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비급여안내

비급여진료항목

대분류	분류	명칭	코드	구분	비용	특이사항	최종변경일
치료재료대	분류	HYALOFAST	BM2621UM	전규격 1EA	2100000		2025-12-09
치료재료대	분류	DERMATIX ULTRA GEL(더마틱스 울트라 겔)전규격	BM5002ML	7g	69,300		2025-12-09
치료재료대	분류	3M SOFT CLOTH WITH LINER	BM5101LX	1회사용분 (1M이내)	3,300	절할사용	2025-12-09
치료재료대	분류	CHRISOFIX WRIST SPLINTS 2전규격	BC1203TS		20000		2025-12-09
치료재료대	분류	NOVOSIS전규격	BC0301QT		1,050,000		2025-12-09
치료재료대		수액세트5㎛(필터)	M1019024		4290	급여기준 대상외비급여 설명하고 동의
행위료	분류	DIFFUSION-단독	HF101	단독촬영	260000		2025-12-09
행위료	분류	무릎골관절염에 대한 골수 흡입 농축물 관절강내주사-키트포함	918		2900000		2025-12-09
행위료	분류	아밀로이드 A	CZ242		75,600		2025-12-09
행위료	분류	수술중 자가혈소판 풍부 혈장 치료술	890		800000	재료대포함	2025-12-09

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