Ⅱ. 치료재료 창상봉합용 LIQUIBAND SURGICAL S & S CLEAR BB3000LQ 120,000 창상봉합용 SURGISEAL TOPICAL SKIN ADHESIVE BB3005QB 70,000 피부봉합용 SKIN STAPLER BB3101MQ 20,000 피부봉합용 Manipler(Skin Staple) BB3102DV 20,000 인체조직유래 2차 DBX PUTTY BC0101AT 410,000 인체조직유래 2차 RAFUGEN DBM GEL BC0101BU 1,466,520 인체조직유래 2차 ORTHOBLAST PASTE BC0101IE 506,000 인체조직유래 2차 DYNAGRAFT Ⅱ BC0202IE 556,600 인체조직유래 2차 DYNAGRAFT Ⅱ BC0202IE 2,081,200 인체조직유래 2차 Dynagraft 2.5cc( 메디더스 ) BC0202IE 1,263,650 인체조직유래 2차 Dynagraft 2( 메디더스 ) BC0101BU 467,430 인체조직유래 2차 Dynagraft II 1cc( 메디더스 ) BC0101BU 556,600 인체조직유래 2차 Bio-Paste( 진스케어 ) BC0102BU 500,000 360,000 500,000 처방량여부에따라 인체조직유래 2차 Bio-Paste( 진스케어 ) BC0107BU 500,000 인체조직유래 2차 Bio-Paste injectable BC0108BU 500,000 인체조직유래 2차 Bio-Paste II 3cc BC0107BU 1,300,000 인체조직유래 2차 Bonion 1cc BC0100ER 500,000 인체조직유래 2차 Rafugen DBM Gel Pro 1cc BC0103BU 500,000 CRANIOFACIAL IMPLANT YM-CR410 BC1209OK 198,000 CRANIOFACIAL IMPLANT MEDPOR SHEET BC7001BW 570,000 CRANIOFACIAL IMPLANT MEDPOR CRANIAL PRODUCT BC7005BW 2,310,000 1/13
CRANIOFACIAL IMPLANT Medpor(No.7512-Burr hole cover)- 개당산정 BC7005BW 115,500 CRANIOFACIAL IMPLANT Medpor Titan Implant BC7009BW 1,593,000 추간판내 PERC-D & PERC-DL BF0201DI 1,600,000 추간판내 전기수술기용 (KJ400, KJ401,KJ402,KJ403) BF0201OB 1,700,000 경막외강 MYELOTEC NAVICATH STEERABLE CATHETER BJ4801IU 800,000 척추경막외마취를위한 COMBINED SPINO- DURASAFE PLUS BJ4810FA 33,600 DPIDURAL SET 척추고정용 ROTAIO BF0001HB 6,000,000 INTERSPIN OMEGA FIXATION BF0401HO 1,790,000 HM PLIF Cage 한시비급여 500,000 규격별 혈관 BLOODSTOP IX BJ7001UU 200,000 흡인용 (CLOSED SUCTION SYSTEM) SUCTION TUBE & CATHETER BK4101BY 330 혈전방지용 AUTOREGG/SILICONE THIGH LENGTH BK7302JY 60,000 기타근관충전재 (MTA) MTA-ANGELUS GRAY BL7601QX 치과에표기 150,000 호흡회로 ( 가온, 가습용 ) HEATED WIRE BREATHING SYSTEM BM6001DC 120,000 호흡회로 ( 가온, 가습용 ) HEATED CIRCUIT BM6001LG 120,000 호흡회로 ( 가온, 가습용 ) Omniox 호흡회로A BM6001WP 120,000 호흡회로 ( 가온, 가습용 ) Omniox 호흡회로 B BM6001WP 200,000 2/13
수술후 GUARDIX-SL BM2101JO 300,000 수술후 GUARDIX-SG BM2102JO 300,000 수술후 Guardix-SP Plus 3g BM2103JO 260,000 Guardix-SP 5g BM2104JO 310,000 하이베리 (Hibarry) BF0101VT 300,000 젠타큐 (Genta Q) BM5302VT 300,000 이노티스 (Inotiss) BM5302VT 300,000 콜라실드더블액션 5*5 BM5302VT 130,000 콜라실드더블액션 10*10 BM5302VT 300,000 Nasal Airway BK4201PC 9,600 정맥혈전증 DVT-3000 SLEEVE BM2801MR 행위료에표기 40,000 큐앤큐메딕스에이밴드 BM5002CS 6x8 500 큐앤큐메딕스에이밴드 BM5003CS 7x10 700 큐앤큐메딕스밴드 BM5007CS 10x10 900 큐앤큐메딕스밴드 BM5008CS 10x13 1,200 큐앤큐메딕스밴드 BM5010CS 10x20 1,600 3/13
큐앤큐메딕스밴드 BM5011CS 10x25 1,900 큐앤큐메딕스밴드 BM5012CS 10x30 2,400 MEFIX(Hypafix,Carefix)- (10*10) BM5103CW 1Roll 15,000 MEFIX(Hypafix)- (10*15) BM5104CW 1Roll 20,000 MEFIX(Hypafix) BM5104CW 1회당 700 MEFIX(carefix) BM5102BY 1Roll 15,000 MEFIX(carefix) BM5102BY 1회당 700 Hiperskin NV 1Roll(15*10cm) BM5101SO 1Roll 20,000 Hiperskin NV 1Roll(15*10cm) BM5101SO 회당 700 Electofix 1Roll(15cm*10m) BM5111CD 1Roll 20,000 4/13
흡인용 (CLOSED SUCTION SYSTEM) Electofix BM5111CD 회당 700 Electofix 1Roll(10cm*10m) BM5111CD 1Roll 15,000 Electofix BM5111CD 회당 700 Mepilex Border BM5012JQ 15,000 17,000 규격별 CPX FIX (4cm*4m) BK7101UZ 회당 1,100 CPX FIX (4cm*4m) BK7101UZ Roll 5,000 CPX FIX (6cm*4m) BK7101UZ 회당 1,100 CPX FIX (6cm*4m) BK7101UZ Roll 5,000 IV filter set BM1302XE 3,000 규격별 IV filter set BM1302XE 4,000 규격별 IV filter set BM1302XE 5,000 규격별 Filter 2 BM0303CO 6,500 규격별 FIF-1 (Y-Coil) BM1302XE 10,000 IV filter set CRL BM1301EJ 3,000 IV filter set BM0301AN 4,500 규격별 CIV filter BM1300RV 4,500 규격별 Line fix-mason line BJ1006ZN 7,900 P.V.C Suction Cath. BK4101BY 654 Sealfoam( 흡수성지혈제 ) 한시비급여 237,600 은코팅 Acticoat (10"*10") M3060203 25,890 Allevyn Heel 13.5*10.5 M3030210 13,180 5/13
Allevyn Non-Adhesive 10*10 M3030206 4,790 동종건 Achilles Tendon Bone TTA01005 1,423,990 동종건 Achilles Tendon Bone/Bone Whole TTA01605 1,423,990 동종건 Achilles Tendon( 두성 ) TTA01001 1,423,990 CRANIOFACIAL IMPLANT Biosorb FX Plate(8531504S) C7501021 131,250 CRANIOFACIAL IMPLANT Biosorb FX Plate(8531506CS) C7517021 178,210 CRANIOFACIAL IMPLANT Biosorb Fx Plate(8531507LL6) C7511021 203,440 CRANIOFACIAL IMPLANT Biosorb Fx Plate(8532406) C7802021 215,070 CRANIOFACIAL IMPLANT Biosorb FX Mesh C7851121 849,650 CRANIOFACIAL IMPLANT Biosorb FX Screw C8403021 46,770 6/13
( 단순, 건조드레싱 ) 메피렉스보더 -10cmX10cm( 멘리케헬스케어 ) M3031310 3,150 메피렉스리케헬스케어 ) -10cmX10cm( 멘 M3031306 4,790 메피렉스 -7.5cmX7.5cm( 멘리케헬스케어 ) M3031309 1,730 메피렉스 (Mepilex 10cmX10cm- 멘리케헬스케어 ) M3031301 4,790 메피렉스 (Mepilex 20cmX50cm- 멘리케헬스케어 ) M3031324 42,420 Steri Strip BM5003EM 6x100mm 3,000 Steri Strip BM5003EM 12X100mm 3,000 Sorbact Absorbent Dressing BM5003MV 10*10 21,000 Sorbact Absorbent Dressing BM5003MV 10*20 27,500 CRANIOFACIAL IMPLANT Resorbable Mesh Plate(0.5Mm) C7851023 1,137,420 7/13
CRANIOFACIAL IMPLANT Resorbable Mesh Plate(0.8Mm) C7851043 1,137,420 CRANIOFACIAL IMPLANT Rapid Resorbable Mesh Plate(0.5Mm) C7851083 1,137,420 CRANIOFACIAL IMPLANT Resorbable Orbital Floor Plate C7851053 467,240 CRANIOFACIAL IMPLANT Skull Button(11Mm) H3004001 109,390 CRANIOFACIAL IMPLANT Skull Button(16Mm) H3004002 109,390 CRANIOFACIAL IMPLANT Skull Button(APIS Easy Flap- 11Mm,13Mm/Mti) Pulsavac Plus Component Kit(bone medical) H3015001 109,390 200,000 Gard Blue CVP(Double) J4113109 53,820 CVP Double(Subclavein Cath 2- Lumen) J4112009 29,500 Urine Bag K3100005 1,180 8/13
급여 Urine Hourly Bag K3101005 3,800 실시한 Autosuture(EEA 25),(EEA 급여자동봉합기 B1022001 381,000 28),(EEA 31) 실시한자동봉합기 Autosuture GIA-TLC 75(Body) B1601002 122,620 행위료 Epidural Autoselect 2-D(275Ml Button) Epidural Autofusor S 2- D(100Ml Button) J4308035 J4306435 무통수술시본인부담무통수술시본인부담 63,420 행위료 50,580 wall suction unti 200,000 ET Tube holder BJ1001SH 50,000 미레나20mcg 641100600 350,000 노바티 150,000 M.R Kit 66,000 M.R Tip 3,600 기타 환의 (1벌) 20,000 이불 30,000 시트 15,000 에어매트리스 ( 가져갈때 ) 140,000 환자용 3,000 휴대용 ( 여성 ) 6,000 휴대용 ( 남성 ) 5,000 치간 3,500 일반 2,500 교정용 2,500 이중모 3,000 9/13
틀니용 3,500 의치 case 3,000 Crutch( 목발 ) 20330 20,000 Arm Sling(L) VM061 5,000 체온계 1,000 노보파인 ( 펜니들 ) 200 가져가실때 1회용 100 MultiFiltrate Bag 10,890 Neo Fix plus IV-6 BJ1012ZJ 1,100 Soft Fix BJ1002LU 1,100 Gladfix BJ1000GS 8,000 Dressing Fix - 전규격 BM5101W1 1,500 Fixing Roll-Arm Board-전규격 BM5103CU 4,500 Wing grip BJ1000CO 5,500 N FIX-Set BJ1008WI 2,500 M-Fix BM2000MJ 35,000 압박고정용 SPLINT Vacopad A-Achil BC1201ON 550,000 Vaco Ped(Standard) BC1201ON 550,000 Vaco Pedes BC1201ON 400,000 Vaco Diaped BC1201ON 430,000 Vaco Diaped Plus BC1201ON 380,000 Vaco Hand BC1201ON 275,000 압박고정용 MLCL-Splint BC1011PR 198,000 10/13
압박고정용 S) BK7302JY 60,000 M) BK7302JY 60,000 L) BK7302JY 60,000 SL) BK7302JY 60,000 XXL) BK7302JY 60,000 오픈 /S) BK7302JY 50,000 오픈 /M) BK7302JY 50,000 오픈 /L) BK7302JY 50,000 11/13
보조기 LS(spine) Corset BC1209OK 198,000 Ankle Support 10,000 Ankle Support Strap 30,000 Elbow Support Long 30,000 Elbow Support Reinforced 30,000 Elbow Support Standard 25,000 발가락 Hallux valgus strap 35,000 Knee Hinged Wrap 60,000 Knee Spiral Hinged 65,000 Knee Support Patella 35,000 Knee Support Reinforces 35,000 Knee Support Standard 30,000 Leg Support 25,000 Soft corset 40,000 Hard corset 50,000 Tennis Elbow Wrap 60,000 Thigh Support 25,000 Wrist Support 30,000 Wrist Wrap 8,000 Chin-Neck band 66,000 Philladelphia Brace( 필라델피아 ) 40,000 Thomas Collar 20,000 DR.MED-IA BC1207RE 200,000 8자 Bandage VM062 10,000 Velpeau Bandage VM062 20,000 Cast Shoes 5,000 Color Cast Shoes VM070 10,000 12/13
이송료일반구급차 10km 미만 AY100 30,000 일반구급차 10km미만 - 심야 AY100020 36,000 일반구급차이용 10km이상 1km추가당 AY101 1,000 일반구급차이용 10km이상 1km추가당-심야 AY101020 1,200 일반구급차-의사, 간호사, 응급구조사 AY102 15,000 일반구급차-의사, 간호사, 응급구조사 ( 심야요금 ) AY102020 18,000 특수구급차사용료 (10km 이내 ) AY200 75,000 특수구급차사용료 (10km 이내 )- 심야 AY200020 90,000 특수구급차 10km이상1km추가당 AY201 1,300 특수구급차 10km이상 1km추가당 -심야 AY201020 1,560 13/13