| 3701 |
Labioplasti Bilateral (Khusus) |
Rp15.200.000 |
Prosedur Non Bedah |
| 3702 |
Replantasi (Bedah Plastik) |
Rp36.594.000 |
Prosedur Non Bedah |
| 3703 |
Labioplasti Unilateral (Bedah THT) |
Rp4.000.000 |
Prosedur Non Bedah |
| 3704 |
Eksplorasi Kista Branchial (Besar) |
Rp6.600.000 |
Prosedur Non Bedah |
| 3705 |
Eksplorasi Kista Tiroiid (Besar) |
Rp6.600.000 |
Prosedur Non Bedah |
| 3706 |
Labiopalatoplasti Bilateral (Bedah THT) |
Rp6.600.000 |
Prosedur Non Bedah |
| 3707 |
Pemasangan Pipa Shepard (Besar) |
Rp6.600.000 |
Prosedur Non Bedah |
| 3708 |
Pemasangan T Tube (Besar) |
Rp6.600.000 |
Prosedur Non Bedah |
| 3709 |
Regional Flap (Besar) |
Rp6.600.000 |
Prosedur Non Bedah |
| 3710 |
Septum Reseksi (Besar) |
Rp6.600.000 |
Prosedur Non Bedah |
