| 971 |
MSO plastik (Rawat Jalan Dewasa) |
Rp4.065.000 |
Prosedur Bedah |
| 972 |
HKAFO Single (Rawat Jalan Dewasa) |
Rp1.367.000 |
Prosedur Bedah |
| 973 |
HKAFO Double (Rawat Jalan Dewasa) |
Rp2.337.000 |
Prosedur Bedah |
| 974 |
KAFO Single (Rawat Jalan Dewasa) |
Rp2.547.000 |
Prosedur Bedah |
| 975 |
KAFO Double (Rawat Jalan Dewasa) |
Rp3.500.000 |
Prosedur Bedah |
| 976 |
PTB Brace Single (Rawat Jalan Dewasa) |
Rp3.960.000 |
Prosedur Bedah |
| 977 |
PTB Brace Double (Rawat Jalan Dewasa) |
Rp3.960.000 |
Prosedur Bedah |
| 978 |
Shoulder Disart. Prothese Single (Rawat Jalan dewasa) |
Rp2.623.000 |
Prosedur Bedah |
| 979 |
Above Elbow Prothesa Single (Rawat Jalan Dewasa) |
Rp2.405.000 |
Prosedur Bedah |
| 980 |
Above Elbow Prothesa Double (Rawat Jalan Dewasa) |
Rp4.000.000 |
Prosedur Bedah |
