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분류 항목 가격정보(단위:원) 특이사항 최종변경일
명칭 코드 구분 비용 최저비용 최대비용 치료재료대
포함여부		 약제비
포함여부
혈관내영상카테타 OPTICROSS HD CORONARY IMAGING CATHETER BJ4505BM   OPTICROSS HD CORONARY IMAGING CATHETER 전규격  1,848,000         2023-07-01 
흉터관리재료 KELO-COTE TOPICAL GEL BM5001DP   KELO-COTE TOPICAL GEL 15g [ADVANCED]  39,000         2023-07-01 
흉터관리재료 KELO-COTE TOPICAL GEL BM5001DP   KELO-COTE TOPICAL GEL 60g [ADVANCED]  144,000         2023-07-01 
흉터관리재료 REMESCAR BM5001VF   REMESCAR 5.4G [SYLPHAR NV]  66,000         2023-07-01 
흉터관리재료 REMESCAR BM5001VF   REMESCAR 10G [SYLPHAR NV]  93,000         2023-07-01 
흉터관리재료 메피폼 BM5003JQ   메피폼 (4cm*30cm) [MOLNLYCKE HEALTH CARE OY]  75,000         2023-12-01 
흉터관리재료 CICA-CARE BM5011CD   CICA-CARE(12cm*6cm) [SMITH&NEPHEW]  68,000         2023-12-01 
흉터관리재료 CONTRACTUBEX OVERNIGHT INTENSIVE PATCH BM5110IX   CONTRACTUBEX OVERNIGHT INTENSIVE PATCH 12cm*3cm [MERZ PHARMACEUTICALS GMBH]  106,000         2023-07-01 
IV IN LINE FILTER(5㎛) SAFCON FILTER M1019001   SAFCON FILTER LINE (주사실용) 5㎛ [DANAA]  4,000         2023-07-01 
IV IN LINE FILTER(5㎛) IV FILTER LINE(PUR) 2 M1019111   IV FILTER LINE (3-way+/인성) 5㎛ [INSUNG MEDICAL CO.,LTD.]  4,000         2023-07-01 
IV IN LINE FILTER(5㎛) IV FILTER SET M1019972   IV FILTER SET (SIDE LINE/B.BRAUN) 5㎛  4,000         2023-07-01 
IV IN LINE FILTER(5㎛) IV FILTER SET M1019972   IV FILTER SET (SIDE LINE/B.BRAUN) 5㎛ [JSM]  4,000         2023-07-01 
IV IN LINE FILTER(5㎛) IV FILTER SET M1019972   IV FILTER SET (SIDE LINE/B.BRAUN) 5㎛ (LUER LOCK)[JSM]  4,000         2023-11-10 
고압용필터(조영제용) NATURE CT(FILTER3) M1017092   NATURE CT(FILTER3) 5㎛ [MEDI LINE ACTIVE KOREA]  4,000         2023-07-01 
고압용필터(조영제용) EX EXTENSION FILTER LINE M1102040   EX EXTENSION FILTER LINE 5㎛ [EX-CARE]  4,000         2023-07-01 
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