※ [의료법 45조(비급여 진료비용 등의 고지)]
| 분류 |
항목 |
가격정보 (단위:원) |
특이사항 |
| 명칭 |
코드 |
구분 |
비용 |
최저비용 |
최대비용 |
치료재료대포함여부 |
약제비포함여부 |
| |
LIQUIBAND SURGICAL S&S CLEAR |
BB3000LQ |
0.8G |
90,000 |
|
|
|
|
사용종료20191201 |
| |
SURGISEAL TOPICAL SKIN ADHESIV |
BB3005QB |
|
70,000 |
|
|
|
|
급여전환20191201 |
| |
DERMA FLEX QS |
BB3001DX |
0.7ML |
70,000 |
|
|
|
|
사용종료20191201 |
| |
DERMABOND PRINEO |
BB3006EE |
전규격 |
250,000 |
|
|
|
|
급여전환20191201 |
| |
VISISTAT |
BB3101BN |
|
50,000 |
|
|
|
|
20160801선별급여전환 |
| |
DBX PUTTY |
BC0101AT |
2.5CC |
1,200,000 |
|
|
|
|
사용종료20180101 |
| |
DBX PUTTY |
BC0101AT |
5CC |
1,600,000 |
|
|
|
|
사용종료20180101 |
| |
디미오스 DEMIOS |
BC0101KJ |
1.0CC |
450,000 |
|
|
|
|
|
| |
디미오스 DEMIOS |
BC0101KJ |
2.5CC |
950,000 |
|
|
|
|
|
| |
ALLOMATRIX INJECTABLE PUTTY |
BC0101KV |
1CC |
396,000 |
|
|
|
|
사용종료20180101 |
| |
ALLOMATRIX INJECTABLE PUTTY |
BC0101KV |
3CC |
1,200,000 |
|
|
|
|
사용종료20180101 |
| |
ALLOMATRIX CANCELLOUS BONE PUTTY |
BC0102KV |
5CC |
1,600,000 |
|
|
|
|
사용종료20180101 |
| |
SUREFUSE-TM |
BC0103ED |
1CC |
450,000 |
|
|
|
|
|
| |
SUREFUSE-TIM |
BC0103ED |
3CC |
1,000,000 |
|
|
|
|
|
| |
SUREFUSE-TM |
BC0103ED |
0.5CC |
280,000 |
|
|
|
|
|
| |
SUREFUSE-TM |
BC0103ED |
5CC |
1,400,000 |
|
|
|
|
|
| |
BIO BMP2 |
BC0301BU |
0.3cc,0.25cc |
800,000 |
|
|
|
|
|
| |
DB STIK |
BC0106BU |
1cc |
500,000 |
|
|
|
|
|
| |
X-STICK(3.5mmX30mm) |
BC0108ED |
|
580,000 |
|
|
|
|
|
| |
EL STIK |
BC0105QT |
|
500,000 |
|
|
|
|
|
| |
OSG DBM SYRINGE, ACCEL BONE Sy |
BC0101UH |
1CC |
450,000 |
|
|
|
|
|
| |
OSG DBM SYRINGE, ACCEL BONE Sy |
BC0101UH3 |
3CC |
1,000,000 |
|
|
|
|
|
| |
CARE BOARD AD-2 knee beld |
BM1200VO2 |
knee belt |
30,000 |
|
|
|
|
|
| |
CARE BOARD AD-1 ARM BELT |
BM1200VO |
ARM |
30,000 |
|
|
|
|
|
| |
DELOADER |
BC1001PS |
|
350,000 |
|
|
|
|
사용종료20210219 |
| |
CAS |
BC1200SE |
|
35,000 |
|
|
|
|
|
| |
WIDE CAS |
BC1200SM |
|
50,000 |
|
|
|
|
20231019변경 |
| |
VACO SPLINT |
BC1201ON |
|
580,000 |
|
|
|
|
사용종료20210401 |
| |
MAAMI J SELECT COLLAR |
BC1219VP |
|
203,000 |
|
|
|
|
사용종료20210401 |
| |
VACO CAST |
BC1203ON |
|
350,000 |
|
|
|
|
사용종료20210401 |
| |
K-D CLAMP |
BC1301PE |
|
150,000 |
|
|
|
|
|
| |
PROSTOP |
BE4001TC |
|
1,650,000 |
|
|
|
|
|
| |
TRABECULAR METAL TIBIAL CONE A |
BE4304DL |
|
3,000,000 |
|
|
|
|
인공관절치료재료(비급여) |
| |
ADCON-GEL |
BF0101AY |
|
700,000 |
|
|
|
|
|
| |
QBLOC(큐블럭) |
BF0101WC |
3CC,3.5CC |
990,000 |
|
|
|
|
|
| |
X-AD |
BF0100BK |
|
360,000 |
|
|
|
|
|
| |
GOLD SPINE I-INTERSPINOUS |
BF0401GZ |
|
1,210,000 |
|
|
|
|
|
| |
GM SUCTION FIX WITH BAG |
BJ1000IP |
|
15,000 |
|
|
|
|
|
| |
ACELOCK |
BJ1001CO |
|
10,000 |
|
|
|
|
급여전환20210701 |
| |
TUBE HOLDER |
BJ1006DC |
|
80,000 |
|
|
|
|
20190701급여전환 |
| |
EZ-FIX PLUS |
BJ1016SZ |
|
20,000 |
|
|
|
|
|
| |
CLIPFIX |
BJ1001OX |
|
20,000 |
|
|
|
|
|
| |
바로픽스 |
BJ1000PJ |
|
10,000 |
|
|
|
|
급여전환20210701 |
| |
이지가드(EZ-GUARD) |
BJ1005SZ |
|
4,000 |
|
|
|
|
급여전환20210701 |
| |
ACE GRIP |
BJ1002CO |
|
7,000 |
|
|
|
|
|
| |
3M TEGADERM CHG DRESSING(1658R |
BJ1002EM |
규격별 |
20,000 |
|
|
|
|
|
| |
미디픽스NB(MidifixNB) |
BM5101EJ |
|
30,000 |
|
|
|
|
|
| |
3M TEGADERM CHG DRESSING(1658R |
BJ1002EM |
규격별 |
15,000 |
|
|
|
|
|
| |
ACE S FIX |
BM2000CO |
|
10,000 |
|
|
|
|
|
| |
비젼헬스케어브이에스밴드부직반창고 |
BM5100JN |
|
15,000 |
|
|
|
|
|
| |
비젼엠에스밴드 |
BM5104JN |
|
20,000 |
|
|
|
|
|
| |
GLADCARE(글레드케어) |
BM2000AS |
|
20,000 |
|
|
|
|
|
| |
엠픽스3 |
BM5100MJ |
|
5,000 |
|
|
|
|
|
| |
TUBE HOLDER |
BJ1006DC |
|
80,000 |
|
|
|
|
20190701급여전환 |
| |
ACELOCK PLUS |
BJ1005CO |
|
7,000 |
|
|
|
|
급여전환20210701 |
| |
MULTIFIX A |
BJ1002GA |
|
3,000 |
|
|
|
|
|
| |
MULTIFIX C |
BJ1004GA |
|
4,000 |
|
|
|
|
급여전환20210701 |
| |
MULTIFIX E |
BJ1005GA |
|
2,500 |
|
|
|
|
|
| |
MULTIFIX EF |
BJ1006GA |
|
9,000 |
|
|
|
|
급여전환20210701 |
| |
DUAL FIX |
BJ1004LU |
|
10,000 |
|
|
|
|
|
| |
MULTIFIX ENDO II |
BJ1010GA |
|
35,000 |
|
|
|
|
|
| |
MONOFUSION |
BM1401CO |
|
8,000 |
|
|
|
|
코드삭제 |
| |
CARE FIX |
BJ1000VO |
|
10,000 |
|
|
|
|
|
| |
PIL |
BJ1001ZC |
|
8,000 |
|
|
|
|
|
| |
SW-SC CLIP |
BJ1004BX |
|
10,000 |
|
|
|
|
급여전환20210701 |
| |
SUPER FIX |
BM5110BL |
|
8,000 |
|
|
|
|
|
| |
LMA SUPREME |
BK4201QL |
|
82,000 |
|
|
|
|
|
| |
I-GEL SUPRAGLOTTIC AIRWAY |
BK4202DC |
전규격 |
82,000 |
|
|
|
|
20190701급여전환 |
| |
UNICON |
BK5001GA |
|
100,000 |
|
|
|
|
|
| |
COMPRESSO FIX A-G |
BK7322IX |
|
30,000 |
|
|
|
|
20161001삭제 |
| |
COMPRESSO FIX A-G |
K7310302 |
편측당, 부위별 |
30,000 |
|
|
|
|
예방목적시/20161001급여전환 |
| |
COLOPLAST PASTE |
BL3001GD |
|
20,000 |
|
|
|
|
|
| |
ESOPHAGEAL STETHOSCOPE |
BL9001PC |
1B |
25,000 |
|
|
|
|
20190701급여전환 |
| |
ESOPHAGEAL STETHOSCOPE |
BL9001PC |
2B,3B,4B |
70,000 |
|
|
|
|
20190701급여전환 |
| |
ES TEMPERATURE SENSOR |
BL9001WH |
#4B |
70,000 |
|
|
|
|
20190701급여전환 |
| |
MAMMOTOME SYSTEM(PROBE&VACUUM) |
BM0001EE |
|
1,100,000 |
830,000 |
1,100,000 |
|
|
|
| |
MCK DUF |
BM5101FY |
|
15,000 |
|
|
|
|
|
| |
FILTER SET,MICRO FILTER SET |
BM1301BY |
전규격 |
10,000 |
|
|
|
|
20200701급여전환 |
| |
FILTER 2(ACE FILTRO) |
BM0304CO |
전규격 |
10,000 |
|
|
|
|
20200701급여전환 |
| |
ELD96LYL |
BM1302EY |
IV FILTER |
12,000 |
|
|
|
|
|
| |
일회용여과기부착침 |
BM1302QG |
|
800 |
|
|
|
|
20200701급여전환 |
| |
필터니들/필터공극5ug이하 |
BM1301QM |
|
800 |
|
|
|
|
20200701급여전환 |
| |
GREEN MEDI EZI FILTER SYRINGE |
BM1305VA |
5um이하 |
1,000 |
|
|
|
|
20200701급여전환 |
| |
GREENMEDI FILTER NEEDLE Syring |
BM1302VA |
5um이하 |
1,000 |
|
|
|
|
20200701급여전환 |
| |
MEPITEL ONE |
BM2001QI |
5x7.5 |
14,500 |
|
|
|
|
|
| |
MEPITEL ONE |
BM2001QI |
7.5X10 |
17,000 |
|
|
|
|
|
| |
씰리메드실리콘롤테이프 (비급여) |
BM2002XV |
|
20,000 |
|
|
|
|
20230320변경 |
| |
MEPITEL ONE |
BM5001QI |
10x18 |
27,000 |
|
|
|
|
|
| |
MEPITEL ONE |
BM5001QI |
17X25 |
50,000 |
|
|
|
|
|
| |
인생더마(DERMA LIFE), 리젠에스 스카겔 |
BM5000GO |
|
45,000 |
|
|
|
|
|
| |
SCARGEN |
BM5000AE |
0.3G |
50,000 |
|
|
|
|
|
| |
ELEIDIN LIQUIOBAN |
BM5000KI |
|
50,000 |
|
|
|
|
|
| |
CG PASTE |
BM2001QT |
1CC |
150,000 |
|
|
|
|
|
| |
INNOMED SILICONE TAPE |
BM2000JI |
전규격 |
1,500 |
|
|
|
|
BM2001LG삭제 |
| |
엠픽스실리콘반창고(M FIX) |
BM2000MJ |
|
10,000 |
|
|
|
|
|
| |
이지플러스실리콘밴드 |
BM2005SZ |
|
10,000 |
|
|
|
|
|
| |
이지플러스실리콘테이프 |
BM2004SZ |
|
12,000 |
|
|
|
|
|
| |
SCARGEN |
BM5000AE |
0.3G |
50,000 |
|
|
|
|
점착성투명창상피복재 |
| |
GUARDIX-SL |
BM2101JO |
1.5G |
150,000 |
|
|
|
|
20160401삭제 |
| |
GUARDIX-SL |
BM2101JO |
3.0G |
400,000 |
|
|
|
|
20160401삭제 |
| |
GUARDIX-SG |
BM2102JO |
3.0G |
400,000 |
|
|
|
|
20160401삭제 |
| |
GUARDIX-SP PLUS |
BM2103JO |
3G |
800,000 |
|
|
|
|
|
| |
MEDICLORE 메디클로 |
BM2101QT |
3G |
400,000 |
|
|
|
|
|
| |
HARMONIC SCALPEL WITH SHEARS SYSTEM |
BM2401EE |
급여전환 |
1,200,000 |
|
|
|
|
20141201선별급여전환 |
| |
TRIVEX RESECTOR KIT |
BJ4311CD |
|
556,000 |
|
|
|
|
|
| |
VEINCLEAR |
BJ4301KY |
OY202행위 별도 |
770,000 |
|
|
|
|
|
| |
VENASEAL CLOSURE SYSTEM |
BJ4321DU |
OZ303행위료별도 |
1,760,000 |
|
|
|
|
|
| |
DVT-3000 SLEEVE |
BM2801MR |
|
170,000 |
|
|
|
|
|
| |
VENAFLOW ELITE CUFF |
BM2801RH |
CALF |
170,000 |
|
|
|
|
|
| |
QUIKCLOT INTERVENTIONAL HEMOST |
BJ7001LQ |
20210701 |
300,000 |
|
|
|
|
급여기준이외비급여 |
| |
EN-CHITO GAUZE |
BJ7001LJ |
전규격 |
300,000 |
|
|
|
|
|
| |
LNK HEMOSEAL |
BJ7003LJ |
전규격 |
300,000 |
|
|
|
|
|
| |
KLOTPAD(K9205049) |
BJ7000XF |
20210701변경 |
300,000 |
|
|
|
|
급여기준이외비급여 |
| |
HCBAND |
BK7000TF |
|
30,000 |
|
|
|
|
|
| |
HC TONI |
BK7001TF |
|
20,000 |
|
|
|
|
|
| |
GENERAL SURGERY SET/HIP,KNEE포함 |
BM3001AO |
(=WDS) |
200,000 |
|
|
|
|
|
| |
YOUNG WOUND DRESSING |
BM5001CU |
6X7(3X4CM) |
200 |
|
|
|
|
급여전환20210701 |
| |
SECUEX-일반형 |
BM5001GA |
|
1,500 |
|
|
|
|
급여전환20210701 |
| |
SECUEX-H형 |
BM5001GA |
|
2,000 |
|
|
|
|
급여전환20210701 |
| |
ZETUVIT E |
BM5001JK |
|
2,000 |
|
|
|
|
|
| |
SORBACT SURGICAL DRESSING |
BM5001MV |
2" 5*7.2CM |
2,500 |
|
|
|
|
|
| |
SORBACT SURGICAL DRESSING |
BM5001MV |
3"8*15CM |
6,000 |
|
|
|
|
|
| |
SORBACT SURGICAL DRESSING |
BM5001MV |
4" 10*25CM |
9,000 |
|
|
|
|
|
| |
리메스카 REMESCAR |
BM5001VF |
|
82,000 |
|
|
|
|
|
| |
POLYTECH HEALTH&AESTHETICS SIL |
BM5001SB |
SILICONE GEL 15ML |
60,000 |
|
|
|
|
|
| |
KITO ACTIVATOR |
BM5001LJ |
|
88,000 |
|
|
|
|
|
| |
더마틱스 울트라 겔DERMATIX ULTRA GEL |
BM5002ML |
|
45,000 |
|
|
|
|
|
| |
CAVILON DURABLE BARRIER CREAM |
BM5009EM |
92G/EA |
40,000 |
|
|
|
|
SPRAY236ml/EA포함 |
| |
NEO DERMAL ACTIVATOR |
BM5002RQ |
1G |
30,000 |
|
|
|
|
|
| |
NEO DERMAL ACTIVATOR |
BM5002RQ |
5G |
110,000 |
|
|
|
|
|
| |
NEO MUCOSAL ACTIVATOR |
BM5003RQ |
5G |
110,000 |
|
|
|
|
|
| |
YOUNG WOUND DRESSING |
BM5003CU |
9X15(5X10CM) |
350 |
|
|
|
|
|
| |
STERI STRIP REINFORCED SKIN CLOSURE |
BM5003EM |
|
2,000 |
|
|
|
|
20190901급여전환 |
| |
YOUNG WOUND DRESSING |
BM5005CU |
9X25(5X20CM) |
700 |
|
|
|
|
|
| |
YOUNG WOUND DRESSING |
BM5006CU |
9X30(5X25CM) |
900 |
|
|
|
|
|
| |
OPSITE POST-OP VISIBLE |
BM5015CD |
8*10CM |
12,000 |
|
|
|
|
|
| |
OPSITE POST-OP VISIBLE |
BM5015CD |
15*10CM |
16,000 |
|
|
|
|
|
| |
OPSITE POST-OP VISIBLE |
BM5015CD |
20*10CM |
20,000 |
|
|
|
|
|
| |
OPSITE POST-OP VISIBLE |
BM5015CD |
25*10CM |
25,000 |
|
|
|
|
|
| |
OPSITE POST-OP VISIBLE |
BM5015CD |
30*10CM |
30,000 |
|
|
|
|
|
| |
CHUNG-GOO BAND |
BM5021AM |
7X10(3X6CM) |
1,500 |
|
|
|
|
|
| |
CHUNG-GOO BAND |
BM5023AM |
10X15(5X10CM) |
2,000 |
|
|
|
|
|
| |
CHUNG-GOO BAND |
BM5025AM |
10X24(5X20CM) |
2,300 |
|
|
|
|
|
| |
YOUNG WOUND DRESSING |
BM5025CU |
6X10(3X5CM) |
200 |
|
|
|
|
|
| |
큐엔큐메딕스에어밴드 |
BM5001CS |
4.5*5.5(2.5*3CM) |
150 |
|
|
|
|
|
| |
ONE-KY |
BM5101BF |
|
2,000 |
|
|
|
|
|
| |
NDA PLUS 5g |
BM3001RQ |
|
88,000 |
|
|
|
|
|
| |
REGENCOL |
BM5303BH |
1G |
300,000 |
|
|
|
|
|
| |
REGENWEL |
BM5305BH |
1.5G |
300,000 |
|
|
|
|
|
| |
COLLATAMP G |
BM5301SN |
10*10*0.5CM |
500,000 |
|
|
|
|
|
| |
HUMID TUBE(HEATED CIRCUIT KIT) |
BM6001CO |
|
96,000 |
|
|
|
|
20161001삭제 |
| |
HUMID TUBE(HEATED CIRCUIT KIT) |
BM6007CO |
|
96,000 |
|
|
|
|
20170901삭제 |
| |
UNI HEATED WIRE CIRCUIT |
BM6001GA |
전규격 |
96,000 |
|
|
|
|
20170901삭제 |
| |
DISPOSABLE CIRCUIT |
BM6001RM |
|
99,000 |
|
|
|
|
20160801삭제 |
| |
ALLOCOVER HAD |
BTS01114 |
|
1,320,000 |
|
|
|
|
|
| |
ALLOCOVER SDC |
BTS01214 |
|
1,320,000 |
|
|
|
|
|
| |
MEGADERM |
BTS01019 |
|
700,000 |
|
|
|
|
|
| |
ALLOMEND |
BTS01032 |
전규격 |
1,320,000 |
|
|
|
|
|
| |
MEGAFILL |
BTTO1022 |
|
300,000 |
|
|
|
|
|
| |
DICED MEGACARTILAGE |
BTR01222 |
|
2,700,000 |
|
|
|
|
|
| |
COOL ELASTIC BANDAGE |
BK7101VE |
|
15,000 |
|
|
|
|
|
| |
COLLASHIELD |
BM2601OP |
|
200,000 |
|
|
|
|
|
| |
REGENSEAL 1CC[리젠실] |
BM2601QQ |
1CC |
90,000 |
|
|
|
|
|
| |
REGENSEAL 3CC[리젠씰] |
BM2601QQ3 |
3CC |
250,000 |
|
|
|
|
|
| |
마이젠(MYGEN) 1g(3%) |
BM2601MS |
|
120,000 |
|
|
|
|
|
| |
SPOBAND |
BK7100GQ |
|
25,000 |
|
|
|
|
|
| |
WM BAND |
BK7101HN |
|
10,000 |
|
|
|
|
|
| |
Elastic Cool Bandage |
BK7101VK |
개당 |
25,000 |
|
|
|
|
|
| |
QTIVE COHESIVE BANDAGE쿠 |
BK7100UC |
쿨밴드 |
20,000 |
|
|
|
|
|
| |
3M COBAN SELF_ADHERENT WRAP |
BK7101EA |
BK7101EA |
2,500 |
|
|
|
|
1(인치) |
| |
3M COBAN SELF_ADHERENT WRAP |
BK7101EA |
BK7101EA2 |
5.000 |
|
|
|
|
2(인치) |
| |
REGENSEAL[리젠씰]603 |
1,500,000 |
6%/3cc |
BM2601QQ |
|
|
|
|
|
| |
CARTIFILL |
BM2621RA |
|
2,500,000 |
|
|
|
|
|
| |
MASON LOOPS(Wrist) |
BK7100ZN |
|
60,000 |
|
|
|
|
|
| |
MASON LOOPS CYL(GLOVE) |
BK7100ZN |
|
60,000 |
|
|
|
|
|
| |
CHONDRO-GIDE |
BM2621VY |
|
2,500,000 |
|
|
|
|
|
| |
ARM SLING-팔걸이 |
VM061 |
|
3,500 |
|
|
|
|
|
| |
8자형 밴드 |
VM062 |
|
20,000 |
|
|
|
|
|
| |
OPENCAST/1SET당 |
|
CM-06,CM07 |
165,000 |
|
|
|
|
|
| |
알루미늄 FINGER(강아지)-수지보조기 |
|
|
5,000 |
|
|
|
|
|
| |
복대 |
|
VM998 |
3,500 |
|
|
|
|
|
| |
캐스트신발 |
VM070 |
VM070/12063 |
3,500 |
|
|
|
|
|
| |
캐스트신발(신형) |
VM070 |
VM0700/120630 |
7,000 |
|
|
|
|
|
| |
IMMOBILIZER-어깨보조기 |
|
VM0620/12061 |
35,000 |
|
|
|
|
|
| |
필라델피아-경부보조기 |
|
|
80,000 |
|
|
|
|
|
| |
BODYBAG |
|
|
100,000 |
|
|
|
|
|
| |
씰리메드실리콘롤테이프 |
BM2002XV |
|
10,000 |
|
|
|
|
|
| |
CARE BANDAGE |
BK7100VO |
|
10,000 |
|
|
|
|
|
| |
TONIC BAND |
BC1201JO |
|
90,000 |
|
|
|
|
|
| |
어깨보조기 Ultra Sling(Abduction Br |
20224 |
(abduction Brace) |
130,000 |
|
|
|
|
|
| |
HYAGEN(히아젠) 1.0ML/개 |
BM2602YW |
콜라겐사용조직 보충재료 |
250,000 |
|
|
|
|
|
| |
HYAGEN(히아젠) 3.0ML/개 |
BM2602YW3 |
콜라겐사용조직 보충재료 |
500,000 |
|
|
|
|
|
|