| No | Nama Layanan | Tarif | Jenis Pemeriksaan |
|---|---|---|---|
| 2511 | TUR Tumor Buli - Buli | Rp15.200.000 | Prosedur Non Bedah |
| 2512 | Uretetoneo Cystosthomi | Rp15.200.000 | Prosedur Non Bedah |
| 2513 | Uretroplasty | Rp15.200.000 | Prosedur Non Bedah |
| 2514 | URS | Rp15.200.000 | Prosedur Non Bedah |
| 2515 | Debridement Ulang Vaskuler/Debridement dengan Amputasi Mayor | Rp3.125.000 | Prosedur Non Bedah |
| 2516 | Ekstirpasi Fibroma | Rp3.125.000 | Prosedur Non Bedah |
| 2517 | Fasciotomi | Rp3.125.000 | Prosedur Non Bedah |
| 2518 | Flebektomi | Rp3.125.000 | Prosedur Non Bedah |
| 2519 | Reapir Komplikasi AV Shunt | Rp3.125.000 | Prosedur Non Bedah |
| 2520 | Rekonstruksi Vaskuler Sederhana | Rp3.125.000 | Prosedur Non Bedah |
