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价格公示

关于口腔种植牙价格的公示

发布时间:2023-04-20   文章来源:财务部    作者:   责任编辑:郭俊   (点击:)

根据陕西省医疗保障局《关于规范实施口腔种植医疗服务价格有关事项的通知》(陕医保函〔2023〕47号)和西安市医疗保障局《关于转发做好口腔种植价格专项治理落地执行工作的通知》(市医保函〔2023〕32号)要求,现将我院口腔种植相关价格政策公示如下:

一、 医疗服务项目价格

按照文件要求,单颗种植牙全流程医疗服务价格(含门诊诊查、生化检验和影像检查、种植体植入、牙冠植入等医疗服务费用,不含耗材)控制在4300元以内。

二、 种植体及牙冠价格

严格执行陕西省口腔种植集中带量采购价格,目前已采购产品明细如下,后期增加品规会及时公示,也可通过自助查询机查询。


存货名称规格型号单位单价(元)品牌
种植体系统配件RS3805.RS3906.RS3908.RS3800.RS3801.RS3802.RS3803.RS3804.RS4015.RS4016.RS4025.136ADIN
种植体系统配件RS3031.RS3012.RS3013.RS3014.RS3015.RS3022.RS3023.RS3024.RS3025.RS3027.RS3026.RS3028.RS3029.RS3030.60ADIN
替代体RS573771ADIN
转移帽RS4514.RS5109.RS5113.RS5209.RS5213.RS3510.RS3514.RS4510.78ADIN
种植体系统ISF0838.ISF0842.ISF0850.ISF0860.ISF1035.ISF1038.ISF1042.ISF1050.ISF1060.ISF1135.ISF1138.ISF1142.ISF1150.ISF1160.ISF1335.ISF1338.ISF1342.ISF1350.ISF1360.ISF1635.ISF1638.ISF1642.ISF1650.ISF1838.ISF1842.695ADIN
牙科种植体系统(OsseoSped EV种植体)3.0S-11mm(25214).3.0S-13mm(25215).3.0S-15mm(25216).3.6S-8mm(25222).3.6S-9mm(25223).3.6S-11mm(25224).3.6S-13mm(25225).3.6S-15mm(25226).3.6S-17mm(25227).4.2S-6mm(25231).4.2S-8mm(25232).4.2S-9mm(25233).4.2S-11mm(25234).4.2S-13mm(25235).4.2S-15mm(25236).4.2S-17mm(25237).4.8S-6mm(25241).4.8S-8mm(25242).4.8S-9mm(25243).4.8S-11mm(25244).4.8S-13mm(25245).4.8S-15mm(25246).4.8S-17mm(25247).5.4S-6mm(25251).5.4S-8mm(25252).5.4S-9mm(25253).5.4S-11mm(25254).5.4S-13mm(25255).5.4S-15mm(25256).4.2C-8mm(25262).4.2C-9mm(25263).4.2C-11mm(25264).4.2C-13mm(25265).4.2C-15mm(25266).4.2C-17mm(25267).4.8C-8mm(25272).4.8C-9mm(25273).4.8C-11mm(25274).4.8C-13mm(25275).4.8C-15mm(25276).4.8C-17mm(25277).1508ASTRA
钛及钛合金基台与配件(HealDesignEV愈合基台)3.0 Ø 3.5-2.5 mm(25901).3.6 Ø 4-2.5 mm(25902).3.6 Ø 4-5 mm(25903).3.6 Ø 5-4.5 mm(25904).3.6 Ø 5-6.5 mm(25905).3.6 Ø 6-3.5 mm(25906).3.6 Ø 6-4.5 mm(25907).4.2 Ø 5-2.5 mm(25908).4.2 Ø 6.5-2.5 mm(25909).4.2 Ø 6.5-3.5 mm(25910).4.2 Ø 6.5-4.5 mm(25911).4.2 Ø 6.5-6.5 mm(25912).4.8 Ø 5-2.5 mm(25913).4.8 Ø 5-4.5 mm(25914).4.8 Ø 5-6.5 mm(25915).4.8 Ø 6.5-2.5 mm(25916).4.8 Ø 6.5-3.5 mm(25917).4.8 Ø 7.5-3.5 mm(25918).4.8 Ø 7.5-4.5 mm(25919).3.6 Ø 5-3.5 mm(25920).5.4 Ø 6.5-2.5 mm(25921).5.4 Ø 7.5-3.5 mm(25922).5.4 Ø 7.5-4.5 mm(25923).3.0 Ø 3.5-4.5 mm(25297).3.0 Ø 3.5-3.5 mm(25298).3.6 Ø 4-4.5 mm(25299).3.6 Ø 4-3.5 mm(25300).3.6 Ø 5-3.5 mm,三角形结构(25301).4.2 Ø 5-4.5 mm(25302).4.2 Ø 5-3.5 mm,三角形结构(25303).4.2 Ø 6.5-3.5 mm,三角形结构(25304).4.8 Ø 5-3.5 mm,三角形结构(25305).4.8 Ø 6.5-4.5 mm(25306).4.8 Ø 6.5-3.5 mm,三角形结构(25307).5.4 Ø 6.5-4.5 mm(25308).5.4 Ø 6.5-3.5 mm(25309).4.2 Ø 5-3.5 mm(25501).4.8 Ø 5-3.5 mm(25502).3.0 Ø 3.5-6.5 mm(25795).3.6 Ø 4-6.5 mm(25796).4.2 Ø 5-6.5 mm(25797).4.8 Ø 6.5-6.5 mm(25798).5.4 Ø 6.5-6.5 mm(25799).68ASTRA
EV种植体开口转移杆3.0,长型(25513).3.6,长型(25515).3.6,短型(25516).4.2,长型(25517).4.2,短型(25518).4.8,长型(25519).4.8,短型(25520).5.4,短型(25522).100ASTRA
EV种植体开口转移杆设计3.0,长型(25523).3.6,长型(25524).4.2,长型(25525).4.8,长型(25526).5.4,长型(25527).3.6,短型(25978).4.2,短型(25979).4.8,短型(25980).5.4,短型(25981).100ASTRA
EV种植体闭口转移杆3.0,长型(25534).3.6,短型(25535).3.6,长型(25536).4.2,短型(25537).4.2,长型(25538).4.8,短型(25539).4.8,长型(25540).5.4,短型(25541).5.4,长型(25542).100ASTRA
EV种植体替代体25543/25544/25545/25546/2554728ASTRA
牙科种植体系统(OsseoSped TX种植体)3.0S-11mm(24982).3.0S-13mm(24983).3.0S-15mm(24984).3.5S-8mm(24930).3.5S-9mm(24931).3.5S-11mm(24932).3.5S-13mm(24933).3.5S-15mm(24934).3.5S-17mm(24935).4.0S-6mm(24939).4.0S-8mm(24940).4.0S-9mm(24941).4.0S-11mm(24942).4.0S-13mm(24943).4.0S-15mm(24944).4.0S-17mm(24945).4.5-9mm(24951).4.5-11mm(24952).4.5-13mm(24953).4.5-15mm(24954).4.5-17mm(24955).5.0-9mm(24961).5.0-11mm(24962).5.0-13mm(24963).5.0-15mm(24964).5.0-17mm(24965).5.0S-9mm(24971).5.0S-11mm(24972).5.0S-13mm(24973).5.0S-15mm(24974).5.0S-17mm(24975).1508ASTRA
钛及钛合金基台与配件(TiDesign 基台)24788.24789.24790.24285.24286.24287.24288.24289.24290.24291.24292.24235.24236.24237.24238.24239.149ASTRA
金合金基台与配件(CastDesign 基台)22843/22844149ASTRA
牙科种植体系统(愈合基台)24777.24778.24574.24575.24576.24577.24578.24579.24580.24581.24582.24583.24584.24585.24586.24587.68ASTRA
种植体取模柱长(24949).短(24950).短(24947).长(24948).短(24938).长(24946).短MI(24936).长MI(24937).短MI(24928).长MI(24929).100ASTRA
种植体转移帽长(24958).短(24959).长(24960).短(24956).长(24957).100ASTRA
种植体替代体24977/24978/2497928ASTRA
牙科种植体FXS3607/FXS3608/FXS3610/FXS3612/FXS3614/FXS4007/FXS4008/FXS4010/FXS4012/FXS4014/FXS4507/FXS4508/FXS4510/FXS4512/FXS4514/FXS5007/FXS5008/FXS5010/FXS5012/FXS5014/FXS6007/FXS6008/FXS6010/FXS6012/FXS7007/FXS7008/FXS7010/FXS7012/FXS7014495韩国登腾
基台以及螺钉HAB402020L/HAB402035L/HAB403050L/HAB404070L/HAB452020L/HAB452035L/HAB453050L/HAB454070L/HAB552020L/HAB552035L/HAB553050L/HAB554070L/HAB652020L/HAB652035L/HAB653050L/HAB654070L/HAB753050L/HAB853050L/HAB953050L58韩国登腾
基台以及螺钉AAB154515HL/AAB154515NL/AAB154520HL/AAB154520NL/AAB154525HL/AAB154525NL/AAB154535HL/AAB154535NL/AAB154540HL/AAB154540NL/AAB155515HL/AAB155515NL/AAB155520HL/AAB155520NL/AAB155525HL/AAB155525NL/AAB155535HL/AAB155535NL/AAB155540HL/AAB155540NLDAB40105HL/DAB40105NL/DAB4510HL/DAB4510NL/DAB45156HL/DAB45156NL/DAB4515HL/DAB4515NL/DAB4525HL/DAB4525NL/DAB4535HL/DAB4535NL/DAB4545HL/DAB4545NL/DAB4555HL/DAB4555NL/DAB55157HL/DAB55157NL/DAB5515HL/DAB5515NL/DAB55207HL/DAB55207NL/DAB55257HL/DAB55257NL/DAB5525HL/DAB5525NL/DAB55307HL/DAB55307NL/DAB5535HL/DAB5535NL/DAB5545HL/DAB5545NL/DAB5555HL/DAB5555NL/DAB65158HL/DAB65158NL/DAB6515HL/DAB6515NL/DAB65258HL/DAB65258NL/DAB6525HL/DAB6525NL/DAB65358HL/DAB65358NL/DAB6535HL/DAB6535NL/DAB6545HL/DAB6545NL/DAB6555HL/DAB6555NL/DAB75259HL/DAB75259NL/DAB75359HL/DAB75359NL120韩国登腾
基台AAB254510HL/AAB254510NL/AAB254520HL/AAB254520NL/AAB254540HL/AAB254540NL/AAB255510HL/AAB255510NL/AAB255520HL/AAB255520NL/AAB255540HL/AAB255540NL120韩国登腾
转移帽DAN34/DAN3830韩国登腾
转移帽DPU4011HL/DPU4011NL/DPU4015HL/DPU4015NL/DPU4511HL/DPU4511NL/DPU4515HL/DPU4515NL/DPU5511HL/DPU5511NL/DPU5515HL/DPU5515NL/DPU6511HL/DPU6511NL/DPU6515HL/DPU6515NL/DTF4011HL/DTF4011NL/DTF4015HL/DTF4015NL/DTF4511HL/DTF4511NL/DTF4515HL/DTF4515NL/DTF5511HL/DTF5511NL/DTF5515HL/DTF5515NL/DTF6511HL/DTF6511NL/DTF6515HL/DTF6515NL67韩国登腾
牙科种植系统 Dental Implant System(种植体)021.2408/021.2410/021.2412/021.2414/021.4408/021.4410/021.4412/021.4414/021.6408/021.6410/021.6412/021.6414/043.030S/043.031S/043.032S/043.033S/043.034S/043.035S/043.131S/043.132S/043.133S/043.134S/043.135S/043.230S/043.231S/043.232S/043.233S/043.234S/043.630S/043.631S/043.632S/043.633S/043.151S/043.152S/043.153S/043.154S/043.050S/043.051S/043.052S/043.053S/043.054S/043.250S/043.251S/043.252S/043.253S/043.254S/043.650S/043.651S/043.652S/043.653S/043.906S/043.907S/043.908S/043.909S/043.910S/043.919S/043.920S/043.921S/043.922S/043.923S/043.924S/043.934S/043.935S/043.936S/043.937S/043.938S/043.944S/043.945S/043.946S/043.947S/043.911S/043.912S/043.913S/043.914S/043.925S/043.926S/043.927S/043.928S/043.929S/043.939S/043.940S/043.941S/043.942S/043.943S/043.948S/043.949S/043.950S/043.951S/021.2608/021.2610/021.2612/021.2614/021.4608/021.4610/021.4612/021.4614/021.6608/021.6610/021.6612/021.6614/021.3408/021.3410/021.3412/021.3414/021.3416/021.5408/021.5410/021.5412/021.5414/021.5416/021.7408/021.7410/021.7412/021.7414/021.74161298瑞士士卓曼
牙科种植系统 Dental Implant System(愈合基台)024.2222/024.2222S/024.2224/024.2224S/024.2226/024.2226S/024.2234/024.2234S/024.2236/024.2236S/024.2242/024.2242S/024.2244/024.2244S/024.2246/024.2246S/024.4222/024.4222S/024.4224/024.4224S/024.4226/024.4226S/024.4234/024.4234S/024.4236/024.4236S/024.4242/024.4242S/024.4244/024.4244S/024.4246/024.4246S/024.2270/024.2270S/024.4270/024.4270S/024.0000S/024.0001S/024.0002S/024.0003S/024.0004S/024.0005S/048.028S/048.029S/048.033S/048.034S/048.037S/048.030S/048.038S/048.039S/048.053S/048.071S/048.074S/048.082/048.082S/043.919S/043.920S/043.921S/043.922S/043.923S/043.924S/043.934S/043.935S/043.936S/043.937S/043.938S/043.944S/043.945S/043.946S/043.947S/043.911S/043.912S/043.913S/043.914S/043.925S/043.926S/043.927S/043.928S/043.929S/043.939S/043.940S/043.941S/043.942S/043.943S/043.948S/043.949S/043.950S/043.951S/021.2608/021.2610/021.2612/021.2614/021.4608/021.4610/021.4612/021.4614/021.6608/021.6610/021.6612/021.6614/021.3408/021.3410/021.3412/021.3414/021.3416/021.5408/021.5410/021.5412/021.5414/021.5416/021.7408/021.7410/021.7412/021.7414/021.741670瑞士士卓曼
种植辅助材料 Instruments048.862/048.864/048.866/048.869/048.870/048.871/025.2201/025.4201/025.2202/025.4202/025.2205/025.4205/048.128/048.134/048.010/048.090/048.091100瑞士士卓曼
替代体 Analogs025.2101/025.4101/048.109/048.124/048.171/048.12799瑞士士卓曼
牙科种植系统 Dental Implant System(修复基台)048.620/048.605/048.606/048.608/048.609/048.610/048.611/048.612/048.613/048.615/048.616/048.617/048.618/022.2311/022.2312/022.2313/022.2315/022.2316/022.2317/022.2321/022.2322/022.2323/022.2325/022.2326/022.2327/022.4321/022.4322/022.4323/022.4325/022.4326/022.4327/022.4331/022.4332/022.4333/022.4335/022.4336/022.4337/048.598/048.621/048.622/022.4102/022.4104/022.4152/022.4154/022.2102/022.2104/022.2152/022.2154288瑞士士卓曼
种植体附件abutment and screw(修复基台)048.601/048.603/048.709/048.710/048.711/025.2921/025.4921/022.0023/022.0022/022.0026/022.0021/022.0027/022.0018/022.0019/022.0020/022.0043/022.0044288瑞士士卓曼



2023年4月20日

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