| 2631 | 
          Operasi Jantung Terbuka Standar/VSD/ASD Closure + Reseksi Infudibulum + Transanular Patch/Repair Left Ventricle Out Flow Track + VSD Closure | 
          Rp53.500.000 | 
          Prosedur Non Bedah | 
        
              
          | 2632 | 
          Operasi Jantung Tertutup / PDA | 
          Rp57.355.000 | 
          Prosedur Non Bedah | 
        
              
          | 2633 | 
          PDA Ligasi | 
          Rp19.000.000 | 
          Prosedur Non Bedah | 
        
              
          | 2634 | 
          Penutupan ASD tanpa Pembedahan dengan Menggunakan Device (ASO)/Penutupan PFO tanpa Pembedahan dengan Device (PFO Ocluder) /PTA Carotis dengan Stent | 
          Rp46.000.000 | 
          Prosedur Non Bedah | 
        
              
          | 2635 | 
          PS 1 ? Ventrikular Repair/RVOT Repair/ AVR + VSD Closure + ASD Closure | 
          Rp57.000.000 | 
          Prosedur Non Bedah | 
        
              
          | 2636 | 
          Pulmonal Valve Replacement | 
          Rp69.000.000 | 
          Prosedur Non Bedah | 
        
              
          | 2637 | 
          Redo BT Shunt/Redo PS Repair/VSD + PS Repair | 
          Rp60.500.000 | 
          Prosedur Non Bedah | 
        
              
          | 2638 | 
          Tindakan CABG | 
          Rp101.650.000 | 
          Prosedur Non Bedah | 
        
              
          | 2639 | 
          Tindakan MVR / AVR | 
          Rp140.250.000 | 
          Prosedur Non Bedah | 
        
              
          | 2640 | 
          TOF Low Risk/ASD Closure + MV Repair/Cleft Repair/ VSD + PDA Division + Coarctasio Repair/VSD Closure + AV Repair/ MV Repair | 
          Rp55.000.000 | 
          Prosedur Non Bedah |