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| 項目名稱 | 單位 | 價格(元) | |
| 1 | 人工晶狀體Intraocular Lens 16.5D Akreos Adapt AO TT0000012530 | 盒 | 830.00 |
| 2 | 人工晶狀體Intraocular Lens 17.0D Akreos Adapt AO TT0000012529 | 盒 | 830.00 |
| 3 | 人工晶狀體Intraocular Lens 17.5D Akreos Adapt AO TT0000012550 | 盒 | 830.00 |
| 4 | 人工晶狀體Intraocular Lens 18.0D Akreos Adapt AO TT0000012526 | 盒 | 830.00 |
| 5 | 人工晶狀體Intraocular Lens 18.5D Akreos Adapt AO TT0000012549 | 盒 | 830.00 |
| 6 | 人工晶狀體Intraocular Lens 19.0D Akreos Adapt AO TT0000012547 | 盒 | 830.00 |
| 7 | 人工晶狀體Intraocular Lens 19.5D Akreos Adapt AO TT0000012524 | 盒 | 830.00 |
| 8 | 人工晶狀體Intraocular Lens 2.0D Akreos Adapt AO TT0000012532 | 盒 | 830.00 |
| 9 | 人工晶狀體Intraocular Lens 20.0D Akreos Adapt AO TT0000012577 | 盒 | 830.00 |
| 10 | 人工晶狀體Intraocular Lens 20.5D Akreos Adapt AO TT0000012548 | 盒 | 830.00 |
| 11 | 人工晶狀體Intraocular Lens 21.0D Akreos Adapt AO TT0000012574 | 盒 | 830.00 |
| 12 | 人工晶狀體Intraocular Lens 21.5D Akreos Adapt AO TT0000012572 | 盒 | 830.00 |
| 13 | 人工晶狀體Intraocular Lens 22.0D Akreos Adapt AO TT0000012561 | 盒 | 830.00 |
| 14 | 人工晶狀體Intraocular Lens 22.5D Akreos Adapt AO TT0000012556 | 盒 | 830.00 |
| 15 | 人工晶狀體Intraocular Lens 23.0D Akreos Adapt AO TT0000012579 | 盒 | 830.00 |
| 16 | 人工晶狀體Intraocular Lens 23.5D Akreos Adapt AO TT0000012527 | 盒 | 830.00 |
| 17 | 人工晶狀體Intraocular Lens 24.0D Akreos Adapt AO TT0000012576 | 盒 | 830.00 |
| 18 | 人工晶狀體Intraocular Lens 24.5D Akreos Adapt AO TT0000012578 | 盒 | 830.00 |
| 19 | 人工晶狀體Intraocular Lens 25.0D Akreos Adapt AO TT0000012534 | 盒 | 830.00 |
| 20 | 人工晶狀體Intraocular Lens 25.5D Akreos Adapt AO TT0000012571 | 盒 | 830.00 |
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