진료/이용안내

  • Medical Guide
  • Home
  • 진료/이용안내
  • 비급여항목

비급여항목

비급여항목

코드품목명
HJ1270001001자기공명영상진단료/MRI-기본검사/복부-복부/일반-판독료420,000
HI1270001001자기공명영상진단료/MRI-기본검사/복부-복부/일반-촬영료 등420,000
MX1220000004도수치료 C150,000
MX1220000003도수치료 B100,000
MX1220000001도수치료 A50,000
PDZ110005001DVD복사수수료10,000
MY1420000004프롤로테라피200,000
PDZ110102001진료기록사본6매이상1,000
PDE010001001영문진단서20,000
PDZ010001001건강진단서20,000
MY1420000003DNA 프롤로테라피120,000
MY1420000002프롤로테라피200,000
MY1420000001프롤로테라피120,000
SZ0840000001체외충격파치료50,000
EB4670000001손목관절초음파80,000
EB4660000001견관절초음파80,000
EB4630000001주관절초음파80,000
EB4610000001손가락초음파80,000
PDZ110004001CD복사수수료10,000
PDZ140001001향후진료비추정천만원이하5,000
PDZ110101001진료기록사본1~5매1,000
PDZ020002001상해진단서3주이상150,000
PDZ020001001상해진단서3주미만100,000
PDZ160000001제증명서 사본1,000
PDZ090004001통원확인서3,000
PDZ090002001입퇴원확인서3,000
PDZ010000001일반진단서20,000
PDZ010002001근로능력평가용진단서10,000
ABZ010001001상급병실1인실180,000
SZ0840000003체외충격파치료230,000
SZ0840000002ESWT150,000
HE1200000001무릎관절mri420,000
HE1180000001고관절MRI420,000
HE1210000001발목관절MRI420,000
HE1170000001손목관절MRI420,000
HE1160000001주관절MRI420,000
HE1150000001견관절MRI420,000
HE1190000001천장관절MRI420,000
HE1100000001흉추MRI420,000
HE1110000001요천추MRI420,000
HE1090000001경추MRI420,000
PDZ140002001향후진료비추정천만원이상100,000
PDZ080000001병무용진단서20,000