| No | Nama Layanan | Tarif | Jenis Pemeriksaan |
|---|---|---|---|
| 2201 | Koreksi Fraktur Impresif | Rp15.200.000 | Prosedur Non Bedah |
| 2202 | Koreksi Scoliosis | Rp15.200.000 | Prosedur Non Bedah |
| 2203 | Koreksi Spondilitis | Rp15.200.000 | Prosedur Non Bedah |
| 2204 | Laminektomi Kompleks | Rp15.200.000 | Prosedur Non Bedah |
| 2205 | Laminektomi Sederhana | Rp15.200.000 | Prosedur Non Bedah |
| 2206 | Microsurgery | Rp15.200.000 | Prosedur Non Bedah |
| 2207 | Myocutaneus Flap / Pectoral Mayor | Rp15.200.000 | Prosedur Non Bedah |
| 2208 | Neurektomi/Neurolise | Rp15.200.000 | Prosedur Non Bedah |
| 2209 | Operasi Fraktur Kompleks (fraktur Acetabulum. Tulang Belakang.Fraktur Pelvis) | Rp15.200.000 | Prosedur Non Bedah |
| 2210 | Operasi Fraktur Tripodo/Multiple Fracture | Rp15.200.000 | Prosedur Non Bedah |
