| 4191 |
Gingivektomi (Besar. Rawat Jalan Bedah Mulut) |
Rp1.999.000 |
Prosedur Bedah |
| 4192 |
Urine Rutin + Sedimen |
Rp61.000 |
Laboratorium |
| 4193 |
Pengambilan Darah Kapiler (Rawat Inap) |
Rp21.000 |
Prosedur Bedah |
| 4194 |
Gula Darah Sewaktu (GDS) Stik (Rawat Inap) |
Rp40.000 |
Penunjang |
| 4195 |
Tes Buta Warna (Rawat Inap) |
Rp90.000 |
Keperawatan |
| 4196 |
Open reduction internal fixation / ORIF |
Rp2.813.000 |
Prosedur Bedah |
| 4197 |
Pengisian Saluran Akar (Sedang Rawat Inap) |
Rp96.000 |
Keperawatan |
| 4198 |
EKG (IGD) |
Rp100.000 |
Keperawatan |
| 4199 |
Gula Darah Sewaktu / GDS Stik (IGD) |
Rp40.000 |
Penunjang |
| 4200 |
Pasang Ransel Verban (IGD) |
Rp71.000 |
Keperawatan |
