[질병군]응급의료행위 가산대상 항목 및 금액(2020.8.1.기준) 포괄수가기준부20.8.1
□ 관련근거
○ 보건복지부 고시 제2020-127호('20.6.24.)「건강보험 행위 급여·비급여 목록표 및 급여 상대가치 점수」일부개정
○ 보건복지부 고시 제2020-162호('20.7.29.)「건강보험 행위 급여·비급여 목록표 및 급여 상대가치 점수」일부개정
□ 시행일: 2020년 8월 1일
□ 상대가치점수 변경 반영코드(기본코드기준)
- 별표2 : O7001, O7002, O7003, O7004
- 별표3 : E0730,E0731,S5053,S5043,M6615
□ 안내번호
- 질병군 관련(포괄수가기준부 ☎033-739-1293)
※ 세부내역 첨부파일 참조
| (별첨) (질병군) 응급의료행위 가산대상 항목 및 금액 ◎ 관련근거 「건강보험 행위 급여·비급여 목록표 및 급여 상대가치 점수」일부개정 [보건복지부 고시 제2020-127호('20.6.24.)] 「건강보험 행위 급여·비급여 목록표 및 급여 상대가치 점수」일부개정 [보건복지부 고시 제2020-162호('20.7.29.)] ◎ 기준일자 : 2020. 8. 1. ※ 질병군 포괄수가에서 응급의료행위 별도보상은 2016. 7. 1. 이후부터 시행 중임 ◎ 내용 "질병군 대상환자에게 응급의료행위를 실시하는 경우, 질병군 포괄수가 상대가치점수 외 해당 소정점수의 50%만 추가 산정" - 중앙·권역·전문·지역응급의료센터, 권역외상센터에서 중증응급환자 또는 중증응급 의심환자에 대해 응급실 내원 후 응급실에서 24시간 이내 (별표2)의 행위를 실시하는 경우 - 중앙·권역·전문응급의료센터, 권역외상센터에서 중증응급환자 또는 중증응급 의심환자에 대해 응급실 내원 후 24시간 이내 (별표3)의 행위를 실시하는 경우 ◎ 비고 해당금액은 요양기관종별가산율 적용 전 금액임 |
(질병군) 응급의료행위 가산대상 항목 및 금액 - (별표2)
※ 해당금액은 요양기관종별가산율 적용 전 금액임
| 응급의료행위 EDI코드 |
상급종합 | 종합 | 병원 | 의원 | 적용시작일자 | ||||
| 점수 | 금액 | 점수 | 금액 | 점수 | 금액 | 점수 | 금액 | ||
| O7001020 | 4857.79 | 370160 | 4857.79 | 370160 | 4857.79 | 370160 | 4857.79 | 416800 | 2020-08-01 |
| O7001022 | 4857.79 | 370160 | 4857.79 | 370160 | 2020-08-01 | ||||
| O7001023 | 4857.79 | 370160 | 4857.79 | 370160 | 2020-08-01 | ||||
| O7001025 | 4857.79 | 370160 | 4857.79 | 370160 | 2020-08-01 | ||||
| O7001030 | 4857.79 | 370160 | 4857.79 | 370160 | 4857.79 | 370160 | 4857.79 | 416800 | 2020-08-01 |
| O7001032 | 4857.79 | 370160 | 4857.79 | 370160 | 2020-08-01 | ||||
| O7001033 | 4857.79 | 370160 | 4857.79 | 370160 | 2020-08-01 | ||||
| O7001035 | 4857.79 | 370160 | 4857.79 | 370160 | 2020-08-01 | ||||
| O7001040 | 4857.79 | 370160 | 4857.79 | 370160 | 4857.79 | 370160 | 4857.79 | 416800 | 2020-08-01 |
| O7001042 | 4857.79 | 370160 | 4857.79 | 370160 | 2020-08-01 | ||||
| O7001043 | 4857.79 | 370160 | 4857.79 | 370160 | 2020-08-01 | ||||
| O7001045 | 4857.79 | 370160 | 4857.79 | 370160 | 2020-08-01 | ||||
| O7001620 | 4857.79 | 370160 | 4857.79 | 370160 | 4857.79 | 370160 | 4857.79 | 416800 | 2020-08-01 |
| O7001630 | 4857.79 | 370160 | 4857.79 | 370160 | 4857.79 | 370160 | 4857.79 | 416800 | 2020-08-01 |
| O7001640 | 4857.79 | 370160 | 4857.79 | 370160 | 4857.79 | 370160 | 4857.79 | 416800 | 2020-08-01 |
| O7001A20 | 4857.79 | 370160 | 4857.79 | 370160 | 4857.79 | 370160 | 4857.79 | 416800 | 2020-08-01 |
| O7001A30 | 4857.79 | 370160 | 4857.79 | 370160 | 4857.79 | 370160 | 4857.79 | 416800 | 2020-08-01 |
| O7001A40 | 4857.79 | 370160 | 4857.79 | 370160 | 4857.79 | 370160 | 4857.79 | 416800 | 2020-08-01 |
| O7001B20 | 4857.79 | 370160 | 4857.79 | 370160 | 4857.79 | 370160 | 4857.79 | 416800 | 2020-08-01 |
| O7001B30 | 4857.79 | 370160 | 4857.79 | 370160 | 4857.79 | 370160 | 4857.79 | 416800 | 2020-08-01 |
| O7001B40 | 4857.79 | 370160 | 4857.79 | 370160 | 4857.79 | 370160 | 4857.79 | 416800 | 2020-08-01 |
| O7002020 | 1341.85 | 102250 | 1341.85 | 102250 | 1341.85 | 102250 | 1341.85 | 115130 | 2020-08-01 |
| O7002022 | 1341.85 | 102250 | 1341.85 | 102250 | 2020-08-01 | ||||
| O7002023 | 1341.85 | 102250 | 1341.85 | 102250 | 2020-08-01 | ||||
| O7002025 | 1341.85 | 102250 | 1341.85 | 102250 | 2020-08-01 | ||||
| O7002620 | 1341.85 | 102250 | 1341.85 | 102250 | 1341.85 | 102250 | 1341.85 | 115130 | 2020-08-01 |
| O7002A20 | 1341.85 | 102250 | 1341.85 | 102250 | 1341.85 | 102250 | 1341.85 | 115130 | 2020-08-01 |
| O7002B20 | 1341.85 | 102250 | 1341.85 | 102250 | 1341.85 | 102250 | 1341.85 | 115130 | 2020-08-01 |
| O7003020 | 4254.26 | 324170 | 4254.26 | 324170 | 4254.26 | 324170 | 4254.26 | 365020 | 2020-08-01 |
| O7003022 | 4254.26 | 324170 | 4254.26 | 324170 | 2020-08-01 | ||||
| O7003023 | 4254.26 | 324170 | 4254.26 | 324170 | 2020-08-01 | ||||
| O7003025 | 4254.26 | 324170 | 4254.26 | 324170 | 2020-08-01 | ||||
| O7003030 | 4254.26 | 324170 | 4254.26 | 324170 | 4254.26 | 324170 | 4254.26 | 365020 | 2020-08-01 |
| O7003032 | 4254.26 | 324170 | 4254.26 | 324170 | 2020-08-01 | ||||
| O7003033 | 4254.26 | 324170 | 4254.26 | 324170 | 2020-08-01 | ||||
| O7003035 | 4254.26 | 324170 | 4254.26 | 324170 | 2020-08-01 | ||||
| O7003040 | 4254.26 | 324170 | 4254.26 | 324170 | 4254.26 | 324170 | 4254.26 | 365020 | 2020-08-01 |
| O7003042 | 4254.26 | 324170 | 4254.26 | 324170 | 2020-08-01 | ||||
| O7003043 | 4254.26 | 324170 | 4254.26 | 324170 | 2020-08-01 | ||||
| O7003045 | 4254.26 | 324170 | 4254.26 | 324170 | 2020-08-01 | ||||
| O7003620 | 4254.26 | 324170 | 4254.26 | 324170 | 4254.26 | 324170 | 4254.26 | 365020 | 2020-08-01 |
| O7003630 | 4254.26 | 324170 | 4254.26 | 324170 | 4254.26 | 324170 | 4254.26 | 365020 | 2020-08-01 |
| O7003640 | 4254.26 | 324170 | 4254.26 | 324170 | 4254.26 | 324170 | 4254.26 | 365020 | 2020-08-01 |
| O7003A20 | 4254.26 | 324170 | 4254.26 | 324170 | 4254.26 | 324170 | 4254.26 | 365020 | 2020-08-01 |
| O7003A30 | 4254.26 | 324170 | 4254.26 | 324170 | 4254.26 | 324170 | 4254.26 | 365020 | 2020-08-01 |
| O7003A40 | 4254.26 | 324170 | 4254.26 | 324170 | 4254.26 | 324170 | 4254.26 | 365020 | 2020-08-01 |
| O7003B20 | 4254.26 | 324170 | 4254.26 | 324170 | 4254.26 | 324170 | 4254.26 | 365020 | 2020-08-01 |
| O7003B30 | 4254.26 | 324170 | 4254.26 | 324170 | 4254.26 | 324170 | 4254.26 | 365020 | 2020-08-01 |
| O7003B40 | 4254.26 | 324170 | 4254.26 | 324170 | 4254.26 | 324170 | 4254.26 | 365020 | 2020-08-01 |
| O7004020 | 1348.87 | 102780 | 1348.87 | 102780 | 1348.87 | 102780 | 1348.87 | 115730 | 2020-08-01 |
| O7004022 | 1348.87 | 102780 | 1348.87 | 102780 | 2020-08-01 | ||||
| O7004023 | 1348.87 | 102780 | 1348.87 | 102780 | 2020-08-01 | ||||
| O7004025 | 1348.87 | 102780 | 1348.87 | 102780 | 2020-08-01 | ||||
| O7004620 | 1348.87 | 102780 | 1348.87 | 102780 | 1348.87 | 102780 | 1348.87 | 115730 | 2020-08-01 |
| O7004A20 | 1348.87 | 102780 | 1348.87 | 102780 | 1348.87 | 102780 | 1348.87 | 115730 | 2020-08-01 |
| O7004B20 | 1348.87 | 102780 | 1348.87 | 102780 | 1348.87 | 102780 | 1348.87 | 115730 | 2020-08-01 |
(질병군) 응급의료행위 가산대상 항목 및 금액 - (별표3)
※ 해당금액은 요양기관종별가산율 적용 전 금액임
| 응급의료행위 EDI코드 |
상급종합 | 종합 | 병원 | 의원 | 적용시작일자 | ||||
| 점수 | 금액 | 점수 | 금액 | 점수 | 금액 | 점수 | 금액 | ||
| E0730700 | 587.27 | 44750 | 587.27 | 44750 | 587.27 | 44750 | 587.27 | 50390 | 2020-08-01 |
| E0731700 | 293.64 | 22380 | 293.64 | 22380 | 293.64 | 22380 | 293.64 | 25190 | 2020-08-01 |
| M6615020 | 7383.46 | 562620 | 7383.46 | 562620 | 7383.46 | 562620 | 7383.46 | 633500 | 2020-08-01 |
| M6615022 | 7383.46 | 562620 | 7383.46 | 562620 | 2020-08-01 | ||||
| M6615023 | 7383.46 | 562620 | 7383.46 | 562620 | 2020-08-01 | ||||
| M6615025 | 7383.46 | 562620 | 7383.46 | 562620 | 2020-08-01 | ||||
| M6615030 | 7383.46 | 562620 | 7383.46 | 562620 | 7383.46 | 562620 | 7383.46 | 633500 | 2020-08-01 |
| M6615032 | 7383.46 | 562620 | 7383.46 | 562620 | 2020-08-01 | ||||
| M6615033 | 7383.46 | 562620 | 7383.46 | 562620 | 2020-08-01 | ||||
| M6615035 | 7383.46 | 562620 | 7383.46 | 562620 | 2020-08-01 | ||||
| M6615040 | 7383.46 | 562620 | 7383.46 | 562620 | 7383.46 | 562620 | 7383.46 | 633500 | 2020-08-01 |
| M6615042 | 7383.46 | 562620 | 7383.46 | 562620 | 2020-08-01 | ||||
| M6615043 | 7383.46 | 562620 | 7383.46 | 562620 | 2020-08-01 | ||||
| M6615045 | 7383.46 | 562620 | 7383.46 | 562620 | 2020-08-01 | ||||
| M6615620 | 7383.46 | 562620 | 7383.46 | 562620 | 7383.46 | 562620 | 7383.46 | 633500 | 2020-08-01 |
| M6615630 | 7383.46 | 562620 | 7383.46 | 562620 | 7383.46 | 562620 | 7383.46 | 633500 | 2020-08-01 |
| M6615640 | 7383.46 | 562620 | 7383.46 | 562620 | 7383.46 | 562620 | 7383.46 | 633500 | 2020-08-01 |
| M6615A20 | 7383.46 | 562620 | 7383.46 | 562620 | 7383.46 | 562620 | 7383.46 | 633500 | 2020-08-01 |
| M6615A30 | 7383.46 | 562620 | 7383.46 | 562620 | 7383.46 | 562620 | 7383.46 | 633500 | 2020-08-01 |
| M6615A40 | 7383.46 | 562620 | 7383.46 | 562620 | 7383.46 | 562620 | 7383.46 | 633500 | 2020-08-01 |
| M6615B20 | 7383.46 | 562620 | 7383.46 | 562620 | 7383.46 | 562620 | 7383.46 | 633500 | 2020-08-01 |
| M6615B30 | 7383.46 | 562620 | 7383.46 | 562620 | 7383.46 | 562620 | 7383.46 | 633500 | 2020-08-01 |
| M6615B40 | 7383.46 | 562620 | 7383.46 | 562620 | 7383.46 | 562620 | 7383.46 | 633500 | 2020-08-01 |
| S5043020 | 3127.7 | 238330 | 3127.7 | 238330 | 3127.7 | 238330 | 3127.7 | 268360 | 2020-08-01 |
| S5043021 | 1563.85 | 119170 | 1563.85 | 119170 | 1563.85 | 119170 | 1563.85 | 134180 | 2020-08-01 |
| S5043022 | 3127.7 | 238330 | 3127.7 | 238330 | 2020-08-01 | ||||
| S5043023 | 3127.7 | 238330 | 3127.7 | 238330 | 2020-08-01 | ||||
| S5043024 | 2189.39 | 166830 | 2189.39 | 166830 | 2020-08-01 | ||||
| S5043025 | 3127.7 | 238330 | 3127.7 | 238330 | 2020-08-01 | ||||
| S5043026 | 2189.39 | 166830 | 2189.39 | 166830 | 2020-08-01 | ||||
| S5043027 | 2189.39 | 166830 | 2189.39 | 166830 | 2020-08-01 | ||||
| S5043028 | 2189.39 | 166830 | 2189.39 | 166830 | 2020-08-01 | ||||
| S5043030 | 3127.7 | 238330 | 3127.7 | 238330 | 3127.7 | 238330 | 3127.7 | 268360 | 2020-08-01 |
| S5043031 | 1563.85 | 119170 | 1563.85 | 119170 | 1563.85 | 119170 | 1563.85 | 134180 | 2020-08-01 |
| S5043032 | 3127.7 | 238330 | 3127.7 | 238330 | 2020-08-01 | ||||
| S5043033 | 3127.7 | 238330 | 3127.7 | 238330 | 2020-08-01 | ||||
| S5043034 | 2189.39 | 166830 | 2189.39 | 166830 | 2020-08-01 | ||||
| S5043035 | 3127.7 | 238330 | 3127.7 | 238330 | 2020-08-01 | ||||
| S5043036 | 2189.39 | 166830 | 2189.39 | 166830 | 2020-08-01 | ||||
| S5043037 | 2189.39 | 166830 | 2189.39 | 166830 | 2020-08-01 | ||||
| S5043038 | 2189.39 | 166830 | 2189.39 | 166830 | 2020-08-01 | ||||
| S5043040 | 3127.7 | 238330 | 3127.7 | 238330 | 3127.7 | 238330 | 3127.7 | 268360 | 2020-08-01 |
| S5043041 | 1563.85 | 119170 | 1563.85 | 119170 | 1563.85 | 119170 | 1563.85 | 134180 | 2020-08-01 |
| S5043042 | 3127.7 | 238330 | 3127.7 | 238330 | 2020-08-01 | ||||
| S5043043 | 3127.7 | 238330 | 3127.7 | 238330 | 2020-08-01 | ||||
| S5043044 | 2189.39 | 166830 | 2189.39 | 166830 | 2020-08-01 | ||||
| S5043045 | 3127.7 | 238330 | 3127.7 | 238330 | 2020-08-01 | ||||
| S5043046 | 2189.39 | 166830 | 2189.39 | 166830 | 2020-08-01 | ||||
| S5043047 | 2189.39 | 166830 | 2189.39 | 166830 | 2020-08-01 | ||||
| S5043048 | 2189.39 | 166830 | 2189.39 | 166830 | 2020-08-01 | ||||
| S5043620 | 3127.7 | 238330 | 3127.7 | 238330 | 3127.7 | 238330 | 3127.7 | 268360 | 2020-08-01 |
| S5043621 | 1563.85 | 119170 | 1563.85 | 119170 | 1563.85 | 119170 | 1563.85 | 134180 | 2020-08-01 |
| S5043630 | 3127.7 | 238330 | 3127.7 | 238330 | 3127.7 | 238330 | 3127.7 | 268360 | 2020-08-01 |
| S5043631 | 1563.85 | 119170 | 1563.85 | 119170 | 1563.85 | 119170 | 1563.85 | 134180 | 2020-08-01 |
| S5043640 | 3127.7 | 238330 | 3127.7 | 238330 | 3127.7 | 238330 | 3127.7 | 268360 | 2020-08-01 |
| S5043641 | 1563.85 | 119170 | 1563.85 | 119170 | 1563.85 | 119170 | 1563.85 | 134180 | 2020-08-01 |
| S5043A20 | 3127.7 | 238330 | 3127.7 | 238330 | 3127.7 | 238330 | 3127.7 | 268360 | 2020-08-01 |
| S5043A21 | 1563.85 | 119170 | 1563.85 | 119170 | 1563.85 | 119170 | 1563.85 | 134180 | 2020-08-01 |
| S5043A30 | 3127.7 | 238330 | 3127.7 | 238330 | 3127.7 | 238330 | 3127.7 | 268360 | 2020-08-01 |
| S5043A31 | 1563.85 | 119170 | 1563.85 | 119170 | 1563.85 | 119170 | 1563.85 | 134180 | 2020-08-01 |
| S5043A40 | 3127.7 | 238330 | 3127.7 | 238330 | 3127.7 | 238330 | 3127.7 | 268360 | 2020-08-01 |
| S5043A41 | 1563.85 | 119170 | 1563.85 | 119170 | 1563.85 | 119170 | 1563.85 | 134180 | 2020-08-01 |
| S5043B20 | 3127.7 | 238330 | 3127.7 | 238330 | 3127.7 | 238330 | 3127.7 | 268360 | 2020-08-01 |
| S5043B21 | 1563.85 | 119170 | 1563.85 | 119170 | 1563.85 | 119170 | 1563.85 | 134180 | 2020-08-01 |
| S5043B30 | 3127.7 | 238330 | 3127.7 | 238330 | 3127.7 | 238330 | 3127.7 | 268360 | 2020-08-01 |
| S5043B31 | 1563.85 | 119170 | 1563.85 | 119170 | 1563.85 | 119170 | 1563.85 | 134180 | 2020-08-01 |
| S5043B40 | 3127.7 | 238330 | 3127.7 | 238330 | 3127.7 | 238330 | 3127.7 | 268360 | 2020-08-01 |
| S5043B41 | 1563.85 | 119170 | 1563.85 | 119170 | 1563.85 | 119170 | 1563.85 | 134180 | 2020-08-01 |
| S5053020 | 439.94 | 33520 | 439.94 | 33520 | 439.94 | 33520 | 439.94 | 37750 | 2020-08-01 |
| S5053021 | 219.97 | 16760 | 219.97 | 16760 | 219.97 | 16760 | 219.97 | 18870 | 2020-08-01 |
| S5053022 | 439.94 | 33520 | 439.94 | 33520 | 2020-08-01 | ||||
| S5053023 | 439.94 | 33520 | 439.94 | 33520 | 2020-08-01 | ||||
| S5053024 | 307.96 | 23470 | 307.96 | 23470 | 2020-08-01 | ||||
| S5053025 | 439.94 | 33520 | 439.94 | 33520 | 2020-08-01 | ||||
| S5053026 | 307.96 | 23470 | 307.96 | 23470 | 2020-08-01 | ||||
| S5053027 | 307.96 | 23470 | 307.96 | 23470 | 2020-08-01 | ||||
| S5053028 | 307.96 | 23470 | 307.96 | 23470 | 2020-08-01 | ||||
| S5053030 | 439.94 | 33520 | 439.94 | 33520 | 439.94 | 33520 | 439.94 | 37750 | 2020-08-01 |
| S5053031 | 219.97 | 16760 | 219.97 | 16760 | 219.97 | 16760 | 219.97 | 18870 | 2020-08-01 |
| S5053032 | 439.94 | 33520 | 439.94 | 33520 | 2020-08-01 | ||||
| S5053033 | 439.94 | 33520 | 439.94 | 33520 | 2020-08-01 | ||||
| S5053034 | 307.96 | 23470 | 307.96 | 23470 | 2020-08-01 | ||||
| S5053035 | 439.94 | 33520 | 439.94 | 33520 | 2020-08-01 | ||||
| S5053036 | 307.96 | 23470 | 307.96 | 23470 | 2020-08-01 | ||||
| S5053037 | 307.96 | 23470 | 307.96 | 23470 | 2020-08-01 | ||||
| S5053038 | 307.96 | 23470 | 307.96 | 23470 | 2020-08-01 | ||||
| S5053040 | 439.94 | 33520 | 439.94 | 33520 | 439.94 | 33520 | 439.94 | 37750 | 2020-08-01 |
| S5053041 | 219.97 | 16760 | 219.97 | 16760 | 219.97 | 16760 | 219.97 | 18870 | 2020-08-01 |
| S5053042 | 439.94 | 33520 | 439.94 | 33520 | 2020-08-01 | ||||
| S5053043 | 439.94 | 33520 | 439.94 | 33520 | 2020-08-01 | ||||
| S5053044 | 307.96 | 23470 | 307.96 | 23470 | 2020-08-01 | ||||
| S5053045 | 439.94 | 33520 | 439.94 | 33520 | 2020-08-01 | ||||
| S5053046 | 307.96 | 23470 | 307.96 | 23470 | 2020-08-01 | ||||
| S5053047 | 307.96 | 23470 | 307.96 | 23470 | 2020-08-01 | ||||
| S5053048 | 307.96 | 23470 | 307.96 | 23470 | 2020-08-01 | ||||
| S5053620 | 439.94 | 33520 | 439.94 | 33520 | 439.94 | 33520 | 439.94 | 37750 | 2020-08-01 |
| S5053621 | 219.97 | 16760 | 219.97 | 16760 | 219.97 | 16760 | 219.97 | 18870 | 2020-08-01 |
| S5053630 | 439.94 | 33520 | 439.94 | 33520 | 439.94 | 33520 | 439.94 | 37750 | 2020-08-01 |
| S5053631 | 219.97 | 16760 | 219.97 | 16760 | 219.97 | 16760 | 219.97 | 18870 | 2020-08-01 |
| S5053640 | 439.94 | 33520 | 439.94 | 33520 | 439.94 | 33520 | 439.94 | 37750 | 2020-08-01 |
| S5053641 | 219.97 | 16760 | 219.97 | 16760 | 219.97 | 16760 | 219.97 | 18870 | 2020-08-01 |
| S5053A20 | 439.94 | 33520 | 439.94 | 33520 | 439.94 | 33520 | 439.94 | 37750 | 2020-08-01 |
| S5053A21 | 219.97 | 16760 | 219.97 | 16760 | 219.97 | 16760 | 219.97 | 18870 | 2020-08-01 |
| S5053A30 | 439.94 | 33520 | 439.94 | 33520 | 439.94 | 33520 | 439.94 | 37750 | 2020-08-01 |
| S5053A31 | 219.97 | 16760 | 219.97 | 16760 | 219.97 | 16760 | 219.97 | 18870 | 2020-08-01 |
| S5053A40 | 439.94 | 33520 | 439.94 | 33520 | 439.94 | 33520 | 439.94 | 37750 | 2020-08-01 |
| S5053A41 | 219.97 | 16760 | 219.97 | 16760 | 219.97 | 16760 | 219.97 | 18870 | 2020-08-01 |
| S5053B20 | 439.94 | 33520 | 439.94 | 33520 | 439.94 | 33520 | 439.94 | 37750 | 2020-08-01 |
| S5053B21 | 219.97 | 16760 | 219.97 | 16760 | 219.97 | 16760 | 219.97 | 18870 | 2020-08-01 |
| S5053B30 | 439.94 | 33520 | 439.94 | 33520 | 439.94 | 33520 | 439.94 | 37750 | 2020-08-01 |
| S5053B31 | 219.97 | 16760 | 219.97 | 16760 | 219.97 | 16760 | 219.97 | 18870 | 2020-08-01 |
| S5053B40 | 439.94 | 33520 | 439.94 | 33520 | 439.94 | 33520 | 439.94 | 37750 | 2020-08-01 |
| S5053B41 | 219.97 | 16760 | 219.97 | 16760 | 219.97 | 16760 | 219.97 | 18870 | 2020-08-01 |
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