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["费用名称","单位","单价"]
["抗缪勒氏管激素测定","次","240.00"]
["血清泌乳素测定（化学发光法）","项","45.00"]
["血清促卵泡刺激素测定(化学发光法）","项","45.00"]
["血清促黄体生成素测定(化学发光法）","项","45.00"]
["睾酮测定(化学发光法）","项","40.00"]
["雌二醇测定（化学发光法）","项","45.00"]
["孕酮测定(化学方法）","项","45.00"]
["泪道探通术激光加收","单侧","200.00"]
["眼血流图","次","70.00"]
["普通针刺","5个穴位","20.00"]
["梅花针","次","20.00"]
["埋针治疗","每个穴位","26.00"]
["耳针","单耳","20.00"]
["电针","二个穴位","18.00"]
["放血疗法","每个穴位","20.00"]
["穴位注射","二个穴位","40.00"]
["穴位贴敷治疗","每个穴位","10.00"]
["灸法","次","30.00"]
["强脉冲光干眼治疗","单眼","300.00"]
["干眼熏蒸治疗","次","150.00"]
["晶体ZMT300","枚","6106.00"]
["晶体860UV","枚","403.00"]
["晶体868UV","枚","1258.00"]
["晶体德国人类AS","枚","509.00"]
["晶体Diff-aADiff-aA","枚","5646.00"]
["睑退缩矫正术(下睑缩肌修补术)","单侧","2266.00"]
["泪囊摘除术(泪囊肿物切除术)","次","715.00"]
["一次性使用便携电凝刀(BDD-AY-3)","把","340.00"]
["抗肾小球基底膜抗体测定(各种免疫学方法)","项","50.00"]
["尿微量白蛋白测定（化学发光法）","项","50.00"]
["激光脱毛术*","每个光斑","50.00"]
["激光除皱术*","每个光斑","50.00"]
["皮损内注射*","每个皮损","21.00"]
["粉刺去除术（美容科）","每个","2.00"]
["二氧化碳（CO2)激光治疗*","每个皮损","42.00"]
["肉毒素注射治疗（美容科）","次","100.00"]
["超声波治疗*","每5分钟","21.00"]
["眼用羟丙基甲基纤维素","支","140.00"]
["强生5-0尼龙线W893","根","89.58"]
["海藻糖皮肤屏障修复敷料*","盒","180.00"]
["义眼台MEDPOR 20mm80012","个","5054.00"]
["义眼台MEDPOR 22mm80014","个","5054.00"]
["刮痧治疗","每个部位","30.00"]
["硅胶眼科植入物(硅海绵505)","条","450.00"]
["硅胶眼科植入物(硅海绵507)","条","450.00"]
["硅胶眼科植入物(环扎带240束套270)","套","450.00"]
["硅胶眼科植入物(环扎带241束套271)","套","450.00"]
["硅胶眼科植入物(窄带219)","条","450.00"]
["硅胶眼科植入物(硅海绵506)","条","450.00"]
["硅胶眼科植入物(硅海绵509)","条","450.00"]
["硅胶眼科植入物(环型带276)","只","450.00"]
["硅胶眼科植入物(环型带279)","只","450.00"]
["硅胶眼科植入物(窄带220)","条","450.00"]
["一次性使用湿化鼻氧管","个","16.00"]
["一般细菌涂片检查（图文报告加收）","次","40.00"]
["血清肌钙蛋白I测定（化学发光法）","项","89.00"]
["分隔膜无针密闭式输液接头","支","32.50"]
["一次性使用便携电凝刀(BDD-YC-1)","把","340.00"]
["超乳套包BL5111","套","600.00"]
["高频电刀","次","180.00"]
["鼻窦镜","次","300.00"]
["义眼台MEDPOR 18mm6327","个","5250.00"]
["一次性使用无菌医用海绵","包","12.00"]
["一次性使用双管喉罩4#（175040）","支","390.00"]
["一次性使用喉罩（加强型）2#","支","510.00"]
["一次性使用喉罩（加强型）3#","支","510.00"]
["折叠式人工玻璃体球囊AV-10P","盒","23980.00"]
["折叠式人工玻璃体球囊AV-12P","盒","23980.00"]
["折叠式人工玻璃体球囊AV-15P","盒","23980.00"]
["折叠式人工玻璃体球囊AV-17P","盒","23980.00"]
["婴幼儿视网膜病变检查","次","230.00"]
["吸入物变应原筛查","项","30.00"]
["细菌质谱鉴定","次","100.00"]
["新型冠状病毒抗原检测","次","1.00"]
["一次性视频喉镜片 MD11 4#","支","140.00"]
["一次性视频喉镜片 MD11 1#","支","140.00"]
["一次性视频喉镜片 MD11 2#","支","140.00"]
["一次性视频喉镜片 MD11 3#","支","140.00"]
["一次性视频喉镜片 MD11 5#","支","140.00"]
["血清肌酸激酶-MB同工酶质量测定","项","40.50"]
["血清肌酸激酶-MB同工酶质量测定（20分钟内出报告加收）","项","40.50"]
["随弃式导电粘胶极板 Power-420NP2s","片","6.00"]
["一次性使用高频电刀笔 YLDB-02-38(针状）","支","25.00"]
["爱尔康10-0悬吊线","根","150.00"]
["尿常规检查加沉渣","次","25.00"]
["睑球粘连分离（结膜移植术加收）","次","825.00"]
["甲型流感病毒抗原检测","次","80.00"]
["玻璃体内猪囊尾蚴取出术（硅油加收）","次","110.00"]
["玻璃体内猪囊尾蚴取出术（重水加收）","次","110.00"]
["非常规眼外肌手术（每增加一条肌肉）","次和一条肌肉","429.00"]
["非共同性斜视矫正术（多次手术再加收）","一条肌肉","544.50"]
["共同性斜视矫正术(多次手术再加收)","一条肌肉","473.00"]
["眶内肿物摘除术(侧劈开眶加收）","次","847.00"]
["眉缺损修复术(岛状头皮瓣切取移转加收）","次","660.00"]
["硅油Siluron2000","支","1600.00"]
["眼压检查","次","14.00"]
["角膜荧光素染色检查","次","14.00"]
["角膜曲率测量","次（单眼）","7.00"]
["泪膜破裂时间测定","次","14.00"]
["角膜内皮镜检查","次","112.00"]
["角膜厚度检查","次","28.00"]
["前房深度测量","次","14.00"]
["眼前段照相","单侧","42.00"]
["超声生物显微镜检查（UBM)","单侧","140.00"]
["光学相干断层成像(OCT)","单侧","210.00"]
["视网膜电流图(ERG)","单侧","210.00"]
["视觉诱发电位","次","112.00"]
["双眼视觉检查","次","28.00"]
["斜视度测定","次","21.00"]
["眼部A超","单侧","10.00"]
["浅表组织器官B超检查","每个部位","25.00"]
["超声计算机图文报告","次","20.00"]
["黑白热敏打印照片","片","10.00"]
["泪液分泌功能测定","次","14.00"]
["泪道冲洗","单侧","7.00"]
["中换药","次","21.00"]
["取结膜结石","单侧","14.00"]
["肉毒杆菌素眼外肌注射","次","84.00"]
["球结膜下注射","单侧","11.00"]
["球后注射","单侧","21.00"]
["角膜异物剔除术","单侧","42.00"]
["泪小点扩张","单侧","14.00"]
["泪道探通术","单侧","70.00"]
["普通视力检查","次","1.40"]
["特殊视力检查","项","2.80"]
["角膜知觉检查","次","14.00"]
["裂隙灯检查","次","14.00"]
["裂隙灯下眼底检查","次","21.00"]
["电脑视野检查","次","110.00"]
["裂隙灯下房角镜检查","次","28.00"]
["海德堡视网膜厚度检查","次","210.00"]
["角膜刮片检查","次","14.00"]
["结膜囊取材检查","次","14.00"]
["电解倒睫（拔倒睫）","单侧","28.00"]
["睑板腺按摩","单侧","14.00"]
["冲洗结膜囊（结膜异物取出）","单侧","14.00"]
["睑结膜伪膜去除冲洗","单侧","21.00"]
["眼部脓肿切开引流术","单侧","70.00"]
["小换药","次","14.00"]
["普通门诊诊察费","次","6.00"]
["专家门诊诊察费(副主任医师)","次","18.00"]
["专家门诊诊察费（主任医师）","次","28.00"]
["院内会诊（普通医师）","人次","20.00"]
["肌肉注射","次","2.50"]
["静脉注射","次","4.50"]
["皮下输液","组","2.00"]
["静脉输液","组","4.50"]
["灌肠","次","20.00"]
["清洁灌肠","次","45.00"]
["眼睑结膜裂伤缝合术","单侧","588.50"]
["血清白蛋白测定","次","4.50"]
["葡萄糖测定-便携式血糖仪","次","8.00"]
["血清总胆固醇测定","次","4.00"]
["血清甘油三酯测定","次","4.50"]
["血清高密度脂蛋白胆固醇测定","次","10.00"]
["血清低密度脂蛋白胆固醇测定","次","11.00"]
["钙测定","次","4.00"]
["血清总胆红素测定","次","4.50"]
["血清直接胆红素测定","次","4.50"]
["血清总胆汁酸测定","次","10.00"]
["血清丙氨酸氨基转移酶测定","次","3.60"]
["血清天门冬氨酸氨基转移酶测定","次","3.60"]
["血清游离三碘甲状原氨酸（FT3）测定","次","35.00"]
["免疫球蛋白A测定","次","30.00"]
["免疫球蛋白G测定","次","30.00"]
["免疫球蛋白M测定","次","30.00"]
["C-反应蛋白测定（CRP）","次","10.00"]
["乙型肝炎表面抗原测定（HBsAg）","次","5.00"]
["乙型肝炎表面抗体测定（Anti-HBs）","次","5.00"]
["乙型肝炎e抗原测定（HBeAg）","次","5.00"]
["乙型肝炎e抗体测定（Anti-HBe）","次","5.00"]
["乙型肝炎核心抗体测定（HBcAg）","次","5.00"]
["丙型肝炎抗体测定（Anti-HCV）","次","30.00"]
["人类免疫缺陷病毒抗体测定（Anti-HIV）","次","27.00"]
["验光","项","10.00"]
["局部切除组织活检检查与诊断","每部位","305.00"]
["双眼视觉检查（含双眼同时知觉、双眼同时视、双眼融合功能、立体视功能）","次","28.00"]
["色觉检查","项","7.00"]
["色觉检查每增加一项加收（普通图谱法，FM-100Hue测试盒法，色觉仪法）","项","2.00"]
["红细胞沉降率测定（ESR）","次","5.00"]
["对比敏感度检查","次 ","14.00"]
["静脉注射(检验)","次","4.50"]
["医学小瞳验光","次","35.00"]
["医学散瞳验光（赛飞杰)","次","50.00"]
["医学验光（散光环）","次","5.00"]
["弱视训练","单侧","14.00"]
["试镜","次","5.00"]
["注射器(1ml)","支","0.38"]
["注射器(2ml)","支","0.42"]
["注射器(10ml)","支","0.55"]
["注射器(30ml)","支","1.30"]
["胰岛素注射器","支","1.85"]
["显微镜","次","140.00"]
["显微镜","次","60.00"]
["心电图(自动分析)","次","30.00"]
["义眼片（单层中号）","个","260.00"]
["氧气吸入","小时","5.00"]
["冷热湿敷","次","5.00"]
["鼻泪道再通术","次","528.00"]
["泪道成形术激光加收","次","110.00"]
["泪道探通术","单侧","70.00"]
["特殊物理降温","小时","10.00"]
["一般物理降温","次","5.50"]
["病例工本费","本","1.00"]
["一卡通工本费","张","1.00"]
["眼底照相","单侧","21.00"]
["眼底血管造影(FFA)","单侧","210.00"]
["眼底血管造影(ICGA)","单侧","210.00"]
["视网膜激光光凝术","次","420.00"]
["激光治疗眼前节病","单侧","420.00"]
["晶体囊截开术","单侧","420.00"]
["眼底检查","次","14.00"]
["角膜曲率测量RGP","次（单眼）","3.00"]
["角膜地形图检查","次（单眼）","112.00"]
["眼象差检查","次","14.00"]
["超声计算机图文报告","次","20.00"]
["眼睑肿物切除","单侧","429.00"]
["内眦韧带断裂修复术","单侧","715.00"]
["上睑下垂矫正术","单侧","1441.00"]
["睑下垂矫正联合眦整形术","单侧","2266.00"]
["睑退缩矫正术","单侧","2266.00"]
["睑内翻矫正术(缝线法）","单侧","264.00"]
["睑外翻矫正术","单侧","660.00"]
["睑裂缝合术","单侧","181.50"]
["游离植皮睑成形术","单侧","1452.00"]
["内眦赘皮矫治术","单侧","572.00"]
["眼袋整形术","双侧","1650.00"]
["内外眦成形术(单眼）","次","858.00"]
["睑凹陷畸形矫正术","每个部位","1452.00"]
["睑缘粘连术(单眼）","次","429.00"]
["泪阜部肿瘤单纯切除术","次","686.40"]
["泪小点外翻矫正术","次","242.00"]
["泪小管吻合术","次","990.00"]
["泪囊摘除术","次","715.00"]
["睑部泪腺摘除术","次","990.00"]
["泪囊结膜囊吻合术","次","1320.00"]
["鼻腔泪囊吻合术","次","1650.00"]
["泪道成形术","次","1342.00"]
["睑球粘连分离术","次","825.00"]
["结膜肿物切除术","次","495.00"]
["结膜淋巴管积液清除术","次","242.00"]
["结膜囊成形术","次","825.00"]
["球结膜瓣复盖术","次","742.50"]
["麦粒肿切除术","次","96.80"]
["下穹窿成形术","单侧","847.00"]
["球结膜放射状切开冲洗(单眼）","次","363.00"]
["眼突减压(单眼）","次","1650.00"]
["表层角膜镜片镶嵌术","次","990.00"]
["近视性放射状角膜切开术","次","1320.00"]
["角膜缝环固定术","单侧","181.50"]
["角膜拆线(显微镜下）","次","121.00"]
["角膜深层异物取出术","次","781.00"]
["翼状胬肉切除术","次","429.00"]
["翼状胬肉切除+角膜移植术","次","1650.00"]
["角膜移植（板层）","次","2101.00"]
["角膜移植（穿透）","次","2849.00"]
["羊膜移植术","次","1006.50"]
["角膜移植联合视网膜复位术","次","3850.00"]
["瞳孔再造术","次","1881.00"]
["虹膜全切除术","次","957.00"]
["虹膜周边切除术","次","660.00"]
["虹膜根部离断修复术","次","990.00"]
["虹膜贯穿术","次","429.00"]
["虹膜囊肿切除术","次","1540.00"]
["人工虹膜隔植入术","次","1320.00"]
["睫状体剥离术","次","990.00"]
["睫状体断离复位术","每象限","990.00"]
["睫状体及脉络膜上腔放液术","次","715.00"]
["睫状体特殊治疗","单侧","781.00"]
["前房角切开术","次","990.00"]
["前房成形术","次","242.00"]
["青光眼滤过术","次","1331.00"]
["非穿透性小梁切除+透明质酸钠填充术","次","1320.00"]
["小梁切开术","次","1320.00"]
["小梁切开联合小梁切除术","次","1925.00"]
["青光眼硅管植入术","次","1155.00"]
["青光眼滤帘修复术","次","363.00"]
["青光眼滤过泡分离术","次","363.00"]
["青光眼滤过泡修补术","次","686.40"]
["巩膜缩短术","次","715.00"]
["白内障截囊吸取术","次","715.00"]
["白内障囊膜切除术","次","781.00"]
["白内障囊内摘除术","次","1001.00"]
["白内障囊外摘除术","次","1001.00"]
["白内障超声乳化摘除术","次","3140.50"]
["白内障囊外摘除+人工晶体植入术","次","2112.00"]
["人工晶体复位术","次","495.00"]
["人工晶体置换术","次","1980.00"]
["二期人工晶体植入术","次","1441.00"]
["白内障超声乳化摘除+人工晶体植入术","次","3850.00"]
["人工晶体睫状沟固定术","次","1254.00"]
["人工晶体取出术","次","1155.00"]
["白内障青光眼联合手术","次","2882.00"]
["白内障摘除联合青光眼硅管植入术","次","1650.00"]
["白内障囊外摘除联合青光眼人工晶体植入术","次","4235.00"]
["穿透性角膜移植联合白内障囊外摘除及人工晶体植入术（三联术）","次","4576.00"]
["白内障摘除联合玻璃体切割术","次","3850.00"]
["球内异物取出术联合晶体玻璃体切除及人工晶体植入术（四联术）","次","6501.00"]
["非正常晶体手术","次","2882.00"]
["晶体张力环置入术","单侧","572.00"]
["人工晶体悬吊术","单侧","1320.00"]
["玻璃体穿刺抽液术","次","720.50"]
["玻璃体切除术","次","3140.50"]
["玻璃体内猪囊尾蚴取出术","次","3465.00"]
["视网膜脱离修复术","次","2310.00"]
["复杂视网膜脱离修复术","次","3465.00"]
["黄斑裂孔注气术","次","715.00"]
["黄斑裂孔封闭术","次","429.00"]
["黄斑前膜术","次","1650.00"]
["黄斑下膜取出术","次","1980.00"]
["黄斑转位术","次","3850.00"]
["色素膜肿物切除术（睫状体）","次","1650.00"]
["巩膜后兜带术","次","1320.00"]
["内眼病冷凝术","次","792.00"]
["硅油取出术","单侧","1248.50"]
["共同性斜视矫正术","次和一条肌肉","781.00"]
["非共同性斜视矫正术","次和一条肌肉","902.00"]
["非常规眼外肌手术","次和一条肌肉","715.00"]
["眼震矫正术","次和一条肌肉","957.00"]
["球内磁性异物取出术","次","1320.00"]
["球内非磁性异物取出术","次","1540.00"]
["球壁异物取出术","次","990.00"]
["眼球裂伤缝合术","次","1760.00"]
["甲状腺突眼矫正术","次","1320.00"]
["眼内容摘除术","次","605.00"]
["眼球摘除术","次","715.00"]
["眼球摘除+植入术","次","1397.00"]
["义眼安装","次","82.50"]
["义眼台打孔术","次","363.00"]
["活动性义眼眼座植入术","次","1397.00"]
["眶内血肿穿刺术","单侧","181.50"]
["眶内肿物摘除术","次","2519.00"]
["眶内容摘除术","次","1287.00"]
["上颌骨切除合并眶内容摘除术","次","2882.00"]
["眼窝填充术","次","1650.00"]
["眼窝再造术","次","1155.00"]
["眼眶壁骨折整复术","次","1925.00"]
["眶骨缺损修复术","次","3080.00"]
["眶隔修补术","次","990.00"]
["眼眶减压术","单眼","990.00"]
["眼前段重建术","单侧","1980.00"]
["视神经减压术","次","2145.00"]
["眶距增宽症整形术","单侧","990.00"]
["隆眉弓术","双侧","1980.00"]
["眉畸形矫正术","次","1144.00"]
["眉缺损修复术","次","1320.00"]
["医学小瞳验光（PRK）","次","35.00"]
["眶内异物取出术","次","858.00"]
["基础麻醉","2小时","140.00"]
["麻醉中监测","小时","42.00"]
["特殊消毒费(传染病患者手术加收）","次","400.00"]
["冷凝仪","次","200.00"]
["玻璃体切割仪","次","400.00"]
["超声乳化仪","次","1100.00"]
["激光仪","次","300.00"]
["双极电凝","次","130.00"]
["眼前段照相RGP","单侧","30.00"]
["缝线（MANI 10-0）","根","92.00"]
["眼压检查(四楼)","次","14.00"]
["眼前段照相(四楼)","单侧","42.00"]
["双眼单视功能训练","次","28.00"]
["马氏杆试验","次","14.00"]
["低视力助视器试验","单侧","14.00"]
["隐形眼镜配置（含验光、角膜曲率测量、泪液分泌功能测定）","次","25.00"]
["眼外肌功能检查","次","28.00"]
["眼肌力检查","次","21.00"]
["上睑下垂检查","次","7.00"]
["线状镜检查","次","7.00"]
["复视检查","次","14.00"]
["代偿头位测定","次","7.00"]
["眼位照相","次","42.00"]
["眼球突出度测量","次","7.00"]
["硅油（博士伦）","支","839.00"]
["重水（歌德）","支","1200.00"]
["强生5-0可吸收","根","90.30"]
["强生5-0尼龙线W883","根","89.58"]
["强生10-0尼龙线","根","118.75"]
["强生6-0可吸收缝线","根","89.14"]
["强生7-0可吸收缝线","根","80.00"]
["强生8-0可吸收缝线","根","80.00"]
["缝线（MANI 11-0）","根","92.00"]
["眼睑肿物切除(植皮加收）","单侧","286.00"]
["上睑下垂（需肌瓣移植加收）","单侧","363.00"]
["睑退缩矫正术（需睫毛再造和肌瓣移植加收）","单侧","385.00"]
["睑外翻矫正术（需植皮加收）","单侧","330.00"]
["眼袋整形（泪腺悬吊加收）","次","660.00"]
["睑球粘连分离（自体粘膜移植术加收）","次","825.00"]
["结膜肿物切除（组织移植加收）","次","495.00"]
["翼状胬肉切除（干细胞移植加收）","次","346.50"]
["翼状胬肉切除+角膜移植术（干细胞移植加收）","次","363.00"]
["角膜移植（板层）（干细胞移植加收）","次","638.00"]
["角膜移植（穿透）（干细胞移植加收）","次","577.50"]
["虹膜囊肿切除术(虹膜后加收）","次","385.00"]
["玻璃体切除（膨胀气体加收）","次","121.00"]
["玻璃体切除（激光加收）","次","121.00"]
["玻璃体切除（重水加收）","次","121.00"]
["玻璃体切除（硅油加收）","次","121.00"]
["玻璃体内猪囊尾蚴取出术（激光加收）","次","110.00"]
["玻璃体内猪囊尾蚴取出术（膨胀气体加收）","次","110.00"]
["静脉输液（2瓶以上含2瓶加收1元）","每瓶","1.00"]
["云雾实验","次","5.00"]
["钾测定","次","3.60"]
["钠测定","次","3.60"]
["氯测定","次","3.60"]
["无机磷测定","次","3.60"]
["镁测定","次","4.00"]
["血清碳酸氢盐（HCO3）测定","次","5.40"]
["糖化血红蛋白测定","次","70.00"]
["一次性测试片","片","260.00"]
["一般专项护理","次","20.00"]
["床位费","日","30.00"]
["泪小管填塞术","单眼","242.00"]
["血细胞分析（五分类）","次","19.00"]
["前房穿刺术（前房冲洗）","单侧","280.00"]
["住院诊查费","日","28.00"]
["二级护理","日","30.00"]
["三级护理","日","15.00"]
["特殊疾病护理","日","60.00"]
["吸痰护理","次","10.00"]
["导尿(一次性）","次","28.00"]
["大清创缝合","次","105.00"]
["中清创缝合","次","75.00"]
["小清创缝合","次","55.00"]
["心电监测","小时","6.00"]
["血氧饱和度监测","小时","5.00"]
["光动力疗法（PDT)","每光斑","252.00"]
["一次性无菌冲洗器5ml","支","0.60"]
["特级护理","小时","6.00"]
["一级护理","日","45.00"]
["重症监护","小时","9.00"]
["大抢救","次","200.00"]
["中抢救","次","150.00"]
["小抢救","次","100.00"]
["雾化吸入","次","5.50"]
["持续低流量吸氧","日","60.00"]
["控制性降压","次","126.00"]
["麻醉用氧","小时","10.00"]
["全身麻醉加时","小时","73.00"]
["全身麻醉(气管插管）","2小时","1320.00"]
["全身麻醉（危急病人加收）","次","295.00"]
["角膜溃疡灼烙术","单侧","42.00"]
["沙眼磨擦压挤术","单侧","28.00"]
["远程会诊","小时","500.00"]
["持续低流量吸氧","日","60.00"]
["一次性人工前房","只","2500.00"]
["眼部冷冻治疗","单侧","420.00"]
["局部浸润麻醉（含表面麻醉）","次","10.00"]
["血氧探头","枚","55.00"]
["光敏疗法","每照射区","15.00"]
["玻切头2920CE（23G）","个","1600.00"]
["玻切头2940CE（25G）","个","1700.00"]
["视黄醇结合蛋白测定","项","13.50"]
["单项补体测定C3","项","10.00"]
["单项补体测定C4","项","10.00"]
["人类白细胞抗原B27测定","项","130.00"]
["糖化白蛋白(GA)测定","项","50.00"]
["厌氧菌培养及鉴定","项","70.00"]
["抗甲状腺球蛋白抗体测定(TGAb)-过氧化物酶抗体（ATPO）","项","54.00"]
["微量元素测定(锌)","项","50.00"]
["微量元素测定(铜)","项","50.00"]
["微量元素测定(铁)","项","50.00"]
["微量元素测定(镁)","项","50.00"]
["微量元素测定(铬)","项","50.00"]
["微量元素测定(硒)","项","50.00"]
["抗甲状腺球蛋白抗体(TGAB)","项","54.00"]
["绷带镜(连续佩戴型)","片","238.00"]
["类风湿因子RF测定","次","10.00"]
["类风湿因子RF测定免疫散射比浊法","次","20.00"]
["抗链球菌溶血素O测定ASO","次","15.00"]
["抗链球菌溶血素O测定ASO免疫散射比浊法","次","15.00"]
["低功率氦氖激光治疗","次","84.00"]
["脉冲激光治疗*","c㎡","100.00"]
["人工晶体度数测量","次","70.00"]
["斜视度测定（同视机）","次","21.00"]
["双眼视觉检查（同视机）","次","28.00"]
["重硅油（歌德）","支","3600.00"]
["液基薄层细胞制片术","次","150.00"]
["冰冻切片检查与诊断","部位","470.00"]
["特殊染色及酶组织化学染色诊断","每标本、每种染色","59.00"]
["免疫组织化学染色诊断","每标本、每种染色","120.00"]
["疑难病理会诊","次","200.00"]
["医用透明质酸钠凝胶","支","110.00"]
["一次性备皮包","包","3.50"]
["c3免疫散射","项","20.00"]
["c4免疫散射","项","20.00"]
["CRP免疫散射比浊法加收","项","30.00"]
["甘舒霖笔300单位3ml","支","232.00"]
["低功率氦-氖激光治疗","次","840.00"]
["甲状旁腺激素测定（化学发光法）","次","80.00"]
["甲状旁腺激素测定(各种免疫学方法）","次","30.00"]
["特殊消毒费(特异性感染疾病手术加收）","次","800.00"]
["结核杆菌抗体","次","100.00"]
["单纯疱疹病毒抗体测定","次","80.00"]
["弓形体抗体测定","次","30.00"]
["风疹病毒抗体测定","次","30.00"]
["巨细胞病毒抗体测定","次","40.00"]
["脱氧核糖核酸（DNA）测序","项","235.00"]
["部位增加(冰冻切片）","每个","117.00"]
["抗双链DNA（dsDNA)定量","次","100.00"]
["抗核抗体测定（ANA）定性","次","15.00"]
["抗环瓜氨酸肽抗体（抗CCP抗体）测定","次","100.00"]
["抗角蛋白抗体（AKA）测定","次","70.00"]
["急诊诊察费","次","20.00"]
["血清肌钙蛋白I测定（干化学法）","次","130.00"]
["小儿头皮静脉输液","组","5.50"]
["微量泵（输液泵）加收","每泵每小时","2.00"]
["知名专家诊察费","人次","300.00"]
["晶体德国人类Diff aA Y","枚","11900.00"]
["门急诊留观诊察费","日","35.00"]
["院内会诊（副主任医师）","人次","60.00"]
["院内会诊（主任医师）","人次","80.00"]
["角膜拆线（裂隙灯下）","次","60.50"]
["泪小点外翻矫正术(切开术)","次","484.00"]
["色素膜肿物切除术（脉络膜）","次","2882.00"]
["病房床位费（四人以上间）","床日","50.00"]
["病房床位费（三人间一等）","床日","60.00"]
["病房床位费（二人间一等）","床日","80.00"]
["急诊观察床位费","日","10.00"]
["护理费结核病人加收","日","3.00"]
["眼活体组织检查","次","84.00"]
["扫描激光眼底检查","次","140.00"]
["高档单人间","床日","500.00"]
["霰粒肿切除术","次","143.00"]
["二期人工晶体植入术(有晶体眼前房型人工晶体植入术加收）","次","363.00"]
["二期人工晶体植入术（有晶体眼后房型人工晶体植入术加收）","次","1270.50"]
["一般专项护理（备皮）","次","10.00"]
["玻璃体切除（前段玻璃体切割）","次","627.00"]
["玻璃体切除（玻璃体微创手术加收）","次","1056.00"]
["玻璃体切除（眼内激光术300点以下）","次","1056.00"]
["玻璃体切除（眼内激光术300点到500点）","次","1694.00"]
["玻璃体切除（眼内激光术500点以上）","次","2541.00"]
["视网膜脱离修复术(巩膜外环扎）","次","962.50"]
["视网膜脱离修复术(巩膜外垫压）","次","962.50"]
["视网膜脱离修复术(放液术）","次","385.00"]
["病房床位费（套间）","床日","800.00"]
["复杂视网膜脱离修复术(眼内激光术300点以下）","次","962.50"]
["复杂视网膜脱离修复术(眼内激光术300到500点）","次","1540.00"]
["复杂视网膜脱离修复术(眼内激光术500点以上）","次","2310.00"]
["共同性斜视矫正术(超过一条肌肉加收）","次和每条肌肉","473.00"]
["病房床位费（传染病床加收）","床日","3.00"]
["基础麻醉费(加时）","小时","70.00"]
["气管插管术","次","140.00"]
["心肺复苏术","次","196.00"]
["非共同性斜视矫正术（非常规眼外肌手术）","次和一条肌肉","544.50"]
["缝线W8003T","根","60.00"]
["缝线W8696G","根","110.00"]
["多波长激光加收","眼","100.00"]
["3L医用无菌防护套wj200*14","张","6.50"]
["粪便隐血试验(免疫法）","项","8.00"]
["血浆D-二聚体测定","项","106.00"]
["鼻内镜检查","次","112.00"]
["鼻内镜检查（视频镜加收)","次","120.00"]
["鼻内镜手术后检查处理","次","150.00"]
["鼻内镜手术后检查处理（视频镜加收100）","次","100.00"]
["冷光源","次","50.00"]
["电（气)钻","次","150.00"]
["标准单人间","床日","280.00"]
["三通（贝朗）","支","4.80"]
["超声波治疗","每5分钟","21.00"]
["经络氧疗法","次","30.00"]
["超声波治疗(联合治疗加收)","次","10.00"]
["尿沉渣定量仪器法","项","20.00"]
["眼轴人工晶状体度数测量-光学法","次","100.00"]
["角膜内皮移植术","次","2728.00"]
["前房注气术（脉络膜上腔放液术）","单侧","280.00"]
["泪道探通术激光加收","单侧","200.00"]
["眼轴人工晶状体度数测量-光学法（RGP）","次","60.00"]
["一次性使用泪道引流管（儿童）RS","个","1650.00"]
["探针PRO/TA03","个","8.50"]
["一次性无菌脑棉片","包","4.50"]
["抗髓鞘少突胶质细胞糖蛋白抗体测定","次","360.00"]
["角膜接触镜（爱尔康）","片","458.00"]
["飞秒激光角膜切削术（内皮移植）","次/眼","7500.00"]
["飞秒激光角膜切削术（角膜移植）","次/眼","9000.00"]
["飞秒激光角膜切削术（基质植入）","次/眼","9000.00"]
["血同型半胱氨酸测定b","次","132.00"]
["抗中性粒细胞胞浆抗体测定（ANCA）-cANCA","项","60.00"]
["抗中性粒细胞胞浆抗体测定（ANCA）-pANCA","项","60.00"]
["强生5-0缝线w8556","根","85.00"]
["强生8-0缝线w2777","根","167.50"]
["缝线宁波5-0","根","9.50"]
["囊袋张力环275001G","枚","1260.00"]
["免疫荧光染色诊断","每标本、每种染色","117.00"]
["抗a胞衬蛋白抗体测定","项","150.00"]
["抗核抗体测定（ANA）定量","项","88.00"]
["抗核提取物抗体测定(抗ENA抗体)免疫印迹法","项","80.00"]
["抗中性粒细胞胞浆抗体测定(ANCA)MPO-ANCA","项","60.00"]
["抗中性粒细胞胞浆抗体测定（ANCA）PR3-ANCA","项","60.00"]
["晶体囊截开术激光加收","单侧","200.00"]
["沙眼摩擦压挤术滤过泡针刺剥离","单侧","50.00"]
["小儿股（颈）静脉采血加收","次","4.50"]
["静脉输液使用微量泵或输液泵加收","每泵每小时","2.00"]
["静脉输液（留置静脉针穿刺加收）","次","5.50"]
["雾化吸入（氧化雾化加收）","次","6.00"]
["病理检查(图文病理报告加收）","例","70.00"]
["眼压日曲线检查","次","12.00"]
["眼压描记","次","12.00"]
["折叠式人工玻璃体球囊眼内植入术","单侧","2600.00"]
["一次性使用连接管（高弹F28）","套","9.00"]
["手术显微器械","次","200.00"]
["病原体核糖核酸扩增定性检测","人次","200.00"]
["病原体核糖核酸扩增定量检测","项","100.00"]
["细菌抗原分析","项","120.00"]
["骨蜡W810T","片","25.83"]
["缝线快薇乔W9915","根","58.00"]
["角膜曲率测量（近视门诊）","次（单眼）","7.00"]
["眼轴测量（近视门诊）","眼","50.00"]
["游离皮瓣切取移植术","次","3927.00"]
["带蒂筋膜瓣切取移植术","次","2651.00"]
["带蒂肌皮瓣切取移植术","次","2882.00"]
["带蒂肌瓣切取移植术","次","2651.00"]
["带蒂轴型皮瓣切取移植术","次","3102.00"]
["带蒂复合组织瓣成形术","每个部位","2783.00"]
["眼科手术用粘弹剂discovisc","支","650.00"]
["医学散瞳验光（卓比安）","次","45.00"]
["医学检影验光（卓比安）","次","45.00"]
["抗心磷脂抗体测定（ACA）","项","30.00"]
["免疫球蛋白亚类定量测定","份","150.00"]
["便民门诊","次","1.00"]
["真菌荧光染色镜检","次","100.00"]
["角膜层间冲洗术","单眼","400.00"]
["角膜基质注射术","单眼","400.00"]
["角膜热成形术","单眼","500.00"]
["睑黄瘤切除术","个","1500.00"]
["射频结膜松弛矫正术","单侧","750.00"]
["皮下组织搔刮术","次","600.00"]
["玻璃体激光消融术","单眼","1000.00"]
["任意皮瓣形成术(每个部位）","每个","1320.00"]
["泪道内窥镜检查","单侧","800.00"]
["瘢痕内注射治疗","平方厘米","150.00"]
["葡萄糖测定-各种酶法","次","4.50"]
["抗酸杆菌涂片检查","项","15.00"]
["缝线（MANI）9-0","根","92.00"]
["各类病原体DNA测定","项","74.00"]
["脱氧核糖核酸（DNA）倍体分析","项","70.00"]
["复杂视网膜脱离修复术（巨大裂孔）","次","3465.00"]
["复杂视网膜脱离修复术（黄斑裂孔）","次","3465.00"]
["复杂视网膜脱离修复术（膜增殖）","次","3465.00"]
["复杂视网膜脱离修复术（视网膜下膜取出术）","次","3465.00"]
["复杂视网膜脱离修复术（硅油充填）","次","3465.00"]
["复杂视网膜脱离修复术（球内注气）","次","3465.00"]
["复杂视网膜脱离修复术（前膜剥膜）","次","3465.00"]
["眼科用生物羊膜BA-2025","包","6500.00"]
["眼科用生物羊膜BA-1015","包","3900.00"]
["眼科用生物羊膜BA-1010","包","3200.00"]
["眼科用生物羊膜BA-1520","包","5300.00"]
["眼科用生物羊膜BA-2020","包","5800.00"]
["预冲式导管冲洗器","支","4.50"]
["留置针26G","支","4.80"]
["输液器7#","支","0.69"]
["一次性使用精细药液过滤器","支","88.00"]
["严重急性呼吸综合征冠状病毒抗体测定（含试剂）","项","74.90"]
["医学小瞳验光(诊断）","次","35.00"]
["尿妊娠试验(酶免法或金标法）","项","10.00"]
["浅表器官彩色多普勒超声检查","每个部位","120.00"]
["共聚焦显微镜眼活体组织检查","次","160.00"]
["留置针封堵","次","3.00"]
["导尿（留置）","日","2.00"]
["舒莱姆氏管（Schlemm,s管）成形术","单侧","2400.00"]
["尿微量白蛋白测定免疫比浊法","项","10.00"]
["尿微量白蛋白测定(免疫散射比浊法加收)","项","20.00"]
["晶体SN6AT3","枚","3190.00"]
["晶体Aspira-aA","枚","836.00"]
["晶体Aspira-aAY","枚","2298.00"]
["晶体区域折射多焦点人工晶状体LS-313MF15","枚","4199.00"]
["特异β人绒毛膜促性腺激素（β-HCG)测定","项","94.00"]
["球后全部血管彩色多普勒超声","次","120.00"]
["静脉输液（6岁含以下儿童加收）","组","0.90"]
["肌肉注射（6岁含以下小儿加收）","次","0.50"]
["静脉注射（6岁含以下小儿加收）","次","0.90"]
["导尿(6岁以下儿童加收）","次","4.00"]
["灌肠（6岁以下儿童加收）","次","4.00"]
["雾化吸入（氢氧化雾化加收）","次","6.00"]
["吸痰护理(6岁以下儿童加收）","日","2.00"]
["三级护理(6岁以下儿童加收）","日","3.00"]
["二级护理（6岁以下儿童加收）","日","6.00"]
["一级护理（6岁以下儿童加收）","日","9.00"]
["睑退缩矫正术（眼睑松弛矫正术）","单侧","2266.00"]
["角膜移植术（仅病灶切除）","次","1050.50"]
["义眼台打孔术（眼台修补）","次","363.00"]
["无插管全麻","次","440.00"]
["一次性医用滑移垫 A型","个","28.00"]
["25Ga先进软头移液手柄","个","1050.00"]
["25Ga+膜剥离镊子头","个","1050.00"]
["上睑下垂矫正术（提上睑肌缩短术）","单侧","1441.00"]
["上睑下垂矫正术（悬吊术）","单侧","1441.00"]
["睑退缩矫正术（上睑）","单侧","2266.00"]
["睑退缩矫正术（下睑）","单侧","2266.00"]
["睑退缩矫正术（额肌悬吊）","单侧","2266.00"]
["睑退缩矫正术（提上睑肌缩短）","单侧","2266.00"]
["睑退缩矫正术（睑板再造）","单侧","2266.00"]
["睑退缩矫正术（异体巩膜移植或植皮）","单侧","2266.00"]
["睑退缩矫正术（眼睑缺损整形术）","单侧","2266.00"]
["泪囊摘除术（泪囊瘘管摘除术）","次","715.00"]
["睑部泪腺摘除术（泪腺部分切除术）","次","990.00"]
["睑部泪腺摘除术（泪腺肿瘤摘除术）","次","990.00"]
["鼻泪道再通术（穿线术）","次","528.00"]
["鼻泪道再通术（义管植入术）","次","528.00"]
["泪道成形术（泪小管开大术）","次","1342.00"]
["泪小管填塞术（封闭术）","单眼","242.00"]
["结膜肿物切除（结膜色素痣）","次","495.00"]
["麦粒肿切除术（切开术）","次","96.80"]
["非常规眼外肌手术（肌肉联扎术）","次和一条肌肉","715.00"]
["非常规眼外肌手术（肌肉移位术）","次和一条肌肉","715.00"]
["非常规眼外肌手术（肌肉延长术）","次和一条肌肉","715.00"]
["非常规眼外肌手术（肌肉调整缝线术）","次和一条肌肉","715.00"]
["非常规眼外肌手术（肌肉匡壁固定术）","次和一条肌肉","715.00"]
["眶内肿物摘除术(前路摘除及侧劈开眶术）","次","2519.00"]
["眶内肿物摘除术(眶尖部肿物摘除术）","次","2519.00"]
["眼眶壁骨折整复术（外侧开眶钛钉术）","次","1925.00"]
["眼眶壁骨折整复术（钛板固定术）","次","1925.00"]
["眉畸形矫正术（“八”字眉）","次","1144.00"]
["眉畸形矫正术（眉移位）","次","1144.00"]
["眉缺损修复术（部分缺损）","次","1320.00"]
["眉缺损修复术（全部缺损）","次","1320.00"]
["阿姆斯勒表检查","次","7.00"]
["丙型肝炎RNA测定","项","100.00"]
["乙型肝炎DNA测定","项","100.00"]
["血清促肾上腺皮质激素测定","项","80.00"]
["血浆皮质醇测定","项","60.00"]
["温敏型羟丁基壳聚糖护创敷料 1ml","支","588.00"]
["温敏型羟丁基壳聚糖护创敷料 2ml","支","990.00"]
["外科术中止血消融电极wzx-5JZS","支","2100.00"]
["外科术中止血消融电极WZX-7JZS","支","2100.00"]
["晶体Aqua Sense","枚","350.00"]
["晶体AQUA-SENSE PAL","枚","790.00"]
["原位杂交技术","项","235.00"]
["超声乳化液流管理系统包件-重力式 8065752212","个","528.00"]
["眼科用生物羊膜BA-1515","包","4375.00"]
["准分子激光治疗性角膜切削术（PTK）","次/眼","1500.00"]
["超声乳化液流管理系统包件-重力式 8065752216","个","920.00"]
["个体化上皮角膜切割准分子激光矫正手术（LASEK)","次/眼","3800.00"]
["飞秒激光角膜切削术","次/眼","5900.00"]
["飞秒激光角膜切削术（全飞）","次/眼","9400.00"]
["主导眼检查","次","7.00"]
["一次性使用气管插管（加强型）SJ-II7#","根","45.00"]
["球后注射（球旁注射）","单侧","21.00"]
["球后注射（颞浅动脉旁注射）","单侧","21.00"]
["免疫组织化学染色诊断（液盖膜涡流混匀法加收）","每标本，每种染色","47.00"]
["水通道蛋白4抗体检测","次","280.00"]
["结核菌感染T细胞检测（免疫斑点法）","次","720.00"]
["角膜交联术","单眼","3300.00"]
["双行睫矫正术","单侧","561.00"]
["青光眼引流阀FP7","个","4300.00"]
["青光眼引流阀FP8","个","4300.00"]
["超乳套包BL5110","个","300.00"]
["眼科手术刀（MANI)MVR20","把","100.00"]
["眼科手术刀（MANI)MST45","把","100.00"]
["眼科手术刀（MANI)MSL26","把","100.00"]
["眼科手术刀（MANI)MSL30","把","100.00"]
["眼科手术刀（MANI)MST15","把","100.00"]
["眼科手术刀（MANI)MSL10","把","100.00"]
["眼科手术刀（MANI)MSL20","把","100.00"]
["眼科手术刀（MANI)MCB10","把","100.00"]
["眼科手术刀（MANI)MSL22","把","100.00"]
["眼科手术刀（MANI)MSL28","把","100.00"]
["眼科手术刀（MANI)MCU26","把","100.00"]
["脱细胞角膜基质TEC-L4","盒","10000.00"]
["供体和受体角膜环钻K20-2050/6mm","个","2500.00"]
["供体和受体角膜环钻K20-2054/7mm","个","2500.00"]
["供体和受体角膜环钻K20-2058/8mm","个","2500.00"]
["供体和受体角膜环钻K20-2062/9mm","个","2500.00"]
["供体和受体角膜环钻K20-2100/6mm","个","2500.00"]
["供体和受体角膜环钻K20-2104/7mm","个","2500.00"]
["供体和受体角膜环钻K20-2108/8mm","个","2500.00"]
["供体和受体角膜环钻K20-2112/9mm","个","2500.00"]
["一次性使用吸痰管F12","个","2.50"]
["一次性使用吸痰管F14","支","2.50"]
["一次性使用吸痰管F8","支","2.50"]
["一次性喉罩（英特赛克）3#","个","230.00"]
["一次性喉罩（英特赛克）2#","个","230.00"]
["一次性喉罩（英特赛克）1#","个","230.00"]
["透明敷贴","个","1.50"]
["一次性使用口咽通气道4#","个","9.00"]
["一次性使用口咽通气道5#","个","9.00"]
["一次性使用口咽通气道6#","个","9.00"]
["一次性使用口咽通气道8#","个","9.00"]
["一次性使用口咽通气道9#","个","9.00"]
["一次性使用口咽通气道10#","个","9.00"]
["一次性使用口咽通气道11#","个","9.00"]
["一次性使用口咽通气道12#","个","9.00"]
["采血针7#","个","0.38"]
["一次性导尿包16#","包","18.00"]
["一次性导尿包18#","包","18.00"]
["一次性细菌过滤器A-2型","个","25.00"]
["球后针头(一次性使用牙科注射针)","支","0.25"]
["一次性导尿管8Fr","根 ","7.00"]
["玻璃体穿刺抽液术(注药）","次","720.50"]
["癌胚抗原测定(CEA)","项","60.00"]
["甲胎蛋白测定(AFP)","项","48.00"]
["总前列腺特异性抗原测定(TPSA)","项","70.00"]
["游离前列腺特异性抗原测定(FPSA)","项","70.00"]
["神经元特异性烯醇化酶测定(NSE)","项","67.00"]
["细胞角蛋白19片段测定(CYFRA21-1)","项","70.00"]
["糖类抗原测定","每种抗原","71.00"]
["义眼台MEDPOR 19mm8702","个","5300.00"]
["缝线宁波9-0","包","9.50"]
["晶体ANU575/+10D","枚","549.00"]
["晶体ANU575/+11D","枚","549.00"]
["晶体ANU575/+12D","枚","549.00"]
["晶体ANU575/+13D","枚","549.00"]
["晶体ANU575/+14D","枚","549.00"]
["晶体ANU575/+15D","枚","549.00"]
["晶体ANU575/+16D","枚","549.00"]
["晶体ANU575/+17D","枚","549.00"]
["晶体ANU575/+18D","枚","549.00"]
["晶体ANU575/+19D","枚","549.00"]
["晶体ANU575/+20D","枚","549.00"]
["晶体ANU575/+21D","枚","549.00"]
["晶体ANU575/+22D","枚","549.00"]
["晶体ANU575/+23D","枚","549.00"]
["晶体ANU575/+24D","枚","549.00"]
["晶体ANU575/+25D","枚","549.00"]
["晶体ANU575/+26D","枚","549.00"]
["晶体ANU575/+27D","枚","549.00"]
["晶体ANU575/+28D","枚","549.00"]
["晶体ANU575/+29D","枚","549.00"]
["晶体ANU575/+30D","枚","549.00"]
["晶体ANU575/+31D","枚","549.00"]
["晶体ANU575/+32D","枚","549.00"]
["晶体ANU575/+33D","枚","549.00"]
["晶体ANU575/+34D","枚","549.00"]
["晶体ANU575/+35D","枚","549.00"]
["晶体ANU575/+5D","枚","549.00"]
["晶体ANU575/+6D","枚","549.00"]
["晶体ANU575/+7D","枚","549.00"]
["晶体ANU575/+8D","枚","549.00"]
["晶体ANU575/+9D","枚","549.00"]
["眼科全氟丙烷气体","次","450.00"]
["鼻氧管（挂式）","个","1.60"]
["一次性泪道引流管RS型","套","950.00"]
["前房角切开术（前房积血清除）","次","990.00"]
["前房角切开术（房角粘连分离术）","次","990.00"]
["泪液分泌功能测定（干眼分析仪测定）加收","次","10.00"]
["医用面罩1#","个","15.00"]
["医用面罩2#","个","15.00"]
["医用面罩3#","个","15.00"]
["医用面罩4#","个","15.00"]
["医用面罩5#","个","15.00"]
["医用面罩6#","个","15.00"]
["冲洗结膜囊","单侧","14.00"]
["快速石蜡切片检查与诊断","部位","220.00"]
["快速石蜡切片检查与诊断（超声空化技术加收）","部位","210.00"]
["快速石蜡切片检查与诊断（超声空化技术增加部位）","部位","150.00"]
["前房注气术","单侧","280.00"]
["前房穿刺术","单侧","280.00"]
["翼状胬肉切除术（单纯角膜肿物切除）","次","429.00"]
["球结膜放射状切开冲洗（酸碱烧伤减压冲洗）","次/单眼","363.00"]
["翼状胬肉切除+角膜移植术（角膜肿物切除+角膜移植术）","次","1650.00"]
["青光眼滤过术(小梁切除）","次","1331.00"]
["青光眼滤过术(虹膜嵌顿）","次","1331.00"]
["青光眼滤过术（巩膜灼滤）","次","1331.00"]
["白内障摘除联合玻璃体切割术(前路摘晶体）","次","3850.00"]
["白内障摘除联合玻璃体切割术(后路摘晶体）","次","3850.00"]
["非正常晶体手术(晶体半脱位）","次","2882.00"]
["非正常晶体手术(晶体切除）","次","2882.00"]
["非正常晶体手术(瞳孔广泛粘连强直或闭锁）","次","2882.00"]
["非正常晶体手术(抗青光眼术后）","次","2882.00"]
["内眼病冷凝术（全视网膜冷凝术）","次","792.00"]
["眼球裂伤缝合术（角膜裂伤缝合）","次","1760.00"]
["眼球裂伤缝合术（巩膜裂伤缝合）","次","1760.00"]
["眼球裂伤缝合术（巩膜探查手术）","次","1760.00"]
["视网膜脱离修复术（外加压)","次","2310.00"]
["视网膜脱离修复术（环扎术)","次","2310.00"]
["视网膜脱离修复术（内加压)","次","2310.00"]
["结膜印痕细胞检查","次","28.00"]
["牵拉试验","次","14.00"]
["医用消毒超声耦合剂","支","4.50"]
["眼科手术用全氟辛烷（重水7ml）","瓶","1200.00"]
["青光眼视网膜神经纤维层计算机图像分析","次","70.00"]
["肌酐测定","项","20.00"]
["小梁网切开器（KDB）","把","6800.00"]
["领扣型人工角膜（KPA1-1)","套","60000.00"]
["领扣型人工角膜（KPA1-2)","套","60000.00"]
["领扣型人工角膜（KPA1-3)","套","60000.00"]
["领扣型人工角膜（KPA1-4)","套","60000.00"]
["新型冠状病毒抗原检测试剂","人份","3.90"]
["甲型肝炎抗体测定(Anti-HAV)(IgM)","项","15.00"]
["一次性使用无菌注射器 带针 (5ml)","支","0.38"]
["左心功能测定","次","30.00"]
["室壁运动分析","次","40.00"]
["心脏彩色多普勒超声","次","150.00"]
["晶体AM3UH","枚","25000.00"]
["共同性斜视矫正术(二次手术加收）","次和一条肌肉","473.00"]
["共同性斜视矫正术(伴有另一种斜视同时手术加收）","次和一条肌肉","473.00"]
["非共同性斜视矫正术（超过一条肌肉）","次和一条肌肉","544.50"]
["非共同性斜视矫正术（二次手术）","次和一条肌肉","544.50"]
["非共同性斜视矫正术（结膜、肌肉及眼眶修复，二种斜视同时存在）","次和一条肌肉","544.50"]
["颈部血管彩色多普勒超声（颈动脉）","次","120.00"]
["彩色多普勒超声常规检查（腹部）","每个部位","130.00"]
["血红蛋白测定（Hb）","项","2.00"]
["红细胞计数（RBC）","项","2.00"]
["红细胞比积测定（HCT）","项","2.00"]
["红细胞参数平均值测定","项","3.00"]
["白细胞计数(WBC)","项","3.00"]
["血小板计数","项","2.00"]
["局部浸润麻醉","次","30.00"]
["尿常规检查","次","9.00"]
["粪便常规","次","1.80"]
["血浆凝血酶原时间测定（PT）","项","15.00"]
["活化部分凝血活酶时间测定（APTT）","项","15.00"]
["血浆纤维蛋白原测定","项","15.00"]
["凝血酶时间测定（TT）","项","14.00"]
["脱落细胞学检查与诊断","例","47.00"]
["血清总蛋白测定","次","4.50"]
["血清γ-谷氨酰基转移酶测定","次","3.60"]
["血清碱性磷酸酶测定","次","4.50"]
["血清肌酸激酶测定","次","9.00"]
["血清肌酸激酶-MB同工酶活性测定","次","10.00"]
["乳酸脱氢酶测定","次","4.50"]
["尿素测定","次","5.40"]
["肌酐测定","次","5.00"]
["血清尿酸测定","次","5.00"]
["β2微球蛋白测定","次","18.00"]
["血清促甲状腺激素测定","次","33.00"]
["血清甲状腺素（T4）测定","次","40.00"]
["血清三碘甲状原氨酸（T3）测定","次","35.00"]
["血清游离甲状腺素（FT4）测定","次","35.00"]
["促甲状腺素受体抗体测定","次","50.00"]
["梅毒螺旋体特异抗体测定","次","38.00"]
["快速血浆反应素试验（RPR）","次","15.00"]
["验光每增加一项（包括检影、散瞳、云雾试验、试镜）加5元","项","5.00"]
["一般细菌涂片检查","项","10.00"]
["一般细菌培养及鉴定","次","50.00"]
["镜片检测","次","5.00"]
["真菌涂片检查","次","15.00"]
["真菌培养及鉴定","次","70.00"]
["三棱镜检查","次","14.00"]
["常规药敏定量试验（MIC）","每种药物","6.00"]
["调节/集合测定","次","12.00"]
["真菌药敏试验","次","60.00"]
["ABO红细胞定型","次","5.00"]
["乙型肝炎表面抗体测定(化学发光法）","项","20.00"]
["乙型肝炎表面抗原测定（化学发光法）","项","20.00"]
["乙型肝炎e抗体测定（化学发光法）","项","20.00"]
["乙型肝炎e抗原测定（化学发光法）","项","20.00"]
["乙型肝炎核心抗体测定（化学发光法）","项","20.00"]
["丙型肝炎抗体测定（化学发光法）","项","92.00"]
["人类免疫缺陷病毒抗体测定（化学发光法）","项","60.00"]
["梅毒螺旋体特异抗体测定(化学发光法）","项","46.00"]
["硅油注吸套包（博士伦）CX5720","个","1500.00"]
["普通针刺（快速针）","5个穴位","20.00"]
["微针针刺（面针）","次","20.00"]
["头皮针","次","30.00"]
["眼针","单眼和次","24.00"]
["耳针（耳穴压豆）","单耳","20.00"]
["耳针（耳穴埋针）","单耳","20.00"]
["电针（普通电针）","二个穴位","18.00"]
["穴位敷贴治疗（药物调配）","每个穴位","10.00"]
["拔罐疗法（火罐）","3罐","10.00"]
["拔罐疗法（闪罐）","3罐","10.00"]
["其他推拿治疗","部位/次","45.00"]
["一次性脉搏血氧饱和度传感器（ADSN1L)","个","55.00"]
["尿酸碱度测定","项","1.00"]
["尿比重测定","项","1.00"]
["尿蛋白定性","项","2.00"]
["尿血红蛋白定性检查","项","3.00"]
["尿糖定性试验（试纸条）","项","5.00"]
["尿酮体定性试验","项","3.00"]
["尿沉渣白细胞分类","项","5.00"]
["软性亲水接触镜 月抛型","片","33.00"]
["四肢血管彩色多普勒超声（下肢浅静脉）","次","120.00"]
["四肢血管彩色多普勒超声（下肢深静脉）","次","120.00"]
["密闭式静脉留置针24G Y型","支","4.80"]
["一次性使用无菌注射器 带针(20ml)","支","0.62"]
["普通针刺（体针）","5个穴位","20.00"]
["注射用头孢唑林钠","支","1.10"]
["注射用头孢唑林钠","支","0.85"]
["注射用头孢唑林钠","支","22.28"]
["硫酸妥布霉素注射液","支","0.68"]
["硫酸妥布霉素注射液","支","2.80"]
["硫酸妥布霉素注射液","支","68.00"]
["妥布霉素滴眼液(托百士)","支","13.36"]
["妥布霉素眼膏(托百士）","支","22.93"]
["妥布霉素地塞米松眼膏(典必殊)","支","28.18"]
["红霉素眼膏","支","0.75"]
["红霉素眼膏","支","1.75"]
["注射用盐酸万古霉素(稳可信)","瓶","103.99"]
["那他霉素滴眼液","支","798.00"]
["那他霉素滴眼液(那特真)","支","609.51"]
["复明片(薄膜衣片）","瓶","28.70"]
["氟康唑氯化钠注射液","袋","10.60"]
["氟康唑氯化钠注射液","袋","44.90"]
["伊曲康唑胶囊(斯皮仁诺)","盒","124.27"]
["爱尔施牌含氯消毒片","瓶","10.00"]
["氨咖黄敏胶囊","板","1.00"]
["氨咖黄敏胶囊","板","0.85"]
["氨咖黄敏胶囊","板","1.90"]
["氨咖黄敏胶囊","板","0.80"]
["氨咖黄敏胶囊","板","2.98"]
["氨咖黄敏胶囊","板","3.30"]
["甲硝唑氯化钠注射液","袋","7.23"]
["小儿感冒颗粒","盒","9.40"]
["小儿感冒颗粒","盒","7.95"]
["对乙酰氨基酚片","片","0.48"]
["对乙酰氨基酚片","片","0.13"]
["对乙酰氨基酚片","片","0.11"]
["对乙酰氨基酚片","片","0.40"]
["复方氨林巴比妥注射液","支","0.65"]
["复方氨林巴比妥注射液","支","0.16"]
["复方氨林巴比妥注射液","支","0.13"]
["复方氨林巴比妥注射液","支","0.55"]
["双氯芬酸钠滴眼液","支","6.99"]
["双氯芬酸钠滴眼液","支","2.78"]
["双氯芬酸钠滴眼液","支","7.69"]
["丙泊酚注射液(得普利麻)","支","77.22"]
["盐酸利多卡因注射液","支","3.00"]
["盐酸利多卡因注射液","支","3.00"]
["盐酸利多卡因注射液","支","2.60"]
["盐酸利多卡因注射液","支","7.50"]
["盐酸利多卡因注射液","支","5.14"]
["盐酸利多卡因注射液","支","27.00"]
["盐酸丙美卡因滴眼液(爱尔凯因)","支","33.14"]
["维生素AD软胶囊","瓶","6.60"]
["维生素B1片","瓶","5.00"]
["维生素B1片","瓶","2.20"]
["维生素B1片","瓶","6.50"]
["维生素B1片","瓶","14.50"]
["维生素B1注射液","支","0.66"]
["维生素B1注射液","支","0.43"]
["维生素B6片","瓶","5.50"]
["维生素B6片","瓶","1.65"]
["维生素B6片","瓶","8.17"]
["复合维生素B片","瓶","5.40"]
["复合维生素B片","瓶","6.00"]
["复合维生素B片","瓶","1.20"]
["复合维生素B片","瓶","3.73"]
["复合维生素B片","瓶","5.85"]
["复合维生素B片","瓶","4.68"]
["维生素C片","瓶","7.50"]
["维生素C片","瓶","3.60"]
["维生素E软胶囊","盒","1.90"]
["维生素E软胶囊","盒","3.50"]
["注射用玻璃酸酶","支","598.00"]
["乙酰半胱氨酸滴眼液","支","9.39"]
["三磷酸腺苷二钠注射液","支","0.53"]
["胞磷胆碱钠注射液","支","0.85"]
["胞磷胆碱钠注射液","支","0.58"]
["胞磷胆碱钠注射液","支","0.70"]
["肌苷片","瓶","8.00"]
["肌苷片","瓶","2.25"]
["肌苷片","瓶","37.20"]
["肌苷片","瓶","18.00"]
["醋酸泼尼松龙滴眼液(百力特)","支","28.77"]
["氢化可的松注射液","支","0.71"]
["注射用丝裂霉素","支","8.00"]
["马来酸氯苯那敏片","片","0.06"]
["马来酸氯苯那敏片","片","0.01"]
["萘敏维滴眼液(艾唯多)","支","6.40"]
["盐酸异丙嗪注射液","支","0.49"]
["盐酸异丙嗪注射液","支","2.88"]
["色甘酸钠滴眼液","支","9.80"]
["色甘酸钠滴眼液","支","13.50"]
["色甘酸钠滴眼液","支","19.80"]
["色甘酸钠滴眼液","支","10.00"]
["尼可刹米注射液","支","0.22"]
["尼可刹米注射液","支","0.80"]
["尼可刹米注射液","支","0.27"]
["尼可刹米注射液","支","68.00"]
["尼可刹米注射液","支","0.80"]
["尼可刹米注射液","支","4.96"]
["盐酸洛贝林注射液","支","15.60"]
["盐酸洛贝林注射液","支","1.60"]
["盐酸氯丙嗪注射液","支","1.30"]
["硫酸阿托品注射液","支","5.60"]
["硫酸阿托品眼膏","支","3.00"]
["氢溴酸东莨菪碱注射液","支","1.98"]
["氢溴酸东莨菪碱注射液","支","29.80"]
["盐酸麻黄碱注射液","支","16.00"]
["氨茶碱注射液","支","2.40"]
["盐酸异丙肾上腺素注射液","支","39.60"]
["二羟丙茶碱注射液","支","0.84"]
["二羟丙茶碱注射液","支","0.18"]
["二羟丙茶碱注射液","支","1.19"]
["二羟丙茶碱注射液","支","0.14"]
["二羟丙茶碱注射液","支","0.95"]
["二羟丙茶碱注射液","支","0.79"]
["二羟丙茶碱注射液","支","0.87"]
["二羟丙茶碱注射液","支","1.30"]
["碳酸氢钠注射液（瓶）","瓶","4.30"]
["碳酸氢钠注射液（瓶）","瓶","4.25"]
["碳酸氢钠注射液（瓶）","瓶","26.00"]
["盐酸雷尼替丁胶囊","盒","2.20"]
["盐酸甲氧氯普胺注射液","支","0.17"]
["盐酸甲氧氯普胺注射液","支","1.25"]
["盐酸甲氧氯普胺注射液","支","0.20"]
["盐酸甲氧氯普胺注射液","支","0.61"]
["盐酸甲氧氯普胺注射液","支","2.00"]
["盐酸甲氧氯普胺注射液","支","0.70"]
["硫酸镁注射液","支","0.26"]
["硫酸镁注射液","支","0.38"]
["硫酸镁注射液","支","7.80"]
["硫酸镁注射液","支","0.27"]
["硫酸镁注射液","支","7.80"]
["硫酸镁注射液","支","0.42"]
["酚酞片","瓶","19.50"]
["开塞露","支","1.79"]
["开塞露","支","0.50"]
["酒石酸美托洛尔片","盒","7.50"]
["酒石酸美托洛尔片","盒","4.24"]
["硝酸甘油片","瓶","6.00"]
["硝酸异山梨酯片","瓶","4.90"]
["硝酸异山梨酯片","瓶","13.00"]
["硝酸异山梨酯片","瓶","14.20"]
["硝苯地平片","瓶","2.10"]
["硝苯地平片","瓶","2.50"]
["硝苯地平缓释片(伲福达)","瓶","17.40"]
["尼莫地平片","瓶","3.85"]
["尼莫地平片","瓶","1.60"]
["尼莫地平片","瓶","1.15"]
["注射用硝普钠","支","13.50"]
["注射用硝普钠","支","13.00"]
["卡托普利片(开搏通)","盒","19.22"]
["盐酸肾上腺素注射液","支","29.80"]
["盐酸肾上腺素注射液","支","4.80"]
["盐酸肾上腺素注射液","支","4.56"]
["重酒石酸间羟胺注射液","支","6.90"]
["重酒石酸间羟胺注射液","支","53.50"]
["重酒石酸间羟胺注射液","支","49.00"]
["盐酸多巴胺注射液","支","3.97"]
["盐酸多巴胺注射液","支","1.98"]
["盐酸多巴胺注射液","支","2.53"]
["呋塞米注射液","支","2.10"]
["呋塞米注射液","支","2.98"]
["呋塞米注射液","支","0.52"]
["呋塞米注射液","支","2.98"]
["呋塞米注射液","支","15.50"]
["【高危】肝素钠注射液","支","11.70"]
["【高危】肝素钠注射液","支","10.17"]
["【高危】肝素钠注射液","支","11.60"]
["【高危】肝素钠注射液","支","7.80"]
["葡萄糖氯化钠注射液","袋","8.48"]
["【高危】氯化钾注射液","支","1.20"]
["【高危】氯化钾注射液","支","0.69"]
["【高危】氯化钾注射液","支","0.17"]
["复方托吡卡胺滴眼液(卓比安)","支","5.00"]
["葡萄糖酸钙片","片","0.03"]
["盐酸环喷托酯滴眼液(赛飞杰)","支","56.14"]
["复方托吡卡胺滴眼液(美多丽)","支","34.43"]
["重组牛碱性成纤维细胞生长因子滴眼液","支","21.09"]
["注射用吲哚菁绿","支","104.00"]
["注射用吲哚菁绿","支","108.00"]
["注射用吲哚菁绿","支","108.00"]
["10%荧光素钠注射液(历设得)","支","87.32"]
["磷酸可待因片","片","0.85"]
["氨酚双氢可待因片(路盖克)","盒","38.34"]
["盐酸哌替啶注射液","支","2.95"]
["枸橼酸芬太尼注射液","支","4.20"]
["苯巴比妥片","片","0.23"]
["苯巴比妥片","片","0.53"]
["阿普唑仑片","片","0.03"]
["阿普唑仑片","片","0.03"]
["地西泮注射液","支","7.98"]
["地西泮注射液","支","9.90"]
["地西泮注射液","支","0.22"]
["咪达唑仑注射液(力月西)","支","21.50"]
["西瓜霜润喉片","盒","4.33"]
["妥布霉素地塞米松滴眼液(典必殊)","支","26.52"]
["甲钴胺片(怡神保)","盒","13.56"]
["双氯芬酸钠肠溶片(扶他林)","盒","16.80"]
["多潘立酮片(吗丁啉)","盒","12.60"]
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["酒石酸溴莫尼定滴眼液(阿法根)","支","69.02"]
["拉坦前列素滴眼液(适利达)","支","170.61"]
["洛度沙胺滴眼液(阿乐迈)","支","27.94"]
["复方樟柳碱注射液","支","17.97"]
["2%强化戊二醛消毒液","桶","27.00"]
["卡巴胆碱注射液(卡米可林)","支","22.50"]
["环孢素滴眼液(田可明)","支","338.26"]
["灭菌注射用水","瓶","1.90"]
["灭菌注射用水","瓶","1.97"]
["灭菌注射用水","瓶","2.50"]
["灭菌注射用水","瓶","5.00"]
["卵磷脂络合碘片(沃丽汀)","盒","115.62"]
["肌苷注射液","支","0.16"]
["肌苷注射液","支","0.11"]
["20%荧光素钠注射液","支","25.00"]
["醋甲唑胺片(尼目克司)","盒","25.50"]
["护肝片","瓶","13.30"]
["护肝片","瓶","20.50"]
["阿卡波糖片(拜唐苹)","盒","7.51"]
["碳酸氢钠片","瓶","15.00"]
["碳酸氢钠片","瓶","11.97"]
["碳酸氢钠片","瓶","16.80"]
["盐酸氯胺酮注射液","支","1.22"]
["盐酸氯胺酮注射液","支","2.78"]
["氧氟沙星眼膏(泰利必妥)","支","23.43"]
["氧氟沙星滴眼液(泰利必妥)","支","18.04"]
["硝酸甘油注射液","支","16.80"]
["硝酸甘油注射液","支","11.80"]
["重酒石酸去甲肾上腺素注射液","支","10.70"]
["重酒石酸去甲肾上腺素注射液","支","29.80"]
["重酒石酸去甲肾上腺素注射液","支","22.00"]
["注射用阿昔洛韦","支","3.39"]
["注射用阿昔洛韦","支","3.39"]
["注射用阿昔洛韦","支","5.00"]
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["醋酸泼尼松片","瓶","10.90"]
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["维生素B6注射液","支","0.43"]
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["50%葡萄糖注射液","支","1.13"]
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["地塞米松磷酸钠注射液","支","1.36"]
["盐酸普罗帕酮注射液","支","7.00"]
["左氧氟沙星滴眼液(可乐必妥)","支","27.95"]
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["右旋糖酐羟丙甲纤维素滴眼液(倍然)","盒","94.92"]
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["去乙酰毛花苷注射液","支","89.00"]
["地西泮片","瓶","4.86"]
["地西泮片","瓶","1.35"]
["地西泮片","瓶","2.20"]
["氯化琥珀胆碱注射液","支","50.00"]
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["复方氯化钠注射液","瓶","1.60"]
["复方氯化钠注射液","瓶","2.20"]
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["苯巴比妥钠注射液","支","1.05"]
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["雷珠单抗注射液(诺适得)","支","3950.00"]
["吡哌酸片","盒","27.50"]
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["碳酸钙D3咀嚼片(凯思立D)","瓶","19.50"]
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["注射用甲泼尼龙琥珀酸钠(大甲)","支","120.79"]
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["多维元素片","瓶","25.83"]
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["对乙酰氨基酚混悬液(泰诺林)","瓶","7.74"]
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["夫西地酸滴眼液(夫司名)","支","56.50"]
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["聚乙烯醇滴眼液(瑞珠)","盒","21.90"]
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["20%甘露醇注射液","瓶","12.60"]
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["75%酒精消毒液(医用)","瓶","4.50"]
["75%酒精消毒液(医用)","瓶","5.00"]
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["5%葡萄糖注射液","袋","8.74"]
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["复方甘草片","瓶","10.50"]
["复方甘草片","瓶","6.50"]
["复方甘草片","瓶","7.20"]
["复方甘草片","瓶","8.70"]
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["右旋糖酐40葡萄糖注射液","瓶","5.70"]
["右旋糖酐40葡萄糖注射液","瓶","9.10"]
["10%葡萄糖注射液","瓶","1.24"]
["10%葡萄糖注射液","瓶","6.71"]
["10%葡萄糖注射液","瓶","1.30"]
["10%葡萄糖注射液","瓶","1.20"]
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["注射用维库溴铵","瓶","3.15"]
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["对乙酰氨基酚混悬滴剂(泰诺林)","盒","13.00"]
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["吸入用七氟烷","瓶","664.03"]
["氟康唑滴眼液(乐佳松)","支","25.00"]
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["胞磷胆碱钠胶囊","盒","22.70"]
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["安尔碘Ⅲ型","瓶","3.60"]
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["明目蒺藜丸","瓶","15.00"]
["杞明胶囊","盒","24.26"]
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["盐酸托烷司琼注射液(欣贝)","支","19.60"]
["75%酒精消毒液","瓶","1.15"]
["75%酒精消毒液","瓶","1.75"]
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["胞磷胆碱钠片","盒","32.17"]
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["复方丹参滴丸(薄膜衣)","瓶","26.08"]
["人血白蛋白","瓶","210.00"]
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["胞磷胆碱钠胶囊(思考林)","盒","31.19"]
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["加替沙星滴眼液(美清朗)","支","16.41"]
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["卡波姆眼用凝胶(立宝舒)","支","37.08"]
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["夏天无滴眼液","支","26.80"]
["浓氯化钠注射液10%","支","0.50"]
["洁肤柔免洗手消毒凝胶","瓶","55.00"]
["核黄素磷酸钠注射液","支","21.50"]
["拉坦前列素滴眼液(瑞达喜)","支","98.86"]
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["甲泼尼龙片（美卓乐）","盒","26.33"]
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["盐酸丙美卡因滴眼液(氟易)","盒","94.90"]
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["苯磺酸氨氯地平片(络活喜)","盒","29.88"]
["缬沙坦胶囊(代文)","盒","34.26"]
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["盐酸普罗帕酮片","瓶","6.50"]
["盐酸普罗帕酮片","瓶","7.00"]
["甲硝唑氯化钠注射液","袋","3.84"]
["甲硝唑氯化钠注射液","袋","7.70"]
["辛伐他汀片","盒","40.54"]
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["盐酸胺碘酮注射液","支","24.43"]
["阿司匹林肠溶片","盒","15.05"]
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["盐酸氨溴索注射液","支","0.41"]
["免洗消毒凝胶","瓶","25.00"]
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["【高危】50/50混合重组人胰岛素注射液","支","46.60"]
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["【高危】30/70混合重组人胰岛素注射液","支","43.20"]
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["盐酸左氧氟沙星滴眼液(海伦)","支","17.01"]
["皮肤消毒液","瓶","23.80"]
["注射用苯巴比妥钠","支","40.00"]
["注射用苯巴比妥钠","支","67.50"]
["碳酸钙D3咀嚼片(凯思立D)","瓶","54.00"]
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["地西泮片(板)","盒","4.80"]
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["盐酸克林霉素胶囊","盒","3.00"]
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["对乙酰氨基酚片","盒","1.90"]
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["硫辛酸胶囊","盒","99.50"]
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["阿莫西林克拉维酸钾（2:1）咀嚼片","盒","23.93"]
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["托吡卡胺滴眼液","支","8.00"]
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["碳酸氢钠注射液（袋）","袋","11.34"]
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["红霉素眼膏","支","5.80"]
["丹参酮胶囊","瓶","20.55"]
["左氧氟沙星片","盒","45.72"]
["多磺酸粘多糖乳膏","支","25.47"]
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["布洛芬混悬液（美林）","瓶","5.74"]
["蒙脱石散","盒","11.70"]
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["免洗消毒凝胶","瓶","15.00"]
["他氟前列素滴眼液(泰普罗斯)","支","74.80"]
["盐酸氮卓斯汀滴眼液(爱赛平)","支","39.46"]
["卡托普利片","盒","20.54"]
["甲钴胺注射液","支","14.04"]
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["前列地尔注射液","支","88.30"]
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["地塞米松玻璃体内植入剂","支","3800.00"]
["注射用甲泼尼龙琥珀酸钠(国产)","支","2.99"]
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["布地奈德鼻喷雾剂（雷诺考特）","支","54.06"]
["碳酸钙D3片（钙尔奇）","盒","27.04"]
["磺胺醋酰钠滴眼液","支","11.21"]
["阿普唑仑片(板)","盒","16.80"]
["阿普唑仑片(板)","盒","7.70"]
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["酒石酸溴莫尼定滴眼液(阿法舒)","支","65.13"]
["云南白药创可贴","盒","18.00"]
["桂林西瓜霜含片","盒","11.82"]
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["溴芬酸钠滴眼液(叙清)","支","49.79"]
["复明片","瓶","26.06"]
["伏立康唑胶囊","盒","269.22"]
["注射用丝裂霉素","支","415.00"]
["盐酸纳洛酮注射液","支","4.49"]
["硝酸甘油片","瓶","25.70"]
["盐酸莫西沙星滴眼液（维莫思）","支","30.60"]
["生理氯化钠溶液","瓶","3.09"]
["生理氯化钠溶液","瓶","2.40"]
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["注射用头孢曲松钠(罗氏芬)","支","36.01"]
["地夸磷索钠滴眼液(丽爱思)","支","93.91"]
["盐酸多西环素片","瓶","18.40"]
["盐酸多西环素片","瓶","94.56"]
["依托咪酯乳状注射液","支","37.74"]
["苯磺酸氨氯地平片","盒","0.49"]
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["硫酸沙丁胺醇吸入气雾剂","盒","19.79"]
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["膦甲酸钠氯化钠注射液","瓶","75.79"]
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["布地奈德鼻喷雾剂","支","45.00"]
["辛伐他汀片","盒","15.67"]
["注射用普罗碘铵","支","159.00"]
["盐酸莫西沙星片(适必达)","盒","8.33"]
["酒石酸溴莫尼定滴眼液(汇恩兰德)","支","41.80"]
["硝苯地平缓释片","盒","7.74"]
["黄连上清片","盒","2.05"]
["氯替泼诺混悬滴眼液","支","94.00"]
["卡托普利片","瓶","3.49"]
["卡托普利片","瓶","2.30"]
["注射用哌拉西林钠他唑巴坦钠","支","13.17"]
["苯磺酸氨氯地平片","盒","0.96"]
["止血祛瘀明目片","盒","79.80"]
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["复方氯化钠注射液","袋","6.30"]
["乳酸环丙沙星氯化钠注射液","瓶","19.60"]
["板蓝根滴眼液","支","38.80"]
["卡格列净片(怡可安)","盒","40.80"]
["注射用美罗培南","支","64.69"]
["盐酸艾司氯胺酮注射液","支","91.80"]
["左氧氟沙星滴眼液(利显)","支","8.60"]
["奥美拉唑肠溶胶囊","盒","5.61"]
["甲钴胺片","盒","8.47"]
["盐酸二甲双胍片","盒","3.40"]
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["头孢克洛胶囊(可福乐)","盒","12.38"]
["注射用盐酸托烷司琼","支","4.13"]
["阿司匹林肠溶片","瓶","0.78"]
["苯磺顺阿曲库铵注射液","支","49.00"]
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["注射用胞磷胆碱钠","支","2.65"]
["硝苯地平缓释片(Ⅱ)","盒","5.88"]
["酒石酸美托洛尔片","盒","1.77"]
["酒石酸美托洛尔片","盒","5.91"]
["盐酸西替利嗪片（贝分）","盒","5.34"]
["注射用苯磺顺阿曲库铵","支","10.77"]
["布林佐胺溴莫尼定滴眼液(派立定)","支","63.00"]
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["左氧氟沙星片","盒","24.00"]
["曲克芦丁注射液","支","19.80"]
["盐酸奥洛他定滴眼液","支","19.88"]
["盐酸奥洛他定滴眼液","支","24.28"]
["佐匹克隆片（三辰）","盒","22.80"]
["【高危】人胰岛素注射液(甘舒霖R)","支","28.96"]
["甲磺酸倍他司汀片(敏使朗)","盒","11.39"]
["注射用葛根素","支","28.00"]
["伏立康唑片","盒","1044.00"]
["溴芬酸钠滴眼液(卓立平)","盒","75.60"]
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["羟苯磺酸钙片","盒","22.50"]
["乙酰唑胺片","盒","79.83"]
["牛碱性成纤维细胞生长因子滴眼液","盒","60.00"]
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["硝酸甘油喷雾剂","支","238.00"]
["卡格列净片","盒","52.77"]
["注射用尖吻蝮蛇血凝酶","支","62.20"]
["阿昔洛韦片","盒","15.56"]
["注射用头孢曲松钠(达力嗪)","支","3.58"]
["注射用阿奇霉素","支","7.36"]
["注射用头孢唑林钠(卓征)","支","10.60"]
["酒石酸美托洛尔片","盒","2.62"]
["盐酸莫西沙星滴眼液（科洛欣）","支","10.28"]
["对乙酰氨基酚片","盒","0.59"]
["注射用两性霉素B","支","75.00"]
["【高危】50R精蛋白人胰岛素混合注射液","支","28.96"]
["阿达木单抗注射液(修美乐)","支","1290.00"]
["盐酸卡替洛尔滴眼液(小美开朗)","盒","80.00"]
["氢氯噻嗪片","瓶","4.63"]
["氢氯噻嗪片","瓶","26.80"]
["硝酸甘油片","瓶","41.00"]
["和血明目片","盒","66.51"]
["艾地苯醌片","盒","82.87"]
["【高危】甘精胰岛素注射液","盒","80.98"]
["丙氨酰谷氨酰胺注射液","瓶","89.70"]
["盐酸奥布卡因滴眼液","支","14.88"]
["他氟前列素滴眼液(小泰普罗斯)","盒","442.80"]
["湿润烧伤膏","支","75.00"]
["更昔洛韦眼用凝胶(丽科明)","支","30.80"]
["酒石酸溴莫尼定滴眼液(可安明)","盒","63.20"]
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["氯化钠注射液(冲洗用)","瓶","3.19"]
["3%地夸磷索钠滴眼液(润立明)","盒","100.00"]
["硝苯地平缓释片(Ⅱ)","瓶","2.10"]
["头孢克洛干混悬剂","盒","11.80"]
["甲泼尼龙片","盒","10.80"]
["氨咖黄敏胶囊","盒","2.81"]
["葡萄糖酸钙片","盒","26.29"]
["布洛芬缓释胶囊","盒","12.45"]
["感冒灵颗粒","盒","9.80"]
["布洛芬片","瓶","14.95"]
["布洛芬片","瓶","24.46"]
["奈玛特韦片/利托那韦片","盒","1790.00"]
["阿兹夫定片","瓶","174.65"]
["连花清瘟胶囊","盒","11.09"]
["吡哌酸片","盒","36.00"]
["盐酸小檗碱片","瓶","28.00"]
["辛伐他汀片","盒","2.96"]
["注射用阿替普酶（爱通立）","盒","3570.00"]
["黄连上清胶囊","盒","22.26"]
["注射用甲泼尼龙琥珀酸钠（命得生）","支","13.44"]
["复方血栓通胶囊","盒","36.58"]
["甲硝唑氯化钠注射液","袋","4.13"]
["甲硝唑氯化钠注射液","袋","9.50"]
["碳酸氢钠林格注射液","袋","14.60"]
["复明片","瓶","42.63"]
["递法明片","盒","270.00"]
["氢溴酸樟柳碱注射液","支","118.39"]
["盐酸莫西沙星片(适必达)","盒","16.24"]
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["盐酸克林霉素注射液","支","18.60"]
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["康柏西普眼用注射液(预充式朗沐)","支","3452.80"]
["注射用伏立康唑","支","34.70"]
["阿卡波糖片","盒","5.42"]
["注射用氨曲南","支","21.48"]
["西瓜霜润喉片","盒","10.00"]
["葛根素注射液","支","36.70"]

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