| No | Nama Layanan | Tarif | Jenis Pemeriksaan |
|---|---|---|---|
| 2481 | Ureterolysis | Rp6.600.000 | Prosedur Non Bedah |
| 2482 | Ureterostomi | Rp6.600.000 | Prosedur Non Bedah |
| 2483 | Urethrektomi | Rp8.647.000 | Prosedur Non Bedah |
| 2484 | Vasografi | Rp6.600.000 | Prosedur Non Bedah |
| 2485 | Vericocele / Palomo | Rp6.600.000 | Prosedur Non Bedah |
| 2486 | Vesicolithotomi (Sectio Alta) | Rp6.600.000 | Prosedur Non Bedah |
| 2487 | Adrenalektomi Abdominotorakal | Rp15.200.000 | Prosedur Non Bedah |
| 2488 | Bladder Neck Incision | Rp15.200.000 | Prosedur Non Bedah |
| 2489 | Diseksi KGB Pelvis | Rp15.200.000 | Prosedur Non Bedah |
| 2490 | Divertikulektomi Vesika | Rp15.200.000 | Prosedur Non Bedah |
