Non-Covered Services
Non-Covered Services
and Price List.
Use search and category filters to quickly and accurately check the cost of the treatment you're looking for.
As of2026.05.08
Total105 items
Based on the 2026 non-covered fee disclosure
Showing 88 itemsUnit: KRW / Subject to change
| No. | Code | Category · Details | Price |
|---|---|---|---|
| 1 | EB401 | Ultrasound Simple Ultrasound I / each region | 20,000 KRW |
| 2 | EB402 | Ultrasound Simple Ultrasound II / each region | 40,000 KRW |
| 3 | EB411 | Ultrasound Diagnostic Ultrasound / Head & Neck – Eye – Eyeball | 90,000 KRW |
| 4 | EB412 | Ultrasound Diagnostic Ultrasound / Head & Neck – Eye – Orbit | 90,000 KRW |
| 5 | EB414 | Ultrasound Diagnostic Ultrasound / Head & Neck – Neck – Thyroid · Parathyroid | 90,000 KRW |
| 6 | EB415 | Ultrasound Diagnostic Ultrasound / Head & Neck – Neck excluding thyroid · parathyroid | 90,000 KRW |
| 7 | EB416 | Ultrasound Diagnostic Ultrasound / Nose · Paranasal Sinus | 60,000 KRW |
| 8 | EB421 | Ultrasound Diagnostic Ultrasound / Chest – Breast · Axilla (standard) | 120,000 KRW |
| 9 | EB423 | Ultrasound Diagnostic Ultrasound / Chest – Breast · Axilla (detailed) | 170,000 KRW |
| 10 | EB422 | Ultrasound Diagnostic Ultrasound / Chest – Chest wall, pleura, ribs | 90,000 KRW |
| 11 | EB431 | Ultrasound Diagnostic Ultrasound / Transthoracic Heart (simple) | 110,000 KRW |
| 12 | EB432 | Ultrasound Diagnostic Ultrasound / Transthoracic Heart (standard) | 170,000 KRW |
| 13 | EB433 | Ultrasound Diagnostic Ultrasound / Transthoracic Heart (advanced) | 240,000 KRW |
| 14 | EB441 | Ultrasound Diagnostic Ultrasound / Abdomen – Liver, gallbladder, bile duct, spleen, pancreas (standard) | 120,000 KRW |
| 15 | EB442 | Ultrasound Diagnostic Ultrasound / Abdomen – Liver, gallbladder, bile duct, spleen, pancreas (detailed) | 170,000 KRW |
| 16 | EB443 | Ultrasound Diagnostic Ultrasound / Abdomen – Appendix | 110,000 KRW |
| 17 | EB444 | Ultrasound Diagnostic Ultrasound / Abdomen – Small and large intestine | 110,000 KRW |
| 18 | EB445 | Ultrasound Diagnostic Ultrasound / Abdomen – Inguinal region | 80,000 KRW |
| 19 | EB446 | Ultrasound Diagnostic Ultrasound / Abdomen – Rectum, anus | 130,000 KRW |
| 20 | EB447 | Ultrasound Diagnostic Ultrasound / Abdomen – Anus | 110,000 KRW |
| 21 | EB448 | Ultrasound Diagnostic Ultrasound / Urinary – Kidney, adrenal gland, bladder | 100,000 KRW |
| 22 | EB449 | Ultrasound Diagnostic Ultrasound / Urinary – Kidney, adrenal gland | 90,000 KRW |
| 23 | EB450 | Ultrasound Diagnostic Ultrasound / Urinary – Bladder | 80,000 KRW |
| 24 | EB451 | Ultrasound Diagnostic Ultrasound / Male Genital – Prostate – Seminal vesicle | 110,000 KRW |
| 25 | EB452 | Ultrasound Diagnostic Ultrasound / Male Genital – Prostate – Transabdominal | 70,000 KRW |
| 26 | EB453 | Ultrasound Diagnostic Ultrasound / Male Genital – Penis, scrotum | 90,000 KRW |
| 27 | EB455 | Ultrasound Diagnostic Ultrasound / Female Genital (standard) | 100,000 KRW |
| 28 | EB457 | Ultrasound Diagnostic Ultrasound / Female Genital (detailed) | 140,000 KRW |
| 29 | EB469 | Ultrasound Diagnostic Ultrasound / Musculoskeletal · Soft tissue – Joint – Polyarthritis from rheumatic disease, 3+ sites | 140,000 KRW |
| 30 | EB461 | Ultrasound Diagnostic Ultrasound / Musculoskeletal · Soft tissue – Finger (unilateral) | 60,000 KRW |
| 31 | EB462 | Ultrasound Diagnostic Ultrasound / Musculoskeletal · Soft tissue – Toe (unilateral) | 70,000 KRW |
| 32 | EB463 | Ultrasound Diagnostic Ultrasound / Musculoskeletal · Soft tissue – Elbow joint | 70,000 KRW |
| 33 | EB464 | Ultrasound Diagnostic Ultrasound / Musculoskeletal · Soft tissue – Knee joint | 70,000 KRW |
| 34 | EB465 | Ultrasound Diagnostic Ultrasound / Musculoskeletal · Soft tissue – Hip joint | 90,000 KRW |
| 35 | EB466 | Ultrasound Diagnostic Ultrasound / Musculoskeletal · Soft tissue – Shoulder joint | 90,000 KRW |
| 36 | EB467 | Ultrasound Diagnostic Ultrasound / Musculoskeletal · Soft tissue – Wrist | 90,000 KRW |
| 37 | EB468 | Ultrasound Diagnostic Ultrasound / Musculoskeletal · Soft tissue – Ankle | 90,000 KRW |
| 38 | EB470 | Ultrasound Diagnostic Ultrasound / Soft tissue (standard) | 60,000 KRW |
| 39 | EB471 | Ultrasound Diagnostic Ultrasound / Soft tissue (detailed) | 80,000 KRW |
| 40 | EB482 | Ultrasound Diagnostic Ultrasound / Extracranial Vascular Doppler – Carotid artery | 110,000 KRW |
| 41 | EB483 | Ultrasound Diagnostic Ultrasound / Extracranial Vascular Doppler – Other arteries | 60,000 KRW |
| 42 | EB481 | Ultrasound Diagnostic Ultrasound / Cerebral Blood Flow | 120,000 KRW |
| 43 | EB484 | Ultrasound Diagnostic Ultrasound / Extremity Vascular Doppler – Upper limb artery | 90,000 KRW |
| 44 | EB485 | Ultrasound Diagnostic Ultrasound / Extremity Vascular Doppler – Upper limb vein | 90,000 KRW |
| 45 | EB487 | Ultrasound Diagnostic Ultrasound / Extremity Vascular Doppler – Lower limb artery | 130,000 KRW |
| 46 | EB488 | Ultrasound Diagnostic Ultrasound / Extremity Vascular Doppler – Lower limb vein | 130,000 KRW |
| 47 | EB486 | Ultrasound Diagnostic Ultrasound / Extremity Vascular Doppler – Arteriovenous fistula flow and stenosis | 50,000 KRW |
| 48 | EB490 | Ultrasound Diagnostic Ultrasound / Aortic Doppler | 80,000 KRW |
| 49 | EB501 | Ultrasound Diagnostic Ultrasound / Central Nervous System – Brain | 190,000 KRW |
| 50 | EB502 | Ultrasound Diagnostic Ultrasound / Central Nervous System – Spinal cord | 180,000 KRW |
| 51 | EB503 | Ultrasound Diagnostic Ultrasound / Peripheral Nerve (unilateral) | 60,000 KRW |
| 52 | EB504 | Ultrasound Diagnostic Ultrasound / Peripheral Nerve (limb study) | 150,000 KRW |
| 53 | 4Z0E00025 | Procedures Procedure pending benefit determination among newly notified health technologies / Intra-articular autologous platelet-rich plasma injection for knee osteoarthritis | 250,000 KRW |
| 54 | 1Z5100100 | Injections & IV Simple Fatigue or Malaise (Nutritional Infusion) / Thioctic acid injection | 50,000 KRW |
| 55 | 1Z5100200 | Injections & IV Simple Fatigue or Malaise (Nutritional Infusion) / Glutathione injection | 50,000 KRW |
| 56 | 1Z5100300 | Injections & IV Simple Fatigue or Malaise (Nutritional Infusion) / Glycyrrhizin (licorice) injection | 50,000 KRW |
| 57 | 1Z5100400 | Injections & IV Simple Fatigue or Malaise (Nutritional Infusion) / Ginkgo leaf dry extract injection | 50,000 KRW |
| 58 | 1Z5100500 | Injections & IV Simple Fatigue or Malaise (Nutritional Infusion) / Winuf Peri injection (241 mL) | 100,000 KRW |
| 59 | 1Z5100500 | Injections & IV Simple Fatigue or Malaise (Nutritional Infusion) / Winuf Peri injection (654 mL) | 150,000 KRW |
| 60 | 1Z5100700 | Injections & IV Simple Fatigue or Malaise (Nutritional Infusion) / Fursultiamine injection | 50,000 KRW |
| 61 | 1Z5100800 | Injections & IV Simple Fatigue or Malaise (Nutritional Infusion) / Vitamin (Merit C) injection | 50,000 KRW |
| 62 | 1Z5100900 | Injections & IV Simple Fatigue or Malaise (Nutritional Infusion) / Mineral (selenium) injection | 50,000 KRW |
| 63 | 1Z5109900 | Injections & IV Simple Fatigue or Malaise (Nutritional Infusion) / Other nutritional infusion (Dipeptiven) | 50,000 KRW |
| 64 | 1Z5109900 | Injections & IV Simple Fatigue or Malaise (Nutritional Infusion) / Albumin 20% injection 100 mL | 200,000 KRW |
| 65 | 1Z5109900 | Injections & IV Simple Fatigue or Malaise (Nutritional Infusion) / Vitasol injection 250 mL | 100,000 KRW |
| 66 | 1Z5109900 | Injections & IV Simple Fatigue or Malaise (Nutritional Infusion) / Nutrihex injection 10 mL | 50,000 KRW |
| 67 | 1Z5101000 | Injections & IV Simple Fatigue or Malaise (Nutritional Infusion) / Human placenta extract injection | 300,000 KRW |
| 68 | EZ7760001 | Tests Thermography / Whole body | 300,000 KRW |
| 69 | EZ7760002 | Tests Thermography / Partial | 200,000 KRW |
| 70 | 3Z5200301 | Vaccinations Herpes Zoster / SKYZoster | 150,000 KRW |
| 71 | 3Z5200302 | Vaccinations Herpes Zoster / Shingrix | 250,000 KRW |
| 72 | 3Z5201116 | Vaccinations Influenza / Flu V Tetra vaccine | 50,000 KRW |
| 73 | 053100031 | Injections & IV Antineoplastic Agent / Iscador Qu 20 mg injection | 80,000 KRW |
| 74 | 0684502031 | Injections & IV Antineoplastic Agent / Hi-Alpha injection (thymosin alpha 1) | 60,000 KRW |
| 75 | PDZ110000 | Medical Certificates Medical Certificate / General | 20,000 KRW |
| 76 | PDZ120001 | Medical Certificates Injury Certificate / Under 3 weeks | 20,000 KRW |
| 77 | PDZ110004 | Medical Certificates Confirmation Letter / Outpatient | 3,000 KRW |
| 78 | PDZ110101 | Medical Certificates Copy of medical records, 1–5 pages (per page) | 1,000 KRW |
| 79 | PDZ110102 | Medical Certificates Copy of medical records, 6+ pages (per page) | 500 KRW |
| 80 | PDZ110004 | Medical Certificates Medical records (imaging / CD) | 10,000 KRW |
| 81 | FY8940000 | Tests Autonomic Nervous System Test / Heart rate variability test (5 min) | 50,000 KRW |
| 82 | FY8940000 | Tests Autonomic Nervous System Test / Heart rate variability test (10 min) | 100,000 KRW |
| 83 | FZ700 | Tests Sleep Rhythm Pattern Test | 30,000 KRW |
| 84 | MX122 | Manual & Regenerative Therapy Manual Therapy | 150,000 KRW |
| 85 | MY1420000 | Manual & Regenerative Therapy Prolotherapy / Limb joints / Prolotherapy (per site) | 200,000 KRW |
| 86 | MY143 | Manual & Regenerative Therapy Prolotherapy / Spine / Prolotherapy | 300,000 KRW |
| 87 | 654801741 | Injections & IV Enzyme Preparation / BM Hyaluronidase | 100,000 KRW |
| 88 | CZ489 | Tests Cellular Immunity Test / NK cell activity test | 150,000 KRW |
Non-Covered Treatment Fee Notice
- • This price list is a non-covered treatment fee disclosure required under Article 45 of the Medical Service Act and Article 42-2 of its Enforcement Rules.
- • Prices are subject to change; please confirm exact costs at the time of treatment.
- • Covered items under national health insurance are not included in this list.
- • Price inquiries:02-766-3087 / 010-5629-3087