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비급여진료비 안내

* “의료기관의 제증명수수료 항목 및 금액에 관한 기준” 고시 발표에 따라 제증명서 발급을 위한 진찰료는 별도 산정됩니다. (2017년 9월 21일부터 시행)

<table>
		<caption>분류, 명칭, 금액, 최소금액, 최대금액, 비고로 이루어진 표</caption>
		<colgroup>
		</colgroup>
		<thead>
			<tr>
				<th rowspan="2">중분류</th>
				<th rowspan="2">소분류</th>
				<th colspan="2">항목</th>
				<th colspan="6">진료비용등<br/>(단위:원)</th>
				<th rowspan="2">특이사항</th>
				<th rowspan="2">최종변경일</th>
			</tr>
			<tr>
				<th>코드</th>
				<th>명칭</th>
				<th>구분</th>
				<th>비용</th>
				<th>최저비용</th>
				<th>최고비용</th>
				<th>치료재료대포함여부</th>
				<th>약제비포함여부</th>
			</tr>
		</thead>
		<tbody>
<tr>
<td  rowspan="4">상담료</td>
<td >기타상담료</td>
<td >TZ006</td>
<td >영양상담</td>
<td>영양상담</td>
<td>  10,000 </td>
<td></td>
<td></td>
<td>X</td>
<td>X</td>
<td></td>
<td>21.01.01</td>
</tr>
<tr>
<td  rowspan="3">교육상담료</td>
<td >TZ006AA</td>
<td >당뇨병교육</td>
<td>교육.상담-당뇨</td>
<td>  30,000 </td>
<td></td>
<td></td>
<td>X</td>
<td>X</td>
<td></td>
<td>21.01.01</td>
</tr>
<tr>
<td >TZ006A</td>
<td >고혈압교육</td>
<td>교육.상담-고혈압</td>
<td>  15,000 </td>
<td></td>
<td></td>
<td>X</td>
<td>X</td>
<td></td>
<td>21.01.01</td>
</tr>
<tr>
<td >TZ006B</td>
<td >고지혈증교육</td>
<td>교육.상담-이상지질혈증</td>
<td>  15,000 </td>
<td></td>
<td></td>
<td>X</td>
<td>X</td>
<td></td>
<td>21.01.01</td>
</tr>
<tr>
<td  rowspan="2">상급병실료</td>
<td  rowspan="2">병실료차액</td>
<td >ABA01A</td>
<td >특실</td>
<td>특실 입원료</td>
<td>  500,000 </td>
<td></td>
<td></td>
<td>X</td>
<td>X</td>
<td></td>
<td>21.01.01</td>
</tr>
<tr>
<td >ABA01</td>
<td >1인실</td>
<td>1인실 입원료</td>
<td>  250,000 </td>
<td></td>
<td></td>
<td>X</td>
<td>X</td>
<td></td>
<td>21.01.01</td>
</tr>
<tr>
<td  rowspan="42">검사료</td>
<td  rowspan="8">내시경 </td>
<td >TE7610</td>
<td >경비내시경</td>
<td>경비내시경</td>
<td>  60,000 </td>
<td></td>
<td></td>
<td>X</td>
<td>X</td>
<td></td>
<td>22.06.01</td>
</tr>
<tr>
<td >TEA001</td>
<td >진정내시경환자관리료Ⅰ</td>
<td>진정내시경환자관리료Ⅰ</td>
<td>  130,000 </td>
<td></td>
<td></td>
<td>X</td>
<td>X</td>
<td>급여 인정기준외 실시한경우 비급여</td>
<td>23.06.01</td>
</tr>
<tr>
<td >TEA002</td>
<td >진정내시경환자관리료Ⅱ</td>
<td>진정내시경환자관리료Ⅱ</td>
<td></td>
<td>  100,000 </td>
<td>  240,000 </td>
<td>X</td>
<td>X</td>
<td></td>
<td>23.06.01</td>
</tr>
<tr>
<td >TEA003</td>
<td >진정내시경환자관리료Ⅲ</td>
<td>진정내시경환자관리료Ⅲ</td>
<td></td>
<td>  130,000 </td>
<td>  190,000 </td>
<td>X</td>
<td>X</td>
<td></td>
<td>23.06.01</td>
</tr>
<tr>
<td >TWA08A</td>
<td >초음파내시경 상부</td>
<td>초음파내시경 상부</td>
<td>  250,000 </td>
<td></td>
<td></td>
<td></td>
<td></td>
<td>투약료 별도</td>
<td>23.02.01</td>
</tr>
<tr>
<td >TWA08B</td>
<td >(수면)초음파내시경 상부</td>
<td>(수면)초음파내시경 상부</td>
<td>  350,000 </td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td>23.02.01</td>
</tr>
<tr>
<td >TWA08C</td>
<td >초음파내시경 하부</td>
<td>초음파내시경 하부</td>
<td>  260,000 </td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td>23.02.01</td>
</tr>
<tr>
<td >TWA08E</td>
<td >(수면)초음파내시경 하부</td>
<td>(수면)초음파내시경 하부</td>
<td>  360,000 </td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td>23.02.01</td>
</tr>
<tr>
<td  rowspan="14">초음파</td>
<td >RS02A</td>
<td >횡파 탄성 초음파</td>
<td>sono SWE</td>
<td>  50,000 </td>
<td></td>
<td></td>
<td>X</td>
<td>X</td>
<td></td>
<td>21.01.01</td>
</tr>
<tr>
<td >RS09</td>
<td >두경부-경부초파-갑상선.부갑상선</td>
<td>sono Thyroid</td>
<td>  90,000 </td>
<td></td>
<td></td>
<td>X</td>
<td>X</td>
<td></td>
<td>21.01.01</td>
</tr>
<tr>
<td >RS08</td>
<td >심장초음파-경흉부심초음파-일반</td>
<td>sono Echocardiography</td>
<td>  130,000 </td>
<td></td>
<td></td>
<td>X</td>
<td>X</td>
<td></td>
<td>21.01.01</td>
</tr>
<tr>
<td >RS07</td>
<td >혈관-두개외 혈관 도플러초음파-경동맥</td>
<td>Carotid artery</td>
<td>  80,000 </td>
<td></td>
<td></td>
<td>X</td>
<td>X</td>
<td></td>
<td>21.01.01</td>
</tr>
<tr>
<td >RS34</td>
<td >수술 중 초음파</td>
<td>intraop ultrasonography</td>
<td>  100,000 </td>
<td></td>
<td></td>
<td>X</td>
<td>X</td>
<td></td>
<td>21.01.01</td>
</tr>
<tr>
<td >RS41</td>
<td >일반</td>
<td>일반</td>
<td>  50,000 </td>
<td></td>
<td></td>
<td>X</td>
<td>X</td>
<td></td>
<td>21.01.01</td>
</tr>
<tr>
<td >RS37</td>
<td >sono soft tissue mass</td>
<td>sono soft tissue mass</td>
<td>  70,000 </td>
<td></td>
<td></td>
<td>X</td>
<td>X</td>
<td></td>
<td>21.01.01</td>
</tr>
<tr>
<td >RS09B</td>
<td >sono neck except thyroid</td>
<td>sono neck except thyroid</td>
<td>  90,000 </td>
<td></td>
<td></td>
<td>X</td>
<td>X</td>
<td></td>
<td>24.04.18</td>
</tr>
<tr>
<td >REZ987A~H</td>
<td  rowspan="2">진공보조 유방 생검시 유도초음파</td>
<td>진공보조 유방 생검시 유도초음파 A~H</td>
<td></td>
<td>  300,000 </td>
<td>  500,000 </td>
<td>X</td>
<td>X</td>
<td></td>
<td>24.04.18</td>
</tr>
<tr>
<td >REZ9873~9</td>
<td>진공보조 유방 생검시 유도초음파(Multi)</td>
<td></td>
<td>  500,000 </td>
<td>  1,700,000 </td>
<td>X</td>
<td>X</td>
<td></td>
<td>24.04.18</td>
</tr>
<tr>
<td >TZ919A~I</td>
<td > 초음파유도하 진공보조장치를 이용한 유방 양성병변 절제술</td>
<td> 초음파유도하 진공보조장치를 이용한 유방 양성병변 절제술 A~I</td>
<td></td>
<td>  200,000 </td>
<td>  2,100,000 </td>
<td>X</td>
<td>X</td>
<td></td>
<td>24.04.18</td>
</tr>
<tr>
<td >RS14</td>
<td  rowspan="2">유방-유도초음파</td>
<td>sono breast : CNB1 </td>
<td>  210,000 </td>
<td></td>
<td></td>
<td>X</td>
<td>X</td>
<td>양측시 추가</td>
<td>21.01.01</td>
</tr>
<tr>
<td >RS14C</td>
<td>sono breast : Excision </td>
<td>  210,000 </td>
<td></td>
<td></td>
<td>X</td>
<td>X</td>
<td></td>
<td>24.05.01</td>
</tr>
<tr>
<td >RS13</td>
<td >갑상선-유도초음파</td>
<td>sono Thyroid(Guided, bx 등) : FNA </td>
<td>  170,000 </td>
<td></td>
<td></td>
<td>X</td>
<td>X</td>
<td>편측</td>
<td>21.01.01</td>
</tr>
<tr>
<td  rowspan="20">기타 검사료</td>
<td >TB4156B</td>
<td >U.B.T(요소호흡검사)</td>
<td>U.B.T(요소호흡검사)</td>
<td>  40,000 </td>
<td></td>
<td></td>
<td>X</td>
<td>X</td>
<td></td>
<td>23.02.07</td>
</tr>
<tr>
<td >LCZ394</td>
<td >인플루엔자A.B 바이러스항원검사</td>
<td>인플루엔자A.B 바이러스항원검사</td>
<td>  30,000 </td>
<td></td>
<td></td>
<td>X</td>
<td>X</td>
<td></td>
<td>21.01.01</td>
</tr>
<tr>
<td >LZ105</td>
<td >알츠하이머병 위험도 혈액검사</td>
<td>알츠하이머병 위험도 혈액검사</td>
<td>  150,000 </td>
<td></td>
<td></td>
<td>X</td>
<td>X</td>
<td></td>
<td>22.08.12</td>
</tr>
<tr>
<td >LDCZ241</td>
<td >당알부민</td>
<td>당알부민</td>
<td>  57,200 </td>
<td></td>
<td></td>
<td>X</td>
<td>X</td>
<td></td>
<td>21.01.01</td>
</tr>
<tr>
<td >TZ918A</td>
<td  rowspan="2">당뇨검사</td>
<td>연속혈당측정검사(초회)</td>
<td>  50,000 </td>
<td></td>
<td></td>
<td>X</td>
<td>X</td>
<td></td>
<td>21.01.01</td>
</tr>
<tr>
<td >TZ918B</td>
<td>연속혈당측정검사(2차이후)</td>
<td>  30,000 </td>
<td></td>
<td></td>
<td>X</td>
<td>X</td>
<td></td>
<td>21.01.01</td>
</tr>
<tr>
<td >LZ024</td>
<td >  남성호르몬검사</td>
<td>  남성호르몬검사</td>
<td>  50,000 </td>
<td></td>
<td></td>
<td>X</td>
<td>X</td>
<td></td>
<td>21.01.01</td>
</tr>
<tr>
<td >LZ031</td>
<td >니코틴(소변)</td>
<td>니코틴(소변)</td>
<td>  34,050 </td>
<td></td>
<td></td>
<td>X</td>
<td>X</td>
<td></td>
<td>21.01.01</td>
</tr>
<tr>
<td >LZ042</td>
<td >니코틴(혈액)</td>
<td>니코틴(혈액)</td>
<td>  34,050 </td>
<td></td>
<td></td>
<td>X</td>
<td>X</td>
<td></td>
<td>21.01.01</td>
</tr>
<tr>
<td >LZ109</td>
<td >혈변검사</td>
<td>M2-PK</td>
<td>  55,000 </td>
<td></td>
<td></td>
<td>X</td>
<td>X</td>
<td></td>
<td>22.11.17</td>
</tr>
<tr>
<td >LC035</td>
<td >parasite동정(성충 동정)</td>
<td>parasite동정(성충 동정)</td>
<td>  28,000 </td>
<td></td>
<td></td>
<td>X</td>
<td>X</td>
<td></td>
<td>21.01.01</td>
</tr>
<tr>
<td >TZ318</td>
<td >HRV(심박변이도검사)</td>
<td>HRV(심박변이도검사)</td>
<td>  30,000 </td>
<td></td>
<td></td>
<td>X</td>
<td>X</td>
<td></td>
<td>21.01.01</td>
</tr>
<tr>
<td >LB0260</td>
<td >요임신반응검사</td>
<td>요임신반응검사-일반면역검사</td>
<td>  10,000 </td>
<td></td>
<td></td>
<td>X</td>
<td>X</td>
<td></td>
<td>23.03.22</td>
</tr>
<tr>
<td >LTZ056</td>
<td >HPV genotype</td>
<td>HPV genotype</td>
<td>  82,850 </td>
<td></td>
<td></td>
<td>X</td>
<td>X</td>
<td></td>
<td>21.01.01</td>
</tr>
<tr>
<td >LTZ055</td>
<td >THIN PREP</td>
<td>THIN PREP</td>
<td>  40,000 </td>
<td></td>
<td></td>
<td>X</td>
<td>X</td>
<td></td>
<td>21.01.01</td>
</tr>
<tr>
<td >LTZ054</td>
<td >PAP smear</td>
<td>PAP smear</td>
<td>  20,000 </td>
<td></td>
<td></td>
<td>X</td>
<td>X</td>
<td></td>
<td>21.01.01</td>
</tr>
<tr>
<td >LZ036</td>
<td >활성산소</td>
<td>활성산소</td>
<td>  63,000 </td>
<td></td>
<td></td>
<td>X</td>
<td>X</td>
<td></td>
<td>14.08.08</td>
</tr>
<tr>
<td >LCZ248</td>
<td >  혈청 간섬유화 검사(ELF)</td>
<td>  혈청 간섬유화 검사(ELF)</td>
<td>  150,000 </td>
<td></td>
<td></td>
<td>X</td>
<td>X</td>
<td></td>
<td>21.01.01</td>
</tr>
<tr>
<td >LD6620A</td>
<td >sars-cov-2항원검사</td>
<td>sars-cov-2항원검사</td>
<td>  30,000 </td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td>23.09.01</td>
</tr>
<tr>
<td >LD6630</td>
<td > 인플루엔자a.d바일스+sars-cov-2항원 동시검사</td>
<td> 인플루엔자a.d바일스+sars-cov-2항원 동시검사</td>
<td>  50,000 </td>
<td></td>
<td></td>
<td>X</td>
<td>X</td>
<td></td>
<td>23.09.01</td>
</tr>
<tr>
<td  rowspan="4"> 기타</td>
<td  rowspan="4">시술</td>
<td >-</td>
<td >위보톡스</td>
<td>위보톡스</td>
<td>  1,000,000 </td>
<td></td>
<td></td>
<td>X</td>
<td>X</td>
<td></td>
<td>21.01.01</td>
</tr>
<tr>
<td >-</td>
<td  rowspan="2">위풍선삽입술(신의료기술)</td>
<td>위내풍선(BIB)</td>
<td>  2,100,000 </td>
<td></td>
<td></td>
<td>X</td>
<td>X</td>
<td></td>
<td>23.03.28</td>
</tr>
<tr>
<td >-</td>
<td>위풍선삽입술</td>
<td>  2,300,000 </td>
<td></td>
<td></td>
<td>X</td>
<td>X</td>
<td></td>
<td>23.03.28</td>
</tr>
<tr>
<td >-</td>
<td >위풍선술</td>
<td>위풍선술</td>
<td>  4,500,000 </td>
<td></td>
<td></td>
<td>X</td>
<td>X</td>
<td></td>
<td>21.01.01</td>
</tr>

</tbody>
	</table>

<table>
		<colgroup>
			<col style="width:125px">
			<col>
			<col style="width:200px">
			<col style="width:125px">
	   		<col style="width:125px">
			<col style="width:125px">
			<col style="width:125px">
		</colgroup>
		<thead>
		<tr>
			<th rowspan="2">중분류</th>
			<th colspan="1">항목</th>
			<th colspan="4">진료비용등<br/>(단위:원)</th>
			<th rowspan="2">최종변경일</th>
		</tr>
		<tr>
			<th>명칭</th>
			<th>구분</th>
			<th> 비용 </th>
			<th> 최저비용 </th>
			<th> 최고비용 </th>
		</tr>
		</thead>
		<tbody>
<tr>
<td >재료대</td>
<td >S-BAND</td>
<td >S-BAND</td>
<td >  38,000 </td>
<td></td>
<td></td>
<td>21.02.16</td>
</tr>
<tr>
<td >재료대</td>
<td >ROGG LATEXFREE SHORT STRECH</td>
<td >ROGG LATEXFREE SHORT STRECH</td>
<td >  38,350 </td>
<td></td>
<td></td>
<td>21.01.01</td>
</tr>
<tr>
<td >재료대</td>
<td >프리스타일리브레CGM SENSOR</td>
<td >프리스타일리브레CGM SENSOR</td>
<td >  84,000 </td>
<td></td>
<td></td>
<td>21.01.01</td>
</tr>
<tr>
<td >재료대</td>
<td >INNOMED SILICONE TAPE</td>
<td >INNOMED SILICONE TAPE</td>
<td >  50,000 </td>
<td></td>
<td></td>
<td>21.01.01</td>
</tr>
<tr>
<td >재료대</td>
<td >INSPIROMETER</td>
<td >INSPIROMETER</td>
<td >  9,260 </td>
<td></td>
<td></td>
<td>23.09.08</td>
</tr>
<tr>
<td >재료대</td>
<td >좌욕기</td>
<td >좌욕기</td>
<td >  11,000 </td>
<td></td>
<td></td>
<td>21.01.01</td>
</tr>
<tr>
<td >재료대</td>
<td >씰리메드실리콘롤테이프</td>
<td >씰리메드실리콘롤테이프</td>
<td >  36,000 </td>
<td></td>
<td></td>
<td>21.10.19</td>
</tr>
<tr>
<td >재료대</td>
<td >씰리콘 드레이프</td>
<td >실리콘 드레이프(1.9*150)</td>
<td >  19,800 </td>
<td></td>
<td></td>
<td>22.11.09</td>
</tr>
<tr>
<td >재료대</td>
<td >실리콘 드레이프(1.9*150)</td>
<td >  22,000 </td>
<td></td>
<td></td>
<td>22.11.09</td>
</tr>
<tr>
<td >재료대</td>
<td >엠픽스실리콘반창구</td>
<td >엠픽스실리콘반창구</td>
<td >  56,100 </td>
<td></td>
<td></td>
<td>22.03.24</td>
</tr>
<tr>
<td >재료대</td>
<td >BED PAN(대변기)</td>
<td >BED PAN(대변기)</td>
<td >  5,280 </td>
<td></td>
<td></td>
<td>21.01.01</td>
</tr>
<tr>
<td >재료대</td>
<td >대한픽싱롤(화이트)</td>
<td >대한픽싱롤(화이트)</td>
<td >  2,500 </td>
<td></td>
<td></td>
<td>21.07.01</td>
</tr>
<tr>
<td >재료대</td>
<td >PROSTER SKIN CARE</td>
<td >PROSTER SKIN CARE</td>
<td >  88,000 </td>
<td></td>
<td></td>
<td>21.01.01</td>
</tr>
<tr>
<td >재료대</td>
<td >PENKO CLIP HEAT</td>
<td >PENKO CLIP HEAT</td>
<td >  110,000 </td>
<td></td>
<td></td>
<td>21.01.01</td>
</tr>
<tr>
<td >재료대</td>
<td >QFIT(드레싱세트)</td>
<td >QFIT(드레싱세트)</td>
<td >  33,000 </td>
<td></td>
<td></td>
<td>21.01.01</td>
</tr>
<tr>
<td >재료대</td>
<td >실리칸드레싱(6*7)</td>
<td >실리칸드레싱(6*7)</td>
<td >  3,000 </td>
<td></td>
<td></td>
<td>21.08.08</td>
</tr>
<tr>
<td >재료대</td>
<td >글레드밴드(위)</td>
<td >글레드밴드(위)</td>
<td >  18,000 </td>
<td></td>
<td></td>
<td>22.08.16</td>
</tr>
<tr>
<td >재료대</td>
<td >글래드밴드</td>
<td >글래드밴드</td>
<td >  18,000 </td>
<td></td>
<td></td>
<td>22.08.16</td>
</tr>
<tr>
<td >재료대</td>
<td >글래드밴드(OP)</td>
<td >글래드밴드(OP)</td>
<td >  18,000 </td>
<td></td>
<td></td>
<td>22.08.16</td>
</tr>
<tr>
<td >재료대</td>
<td >리옥셀피브릴</td>
<td >리옥셀피브릴</td>
<td >  450,000 </td>
<td></td>
<td></td>
<td>22.10.27</td>
</tr>
<tr>
<td >재료대</td>
<td >BNG fix plus(SUPER FIX)</td>
<td >BNG fix plus(SUPER FIX)</td>
<td >  3,940 </td>
<td></td>
<td></td>
<td>21.08.19</td>
</tr>
<tr>
<td >재료대</td>
<td >SSFIX</td>
<td >SSFIX</td>
<td >  32,500 </td>
<td></td>
<td></td>
<td>22.11.09</td>
</tr>
<tr>
<td >재료대</td>
<td >MCK DUF/우레탄필름 등</td>
<td >MCK DUF/우레탄필름 등</td>
<td >  22,000 </td>
<td></td>
<td></td>
<td>22.04.05</td>
</tr>
<tr>
<td >재료대</td>
<td >실리콘 드레이프</td>
<td >실리콘 드레이프(1.9*150)</td>
<td >  19,800 </td>
<td></td>
<td></td>
<td>22.11.09</td>
</tr>
<tr>
<td >재료대</td>
<td >STRAP BAND</td>
<td >STRAP BAND</td>
<td >  60,000 </td>
<td></td>
<td></td>
<td>21.08.19</td>
</tr>
<tr>
<td >재료대</td>
<td >STRAP BAND</td>
<td >STRAP BAND</td>
<td >  90,000 </td>
<td></td>
<td></td>
<td>21.08.19</td>
</tr>
<tr>
<td >재료대</td>
<td >ANI Sensor V1 Plus</td>
<td >ANI Sensor V1 Plus</td>
<td >  157,000 </td>
<td></td>
<td></td>
<td>21.10.05</td>
</tr>
<tr>
<td >재료대</td>
<td >수술엔</td>
<td >수술엔 3ml</td>
<td >  660,000 </td>
<td></td>
<td></td>
<td>21.12.09</td>
</tr>
<tr>
<td >재료대</td>
<td >수술엔 1.5ml</td>
<td >  506,000 </td>
<td></td>
<td></td>
<td>23.01.30</td>
</tr>
<tr>
<td >재료대</td>
<td >넥스힐크린패드뉴</td>
<td >넥스힐크린패드뉴</td>
<td >  35,200 </td>
<td></td>
<td></td>
<td>22.04.26</td>
</tr>
<tr>
<td >재료대</td>
<td >스콥워머_포르타픽스롤부직반창고</td>
<td >스콥워머/포르타픽스롤부직반창고/부직포, 아크릴계점착제 등</td>
<td >  70,000 </td>
<td></td>
<td></td>
<td>22.04.20</td>
</tr>
<tr>
<td >재료대</td>
<td >OXIPROBE SENSOR</td>
<td >OXIPROBE SENSOR</td>
<td >  26,400 </td>
<td></td>
<td></td>
<td>23.04.06</td>
</tr>
<tr>
<td >재료재</td>
<td >ANI 감시</td>
<td >ANI 감시(전신마취중)</td>
<td >  37,000 </td>
<td></td>
<td></td>
<td>21.10.05</td>
</tr>
<tr>
<td >재료재</td>
<td >MAMMOTOME REVOLVE SYSTEM</td>
<td >MAMMOTOME REVOLVE SYSTEM</td>
<td >  700,000 </td>
<td></td>
<td></td>
<td>22.05.23</td>
</tr>
<tr>
<td >재료재</td>
<td >폴리클립_포르타픽스롤부직반창고</td>
<td >폴리클립_포르타픽스롤부직반창고</td>
<td >  11,000 </td>
<td></td>
<td></td>
<td>23.02.23</td>
</tr>
<tr>
<td >재료재</td>
<td >CARRAGEN</td>
<td >CARRAGEN</td>
<td >  100,000 </td>
<td></td>
<td></td>
<td>24.1.13</td>
</tr>
<tr>
<td >재료재</td>
<td > 큐탄플라스트스폰지</td>
<td > 큐탄플라스트스폰지</td>
<td >  8,324 </td>
<td></td>
<td></td>
<td>13.06.18</td>
</tr>

</tbody>
	</table>

<table>
		<colgroup>
			<col style="width:200px">
			<col>
			<col style="width:200px">
			<col style="width:125px">
			<col style="width:125px">
		</colgroup>
		<thead>
			<tr>
				<th colspan="2">항목</th>
				<th>항목별 가격정보<br/>(단위:원)</th>
				<th rowspan="2">특이사항</th>
				<th rowspan="2">최종변경일</th>
			</tr>
			<tr>
				<th>코드</th>
				<th>명칭</th>
				<th>비용</th>
			</tr>
		</thead>
		<tbody>
<tr>
<td >671805121</td>
<td >큐라스텐액(포)</td>
<td >  2,600 </td>
<td>21.01.01</td>
</tr>
<tr>
<td >M1721018</td>
<td >오라팡정</td>
<td >  40,000 </td>
<td>23.07.17</td>
</tr>
<tr>
<td >M1721022</td>
<td >수프렙미니정</td>
<td >  40,000 </td>
<td>23.07.24</td>
</tr>
<tr>
<td >M3631058</td>
<td >대상포진(스카이조스터주)</td>
<td >  160,000 </td>
<td>22.09.14</td>
</tr>
<tr>
<td >M3631023</td>
<td >대상포진(조스타박스)</td>
<td >  180,000 </td>
<td>23.11.30</td>
</tr>
<tr>
<td >M3631063</td>
<td >대상포진(싱그릭스주)</td>
<td >  250,000 </td>
<td>23.01.27</td>
</tr>
<tr>
<td >M3631036</td>
<td >가다실9프리필드</td>
<td >  230,000 </td>
<td>22.07.01</td>
</tr>
<tr>
<td >M3631054</td>
<td >녹십자티디백신</td>
<td >  30,000 </td>
<td>21.08.19</td>
</tr>
<tr>
<td >M3631025</td>
<td >아다셀주</td>
<td >  40,000 </td>
<td>22.11.11</td>
</tr>
<tr>
<td >M3631022</td>
<td >프리베나13주</td>
<td >  130,000 </td>
<td>21.01.01</td>
</tr>
<tr>
<td >M3631002</td>
<td >하브릭스주</td>
<td >  80,000 </td>
<td>22.02.21</td>
</tr>
<tr>
<td >M3631045</td>
<td >유박스비주</td>
<td >  35,000 </td>
<td>21.01.01</td>
</tr>
<tr>
<td >M3246001</td>
<td >네비도주</td>
<td >  350,000 </td>
<td>21.01.01</td>
</tr>
<tr>
<td >M3325040</td>
<td >유한3챔버폼스페리주362ml</td>
<td >  80,000 </td>
<td>23.06.16</td>
</tr>
<tr>
<td >M3325022</td>
<td >닥터라민100ml</td>
<td >  30,000 </td>
<td>21.01.01</td>
</tr>
<tr>
<td >M3325023</td>
<td >닥터라민250ml</td>
<td >  50,000 </td>
<td>21.01.01</td>
</tr>
<tr>
<td >M3000000</td>
<td >비에비스</td>
<td >  80,000 </td>
<td>21.01.01</td>
</tr>
<tr>
<td >M3312003</td>
<td >비비에스</td>
<td >  30,000 </td>
<td>21.01.01</td>
</tr>
<tr>
<td >M3392009</td>
<td >네오미노화겐주20ml</td>
<td >  30,000 </td>
<td>21.01.01</td>
</tr>
<tr>
<td >M3399007</td>
<td >루치온주</td>
<td >  40,000 </td>
<td>22.09.29</td>
</tr>
<tr>
<td >M3311001</td>
<td >비타민D3비오엔주</td>
<td >  50,000 </td>
<td>21.01.01</td>
</tr>
<tr>
<td > M3629008</td>
<td >  페라미플루주15밀리리터</td>
<td >  40,000 </td>
<td>21.01.01</td>
</tr>
<tr>
<td >M3399016</td>
<td >삭센다펜주6밀리그램</td>
<td >  140,000 </td>
<td>21.01.01</td>
</tr>
<tr>
<td >M3316006</td>
<td >경동멀티비타주</td>
<td >  15,000 </td>
<td>21.01.01</td>
</tr>
<tr>
<td >M3325042</td>
<td >위너프페리주_(1085ml)</td>
<td >  100,000 </td>
<td>23.06.16</td>
</tr>
<tr>
<td >M3114017</td>
<td >아세트펜프리믹스주</td>
<td >  30,000 </td>
<td>21.01.01</td>
</tr>
<tr>
<td >M3331025</td>
<td >(비급여)110ml 대한멸균생리식염수</td>
<td >  12,000 </td>
<td>23.04.03</td>
</tr>
<tr>
<td >M3323018</td>
<td >(비급여)110ml 5%포도당키트주사</td>
<td >  12,000 </td>
<td>23.04.25</td>
</tr>
<tr>
<td > M3123007</td>
<td >슈가덱스주</td>
<td >  130,000 </td>
<td>22.07.04</td>
</tr>
<tr>
<td >M3123008</td>
<td >뉴로디온주</td>
<td >  132,000 </td>
<td>23.02.07</td>
</tr>
<tr>
<td >M3114018</td>
<td >에스팜주(네포팜염산염)</td>
<td >  5,000 </td>
<td>21.11.30</td>
</tr>
<tr>
<td >M3821002</td>
<td >명문구연펜타닐주사</td>
<td >  2,071 </td>
<td>16.10.01</td>
</tr>
<tr>
<td >M3339015</td>
<td >멀티서플라이5주</td>
<td >  50,000 </td>
<td>22.09.05</td>
</tr>
<tr>
<td >M2261008</td>
<td >헥시타놀이티2%액</td>
<td >  18,000 </td>
<td>23.04.11</td>
</tr>
<tr>
<td >M2261009</td>
<td >26ml 헥시타놀이티2% 액</td>
<td >  60,000 </td>
<td>23.05.30</td>
</tr>
<tr>
<td > M2261007</td>
<td >듀라프렙외용액</td>
<td >  50,600 </td>
<td>22.05.26</td>
</tr>
<tr>
<td >M3323019</td>
<td >5% 포도당키트주사 250ml</td>
<td >  12,000 </td>
<td>23.06.16</td>
</tr>
<tr>
<td >M3331021</td>
<td >생리식염키트주사 250ml</td>
<td >  12,000 </td>
<td>23.06.16</td>
</tr>
<tr>
<td >M3314008</td>
<td >메리트씨주사</td>
<td >  25,000 </td>
<td>23.07.01</td>
</tr>
<tr>
<td >M3239001</td>
<td >비타모주</td>
<td >  20,000 </td>
<td>23.07.01</td>
</tr>
<tr>
<td >M3313001</td>
<td >휴온스피리독신염산염주사액</td>
<td >  20,000 </td>
<td>23.07.01</td>
</tr>
<tr>
<td >M3114002</td>
<td >하이코민주</td>
<td >  20,000 </td>
<td>23.07.01</td>
</tr>
<tr>
<td >M3631057</td>
<td >박씨그리프테트라주</td>
<td >  35,000 </td>
<td>23.10.20</td>
</tr>
<tr>
<td >M3114019</td>
<td >아모부로펜프리믹스주</td>
<td >  40,000 </td>
<td>23.05.30</td>
</tr>
<tr>
<td >M3235003</td>
<td >나제아주사액0.3밀리그람</td>
<td >  17,811 </td>
<td>22.01.01</td>
</tr>
<tr>
<td >M3315001</td>
<td >비타민케이원주사액10mg</td>
<td >  236 </td>
<td>16.10.01</td>
</tr>
<tr>
<td >M3325041</td>
<td >디펩티벤주50ml</td>
<td >  33,000 </td>
<td>22.11.02</td>
</tr>

</tbody>
	</table>

<table>
		<colgroup>
			<col style="width:80px">
			<col style="width:200px">
			<col style="width:200px">
			<col style="width:125px">
	   		<col>
			<col style="width:100px">
		</colgroup>
		<thead>
			<tr>
				<th colspan="2">항목</th>
				<th colspan="2">진료비용등<br/>(단위:원)</th>
				<th rowspan="2">특이사항</th>
				<th rowspan="2">최종변경일</th>
			</tr>
			<tr>
				<th>코드</th>
				<th>명칭</th>
				<th>구분</th>
				<th>비용</th>
			</tr>
		</thead>
		<tbody>
<tr>
<td >Z01</td>
<td >일반진단서</td>
<td >진단서</td>
<td >  10,000 </td>
<td></td>
<td>21.01.01</td>
</tr>
<tr>
<td >Z30</td>
<td >근로능력평가용진단서</td>
<td >근로능력평가용진단서</td>
<td >  10,000 </td>
<td></td>
<td>21.01.01</td>
</tr>
<tr>
<td >Z03</td>
<td >사망진단서</td>
<td >사망진단서</td>
<td >  10,000 </td>
<td></td>
<td>21.01.01</td>
</tr>
<tr>
<td >Z28</td>
<td >병무용진단서</td>
<td >병무용진단서</td>
<td >  20,000 </td>
<td></td>
<td>21.01.01</td>
</tr>
<tr>
<td >Z02</td>
<td >영문진단서</td>
<td >영문진단서</td>
<td >  20,000 </td>
<td></td>
<td>21.01.01</td>
</tr>
<tr>
<td >Z08</td>
<td >입퇴원확인서</td>
<td >입퇴원확인서</td>
<td >  3,000 </td>
<td></td>
<td>21.01.01</td>
</tr>
<tr>
<td >Z07</td>
<td >통원확인서</td>
<td >통원확인서</td>
<td >  3,000 </td>
<td></td>
<td>21.01.01</td>
</tr>
<tr>
<td >Z20</td>
<td >장애인증명서</td>
<td >장애인증명서(소득공제용)</td>
<td >무료</td>
<td>소득세법상 장애인공제 대상임을 증명하는 서류</td>
<td>21.01.01</td>
</tr>
<tr>
<td >Z17</td>
<td >진료기록사본 1~5매</td>
<td >chart복사(5장기본)</td>
<td >  1,000 </td>
<td></td>
<td>21.01.01</td>
</tr>
<tr>
<td >Z18</td>
<td >진료기록사본 6매이상</td>
<td >chart복사추가(장당)</td>
<td >  100 </td>
<td></td>
<td>21.01.01</td>
</tr>
<tr>
<td >RZ01</td>
<td >진료기록영상</td>
<td >CD COPY</td>
<td >  10,000 </td>
<td></td>
<td>21.01.01</td>
</tr>
<tr>
<td >GZ151</td>
<td >제증명서 사본</td>
<td >추가 및 재발급(장당)</td>
<td >  1,000 </td>
<td></td>
<td>21.01.01</td>
</tr>
<tr>
<td >GZ148</td>
<td >소견서</td>
<td >소견서</td>
<td >  10,000 </td>
<td>보험사제출용 등</td>
<td>21.01.01</td>
</tr>
<tr>
<td >Z06</td>
<td >영문소견서</td>
<td >영문소견서</td>
<td >  20,000 </td>
<td></td>
<td>21.01.01</td>
</tr>
<tr>
<td >Z09</td>
<td >수술(시술)확인서</td>
<td >수술(시술)확인서</td>
<td >  3,000 </td>
<td></td>
<td>21.01.01</td>
</tr>

</tbody>
	</table>