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序号项目编码项目名称报销类别拼音助记码省级价格市级价格县级价格1250203061血浆凝血酶调节蛋白活性检测(TMA)1XJNX24.0020.0017.002250203056血浆组织纤溶酶原活化物活性检测1XJZZ24.0020.0017.003250203050血浆肝素含量测定1XJGS24.0020.0017.004250304010血清碳酸氢盐(HCO3)测定1XQTS8.007.006.005250104001胸、腹水常规检查1XFSC8.007.006.006250203035凝血酶时间测定(TT)1NXMS13.0011.009.007250301015α1抗胰蛋白酶1AKYD8.007.006.008250301011脑脊液寡克隆电泳分析1NJYK6.005.004.009250104013前列腺液常规检查1QLXY5.004.004.0010250202016高铁血红蛋白还原试验(MHB？RT)1GTXH19.0016.0013.0011250202006红细胞自身溶血及纠正试验1HXBZ6.005.004.0012250201007骨髓特殊染色及酶组织化学染色检1GSTS16.0014.0011.0013250101009白细胞计数(WBC)1BXBJ2.002.002.0014250101005网织红细胞计数(RET)1WZHX4.004.003.0015250203031血浆凝血因子活性测定1XJNX25.0021.0018.0016250203021复钙时间测定及其纠正试验1FGSJ6.005.004.0017250310032雄烯二酮测定1XXET22.0019.0015.00182503100290促红细胞生成素测定1CHXB36.0031.0025.0019250307025尿草酸测定1NCSC8.007.006.0020250307020尿碳酸氢盐(HCO3)测定1NTSQ8.007.006.00212504030141丙型肝炎病毒抗体测定(ANTI-HCV)1BXGYBD45.0038.0032.00222501010051网织红细胞计数1WZHX15.0013.0011.0023250501026真菌涂片检查1ZJTP5.004.004.0024250501027真菌培养及鉴定1ZJPY50.0043.0035.0025250501034支原体培养及药敏1ZYTP80.0068.0056.0026250310025尿香草苦杏仁酸(VMA)测定1NXCK20.0017.0013.0027250307018酸负荷试验1SFHS14.0012.009.0028250303012血清载脂蛋白E测定1XQZZ9.007.006.0029250203067α2-巨球蛋白测定1JQDB23.0019.0015.0030250203030血红蛋白H测定（血浆纤维蛋白原测定）1XJXW11.009.008.0031250203019血浆血栓烷B2测定(TXB2)1XJXS24.0020.0016.0032250203014血小板第4因子有效性测定(PF4)1XXBD17.0014.0011.0033250203007阿斯匹林耐量试验(ATT)1ASPL17.0014.0011.00342501010182血细胞分析或血常规1XXBF22.0020.0018.0035250101015异常白细胞形态检查1YCBX6.005.004.0036s250402008免疫球蛋白E定量（IgE定量）变态反应1MYQD72.0062.0046.0037s250306003电化学发光法检测心肌标志物1DHXF85.0072.0056.0038250202036红细胞电泳测定1HXBD17.0014.0011.0039250202026血红蛋白电泳1XHDB18.0015.0012.0040250202014微量补体溶血敏感试验1WLBT5.004.003.0041250104017十二指肠引流液及胆汁检查1SEZC6.005.004.0042250104015羊水结晶检查1YSJJ7.006.005.0043250102032尿中包涵体检查1NZBH5.004.003.0044250102027一小时尿沉渣计数1YXSN5.004.003.0045s250403002人微小病毒抗体测定（ANTI-B19）1RWXBD70.0060.0046.0046430000008眼针1YZ25.0021.0019.0047430000004馋针1CZ20.0017.0014.0048460000011肛瘘封堵术1GLFD800.00680.00520.0049460000006环状混合痔切除术1HZHH700.00595.00455.005041000000504中药封包治疗（小）1ZYFB15.0012.009.0051420000016骨折畸形愈合手法折骨术1GZJX240.00220.00200.0052440000007督灸1DJ25.0022.0020.0053460000014手术扩肛治疗1SSKG400.00350.00300.0054250501037病毒培养与鉴定2BDPY50.0043.0033.0055250402038抗角蛋白抗体(AKA)测定2KJDB25.0021.0016.0056250311004尿脱氧吡啶酚测定2NTYB15.0013.0010.0057250203072血浆粘度测定2XJND10.009.007.0058210200003脑功能成象﹤0.5T2NGNC315.00315.00315.005921030000003CT成像头颈联合扫描2CTCXTJ8000.008000.008000.00602102000021磁共振增强扫描0.5-1T2CGZZ330.00330.00330.00612103000013X线计算机64体层以上(CT)平扫2XXJSJ390.00390.00390.0062210200010二手核磁共振2ESHC100.00100.00100.0063210103002脑血管造影2NXGZ240.00240.00240.00642103000023X线计算机64体层以上(CT)增强扫2XXJSJ450.00450.00450.00652103000022X线计算机16-40体层(CT)增强扫描2XXJSJ320.00320.00320.0066210300010二手CT2ESCT30.0030.0030.0067210103022经内窥镜逆行胰胆管造影(ERCP)2JNKJ480.00480.00480.00682103000052临床操作的1-8体层CT定位2LCCZD300.00300.00300.00692102000073磁共振波谱分析(MRS)1-3T2CGZP645.00645.00645.00702102000062磁共振水成象(MRCP，MRM，MRU)1T2CGZS540.00540.00540.00712102000051磁共振血管成象(MRA)0.5-1T2CGZX340.00340.00340.00722102000034脑功能成象3T2NGNC890.00890.00890.007321030000522临床操作的64体层以上CT定位2LCCZ800.00800.00800.00742103000041X线计算机1-8体层(CT)成像2XXJS570.00570.00570.0075210200004磁共振心脏功能检查﹤0.5T2CGZX270.00270.00270.00762102000022磁共振增强扫描1T2CGZZ550.00550.00550.00772102000011磁共振平扫0.5-1T2CGZP300.00300.00300.00782103000051临床操作的CT引导2LCCZ100.00100.00100.0079210300007热断层扫描成像2RDCS600.00550.00500.0080210300002X线计算机体层(CT)增强扫描2XXJS150.00150.00150.0081210103024T管造影2TGZY240.00240.00240.00821201000142会阴冲洗2HYCX5.004.003.00831201000141口腔护理2KQHL5.004.003.0084260000007血型单特异性抗体鉴定1XXDT40.0034.0028.0085260000002ABO血型鉴定1ABOX12.0010.008.0086260000017血小板特异性和组织相关融性(HLA)抗体检测1XXBT120.00102.0078.00872600000240不规则抗体筛查1BGZKT5.004.004.0088260000008血型抗体特异性鉴定(吸收试验)1XXKT30.0026.0021.0089260000003ABO亚型鉴定1ABOY40.0034.0028.0090260000010血型抗体效价测定1XXKT30.0026.0021.0091260000005RH血型其他抗原鉴定1RHXX20.0017.0014.0092260000015Rh阴性确诊试验1RHYX30.0026.0020.0093260000013疑难交叉配血1YNJC30.0026.0021.0094260000019血小板交叉配合试验1XXBJ25.0021.0016.0095260000016白细胞特异性和组织相关融性(HLA)抗体检测1BXBT120.00102.0078.0096260000009血型抗体特异性鉴定(放散试验)1XXKT30.0026.0021.0097260000004RH血型鉴定1RHXX16.0014.0011.0098260000011盐水介质交叉配血1YSJZ4.003.003.0099260000006特殊血型抗原鉴定1TSXX20.0017.0014.00100260000001ABO红细胞定型1ABOH6.005.004.00101260000020淋巴细胞毒试验1LBXB60.0051.0039.00102260000012特殊介质交叉配血1TSJZ25.0021.0018.00103220800002彩色打印照片1CSDY12.0012.0012.00104220301003床旁彩色多普勒超声检查加收1CPCS40.0034.0028.00105220800006彩色胶片照相1CSJP12.0012.0012.001062202010080术中B超检查1SZBCJC100.00100.00100.00107220202003临床操作的腔内B超引导1LCCZ100.00100.00100.00108220700004组织多普勒显象(TDI)1ZZDP40.0040.0040.00109220201009临床操作的B超引导1LCCZ50.0050.0050.00110310901007a经胃镜食管静脉曲张治疗用套扎机2JWJS20000.0020000.0020000.00111310702008a埋藏式心脏复律除颤器安置用除颤器2MCSX20000.0020000.0020000.00112310521004a义齿夹板材料2GZHY20000.0020000.0020000.00113310520001c垫用咬合板材料2DYYH20000.0020000.0020000.00114310511025a根管内固定术用特殊固定材料2GGNG20000.0020000.0020000.00115310300071视网膜地形图2SWMD100.0085.0070.00116311201022妇科晚期恶性肿瘤减瘤术2FKWQ1000.00850.00650.001173112010041电子阴道镜检查2DZYD50.0043.0035.00118311000002腹透