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행위료
중분류 소분류 진료비용항목 항목별 가격정보(단위:원) 특이
사항
수가코드 표준코드 명칭 비용 최저
비용		 최고
비용		 치료
재료대
포함		 약제비
포함
기본진료료 상급병실료 A2A6101 ABZ01 1인실(A) 병실차액 200,000
A2XSA01 ABZ01 1인실(B) 병실차액 390,000
기본진료료 AQ033 - 비만처방 10,000
AQ035 - 비만처방 2주 15,000
AQ032 - 비만처방 3주 이상 20,000
입원환자식대 입원환자식대 MGAS020 - 보호자식(일반식) 6,270
MGAS021 - 공기밥 1,000
이학요법료 이학요법료 FESWT1 SZ084 체외충격파치료(ESWT) 1 50,000
FESWT2 SZ084 체외충격파치료(ESWT) 부위추가 30,000
FESWT3 SZ084 체외충격파치료(ESWT) 스페셜 80,000
FMX122-1 MX122 도수치료1 35,000
FMX122-2 MX122 도수치료2 60,000
FMX122-3 MX122 도수치료3 90,000
FMX122-4 MX122 도수치료4 120,000
FMX122-5 MX122 도수치료5 (도수치료+보행훈련) 75,000
FMX122-6 MX122 도수치료6 (도수치료+ 그룹운동) 15,000
FMX122-8 MX122 도수치료8 (도수치료+고주파치료+ESWT) 150,000
FMX122-9 MX122 도수치료9 150,000
FMX122-10 MX122 도수치료10 (120분) 220,000
FMY142 MY142 [사지관절1] 증식치료 90,000
FMY142-1 MY142 [사지관절2] 증식치료 40,000
FMY142-2 MY142 [사지관절3] 증식치료 280,000
FMY142-3 MY142 [사지관절4] 증식치료 40,000
FMY142-4 MY142 [사지관절5] 증식치료 370,000
FMY142-7 MY142 [사지관절7] 증식치료 20,000
FMY143 MY143 [척추1] 증식치료 100,000
FMY143-1 MY143 [척추2] 증식치료 90,000
FMY143-2 MY143 [척추3] 증식치료 57,000
FMZ007 MZ007 신장 분사 치료 10,000
FMZ007-1 MZ007 신장 분사 치료(A) 70,000
검사료 검사료 LCZ246 CZ246 IMA (허혈성 변형 알부민 검사) 34,850
LCZ394 CZ394 인플루엔자 A·B 바이러스항원검사 [현장검사] 29,850
LCZ242 CZ242 SAA (Serum Amyloid A - 아밀로이드 A) 64,350
LZD6802016 D6802016 수탁) 호흡기 바이러스 19종 98,760
LD6620970A D6620003 코로나신속항원검사(현장검사) 20,000
LZD602000C-1 D6020006 결핵균 특이항원 자극 62,430
LZCZ250 CZ250 혈액점도검사-스캐닝 모세관법 70,000
LGDPRP-1 KZ004 PRP견관절(Platelet Rich Plasma) 자가혈소판풍부혈장치료 600,000
SEA005 - 위내시경 수면관리료 49,980
SEA006 - 대장내시경 수면관리료 59,980
SEA007 - 위+대장 동시 내시경 수면관리료 89,980
REZ776 EZ776 DITI (전신/Pre) 198,500
REZ776-1 EZ776 DITI (전신/Post) 198,500
REZ776A EZ776 DITI (상지/Pre) 99,730
REZ776A-1 EZ776 DITI (상지/Post) 99,730
REZ776B EZ776 DITI (하지/Pre) 99,730
REZ776B-1 EZ776 DITI (하지/Post) 99,730
초음파 RUANE-1 USANE1 US-ANE (대퇴신경) 49,850
RUANE-2 USANE2 US-ANE (상완신경총) 49,850
RUANE-3 USANE3 US-ANE (말초신경) 49,850
RUANE-4 USANE4 US-ANE (척추경막외) 49,850
RUEB432A EB432 US-Echocardiography (경흉부 심초음파-일반) 198,530
RUEB414A EB414 US-Thyroid 79,880
RUEB415A EB415 US-Neck 79,880
RUEB422A EB422 US-Rib 79,880
RUEB441A EB441 US-Upper Abdomen 99,720
RUEB441B EB441 US-Lower Abdomen 99,720
RUEB461A EB461 US-Extremity & Joint-Hand (Rt) 79,880
RUEB461B EB461 US-Extremity & Joint-Hand (Lt) 79,880
RUEB463A EB463 US-Extremity & Joint-Elbow (Rt) 79,880
RUEB463B EB463 US-Extremity & Joint-Elbow (Lt) 79,880
RUEB464A EB464 US-Extremity & Joint-Knee (Rt) 79,880
RUEB464B EB464 US-Extremity & Joint-Knee (Lt) 79,880
RUEB465A EB465 US-Extremity & Joint-Hip (Rt) 79,880
RUEB465B EB465 US-Extremity & Joint-Hip (Lt) 79,880
RUEB466A EB466 US-Extremity & Joint-Shoulder (Rt) 100,000
RUEB466B EB466 US-Extremity & Joint-Shoulder (Lt) 100,000
RUEB467A EB467 US-Extremity & Joint-Wrist (Rt) 79,880
RUEB467B EB467 US-Extremity & Joint-Wrist (Lt) 79,880
RUEB468A EB468 US-Extremity & Joint-Ankle (Rt) 79,880
RUEB468B EB468 US-Extremity & Joint-Ankle (Lt) 79,880
RUEB470A EB470 Other sono  49,850
RUEB402A - Injection sono (기타 초음파-주사용) 49,850
RUEB482 EB482 US-Carotid Artery 79,880
RUEB484 EB484 Doppler-Upper Extremity-Artery (Rt) 147,850
RUEB484-1 EB484 Doppler-Upper Extremity-Artery (Lt) 147,850
RUEB485 EB485 Doppler-Upper Extremity-Vein (Rt) 147,850
RUEB485-1 EB485 Doppler-Upper Extremity-Vein (Lt) 147,850
RUEB487 EB487 Doppler-Lower Extremity-Artery (Rt) 147,850
RUEB487-1 EB487 Doppler-Lower Extremity-Artery (Lt) 147,850
RUEB488 EB488 Doppler-Lower Extremity-Vein (Rt) 147,850
RUEB488-1 EB488 Doppler-Lower Extremity-Vein (Lt) 147,850
영상진단 및
방사선치료료		 MRI RMHI101 HI101 Brain MRI 450,000
RMHI101A HI101 Sella MRI 450,000
RMHI201A HI201 Sella MRI (Enhance) 550,000
RMHI136 HI136 Carotid MRA 550,000
RMHI101B HI101 Brain MRI+Diffusion 650,000
RMHI135A HI135 Brain MRI+MRA 750,000
RMHI135B HI135 Brain MRI+MRA+Diffusion 850,000
RMHI135C HI135 Brain MRI+MRA+Carotid MRA+Diffusion 1,050,000
RMHI201 HI201 Brain MRI (Enhance) 550,000
RMHI235A HI235 Brain MRI+MRA (Enhance) 850,000
RMHI235B HI235 Brain MRI+MRA+Diffusion (Enhance) 900,000
RMHI235C HI235 Brain MRI+MRA+Carotid MRA+Diffusion (Enhance) 1,100,000
RMHE109B-P HE109P Pre OP C-Spine MRI (1) 648,760
RMHE109B-P2 HE109P2 Pre OP C-Spine MRI (2) 848,760
RMHE109C HE109 C-Spine MRI (Post OP) 300,000
RMHE109D HE109 C-Spine MRI (Flex/Ext) 250,000
RMHE109F HI109 C-Spine MRI (T2) 250,000
RMHE109B HI109 C-Spine MRI 450,000
RMHE109B-1 HI209 C-Spine (Enhance) MRI 550,000
RMHE109B-5 HI209 C-Spine (Enhance) MRI + Foramen 750,000
RMHE209-1 HE109 C-Spine Foramen MRI 200,000
RMHE209B HE209 C-Spine T1 (Enhance) MRI (조영제 추가) 149,850
RMHE109B-3 HI109 C-Spine MRI (2) 650,000
RMHE109B-2 HI109 C-Spine MRI (3) 700,000
RMHE109B-4 HI109 C-Spine MRI (4) 900,000
RMHE109B-7 HI109 C-T Spine MRI 450,000
RMHE111B HE111 L-Spine MRI 450,000
RMHE111B-P HE111P Pre OP L-Spine MRI (1) 648,760
RMHE111B-P2 HE111P2 Pre OP L-Spine MRI (2) 848,760
RMHE111C HE111 L-Spine MRI (Post OP) 300,000
RMHE111-1 HE111 L-Spine Foramen MRI 200,000
RMHE211B HE211 L-Spine T1 (Enhance) MRI (조영제 추가) 149,850
RMHE111D HE111 L-Spine MRI (T2) 250,000
RMHE111B-2 HI111 L-Spine MRI + Foramen 650,000
RMHE111B-1 HI111 L-Spine + Hip MRI 700,000
RMHE211B-1 HI111 L-Spine + Hip MRI (Enhance) 800,000
RMHE111F HE111 L-Spine MRI (2) 800,000
RMHE111G HE111 L-Spine MRI (3) 1,050,000
RMHE110B-1 HE110 T-Spine MRI (T2) 250,000
RMHE110B-2 HE110 T-Spine Foramen MRI 200,000
RMHE110C HE110 T-Spine MRI (Post OP) 300,000
RMHE110B-3 HE110 T-Spine MRI + Foramen 650,000
RMHE110B HI110 T-Spine MRI 450,000
RMHE210 HI210 T-Spine (Enhance) MRI 550,000
RMHE210C HE210 T-Spine (Enhance) MRI (조영제 추가) 149,850
RMHE111S HI111 Sacrum MRI 450,000
RMHE112A HI112 Myelogram MRI (척추강) 198,760
RMHE11320 HI111 T-L Spine MRI 450,000
RMHE11320-1 HI110 T-L Spine MRI (T2) 250,000
RMHE11320-2 HI110 T-L Spine MRI (Post OP) 300,000
RMHE210B HE210 T-L Spine T1 (Enhance) MRI (조영제 추가) 149,850
RMHE210A HE210 T-L Spine (Enhance) MRI 550,000
RMHE115L HE115 (Lt) Shoulder MRI 450,000
RMHE115L-1 HE115 (Lt) Shoulder MRI (Post OP) 250,000
RMHE115L-2 HE115 (Lt) Shoulder MRI (T2) 250,000
RMHE115L-3 HE115 (Lt) Shoulder MRI (cartilage) 350,000
RMHE215R-3 HE215 (Lt) Shoulder (Arthrography) MR 200,000
RMHE115R HE115 (Rt) Shoulder MRI 450,000
RMHE115R-1 HE115 (Rt) Shoulder MRI (Post OP) 250,000
RMHE115R-2 HE115 (Rt) Shoulder MRI (T2) 250,000
RMHE115R-3 HE115 (Rt) Shoulder MRI (cartilage) 350,000
RMHE215R-4 HE215 (Rt) Shoulder (Arthrography) MRI 200,000
RMHE116L HE116 (Lt) Elbow MRI 450,000
RMHE116L-1 HE116 (Lt) Elbowr MRI (Post OP) 250,000
RMHE116L-2 HE116 (Lt) Elbow MRI (cartilage) 350,000
RMHE116R HE116 (Rt) Elbow MRI 450,000
RMHE116R-1 HE116 (Rt) Elbowr MRI (Post OP) 250,000
RMHE116R-2 HE116 (Rt) Elbow MRI (cartilage) 350,000
RMHE117L HE117 (Lt) Wrist MRI 450,000
RMHE117L-1 HE117 (Lt) Wrist MRI (Post OP) 250,000
RMHE117L-2 HE117 (Lt) Wrist MRI (cartilage) 350,000
RMHE117R HE117 (Rt) Wrist MRI 450,000
RMHE117R-1 HE117 (Rt) Wrist MRI (Post OP) 250,000
RMHE117R-2 HE117 (Rt) Wrist MRI (cartilage) 350,000
RMHE118R HE118 Hip MRI 450,000
RMHE218R HE218 Hip (Enhance) MRI 550,000
RMHE118R-4 HE118 Hip MRI (Post OP) 250,000
RMHE118R-5 HE118 (Both) Hip MRI (coronal) 150,000
RMHE120L HE120 (Lt) Knee MRI 450,000
RMHE120L-1 HE120 (Lt) Knee MRI (Post OP) 250,000
RMHE120L-2 HE120 (Lt) Knee MRI (cartilage) 350,000
RMHE120R HE120 (Rt) Knee MRI 450,000
RMHE120R-1 HE120 (Rt) Knee MRI (Post OP) 250,000
RMHE120R-2 HE120 (Rt) Knee MRI (cartilage) 350,000
RMHE121L HE121 (Lt) Ankle MRI 450,000
RMHE121L-1 HE121 (Lt) Ankle MRI (Post OP) 250,000
RMHE121L-2 HE121 (Lt) Ankle MRI (cartilage) 350,000
RMHE121R HE121 (Rt) Ankle MRI 450,000
RMHE121R-1 HE121 (Rt) Ankle MRI (Post OP) 250,000
RMHE121R-2 HE121 (Rt) Ankle MRI (cartilage) 350,000
RMHE12241 HE122 (Lt) Humerus MRI 450,000
RMHE122L-1 HE122 (Lt) Hand MRI (POST OP) 250,000
RMHE12234 HE222 (Lt) Humerus (Enhance) MRI 550,000
RMHE12240 HE122 (Rt) Humerus MRI 450,000
RMHE122R-1 HE122 (Rt) Hand MRI (POST OP) 250,000
RMHE12233 HE222 (Rt) Humerus (Enhance) MRI 550,000
RMHE12320 HE123 (Lt) Femur MRI 450,000
RMHE12320-1 HE123 (Lt) Femur MRI (Post OP) 250,000
RMHE12321 HE123 (Rt) Femur MRI 450,000
RMHE12321-1 HE123 Rt) Femur MRI (Post OP) 250,000
RMHE123LL HE123 (Lt) Foot MRI 450,000
RMHE123LL-1 HE128 (Lt) Foot MRI (Post OP) 250,000
RMHE123RR HE123 (Rt) Foot MRI 450,000
RMHE123RR-1 HE128 (Rt) Foot MRI (Post OP) 250,000
RMHE12820 HI128 Pelvis MRI 450,000
RMHE12820A HI128 Pelvis (S-I Joint) MRI 450,000
RMHE22820 HI228 Pelvis (Enhance) MRI 550,000
RMHE990 - Whole spine MRI T2 Sagital 250,000
RMHE990A - Whole spine MRI T2 Sagital (Enhance) 350,000
RMHEHALF HE11A Half MRI 200,000
RHI135001 HE135001 MRI 외부판독료 - Brain 50,000
RHE109001 HE109001 MRI 외부판독료 - 경추 50,000
RHE110001 HE110001 MRI 외부판독료 - 흉추 50,000
RHE111001 HE111001 MRI 외부판독료 - 요천추 50,000
RHE115001 HE115001 MRI 외부판독료 - 견관절 50,000
RHE118001 HE118001 MRI 외부판독료 - 고관절 50,000
RHE120001 HE120001 MRI 외부판독료 - 슬관절 50,000
RHE116001 HE116001 MRI 외부판독료 - 주관절 50,000
RHE117001 HE117001 MRI 외부판독료 - 수관절 50,000
RHE121001 HE121001 MRI 외부판독료 - 족관절 50,000
처치 및
수술료		 P.E.N HSZ634A SZ634 경피적 경막외강 신경성형술 (P.E.N) 경추 1,500,000
HSZ634B SZ634 경피적 경막외강 신경성형술 (P.E.N) 흉추 1,200,000
HSZ634-1 SZ635 경피적 경막외강 신경성형술 (P.E.N) 요추/EDEN 800,000
IDET HSZ083A SZ083 추간판내 고주파열치료술(IDET) 경추 1,500,000
HSZ083 SZ083 추간판내 고주파열치료술(IDET)요추 1,000,000
자가 골수 줄기 세포 HSZ085 BMAC 무릎 골관절염에 대한 골수 흡인 농축물 관절강내 주사 3,500,000
근골 HSZ634 SZ634 경피적 경막외강 신경성형술 (P.E.N) 1,000,000
HSZ641 SZ641 경피적 풍선확장 경막외강 신경성형 (P.E.N.B) 1,100,000
치료재료대
중분류 소분류 진료비용항목 항목별 가격정보(단위:원) 특이
사항
수가코드 표준코드 명칭 비용 최저
비용		 최고
비용		 치료
재료대
포함		 약제비
포함
치료재료대 흉터관리재료 XBM5004TA BM5004TA 스카이지 플러스겔15g/1개 (Scarease Plus Gel) 98,000
XBM5000SQ BM5000SQ Surgicon (1.2g) 79,560
XBM5000SQA BM5000SQ Surgicon (5g) 97,840
드레싱 고정류 XBM5101AP BM5101AP 드레싱키트 [대한픽싱롤] 1,850
XBM5101GJ BM5101GJ 레노픽스엔부직반창고 [5*10]1cm당 (픽스롤) 11
XBM5101GJA BM5101GJ 레노픽스엔부직반창고 [10*10]1cm당 (픽스롤) 110
XBM5101GJB BM5101GJ 레노픽스엔부직반창고 [10*15]1cm당 (픽스롤) 140
XBM5103BF BM5103BF Natural Fix 부직반창고 [10cm]1cm당 (픽스롤) 272
XBM5103BF-1 BM5103BF Natural Fix 부직반창고 [15cm]1cm당 (픽스롤) 298
XBM5103ZN BM5103ZN Dressing Pad 17,830
XBM5103JN-1 BM5103JN (OR)엠엑스에스밴드 (OR용) 5,800
XBM5108JN BM5108JN 비젼슈퍼엑스에스밴드 19,360
XBM5109JP BM5109JP PENKO SIL FIX 19,360
XBM5109OP BM5109OP OPILEX CUTFIX 4,987
압박고정용
(탄력반창고)		 XBK7000CL BK7000CL 토니밴드 (방수밴드) 51,320
XBK7002NC BK7002NC PLIO-I (상/하지) 33,560
XBK7001GJA BK7001GJ Comfifast (Blue) [7.5*1M] 7,530
XBK7001GJC BK7001GJ Comfifast (Beige) [17.5*1M] 11,010
XBK7001GJB BK7001GJ Comfifast (Yellow) [10.75*1M] 9,800
XNK7001GJ BK7001GJ Comfifast (Green) [5.0*1M] 7,150
자착성(탄력)붕대 XBK7100KB BK7100KB 압박용밴드 K-B.W 79,850
XBM7100IP BM7100IP S-BAND 7,630
XBK7101EA BK7101EA 3M Coban Self-Adherent Wrap [1"/1개] 2,890
XBK7101EA-1 BK7101EA 3M Coban Self-Adherent Wrap [4"/1개] 7,739
피부보호제 XBM3001RQ BM3001RQ NDA Plus 1g 29,860
XBM5003OH BM5003OH Dermlin Paste 2g/1개 (덤린) 49,830
상처고정
및 보호용		 XBM2000JI BM2000JI Innomed Silicone Tape 16,790
일체형 니들 필터 XM1102135A M1102135 Filter syringe (5㎛ 이하) (필터주사기) 1,760
국소마취제 X675100041 675100041 인스틸라젤겔11ml 15,250
비침습적 지혈용(반창고형) XK9206003 K9206003 OPILEX FLEX 681
비침습적 지혈용(패드형) XK9205337 K9205337 Kionoid 99,340
지혈제 X646601401 646601401 Floseal Hemostatic Matrix (플로실) 898,530
X697200170 697200170 큐탄플라스트스폰지(80*50*10mm) 52,000
X650800260 650800260 스폰고스탄스탠다드(Spongostan standard 428mg) 37,240
X697200140 697200140 Novacol Fibrillar 0.5g 898,530
압박고정용 치료재료 XBM1200VO BM1200VO Care Board 29,860
XBC1206RL BC1206RL Shoulder Support Cover 70,240
XBC1002RL BC1002RL Knee Support Cover 70,240
XBC1212RL BC1212RL Hip Support Cover 70,240
XBC1215RE BC1215RE Tennis Elbow 60,120
보조기 XBC1203RE BC1203RE Soft Collar (소프트칼라/전규격) 15,640
XBC1000UJ BC1000UJ Knee Immobilizer 151,320
XBC1001UJ BC1001UJ Knee Cage 132,150
XBC1001WF BC1001WF 겔텍스(MCL) 183,450
XBC1001YR BC1001YR 돈조이(ACL,PCL)(밴드포함) 305,650
XBC1002WF BC1002WF Knee Immobilizer (R.O.M) 305,650
XBC1003UJ BC1003UJ Geltex ROM (겔텍스 ROM) 298,950
XBC1004UJ BC1004UJ Patellar Knee Brace 249,850
XBC1005UJ BC1005UJ Patellar Knee Brace ROM 298,950
XBC1100IT BC1100IT Ankle Boots 271,420
XBC1201VP BC1201VP Philadelphia Tracheotomy Collar 105,230
XBC1201WF BC1201WF LSO 305,630
XBC1201XW BC1201XW ROM Air Walker 351,420
XBC1202VP BC1202VP Miami J Collar 183,450
XBC1203WF BC1203WF Back Brace 251,850
XBC1203XY BC1203XY Hip Abduction Brace 403,270
XBC1204WF BC1204WF TLSO 403,270
XBC1204XW BC1204XW Thumb Brace 30,150
XBC1204XY BC1204XY Long Arm Brace 305,630
XBC1211VP BC1211VP Air Cast 132,150
XBC1212SI BC1212SI Vista Collar 202,140
XBC1215HT BC1215HT EZ Rap Shoulder 60,000
XBC1215HTA BC1215HT EZ Rap Knee 60,000
XBC1220VP BC1220VP Wrist Brace 40,130
척추경막외 유착방지제 XBF0100RJ BF0100RJ Oxiplex 1,286,450
XBM2101QTA BM2101QT MEDICLORE 1.5cc (메디클로) 250,000
XBF0100DD BF0100DD HYCOGUARD-GEL 3ml (하이코가드겔) 1,500,000
XBF0101WCA BF0101WC Qblock 1.5ml (큐블럭) 500,000
XBF0101WC BF0101WC Qblock 3ml (큐블럭) 1,500,000
풍선확장 경막외강 유착박리술용 XBJ4804UN BJ4804UN Spinaut-H 1,400,000
XBJ4801DA DJ4801DA Expedio balloon catheter 1,400,000
경막외강 신경박리술용 XBJ4801DU BJ4801DU C-FLEXIS 984,530
경막외강 신경박리술 및 감압 신경성형술용 XBJ4802GV BJ4802GV EDEN-CC 1,000,000
XBJ4804GV BJ4804GV EDEN Epidural Catheter System Plus 1,000,000
추간판내 고주파 열치료술 XBF0201DA BF0201DA LDISQ-L(IDET) 2,000,000
XBF0202DA BF0202DA LDISQ-C(IDET) 2,000,000
XBF0200UI BF0200UI DISCORE 1,500,000
연조직 재건용 XBM2601OP BM2601OP Collashield White 1cc 181,240
XBM2601OPA BM2601OP Collashield White 3cc 321,320
XMBM2601AT BM2601AT XCM Biologic Tissue Matrix 955,200
XNM2601MS BM2601MS Mygen 6% 1cc (마이젠) 900,000
XBM2600VT BM2600VT Colhealup (콜힐업) 150,000
XBM2601QQ BM2601QQ Regenseal 601 (리젠씰) 980,000
대퇴와 연골손상에 대한 미세골절술용 XBM2621RA BM2621RA Cartifill 603 (카티필) 3,500,000
동종진피(INJECT용) XBTT01032 BTT01032 AESTEN 351,240
동종진피(IMPLANT용) XBTS01131 BTS01131 Arthro FLEX 2,955,220
XBTS01025 BTS01025 ENderm Link 4*5 2,500,000
XBTS01414 BTS01414 Bella Cell HD 4*5(B30BX*0405) 2,955,220
동종 제대혈 유래 중간엽줄기세포 X622900010 622900010 Cartisteom (카티스템) 8,900,000
인체조직유래
2차 가공뼈		 XBC0101BG BC0101BG Intergro DBM [5cc] 1,698,400
XBC0103BU BC0103BU Rafugen DBM Gel Pro 3cc 1,400,000
XBC0107ED BC0107ED Edenfuse [1cc] (DBM) 578,900
XBC0107EDA BC0107ED Edenfuse [3cc] (DBM) 1,187,600
XBC0103EDB BC0103ED Surefuse [1cc] (DBM) 732,500
XBC0103EDA BC0103ED Surefuse [3cc] (DBM) 1,176,430
XBC0103ED BC0103ED Surefuse [5cc] (DBM) 1,698,400
XBC0101UH BC0101UH OSG DBM Syringe 1cc 664,320
XBC0105AWA BC0105AW Grafton DBM Putty 1cc 664,320
XBC0105AW BC0105AW Grafton DBM Putty 2.5cc 1,436,320
XBC0111AW BC0111AW Grafton DBM Orthoblend 5cc 2,073,200
척추전용형 동종골 XBTB01019 BTB01019 Cornerstone L-ASR 2,534,200
XBTB01035 BTB01035 Cortical Cancellous Spacer-LOR 2,534,200
척추고정용 XBF0003GZ BF0003GZ BAGUERA C (인공디스크) 5,987,260
척추극돌기간
고정용		 XBF0401AW BF0401AW Spire Spinous Process Plate 2,961,300
HSZABM - [I-Factor]ABM/P-15 펩티드를 이용한 척추 유합용 골이식술 150,000
XZIFACTOR - I-Factor (1cc) 1,300,000
XZIFACTOR1 - I-Factor (2.5cc) 2,400,000
XU001 - Cast Shoes (캐스트슈즈-전규격) 6,010
XU017 - Clavicle Band (팔자붕대) 35,000
XU013 - Velpeau Band (벨포밴드) 14,980
XU003 - 환의 [상의] 7,000
XU004 - 환의 [하의] 7,000
XU005 - 환의 [상의+하의] 14,000
XU006 - 시트 18,000
XU007 - 소변기 (남/녀) 2,040
XU008 - Arm Sling (팔걸이) 5,020
XU009 - Diaper [기저귀/팬티형] (대형) 600
XU009-1 - Diaper [기저귀] (중형) 900
XU010 - Diaper [기저귀/일자형] 300
XU018 - 목발 24,000
XU011 - 대변기 2,300
약제비
중분류 소분류 진료비용항목 항목별 가격정보(단위:원) 특이
사항
수가코드 표준코드 명칭 비용 최저
비용		 최고
비용		 치료
재료대
포함		 약제비
포함
약제비 약제 D641805180 641805180 아디펙스정18.75mg 998
D647802340 647802340 트레스탄캡슐 779
D652001030 652001030 둘코락스에스장용정5mg 432
D659901460 659901460 오라팡정28정(대장내시경) 29,870
D642703970 642703970 후시딘연고10g 8,210
D653400790 653400790 오라메디연고10g 8,000
D643900900 643900900 액티피드정60mg 63
D669905190 669905190 토핀정25mg 934
D681800010 681800010 박티그라 1매 3,875
D656003860 656003860 프로즌겔/1tube 19,830
D662800120 662800120 리쥬비넥스크림10g/1개 (PDRN) 40,000
D622804470 622804470 트라넥엠캡슐 375
D642900210 642900210 레날민정 58
DKEARDROPS - (이비인후과) K-Ear Drops (케이이어드롭스) 10,000
주사제 W669906640 669906640 뉴디엔주 99,850
W644901752 644901752 유바솔주 250ml [3] 29,730
W645202341 645202341 이소나민주 250ml [4] 39,740
W647601210 647601210 갈로닉주10ml 12,930
W649001221 649001221 치옥토신 15,240
W645104280 645104280 칼킬레이트주10ml 25,000
W667400900 667400900 아미노플라즈마5%E주 250ml 67,350
W654802110 654802110 하이랙스주0.5ml(hyaluronidase 750IU) 57,830
W654802040 654802040 하이랙스주1ml(hyaluronidase 1500IU) 97,830
W653102780 653102780 구치온주 31,230
W662502980 662502980 바이온주 31,230
W657807451 657807451 바이파보주50mg 86,784
W665001971 665001971 네프콤주사액2ml 8,740
W659900341 659900341 아큐판주사액2ml 9,740
W665002211 665002211 옴니덱스주2ml 50,230
W667400680 667400680 테트라스판주10% 500ml 80,450
W669904600 669904600 리포라제(hyaluronidase 1500IU) 69,850
W669905890 669905890 염화마그네슘주 10,120
W670602631 670602631 하이코민주 (비타민B) 7,530
W645104591 645104591 헤모닉스주1ml 30,000
W670603640 670603640 피리독신염산염주 7,530
W670600790 670600790 메리트씨 20ml 7,530
W668901281 668901281 히루안주(히알우론산나트륨) 19,850
W669906221 669906221 바이타디주(비타민D) 40,350
W672900360 672900360 생리식염키트주 250ml 9,760
W678900996 678900996 위너프페리주 362ml 97,850
W647801080 647801080 타우로린주사2% 250ml/1병 110,000
W644913140 644913140 페린젝트주 10ml 276,530
W645101151 645101151 데오에스베리벤에프주 9,340
W654400571 654400571 삭센다펜주(생)6mg/3ml 135,000
W657807531 657807531 루마세이트주(플루마제닐)2ml 15,125
W645306651 645306651 덱스토민프리믹스주50mL 54,230
W669908151 669908151 디뉴덱스2ml 158,400
W657807851 657807851 하나슈가원주2ml 158,400
W644303851 644303851 카르민주0.8% 4,278
W657805221 657805221 네큐팜주사액 2ml 22,400
W657807051 657807051 네큐팜주사액 10ml 50,000
W657807701 657807701 원부펜프리믹스주(이부프로펜)100ml 30,000
WMACXI 665003111 맥시제식주 100ml 80,000
예방접종 W643605311 643605311 예방]티디백신프리필드시린지0.5ml[디프테리아, 파상풍] 39,800
W056400041 056400041 예방]스카이조스터주0.5ml [대상포진] 150,000
W655501730 655501730 예방]박타프리필드시린지1ml [A형 간염] 69,830
W668900920 668900920 예방]유박스비주1ml [B형 간염] 29,850
W648902270 648902270 예방]프리베나13주 [폐렴] 121,350
W056400031-1 056400031 예방]스카이셀플루4가0.5ml [독감] 35,000
제증명수수료
중분류 소분류 진료비용항목 항목별 가격정보(단위:원) 특이
사항
수가코드 표준코드 명칭 비용 최저
비용		 최고
비용		 치료
재료대
포함		 약제비
포함
제증명수수료 제증명 AQ001 - 일반진단서 15,000
AQ001-1 - 일반진단서 (사본) 1,000
AQ002 - 입퇴원확인서 3,000
AQ002-1 - 상급병실 사용 확인서 3,000
AQ003 - 통원확인서 3,000
AQ003-1 - 통원확인서 (사본) 1,000
AQ004 - 진료확인서 3,000
AQ004-1 - 진료확인서 (사본) 1,000
AQ005 - 수술확인서 3,000
AQ005-1 - 시술확인서 3,000
AQ005-2 - 수술확인서 (사본) 1,000
AQ005-3 - 시술확인서 (사본) 1,000
AQ006 - 소견서 10,000
AQ006-4 - 소견서 (보험회사용) 50,000
AQ006-3 - 소견서 (사본) 1,000
AQ007 - 상해진단서 3주 미만 100,000
AQ008 - 상해진단서 3주 이상 150,000
AQ009 - 근로능력평가서 10,000
AQ010 - 영문진단서 20,000
AQ010-1 - 영문진단서 (사본) 1,000
AQ011 - 장애정도 심사용 진단서 (신체적장애) 15,000
AQ012 - 건강검진 수검 확인서 3,000
AQ013 - 병사용 진단서 20,000
AQ014 - 국민연금 장애 심사용 진단서 (관절운동장애) 15,000
AQ015 - 국민연금 장애 심사용 진단서 (척추 및 사지마비) 15,000
AQ016 - 향후치료비 추정서 천만원 미만 50,000
AQ017 - 향후치료비 추정서 천만원 이상 100,000
AQ018 - 후유장애진단서 (보험회사제출용) 100,000
AQ018-1 - 후유장애진단서 (사본) 10,000
AQ019 - 장애인증명서 (소득공제) 1,000
AQ020 - 제증명서 사본 1,000
AQ021 - 진료기록 사본 (1-5매) 1,000
AQ022 - 진료기록 사본 (6매 이상/장당) 100
AQ023 - CD-copy (진료기록 영상 복사) 10,000
AQ024 - 사망진단서 10,000
AQ025 - 채용신체검사서 (공무원) 40,000
AQ026 - 채용신체검사서 (일반) 30,000
AQ027 - 건강진단서 15,000
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