| 2131 | 
          Rekonstruksi jari.Defect/ contracture (single/ multiple) | 
          Rp4.000.000 | 
          Prosedur Non Bedah | 
        
              
          | 2132 | 
          Rekonstruksi kelainan jari/ ekstremitas | 
          Rp4.902.000 | 
          Prosedur Non Bedah | 
        
              
          | 2133 | 
          Rekonstruksi Limb leg Inequality-Bone Lengthening Transport | 
          Rp4.000.000 | 
          Prosedur Non Bedah | 
        
              
          | 2134 | 
          Rekonstruksi Neglected Case -Bone | 
          Rp4.000.000 | 
          Prosedur Non Bedah | 
        
              
          | 2135 | 
          Rekonstruksi Pulley Tendon (ekstremitas atas).Bowstringing/entrapment | 
          Rp4.000.000 | 
          Prosedur Non Bedah | 
        
              
          | 2136 | 
          Rekontruksi Kontraktur | 
          Rp7.088.000 | 
          Prosedur Non Bedah | 
        
              
          | 2137 | 
          Release Carpal Tunnel Syndrom Unilateral | 
          Rp5.081.000 | 
          Prosedur Non Bedah | 
        
              
          | 2138 | 
          Removal of implants (Plate.Nail.Screw) | 
          Rp4.000.000 | 
          Prosedur Non Bedah | 
        
              
          | 2139 | 
          Repair Muscle / Tendon (Bedah Orthopedi) | 
          Rp10.076.000 | 
          Prosedur Non Bedah | 
        
              
          | 2140 | 
          Repair Nerve-digital. Injury.(microsurgical) | 
          Rp4.000.000 | 
          Prosedur Non Bedah |