| Paket Operasi |
Kelas |
Tarif Operasi |
| Adneosilis |
- |
Rp. 2.560.000,- |
| Angkat Corpus Alineum Cornea |
- |
Rp. 960.000,- |
| Aspirasi/Irigasi/Reformasi COA |
- |
Rp. 1.540.000,- |
| Bilateral repair of inguinal hernia, not otherwise specified |
- |
Rp. 5.100.000,- |
| Biopsi Pembuluh Darah Perifer |
- |
Rp. 1.540.000,- |
| Cholecystectomy |
- |
Rp. 2.560.000,- |
| Corpus Alienum dgn Operating Microscope |
- |
Rp. 1.540.000,- |
| Debridement Nekrotomi Luka Ganggren |
- |
Rp. 2.560.000,- |
| DSAEK (Descemets Stripping Automated Keraoplasty) |
- |
Rp. 2.560.000,- |
| Eksisi Pterigium |
- |
Rp. 1.540.000,- |
| Eksisi Tumor Pembulurh Darah Perifer |
- |
Rp. 1.540.000,- |
| Ekstirpasi Kista |
- |
Rp. 870.000,- |
| Ekstraksi IOL |
- |
Rp. 2.560.000,- |
| Evakuasi Hematom (Pasca pungsi) |
- |
Rp. 1.540.000,- |
| Excision of Perianal Skin Tags |
- |
Rp. 1.540.000,- |
| Fasciotomi |
- |
Rp. 1.540.000,- |
| Fraktur Tripod Multiple |
- |
Rp. 4.700.000,- |
| Hipertropi prostat benigna |
- |
Rp. 5.100.000,- |
| Injeksi Botox pada Strabismus |
- |
Rp. 1.540.000,- |
| Insisi Abses dgn Penyulit |
- |
Rp. 1.340.000,- |
| Katarak ECCE (Tidak Termasuk IOL) |
- |
Rp. 2.560.000,- |
| Kuret Granulasi Care |
- |
Rp. 870.000,- |
| Left Hemikolectomy |
- |
Rp. 5.100.000,- |
| Miomektomi/Kistektomi |
- |
Rp. 2.560.000,- |
| Operasi Perineum |
- |
Rp. 2.560.000,- |
| Orbitotomy Anterior |
- |
Rp. 2.560.000,- |
| Other Incision of Anus |
- |
Rp. 1.540.000,- |
| Other Partial Excesion of Large Intenstine |
- |
Rp. 2.560.000,- |
| Paracentesis |
- |
Rp. 2.560.000,- |
| Pemasangan paritoneal dialisis (PD) catheter (di luar alat) |
- |
Rp. 5.100.000,- |
| Phaco + IOL Multifokal/Torik |
- |
Rp. 2.560.000,- |
| Prosedur Sistrunk Kista Duktus Tiroglosus |
- |
Rp. 2.560.000,- |
| Rekonstruksi Palpebra dgn Flap atau Graft |
- |
Rp. 2.560.000,- |
| Repair Iridodyalisis |
- |
Rp. 2.560.000,- |
| Repair Of Laceration, Cornea, Non Perforating |
- |
Rp. 2.560.000,- |
| Reposisi dislokasi sendi rahang |
- |
Rp. 5.100.000,- |
| Rhitidectomy |
- |
Rp. 2.560.000,- |
| Sekunder IOL |
- |
Rp. 2.560.000,- |
| Subtotal Mastectomy |
- |
Rp. 2.560.000,- |
| Temporary Eleostomy |
- |
Rp. 2.560.000,- |
| Trabekulektomy (pada Anak/Bayi) |
- |
Rp. 2.560.000,- |
| Tubes Implan |
- |
Rp. 2.560.000,- |
| Wide Excision of Soft Tissue tumor |
- |
Rp. 2.560.000,- |
| Amputasi Jari Tangan / Kaki |
- |
Rp. 1.540.000,- |
| Anterior Lamellar Keratoplasty |
- |
Rp. 2.560.000,- |
| Bilateral Radical Mastectomy |
- |
Rp. 5.100.000,- |
| Bilateral Simple Mastectotomy |
- |
Rp. 2.560.000,- |
| Biopsi Tumor Orbita |
- |
Rp. 2.560.000,- |
| Colostomy, not otherwise specified |
- |
Rp. 2.560.000,- |
| CWL (Cold Well Luck) Op. Sinus Maxila |
- |
Rp. 1.340.000,- |
| Deseksi Submandibula |
- |
Rp. 5.100.000,- |
| Eksisi Chalasion/Hordeolum |
- |
Rp. 1.540.000,- |
| Eksisi Tumor jinak |
- |
Rp. 1.540.000,- |
| Eksraksi Ephitelial Downgrowth |
- |
Rp. 2.560.000,- |
| Ekstirpasi Tumor Orbita |
- |
Rp. 2.560.000,- |
| Ekstrerpasi Polip Serviks |
- |
Rp. 1.540.000,- |
| Eviserasi |
- |
Rp. 2.560.000,- |
| Exploration of Common Duct |
- |
Rp. 5.100.000,- |
| Fraktur Antebrachi |
- |
Rp. 5.100.000,- |
| Granuloma Pyogenikum |
- |
Rp. 990.000,- |
| Ileostomy, not otherwise specified |
- |
Rp. 2.560.000,- |
| Insersi Sekunder IOL |
- |
Rp. 2.560.000,- |
| Insisi Hordeolum |
- |
Rp. 960.000,- |
| Keratoprosthesis |
- |
Rp. 2.560.000,- |
| Laparatomy VC |
- |
Rp. 5.100.000,- |
| Limbal Relaxing Incision (LRI) |
- |
Rp. 2.560.000,- |
| Oklusi Punctum Lakrimal |
- |
Rp. 1.540.000,- |
| Orbital Dekompresi 1 Tulang |
- |
Rp. 2.560.000,- |
| other Destrucsion of Lesion of Liver |
- |
Rp. 2.560.000,- |
| Other Local Excisio Destruction of Lesion Tissue of Skin Subcutaneous Tissue |
- |
Rp. 2.560.000,- |
| Other reconstruction of mandible |
- |
Rp. 5.100.000,- |
| Pasang implantable central venous access (di luar alat: port a cath) |
- |
Rp. 5.100.000,- |
| Pericardiocentesis |
- |
Rp. 5.100.000,- |
| Pneumatic Retinopexy |
- |
Rp. 1.540.000,- |
| Punksi Asites |
- |
Rp. 1.540.000,- |
| Rekonstruksi Soket Landai |
- |
Rp. 2.560.000,- |
| Repair of Grastrochisis |
- |
Rp. 5.100.000,- |
| Repair Ruptur Kornea |
- |
Rp. 2.560.000,- |
| Reseksi Adenomiosis |
- |
Rp. 2.560.000,- |
| Ruptur Tendon Achilles |
- |
Rp. 2.560.000,- |
| Sirkumsisi / Phimosis |
- |
Rp. 1.540.000,- |
| Suture of Lasertion of Large Intestine |
- |
Rp. 2.560.000,- |
| Tonsilektomi |
- |
Rp. 1.340.000,- |
| Trakeostomy dengan Penyulit Tumor pada Akses Trakea |
- |
Rp. 2.560.000,- |
| Unilateral radkal madtectomy |
- |
Rp. 5.100.000,- |
| Ekstirpasi FAM |
- |
Rp. 1.540.000,- |
| Ablatio Retina |
- |
Rp. 4.700.000,- |
| Anal Fistulotomyrosthesis, not otherwise spesified |
- |
Rp. 5.100.000,- |
| Appendiktomi Perforasi (Laparotomi) |
- |
Rp. 2.560.000,- |
| Bilateral repair of femoral hernia with/without graft or prosthesis |
- |
Rp. 5.100.000,- |
| Biopsi of Anus |
- |
Rp. 1.540.000,- |
| Canthotomy |
- |
Rp. 1.540.000,- |
| Complete Thyriodectony |
- |
Rp. 5.100.000,- |
| Cyro/Cauter pada Trichiasis |
- |
Rp. 1.540.000,- |
| Drainage of Appendiceal Abcess |
- |
Rp. 2.560.000,- |
| Eksisi Kista Tiroglosus |
- |
Rp. 2.560.000,- |
| Eksisi Tumor Palpebra (> 1/4 margo) |
- |
Rp. 2.560.000,- |
| Ekstirpasi Fibroma |
- |
Rp. 1.540.000,- |
| Ekstraksi Corpus Alineum Nasal dengan general Anastesi |
- |
Rp. 2.160.000,- |
| Ektropion 1 Kelopak |
- |
Rp. 2.560.000,- |
| Excision of Hemmoroids |
- |
Rp. 2.560.000,- |
| Exteriorization of Large Intestine |
- |
Rp. 2.560.000,- |
| Fraktur Fremur |
- |
Rp. 5.100.000,- |
| Hemangioma : Injeksi Intralesi + Narkose Combine Trabulectomy |
- |
Rp. 2.560.000,- |
| Incisional of Perinatal Abcess |
- |
Rp. 1.540.000,- |
| Insisi Abses |
- |
Rp. 870.000,- |
| Jahit Perineum Grade I-II |
- |
Rp. 990.000,- |
| Konka Reduksi |
- |
Rp. 1.340.000,- |
| Laser Katarak Sekunder |
- |
Rp. 1.540.000,- |
| Marsupialisasi |
- |
Rp. 990.000,- |
| Open Biopsi of Rectum |
- |
Rp. 1.540.000,- |
| Orbitotomi Lateral |
- |
Rp. 4.700.000,- |
| Other hernia Repair (Herniotomy - Hernioplasty) |
- |
Rp. 2.560.000,- |
| Other Operation of Intestines |
- |
Rp. 2.560.000,- |
| Other Repair Off Abdominal Wall |
- |
Rp. 1.540.000,- |
| Pemasangan Central Venous Catether (CVC) |
- |
Rp. 1.540.000,- |
| Phaco |
- |
Rp. 2.560.000,- |
| Posterior Vitrectomy + Endo Laser |
- |
Rp. 4.700.000,- |
| Rekonstruksi Fraktur Dasar Orbita |
- |
Rp. 4.700.000,- |
| Reopening of Recent Lapartomy Site |
- |
Rp. 2.560.000,- |
| Repair of Laceration of gallbladder |
- |
Rp. 5.100.000,- |
| Repair Ruptur Palpebra |
- |
Rp. 2.560.000,- |
| Revision of Anastomosis of Small Intestine |
- |
Rp. 2.560.000,- |
| SC Tanpa Penyulit |
- |
Rp. 2.560.000,- |
| Strabismus |
- |
Rp. 2.560.000,- |
| Tatto Kornea |
- |
Rp. 2.560.000,- |
| Trabekulektomi |
- |
Rp. 2.560.000,- |
| Triple Producer Keratiplasty dgn Glaucoma |
- |
Rp. 4.700.000,- |
| Vena Secite (Emergensi) |
- |
Rp. 2.560.000,- |
| Aff Arch Bar |
- |
Rp. 1.540.000,- |
| Angkat Jahitan Kornea |
- |
Rp. 1.540.000,- |
| Batu Saluran Kemih/Batu Buli-Buli |
- |
Rp. 2.560.000,- |
| Bilateral repair of inguinal hernia, one direct and one indirect |
- |
Rp. 5.100.000,- |
| Biopsi Terbuka Dinding Thorax |
- |
Rp. 1.540.000,- |
| Closure of Intensial Stoma |
- |
Rp. 2.560.000,- |
| Curet Abortus |
- |
Rp. 1.540.000,- |
| Debridment + Pasang Gips |
- |
Rp. 1.540.000,- |
| ECCE dgn Teknik Fragmentasi dan Aspirasi |
- |
Rp. 2.560.000,- |
| Eksisi Pterigium + Graft |
- |
Rp. 2.560.000,- |
| Eksplorasi Nasofaring |
- |
Rp. 870.000,- |
| Ekstirpasi Kista Ateroma/Lipoma/Ganglion Kcl |
- |
Rp. 990.000,- |
| Ekstraksi Kuku |
- |
Rp. 990.000,- |
| Evakuasi Hematom di Ekstrimitas (Pasca Pungsi HD / Trauma) |
- |
Rp. 1.540.000,- |
| Excision of Thyroglossal Duct or Trac |
- |
Rp. 2.560.000,- |
| Fiksasi Internal Fraktur Nasal |
- |
Rp. 5.100.000,- |
| Geniotomi |
- |
Rp. 1.540.000,- |
| Histerektomi Total/Radikal |
- |
Rp. 5.100.000,- |
| Injeksi Intravitreal |
- |
Rp. 1.540.000,- |
| Insisi Chalasion |
- |
Rp. 960.000,- |
| Katarak Phaco Emulsifikasi (Tdk Termasuk IOL) |
- |
Rp. 2.560.000,- |
| Laparatomi Eksplorasi |
- |
Rp. 2.560.000,- |
| Ligasi Vaskuler Ekstremitas |
- |
Rp. 1.540.000,- |
| Multiple Excision of Lesion of Breast |
- |
Rp. 2.560.000,- |
| Operasi Tumor Ganas Ovarium |
- |
Rp. 5.100.000,- |
| Orbitotomy Lateral |
- |
Rp. 2.560.000,- |
| Other Incision of Skin and Subcutaneus Tissue |
- |
Rp. 1.540.000,- |
| Other partial Thyroidectomy |
- |
Rp. 5.100.000,- |
| Partial Splenoctomy |
- |
Rp. 5.100.000,- |
| pembuatan Thorasic Window |
- |
Rp. 2.560.000,- |
| Phakik IOL |
- |
Rp. 2.560.000,- |
| Pungsi hematom/seroma |
- |
Rp. 1.540.000,- |
| Rekonstruksi Socket Berat |
- |
Rp. 4.700.000,- |
| Repair Luka Kornea + Flap Conjungtiva |
- |
Rp. 2.560.000,- |
| Repair of other hernia of anterior abdominal wall with prosthesis |
- |
Rp. 5.100.000,- |
| Reposisi IOL |
- |
Rp. 2.560.000,- |
| Right Hemicolectomy |
- |
Rp. 5.100.000,- |
| Septum Reposisi |
- |
Rp. 1.340.000,- |
| Surgical Staging Vulvektomy |
- |
Rp. 5.100.000,- |
| Tindakan Cyclodia Termi |
- |
Rp. 2.560.000,- |
| Trabekulektomy + Phaco + IOL |
- |
Rp. 2.560.000,- |
| Tubes Implan + Phaco + IOL |
- |
Rp. 4.700.000,- |
| Amputasi Above Knee |
- |
Rp. 5.100.000,- |
| Amputasi Trans Medial |
- |
Rp. 2.560.000,- |
| Anterior/Posteorior Sklerotomi |
- |
Rp. 2.560.000,- |
| Bilateral Repair of Direct inguinal hernia |
- |
Rp. 5.100.000,- |
| Biopsi |
- |
Rp. 1.540.000,- |
| Blefarorafi |
- |
Rp. 1.540.000,- |
| Combutsio (Luka Bakar) |
- |
Rp. 2.560.000,- |
| Cyclo Cryo |
- |
Rp. 2.560.000,- |
| Desisi Membran Capsul Katarak Sekunder |
- |
Rp. 2.560.000,- |
| Eksisi Clavus |
- |
Rp. 990.000,- |
| Eksisi Tumor Kecil Kelopak |
- |
Rp. 2.560.000,- |
| Ekstaksi Linear |
- |
Rp. 2.560.000,- |
| Ekstraksi Corpus Alienum Cornea |
- |
Rp. 1.540.000,- |
| Ekstripasi / Eksisi Tumor Jinak Jaringan Lunak Ukuran < 2 cm |
- |
Rp. 1.540.000,- |
| Exchange IOL |
- |
Rp. 2.560.000,- |
| Exploratory Lapartomy |
- |
Rp. 2.560.000,- |
| Fraktur Colles & Pergelangan tangan lainnya |
- |
Rp. 5.100.000,- |
| Grastostomi |
- |
Rp. 2.560.000,- |
| Incisional Hernia Repair |
- |
Rp. 2.560.000,- |
| Insertion of Synthetic Implant in Facial bone |
- |
Rp. 5.100.000,- |
| Iridektomi Perifer |
- |
Rp. 1.540.000,- |
| Kista Ateroma Pada Mata |
- |
Rp. 1.540.000,- |
| Lapartomi Percobaan |
- |
Rp. 2.560.000,- |
| Local Excision of Lesion of Breast |
- |
Rp. 1.540.000,- |
| Open Biopsi of Breast |
- |
Rp. 1.540.000,- |
| Orbital Dekompresi 2 Tulang |
- |
Rp. 2.560.000,- |
| Other Diagnnostic Procedures of Abdominal Region |
- |
Rp. 2.560.000,- |
| Other Lysis of Peritoneal Adhesions |
- |
Rp. 2.560.000,- |
| Other Repair of Intestine |
- |
Rp. 2.560.000,- |
| Pediatric Cataract |
- |
Rp. 2.560.000,- |
| Permanent Colostomy |
- |
Rp. 2.560.000,- |
| Polipektomi |
- |
Rp. 1.340.000,- |
| Punksi Lumbal |
- |
Rp. 2.560.000,- |
| Release Kontraktur Mandibula |
- |
Rp. 2.560.000,- |
| Repair of indirect inguinal hernia |
- |
Rp. 5.100.000,- |
| Repair Ruptur Ocoli Multipel Struktur |
- |
Rp. 2.560.000,- |
| Reseksi Kondiloma |
- |
Rp. 1.540.000,- |
| Salpingo Oophorektomy |
- |
Rp. 2.560.000,- |
| Small to small intestinal anastomosis |
- |
Rp. 5.100.000,- |
| Suture of Periteneum |
- |
Rp. 2.560.000,- |
| Torakoskopi |
- |
Rp. 2.960.000,- |
| Trakeostomy Temporary |
- |
Rp. 2.560.000,- |
| Unilatheral Thyroid lobectomy |
- |
Rp. 2.560.000,- |
| Eksisi / Konisasi dengan GA |
- |
Rp. 1.540.000,- |
| Adenotonsilektomi |
- |
Rp. 1.340.000,- |
| Angkat Corpus Alienum Orbita |
- |
Rp. 1.540.000,- |
| Appendiktomi Tanpa Penyulit |
- |
Rp. 1.540.000,- |
| Bilateral repair of indirect inguinal hernia with graft or prothesis |
- |
Rp. 5.100.000,- |
| Biopsi of Perinal Tissue |
- |
Rp. 1.540.000,- |
| Cantoplasty |
- |
Rp. 1.540.000,- |
| Coreoplasty Jahit Membrana Pupilaris |
- |
Rp. 2.560.000,- |
| Cystotomi (Emergensi) |
- |
Rp. 2.560.000,- |
| Dry Needling |
- |
Rp. 2.560.000,- |
| Eksisi Prolaps Iris |
- |
Rp. 1.540.000,- |
| Eksisi Tumor Pembuluh Darah Perifer (Hemangioma) |
- |
Rp. 2.560.000,- |
| Ekstirpasi Kelainan Kornea |
- |
Rp. 2.560.000,- |
| Ekstraksi Corpus Alineum Telingan dengan General Anastesi |
- |
Rp. 2.160.000,- |
| Entropion 1 Kelopak |
- |
Rp. 2.560.000,- |
| Excision of Lesion of Breast |
- |
Rp. 2.560.000,- |
| Exxteriorization of Small Intestine |
- |
Rp. 2.560.000,- |
| Fraktur Hummerus |
- |
Rp. 5.100.000,- |
| Hidrokel Testis/Funikuli |
- |
Rp. 2.560.000,- |
| Injeksi Botox pada Blefarospasme |
- |
Rp. 1.540.000,- |
| Insisi Abses |
- |
Rp. 1.540.000,- |
| Jahit Perineum Grade III-IV |
- |
Rp. 2.560.000,- |
| Konkotomi |
- |
Rp. 1.340.000,- |
| Lasik 1 (Satu) Mata |
- |
Rp. 2.560.000,- |
| ME / Mastoidektomi Simple |
- |
Rp. 2.160.000,- |
| Open Biopsi of Salivary Gland or Duct |
- |
Rp. 1.540.000,- |
| Orbitotomi Lateral + Superior/Medial |
- |
Rp. 4.700.000,- |
| Other Incidental Appendictomy |
- |
Rp. 2.560.000,- |
| Other Operation on Trachea |
- |
Rp. 5.100.000,- |
| Other small to large intestinal anastomsis |
- |
Rp. 5.100.000,- |
| Pemasangan Interdental Wiring / Arch Bar |
- |
Rp. 2.560.000,- |
| Phaco + IOL |
- |
Rp. 2.560.000,- |
| Probing |
- |
Rp. 2.560.000,- |
| Rekonstruksi Kelopak Berat |
- |
Rp. 4.700.000,- |
| Repair Dehisensi Pasca Operasi Kornea |
- |
Rp. 2.560.000,- |
| Repair Of Laceration, Cornea, And/Or Screra, Perforating |
- |
Rp. 2.560.000,- |
| Repair Ruptur Sclera |
- |
Rp. 2.560.000,- |
| Revision of anastomsis of Lare Instestine |
- |
Rp. 2.560.000,- |
| Scleral Buckling + Phaco + IOL |
- |
Rp. 4.700.000,- |
| Strabismus 1,2,3,4 Otot |
- |
Rp. 2.560.000,- |
| Temporary Colostomy |
- |
Rp. 2.560.000,- |
| Trabekulektomy |
- |
Rp. 2.560.000,- |
| Tubectomy |
- |
Rp. 1.540.000,- |
| Vitrectomy |
- |
Rp. 4.700.000,- |
| Aff Arch Barr dan Suspensi Maksila |
- |
Rp. 1.540.000,- |
| Angkat Pterigium dan Graft |
- |
Rp. 1.540.000,- |
| Bilateral Multiple Excision of Lesion of Breast |
- |
Rp. 1.540.000,- |
| Bilateral repair of inguinal, one direct one indirect, with graft or prothesis |
- |
Rp. 5.100.000,- |
| Biopsi Tumor Kelopak |
- |
Rp. 2.560.000,- |
| Closure of Lesteration of Liver |
- |
Rp. 2.560.000,- |
| Curet Malohidatidosa |
- |
Rp. 2.560.000,- |
| Dekompresi |
- |
Rp. 4.700.000,- |
| Eksenterasi |
- |
Rp. 2.560.000,- |
| Eksisi Tumor Adneksa |
- |
Rp. 2.560.000,- |
| Eksplorasi Vaskular Trauma |
- |
Rp. 2.560.000,- |
| Ekstirpasi Tumor Adneksi + Rekonstruksi |
- |
Rp. 4.700.000,- |
| Ekstraksi Lithiasis |
- |
Rp. 1.540.000,- |
| Evakuasi Silicon Oil + Phaco/ECCE + IOL |
- |
Rp. 2.560.000,- |
| Explorasi |
- |
Rp. 870.000,- |
| Flap Conjunctiva/Amnion Graf |
- |
Rp. 2.560.000,- |
| Gonioplasty/Goniotomy |
- |
Rp. 2.560.000,- |
| Hymenectomy |
- |
Rp. 1.540.000,- |
| Insersi IOL |
- |
Rp. 2.560.000,- |
| Insisi Flegmon Dasar Mulut |
- |
Rp. 2.560.000,- |
| Keratoplasty Tembus |
- |
Rp. 2.560.000,- |
| Laparatomi Percobaan |
- |
Rp. 2.560.000,- |
| Ligation of Hemorrhoids |
- |
Rp. 2.560.000,- |
| Mutilasi Digiti Ekstremitas (Multiple) |
- |
Rp. 1.540.000,- |
| Operasi Tumor Jinak Ovarium |
- |
Rp. 2.560.000,- |
| Other Appendictomy |
- |
Rp. 2.560.000,- |
| Other Lapartomy |
- |
Rp. 2.560.000,- |
| Other Procedures on Homorroids |
- |
Rp. 5.100.000,- |
| Pasang double lumen hemodialysis (HD) (di luar alat) |
- |
Rp. 5.100.000,- |
| Pengangkatan Encircling Silicone Band |
- |
Rp. 2.560.000,- |
| Pleurodesis |
- |
Rp. 600.000,- |
| Pungsi pleura |
- |
Rp. 560.000,- |
| Rekonstruksi Socket Kontraktur |
- |
Rp. 4.700.000,- |
| Repair of direct inguinal hernia with graft or prosthesis |
- |
Rp. 5.100.000,- |
| Repair Ruptur Canalis Lacrimalis |
- |
Rp. 2.560.000,- |
| Reposisi Iris |
- |
Rp. 2.560.000,- |
| Ruptur Buli-buli |
- |
Rp. 2.560.000,- |
| Sigmoidectomy |
- |
Rp. 2.560.000,- |
| Suture of Laceration of Small Intestine, except Duodenum |
- |
Rp. 2.560.000,- |
| Tiroidectomy subtotal/total nodul tiroid |
- |
Rp. 5.100.000,- |
| Tracheostomy |
- |
Rp. 1.340.000,- |
| Tumor Ganas/Adnesa Luas Dgn Rekonstruksi |
- |
Rp. 2.560.000,- |
| Amputasi Bellow Knee |
- |
Rp. 5.100.000,- |
| Anal Fistulectomy |
- |
Rp. 5.100.000,- |
| Anterior/Posterior Sklerotomi |
- |
Rp. 2.560.000,- |
| Bilateral repair of direct inguinal hernia with graft or prosthesis |
- |
Rp. 5.100.000,- |
| Biopsi Insisional |
- |
Rp. 1.540.000,- |
| Canthorafi |
- |
Rp. 1.540.000,- |
| Compartemen Excision |
- |
Rp. 2.560.000,- |
| Cyclodialysa |
- |
Rp. 2.560.000,- |
| Dislokasi Bahu |
- |
Rp. 2.560.000,- |
| Eksisi Keloid < 5 cm |
- |
Rp. 990.000,- |
| Eksisi Tumor Palpebra |
- |
Rp. 1.540.000,- |
| Eksternal DCR + Silicone Tube |
- |
Rp. 2.560.000,- |
| Ekstraksi Corpus Alienum Segmen Anterior |
- |
Rp. 2.560.000,- |
| Ekstripasi Kista Demorid |
- |
Rp. 1.540.000,- |
| Excision of Etopic Breast Tissue |
- |
Rp. 1.540.000,- |
| Extended Eksenterasi |
- |
Rp. 4.700.000,- |
| Fraktur Cruris |
- |
Rp. 5.100.000,- |
| Haemoroidectomy |
- |
Rp. 2.560.000,- |
| Incisional hernia repair with prosthesis |
- |
Rp. 5.100.000,- |
| Insisi Abses |
- |
Rp. 990.000,- |
| Jahit Palpebra |
- |
Rp. 1.540.000,- |
| Kolostomi |
- |
Rp. 2.560.000,- |
| Large to large intensial anastomsis |
- |
Rp. 5.100.000,- |
| Local Excision of Rectal Lesion or tissue |
- |
Rp. 1.540.000,- |
| Open Biopsi of Liver |
- |
Rp. 2.560.000,- |
| Orbital Dekompresi 3 Tulang |
- |
Rp. 4.700.000,- |
| Other Excision of Perianal Tissue |
- |
Rp. 1.540.000,- |
| Other Operaion on the breast/ reconstruction of the breast |
- |
Rp. 5.100.000,- |
| Other Repair of Mesentery |
- |
Rp. 2.560.000,- |
| Pelepasan Plat & Skrup Maksilofasial 3 Tempat atau Lebih |
- |
Rp. 1.540.000,- |
| Permanent Ileostomy |
- |
Rp. 2.560.000,- |
| Posterior Vitectomy |
- |
Rp. 4.700.000,- |
| Radikal Excision of Skin Lesion |
- |
Rp. 2.560.000,- |
| Removal of Foreign Body from Periotenal Cavity |
- |
Rp. 2.560.000,- |
| Repair of indirect inguinal with graft or prosthesis |
- |
Rp. 5.100.000,- |
| Repair Ruptur Orbita |
- |
Rp. 2.560.000,- |
| Revisi Blab |
- |
Rp. 1.540.000,- |
| SC Dengan Penyulit |
- |
Rp. 5.100.000,- |
| Spirometri |
- |
Rp. 180.000,- |
| Tarsorafi |
- |
Rp. 1.540.000,- |
| Total Splenoctomy |
- |
Rp. 2.560.000,- |
| Transkleral Foto Cagulasi |
- |
Rp. 2.560.000,- |
| Vasektomi |
- |
Rp. 1.540.000,- |
| Relaparatomy Debridement |
- |
Rp. 2.560.000,- |