| 2531 | Operasi Vaskuler Teknik Operasi Khusus | Rp15.200.000 | Prosedur Non Bedah | 
              
          | 2532 | Pasang Akses Port Celsite | Rp15.200.000 | Prosedur Non Bedah | 
              
          | 2533 | Penyakit Pembuluh Darah Perifer | Rp15.200.000 | Prosedur Non Bedah | 
              
          | 2534 | Shunting Femoralis | Rp15.200.000 | Prosedur Non Bedah | 
              
          | 2535 | Shunting Poplitea/Tibialis | Rp15.200.000 | Prosedur Non Bedah | 
              
          | 2536 | Shunting Splenorea | Rp15.200.000 | Prosedur Non Bedah | 
              
          | 2537 | Simpatektomi | Rp15.200.000 | Prosedur Non Bedah | 
              
          | 2538 | Solonektomi | Rp15.200.000 | Prosedur Non Bedah | 
              
          | 2539 | Tumor Pembuluh Darah | Rp15.200.000 | Prosedur Non Bedah | 
              
          | 2540 | Rewiring Sternum | Rp4.375.000 | Prosedur Non Bedah |