비급여고지-치료재료대

치료재료대 [기준일 : 24.10.25.]

항목 가격정보(단위:원)
분류 코드 명칭 구분 비용 최저비용 최고비용 특이사항
처치재료 BM5101LX 3M SOFT CLOTH WITH LINER (픽싱롤 – fix roll) 10CM 1,400
BM5101LX15 3M SOFT CLOTH WITH LINER (픽싱롤 – fix roll) 15CM 2,000
SPRO SPINE PROLOTHERAPY-9 90,000
BM5110IXB 콘투락투벡스 패치 1박스(21장) 오버나이트 인텐시브패 110,000
BM5110IXA 콘투락투벡스 패치 1장 오버나이트 인텐시브패 6,000
BK710JM4 Uniband 4*4 Polyester 등 4,000
BK710JM8 비급여) Uniband 8*4 Polyester 등 5,000
BM5101NG 세이프셋 15,000
BM5000HF 세컨드스킨스카겔플러스 실리콘, 메티실록산 80,000
BM5000JZ 워터바이오스킨(Water Bio Skin/비급여 40,000
BM5001GA Secuex 폴리비닐레진 등 부직포+셀룰로오스(타병원진료) 2,520
BM5001UG 비급여) Primary Wound Dressing Hypericum Oil 등 130,000
GENTAQ 젠타큐 GENTA Q 300,000
PRO11 PROLOTHERAPY-11 110,000
PRO3 PROLOTHERAPY-3 30,000
PRO4 PROLOTHERAPY-4 40,000
PRO5 PROLOTHERAPY-5 50,000
PRO6 PROLOTHERAPY-6 60,000
PRO7 PROLOTHERAPY-7 70,000
PRO8 PROLOTHERAPY-8 80,000
PRO9 PROLOTHERAPY-9 90,000
BB3101UA INSORB SKIN STAPLER(subcu 스테이플러) 250,000
681800010 박티그라10cmX10cm 10,000
SPRO SPINE PROLOTHERAPY-8 90,000
BK7001WT Hekafast 3인치(피부보호스타키넷) 22,000
BK7001WT1 Hekafast 4인치(피부보호스타키넷) 25,000
SIL EZ-PLUS SILICONE TAPE / 4cm * 12cm 28,000
BTT01113A Cg Reallo Inject 1cc Acellular Dermis (리알로1cc) 750,000
BTT01113B Cg Reallo Inject 0.5cc Acellular Dermis (리알로0.5cc) 400,000
BTT01032 Aesten 1cc (에스텐인젝트) hydrated human collagen fro 750,000
BTT01032A Aesten 0.5cc (에스텐인젝트) 400,000
BTT01132A Aesten 0.5cc 외래(에스텐인젝트) hydrated human collag 400,000
BTT01032 Tissuegen(티슈젠) Aesten(에스텐) mAMD Powder 2,000,000
650800420 비급여)써지셀 스노우 (2.5*5.1cm) 660,000
M3304002 비급여)케어젤(Caregel 2.5g) 350,000
BC1003XY 비급여) SILI QUET 상지/하지 30,000
BM2000JH SRTO(2515) 10,000
MicroDYN prep 26ml BM5008LJ 60,000
SRTO(2575) BM2000JH 10,000
Anisakis Ab(고래회충) D7440010Z 50,000
마취재료 BJ4801GZ Abel Epidural Catheter (PEN- 경추용) 850,000
650800110 bonewax 2.5g ethicon 20,000
BJ1001ZC PIL(의료기기 고정용 기구)(비급여) 8,000
M3303003 Cg Paste (화상, 당뇨발경우 선별80% 이외 비급여) 200,000~300,000
CG1 CG PASTE(수술/1CC) 300,000
CG2 CG PASTE(외래/1CC) 200,000
CG23 CHONDRO-GIDE 20×30 3,500,000
CG3 CHONDRO-GIDE 30×40 3,800,000
BT01025 Cervical cortical ring 1,500,000
BTB01019 CORNERSTONE L-ASR 2,500,000
BC0106ED PENOSS DBM STIK(0.5CC) 600,000
BC0101BU-1 Demios DBM (1cc) 700,000
DDBM2 BONGENER DBM 1CC 700,000
DDBM1 Demios DBM (1cc) 700,000
BC0101BU Demios DBM (2.5CC) 1,750,000
BF0001DB DISCOCERV(mobi-c) 5,000,000
BJ4801GV EDEN EPIDURAL CATHETER (경추용) 850,000
ESWT3 eswt+prolo 체외충격파치료+증식치료 220,000
EXLOON EXLOON-X (Kyphoplasty,더에스엘) 2,000,000
BJ4801DA EXPENDIO BALLOON CATHETER 1,500,000
BJ4802DU 비급여) B-Flexis Abs(balloon catheter) 1,500,000
BJ4805RA 비급여) Fora-B (balloon catheter) 1,500,000
FNS Filter Needle With Syringe(필터실린지) 1,500
646601400 Floseal 880,000
BJ4803XU-C G/ NEEDLEVIEW CH (TELA cath – 목) 4,500,000
BJ4803XU-L G/ NEEDLEVIEW CH (TELA cath – 허리) 4,200,000
BM0301GI Goclean Filter Polypropylene (innofuser) 11,000
BC0105AW-1 GRAFTON DBM PUTTY 2.5cc 1,750,000
BC0105AW GRAFTON DBM PUTTY 5cc 3,500,000
BC0105AW1 비급여)GRAFTON DBM PUTTY 1cc 700,000
BJ70010H Hemostatic Gauze 250,000
MEGAS HM MEGAFIX Screw (한시적 비급여) 250,000
MEGAR HM MEGAFIX SET ROD (한시적 비급여) 100,000
MEGAC HM PLIF CAGE (한시적 비급여) 353,170
BTS01019 Megaderm Acellular Dermis 메가덤 2*3 880,000
BTS01019A Megaderm Acellular Dermis 메가덤 3*4 1,500,000
BTS01019B Megaderm Acellular Dermis 메가덤 4*5 2,500,000
BC0101BG-1 Intergro Dbm 1cc (Dbm+Lipid Carrier) 700,000
BC0101BG-2 Intergro Dbm 2cc (Dbm+Lipid Carrier) 1,400,000
BC0101BG-5 Intergro Dbm 5cc (Dbm+Lipid Carrier) 3,500,000
KD K-D CLAMP / 케이디 클램프 300,000
BM2101QT MEDICLORE 1.5cc 500,000
BM0301HZ MINI VOLUME EXTENSION LINE(의약품주입여과기) 11,000
BF0001KV Mobi-C With Plug & Fit Vitalium(Cocrmo) Alloy 5,000,000
BM1302VA NEEDLE SYRINGE FILTER(필터주사기) 1,500
M1102035 비급여)Bandgold Filter Syringe – 필터주사기 IM or SC 1,500
BF0101PG OXIPLEX 800,000
BK7000RN MARLINS Packed(말린스-수술용스타키넷) 40,000
BK7000YU POVIS STN 포비스/수술용 스타키넷 35,000
BM7100IP S-BAND(석션) 30,000
BC0101BU-2 Rafugen Dbm 1cc Gel Human Dbm+Porcine Collagen 1,100,000
BC0103BU RAFUGEN DBM GEL PRO 1CC 700,000 1,100,000
BC1206RG REDIX-L350 (TA) 300,000
BM5004MV SORBACT Ribbon Gauze 25,000
BM5002MV SORBACT ROUND SWAPS/ SWAB 5개 35,000
BJ4801RA ST REED Plus (PEN 경막외강 신경박리술용) 700,000
BJ4803RA ST. REED PLUS(신경성형술용) 700,000
94408 Steri-strip 1,500
K9205249 SURGI-CHITO(13*13) 100,000
BM5000SQ2 Surgicon Acetylhexapeptide (수술용) 150,000
BM5000SQ1 Surgicon Acetylhexapeptide (외래용) 90,000
TEN2 TENDORENGEN(텐도리젠)수술 350,000
TEN1 TENDORENGEN(텐도리젠)외래 200,000
BM2601AT XCM BIOLOGIC TISSUE MATRIX 800,000
BC0108ED X-STICK DBM 0.5cc 600,000
BB3200DI ZIPLINE SURGICAL SKIN CLOSURE 400,000
685900130 REOXCEL(2.6×5.1) (지혈제) 880,000
BJ1002XJ 드레인클립(Drain Clip) 20,000
BM5013CD OPSITE VISIBLE(15*10) 13,000
HIR20 액상 하이랙스 주 2000IU/1.3ml HIRAX INJ 1ml 200,000
SY 에스와이 무피로신나잘연고 18,000
679801120 리도케어카타플라스마(1pack 5메)_(10×14㎠/1매) 20,000
650700431 엠라크림 EMLA 5% CREAM 10,000
EFO 이지에프 새살 연고 EASYEF OINTMENT 30,000
임시 임시비급여 30,000
BF0201OB 전기수술기용 전극(KJ400, KJ401,KJ402,KJ403) 4,000,000
622900010 카티스템(연골재생줄기세포치료제) 9,500,000
93046 카티스템2 5,500,000
BK7101EA 코반 3M COBAN 1″ SELF-ADHERENT WRAP 13,000
BK7102EA 코반 3M COBAN 2″ LAYER 24,000
BM5302VT1 콜라실드(0.5ml) 130,000 400,000
BM26010P 콜라실드(1ml) 750,000
M3300002 비급여) 콜라폼A(Collaform A) Collagen(25㎠이상-40㎠미만) 330,000
CFA 콜라폼A ( COLLAFORM A ) 330,000
M3300204 비급여) 아토젠(Atogen)Collagen, 25㎠이상-40㎠미만 330,000
BM5300FG 아토젠(Atogen) Bovine TypeⅠ(콜라겐흡수성창상피복재) 330,000
BC0301BU Bio Bmp2 Rhbmp-2, Dbm, Collagen 등 1 3,000,000
657807451 (향정)바이파보주 50mg 90,000
수술재료 9512 Accurod Pedicle Screw 250,000
9513 accurod peddical rod 100,000
9515 Flex Spinal Fixation System Screw 250,000
9516 Flex Spinal Fixation System Rod 500,000
9517 ACE EDEN ROD – 한시적 100,000
9518 ACE EDEN Pedicle Screw – 한시적 250,000
9519 ACE EDEN Cross Link – 한시적 832,130
BC0100ER Bonion Dbm + Poloxamer (DBM 1CC) 700,000
BC0105ED XGEN GRAFT 1cc (DBM) 700,000
BC0107ED Eden fuse Gel 3cc, DBM 3cc, Carefuse Dbm+Cmc 2,100,000
BF0100AJ 비급여) 커버실 3cc (Artq, Cover Seal Sodium Hyaluron 1,500,000
BF0201EK DISCURE -허리 2,000,000
BF0201VC INTO-L BIO & INTO-C BIO (IDET – C) Discure C 2,200,000
BF0202VC INTO-LB(고주파열 / 수핵용해술용) 2,000,000
BF0202VCC INTO-CB(고주파열 / 수핵용해술용, 경추용) 2,200,000
BF0203RA ABRO (IDET재료) – L DISCURE 2,000,000
BF0205RA 비급여) Turtle Gun Sus304, Ptfe 등 4,000,000
BF0401GQ SPINOUS BRIDGE 1,900,000
BF0401HO INTERSPINOUS OMEGA FIXAION SYSTEM 1,800,000
BJ1001NC 비급여) Galio-K1 (가리오) 부직포, 벨크로 등 15,000
BK7103AS MULTI-FIX EASY BAND 80,000
BM1200VO Care Board 알루미늄, 벨크로 등 (지지대) 45,000
BM2620KQ1 콜트릭스 600,000
C2300010 CANNULATED INTERFERENCE SCREW 318,540
C2302038 INION HEXALON BIODEGRADABLE ACL/PCL SCREW 279,580
CAGE2 FEKIX-L PLIF CAGE (한시적 비급여) 350,000
CAGE3 BIO EDEN PEEK CAGE III – 한시적 (요추용) 609,280
CAGE4 LUNA PLIF PEEK CAGE 810,000
CAGE5 Multi-fix CAGE (한시적 비급여) 350,000
CAGE6 FELIX-L TLIF CAGE (한시적 비급여) 700,000
CAGE7 spinal fixation cage system (한시적 비급여) 350,000
E2001050 B-P KNEE FEMORAL COMPONENT 1,816,000
E2011050 B-P KNEE TIBIAL COMPONENT 1,456,120
E2021050 B-P KNEE BEARING 744,560
E2031050 B-P KNEE PATELLAR COMPONENT 407,180
EZFIX EZ-FIX PLUS 20,000
한시적 비급여) 추체고정용 Cross link (제조사별 명칭 상이) 850,000 900,000
한시적 비급여) 추체고정용 ROD (제조사별 명칭 상이) 100,000 200,000
한시적 비급여) 추체고정용 screw set (제조사별 명칭 상이) 250,000 350,000
MEGA1 MEGACARTILAGE (동종이식용 연골조직) 2,500,000
MEGA2 MEGAFILL 500,000
한시적 비급여) 추체고정용 CAGE (제조사별 명칭 상이) 353,170 700,000
TBH23105 FIBULA SEGMENT 1,023,720
BC0301QT Novosis(DBM) 0.5cc 2,000,000
BC0301QT-1 Novosis(DBM) 1cc 3,500,000
BC0101UH Osg DBM Syringe 1cc, Accel Bone S, Accel Bone Syringe 700,000
BC0101UH-3 Osg DBM Syringe 3cc, Accel Bone S, Accel Bone Syringe 2,100,000
BF0101WC 큐블럭 3cc (Qblock) Sodium Hyaluronate 등 1,500,000
BJ4800RN Cello BALLOON CATHETER 1,500,000
BK7100MN UNI-BAND 4*4 4,000
BK7100MN UNI-BAND 8*4 5,000
BK7100MN UNI-BAND 12*4 7,000
685900130 리옥셀피브릴 800,000
BM5007RQ Endotra Gel (윤활제) 30,000
BM5100NG 큐어셋 30,000
BE4202LF CMC Jo-Ascension Pyrodisk Graphite + Pyrolytic Coati 4,000,000
BJ4804GV EDEN EPIDURAL CATHETER (요추용) 700,000
BF0001HB ROTAIO 5,000,000
K9205250 비급여) M-Clot Kaolin 등 (비침습적 지혈용 거즈) 100,000
BTS01115 비급여)Cgderm One-Step Acellular Dermis 3,000,000
BF0003GZ 비급여)BAGUERA C(Artificial Cervical Disc) 5,000,000
BM5002LJ 비급여) V-Seal Gel, G Chitosan, Sodium Hydroxi 40,000
ZEUS-KY 비급여) ZEUS-BALLOON (Kyphoplasty) 한시적비급여 1,200,000
IFACTOR 비급여) I-Factor 4,000,000
BF010BA McShield 1.5g 400,000
K9205337 KIONOID(1.25*2cm) 110,000
BMACPRO TriCell BMC PRO(2.5g) 2,150,000
BM2620RH EN carti 3,500,000
BM5104WI CS FIX(산소마스크) 10,000
BF0100QF PRECOAT 5cc 1,200,000(잠정
BM2601OP Collashield 1cc 750,000
BF0100VD INTERBLOCK 3cc 1,500,000
BK7301WT 혈전방지 압박용 밴드 mediquet 150,000
BM5104WI CS FIX(산소 마스크) 10,000
BM5104WI CS FIX(산소 마스크) 10,000
BM2600AD REGENETEN bioinductive Imlplant 11,500,000
BK7100MF 스파이더 티밴드(spider t-band) 120,000
BM5100DC Human O2+ 30,000
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