| 981 |
Elbow Disarticulation Single (Rawat Jalan Dewasa) |
Rp2.000.000 |
Prosedur Bedah |
| 982 |
Elbow Disarticulation Double (Rawat Jalan Dewasa) |
Rp4.000.000 |
Prosedur Bedah |
| 983 |
Below Elbow Prothesa Single (Rawat jalan Dewasa) |
Rp1.000.000 |
Prosedur Bedah |
| 984 |
Below Elbow Prothesa Double (Rawat Jalan Dewasa) |
Rp1.661.000 |
Prosedur Bedah |
| 985 |
Wrist Disarticulation Single (Rawat Jalan Dewasa) |
Rp1.500.000 |
Prosedur Bedah |
| 986 |
Wrist Disarticulation Double (Rawat Jalan Dewasa) |
Rp2.500.000 |
Prosedur Bedah |
| 987 |
Knee Disarticulation Single (Rawat Jalan Dewasa) |
Rp3.565.000 |
Prosedur Bedah |
| 988 |
Knee Disarticulation Double (Rawat Jalan Dewasa) |
Rp6.000.000 |
Prosedur Bedah |
| 989 |
Hip Disarticulation Prothesa Single (Rawat Inap Dewasa) |
Rp4.619.000 |
Prosedur Bedah |
| 990 |
PTB Thigh Corset Single (Rawat Jalan Dewasa) |
Rp2.381.000 |
Prosedur Bedah |
