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비급여 안내

※ 초음파, MRI, 외부판독료는 보험기준 초과시 비급여

게시물 목록
카테고리 처방명 EDI코드 금액
MRI hip MRI Lt + F/S view RHE118H 530,000
MRI hip MRI Rt + F/S view RHE118G 530,000
MRI wrist MRI Lt+ F/S view RHE117H 530,000
MRI wrist MRI Rt + F/S view RHE117G 530,000
MRI elbow MRI Lt + F/S view RHE116H 530,000
MRI elbow MRI Rt + F/S view RHE116G 530,000
MRI Ankle MRI Lt + F/S view RHE121F 530,000
MRI Ankle MRI Rt + F/S view RHE121E 530,000
MRI Shoulder MRI Lt + F/S view RHE115G 530,000
MRI Shoulder MRI Rt + F/S view RHE115F 530,000
MRI L- spine MRI + Sag F/S RHE111B4 450,000
MRI additional/Knee ACL view RHE120G 150,000
MRI Knee MRI Lt. + ACL view RHE120F 550,000
MRI Knee MRI Rt. + ACL view RHE120E 550,000
MRI Brain diffusion(단독) HF101 200,000
MRI Brain MRI + diffusion HI101005+HF201 500,000
MRI Brain MRI +MRA + diffusion HI135005+HI101005+HF201 700,000
MRI C-spine MRI HE109 400,000
MRI Brain MRI HI101005 400,000
MRI Brain MRI[CE] HI201005 550,000
MRI Brain MRA HI135005 400,000
MRI Brain MRA [CE] HI235005 550,000
MRI Brain MRI & MRA HI135005+HI101005 600,000
MRI C-spine MRI+foraminal view HE109 450,000
MRI C-spine MRI+Myelogram HE109+HE114 600,000
MRI C-spine MRI+CTL(sagittal view) HE109+HE113 650,000
MRI C-spine MRI 2series+foraminal view HE109 250,000
MRI C-spine MRI[CE] RHE209 550,000
MRI C-spine MRI[CE]+CTL(sagittal view) HE209+HE113 750,000
MRI C-spine MRI[CE]+Myelogram HE209+HE114 700,000
MRI T-spine MRI HE110 400,000
MRI T-spine MRI+Myelogram HE110+HE114 550,000
MRI T-spine MRI+CTL(sagittal view) HE110+HE113 600,000
MRI T-spine 2series HE110 200,000
MRI T-spine MRI[CE] HE210 550,000
MRI T-spine MRI+CTL(sagittal view) [CE] HE210+HE113 750,000
MRI T-spine MRI[CE]+Myelogram HE210+HE114 700,000
MRI L-spine MRI HE111 400,000
MRI L-spine MRI+Myelogram HE111+HE114 600,000
MRI L-spine MRI+CTL(sagittal view) HE111+HE113 600,000
MRI L-spine 2series HE111 200,000
MRI L-spine 1series HE111 150,000
MRI L-spine MRI[CE] HE211 550,000
MRI L-spine MRI[CE]+CTL(sagittal view) HE211+HE113 750,000
MRI L-spine MRI[CE]+Myelogram HE211+HE114 700,000
MRI (additional)L-spine foraminal view HE111 150,000
MRI (additional) Myelogram MRI HE112 150,000
MRI (additional)CTL sagittal view HE109,HE110,HE111 150,000
MRI (additional CE) C-spine MRI HE209 150,000
MRI (additional CE) T-spine MRI HE210 150,000
MRI (additional CE) L-spine MRI HE211 150,000
MRI T-L spine MRI HE110 600,000
MRI Sacrum MRI HE119 400,000
MRI Sacrum MRI [CE] HE219 550,000
MRI Shoulder MRI HE115 400,000
MRI Shoulder MRI 2series HE115 200,000
MRI Elbow MRI HE116 400,000
MRI Elbow MRI 2series HE116 200,000
MRI Wrist MRI HE117 400,000
MRI Wrist MRI 2series HE117 200,000
MRI Upper extremity MRI HE122 400,000
MRI Shoulder MRI [CE] HE215 550,000
MRI Elbow MRI [CE] HE216 550,000
MRI Wrist MRI [CE] HE217 550,000
MRI Upper Extremity MRI [CE] HE222 550,000
MRI Hip MRI HE118 400,000
MRI Hip MRI 2series HE118 200,000
MRI Knee MRI HE120 400,000
MRI Knee MRI 2series HE120 200,000
MRI Ankle MRI HE121 400,000
MRI Ankle MRI 2series HE121 200,000
MRI Foot MRI HE123 400,000
MRI Tibia MRI HE123 400,000
MRI Thigh MRI HE123 400,000
MRI Lower extremity MRI HE123 400,000
MRI Hip MRI [CE] HE218 550,000
MRI Knee MRI [CE] HE220 550,000
MRI Ankle MRI [CE] HE221 550,000
MRI Foot MRI [CE] HE223 550,000
MRI Tibia MRI [CE] HE223 550,000
MRI Thigh MRI [CE] HE223 550,000
MRI Lower extremity MRI [CE] HE223 550,000
MRI Chest wall MRI HI125 400,000
MRI Breast MRI HI126 400,000
MRI Pelvis MRI HE219 400,000
MRI Pelvis MRI [CE] HE128 550,000
MRI Abdomen MRI HI127 400,000
MRI Abdomen MRI [CE] HI227 550,000
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