| No | Nama Layanan | Tarif | Jenis Pemeriksaan |
|---|---|---|---|
| 2421 | Spermatokelektomi | Rp4.350.000 | Prosedur Non Bedah |
| 2422 | Urettroskopi/Uretrosistoskopi | Rp4.350.000 | Prosedur Non Bedah |
| 2423 | Varikokelektomi (Palomo) | Rp4.350.000 | Prosedur Non Bedah |
| 2424 | Vesicolithomi/Sectio Alta | Rp4.350.000 | Prosedur Non Bedah |
| 2425 | Anastomosis End to End Ureter | Rp6.600.000 | Prosedur Non Bedah |
| 2426 | Biopsi Ginjal Terbuka | Rp6.600.000 | Prosedur Non Bedah |
| 2427 | Deroofing/Unroofing Kista | Rp6.600.000 | Prosedur Non Bedah |
| 2428 | Divertikulektomi | Rp8.696.000 | Prosedur Non Bedah |
| 2429 | Divertikulum Uretra | Rp6.600.000 | Prosedur Non Bedah |
| 2430 | Drainage Periureter | Rp6.600.000 | Prosedur Non Bedah |
