| Nama Perawatan | Kelas | Penjamin | Tarif |
|---|---|---|---|
|
CV Thoracalis AP/Lat
|
- | PT ADMEDIKA | Rp 345.000 |
|
CV Thoracalis AP/Lat/Obl
|
- | PT ADMEDIKA | Rp 655.500 |
|
CV Thoracalis+Lumbalis AP/Lat
|
- | PT ADMEDIKA | Rp 552.000 |
|
CYSTOGARAFI
|
- | UMUM | Rp 800.000 |
|
CYSTOGARAFI
|
- | PT INHEALTH | Rp 644.000 |
|
CYSTOGARAFI
|
- | PT JASA HARJA | Rp 800.000 |
|
DENTAL
|
- | PT JASA HARJA | Rp 150.000 |
|
DENTAL
|
- | PT INHEALTH | Rp 120.750 |
|
DENTAL
|
- | UMUM | Rp 150.000 |
|
Depan (1 2 & 3)
|
- | PT ADMEDIKA | Rp 172.500 |
|
ELBOW
|
- | PT INHEALTH | Rp 144.900 |
|
ELBOW
|
- | PT JASA HARJA | Rp 180.000 |
|
ELBOW AP/LAT
|
- | UMUM | Rp 180.000 |
|
ELBOW BILATERAL
|
- | UMUM | Rp 250.000 |
|
ELBOW BILATERAL
|
- | PT INHEALTH | Rp 201.250 |