| No | Nama Layanan | Tarif | Jenis Pemeriksaan |
|---|---|---|---|
| 1231 | Peroksidase | Rp31.000 | Laboratorium |
| 1232 | Alkali Denaturasi / HBF | Rp31.000 | Laboratorium |
| 1233 | Hemosiderin | Rp33.000 | Laboratorium |
| 1234 | OFT | Rp33.000 | Laboratorium |
| 1235 | Viscositas | Rp33.000 | Laboratorium |
| 1236 | BMP | Rp38.000 | Laboratorium |
| 1237 | T3 | Rp38.000 | Laboratorium |
| 1238 | SBB | Rp69.000 | Laboratorium |
| 1239 | LE cell | Rp62.000 | Laboratorium |
| 1240 | Analisa LCS (Hitung jumlah sel. hitung jenis. none pandi) | Rp58.000 | Laboratorium |
