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비급여 내역서 (환자 참고용)

작성자: 박영석

조회: 12386 등록일: 2019-01-23

<table class="__se_tbl_ext" style="border: 0.28pt solid rgb(0, 0, 0); border-image: none; margin-left: 39pt; border-collapse: collapse;"><tbody><tr><td valign="center" style="padding: 1.41pt 5.1pt; border: 1.7pt solid rgb(0, 0, 0); border-image: none; width: 67.09pt; height: 24.48pt;">분 류</td><td valign="center" style="border-width: 1.7pt 1px 1.7pt 1.7pt; border-style: solid; border-color: rgb(0, 0, 0); padding: 1.41pt 5.1pt; width: 135.01pt; height: 24.48pt;">기본항목</td><td valign="center" style="border-width: 1.7pt 1px; border-style: solid; border-color: rgb(0, 0, 0); padding: 1.41pt 5.1pt; width: 86.9pt; height: 24.48pt;">세부항목</td><td valign="center" style="border-width: 1.7pt 1px; border-style: solid; border-color: rgb(0, 0, 0); padding: 1.41pt 5.1pt; width: 72.75pt; height: 24.48pt;">단위 </td><td valign="center" style="border-width: 1.7pt 1px; border-style: solid; border-color: rgb(0, 0, 0); padding: 1.41pt 5.1pt; width: 137.84pt; height: 24.48pt;">가 격 (원)</td><td valign="center" style="border-width: 1.7pt 1.7pt 1.7pt 1px; border-style: solid; border-color: rgb(0, 0, 0); padding: 1.41pt 5.1pt; width: 115.2pt; height: 24.48pt;">비 고</td></tr><tr><td valign="center" style="border-width: 1px 1.7pt; border-style: solid; border-color: rgb(0, 0, 0); padding: 1.41pt 5.1pt; width: 67.09pt; height: 31.64pt;">시 술</td><td valign="center" style="border-width: 1px 1px 1px 1.7pt; border-style: solid; border-color: rgb(0, 0, 0); padding: 1.41pt 5.1pt; width: 135.01pt; height: 31.64pt;">보톡스</td><td valign="center" style="padding: 1.41pt 5.1pt; border: 1px solid rgb(0, 0, 0); border-image: none; width: 86.9pt; height: 31.64pt;">   <o:p></o:p></td><td valign="center" style="padding: 1.41pt 5.1pt; border: 1px solid rgb(0, 0, 0); border-image: none; width: 72.75pt; height: 31.64pt;">1회</td><td valign="center" style="padding: 1.41pt 5.1pt; border: 1px solid rgb(0, 0, 0); border-image: none; width: 137.84pt; height: 31.64pt;">150,000</td><td valign="center" style="border-width: 1px 1.7pt 1px 1px; border-style: solid; border-color: rgb(0, 0, 0); padding: 1.41pt 5.1pt; width: 115.2pt; height: 31.64pt;">   <o:p></o:p></td></tr><tr><td valign="center" style="border-width: 1px 1.7pt; border-style: solid; border-color: rgb(0, 0, 0); padding: 1.41pt 5.1pt; width: 67.09pt; height: 82.08pt;" rowspan="4">검 사</td><td valign="center" style="border-width: 1px 1px 1px 1.7pt; border-style: solid; border-color: rgb(0, 0, 0); padding: 1.41pt 5.1pt; width: 135.01pt; height: 34.62pt;">레이저안구측정검사(각막곡률반경측정기)</td><td valign="center" style="padding: 1.41pt 5.1pt; border: 1px solid rgb(0, 0, 0); border-image: none; width: 86.9pt; height: 34.62pt;">   <o:p></o:p></td><td valign="center" style="padding: 1.41pt 5.1pt; border: 1px solid rgb(0, 0, 0); border-image: none; width: 72.75pt; height: 34.62pt;">   <o:p></o:p></td><td valign="center" style="padding: 1.41pt 5.1pt; border: 1px solid rgb(0, 0, 0); border-image: none; width: 137.84pt; height: 34.62pt;">100,000~200,000</td><td valign="center" style="border-width: 1px 1.7pt 1px 1px; border-style: solid; border-color: rgb(0, 0, 0); padding: 1.41pt 5.1pt; width: 115.2pt; height: 34.62pt;">변동사항있음</td></tr><tr><td valign="center" style="border-width: 1px 1px 1px 1.7pt; border-style: solid; border-color: rgb(0, 0, 0); padding: 1.41pt 5.1pt; width: 135.01pt; height: 15.82pt;">안구광학단층촬영검사</td><td valign="center" style="padding: 1.41pt 5.1pt; border: 1px solid rgb(0, 0, 0); border-image: none; width: 86.9pt; height: 15.82pt;">   <o:p></o:p></td><td valign="center" style="padding: 1.41pt 5.1pt; border: 1px solid rgb(0, 0, 0); border-image: none; width: 72.75pt; height: 15.82pt;">   <o:p></o:p></td><td valign="center" style="padding: 1.41pt 5.1pt; border: 1px solid rgb(0, 0, 0); border-image: none; width: 137.84pt; height: 15.82pt;">70,000~100,000</td><td valign="center" style="border-width: 1px 1.7pt 1px 1px; border-style: solid; border-color: rgb(0, 0, 0); padding: 1.41pt 5.1pt; width: 115.2pt; height: 15.82pt;">변동사항있음</td></tr><tr><td valign="center" style="border-width: 1px 1px 1px 1.7pt; border-style: solid; border-color: rgb(0, 0, 0); padding: 1.41pt 5.1pt; width: 135.01pt; height: 15.82pt;">치료용렌즈</td><td valign="center" style="padding: 1.41pt 5.1pt; border: 1px solid rgb(0, 0, 0); border-image: none; width: 86.9pt; height: 15.82pt;">   <o:p></o:p></td><td valign="center" style="padding: 1.41pt 5.1pt; border: 1px solid rgb(0, 0, 0); border-image: none; width: 72.75pt; height: 15.82pt;">1개</td><td valign="center" style="padding: 1.41pt 5.1pt; border: 1px solid rgb(0, 0, 0); border-image: none; width: 137.84pt; height: 15.82pt;">10,000~20,000</td><td valign="center" style="border-width: 1px 1.7pt 1px 1px; border-style: solid; border-color: rgb(0, 0, 0); padding: 1.41pt 5.1pt; width: 115.2pt; height: 15.82pt;">   <o:p></o:p></td></tr><tr><td valign="center" style="border-width: 1px 1px 1px 1.7pt; border-style: solid; border-color: rgb(0, 0, 0); padding: 1.41pt 5.1pt; width: 135.01pt; height: 15.82pt;">초음파</td><td valign="center" style="padding: 1.41pt 5.1pt; border: 1px solid rgb(0, 0, 0); border-image: none; width: 86.9pt; height: 15.82pt;">   <o:p></o:p></td><td valign="center" style="padding: 1.41pt 5.1pt; border: 1px solid rgb(0, 0, 0); border-image: none; width: 72.75pt; height: 15.82pt;">1회</td><td valign="center" style="padding: 1.41pt 5.1pt; border: 1px solid rgb(0, 0, 0); border-image: none; width: 137.84pt; height: 15.82pt;">50,000~150,000</td><td valign="center" style="border-width: 1px 1.7pt 1px 1px; border-style: solid; border-color: rgb(0, 0, 0); padding: 1.41pt 5.1pt; width: 115.2pt; height: 15.82pt;">변동사항있음</td></tr><tr><td valign="center" style="border-width: 1px 1.7pt; border-style: solid; border-color: rgb(0, 0, 0); padding: 1.41pt 5.1pt; width: 67.09pt; height: 47.97pt;" rowspan="2">수 술</td><td valign="center" style="border-width: 1px 1px 1px 1.7pt; border-style: solid; border-color: rgb(0, 0, 0); padding: 1.41pt 5.1pt; width: 135.01pt; height: 23.66pt;">사마귀</td><td valign="center" style="padding: 1.41pt 5.1pt; border: 1px solid rgb(0, 0, 0); border-image: none; width: 86.9pt; height: 23.66pt;">   <o:p></o:p></td><td valign="center" style="padding: 1.41pt 5.1pt; border: 1px solid rgb(0, 0, 0); border-image: none; width: 72.75pt; height: 23.66pt;">1회</td><td valign="center" style="padding: 1.41pt 5.1pt; border: 1px solid rgb(0, 0, 0); border-image: none; width: 137.84pt; height: 23.66pt;">50,000~</td><td valign="center" style="border-width: 1px 1.7pt 1px 1px; border-style: solid; border-color: rgb(0, 0, 0); padding: 1.41pt 5.1pt; width: 115.2pt; height: 23.66pt;">   <o:p></o:p></td></tr><tr><td valign="center" style="border-width: 1px 1px 1px 1.7pt; border-style: solid; border-color: rgb(0, 0, 0); padding: 1.41pt 5.1pt; width: 135.01pt; height: 24.31pt;">안성형</td><td valign="center" style="padding: 1.41pt 5.1pt; border: 1px solid rgb(0, 0, 0); border-image: none; width: 86.9pt; height: 24.31pt;">   <o:p></o:p></td><td valign="center" style="padding: 1.41pt 5.1pt; border: 1px solid rgb(0, 0, 0); border-image: none; width: 72.75pt; height: 24.31pt;">1회</td><td valign="center" style="padding: 1.41pt 5.1pt; border: 1px solid rgb(0, 0, 0); border-image: none; width: 137.84pt; height: 24.31pt;">400,000~700,000</td><td valign="center" style="border-width: 1px 1.7pt 1px 1px; border-style: solid; border-color: rgb(0, 0, 0); padding: 1.41pt 5.1pt; width: 115.2pt; height: 24.31pt;">   <o:p></o:p></td></tr><tr><td valign="center" style="border-width: 1px 1.7pt 1.7pt; border-style: solid; border-color: rgb(0, 0, 0); padding: 1.41pt 5.1pt; width: 67.09pt; height: 56.6pt;" rowspan="2">   <o:p></o:p></td><td valign="center" style="border-width: 1px 1px 1px 1.7pt; border-style: solid; border-color: rgb(0, 0, 0); padding: 1.41pt 5.1pt; width: 135.01pt; height: 26.63pt;">오큐소프트</td><td valign="center" style="padding: 1.41pt 5.1pt; border: 1px solid rgb(0, 0, 0); border-image: none; width: 86.9pt; height: 26.63pt;">   <o:p></o:p></td><td valign="center" style="padding: 1.41pt 5.1pt; border: 1px solid rgb(0, 0, 0); border-image: none; width: 72.75pt; height: 26.63pt;">1box</td><td valign="center" style="padding: 1.41pt 5.1pt; border: 1px solid rgb(0, 0, 0); border-image: none; width: 137.84pt; height: 26.63pt;">(소) 7,000</td><td valign="center" style="border-width: 1px 1.7pt 1px 1px; border-style: solid; border-color: rgb(0, 0, 0); padding: 1.41pt 5.1pt; width: 115.2pt; height: 26.63pt;">(대) 24,000</td></tr><tr><td valign="center" style="border-width: 1px 1px 1.7pt 1.7pt; border-style: solid; border-color: rgb(0, 0, 0); padding: 1.41pt 5.1pt; width: 135.01pt; height: 29.97pt;">가림패치</td><td valign="center" style="border-width: 1px 1px 1.7pt; border-style: solid; border-color: rgb(0, 0, 0); padding: 1.41pt 5.1pt; width: 86.9pt; height: 29.97pt;">   <o:p></o:p></td><td valign="center" style="border-width: 1px 1px 1.7pt; border-style: solid; border-color: rgb(0, 0, 0); padding: 1.41pt 5.1pt; width: 72.75pt; height: 29.97pt;">1box</td><td valign="center" style="border-width: 1px 1px 1.7pt; border-style: solid; border-color: rgb(0, 0, 0); padding: 1.41pt 5.1pt; width: 137.84pt; height: 29.97pt;">8,000</td><td valign="center" style="border-width: 1px 1.7pt 1.7pt 1px; border-style: solid; border-color: rgb(0, 0, 0); padding: 1.41pt 5.1pt; width: 115.2pt; height: 29.97pt;">   <o:p></o:p></td></tr></tbody></table> <table class="__se_tbl_ext" style="border: 0.28pt solid rgb(0, 0, 0); border-image: none; margin-left: 39pt; border-collapse: collapse;"><tbody><tr><td valign="center" style="border-width: 1.7pt 1.7pt 1px; border-style: solid; border-color: rgb(0, 0, 0); padding: 1.41pt 5.1pt; width: 166.53pt; height: 21.31pt;">일반진단서</td><td valign="center" style="border-width: 1.7pt 1.7pt 1px; border-style: solid; border-color: rgb(0, 0, 0); padding: 1.41pt 5.1pt; width: 141.06pt; height: 21.31pt;">20,000</td><td valign="center" style="border-width: 1.7pt 1.7pt 1px; border-style: solid; border-color: rgb(0, 0, 0); padding: 1.41pt 5.1pt; width: 166.53pt; height: 21.31pt;">통원확인서</td><td valign="center" style="border-width: 1.7pt 1.7pt 1px; border-style: solid; border-color: rgb(0, 0, 0); padding: 1.41pt 5.1pt; width: 141.06pt; height: 21.31pt;">3,000</td></tr><tr><td valign="center" style="border-width: 1px 1.7pt; border-style: solid; border-color: rgb(0, 0, 0); padding: 1.41pt 5.1pt; width: 166.53pt; height: 21.31pt;">근로능력평가용진단서</td><td valign="center" style="border-width: 1px 1.7pt; border-style: solid; border-color: rgb(0, 0, 0); padding: 1.41pt 5.1pt; width: 141.06pt; height: 21.31pt;">10,000</td><td valign="center" style="border-width: 1px 1.7pt; border-style: solid; border-color: rgb(0, 0, 0); padding: 1.41pt 5.1pt; width: 166.53pt; height: 21.31pt;">진료확인서</td><td valign="center" style="border-width: 1px 1.7pt; border-style: solid; border-color: rgb(0, 0, 0); padding: 1.41pt 5.1pt; width: 141.06pt; height: 21.31pt;">3,000</td></tr><tr><td valign="center" style="border-width: 1px 1.7pt; border-style: solid; border-color: rgb(0, 0, 0); padding: 1.41pt 5.1pt; width: 166.53pt; height: 21.31pt;">장애진단서</td><td valign="center" style="border-width: 1px 1.7pt; border-style: solid; border-color: rgb(0, 0, 0); padding: 1.41pt 5.1pt; width: 141.06pt; height: 21.31pt;">15,000</td><td valign="center" style="border-width: 1px 1.7pt; border-style: solid; border-color: rgb(0, 0, 0); padding: 1.41pt 5.1pt; width: 166.53pt; height: 21.31pt;">진료기록사본</td><td valign="center" style="border-width: 1px 1.7pt; border-style: solid; border-color: rgb(0, 0, 0); padding: 1.41pt 5.1pt; width: 141.06pt; height: 21.31pt;">1,000</td></tr><tr><td valign="center" style="border-width: 1px 1.7pt; border-style: solid; border-color: rgb(0, 0, 0); padding: 1.41pt 5.1pt; width: 166.53pt; height: 21.31pt;">상해진단서(2주)</td><td valign="center" style="border-width: 1px 1.7pt; border-style: solid; border-color: rgb(0, 0, 0); padding: 1.41pt 5.1pt; width: 141.06pt; height: 21.31pt;">80,000</td><td valign="center" style="border-width: 1px 1.7pt; border-style: solid; border-color: rgb(0, 0, 0); padding: 1.41pt 5.1pt; width: 166.53pt; height: 21.31pt;">진료기록영상(CD)</td><td valign="center" style="border-width: 1px 1.7pt; border-style: solid; border-color: rgb(0, 0, 0); padding: 1.41pt 5.1pt; width: 141.06pt; height: 21.31pt;">10,000</td></tr><tr><td valign="center" style="border-width: 1px 1.7pt; border-style: solid; border-color: rgb(0, 0, 0); padding: 1.41pt 5.1pt; width: 166.53pt; height: 21.31pt;">상해진단서(2주이상)</td><td valign="center" style="border-width: 1px 1.7pt; border-style: solid; border-color: rgb(0, 0, 0); padding: 1.41pt 5.1pt; width: 141.06pt; height: 21.31pt;">150,000</td><td valign="center" style="border-width: 1px 1.7pt; border-style: solid; border-color: rgb(0, 0, 0); padding: 1.41pt 5.1pt; width: 166.53pt; height: 21.31pt;">수술기록지</td><td valign="center" style="border-width: 1px 1.7pt; border-style: solid; border-color: rgb(0, 0, 0); padding: 1.41pt 5.1pt; width: 141.06pt; height: 21.31pt;">1,000</td></tr><tr><td valign="center" style="border-width: 1px 1.7pt 1.7pt; border-style: solid; border-color: rgb(0, 0, 0); padding: 1.41pt 5.1pt; width: 166.53pt; height: 21.31pt;">소견서</td><td valign="center" style="border-width: 1px 1.7pt 1.7pt; border-style: solid; border-color: rgb(0, 0, 0); padding: 1.41pt 5.1pt; width: 141.06pt; height: 21.31pt;">20,000</td><td valign="center" style="border-width: 1px 1.7pt 1.7pt; border-style: solid; border-color: rgb(0, 0, 0); padding: 1.41pt 5.1pt; width: 166.53pt; height: 21.31pt;">입퇴원확인서</td><td valign="center" style="border-width: 1px 1.7pt 1.7pt; border-style: solid; border-color: rgb(0, 0, 0); padding: 1.41pt 5.1pt; width: 141.06pt; height: 21.31pt;">3,000</td></tr></tbody></table>


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