| 种植体植入费 (全牙弓) |
per case |
¥6,500 |
¥5,850 |
¥5,265 |
Excl: 种植体、封闭螺丝、基台、愈合基台、保护帽
1.上下颌分别进行桥式修复的,分别计价收费; 2.种植体即刻种植加收10%; 3.颅颌面种植体植入加收30%; 4.种植体倾斜植入加收10%; 5.种植覆盖义齿按50%收费。
|
☆
|
| 种植牙冠修复置入费(固定咬合重建) |
per piece |
¥4,500 |
¥4,050 |
¥3,645 |
Excl: 基台、牙冠、金属桥架、氧化锆桥架、转移杆、替代体、牙龈瓷、牙冠、义齿
1.上下颌可分别计价收费; 2.即刻修复置入加收10%。
|
☆
|
| Resection of skull base tumor via maxillary approach |
per session |
¥3,600 |
¥3,240 |
¥2,916 |
Excl: 脑室引流管
|
☆
|
| Transmandibular approach atlantoaxial tumor resection with bone grafting, fusion and flap reconstruction |
per session |
¥3,000 |
¥2,700 |
¥2,430 |
Excl: 内固定材料,人工骨,骨修复材料,特殊缝线,止血材料
|
☆
|
| Transmandibular approach axis tumor resection with bone grafting, fusion and internal fixation |
per vertebra |
¥2,800 |
¥2,520 |
¥2,268 |
Excl: 内固定材料,人工骨,骨修复材料,特殊缝线,止血材料
同上
|
☆
|
| Combined intraoral and extraoral approach Le Fort III osteotomy (fronto-orbito-zygomatico-maxillary) |
per session |
¥2,800 |
¥2,520 |
¥2,268 |
Excl: 止血材料,内固定材料
|
☆
|
| Combined intraoral and extraoral approach Le Fort II osteotomy (fronto-orbito-maxillary) |
per session |
¥2,600 |
¥2,340 |
¥2,106 |
Excl: 止血材料,内固定材料
|
☆
|
| Resection of oropharyngeal tumor via mandibular approach |
per session |
¥2,500 |
¥2,250 |
¥2,025 |
Excl: 内固定材料,止血材料
|
☆
|
| 显微镜下经枕下乙状窦后入路舌咽神经切断术 |
per session |
¥2,500 |
¥2,250 |
¥2,025 |
Excl: 人工补片,特殊缝线
|
☆
|
| 显微镜下舌咽神经根血管减压术 |
per session |
¥2,500 |
¥2,250 |
¥2,025 |
Excl: 特殊缝线
|
☆
|
| Le Fort I osteotomy with segmentation |
per session |
¥2,400 |
¥2,160 |
¥1,944 |
Excl: 止血材料,内固定材料,牵张器
|
☆
|
| Extended maxillectomy |
per session |
¥2,300 |
¥2,070 |
¥1,863 |
Excl: 止血材料
|
☆
|
| Le Fort I osteotomy |
per session |
¥2,200 |
¥1,980 |
¥1,782 |
Excl: 止血材料,内固定材料
|
☆
|
| Mandibular defect repair with free vascularized bone flap |
unilateral (one side) |
¥2,200 |
¥1,980 |
¥1,782 |
Excl: 内固定材料,止血材料
|
☆
|
| Repair of complex oral and maxillofacial tissue defect with free osteomyocutaneous flap transplantation |
per session |
¥2,200 |
¥1,980 |
¥1,782 |
Excl: 内固定材料,止血材料
|
☆
|
| Resection of nasopharyngeal tumor via hard palate approach |
per session |
¥2,200 |
¥1,980 |
¥1,782 |
Excl: 内固定材料,止血材料
|
☆
|
| Transplantation for facial and jaw bone defects |
per session |
¥2,200 |
¥1,980 |
¥1,782 |
Excl: 内固定材料
|
☆
|
| Total maxillectomy |
per session |
¥2,000 |
¥1,800 |
¥1,620 |
Excl: 止血材料
|
☆
|
| Titanium mesh tray and cancellous bone graft for maxillary defect |
unilateral (one side) |
¥2,000 |
¥1,800 |
¥1,620 |
Excl: 止血材料,内固定材料
|
☆
|
| Anterior mandibular subapical osteotomy |
unilateral (one side) |
¥2,000 |
¥1,800 |
¥1,620 |
Excl: 特殊缝线,内固定材料,止血材料
分段截骨加收不超过800元
|
☆
|
| Atypical osteotomy of mandibular ramus |
unilateral (one side) |
¥2,000 |
¥1,800 |
¥1,620 |
Excl: 止血材料,内固定材料
|
☆
|
| Mandibular defect repair with prosthesis implantation |
unilateral (one side) |
¥2,000 |
¥1,800 |
¥1,620 |
Excl: 内固定材料,止血材料
|
☆
|
| Mandibular defect repair with pedicled bone graft |
unilateral (one side) |
¥2,000 |
¥1,800 |
¥1,620 |
Excl: 内固定材料,止血材料
|
☆
|
| Repair of mandibular defect with free bone graft |
unilateral (one side) |
¥2,000 |
¥1,800 |
¥1,620 |
Excl: 内固定材料,止血材料
骨缺损大于3厘米,每增加1厘米加收不超过400元。
|
☆
|
| Mandibular defect repair using mesh tray and cancellous bone graft |
unilateral (one side) |
¥2,000 |
¥1,800 |
¥1,620 |
Excl: 内固定材料,止血材料
骨缺损大于3厘米,每增加1厘米加收不超过300元。
|
☆
|
| Total mandibulectomy |
per session |
¥2,000 |
¥1,800 |
¥1,620 |
Excl: 止血材料
|
☆
|
| Intraoral vertical ramus osteotomy |
unilateral (one side) |
¥2,000 |
¥1,800 |
¥1,620 |
Excl: 内固定材料,止血材料
|
☆
|
| 口腔颌面部软组织缺损游离皮瓣移植修复术 |
per session |
¥2,000 |
¥1,800 |
¥1,620 |
|
☆
|
| 口腔黏膜游离移植与阴囊中隔岛状皮瓣耦合尿道下裂修复术 |
per session |
¥2,000 |
¥1,800 |
¥1,620 |
Excl: 特殊缝线
|
☆
|
| Endoscopic transnasal maxillary sinus approach repair of orbital floor fracture |
unilateral (one side) |
¥2,000 |
¥1,800 |
¥1,620 |
Excl: 扩张导管
|
☆
|
| 经鼻内镜上颌窦翼腭窝颞下窝病变切除术 |
unilateral (one side) |
¥2,000 |
¥1,800 |
¥1,620 |
|
☆
|
| Resection of central vascular malformation of jaw |
per session |
¥2,000 |
¥1,800 |
¥1,620 |
Excl: 内固定材料,止血材料
|
☆
|
| Maxillary internal distractor placement and distraction osteogenesis |
per site/region |
¥1,900 |
¥1,710 |
¥1,539 |
Excl: 内固定材料
|
☆
|
| Maxillary osteotomy, external distractor placement and distraction osteogenesis |
per site/region |
¥1,900 |
¥1,710 |
¥1,539 |
Excl: 内固定材料,牵张器
|
☆
|
| Posterior mandibular subapical osteotomy |
unilateral (one side) |
¥1,900 |
¥1,710 |
¥1,539 |
Excl: 内固定材料,止血材料
|
☆
|
| Mandibular decortication with dissection of inferior alveolar neurovascular bundle |
per session |
¥1,900 |
¥1,710 |
¥1,539 |
Excl: 止血材料,特殊缝线,内固定材料
|
☆
|
| Microvascular composite flap repair of maxillary defect |
per session |
¥1,800 |
¥1,620 |
¥1,458 |
Excl: 止血材料,内固定材料
|
☆
|
| Microvascular bone graft repair of maxillary defect |
per session |
¥1,800 |
¥1,620 |
¥1,458 |
Excl: 止血材料,内固定材料
|
☆
|
| Pedicled bone graft for maxillary defect |
unilateral (one side) |
¥1,800 |
¥1,620 |
¥1,458 |
Excl: 止血材料,内固定材料
|
☆
|
| Osteotomy and reconstruction for old maxillary fracture |
unilateral (one side) |
¥1,800 |
¥1,620 |
¥1,458 |
Excl: 止血材料,内固定材料
|
☆
|
| Osteotomy of mandibular body |
unilateral (one side) |
¥1,800 |
¥1,620 |
¥1,458 |
Excl: 止血材料,内固定材料
|
☆
|
| Subapical osteotomy of entire mandibular dentition |
unilateral (one side) |
¥1,800 |
¥1,620 |
¥1,458 |
Excl: 特殊缝线,内固定材料,止血材料
|
☆
|
| Sagittal split osteotomy of mandibular ramus |
unilateral (one side) |
¥1,800 |
¥1,620 |
¥1,458 |
Excl: 特殊缝线,内固定材料,止血材料
|
☆
|
| Anterior vertical mandibular body osteotomy for jaw deformity correction |
per session |
¥1,800 |
¥1,620 |
¥1,458 |
Excl: 特殊缝线,内固定材料,止血材料
|
☆
|
| Posterior mandibular body osteotomy |
unilateral (one side) |
¥1,800 |
¥1,620 |
¥1,458 |
Excl: 特殊缝线,内固定材料,止血材料
|
☆
|
| Step osteotomy of mandibular body |
unilateral (one side) |
¥1,800 |
¥1,620 |
¥1,458 |
Excl: 特殊缝线,内固定材料,止血材料
|
☆
|
| Subtotal mandibulectomy |
per session |
¥1,800 |
¥1,620 |
¥1,458 |
Excl: 止血材料
|
☆
|
| Mandibular deformity osteotomy and external distraction osteogenesis |
unilateral (one side) |
¥1,800 |
¥1,620 |
¥1,458 |
Excl: 牵张器,内固定材料,止血材料,特殊缝线
|
☆
|
| Mandibular defect repair by distraction osteogenesis |
unilateral (one side) |
¥1,800 |
¥1,620 |
¥1,458 |
Excl: 牵张器,内固定材料,止血材料
|
☆
|
| Old mandibular fracture osteotomy and bone grafting reconstruction |
unilateral (one side) |
¥1,800 |
¥1,620 |
¥1,458 |
Excl: 内固定材料,止血材料
以1个部位为基价,每增加1个部位加收不超过1000元。
|
☆
|
| Hemimandibulectomy |
per session |
¥1,800 |
¥1,620 |
¥1,458 |
Excl: 止血材料
|
☆
|
| 口内入路颌间挛缩瘢痕切除松解术 |
unilateral (one side) |
¥1,800 |
¥1,620 |
¥1,458 |
Excl: 止血材料
|
☆
|
| 口内外联合入路颌间挛缩松解术 |
unilateral (one side) |
¥1,800 |
¥1,620 |
¥1,458 |
|
☆
|
| Vertical osteotomy of mandibular ramus via extraoral approach |
unilateral (one side) |
¥1,800 |
¥1,620 |
¥1,458 |
Excl: 特殊缝线,内固定材料,止血材料
|
☆
|
| 经鼻内镜翼腭窝病变切除术 |
unilateral (one side) |
¥1,800 |
¥1,620 |
¥1,458 |
|
☆
|
| Combined approach osteotomy correction of fronto-orbito-zygomatic-maxillary region |
unilateral (one side) |
¥1,800 |
¥1,620 |
¥1,458 |
Excl: 内固定材料,人工骨,特殊缝线,止血材料
|
☆
|
| Curettage of fibrous dysplasia lesions of maxillofacial bones |
per session |
¥1,800 |
¥1,620 |
¥1,458 |
Excl: 止血材料
|
☆
|
| Resection and reconstruction for fibrous dysplasia of jaw bones |
per session |
¥1,800 |
¥1,620 |
¥1,458 |
Excl: 特殊缝线,止血材料
|
☆
|
| Genial advancement osteotomy with hyoid suspension |
single jaw (one side) |
¥1,800 |
¥1,620 |
¥1,458 |
Excl: 内固定材料
|
☆
|
| Temporomandibular joint arthroplasty with free bone graft reconstruction |
unilateral (one side) |
¥1,800 |
¥1,620 |
¥1,458 |
Excl: 内固定材料,止血材料
|
☆
|
| Temporomandibular joint arthroplasty |
unilateral (one side) |
¥1,800 |
¥1,620 |
¥1,458 |
Excl: 内固定材料,衬垫材料,止血材料
|
☆
|
| Temporomandibular joint discectomy |
unilateral (one side) |
¥1,800 |
¥1,620 |
¥1,458 |
Excl: 补片,止血材料
|
☆
|
| Temporomandibular joint replacement |
unilateral (one side) |
¥1,800 |
¥1,620 |
¥1,458 |
Excl: 人工颌骨,内固定材料,止血材料
|
☆
|
| 口腔颌面部巨大动静脉畸形切除术 |
per session |
¥1,700 |
¥1,530 |
¥1,377 |
Excl: 止血材料
|
☆
|
| Repair of mandibular defect with vascularized free bone composite tissue flap transplantation |
unilateral (one side) |
¥1,700 |
¥1,530 |
¥1,377 |
Excl: 特殊缝线,内固定材料,止血材料
不得在口腔种植中收取
|
☆
|
| Resection of tongue base tumor via midline approach |
per session |
¥1,700 |
¥1,530 |
¥1,377 |
Excl: 止血材料
|
☆
|
| Extended resection of malignant tumor of tongue |
per session |
¥1,700 |
¥1,530 |
¥1,377 |
Excl: 止血材料
|
☆
|
| Resection of tongue base tumor via suprahyoid approach |
per session |
¥1,700 |
¥1,530 |
¥1,377 |
Excl: 止血材料
|
☆
|
| 颌面部软组织缺损远位肌皮瓣修复术 |
per session |
¥1,700 |
¥1,530 |
¥1,377 |
Excl: 特殊缝线,止血材料
|
☆
|
| Temporomandibular joint disc repositioning and fixation |
unilateral (one side) |
¥1,700 |
¥1,530 |
¥1,377 |
Excl: 补片
|
☆
|
| Open reduction and internal fixation of zygomaticomaxillary fracture |
unilateral (one side) |
¥1,700 |
¥1,530 |
¥1,377 |
Excl: 内固定材料
|
☆
|
| Ⅲ度腭裂修复术 |
per session |
¥1,600 |
¥1,440 |
¥1,296 |
|
☆
|
| Subtotal maxillectomy |
per session |
¥1,600 |
¥1,440 |
¥1,296 |
Excl: 止血材料
|
☆
|
| Intraoral approach open reduction and internal fixation for mandibular fracture |
unilateral (one side) |
¥1,600 |
¥1,440 |
¥1,296 |
Excl: 内固定材料,止血材料
|
☆
|
| Extraoral approach internal fixation for mandibular fracture |
unilateral (one side) |
¥1,600 |
¥1,440 |
¥1,296 |
Excl: 内固定材料,止血材料
|
☆
|
| 硬腭径路鼻咽狭窄闭锁切开成形术 |
per session |
¥1,600 |
¥1,440 |
¥1,296 |
Excl: 扩张导管
|
☆
|
| 颌下腺移植术 |
per session |
¥1,600 |
¥1,440 |
¥1,296 |
|
☆
|
| Genial advancement osteotomy with infrahyoid myotomy |
per session |
¥1,600 |
¥1,440 |
¥1,296 |
Excl: 内固定材料,特殊缝线,止血材料
|
☆
|
| Anterior maxillary segmental osteotomy for setback |
per session |
¥1,500 |
¥1,350 |
¥1,215 |
Excl: 止血材料,内固定材料
|
☆
|
| Posterior maxillary segmental osteotomy |
per session |
¥1,500 |
¥1,350 |
¥1,215 |
Excl: 止血材料,内固定材料
|
☆
|
| Peripyriform osteotomy of maxilla |
unilateral (one side) |
¥1,500 |
¥1,350 |
¥1,215 |
Excl: 止血材料,内固定材料,特殊缝线
|
☆
|
| Maxillectomy and orbital exenteration |
unilateral (one side) |
¥1,500 |
¥1,350 |
¥1,215 |
Excl: 特殊缝线
|
☆
|
| Free bone graft repair of maxillary defect |
per session |
¥1,500 |
¥1,350 |
¥1,215 |
Excl: 止血材料,内固定材料
|
☆
|
| Partial maxillectomy |
per session |
¥1,500 |
¥1,350 |
¥1,215 |
Excl: 止血材料
|
☆
|
| Le Fort II/III fracture open reduction and internal fixation |
unilateral (one side) |
¥1,500 |
¥1,350 |
¥1,215 |
Excl: 内固定材料
上颌矢状骨折固定加收不超过400元
|
☆
|
| Maxillary frontal process osteotomy and contouring |
unilateral (one side) |
¥1,500 |
¥1,350 |
¥1,215 |
Excl: 特殊缝线,内固定材料,止血材料
|
☆
|
| Maxillary corticotomy for expansion |
unilateral (one side) |
¥1,500 |
¥1,350 |
¥1,215 |
Excl: 止血材料,内固定材料,特殊缝线,扩弓器
|
☆
|
| Titanium plate reconstruction of mandibular defect |
unilateral (one side) |
¥1,500 |
¥1,350 |
¥1,215 |
Excl: 内固定材料,止血材料
|
☆
|
| Osteotomy and re-reduction fixation for old mandibular fracture |
unilateral (one side) |
¥1,500 |
¥1,350 |
¥1,215 |
Excl: 内固定材料,止血材料
以1个部位为基价,每增加1个部位加收不超过700元。
|
☆
|
| 全舌切除术 |
per session |
¥1,500 |
¥1,350 |
¥1,215 |
|
☆
|
| Intraoral bone grafting fee (complex) |
per tooth position |
¥1,500 |
¥1,350 |
¥1,215 |
Excl: 人工骨、生物膜、钛网、钛膜、膜钉、钛钉
1.上颌窦囊肿摘除加收10%; 2.口腔以外其他部位取骨加收50%。
|
☆
|
| 口腔颌面部巨大淋巴管畸形切除术 |
per session |
¥1,500 |
¥1,350 |
¥1,215 |
Excl: 止血材料
|
☆
|
| 口腔颌面部巨大静脉畸形切除术 |
per session |
¥1,500 |
¥1,350 |
¥1,215 |
Excl: 止血材料
|
☆
|
| 口腔颌面部软组织缺损带蒂皮瓣修复术 |
per session |
¥1,500 |
¥1,350 |
¥1,215 |
|
☆
|
| 口腔黏膜微粒游离移植阴道再造术 |
per session |
¥1,500 |
¥1,350 |
¥1,215 |
Excl: 特殊缝线
|
☆
|
| Alveolar cleft bone grafting and reconstruction |
per session |
¥1,500 |
¥1,350 |
¥1,215 |
Excl: 内固定材料
|
☆
|
| 经鼻内镜上颌窦下鼻道开窗术 |
unilateral (one side) |
¥1,500 |
¥1,350 |
¥1,215 |
|
☆
|
| 经鼻内镜保留鼻腔外侧壁上颌窦病变切除术 |
unilateral (one side) |
¥1,500 |
¥1,350 |
¥1,215 |
|
☆
|
| 舌咽神经切断术 |
per session |
¥1,500 |
¥1,350 |
¥1,215 |
Excl: 特殊缝线
|
☆
|
| 颌面创伤性软组织缺损局部组织瓣修复术 |
per session |
¥1,500 |
¥1,350 |
¥1,215 |
|
☆
|
| Repair of jaw bone defect |
per session |
¥1,500 |
¥1,350 |
¥1,215 |
Excl: 止血材料,内固定材料
|
☆
|
| Ⅱ度腭裂修复术 |
per session |
¥1,400 |
¥1,260 |
¥1,134 |
|
☆
|
| 半舌切除术 |
per session |
¥1,400 |
¥1,260 |
¥1,134 |
|
☆
|
| 单瓣后退腭裂修复术 |
per session |
¥1,400 |
¥1,260 |
¥1,134 |
Excl: 特殊缝线
|
☆
|
| 反向双“Z”腭裂修复术 |
per session |
¥1,400 |
¥1,260 |
¥1,134 |
|
☆
|
| Extraoral approach partial mandibulectomy |
per session |
¥1,400 |
¥1,260 |
¥1,134 |
Excl: 止血材料
|
☆
|
| 萨氏微创腭裂修复术 |
per session |
¥1,400 |
¥1,260 |
¥1,134 |
Excl: 特殊缝线
|
☆
|
| 血管化组织瓣舌再造术 |
per session |
¥1,400 |
¥1,260 |
¥1,134 |
Excl: 特殊缝线
|
☆
|
| 颊肌黏膜瓣转移腭裂修复术 |
per session |
¥1,400 |
¥1,260 |
¥1,134 |
Excl: 特殊缝线
|
☆
|
| 颌面部神经纤维瘤切除成形术(中) |
per session |
¥1,400 |
¥1,260 |
¥1,134 |
Excl: 止血材料
|
☆
|
| 带蒂复合组织瓣舌再造术 |
per session |
¥1,300 |
¥1,170 |
¥1,053 |
|
☆
|
| 悬雍垂腭咽成形术 |
per session |
¥1,300 |
¥1,170 |
¥1,053 |
Excl: 特殊缝线
|
☆
|
| 经鼻内镜上颌窦中鼻道开放术 |
unilateral (one side) |
¥1,300 |
¥1,170 |
¥1,053 |
|
☆
|
| 腭咽环扎腭裂修复术 |
per session |
¥1,300 |
¥1,170 |
¥1,053 |
|
☆
|
| 舌肿物切除术 |
per session |
¥1,300 |
¥1,170 |
¥1,053 |
|
☆
|
| Ⅰ度腭裂修复术 |
per session |
¥1,200 |
¥1,080 |
¥972 |
|
☆
|
| Anterior maxillary subapical osteotomy for advancement |
per session |
¥1,200 |
¥1,080 |
¥972 |
Excl: 止血材料,内固定材料,特殊缝线
分段截骨加收不超过500元
|
☆
|
| Le Fort I fracture open reduction and internal fixation |
unilateral (one side) |
¥1,200 |
¥1,080 |
¥972 |
Excl: 内固定材料
上颌矢状骨折固定加收不超过300元
|
☆
|
| Mandibular outer cortex harvesting |
per session |
¥1,200 |
¥1,080 |
¥972 |
Excl: 止血材料,内固定材料,特殊缝线
|
☆
|
| 医学3D导板打印 (口腔) |
per piece |
¥1,200 |
¥1,080 |
¥972 |
|
☆
|
| Partial mandibulectomy via intraoral approach |
per session |
¥1,200 |
¥1,080 |
¥972 |
Excl: 止血材料
|
☆
|
| Intraoral bone grafting fee (general) |
per tooth position |
¥1,200 |
¥1,080 |
¥972 |
Excl: 人工骨、生物膜、钛网、钛膜、膜钉、钛钉
|
☆
|
| 咽腭弓成形术 |
per session |
¥1,200 |
¥1,080 |
¥972 |
|
☆
|
| 局部皮瓣舌整形术 |
per session |
¥1,200 |
¥1,080 |
¥972 |
|
☆
|
| 经上颌窦颌内动脉结扎术 |
per session |
¥1,200 |
¥1,080 |
¥972 |
Excl: 止血材料
|
☆
|
| 腭咽成形术 |
per session |
¥1,200 |
¥1,080 |
¥972 |
|
☆
|
| 腭咽肌瓣成形术 |
per session |
¥1,200 |
¥1,080 |
¥972 |
Excl: 特殊缝线
|
☆
|
| 腭瘘修复术 |
per session |
¥1,200 |
¥1,080 |
¥972 |
Excl: 特殊缝线
|
☆
|
| Extended resection of malignant tumor of palate |
per session |
¥1,200 |
¥1,080 |
¥972 |
Excl: 止血材料
|
☆
|
| 软腭前移术 |
per session |
¥1,200 |
¥1,080 |
¥972 |
|
☆
|
| 颊肌黏膜瓣转移+腭咽成形术 |
per session |
¥1,200 |
¥1,080 |
¥972 |
Excl: 特殊缝线
|
☆
|
| 颌面部神经纤维瘤切除成形术(小) |
per session |
¥1,200 |
¥1,080 |
¥972 |
Excl: 止血材料
|
☆
|
| 种植牙冠修复置入费 (单颗) |
per tooth position |
¥1,100 |
¥990 |
¥891 |
Excl: 转移杆、替代体、基台、基台螺丝、冠螺丝、牙冠
1.即刻修复置入加收10%; 2.临时冠修复置入收取30%。
|
☆
|
| 腭咽过度闭合矫正术 |
per session |
¥1,100 |
¥990 |
¥891 |
Excl: 特殊缝线
|
☆
|
| T形瓣上提腭咽成形术 |
per session |
¥1,000 |
¥900 |
¥810 |
Excl: 特殊缝线
|
☆
|
| 上颌窦底提升术-冲顶法 |
unilateral (one side) |
¥1,000 |
¥900 |
¥810 |
Excl: 人工骨
不得在口腔种植中收取
|
☆
|
| 上颌窦底提升术-开窗法 |
unilateral (one side) |
¥1,000 |
¥900 |
¥810 |
Excl: 人工骨
不得在口腔种植中收取
|
☆
|
| Maxillary fracture osteotomy, reduction and internal fixation |
unilateral (one side) |
¥1,000 |
¥900 |
¥810 |
Excl: 内固定材料,特殊缝线,止血材料
|
☆
|
| 伸母短肌游离腭咽环扎成形术 |
per session |
¥1,000 |
¥900 |
¥810 |
Excl: 特殊缝线
|
☆
|
| Intraoral approach removal of mandibular cyst |
per session |
¥1,000 |
¥900 |
¥810 |
Excl: 止血材料
|
☆
|
| Extraoral approach removal of mandibular cyst |
per session |
¥1,000 |
¥900 |
¥810 |
Excl: 止血材料
|
☆
|
| 咽后壁瓣腭咽成形术 |
per session |
¥1,000 |
¥900 |
¥810 |
|
☆
|
| 巨舌畸形矫正术 |
per session |
¥1,000 |
¥900 |
¥810 |
Excl: 止血材料,特殊缝线
|
☆
|
| 种植牙冠修复置入费(连续冠桥修复) |
per tooth position |
¥1,000 |
¥900 |
¥810 |
Excl: 转移杆、替代体、基台、基台螺丝、冠螺丝、牙冠、义齿
1.即刻修复置入加收10%; 2.临时冠修复置入收取30%; 3.修复置入超过4个牙位的,超出部分每牙位按30%收费。
|
☆
|
| 经鼻内镜上颌窦根治术 |
unilateral (one side) |
¥1,000 |
¥900 |
¥810 |
|
☆
|
| 腭弓成形术 |
unilateral (one side) |
¥1,000 |
¥900 |
¥810 |
|
☆
|
| 腭部良性肿物切除术 |
per session |
¥1,000 |
¥900 |
¥810 |
Excl: 人工皮肤,补片,止血材料
|
☆
|
| 舌下腺摘除术 |
per session |
¥1,000 |
¥900 |
¥810 |
|
☆
|
| 颊肌黏膜瓣转移腭瘘修复术 |
per session |
¥1,000 |
¥900 |
¥810 |
Excl: 特殊缝线
|
☆
|
| 颌下腺摘除术 |
per session |
¥1,000 |
¥900 |
¥810 |
|
☆
|
| Bone graft harvest from chin and external oblique ridge of mandible |
per session |
¥1,000 |
¥900 |
¥810 |
Excl: 充填材料
|
☆
|
| Intraoral bone grafting fee (simple) |
per tooth position |
¥900 |
¥810 |
¥729 |
Excl: 人工骨、生物膜、膜钉
|
☆
|
| 上颌窦开窗异物取出术 |
per session |
¥800 |
¥720 |
¥648 |
|
☆
|
| 上颌窦根治术 |
unilateral (one side) |
¥800 |
¥720 |
¥648 |
|
☆
|
| Maxillary cyst enucleation |
per session |
¥800 |
¥720 |
¥648 |
Excl: 止血材料
|
☆
|
| 下牙槽神经解剖移位术 |
unilateral (one side) |
¥800 |
¥720 |
¥648 |
Excl: 人工骨
|
☆
|
| Oroantral fistula closure with mucoperiosteal flap transfer |
unilateral (one side) |
¥800 |
¥720 |
¥648 |
Excl: 止血材料
|
☆
|
| 牙齿冷光漂白术 |
per course/treatment |
¥800 |
¥720 |
¥648 |
为全口治疗
|
☆
|
| 牙龈成形术 |
per session |
¥800 |
¥720 |
¥648 |
Excl: 人工皮肤
|
☆
|
| 甲状舌管囊肿切除术 |
per session |
¥800 |
¥720 |
¥648 |
|
☆
|
| 甲状舌管瘘切除术 |
per session |
¥800 |
¥720 |
¥648 |
|
☆
|
| 经鼻内镜上颌窦动脉结扎术 |
unilateral (one side) |
¥800 |
¥720 |
¥648 |
|
☆
|
| Free bone graft in edentulous area |
per session |
¥800 |
¥720 |
¥648 |
Excl: 人工骨,内固定材料
不得在口腔种植中收取
|
☆
|
| 腭帆缩短术 |
per session |
¥800 |
¥720 |
¥648 |
|
☆
|
| 舌下腺囊肿袋形术 |
per session |
¥800 |
¥720 |
¥648 |
|
☆
|
| 颌面部严重软组织挫裂伤清创缝合术 |
per session |
¥800 |
¥720 |
¥648 |
|
☆
|
| 种植牙冠修理费 |
per tooth position |
¥750 |
¥675 |
¥608 |
Excl: 基台、基台螺丝、冠螺丝、上部修复部件
|
☆
|
| Curettage for marginal osteomyelitis of mandible |
per site/region |
¥700 |
¥630 |
¥567 |
Excl: 止血材料
|
☆
|
| 牙周组织瓣转移术 |
per session |
¥700 |
¥630 |
¥567 |
不得在口腔种植中收取
|
☆
|
| 颌下腺导管探查取石术 |
per session |
¥700 |
¥630 |
¥567 |
|
☆
|
| 颌面微动力系统 |
per session |
¥700 |
¥630 |
¥567 |
|
☆
|
| 上颌窦探查术 |
per session |
¥600 |
¥540 |
¥486 |
|
☆
|
| 上颌窦鼻内开窗术 |
unilateral (one side) |
¥600 |
¥540 |
¥486 |
|
☆
|
| 牙列套漂白术 |
single jaw per course |
¥600 |
¥540 |
¥486 |
|
☆
|
| 牙列套脱敏治疗 |
single jaw per course |
¥600 |
¥540 |
¥486 |
|
☆
|
| 腭黏膜游离移植术 |
per session |
¥600 |
¥540 |
¥486 |
不得在口腔种植中收取
|
☆
|
| 舌扁桃体射频消融术 |
per session |
¥600 |
¥540 |
¥486 |
|
☆
|
| 舌扁桃体激光切除术 |
per session |
¥600 |
¥540 |
¥486 |
|
☆
|
| Suprahyoid lymph node dissection |
per session |
¥600 |
¥540 |
¥486 |
|
☆
|
| 颌面皮肤瘘管病灶切除术 |
per session |
¥600 |
¥540 |
¥486 |
|
☆
|
| 颌面部软组织挫裂伤清创缝合术 |
per session |
¥600 |
¥540 |
¥486 |
|
☆
|
| Mandibular fracture osteoplasty |
per session |
¥540 |
¥486 |
¥437 |
同上
|
☆
|
| 上颌结节成形术 |
per session |
¥500 |
¥450 |
¥405 |
Excl: 止血材料
|
☆
|
| Wiring fixation of alveolar process fracture |
per session |
¥500 |
¥450 |
¥405 |
|
☆
|
| 舌扁桃体切除术 |
per session |
¥500 |
¥450 |
¥405 |
|
☆
|
| Curettage of odontogenic lesion of jaw bone |
per session |
¥500 |
¥450 |
¥405 |
|
☆
|
| Excision of torus of jaw |
per session |
¥500 |
¥450 |
¥405 |
Excl: 内固定材料,特殊缝线,止血材料
|
☆
|
| Interdental wire fixation for jaw fracture |
per session |
¥500 |
¥450 |
¥405 |
|
☆
|
| Intermaxillary fixation with traction screws for jaw fracture |
per session |
¥500 |
¥450 |
¥405 |
Excl: 内固定材料,螺钉
|
☆
|
| Intermaxillary wiring fixation for jaw fracture |
per session |
¥500 |
¥450 |
¥405 |
|
☆
|
| Curettage of osteomyelitis lesion of jaw bone |
per session |
¥500 |
¥450 |
¥405 |
|
☆
|
| Temporomandibular joint MRI |
unilateral (one side) |
¥500 |
¥450 |
¥405 |
|
☆
|
| 医学3D模型打印 (口腔) |
per piece |
¥435 |
¥391 |
¥352 |
|
☆
|
| Maxillary fracture osteoplasty |
per session |
¥420 |
¥378 |
¥340 |
同上
|
☆
|
| 口腔颌面软组织浅表创伤清创术 |
per session |
¥400 |
¥360 |
¥324 |
|
☆
|
| 经皮穿刺蝶腭神经阻滞镇痛术 |
per session |
¥400 |
¥360 |
¥324 |
|
☆
|
| Maxillofacial and cranial model fabrication |
per session |
¥400 |
¥360 |
¥324 |
同上
|
☆
|
| 颌面小肿物切除整形术 |
per session |
¥400 |
¥360 |
¥324 |
Excl: 止血材料
|
☆
|
| 颌面缺损重建手术设计 |
per session |
¥400 |
¥360 |
¥324 |
|
☆
|
| 颌面部多间隙脓肿切开引流术 |
per site/region |
¥400 |
¥360 |
¥324 |
|
☆
|
| External fixation of jaw fracture |
single jaw (one side) |
¥400 |
¥360 |
¥324 |
|
☆
|
| 口底颌下脓肿切开引流术 |
per session |
¥300 |
¥270 |
¥243 |
|
☆
|
| 口腔黏膜切取术 |
per session |
¥300 |
¥270 |
¥243 |
Excl: 特殊缝线
|
☆
|
| 口腔黏膜小肿物切除术 |
per session |
¥300 |
¥270 |
¥243 |
|
☆
|
| 口腔黏膜激光切除 |
per session |
¥300 |
¥270 |
¥243 |
|
☆
|
| 舌咽神经阻滞镇痛术 |
per session |
¥300 |
¥270 |
¥243 |
|
☆
|
| 舌系带成形术 |
per session |
¥300 |
¥270 |
¥243 |
|
☆
|
| 颌面部脓肿切开引流术 |
per site/region |
¥300 |
¥270 |
¥243 |
|
☆
|
| Single jaw arch bar fixation for jaw fracture |
single jaw (one side) |
¥300 |
¥270 |
¥243 |
|
☆
|
| Extraction of impacted tooth with bony impaction |
per tooth |
¥300 |
¥270 |
¥243 |
|
☆
|
| 上颌部X线计算机体层(CT)增强扫描 |
per session |
¥290 |
¥261 |
¥235 |
|
☆
|
| 下颌部X线计算机体层(CT)增强扫描 |
per session |
¥290 |
¥261 |
¥235 |
|
☆
|
| 牙移植术 |
per tooth |
¥250 |
¥225 |
¥202 |
|
☆
|
| 未完全萌出阻生牙拔除术 |
per tooth |
¥230 |
¥207 |
¥186 |
|
☆
|
| 唾液腺动态显像 |
per session |
¥220 |
¥198 |
¥178 |
|
☆
|
| 医学3D建模 (口腔) |
per case |
¥210 |
¥189 |
¥170 |
|
☆
|
| 上颌部X线计算机体层(CT)平扫 |
per session |
¥200 |
¥180 |
¥162 |
|
☆
|
| Mandibular joint dislocation manipulation |
per session |
¥200 |
¥180 |
¥162 |
陈旧性脱位加收70%
|
☆
|
| 下颌部X线计算机体层(CT)平扫 |
per session |
¥200 |
¥180 |
¥162 |
|
☆
|
| Anterior root folding traction |
per tooth |
¥200 |
¥180 |
¥162 |
Excl: 托槽
|
☆
|
| 半牙切除术 |
per tooth |
¥200 |
¥180 |
¥162 |
|
☆
|
| 引导性牙周组织再生术 |
per session |
¥200 |
¥180 |
¥162 |
此项为辅加操作项目
|
☆
|
| 微创复杂牙拔除术 |
per tooth |
¥200 |
¥180 |
¥162 |
|
☆
|
| 正颌外科手术数字化设计与预测 |
per session |
¥200 |
¥180 |
¥162 |
|
☆
|
| 正颌外科手术设计 |
per session |
¥200 |
¥180 |
¥162 |
|
☆
|
| 牙再植术 |
per tooth |
¥200 |
¥180 |
¥162 |
|
☆
|
| 牙冠延长术 |
per tooth |
¥200 |
¥180 |
¥162 |
Excl: 印模材料
|
☆
|
| Periodontal bone grafting |
per tooth |
¥200 |
¥180 |
¥162 |
Excl: 人工骨
此项为辅加操作项目
|
☆
|
| 牙周激光切除 |
per tooth |
¥200 |
¥180 |
¥162 |
|
☆
|
| Periodontal bone plasty |
per tooth |
¥200 |
¥180 |
¥162 |
此项为辅加操作项目
|
☆
|
| Debridement of alveolar bone burn |
per session |
¥200 |
¥180 |
¥162 |
|
☆
|
| 软腭抬高器治疗 |
per course/treatment |
¥200 |
¥180 |
¥162 |
|
☆
|
| 软腭缺损阻塞器修复 |
unilateral per course |
¥200 |
¥180 |
¥162 |
|
☆
|
| 颌面部血管畸形腔内注射术 |
per site/region |
¥200 |
¥180 |
¥162 |
|
☆
|
| Temporomandibular joint arthroscopy |
per session |
¥200 |
¥180 |
¥162 |
|
☆
|
| Temporomandibular joint cavity pressure measurement |
per session |
¥200 |
¥180 |
¥162 |
|
☆
|
| Extraction of ankylosed tooth |
per tooth |
¥200 |
¥180 |
¥162 |
|
☆
|
| Surgical exposure of impacted permanent tooth with bone removal for eruption |
per tooth |
¥200 |
¥180 |
¥162 |
Excl: 托槽
|
☆
|
| 唾液腺静态显像 |
per session |
¥180 |
¥162 |
¥146 |
|
☆
|
| Temporomandibular joint dislocation manipulation |
per session |
¥160 |
¥144 |
¥130 |
Excl: 内固定材料
陈旧性脱位加收70%
|
☆
|
| 唾液腺X线造影 |
per session |
¥150 |
¥135 |
¥122 |
|
☆
|
| 恒牙外伤固定术 |
per tooth |
¥150 |
¥135 |
¥122 |
Excl: 托槽
|
☆
|
| 牙周纤维环状切断术 |
per tooth |
¥150 |
¥135 |
¥122 |
|
☆
|
| 牙周翻瓣术 |
per tooth |
¥150 |
¥135 |
¥122 |
|
☆
|
| 牙槽突模型测绘 |
per session |
¥150 |
¥135 |
¥122 |
Excl: 导板,牙科膜片
|
☆
|
| 萌出阻生牙拔除术 |
per tooth |
¥150 |
¥135 |
¥122 |
|
☆
|
| 软组织内阻生恒牙开窗助萌术 |
per tooth |
¥150 |
¥135 |
¥122 |
Excl: 托槽
|
☆
|
| Temporomandibular joint X-ray contrast imaging |
per session |
¥150 |
¥135 |
¥122 |
|
☆
|
| 腭裂腭护板制作 |
per piece |
¥130 |
¥117 |
¥105 |
此项为辅加操作项目
|
☆
|
| Non-decalcified tooth/bone ground section pathological diagnosis |
per block/piece |
¥120 |
¥108 |
¥97 |
|
☆
|
| 牙体缺损直接粘接修复术 |
per cavity |
¥120 |
¥108 |
¥97 |
Excl: 充填材料
双面洞加收不超过50%;三面洞加收不超过100%
|
☆
|
| Decalcified tooth/bone section pathological diagnosis |
per block/piece |
¥120 |
¥108 |
¥97 |
|
☆
|
| 弓外牙拔除术 |
per tooth |
¥110 |
¥99 |
¥89 |
|
☆
|
| 上颌窦穿刺冲洗术 |
unilateral (one side) |
¥100 |
¥90 |
¥81 |
|
☆
|
| Non-decalcified tooth/bone section pathological diagnosis |
per block/piece |
¥100 |
¥90 |
¥81 |
|
☆
|
| 半牙拔除术 |
per tooth |
¥100 |
¥90 |
¥81 |
|
☆
|
| 口腔局部缝合止血 |
per session |
¥100 |
¥90 |
¥81 |
Excl: 特殊缝线
|
☆
|
| 口腔活检术 |
per session |
¥100 |
¥90 |
¥81 |
Excl: 活检钳
|
☆
|
| Cryotherapy for malignant tumor of oral and maxillofacial region |
per tumor/mass |
¥100 |
¥90 |
¥81 |
肿物直径大于2cm加收不超过150元,大于5cm加收不超过250元,大于10cm加收不超过400元。
|
☆
|
| 后牙纵折固定术 |
per tooth |
¥100 |
¥90 |
¥81 |
|
☆
|
| 正颌外科咬合导板制备 |
per piece |
¥100 |
¥90 |
¥81 |
Excl: 附着体
同上
|
☆
|
| 牙外伤结扎固定术 |
per tooth |
¥100 |
¥90 |
¥81 |
Excl: 托槽
|
☆
|
| Alveoloplasty |
per tooth |
¥100 |
¥90 |
¥81 |
|
☆
|
| 牙龈切除术 |
per tooth |
¥100 |
¥90 |
¥81 |
|
☆
|
| 腭咽闭合功能检查 |
per session |
¥100 |
¥90 |
¥81 |
|
☆
|
| 腭裂术后鼻咽纤维镜反馈治疗 |
per session |
¥100 |
¥90 |
¥81 |
|
☆
|
| 颌间固定物拆除术 |
per session |
¥100 |
¥90 |
¥81 |
|
☆
|
| Removal of intermaxillary traction screws |
per session |
¥100 |
¥90 |
¥81 |
|
☆
|
| Fabrication of occlusal guide plate for jaw defect |
per piece |
¥100 |
¥90 |
¥81 |
此项为辅加操作项目
|
☆
|
| Temporomandibular Dislocation Arthroplasty |
per session |
¥100 |
¥90 |
¥81 |
|
☆
|
| 口腔功能模型制备 |
single jaw (one side) |
¥80 |
¥72 |
¥65 |
Excl: 印模材料
同上
|
☆
|
| 根管热塑牙胶垂直加压充填术 |
root canal |
¥80 |
¥72 |
¥65 |
同上
|
☆
|
| 牙体缺损充填术 |
per cavity |
¥80 |
¥72 |
¥65 |
Excl: 充填材料
|
☆
|
| 牙周电子探针检查 |
per session |
¥80 |
¥72 |
¥65 |
|
☆
|
| 牙髓失活术 |
per tooth |
¥80 |
¥72 |
¥65 |
|
☆
|
| 牙周夹板固定 |
per tooth |
¥75 |
¥67 |
¥60 |
Excl: 修复材料
|
☆
|
| 恒磨牙拔除术 |
per tooth |
¥70 |
¥63 |
¥57 |
|
☆
|
| 口腔常规模型制备 |
single jaw (one side) |
¥60 |
¥54 |
¥49 |
Excl: 印模材料
此项为辅加操作项目
|
☆
|
| 恒前牙拔除术 |
per tooth |
¥60 |
¥54 |
¥49 |
|
☆
|
| 恒前磨牙拔除术 |
per tooth |
¥60 |
¥54 |
¥49 |
|
☆
|
| 牙周局部冲洗上药 |
per session |
¥60 |
¥54 |
¥49 |
|
☆
|
| 牙齿内漂白术 |
per tooth per course |
¥60 |
¥54 |
¥49 |
Excl: 充填材料
|
☆
|
| 乳牙拔除术 |
per tooth |
¥50 |
¥45 |
¥40 |
|
☆
|
| 劈裂牙治疗 |
per tooth |
¥50 |
¥45 |
¥40 |
|
☆
|
| 去龋激光治疗 |
per tooth |
¥50 |
¥45 |
¥40 |
|
☆
|
| 口腔黏膜病局部注射药物治疗 |
per session |
¥50 |
¥45 |
¥40 |
|
☆
|
| 拔牙创面搔刮术 |
per tooth |
¥50 |
¥45 |
¥40 |
Excl: 充填材料
|
☆
|
| 根管冷牙胶侧压充填术 |
root canal |
¥50 |
¥45 |
¥40 |
中重度弯曲根管、C型根管、根管间交通枝等特殊根管加收不超过20%
|
☆
|
| 根管常温牙胶注射式加压充填术 |
root canal |
¥50 |
¥45 |
¥40 |
同上
|
☆
|
| 牙弓夹板拆除术 |
single jaw (one side) |
¥50 |
¥45 |
¥40 |
Excl: 内固定材料
|
☆
|
| 牙本质钉固位术 |
per tooth |
¥50 |
¥45 |
¥40 |
Excl: 根管桩钉
|
☆
|
| 牙髓摘除术 |
root canal |
¥50 |
¥45 |
¥40 |
|
☆
|
| 经皮颌面痛点封闭术 |
per session |
¥50 |
¥45 |
¥40 |
|
☆
|
| 腭裂常规语音治疗 |
per session |
¥50 |
¥45 |
¥40 |
|
☆
|
| 腭裂术后鼻音计反馈治疗 |
per session |
¥50 |
¥45 |
¥40 |
|
☆
|
| 腭裂构音训练 |
per session |
¥50 |
¥45 |
¥40 |
|
☆
|
| 腭裂语音频谱分析 |
per session |
¥50 |
¥45 |
¥40 |
|
☆
|
| 诊断性排牙试验 |
per session |
¥50 |
¥45 |
¥40 |
不得在口腔种植中收取
|
☆
|
| 防龋激光治疗 |
per tooth |
¥50 |
¥45 |
¥40 |
|
☆
|
| Temporomandibular Joint Cavity Lavage Treatment |
unilateral (one side) |
¥50 |
¥45 |
¥40 |
|
☆
|
| 细菌性阴道病唾液酸酶测定 |
per session |
¥40 |
¥36 |
¥32 |
|
☆
|
| 舌下放血疗法 |
per session |
¥40 |
¥36 |
¥32 |
|
☆
|
| 口腔曲面体层摄影 |
per session |
¥35 |
¥31 |
¥28 |
|
☆
|
| 下颌运动检查 |
per session |
¥30 |
¥27 |
¥24 |
|
☆
|
| 下颌运动计算机辅助检查 |
per session |
¥30 |
¥27 |
¥24 |
|
☆
|
| 压舌器补偿物制备 |
per piece |
¥30 |
¥27 |
¥24 |
同上
|
☆
|
| 口腔颌面部良性病变冷冻治疗 |
per tumor/mass |
¥30 |
¥27 |
¥24 |
肿物直径大于2cm加收不超过60元
|
☆
|
| 口腔黏膜物理治疗 |
per site/region |
¥30 |
¥27 |
¥24 |
|
☆
|
| 唾液ABH血型物质测定 |
per session |
¥30 |
¥27 |
¥24 |
|
☆
|
| 牙周指数检查 |
per session |
¥30 |
¥27 |
¥24 |
|
☆
|
| 牙齿脱色术 |
per tooth |
¥30 |
¥27 |
¥24 |
|
☆
|
| Temporomandibular joint disease system design |
per session |
¥30 |
¥27 |
¥24 |
|
☆
|
| 口腔局部止血 |
per session |
¥25 |
¥22 |
¥20 |
|
☆
|
| 牙周探诊 |
per session |
¥25 |
¥22 |
¥20 |
|
☆
|
| 口腔内窥镜检查 |
per session |
¥20 |
¥18 |
¥16 |
|
☆
|
| 口腔黏膜病局部上药 |
per site/region |
¥20 |
¥18 |
¥16 |
|
☆
|
| 吸入二氧化碳第0.1秒平静吸气口腔闭合压测定 |
per session |
¥20 |
¥18 |
¥16 |
重复测定按一次收费
|
☆
|
| 第0.1秒平静吸气口腔闭合压测定 |
per session |
¥20 |
¥18 |
¥16 |
重复测定按一次收费
|
☆
|
| 舌象图诊断 |
per session |
¥20 |
¥18 |
¥16 |
|
☆
|
| 舌针治疗 |
per session |
¥20 |
¥18 |
¥16 |
|
☆
|
| Mandibular X-ray radiography |
per body position |
¥18 |
¥16 |
¥15 |
|
☆
|
| 舌下神经孔X线摄影 |
per body position |
¥18 |
¥16 |
¥15 |
|
☆
|
| Temporomandibular joint X-ray radiography |
per body position |
¥18 |
¥16 |
¥15 |
|
☆
|
| 全口牙病系统检查与治疗设计 |
per session |
¥15 |
¥13 |
¥12 |
|
☆
|
| 唾液流量测定 |
per session |
¥15 |
¥13 |
¥12 |
|
☆
|
| 唾液酸测定 |
per item |
¥15 |
¥14 |
¥13 |
|
☆
|
| 牙片X线一次成像(RVG) |
per site/region |
¥15 |
¥14 |
¥13 |
|
☆
|
| 牙片X线摄影 |
per site/region |
¥15 |
¥14 |
¥13 |
|
☆
|
| 口腔护理 |
per session |
¥10 |
¥9 |
¥8 |
|
☆
|
| 拆除口内牙齿固定装置 |
per tooth |
¥10 |
¥9 |
¥8 |
|
☆
|
| 氟防龋治疗 |
per tooth |
¥10 |
¥9 |
¥8 |
|
☆
|
| 牙面光洁术 |
per tooth |
¥10 |
¥9 |
¥8 |
|
☆
|
| 牙龈保护剂塞治 |
per tooth |
¥10 |
¥9 |
¥8 |
|
☆
|
| 牙髓电活力检查 |
per tooth |
¥6 |
¥5 |
¥4 |
|
☆
|