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,- |