| No | Nama Layanan | Tarif | Jenis Pemeriksaan |
|---|---|---|---|
| 1741 | Ligasi Tinggi Hidrokel Pada Anak | Rp4.720.000 | Prosedur Bedah |
| 1742 | Orchidectomy Pada Anak | Rp4.695.000 | Prosedur Bedah |
| 1743 | Orchidectomy/Orchidopexy Unilateral | Rp5.360.000 | Prosedur Bedah |
| 1744 | Polypectomy Rectum | Rp4.000.000 | Prosedur Bedah |
| 1745 | Potong Stump | Rp4.890.000 | Prosedur Bedah |
| 1746 | Potong Stump (Rectum) | Rp4.000.000 | Prosedur Bedah |
| 1747 | Prosedur Thiersch (Prolaps Anus) | Rp4.000.000 | Prosedur Bedah |
| 1748 | Release Sinekhia Vulva | Rp5.347.000 | Prosedur Bedah |
| 1749 | Repair Defek Hernia Umbilikalis | Rp5.362.000 | Prosedur Bedah |
| 1750 | Repair VP Shunt | Rp5.397.000 | Prosedur Bedah |
