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비급여안내

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최종수정일 : 2024-02-08
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중분류 소분류 코드 명칭 구분 비용 최저비용 최대비용 치료재료대
포함여부
약제비
포함여부
특이사항 최종변경일
MRI(3.0T)진단료 (신규)MRI RT Femur Enhancement 590,000
MRI(3.0T)진단료 (신규)MRI Ankle enhancement 590,000
MRI(3.0T)진단료 (신규)MRA Brain & Carotid enhance 640,000
MRI(3.0T)진단료 (신규)MRA Brain & Carotid 520,000
MRI(3.0T)진단료 (신규)MRA Brain 360,000
MRI(3.0T)진단료 (신규)MRA Carotid enhance 480,000
MRI(3.0T)진단료 (신규)MRA Carotid 420,000
MRI(3.0T)진단료 (신규)Abdomen MRI Enhancement 640,000
MRI(3.0T)진단료 (신규)Pelvis(Abdomen) MRI Enhancement 640,000
MRI(3.0T)진단료 (신규)Scrotum and Penile MRI Enhancement 640,000
MRI(3.0T)진단료 (신규)Liver MRI Enhancement 640,000
MRI(3.0T)진단료 (신규)Pancreas MRI Enhancement 640,000
MRI(3.0T)진단료 (신규)Cholangiogram MRI Enhancement 640,000
MRI(3.0T)진단료 (신규)MRI Brain & Diffusion 700,000
MRI(3.0T)진단료 (신규)MRI Brain(CE), MRA Brain & Carotid 1,000,000
MRI(3.0T)진단료 (신규)MRI Brain(CE), MRA Brain & Neck(CE) 1,000,000
MRI(3.0T)진단료 (신규)MRI Brain, MRA & Carotid 1,000,000
MRI(3.0T)진단료 (신규)MRI Brain(CE),MRA Brain&Carotid&Diffusion&Perfusioin 1,050,000
MRI(3.0T)진단료 (신규)MRI Brain, MRA Brain 700,000
MRI(3.0T)진단료 (신규)MRI Brain(CE), MRA Brain 810,000
MRI(3.0T)진단료 (신규)MRI Brain(CE),MRA Brain&Carotid&Diffusion 1,000,000
MRI(3.0T)진단료 (신규)Sella Dynamic(CE), MRA Brain & Neck 1,000,000
MRI(3.0T)진단료 (신규)MRI Brain, MRA & Carotid & Diffusion 1,000,000
MRI(3.0T)진단료 (신규)MRI Brain, MRA Brain & Neck(CE) 1,000,000
MRI(3.0T)진단료 (신규)Chest MRI enhancement 590,000
MRI(3.0T)진단료 (신규)Breast MRI enhancement 590,000
MRI(3.0T)진단료 (신규)MRI C-Spine Enhancement 590,000
MRI(3.0T)진단료 (신규)MRI Facial Enhancement 590,000
MRI(3.0T)진단료 (신규)MRI Lt Femur Enhancement 590,000
MRI(3.0T)진단료 (신규)Kidney and Adrenal MRI enhancement 640,000
MRI(3.0T)진단료 (신규)MRI Liver Dynamic 760,000
MRI(3.0T)진단료 (신규)MRI both Hip Enhancement 590,000
MRI(3.0T)진단료 (신규)MRI Knee(Lt) Enhancement 590,000
MRI(3.0T)진단료 (신규)MRI Hip(Lt) Enhancement 590,000
MRI(3.0T)진단료 (신규)MRI Hip(Rt) Enhancement 590,000
MRI(3.0T)진단료 (신규)MRI Knee(Rt) Enhancement 590,000
MRI(3.0T)진단료 (신규)MRI L-Spine Enhancement 590,000
MRI(3.0T)진단료 (신규)MRI Kidney Dynamic 640,000
MRI(3.0T)진단료 (신규)MRI Neck Enhancement 590,000
MRI(3.0T)진단료 (신규)MRI Orbit Enhancement 590,000
MRI(3.0T)진단료 (신규)Prostate MRI Enhancement 560,000
MRI(3.0T)진단료 (신규)MRI SACRUM & COCCYX Enhancement 590,000
MRI(3.0T)진단료 (신규)MRI Sella Enhancement 590,000
MRI(3.0T)진단료 (신규)MRI Shoulder Enhancement 590,000
MRI(3.0T)진단료 (신규)MRI T- Spine Enhancement 590,000
MRI(3.0T)진단료 (신규)MRI Upper Extremity Enhancement 590,000
MRI(3.0T)진단료 (신규)MRI Foot Enhancement 590,000
MRI(3.0T)진단료 (신규)MRI lower Extremity Enhancement 590,000
MRI(3.0T)진단료 (신규)Whole Spine MRI(E) 760,000
MRI(3.0T)진단료 (신규)Kidney and Adrenal MRI 560,000
MRI(3.0T)진단료 (신규)Abdomen MRI 560,000
MRI(3.0T)진단료 (신규)Pelvis(Abdomen) MRI 560,000
MRI(3.0T)진단료 (신규)Pancreas MRI 560,000
MRI(3.0T)진단료 (신규)Scrotum and Penile MRI 560,000
MRI(3.0T)진단료 (신규)Liver MRI 560,000
MRI(3.0T)진단료 (신규)(Limit) MRI C-Spine 230,000
MRI(3.0T)진단료 (신규)(Limit) MRI Lt ankle 230,000
MRI(3.0T)진단료 (신규)(Limit) MRI Rt ankle 230,000
MRI(3.0T)진단료 (신규)(Limit) MRI L-Spine 230,000
MRI(3.0T)진단료 (신규)(Limit) MRI T-Spine 230,000
MRI(3.0T)진단료 (신규)MRI Ankle 500,000
MRI(3.0T)진단료 (신규)(Limit) Chest MRI 230,000
MRI(3.0T)진단료 (신규)Chest MRI 500,000
MRI(3.0T)진단료 (신규)Breast MRI 500,000
MRI(3.0T)진단료 (신규)Cholangiogram MRI 560,000
MRI(3.0T)진단료 (신규)MRI C-Spine & Oblique 520,000
MRI(3.0T)진단료 (신규)MRI C-Spine & Oblique Enhancement 640,000
MRI(3.0T)진단료 (신규)MRI C-Spine 500,000
MRI(3.0T)진단료 (신규)MRI elbow(Enhancement) 590,000
MRI(3.0T)진단료 (신규)MRI elbow 500,000
MRI(3.0T)진단료 (신규)MRI Femur 500,000
MRI(3.0T)진단료 (신규)MRI Forearm(Enhancement) 590,000
MRI(3.0T)진단료 (신규)MRI Forearm 500,000
MRI(3.0T)진단료 (신규)(Limit) MRI Foot 230,000
MRI(3.0T)진단료 (신규)MRI Foot 500,000
MRI(3.0T)진단료 (신규)MRI Hand(Enhancement) 590,000
MRI(3.0T)진단료 (신규)(Limit) MRI Hand 230,000
MRI(3.0T)진단료 (신규)MRI Hand 500,000
MRI(3.0T)진단료 (신규)(Limit) MRI Elbow 230,000
MRI(3.0T)진단료 (신규)MRI Brain(치매) 480,000
MRI(3.0T)진단료 (신규)MRI Brain(뇌출혈) 480,000
MRI(3.0T)진단료 (신규)MRI Brain(Limit) 230,000
MRI(3.0T)진단료 (신규)MRI Brain 480,000
MRI(3.0T)진단료 (신규)MRI both Hip 500,000
MRI(3.0T)진단료 (신규)(Limit)MRI Hip 230,000
MRI(3.0T)진단료 (신규)(Limit)MRI Both Hip 230,000
MRI(3.0T)진단료 (신규)MRI Hip 500,000
MRI(3.0T)진단료 (신규)MRI Humerus 500,000
MRI(3.0T)진단료 (신규)(Limit) MRI Knee 230,000
MRI(3.0T)진단료 (신규)MRI Knee joint 500,000
MRI(3.0T)진단료 (신규)MRI Knee 500,000
MRI(3.0T)진단료 (신규)MRI Lower Extremity 500,000
MRI(3.0T)진단료 (신규)(Limit)MRI Tibia 230,000
MRI(3.0T)진단료 (신규)MRI L-Spine(골절) 500,000
MRI(3.0T)진단료 (신규)MRI L-Spine 500,000
MRI(3.0T)진단료 (신규)MRI Orbit 500,000
MRI(3.0T)진단료 (신규)Prostate MRI 560,000
MRI(3.0T)진단료 (신규)MRI Sella 500,000
MRI(3.0T)진단료 (신규)MRI Shoulder 500,000
MRI(3.0T)진단료 (신규)MRI Tibia 500,000
MRI(3.0T)진단료 (신규)MRI TMJ 500,000
MRI(3.0T)진단료 (신규)MRI T-Spine 500,000
MRI(3.0T)진단료 (신규)MRI Upper Extremity 500,000
MRI(3.0T)진단료 (신규)MRI Wrist(Limit) 230,000
MRI(3.0T)진단료 (신규)MRI Wrist Enhancement 590,000
MRI(3.0T)진단료 (신규)MRI Wrist 500,000
MRI(3.0T)진단료 (신규) Whole Spine MRI 700,000
MRI(3.0T)진단료 (신규)MRI SACRUM & COCCYX 500,000
MRI(3.0T)진단료 (신규)MRI (Sella Dynamic ) 640,000
MRI진단료 MRI RT Femur Enhancement 540,000
MRI진단료 MRA Brain 330,000
MRI진단료 MRI Ankle enhancement 540,000
MRI진단료 MRA Brain & Carotid 480,000
MRI진단료 MRA Brain & Carotid enhance 580,000
MRI진단료 MRA Carotid 310,000
MRI진단료 MRA Carotid enhance 440,000
MRI진단료 Abdomen MRI Enhancement 580,000
MRI진단료 Pelvis(Abdomen) MRI Enhancement 580,000
MRI진단료 Scrotum and Penile MRI Enhancement 580,000
MRI진단료 Liver MRI Enhancement 580,000
MRI진단료 Pancreas MRI Enhancement 580,000
MRI진단료 Cholangiogram MRI Enhancement 580,000
MRI진단료 MRI Brain, MRA Brain 630,000
MRI진단료 MRI Brain(CE), MRA Brain & Carotid 910,000
MRI진단료 MRI Brain(CE), MRA Brain & Neck(CE) 910,000
MRI진단료 MRI Brain, MRA & Carotid 910,000
MRI진단료 MRI Brain(CE), MRA Brain 740,000
MRI진단료 MRI Brain(CE), MRA Brain & Carotid & Diffusion 910,000
MRI진단료 Sella Dynamic(CE), MRA Brain & Neck 910,000
MRI진단료 MRI Brain, MRA & Carotid & Diffusion 910,000
MRI진단료 MRI Brain, MRA Brain & Neck(CE) 910,000
MRI진단료 Chest MRI enhancement 540,000
MRI진단료 Breast MRI enhancement 540,000
MRI진단료 MRI C-Spine Enhancement 540,000
MRI진단료 MRI LT Femur Enhancement 540,000
MRI진단료 MRI Facial Enhancement 540,000
MRI진단료 MRI Brain(CE) 540,000
MRI진단료 Kidney and Adrenal MRI enhancement 580,000
MRI진단료 MRI Liver Dynamic 690,000
MRI진단료 MRI both Hip Enhancement 540,000
MRI진단료 MRI Knee Enhancement 540,000
MRI진단료 MRI Hip Enhancement 540,000
MRI진단료 MRI L-Spine Enhancement 540,000
MRI진단료 MRI Kidney Dynamic 580,000
MRI진단료 MRI Neck Enhancement 540,000
MRI진단료 MRI Orbit Enhancement 540,000
MRI진단료 Prostate MRI Enhancement 510,000
MRI진단료 MRI SACRUM & COCCYX Enhancement 540,000
MRI진단료 MRI Sella Enhancement 540,000
MRI진단료 MRI Shoulder Enhancement 540,000
MRI진단료 MRI T- Spine Enhancement 540,000
MRI진단료 MRI Upper Extremity Enhancement 540,000
MRI진단료 MRI lower Extremity Enhancement 540,000
MRI진단료 MRI Foot Enhancement 540,000
MRI진단료 Whole Spine MRI(E) 690,000
MRI진단료 Kidney and Adrenal MRI 540,000
MRI진단료 Abdomen MRI 510,000
MRI진단료 Pelvis(Abdomen) MRI 510,000
MRI진단료 Pancreas MRI 510,000
MRI진단료 Scrotum and Penile MRI 510,000
MRI진단료 Liver MRI 510,000
MRI진단료 (Limit) MRI C-Spine 210,000
MRI진단료 (Limit) MRI Lt ankle 210,000
MRI진단료 (Limit) MRI Rt ankle 210,000
MRI진단료 (Limit) MRI L-Spine 210,000
MRI진단료 (Limit) MRI T-Spine 210,000
MRI진단료 MRI Ankle 460,000
MRI진단료 (Limit) Chest MRI 210,000
MRI진단료 Chest MRI 460,000
MRI진단료 Breast MRI 460,000
MRI진단료 Cholangiogram MRI 510,000
MRI진단료 MRI C-Spine 460,000
MRI진단료 MRI C-Spine & Oblique 480,000
MRI진단료 MRI C-Spine & Oblique Enhancement 580,000
MRI진단료 MRI elbow(Enhancement) 540,000
MRI진단료 MRI elbow 460,000
MRI진단료 MRI Femur 460,000
MRI진단료 MRI Forearm(Enhancement) 540,000
MRI진단료 MRI Forearm 460,000
MRI진단료 MRI Foot 460,000
MRI진단료 (Limit) MRI Foot 210,000
MRI진단료 MRI Hand 460,000
MRI진단료 MRI Hand(Enhancement) 540,000
MRI진단료 (Limit) MRI Hand 210,000
MRI진단료 (Limit) MRI Elbow 210,000
MRI진단료 MRI Brain 440,000
MRI진단료 MRI Brain(치매) 440,000
MRI진단료 MRI Brain(뇌출혈) 440,000
MRI진단료 MRI Brain(Limit) 210,000
MRI진단료 MRI Hip 460,000
MRI진단료 MRI both Hip 460,000
MRI진단료 (Limit)MRI Hip 210,000
MRI진단료 (Limit)MRI Both Hip 210,000
MRI진단료 MRI Humerus 460,000
MRI진단료 MRI Knee 460,000
MRI진단료 (Limit) MRI Knee 210,000
MRI진단료 MRI Knee joint 460,000
MRI진단료 MRI Lower Extremity 460,000
MRI진단료 (Limit)MRI Tibia 210,000
MRI진단료 MRI L-Spine 460,000
MRI진단료 MRI L-Spine(골절) 460,000
MRI진단료 MRI Orbit 460,000
MRI진단료 MRI Sella 460,000
MRI진단료 MRI Lt Shoulder 460,000
MRI진단료 MRI Tibia 460,000
MRI진단료 MRI TMJ 460,000
MRI진단료 MRI T-Spine 460,000
MRI진단료 MRI Upper Extremity 460,000
MRI진단료 MRI Wrist(Limit) 210,000
MRI진단료 MRI Wrist 460,000
MRI진단료 MRI Wrist Enhancement 540,000
MRI진단료 Whole Spine MRI 630,000
MRI진단료 MRI SACRUM & COCCYX 460,000
MRI진단료 MRI (Sella Dynamic ) 580,000
검사검체료 자궁경부확대촬영검사 25,000
검사검체료 인플루엔자검사 30,000
기능 검사료 자궁경부확대 촬영검사 25,000
기능 검사료 자율신경균형검사 및 혈액순환검사(스트레스검사) 30,000
기능검사료 동맥경화도검사 50,000
예방접종 A형간염(하브릭스주) 70,000
예방접종 B형간염(유박스비주) 25,000
예방접종 가다실9주 240,000
예방접종 대상포진 160,000
이학요법 도수치료 100,000
이학요법 도수치료 20,000 견괄절/슬관절 CPM + 슬링
이학요법 도수치료 110,000 IRST + 슬링
이학요법 도수치료(ESWT) 80,000 P/S 7만원 + 슬링
이학요법 비침습적 무통증 신호요법 70,000
이학요법 신장분사치료 10,000
이학요법 증식치료 70,000 20,000 70,000
이학요법 체외충격파치료 70,000 40,000 70,000 2만원,4만원,7만원
진정내시경환자관리료 수면내시경 직장경 30,000
진정내시경환자관리료 수면내시경 50,000
진정내시경환자관리료 수면내시경 위+대장 95,000
진정내시경환자관리료 수면내시경 대장 60,000
처치및수술료 IDET 추간판내 고주파 열치료술 3,900,000
처치및수술료 경막외강내 유착부위 박리시술(풍선기능포함) 3,750,000 3,750,000
처치및수술료 경피적경막외성형술 2,950,000 2,950,000
처치및수술료 고주파정맥내막폐쇄술 교통정맥결찰술 동반하는 경우 1,800,000
처치및수술료 내시경적경막외강신경성형술 3,400,000 3,400,000
처치및수술료 증상이 있는 갑상선 양성결절의 고주파열치료술 내시경적 경막외강 신경성형술 3,400,000
처치및수술료 증상이 있는 갑상선 양성결절의 고주파열치료술 RFA 800,000 재료대 별도
초음파검사료 상복부 sono - 정밀(간, 담낭, 담도, 비장, 췌장) 150,000
초음파검사료 Thyroid sono - 갑상선·부갑상선 90,000
초음파검사료 Neck sono - 갑상선·부갑상선 제외한 경부 90,000
초음파검사료 Breast sono(일반) 100,000
초음파검사료 Others-Axilla sono 90,000
초음파검사료 Breast sono 100,000
초음파검사료 Chest sono 90,000
초음파검사료 Ribs sono 90,000
초음파검사료 Breast sono(정밀) 140,000
초음파검사료 Cardiac(Echo) sono(일반) 140,000
초음파검사료 상복부 sono -일반(간, 담낭, 담도, 비장, 췌장) 100,000
초음파검사료 충수 sono (Appendix sono) 90,000
초음파검사료 소장, 대장 sono (Small Bowel, Colon sono) 90,000
초음파검사료 서혜부sono (Inguinal sono) 90,000
초음파검사료 직장, 항문 sono (Rectum, Anus sono) 110,000
초음파검사료 항문 sono(Anus sono) 90,000
초음파검사료 신장, 부신, 방광 sono (Kidney,Adrenal,Bladder sono) 90,000
초음파검사료 신장, 부신 sono (Kidney,Adrenal sono) 90,000
초음파검사료 방광 sono (Bladder sono) 90,000
초음파검사료 TRUS sono 90,000
초음파검사료 Prostate, 정낭(경직장)sono 90,000
초음파검사료 Prostate(경복부)sono 90,000
초음파검사료 Testis sono 90,000
초음파검사료 Scrotal sono 90,000
초음파검사료 Female genital sono(여성생식기) 90,000
초음파검사료 Others - Arm sono 90,000
초음파검사료 Others - Hand sono 90,000
초음파검사료 Others-Foot sono 90,000
초음파검사료 Others-Elbow sono 90,000
초음파검사료 Others-Knee sono 90,000
초음파검사료 Others-Hip sono 90,000
초음파검사료 Others-Shoulder sono 90,000
초음파검사료 Others-Wrist sono 90,000
초음파검사료 Others-Ankle sono 90,000
초음파검사료 Buttock sono(근골격, 연부-연부조직)-일반 90,000
초음파검사료 Pelvis(Ultrasono)-일반 90,000
초음파검사료 Others-Thigh sono(연부-연부조직 초음파)-일반 90,000
초음파검사료 Others-forearm sono(연부-연부조직 초음파)-일반 90,000
초음파검사료 Others-Leg. Calf sono(연부-연부조직 초음파)-일반 90,000
초음파검사료 others-face sono(연부-연부조직 초음파)-일반 90,000
초음파검사료 others-scalp sono(연부-연부조직 초음파)-일반 90,000
초음파검사료 others-back sono(연부-연부조직 초음파)-일반 90,000
초음파검사료 (비)뇌혈류초음파(TCD) 120,000
초음파검사료 Simple sono(Ⅱ)- 근골격계 50,000
초음파검사료 Doppler(Carotid) Neck sono 120,000
초음파검사료 Simple sono(Ⅱ)- 혈관 50,000
초음파검사료 Doppler(peripheral)sono-Upper(정맥) 120,000
초음파검사료 (비)뇌혈류초음파(TCD) 120,000
초음파검사료 Doppler(peripheral)sono- 동정맥루 혈류 및 협착 측정 120,000
초음파검사료 Doppler(Carotid) Neck sono 120,000
초음파검사료 Doppler(peripheral)sono-Lower(동맥) 120,000
초음파검사료 Doppler(peripheral)sono-Upper(정맥) 120,000
초음파검사료 Doppler(peripheral)sono-Lower(정맥) 120,000
초음파검사료 Doppler(peripheral)sono- 동정맥루 혈류 및 협착 측정 120,000
초음파검사료 Doppler(하지정맥류검사시)sono-Lower(정맥) 130,000
초음파검사료 (일반) 여성생식기 sono 90,000
초음파검사료 (정밀) 여성생식기 sono 120,000
초음파검사료 Guiding sono (복부) 50,000
초음파검사료 Breast + Thyroid(Ultrasono) 170,000
초음파검사료 상복부 sono -정밀(간, 담낭, 담도, 비장, 췌장) 150,000
치료재료대 WELL-POINT RF ELECTRODE 700,000 RFA 수술료 별도
치료재료대 ENCOR BIOPSY PROBES 400,000
치료재료대 MEDICLORE(1.5CC) 200,000 200,000 400,000 3cc-400000원 1.5cc-200000원
치료재료대 큐블럭(QBLOCK) 420,000
치료재료대 하이배리 130,000 130,000 260,000 3ml-260000원 1.5ml 130000원



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