| No | Nama Layanan | Tarif | Jenis Pemeriksaan |
|---|---|---|---|
| 1411 | Pelvis | Rp150.000 | Radiologi |
| 1412 | Clavicula | Rp175.000 | Radiologi |
| 1413 | Scapula | Rp150.000 | Radiologi |
| 1414 | Artic. Humeri/ Sendi Bahu 2 Posisi | Rp130.000 | Radiologi |
| 1415 | BNO (Abdomen) | Rp338.000 | Radiologi |
| 1416 | Pedis AP/ Lat | Rp225.000 | Radiologi |
| 1417 | Os Calcaneus | Rp130.000 | Radiologi |
| 1418 | Thorax Lateral | Rp175.000 | Radiologi |
| 1419 | Artic. Genu AP/Lat | Rp130.000 | Radiologi |
| 1420 | Femur AP/ Lat | Rp225.000 | Radiologi |
