분류코드 |
수가코드 |
품목명 |
보험수가 |
12.외용약 |
BM2600 |
노시셉톨겔
40ml |
12,000 |
12.외용약 |
BM2601 |
노시셉톨겔
120ml |
29,000 |
12.외용약 |
BM5001LT |
베러덤 Md 크림, Varrerderm Md
Cream |
45,000 |
12.외용약 |
BM5002QT |
비)이지듀Md
보습크림 |
40,000 |
19.기타주사수기료 |
PRP |
비)PRP(초음파 유도하 자가혈청
주사치료) |
300,000 |
19.기타주사수기료 |
PRP-1 |
비)PRP(초음파 유도하 자가혈청 주사치료) + 부위추가
|
100,000 |
19.기타주사수기료 |
MY142-1 |
prolotheraphy-3
증식치료 |
30,000 |
19.기타주사수기료 |
MY142C |
증식치료-10(초음파비용
미포함) |
100,000 |
20.주사약제 |
P006 |
비)플라센텍스주1vial
대우제약 |
80,000 |
20.주사약제 |
642301821 |
반코마이신염산염주500mg
삼성제약 |
8,791 |
20.주사약제 |
671807061 |
테로사카트리지주(테리파라타이드)_(0.6mg/2.4ml)
급여 |
219,550 |
20.주사약제 |
V-12 |
리코발라민(Vit.B12)-비급여 |
50,000 |
20.주사약제 |
METD1 |
비)메리트디(vit D)inj (0.5ml)
휴온스제약 |
50,000 |
20.주사약제 |
650902021 |
카비파라세타몰주(아세트아미노펜) |
40,000 |
23.마취행위료 |
S-P |
수면
MRI |
50,000 |
25.재활및물리치료료 |
MX122A |
비)도수치료 [1일당]
A |
60,000 |
25.재활및물리치료료 |
MX122B |
비)도수치료 [1일당]
B |
120,000 |
25.재활및물리치료료 |
MX122C |
비)도수치료 (1일당)
-C |
180,000 |
37.처치재료 |
BC1206RL |
Shoulder Support Cover Fabric,
Chinlon |
60,000 |
37.처치재료 |
BM2601MS |
마이젠(Mygen)3%
0.5cc |
200,000 |
37.처치재료 |
BM5001BL |
Superpore
(9X6) |
220 |
37.처치재료 |
BM5003BL |
Superpore
(9X12) |
340 |
37.처치재료 |
스타픽스슈즈 |
Starfix
Shoes |
10,000 |
37.처치재료 |
DR-W004 |
손목
보조기 |
30,000 |
38.수술재료 |
M-PIECE |
MOUTH
PIECE |
15,000 |
38.수술재료 |
BM5100JN |
Fixation suction set
비젼헬스케어브이에스밴드부직반 |
16,000 |
38.수술재료 |
BF0100AJ |
Artq, Cover Seal Sodium
Hyaluronate
등 |
350,000 |
38.수술재료 |
BK7001NA |
Toni-Fix Viscose, Polyamide,
Elastane |
35,000 |
38.수술재료 |
BK7101HN |
Wm-Band Cotton
외 |
16,000 |
50.혈액화학검사 |
D4902020 |
위탁)비타민-[정밀면역검사]_25-OH-Vitamin
D Total |
50,000 |
50.혈액화학검사 |
CZ242 |
아밀로이드
A |
70,000 |
54.병리조직검사 |
S-D |
조직검사
슬라이드 |
5,000 |
70.방사선단순촬영 |
B-AGE |
Boneage(wrist)-골연령검사 |
100,000 |
76.자기영상(MRI) |
ME73E-L |
(B)Lt Knee
MRI+ACL-E |
750,000 |
76.자기영상(MRI) |
MR01 |
(비)Brain
MRI |
520,000 |
76.자기영상(MRI) |
MR20 |
(비)C-Spine
MRI |
520,000 |
76.자기영상(MRI) |
MR20-1 |
(비)C-Spine
MRI(+) |
600,000 |
76.자기영상(MRI) |
MR25-1 |
(비)C-SPINE MRI (Post
OP) |
300,000 |
76.자기영상(MRI) |
MR21 |
(비)C-Spine
MRI(E) |
650,000 |
76.자기영상(MRI) |
MR22 |
(비)T-Spine
MRI |
520,000 |
76.자기영상(MRI) |
MR22 |
(B)T-Spine
MRI |
520,000 |
76.자기영상(MRI) |
MR23 |
(B)T-Spine
MRI(E) |
650,000 |
76.자기영상(MRI) |
MR25-2 |
(비)T-SPINE MRI (POST
OP) |
300,000 |
76.자기영상(MRI) |
MR556E |
(비)T-Spine MR
arthrogram |
680,000 |
76.자기영상(MRI) |
MR24 |
(비)L-Spine
MRI |
520,000 |
76.자기영상(MRI) |
MR25 |
(비)L-Spine
MRI(E) |
650,000 |
76.자기영상(MRI) |
MR25-3 |
(비)L-SPINE MRI (Post
OP) |
300,000 |
76.자기영상(MRI) |
MR556D |
(비)L-Spine MRI
arthrogram |
680,000 |
76.자기영상(MRI) |
MR28 |
(비)T-L-spine MRI(total
inclusion,) |
650,000 |
76.자기영상(MRI) |
MR28-1 |
(비)T-L-spine MRI(total
inclusion,)
(+) |
700,000 |
76.자기영상(MRI) |
MR26 |
(B)Sacrum-Coccyx
MRI |
520,000 |
76.자기영상(MRI) |
MR27 |
(B)Sacrum-Coccyx
MRI(E) |
650,000 |
76.자기영상(MRI) |
MR55-3L |
비)Simple Shoulder
MRI-Lt |
300,000 |
76.자기영상(MRI) |
MR55-2R |
비)Simple Shoulder
MRI-Rt |
300,000 |
76.자기영상(MRI) |
MR55-R |
(비)Shoulder
MRI(Rt) |
520,000 |
76.자기영상(MRI) |
MR55-L |
(비)Shoulder
MRI(Lt) |
520,000 |
76.자기영상(MRI) |
MR55-2 |
(비)Shoulder MRI(post
OP)-Rt |
300,000 |
76.자기영상(MRI) |
MR55-3 |
(비)Shoulder MRI(post
OP)-Lt |
300,000 |
76.자기영상(MRI) |
MR556-L |
(비)shoulder MRI
athrogram(LT) |
680,000 |
76.자기영상(MRI) |
MR556-R |
(비)shoulder MRI
athrogram(RT) |
680,000 |
76.자기영상(MRI) |
MR55A-L |
(비)Shoulder
MRI(LT)(+) |
600,000 |
76.자기영상(MRI) |
MR55A-R |
(비)Shoulder
MRI(RT)(+) |
600,000 |
76.자기영상(MRI) |
MR55E-L |
(비)Shoulder
MRI(LT)-E |
650,000 |
76.자기영상(MRI) |
MR55E-R |
(비)Shoulder
MRI(RT)-E |
650,000 |
76.자기영상(MRI) |
MR59 |
(비)Wrist
MRI |
520,000 |
76.자기영상(MRI) |
MR59-2 |
(비)Wrist MRI(post
OP)-Rt |
300,000 |
76.자기영상(MRI) |
MR59-3 |
(비)Wrist MRI(post
OP)-Lt |
300,000 |
76.자기영상(MRI) |
MR59-L |
(비)Wrist MRI
(LT) |
520,000 |
76.자기영상(MRI) |
MR59-R |
(비)Wrist MRI
(RT) |
520,000 |
76.자기영상(MRI) |
MR596-L |
(비)Wrist MRI
athrogram(LT) |
680,000 |
76.자기영상(MRI) |
MR596-R |
(비)Wrist MRI
athrogram(RT) |
680,000 |
76.자기영상(MRI) |
MR59A-L |
(비)Wrist MRI
(LT)(+) |
600,000 |
76.자기영상(MRI) |
MR59A-R |
(비)Wrist MRI
(RT)(+) |
600,000 |
76.자기영상(MRI) |
MR59E-L |
(비)Wrist MRI
(LT)-E |
600,000 |
76.자기영상(MRI) |
MR631 |
(비)forearm
MRI(RT) |
520,000 |
76.자기영상(MRI) |
MR641 |
(비)forearm
MRI(LT) |
520,000 |
76.자기영상(MRI) |
MR601 |
(비)forearm
MRI(RT)-E |
650,000 |
76.자기영상(MRI) |
MR621 |
(비)forearm
MRI(LT)-E |
650,000 |
76.자기영상(MRI) |
MR63 |
(비)Elbow MRI
(우측) |
520,000 |
76.자기영상(MRI) |
MR63-2 |
(비)elbow MRI(post
OP)-Rt |
300,000 |
76.자기영상(MRI) |
MR63-3 |
(비)elbow MRI(post
OP)-Lt |
300,000 |
76.자기영상(MRI) |
MR63-2R |
비)Simple Elbow
MRI(우측) |
300,000 |
76.자기영상(MRI) |
MR63-3L |
비)Simple Elbow
MRI(좌측) |
300,000 |
76.자기영상(MRI) |
MR63-L |
(비)Elbow MRI
(LT) |
520,000 |
76.자기영상(MRI) |
MR63-R |
(비)Elbow MRI
(RT) |
520,000 |
76.자기영상(MRI) |
MR636-L |
(비)elbow MRI
athrogram(LT) |
680,000 |
76.자기영상(MRI) |
MR636-R |
(비)elbow MRI
athrogram(RT) |
680,000 |
76.자기영상(MRI) |
MR63A-L |
(비)Elbow MRI
(LT)(+) |
600,000 |
76.자기영상(MRI) |
MR63A-R |
(비)Elbow MRI
(RT)(+) |
600,000 |
76.자기영상(MRI) |
MR63E-L |
(비)Elbow MRI
(LT)-E |
650,000 |
76.자기영상(MRI) |
MR63E-R |
(비)Elbow MRI
(RT)-E |
650,000 |
76.자기영상(MRI) |
MR65-2 |
(비)Hand MRI (Post
OP)-Rt |
300,000 |
76.자기영상(MRI) |
MR65-3 |
(비)Hand MRI (Post
OP)-Lt |
300,000 |
76.자기영상(MRI) |
MR65-L |
(비)Hand MRI
(LT) |
520,000 |
76.자기영상(MRI) |
MR65-L |
(비)Hand MRI
(LT) |
520,000 |
76.자기영상(MRI) |
MR65-R |
(비)Hand MRI
(RT) |
520,000 |
76.자기영상(MRI) |
MR65E-L |
(비)Hand MRI
(LT)-E |
650,000 |
76.자기영상(MRI) |
MR65E-L |
(비)Hand MRI
(LT)-E |
650,000 |
76.자기영상(MRI) |
MR65E-R |
(비)Hand MRI
(RT)-E |
650,000 |
76.자기영상(MRI) |
MR65E-R |
(비)Hand MRI
(RT)-E |
650,000 |
76.자기영상(MRI) |
MR67-2 |
(비)Foot MRI (post
OP)-Rt |
300,000 |
76.자기영상(MRI) |
MR67-3 |
(비)Foot MRI (post
OP)-Lt |
300,000 |
76.자기영상(MRI) |
MR67-R |
(비)Foot MRI
(RT) |
520,000 |
76.자기영상(MRI) |
MR67-L |
(비)Foot MRI
(LT) |
520,000 |
76.자기영상(MRI) |
MR67E-L |
(비)Foot MRI
(LT)-E |
650,000 |
76.자기영상(MRI) |
MR67E-R |
(비)Foot MRI
(RT)-E |
650,000 |
76.자기영상(MRI) |
MR76-2 |
(비)Ankle MRI (post
OP)-Rt |
300,000 |
76.자기영상(MRI) |
MR76-3 |
(비)Ankle MRI (post
OP)-Lt |
300,000 |
76.자기영상(MRI) |
MR76-L |
(비)Ankle MRI
(LT) |
520,000 |
76.자기영상(MRI) |
MR76-R |
(비)Ankle MRI
(RT) |
520,000 |
76.자기영상(MRI) |
MR76A-L |
(비)Ankle MRI
(LT)(+) |
550,000 |
76.자기영상(MRI) |
MR76A-R |
(비)Ankle MRI
(RT)(+) |
600,000 |
76.자기영상(MRI) |
MR76E-L |
(비)Ankle MRI
(LT)-E |
650,000 |
76.자기영상(MRI) |
MR76E-R |
(비)Ankle MRI
(RT)-E |
650,000 |
76.자기영상(MRI) |
MR70 |
(비)HIP
MRI |
520,000 |
76.자기영상(MRI) |
MR70-1 |
(비)HIP MRI (RT) & L-Spine
Sagittal |
750,000 |
76.자기영상(MRI) |
MR70-2 |
(비)HIP MRI (LT) & L-Spine
Sagittal |
750,000 |
76.자기영상(MRI) |
MR70-3 |
(비)HIP MRI
(LT)-E |
650,000 |
76.자기영상(MRI) |
MR70-4 |
(비)HIP MRI
(RT)-E |
650,000 |
76.자기영상(MRI) |
MR70-E |
(비)HIP
MRI-E |
650000 |
76.자기영상(MRI) |
MR71 |
(비)Pelvis
MRI |
520,000 |
76.자기영상(MRI) |
MR71-1 |
(비)Pelvis MRI
(+) |
600,000 |
76.자기영상(MRI) |
MR556I |
(비)Pelvis MR
artrogram |
680,000 |
76.자기영상(MRI) |
MR711 |
(B)Rt Femur
MRI |
520,000 |
76.자기영상(MRI) |
MR712 |
(B)Lt Femur
MRI |
520,000 |
76.자기영상(MRI) |
MR72-2 |
(비)KNEE MRI(post
OP)-Rt |
300,000 |
76.자기영상(MRI) |
MR72-2 |
(비)KNEE MRI(post
OP)-Lt |
300,000 |
76.자기영상(MRI) |
MR72-2L |
비) LT knee cor/sag/ACL
(좌측) |
300,000 |
76.자기영상(MRI) |
MR72-2R |
비) RT knee cor/sag/ACL
(우측) |
300,000 |
76.자기영상(MRI) |
MR72-3 |
(비)KNEE MRI(post
OP)-Lt |
300,000 |
76.자기영상(MRI) |
MR72-3L |
비) LT knee cor/sag/ACL/Axial
(좌측) |
430,000 |
76.자기영상(MRI) |
MR72-3R |
비) RT knee cor/sag/ACL/Axial
(우측) |
430,000 |
76.자기영상(MRI) |
MR72-L |
(비)Knee
MRI(LT) |
520,000 |
76.자기영상(MRI) |
MR72-R |
(비)KNEE MRI
(RT) |
520,000 |
76.자기영상(MRI) |
MR726-L |
(비)KNEE MRI
athrogram(LT) |
680,000 |
76.자기영상(MRI) |
MR726-R |
(비)KNEE MRI athrogram(RT) |
680,000 |
76.자기영상(MRI) |
MR72A |
(B)RT Knee
MRI+ACL |
630,000 |
76.자기영상(MRI) |
MR72A-1 |
(B)Lt Knee
MRI+ACL |
630,000 |
76.자기영상(MRI) |
MR72A-L |
(비)KNEE MRI
(LT)(+) |
600,000 |
76.자기영상(MRI) |
MR72A-R |
(비)KNEE MRI
(RT)(+) |
600,000 |
76.자기영상(MRI) |
MR72E-L |
(비)KNEE MRI
(LT)-E |
650,000 |
76.자기영상(MRI) |
MR72E-R |
(비)KNEE MRI
(RT)-E |
650,000 |
76.자기영상(MRI) |
MR73E |
(B)Knee
MRI+ACL(E) |
750,000 |
76.자기영상(MRI) |
MR73E-L |
(B)Lt Knee
MRI+ACL-E |
750,000 |
76.자기영상(MRI) |
MR73E-R |
(B)Rt Knee
MRI+ACL-E |
750,000 |
76.자기영상(MRI) |
MR80 |
(B)Rt Upper Extremity
MRI |
520,000 |
76.자기영상(MRI) |
MR80-1 |
(B)Lt Upper Extremity
MRI |
520,000 |
76.자기영상(MRI) |
MR80-1A |
(B)Rt Upper Extremity MRI
(E) |
650,000 |
76.자기영상(MRI) |
MR80-1B |
(B)Lt Upper Extremity MRI
(E) |
650,000 |
76.자기영상(MRI) |
MR82 |
(B)Lower Extremity
MRI-E |
600,000 |
76.자기영상(MRI) |
MR82E |
(B)Lower Extremity MRI
RT(E) |
600,000 |
76.자기영상(MRI) |
MR82-1 |
(B)Lower Extremity
MRI(RT) |
520,000 |
76.자기영상(MRI) |
MR82-2 |
(B)Lower Extremity MRI
(LT) |
520,000 |
76.자기영상(MRI) |
MR82-3 |
(B)Rt Lower Leg MRI
(E) |
650000 |
76.자기영상(MRI) |
MR82-4 |
(B)Lt Lower Leg MRI
(E) |
650,000 |
76.자기영상(MRI) |
MR82E |
(B)Lower Extremity MRI
LT-(E) |
650,000 |
76.자기영상(MRI) |
MR84 |
(비)Pelvis MRI(POST
OP) |
300,000 |
76.자기영상(MRI) |
MR90 |
(B)MRCP
MRI |
520,000 |
76.자기영상(MRI) |
MR711 |
(비)Femur MRI
(Rt) |
520,000 |
76.자기영상(MRI) |
MR712 |
(비)Femur MRI (Lt) |
520,000 |
76.자기영상(MRI) |
MR93 |
(B)Rt Femur MRI
(E) |
650,000 |
76.자기영상(MRI) |
MR93-1 |
(B)Lt Femur MRI
(E) |
650,000 |
76.자기영상(MRI) |
MR98 |
(B)Tibia MRI
(RT) |
520,000 |
76.자기영상(MRI) |
MR98-1 |
(B)Tibia MRI
(LT) |
520,000 |
76.자기영상(MRI) |
MR98A-L |
(B)Tibia MRI
(LT)(+) |
550,000 |
76.자기영상(MRI) |
MR98A-R |
(B)Tibia MRI
(RT)(+) |
550,000 |
76.자기영상(MRI) |
MR98E-L |
(B)Tibia MRI
(LT)-E |
650,000 |
76.자기영상(MRI) |
MR98E-R |
(B)Tibia MRI
(RT)-E |
650,000 |
76.자기영상(MRI) |
MR98AE-L |
(B)Tibia MRI
(LT)-E(+) |
650,000 |
76.자기영상(MRI) |
MR98AE-R |
(B)Tibia MRI
(RT)-E(+) |
650,000 |
76.자기영상(MRI) |
MR98E |
(B)(B)CALF
MRI(E)(편측당) |
550,000 |
81.증명료 |
B-D7 |
진료기록사본1~5매 |
1,000 |
81.증명료 |
B-D8 |
진료기록사본6매이상 |
1,000 |
81.증명료 |
B-D36 |
영문진단서 |
20,000 |
81.증명료 |
B-D49 |
건강진단서 |
20,000 |
81.증명료 |
COPY-CD |
CD복사수수료 |
10,000 |
81.증명료 |
B-D39 |
향후진료비추정천만원이하 |
50,000 |
81.증명료 |
B-391 |
향후진료비추정천만원이상 |
100,000 |
81.증명료 |
B-D14 |
상해진단서3주미만 |
100,000 |
81.증명료 |
B-D15 |
상해진단서3주이상 |
150,000 |
81.증명료 |
B-D45 |
제증명서사본 1매당 |
1,000 |
81.증명료 |
B-D12 |
통원확인서 |
3,000 |
81.증명료 |
B-D3 |
입퇴원확인서 |
3,000 |
81.증명료 |
B-D1 |
일반진단서 |
20,000 |
81.증명료 |
B-D21 |
근로능력평가용진단서 |
10,000 |
81.증명료 |
AB902 |
상급병실1인실 |
180,000 |
81.증명료 |
B-D17 |
병무용진단서 |
20,000 |
81.증명료 |
B-D16-1 |
지체장애용(관절장애)소견서 |
10,000 |
81.증명료 |
B-D16-2 |
국민연금(팔, 다리
장애)소견서 |
10,000 |
84.구급차사용료 |
AY100 |
일반구급차 이송처치료
기본요금(10km이내) |
30,000 |
84.구급차사용료 |
AY100020 |
일반구급차 이송처치료 기본요금(10km이내)
심야(이송) |
36,000 |
84.구급차사용료 |
AY101 |
일반구급차 이송처치료 기본요금(10km초과
1km당) |
1,000 |
84.구급차사용료 |
AY101020 |
일반구급차 이송처치료 추가요금(10km초과 1km당) 심야 |
1,200 |
84.구급차사용료 |
AY102 |
일반구급차이송처치료부가요금(의사 간호사
응급구조사 |
15,000 |
84.구급차사용료 |
AY102020 |
일반구급차이송처치료부가요금(의사 간호사
응급구조사 |
18,000 |