| No | Nama Layanan | Tarif | Jenis Pemeriksaan |
|---|---|---|---|
| 2451 | Open Renal Biopsi | Rp6.600.000 | Prosedur Non Bedah |
| 2452 | Operasi Peyronie | Rp7.898.000 | Prosedur Non Bedah |
| 2453 | Operasi Repair Bull Trauma | Rp6.600.000 | Prosedur Non Bedah |
| 2454 | Orchidektomi Ligasi Tinggi | Rp6.974.000 | Prosedur Non Bedah |
| 2455 | Orchidektomi Subkapsuler | Rp6.500.000 | Prosedur Non Bedah |
| 2456 | Orchidopexi | Rp7.135.000 | Prosedur Non Bedah |
| 2457 | Orkhidektomi Extended | Rp6.600.000 | Prosedur Non Bedah |
| 2458 | Penektomi | Rp6.832.000 | Prosedur Non Bedah |
| 2459 | Penektomi Parsial | Rp6.600.000 | Prosedur Non Bedah |
| 2460 | Pielolitotomi | Rp6.600.000 | Prosedur Non Bedah |
