| No | Nama Layanan | Tarif | Jenis Pemeriksaan |
|---|---|---|---|
| 1421 | Cruris AP/ Lat | Rp175.000 | Radiologi |
| 1422 | Baby Gram | Rp134.000 | Radiologi |
| 1423 | Dental Panoramic / OPG | Rp90.000 | Radiologi |
| 1424 | Chepalometry | Rp181.000 | Radiologi |
| 1425 | Genu standing | Rp140.000 | Radiologi |
| 1426 | Sky line | Rp100.000 | Radiologi |
| 1427 | Patela Ap /Lat | Rp126.000 | Radiologi |
| 1428 | Mortise View | Rp100.000 | Radiologi |
| 1429 | Waters | Rp170.000 | Radiologi |
| 1430 | Zygomaticum | Rp140.000 | Radiologi |
