| 4131 |
Assesment OT (Okupasi. Rawat Inap) |
Rp52.500 |
Rehabilitasi |
| 4132 |
Vaksinasi Bacillus Calmette?Gu?rin (BCG) (Rawat Jalan) |
Rp73.000 |
Penunjang |
| 4133 |
Punctie Pleura |
Rp410.000 |
Prosedur Non Bedah |
| 4134 |
Cabut Water Sealing Drainage/WSD |
Rp652.000 |
Prosedur Non Bedah |
| 4135 |
Jahit Luka <5 (Rawat Jalan Bedah Mulut) |
Rp125.000 |
Prosedur Non Bedah |
| 4136 |
Alveolektomi per regio (Rawat Jalan) |
Rp83.000 |
Prosedur Bedah |
| 4137 |
Operculektomi/Frenectomi (Rawat Jalan) |
Rp910.000 |
Prosedur Non Bedah |
| 4138 |
Odontektomi Derajat II |
Rp455.000 |
Keperawatan |
| 4139 |
Odontectomi (Derajat III) |
Rp1.312.000 |
Keperawatan |
| 4140 |
Aveolectomy Luas (Rawat Jalan. Bedah Mulut) |
Rp1.244.000 |
Prosedur Bedah |
