| H109723 |
|
코박사(1ml)-필러 |
100,000 |
| H109724 |
|
코박사-2 |
200,000 |
| H109725 |
|
코박사-3 |
150,000 |
| H109726 |
|
코박사-4 |
100,000 |
| H10972 |
|
코박사-5 |
50,000 |
| H109730 |
|
LASER 1 |
10,000 |
| H109731 |
|
LASER 10 |
100,000 |
| H109732 |
|
LASER 100 |
1,000,000 |
| H109733 |
|
LASER 150 |
1,500,000 |
| H109734 |
|
LASER 200 |
2,000,000 |
| H109735 |
|
LASER 5 |
50,000 |
| H109736 |
|
LASER 50 |
500,000 |
| X600401 |
|
Police drinke blood sample (음주채혈료) |
2,000 |
| H240480 |
|
레이저정맥폐쇄술〔EVLT〕-하지정맥류 |
1,000,000 |
| H230035 |
|
(50)구개인두수술(uppp)-단순코골이수술 |
500,000 |
| H230036 |
|
(35)구개인두수술(uppp)-단순코골이수술 |
250,000 |
| H230037 |
|
(25)구개인두수술(uppp)-단순코골이수술 |
250,000 |
| H271066 |
|
정관절제술 |
450,000 |
| U300241 |
|
복대12"(비급여) |
2,750 |
| U300074 |
BM5016CU |
Adflex Bandage 10*12 |
1,000 |
| U300073 |
BM5016CU |
Adflex Bandage 6*7 |
500 |
| U300032 |
BJ1002DC |
(l-tube)이지락부직반창고 부직포+아크릴공중합체+화스너테이프 |
6,510 |
| BK7111DQ |
BK7111DQ |
Pehahaft 폐하 하프트 붕대-라텍스프리 |
5,000 |
| U300046 |
BM1303PW |
Nature (F) 폴리우레탄 등(차광set) |
7,000 |
| U300049 |
BM2001LG |
Innomed Silicone Tape(endotube고정용tape-tape+mas |
19,880 |
| U300051 |
BM5001ED |
스카클리닉(12*10) Polydimethylsiloxane |
150,000 |
| U300083 |
BM5021AP |
(dressing kit)대한멸균드레싱밴드(에이,비) 부직포 등 |
1,500 |
| U300084 |
BM5029CU |
영운드레싱-실버(6*7) 은함유폴리에틸렌망이 부착된 부직포 등 |
1,960 |
| U300085 |
BM5032CU |
에드플렉스실버(6*7)에이 폴리우레탄필름, 은함유 폴리에틸렌망 등 |
3,080 |
| H270070 |
|
CIRCUMCISION(성인) |
350,000 |
| H270071 |
|
포경수술(18세이하) |
300,000 |
| U300031 |
BJ1001UP |
그린픽스 폴리우레탄점착필름 +벨크로테이프(iv반창고테잎) |
2,000 |
| U300234 |
VM061 |
Arm sling (W/목띠)-팔걸이 |
5,000 |
| U300007 |
20254 |
L-코르셋 대/중/소 |
50,000 |
| U300009 |
20330 |
목발 (1쌍) |
20,000 |
| U300070 |
BM5003JQ |
메피폼 (5*7.5)실리콘점착성 폴리우레탄부직필름 |
30,000 |
| U300232 |
bm5111hf |
FIX ROLL 2"(roll-aiderm)-에이덤롤-투명한것 |
800 |
| U300006 |
20244 |
필라델피아(Philadelphia) |
50,000 |
| U300227 |
VM061 |
벨포밴드 |
12,000 |
| U300081 |
BM5019HF |
네오드레싱 부직포(30s)9*20cm 1개 |
770 |
| U300082 |
BM5019HF |
네오드레싱 부직포(30s)9*25cm 1개 |
920 |
| U300080 |
BM5019HF |
네오드레싱 부직포(30s)9*30cm 1개 |
1,090 |
| U300079 |
BM5019HF |
네오드레싱 부직포(30s)9*35cm 1개 |
1,380 |
| U300078 |
BM5019HF |
네오드레싱 부직포(50s)6*7cm 1개 |
230 |
| U300077 |
BM5019HF |
네오드레싱 부직포(50s)9*10cm 1개 |
490 |
| U300076 |
BM5019HF |
네오드레싱 부직포(50s)9*15cm 1개 |
540 |
| U300075 |
BM5019HF |
네오드레싱 부직포(50s)9*7cm 1개 |
250 |
| U400158 |
BM5303BH |
Regencol 콜라겐,히알루론산나트륨,폴록사머188,식염수 등 |
300,000 |
| U400004 |
674600020 |
큐탄플라스트스폰지스페셜 70*50*1mm |
4,240 |
| L110901 |
CZ246 |
허혈성 변형 알부민 검사 -IMA(Ischemia modified albumin) |
40,000 |
| L110156 |
CZ394 |
Influenza Ag (원내)-H1N1+Type A+B |
35,000 |
| L270170 |
|
동맥경화증 검사 (AVI) |
30,000 |
| ENDOS |
|
수면 내시경 관리료 -위-(비급여) |
100,000 |
| ENDOS1 |
|
수면 내시경 관리료 -대장-(비급여) |
160,000 |
| N508112 |
|
US Upper Abdomen |
80,000 |
| N508113 |
|
US Lower Abdomen(상복부초음파급여시적용되는하복부) |
50,000 |
| N508115 |
|
US Lower Abdomen |
80,000 |
| N508116 |
|
US Abdomen-복부추적검사(f/u) |
20,000 |
| N508117 |
|
US Abdomen + kidney doppler |
120,000 |
| N508111 |
|
US Whole Abdomen |
100,000 |
| N508123 |
|
US Anus |
80,000 |
| N508147 |
|
US-BPB 마취전 |
70,000 |
| N508110 |
|
US Breast |
100,000 |
| N508126 |
|
US Upper Extremity |
80,000 |
| N508105 |
|
US Chest wall |
80,000 |
| N508103 |
|
US Carotid (Doppler)경동맥 |
100,000 |
| N508108 |
|
US 경흉부 심초음파(f/u) |
80,000 |
| N508107 |
|
경흉부 심초음파 |
140,000 |
| N508109 |
|
경흉부 부분심초음파 |
80,000 |
| N508118 |
|
USG KIDNEY DOPLLER |
100,000 |
| N508128 |
|
US Ext Doppler (Rt) / Artery |
100,000 |
| N508129 |
|
US Ext Doppler (Lt) / Artery |
100,000 |
| N508130 |
|
US Ext Doppler (Both) / Artery |
180,000 |
| N508131 |
|
US Ext. Doppler(Rt) / Vein |
100,000 |
| N508132 |
|
US Ext. Doppler(Lt) / Vein |
100,000 |
| N508133 |
|
US Ext Doppler / Vein / Both |
200,000 |
| N508125 |
|
USG MARKING |
30,000 |
| N508101 |
EB414 |
US Neck |
80,000 |
| N508134 |
|
US 잔뇨측정 |
10,000 |
| N508106 |
|
초음파 RIB |
80,000 |
| N508124 |
60043 |
USG Soft Tissue |
80,000 |
| N508102 |
|
US Thyroid |
60,000 |
| N459123 |
HE135 |
Brain MRA 추가 |
150,000 |
| N459301 |
HE527 |
liver-3phase-MRI(e) |
600,000 |
| N459513 |
HE121 |
Ankle joint MRI Left |
450,000 |
| N459514 |
HE221 |
Ankle joint MRI(E)Left |
550,000 |
| N459511 |
HE121 |
Ankle joint MRI Right |
450,000 |
| N459512 |
HE221 |
Ankle joint MRI(E)Right |
550,000 |
| N459101 |
HE101 |
Brain MRI |
450,000 |
| N459103 |
HE135 |
Brain MRA |
500,000 |
| N459106 |
HE135 |
Brain MRI & MRA(뇌혈관) |
600,000 |
| N459109 |
|
BRAIN MRI & MRA & CAROTID MRI |
700,000 |
| N459110 |
|
Brain MRI & MRA & Carotid & Diffusion |
750,000 |
| N459111 |
|
Brain MRI & MRA & Carotid & Diffusion (E) |
850,000 |
| N459102 |
HE201 |
Brain MRI (E) |
550,000 |
| N459107 |
HE201 |
Brain MRI (E) & MRA |
700,000 |
| N459124 |
HE201 |
Brain MRI후 enhancement 추가 |
100,000 |
| N459108 |
|
Brain MRI & MRA & Diffusion |
700,000 |
| N459201 |
HE109 |
Cervical MRI |
450,000 |
| N459202 |
HE209 |
Cervical MRI(E) |
550,000 |
| N459105 |
|
BRAIN MRI & Diffusion |
600,000 |
| N459112 |
HF105 |
Sella Dynamic MRI(E)(비급여) |
550,000 |
| N459407 |
HE116 |
Elbow MRI Left |
450,000 |
| N459408 |
HE216 |
Elbow MRI(E)Left |
550,000 |
| N459405 |
HE116 |
Elbow MRI Right |
450,000 |
| N459406 |
HE216 |
Elbow MRI(E)Right |
550,000 |
| N459416 |
HE222 |
HAND MRI Left(E) |
550,000 |
| N459416 |
HE222 |
HAND MRI Right(E) |
550,000 |
| N459515 |
|
Foot MRI Right |
450,000 |
| N459517 |
|
Foot MRI Left |
450,000 |
| N459518 |
HE223 |
FOOT MRI Left(E) |
550,000 |
| N459516 |
HE223 |
FOOT MRI Right(E) |
550,000 |
| N459125 |
|
MRI Diffusion follow up |
200,000 |
| N459209 |
|
Fracture MRI |
150,000 |
|
|
mri(외부의뢰) |
390,000 |
| N459505 |
HE118006 |
Hip MRILeft |
450,000 |
| N459503 |
HE118 |
Hip MRI Right |
450,000 |
| N459506 |
HE218 |
Hip MRI(E)Left |
550,000 |
| N459504 |
HE218 |
Hip MRI(E)Right |
550,000 |
| N459415 |
HE122 |
HAND MRI Left |
450,000 |
| N459416 |
HE222 |
HAND MRI Light (E) |
550,000 |
| N459413 |
HE122 |
HAND MRI RIGHT |
450,000 |
| N459414 |
HE222 |
HAND MRI Right (E) |
550,000 |
| N459509 |
HE120006 |
Knee MRI Left |
450,000 |
| N459510 |
HE220 |
Knee MRI(E)Left |
550,000 |
| N459507 |
HE120 |
Knee MRI Right |
450,000 |
| N459508 |
HE220 |
Knee MRI(E)Right |
550,000 |
| N459521 |
HE123 |
Lower extremity(관절외) MRILeft |
450,000 |
| N459522 |
HE223 |
Lower extremity(관절외) MRI(E)Left |
550,000 |
| N459519 |
HE123 |
Lower extremity(관절외) MRIRight |
450,000 |
| N459520 |
HE223 |
Lower extremity(관절외) MRI(E)Right |
550,000 |
| N459207 |
HE111006 |
L-Spine MRI(비급여) |
450,000 |
| N459208 |
HE211 |
L-Spine MRI(E)(비급여) |
550,000 |
| N459119 |
HE108 |
Neck MRI |
450,000 |
| N459120 |
HE208 |
Neck MRI(E) |
550,000 |
| N459115 |
HE105 |
Orbit MRI |
450,000 |
| N459116 |
HE205 |
Orbit MRI(E) |
550,000 |
| N459303 |
HE128 |
Pelvis MRI |
450,000 |
| N459304 |
HE228 |
Pelvis MRI(E) |
550,000 |
| N459113 |
HE104 |
PNS MRI |
450,000 |
| N459114 |
HE204 |
PNS MRI(E) |
550,000 |
| N459221 |
HE119 |
Sacroiliac MRI |
450,000 |
| N459222 |
HE219 |
Sacroiliac MRI(E) |
550,000 |
| N459403 |
HE115 |
Shoulder MRILeft |
450,000 |
| N459404 |
HE215 |
Shoulder MRI(E)Left |
550,000 |
| N459401 |
HE115 |
Shoulder MRIRight |
450,000 |
| N459402 |
HE215 |
Shoulder MRI(E)Right |
550,000 |
| N459203 |
HE110 |
T-Spine MRI |
450,000 |
| N459204 |
HE210 |
T-Spine MRI(E)(비급여) |
550,000 |
| N459206 |
HE111 |
TL junctionspine MRI(E) |
550,000 |
| N459205 |
HE111 |
TL junctionspine MRI(1회촬영) |
450,000 |
| N459117 |
HE107 |
TM joint MRI |
450,000 |
| N459118 |
HE207 |
TM joint MRI(E) |
550,000 |
| N459419 |
HE122 |
Upper extremity(관절외) MRILeft |
450,000 |
| N459420 |
HE222 |
Upper extremity(관절외) MRI(E)Left |
550,000 |
| N459417 |
HE122 |
Upper extremity(관절외) MRIRight |
450,000 |
| N459418 |
HE222 |
Upper extremity(관절외) MRI(E)Right |
550,000 |
| N459411 |
HE117 |
Wrist MRILeft |
450,000 |
| N459412 |
HE217 |
Wrist MRI(E)Left |
550,000 |
| N459409 |
HE117 |
Wrist MRI Right |
450,000 |
| N459410 |
HE217 |
Wrist MRI(E)Right |
550,000 |
| M7015 |
|
공기밥추가 |
1,000 |
| M7012 |
|
보호자식대 (정식) |
7,000 |
| X100043 |
|
일반진단서 1통 |
20,000 |
| X100052 |
|
수술확인서 1통 |
2,000 |
| X100053 |
|
진료(통원)확인서 1통 |
3,000 |
| X100042 |
|
건강진단서 1통 |
20,000 |
| X100054 |
|
입퇴원확인서 1통 |
3,000 |
| X100062 |
|
채용신체검사서 1통 |
25,000 |
| X100067 |
|
후유장애진단서 1통 |
100,000 |
| X100073 |
|
챠트복사 1장(1-5매) |
1,000 |
| X100064 |
|
챠트복사 1장(6매이상) |
100 |
| X100009 |
|
CD Copy |
10,000 |
| X100030 |
|
장애등급변경 의사 소견서 (비급여) |
28,940 |
| X100039 |
|
사체검안서 |
30,000 |
| X100044 |
|
병사용진단서 1통 |
20,000 |
| X100036 |
|
보험회사챠트복사(10장까지) |
5,000 |
| X100037 |
|
보험회사챠트복사(10장이상) |
10,000 |
| X100038 |
|
보험회사소견서 |
10,000 |
| X100071 |
|
임신확인서 |
2,000 |
| X100035 |
|
동사무소.국민연금장애진단서(신체적장애) |
15,000 |
| X100065 |
|
장애진단서(정신적장애) |
40,000 |
| X100066 |
|
장애인증명서 |
1,000 |
| X100033 |
|
(비급여)진단서복사본 |
2,000 |
| X100076 |
|
사망진단서,사체검안서 추가발급(장당) |
2,000 |
| X100034 |
|
근로능력평가용진단서 |
10,000 |
| X100045 |
|
영문진단서 1통 |
20,000 |
| X100031 |
|
정신과 근로능력 |
20,000 |
| X100026 |
|
정신과 장애진단 |
100,000 |
| X100070 |
|
등기 송달료 |
3,000 |
| X100075 |
|
제증명서 사본 |
1,000 |
| X100060 |
|
소견서(보험사확인) |
200,000 |
| X100046 |
|
상해진단서 1통 (3주 미만) |
100,000 |
| X100047 |
|
상해진단서 1통(3주 이상) |
150,000 |
| X100048 |
|
소견서 1통 |
10,000 |
| X100049 |
|
사망진단서 |
10,000 |
| X100050 |
|
확인서(입원,예방접종 공통) 1통 |
3,000 |
| X100051 |
|
치료확인서 1통 |
2,000 |
| X100068 |
|
추가발급 비용 |
1,000 |
| X100069 |
|
영문진단서 추가발급 비용 |
10,000 |
| X100061 |
|
상해진단서 추가발급 |
2,000 |
| X100072 |
|
고객카드재발행 |
10,000 |
| X100040 |
|
향후 진료비추정서(천만원이상) |
100,000 |
| X100063 |
|
향후 진료비추정서(천만원이하) |
50,000 |
| B7001B1 |
|
상급병실 차액료 (1인실) |
140,000 |
| H290023 |
SZ634 |
경피적경막외강신경성형술 |
800,000 |
| U400144 |
BJ4801IF |
Bs Epidural Catheter Polyethylene 등(신경성형술 CATH |
1,000,000 |
| U400161 |
BTT01032 |
티슈젠 |
350,000 |
| F100511 |
SZ084 |
ESWT(체외충격파)-2000타 |
50,000 |
| F100526 |
SZ084 |
ESWT(체외충격파)-4000타 |
100,000 |
| U400129 |
BF0101VT |
하이배리 1.5cc |
300,000 |
| U400128 |
BF0101VT |
하이배리 3cc |
500,000 |
| REJUVAS |
BM50020H |
레주바실 15g |
60,000 |
| U400157 |
BM5003OH |
덤린 5g |
90,000 |
| U400156 |
BM5001VB |
Juc Spray(점착성투명창상피복재) 10ml |
200,000 |
| U300034 |
BJ1008WI |
Nasal oxygen cannula(성인용) (N FIX SET) |
5,000 |
| PAN-BB |
PAN-BB |
판비콤프주 4ml |
1,000 |
| DITAIRY |
|
타이리콜주(아세트아미노펜) 100ml |
20,000 |
| U300053 |
BJ1000IP |
suction fix set(2m) |
7,000 |
| U300054 |
BJ1000IP |
suction fix set(3m) |
9,000 |
| U300055 |
BJ1000IP |
suction fix set(5m) |
11,000 |
| U300306 |
BC1201VY |
TLSO 보조기 |
400,000 |
| 6818000 |
681800010 |
박티그라(장당) |
4,000 |
| F100518 |
MX122 |
도수치료 20분 |
40,000 |
| F100519 |
MX122 |
도수치료 40분 |
80,000 |
| F100520 |
MX122 |
도수치료 60분 |
120,000 |
| F100510 |
MZ012 |
로봇30분+통증40분 비침습적 무통증 |
100,000 |
| F100521 |
MX122 |
로봇30분 + 도수 20분 |
90,000 |
| F100522 |
MX122 |
로봇30분+ 도수 40분 |
130,000 |
| F100524 |
MZ012 |
로봇30분+ 통증 40분(비침습적 무통증 신호요법) |
100,000 |
| F100525 |
MZ012 |
로봇30분+통증40분+도수20분(비침습적) |
140,000 |
| F100527 |
MX122 |
로봇 25분 +도수 5분 |
50,000 |
| F100507 |
MZ012 |
통증치료40분비침습적 무통증 신호요법) |
50,000 |
| F100523 |
MZ012 |
통증 40분(비침습적 무통증 신호요법 ) |
50,000 |
| U300040 |
BJ1000PW |
수액세트Innofuser2Set-iv set+filter+3-way+dosi |
9,200 |
| U300041 |
BJ1000PW |
수액세트Innofuser2(Non-Dehp) Set-iv set+filter+3-way |
9,000 |
| U300042 |
BJ1000PW |
수액세트Innofuser2-필터iv set만(Non-Dehp-FILTER) |
6,700 |
| U300046 |
BJ1000PW |
수액세트Nature (F) 폴리우레탄 등(차광set) |
7,000 |
| U300053 |
BJ1000IP |
SUCTION FIX SET(TUBE+고정용픽스)-2M |
7,000 |
| U300054 |
BJ1000IP |
SUCTION FIX SET(TUBE+고정용픽스)-3M |
9,000 |
| U300055 |
BJ1000IP |
SUCTION FIX SET(TUBE+고정용픽스)-5M |
11,000 |
| BM5003D |
|
크리노산(산부인과세정제) |
30,000 |
| N508165 |
|
(비급여)부인과 단순 초음파 |
20,000 |
| N508166 |
|
(비급여) 부인과 수술실초음파 |
30,000 |
| U300320 |
|
사발지팡이 |
23,000 |
| VFLUE-F |
|
스카이셀플루4가 시린지(독감) |
45,000 |
| 3Z5202010 |
3Z5202010001 |
예방접종료/A형간염/아박심160U성인용주 |
80,000 |
| 3Z5201701 |
3Z5201701001 |
예방접종료/폐렴구균/프리베나13주 |
150,000 |
| 3Z5200301 |
3Z5200301001 |
예방접종료/대상포진/스카이조스터주 |
165,000 |
