28,125 8cm Naspore 料 Forte Polyganic 3,400 8cm Nasopore Forte Plus Polyganic 3,900 神刺 82-87411 Medtronic 14,300 神刺 82-25101 Medtronic 900 若異異不 -14-

諾 30mg 14,000 諾 40mg 14,000 1,200 400 100 理 200 ( 旅 ) 200 ( 旅 ) 150 ( 旅 ) 200 車里 ( 車 ) 若異異不 -15-

療 (:0936060016) 類 / 數量勒諾狀力狀 (Endeaor Eluting Coronary Stent) 諾狀 (XIENCE TM Everolimus Eluting Coronary Stent) 雷狀 (Biomatrix Drug Elution Coronary Stent) Terumo 狀 (Drug Eluting Stent System) Premounted Coronary Stent Helistent TITAN2 DDDR 理律 ( 不 ) DDDR 理律 ( 不 ) (Boston Scientific) 16,293 66,000 力 (Medtronic) 16,293 63,000 ABBOTT 16,293 66,000 Biosensors 16,293 70,000 Terumo 16,293 70,000 16,293 48,000 Medtronic 102,500 40,000 Medtronic 102,500 35,000 力律 Medtronic 102,500 62,000 律 "Biotrnki DDDR Pacemaker ( 不 )" DDDR Pulse Generator5380. ( 不 )" 5816DDDR 律 Pulse Generator Without Lead ( 不 )" 律不 (DR,DDDR) Osteonics Ceramic Total Hip System( Head+Insert) Aesculap Ceramic Total Hip System( Head+Insert) Biotronik 102,500 42,000 ST.JUDE 102,500 33,000 ST.JUDE 102,500 65,000 Boston 102,500 33,900 Osteonics 42,513 69,000 Aesculap 42,513 65,000 ~16~

Kinectiv M/L Taper Biolox Delta Ceramic THR System Biolox Delta IT THR System(Ceramic) Revision Biolox Delta Hip Stem(Ceramic) Zimmer 金 (Cup + Head) Zimmer 52,560 123,000 Zimmer 42,513 123,000 Zimmer 55,313 123,000 Zimmer 42,513 80,000 金金 THR Metal Systen With Spike( 金 ) Wright 42,513 92,000 索螺金 Zimmer 42,513 110,000 金 Zimmer 52,560 110,000 AMO Tecnis MF IOL 5-30 度 ZMB00 A.M.O. 2,744 57,157 Tecnis IOL(ZCB000) A.M.O. 2,744 27,157 ALcon SN60T3 + IOL 2,744 43,157 ALcon SN60WF + IOL 2,744 29,157 970C/920H IOL Ryner 2,744 29,157 630F IOL Ryner 2,744 57,157 ~17~