분류 |
항목 |
가격정보 (단위:원) |
명칭 |
코드 |
구분 |
비용 |
최저비용 |
최대비용 |
치료대포함여부 |
약제대포함여부 |
특이사항 |
|
Xgen Graft 3cc -H-one |
BC0105ED |
|
1400000 |
0 |
0 |
|
|
|
|
플로실 |
646601401 |
|
900000 |
0 |
0 |
|
|
|
|
Intraspine-SM |
BF0401WQ |
|
3800000 |
0 |
0 |
|
|
|
|
전기수술기용 전극KJ400.KJ401.KJ402.KJ403-SM |
BF0201OB |
|
1600000 |
0 |
0 |
|
|
|
|
Hibarry(하이배리)-유착방지제 |
BF0101VT |
|
900000 |
0 |
0 |
|
|
|
|
환의(상하) |
비급여 |
|
16500 |
0 |
0 |
|
|
|
|
DEMIOS DBM GEL 1cc |
BC0101KJ |
|
650000 |
0 |
0 |
|
|
|
|
소변기(남성용) |
비급여 |
|
5000 |
0 |
0 |
|
|
|
|
팔걸이(소아) |
비급여 |
|
3000 |
0 |
0 |
|
|
|
|
팔걸이(성인) |
VM061 |
|
5000 |
0 |
0 |
|
|
|
|
팔자 붕대 -보조기 |
VM062 |
|
20000 |
0 |
0 |
|
|
|
|
벨포밴드(붕대) |
12064 |
|
30000 |
0 |
0 |
|
|
|
|
Ice Bag -환자 갖고 감 |
비급여 |
|
30000 |
0 |
0 |
|
|
|
|
Colar Cast Shoes |
VM070 |
|
12000 |
0 |
0 |
|
|
|
|
wrist brace |
BC1215UZ |
|
30000 |
0 |
0 |
|
|
|
|
Thumb+ wrist Brace |
BC1208RE |
|
50000 |
0 |
0 |
|
|
|
|
Thumb Brace |
BC1213UZ |
|
40000 |
0 |
0 |
|
|
|
|
EZ Rap Brace |
BC1215HT |
|
100000 |
0 |
0 |
|
|
|
|
knee brace |
BC1002UZ |
|
50000 |
0 |
0 |
|
|
|
|
knee MCL brace |
BC1002SI |
|
200000 |
0 |
0 |
|
|
|
|
immobilize knee-splint (무릎 고정) |
BC1010PR |
|
100000 |
0 |
0 |
|
|
|
|
ankle brace |
BC1216UZ |
|
30000 |
0 |
0 |
|
|
|
|
등, 허리, 엉치뼈보조기(Iso식 jacket) |
보조기 |
|
300000 |
0 |
0 |
|
|
|
|
philadelpia brace |
20244 |
|
70000 |
0 |
0 |
|
|
|
|
Blue DBM Wedge |
BC0104QT |
|
1850000 |
0 |
0 |
|
|
|
|
토닉밴드 |
BC1201JO |
|
40000 |
0 |
0 |
|
|
|
|
Rafugen wedge(solid W6) |
BC0100BU |
|
1700000 |
0 |
0 |
|
|
|
|
알루미늄 목발 |
20330 |
|
20000 |
0 |
0 |
|
|
|
|
MegaDerm(1.5*3) |
BST01019 |
|
800000 |
0 |
0 |
|
|
|
|
MyGen 1cc |
BM2601MS |
|
500000 |
0 |
0 |
|
|
|
|
Pre Band |
BK7000PV |
|
20000 |
0 |
0 |
|
|
|
|
CARTISTEM |
622900010 |
|
8000000 |
0 |
0 |
|
|
|
|
Scargen |
BM5000AE |
|
120000 |
0 |
0 |
|
|
|
|
Surgicon(써지콘) |
BM5000SQ |
|
100000 |
0 |
0 |
|
|
|
|
3M COBAN |
BK7101EA |
|
4000 |
0 |
0 |
|
|
|
|
Eden Epidural Catheter |
BJ4801GV |
|
700000 |
0 |
0 |
|
|
|
|
DIAM |
BF0402AW |
|
3800000 |
0 |
0 |
|
|
|
|
루플라주 |
053300081 |
|
150000 |
0 |
0 |
|
|
|
|
Mygen 3cc |
BM2601MS |
|
800000 |
0 |
0 |
|
|
|
|
silflex 12*15 |
BM2001CT |
|
30000 |
0 |
0 |
|
|
|
|
silflex 5*7.5 |
BM2001CT |
|
10000 |
0 |
0 |
|
|
|
|
silflex 8*10 |
BM2001CT |
|
20000 |
0 |
0 |
|
|
|
|
MOBI-C with Plug & Fit |
BF0001KV |
|
5500000 |
0 |
0 |
|
|
|
|
RF-CURER(일회용발조절식전기수술기용 전극) |
BF0202XP |
|
1600000 |
0 |
0 |
|
|
|
|
InterBlock-유착방지제 |
BF0100VD |
|
900000 |
0 |
0 |
|
|
|
|
NOVOSIS 1cc |
BC0301QT |
|
2500000 |
0 |
0 |
|
|
|
|
BAGUERA C |
BF0003GZ |
|
5500000 |
0 |
0 |
|
|
|
자기공명영상진단료 |
MRI C-SPINE+E/F |
HE109 |
|
500000 |
0 |
0 |
|
|
|
|
ROTAIO |
BF0001HB |
|
5500000 |
0 |
0 |
|
|
|
|
MST-HDET |
BF0201RG |
|
1600000 |
0 |
0 |
|
|
|
|
BONGENER 1cc |
BC0102QT |
|
650000 |
0 |
0 |
|
|
|
|
BONGENER 2.5cc |
BC0102QT |
|
1400000 |
0 |
0 |
|
|
|
|
OSG DBM 1cc |
BC0101UH |
|
650000 |
0 |
0 |
|
|
|
|
OSG DBM 3cc |
BC0101UH |
|
1400000 |
0 |
0 |
|
|
|
|
RAFUGEN DBM GEL PRO 1cc |
BC0103BU |
|
650000 |
0 |
0 |
|
|
|
|
RAFUGEN DBM GEL PRO 3cc |
BC0103BU |
|
1400000 |
0 |
0 |
|
|
|
|
NAVIO Disposable Kit |
BE3001AD |
|
1600000 |
0 |
0 |
|
|
|
|
EPI-GEN CATH |
BJ7001RG |
|
700000 |
0 |
0 |
|
|
|
|
knee brace (B) |
BC1002UZ |
|
50000 |
0 |
0 |
|
|
|
|
Silicone tape(E-tube 고정용) |
BM2002SZ |
|
10000 |
0 |
0 |
|
|
|
|
미디픽스 NB |
BM5101EJ |
|
2000 |
0 |
0 |
|
|
|
|
Osteosparx C 1cc-GS |
BC0103IE |
|
650000 |
0 |
0 |
|
|
|
|
Osteosparx C 3cc-GS |
BC0103IE |
|
1400000 |
0 |
0 |
|
|
|
|
젠타큐 5*5 |
M3300010 |
|
500000 |
0 |
0 |
|
|
인정기준 외 비급여 |
|
케어젤(CAREGEL) |
M3304002 |
|
500000 |
0 |
0 |
|
|
인정기준 외 비급여 |
|
소프트칼라(M/L) |
BC1201YU |
|
15000 |
0 |
0 |
|
|
|
|
쇄골밴드 |
BC1205YF |
|
20000 |
0 |
0 |
|
|
|
|
DYM 1cc |
BC0101OT |
|
650000 |
0 |
0 |
|
|
|
|
젠타큐 10*10 |
M3300110 |
|
600000 |
0 |
0 |
|
|
인정기준외 비급여 |
|
PENOSS, PEDI-STICK PLUS 3.5*20 |
BC0106ED |
|
1000000 |
0 |
0 |
|
|
|
|
DYM 3CC |
BC0101OT |
|
1400000 |
0 |
0 |
|
|
|
|
M-CLOT 20*10 (지혈용패드) |
K9205250 |
|
150000 |
0 |
0 |
|
|
|
|
M-CLOT 40*10 (지혈용패드) |
K9205250 |
|
200000 |
0 |
0 |
|
|
|
|
DISK SPINE(일회용발조절식전기수술기용 전극) |
BF0201LK |
|
1600000 |
0 |
0 |
|
|
|
|
JENITH-L(경막외카테터) |
BJ4803LK |
|
600000 |
0 |
0 |
|
|
|
|
XPLUS bandage(10*3)-자착성(탄력)붕대 |
BK7103UC |
|
15000 |
0 |
0 |
|
|
|
|
XPLUS bandage(15*3)-자착성(탄력)붕대 |
BK7103UC |
|
17000 |
0 |
0 |
|
|
|
|
EX BAND(압박용밴드) |
BC1000VO |
|
100000 |
0 |
0 |
|
|
|
|
MST압박용밴드(Short-Arm)2*25 |
BK7000MS |
|
20000 |
0 |
0 |
|
|
|
|
MST압박용밴드(Short-Arm)3*35 |
BK7000MS |
|
22000 |
0 |
0 |
|
|
|
|
MST압박용밴드(Short-Arm)4*35 |
BK7000MS |
|
22000 |
0 |
0 |
|
|
|
|
MST압박용밴드(Long-Arm)3*70 |
BK7000MS |
|
27000 |
0 |
0 |
|
|
|
|
MST압박용밴드(Short-Leg)3*50 |
BK7000MS |
|
22000 |
0 |
0 |
|
|
|
|
MST압박용밴드(Short-Leg)4*55 |
BK7000MS |
|
22000 |
0 |
0 |
|
|
|
|
MST압박용밴드(Long-Leg)4*90 |
BK7000MS |
|
27000 |
0 |
0 |
|
|
|
|
ABEL EPIDURAL CATHETER(C-PEN용) |
BJ4801GZ |
|
700000 |
0 |
0 |
|
|
|
|
EPISOL(L-PEN용) |
BJ4803GZ |
|
600000 |
0 |
0 |
|
|
|
|
테니스앨보밴드 |
BC1214UZ |
|
20000 |
0 |
0 |
|
|
|
|
ABRO-C HDET |
BF0202RA |
|
1600000 |
0 |
0 |
|
|
|
|
ABRO-HDET |
BF0203RA |
|
1600000 |
0 |
0 |
|
|
|
|
EAN CATH(HDET) |
BF0200MU |
|
1600000 |
0 |
0 |
|
|
|
|
일회용발조절식전기수술기용전극(IDET) |
BF0201OB |
|
1600000 |
0 |
0 |
|
|
|
|
NOVOSIS 0.5cc |
BC0301QT |
|
1500000 |
0 |
0 |
|
|
|
|
ACECOL 1cc |
BM2600VT |
|
500000 |
0 |
0 |
|
|
|
|
ACECOL 3cc |
BM2600VT |
|
800000 |
0 |
0 |
|
|
|
|
EPISOL H (L-PEN Balloon)catheter |
BJ4804GZ |
|
1400000 |
0 |
0 |
|
|
|
|
DEMIOS DBM GEL 2.5cc |
BC0101KJ |
|
1200000 |
0 |
0 |
|
|
|
|
NOVAS Pedicle rod |
한시적비급여 |
|
150000 |
0 |
0 |
|
|
|
|
NOVAS Pedicle screw |
한시적비급여 |
|
500000 |
0 |
0 |
|
|
|
|
COLLASHIELD 1cc |
BM2601OP |
|
500000 |
0 |
0 |
|
|
|
|
COLLASHIELD 3cc |
BM2601OP |
|
800000 |
0 |
0 |
|
|
|
|
ADR(CERVICAL) |
BF0000GZ |
|
5500000 |
0 |
0 |
|
|
|
|
MegaDerm(3*4) |
BTS01019 |
|
1500000 |
0 |
0 |
|
|
|
|
MegaDerm(4*5) |
BTS01019 |
|
2100000 |
0 |
0 |
|
|
|
|
NEO SURGI GEL |
BM5013RQ |
|
120000 |
0 |
0 |
|
|
|
|
UP LINE EAB BAND(15*3) |
BK7100AL |
|
17000 |
0 |
0 |
|
|
|
|
UP LINE EAB BAND(10*3) |
BK7100AL |
|
15000 |
0 |
0 |
|
|
|
|
JM-105 FINGER BRACE |
BC1233PV |
|
18000 |
0 |
0 |
|
|
|
|
벨포밴드 |
12064 |
|
35000 |
0 |
0 |
|
|
|
|
환의 상-환자 갖고감 |
|
|
10000 |
0 |
0 |
|
|
|
|
환의 하-환자 갖고감 |
|
|
10000 |
0 |
0 |
|
|
|
|
LINE CATHETER(C-PEN용) |
BJ4800LK |
|
700000 |
0 |
0 |
|
|
|
|
JENITH-L(경막외카테터)(L-PEN용) |
BJ4803LK |
|
600000 |
0 |
0 |
|
|
|
|
JENITH-BALLOON catheter |
BJ4802LK |
|
1400000 |
0 |
0 |
|
|
|
|
BONSSO DBM 1cc |
BC0100ER |
|
650000 |
0 |
0 |
|
|
|
|
BONSSO DBM 2.5cc |
BC0100ER |
|
1200000 |
0 |
0 |
|
|
|
|
Frog Splint |
FROG |
|
10000 |
0 |
0 |
|
|
|
|
SPINAUT-V, ENDO V-STIK PLUS(EEN catheter) |
BJ4802UN |
|
2800000 |
0 |
0 |
|
|
EEN catheter |