| No | Nama Layanan | Tarif | Jenis Pemeriksaan |
|---|---|---|---|
| 1921 | Kapsulektomi posterior | Rp6.600.000 | Prosedur Non Bedah |
| 1922 | Keratoplastie Lamelar | Rp6.600.000 | Prosedur Non Bedah |
| 1923 | Koreksi Ektropion / Entropion | Rp6.600.000 | Prosedur Non Bedah |
| 1924 | Koreksi Ektropion / Entropion (Anak-anak) | Rp6.600.000 | Prosedur Non Bedah |
| 1925 | Orbiotomi anterior | Rp6.600.000 | Prosedur Non Bedah |
| 1926 | Parasentesa | Rp6.600.000 | Prosedur Non Bedah |
| 1927 | Rekanalisasi Ruptura / Transkanal | Rp6.600.000 | Prosedur Non Bedah |
| 1928 | Repair ruptur korneosklera | Rp6.600.000 | Prosedur Non Bedah |
| 1929 | Ruptur palpebra Moderate | Rp6.600.000 | Prosedur Non Bedah |
| 1930 | Sceral Buckling | Rp6.600.000 | Prosedur Non Bedah |
