| 221 |
PTCA |
Rp28.015.000 |
Penunjang |
| 222 |
PTCA + 3 Stent (BMS / DES) |
Rp86.000.000 |
Penunjang |
| 223 |
PTCA + 4 Stent (BMS / DES) |
Rp96.000.000 |
Penunjang |
| 224 |
PTCA + STENT 1 Stent Biasa + Ballon |
Rp47.576.000 |
Penunjang |
| 225 |
PTCA + STENT 1 Stent Obat Tanpa Ballon |
Rp61.200.000 |
Penunjang |
| 226 |
PTCA + STENT 2 Stent Biasa + Ballon |
Rp70.502.000 |
Penunjang |
| 227 |
PTCA + STENT 2 Stent Obat + Ballon |
Rp119.640.000 |
Penunjang |
| 228 |
PTCA + TPM |
Rp21.500.000 |
Penunjang |
| 229 |
Punksi Perikad/Punksi Pleura |
Rp5.000.000 |
Penunjang |
| 230 |
PVR + TVR + Infidibulectomy |
Rp75.000.000 |
Penunjang |
