| NAMA |
KODE |
| AFF CHATETER |
58.94 |
| AFF HECTING |
97.89 |
| CRANIUM |
87.09 |
| DEBRITMENT |
86.28 |
| EKG |
89,52 |
| EKSTRAKSI
BENDA ASING TELINGA |
98.11 |
| GANTI BALUTAN/ PERBAN |
93,57 |
| HEMODIALISA |
39,95 |
| INCUBATOR |
93,35 |
| INJEK |
99.18 |
| INJEK
INSPEKULO |
89.26 |
| INJEK PERIPER |
04.80 |
| KATETERISASI / PASANG DC |
57,94 |
| LAB. DARAH |
90.59 |
| LAB. HORMON |
91.19 |
| LAB. URIN |
91.39 |
| NEBULIZER |
93,94 |
| OKSIGEN |
93,96 |
| PASANG
CATETER |
57.94 |
| PASANG NGT |
96.07 |
| PHOTO CERVICAL |
87,22 |
| PHOTO PELVIS |
87,24 |
| PHOTO SCHEDEL (SKULL) |
87,17 |
| PHOTO
SHOULDER |
88.21 |
| PHOTO TORAX |
87,44 |
| REHAB : EXC
PASIF |
93.17 |
| REHAB : EXC
RINGAN AKTIF |
93.12 |
| REHAB : EXC
STROKE |
93.19 |
| REHAB : INJEK
+ USG MUSKULOSKELETAL |
00.09 |
| REHAB : INJEK
TARAPEUTIK |
81.92 |
| REHAB : IR |
93.35 |
| REHAB : US /
MWD |
93.34 |
| USG ABDOMEN |
88,76 |
| USG BREAST |
88.73 |
| USG FAST |
87,76 |
| USG HEPATOBILIER |
88,74 |
| USG KANDUNGAN |
88.78 |
| USG THYROID |
88.71 |
| USG URINARY |
88,75 |
| EKSTRAKSI
BENDA ASING HIDUNG |
98.12 |
| INSISI KULIT |
86.05 |
| MONITOR |
89.50 |
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