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비급여안내

비급여진료항목

대분류	분류	명칭	코드	구분	비용	최저비용	최고비용	최종변경일
기타	분류	DR.MED-FINGER(Thumb엄지보조기/기타손가락)	BC1219RE		23100			2025-12-09
기타	분류	가슴보호대	B036		6100			2025-12-09
기타	분류	TLSO(흉요추부), LSO(요추부) 보조기	BC1216PS		472500	315000	472500	2025-12-09
기타	분류	JM-307 Tennis elbow	BC1220PV		31500			2025-12-09
기타	분류	JM-322 POWER ANKLE-Air cast(ankle)	BC1212PV		82400			2025-12-09
기타	분류	JM-102 ANKLE BRACE-Ankle 보조기	BC1208PV		23600			2025-12-09
기타	분류	MCL SPECIAL전규격	BC1001PR		164900			2025-12-09
기타	분류	ORTEC-KNEE 보조기	BC1001SI		294000			2025-12-09
기타	분류	필라델피아(보조기)	BC1203VM		73500			2025-12-09
기타	분류	COLLAR-C 보조기	BC1201PS	1EA	165400			2025-12-09

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