| No | Nama Layanan | Tarif | Jenis Pemeriksaan |
|---|---|---|---|
| 1031 | Revisi Scar / Subsicion < 2 | Rp60.000 | Prosedur Bedah |
| 1032 | Revisi Scar / Subsicion 3-5 Lesi | Rp100.000 | Prosedur Bedah |
| 1033 | Revisi Scar / Punch | Rp300.000 | Prosedur Bedah |
| 1034 | Roller | Rp400.000 | Prosedur Bedah |
| 1035 | PRP pembuatan | Rp1.900.000 | Prosedur Bedah |
| 1036 | PRP terapi | Rp1.900.000 | Prosedur Bedah |
| 1037 | Terapi Vitiligo Punch < 2 Lesi | Rp350.000 | Prosedur Bedah |
| 1038 | Terapi Vitiligo SBG 1-3 | Rp500.000 | Prosedur Bedah |
| 1039 | Terapi Vitiligo SBG 4-6 | Rp700.000 | Prosedur Bedah |
| 1040 | Terapi Vitiligo SBG > 6 | Rp900.000 | Prosedur Bedah |
