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KODE PEMERIKSAAN LABORATORIUM

Kode Pemeriksaan Harga Jenis


J1 Sperma (#) 225,000 ANALISIS
J2 Batu ginjal 242,000 ANALISIS
J3 Batu Empedu 184,000 ANALISIS
J4 Papsmear 110,000 ANALISIS
G2 Pencernaan 27,000 FAECES
G3 Darah Samar 108,000 FAECES
G4 Lemak 52,000 FAECES
FRN1 MAKROSKOPIK - FAECES
FRN2 Warna - FAECES
FRN3 Konsistensi - FAECES
FRN4 MIKROSKOPIK - FAECES
FRN6 Sisa Pencernaan - FAECES
FRN5 Telur Cacing - FAECES
FRN7 Lekosit - FAECES
FRN8 Eritrosit - FAECES
FRN9 Sel Epitel - FAECES
A10 Laju Endap Darah 27,500 HEMATOLOGI
A12 Eosinofil 51,000 HEMATOLOGI
A14 Gambaran Sed, apus darah tepi 143,000 HEMATOLOGI
A15 Gambaran Sed, apus sumsum tulang 440,000 HEMATOLOGI
A16 TIBC 104,000 HEMATOLOGI
A17 Ferritin 198,000 HEMATOLOGI
A18 Trombotest Owren 180,000 HEMATOLOGI
A20 Waktu Pembekuan 35,500 HEMATOLOGI
A22 APTT (activated) 126,500 HEMATOLOGI
A23 Fibrinogen 198,000 HEMATOLOGI
A24 Rektraksi Bekuan 40,000 HEMATOLOGI
A25 Viskositas Darah 151,000 HEMATOLOGI
A26 Coombs test 360,000 HEMATOLOGI
A27 Rumpell Leede 17,600 HEMATOLOGI
A28 Resistensi Osmotik/Hemolisis 60,000 HEMATOLOGI
A29 G6-PD 167,000 HEMATOLOGI
A30 Hb Elektoforesis 691,000 HEMATOLOGI
A31 Rhesus Factor - HEMATOLOGI
A32 Cross Match Major/Minor - HEMATOLOGI
A33 Ham 38,500 HEMATOLOGI
A34 Sel LE 52,000 HEMATOLOGI
A35 Golongan Darah (ABO) 46,000 HEMATOLOGI
A4 Hemoglobin 48,000 HEMATOLOGI
A5 Eritrosit 52,000 HEMATOLOGI
A6 Lekosit 52,000 HEMATOLOGI
A7 Hematokrit 52,000 HEMATOLOGI
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Kode Pemeriksaan Harga Jenis
A9 Trombosit 48,000 HEMATOLOGI
A8b MCH - HEMATOLOGI
A8a MCV - HEMATOLOGI
A8c MCHC - HEMATOLOGI
A10b LED Jam 2 - HEMATOLOGI
A11a Limfosit - HEMATOLOGI
A11b Monosit - HEMATOLOGI
A11c Neutrofil - HEMATOLOGI
A11e Basofil - HEMATOLOGI
A17A Fe Serum 105,000 HEMATOLOGI
A10a LED Jam 1 - HEMATOLOGI
A13 Retikulosit 70,000 HEMATOLOGI
A21a Hasil Dalam INR - HEMATOLOGI
A38 D-Dimer 531,000 HEMATOLOGI
A21 Waktu Protrombin 181,000 HEMATOLOGI
a19 Waktu Pendarahan 35,500 HEMATOLOGI
A20K Waktu Pembekuan 33,000 HEMATOLOGI
a19K Waktu Pendarahan 33,000 HEMATOLOGI
B10 HCV RNA KUALITATIF 2,350,000 IMMUNOLOGI
B11A Anti HAV 340,000 IMMUNOLOGI
B12 Anti HAV IgM 310,000 IMMUNOLOGI
B14 CEA 230,000 IMMUNOLOGI
B15 PSA total 315,000 IMMUNOLOGI
B16 Free PSA 630,000 IMMUNOLOGI
B18 Ca 125 470,000 IMMUNOLOGI
B19 Ca 15-3 440,000 IMMUNOLOGI
B2 Anti HBs Titer 200,000 IMMUNOLOGI
B20 Ca 19-9 480,000 IMMUNOLOGI
B21 SCC 420,000 IMMUNOLOGI
B22 NSE 528,000 IMMUNOLOGI
B24 Malaria 57,500 IMMUNOLOGI
B25 Anti Amuba 310,000 IMMUNOLOGI
B26a Anti Dengue Elisa IgG 1,500,000 IMMUNOLOGI
B26b Anti Dengue Elisa IgM 1,550,000 IMMUNOLOGI
B28 ICT-TB 275,000 IMMUNOLOGI
B29 Anti H Pylorl IgG 435,000 IMMUNOLOGI
B30 VDRL 59,000 IMMUNOLOGI
B31 TPHA 92,000 IMMUNOLOGI
B33 GO (Mikroskopik) 52,000 IMMUNOLOGI
B34g Anti Toxoplasma IgG 222,000 IMMUNOLOGI
B35 Anti Rubella (IgG) 240,000 IMMUNOLOGI
B36 Anti Rubella (IgM) 306,000 IMMUNOLOGI
B37 Anti CMV (IgG) 225,000 IMMUNOLOGI
B38 Anti CMV (IgM) 315,000 IMMUNOLOGI

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Kode Pemeriksaan Harga Jenis
B39 Anti HSV 2 (IgG) 230,000 IMMUNOLOGI
B4 Anti HBc IgM 443,000 IMMUNOLOGI
B40 Anti HSV 2 (IgM) 230,000 IMMUNOLOGI
B41 Anti HSV 1 (IgG) 247,000 IMMUNOLOGI
B42 Anti HSV 1 (IgM) 247,000 IMMUNOLOGI
B43 T3 185,000 IMMUNOLOGI
B44 Free T3 290,000 IMMUNOLOGI
B45 T4 185,000 IMMUNOLOGI
B46 Free T4 245,000 IMMUNOLOGI
B47 TSHS 194,000 IMMUNOLOGI
B48 LH (#) 265,000 IMMUNOLOGI
B49 FSH (#) 269,000 IMMUNOLOGI
B5 HBe Ag 347,000 IMMUNOLOGI
B50 Prolactin ( # *) 250,000 IMMUNOLOGI
B51 Estrodiol 330,000 IMMUNOLOGI
B52 Testosteron 300,000 IMMUNOLOGI
B53 Progesteron 335,000 IMMUNOLOGI
B54 Calcitonin 1,350,000 IMMUNOLOGI
B55 Cartisol ( # * ) 326,000 IMMUNOLOGI
B56 ASTO 78,000 IMMUNOLOGI
B57 ANA 518,000 IMMUNOLOGI
B58 LE Test 95,000 IMMUNOLOGI
B59 RF 81,000 IMMUNOLOGI
B6 Anti HBe 427,000 IMMUNOLOGI
B60 AMA 99,000 IMMUNOLOGI
B61 SMA 99,000 IMMUNOLOGI
B62 C3 Komplemen 334,000 IMMUNOLOGI
B63 Anti-ds DNA 390,000 IMMUNOLOGI
B64 IGE Total 265,000 IMMUNOLOGI
B65 IgG 359,000 IMMUNOLOGI
B65A IgA 346,000 IMMUNOLOGI
B65B IgM 366,000 IMMUNOLOGI
B66A CRP Kualitatif 116,000 IMMUNOLOGI
B66b Crp Kuantitatif 214,000 IMMUNOLOGI
B7 HBV DNA Kuantitatif 2,500,000 IMMUNOLOGI
B8 ANTI HCV 346,500 IMMUNOLOGI
B9 ANTI HCV IgM 1,050,000 IMMUNOLOGI
J10 Pap Smear (Check Up) 100,000 IMMUNOLOGI
wdl2 Salmonella Parathypi AH - IMMUNOLOGI
wdl1 Salmonella Thypi H - IMMUNOLOGI
wdl3 Salmonella Parathypi BH - IMMUNOLOGI
wdl4 Salmonella Parathypi CH - IMMUNOLOGI
wdl5 Salmonella Thypi O - IMMUNOLOGI
wdl6 Salmonella Parathypi AO - IMMUNOLOGI

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Kode Pemeriksaan Harga Jenis
wdl7 Salmonella Parathypi BO - IMMUNOLOGI
wdl8 Salmonella Parathypi CO - IMMUNOLOGI
drp1 Anti Dengue IgG - IMMUNOLOGI
drp2 Anti Dengue IgM - IMMUNOLOGI
b32a Anti HIV 1 300,000 IMMUNOLOGI
b32b Anti HIV 2 - IMMUNOLOGI
B34m Anti Toxoplasma IgM 222,000 IMMUNOLOGI
B1a HBsAg - IMMUNOLOGI
B1b - IMMUNOLOGI
B7A - IMMUNOLOGI
B7B - IMMUNOLOGI
B41a - IMMUNOLOGI
B7D - IMMUNOLOGI
B7E - IMMUNOLOGI
b3A - IMMUNOLOGI
B3 Anti HBc Total 249,000 IMMUNOLOGI
B13 A- Fetoprotein (AFP) 245,000 IMMUNOLOGI
B34M1 - IMMUNOLOGI
B34G1 - IMMUNOLOGI
B351 - IMMUNOLOGI
B36a - IMMUNOLOGI
B37A - IMMUNOLOGI
B38A - IMMUNOLOGI
b352 - IMMUNOLOGI
b36B - IMMUNOLOGI
b37B - IMMUNOLOGI
b38B - IMMUNOLOGI
b34MB - IMMUNOLOGI
B34GB - IMMUNOLOGI
b9a - IMMUNOLOGI
B42a - IMMUNOLOGI
B39a - IMMUNOLOGI
B40a - IMMUNOLOGI
B39b - IMMUNOLOGI
B40b - IMMUNOLOGI
B41b - IMMUNOLOGI
B42b - IMMUNOLOGI
B67 hs-CRP 181,500 IMMUNOLOGI
b6a - IMMUNOLOGI
b63a - IMMUNOLOGI
b63b - IMMUNOLOGI
b63c - IMMUNOLOGI
B65C IgE Atopy 832,000 IMMUNOLOGI
B11B - IMMUNOLOGI

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Kode Pemeriksaan Harga Jenis
B10B HCV RNA KUANTITATIF 2,538,000 IMMUNOLOGI
B49a - IMMUNOLOGI
B49b - IMMUNOLOGI
B49c - IMMUNOLOGI
B49d - IMMUNOLOGI
B49e - IMMUNOLOGI
B68 Anti CCP Igg 440,000 IMMUNOLOGI
B34G2 - IMMUNOLOGI
B69 Anti Tyroglobulin 269,000 IMMUNOLOGI
B62a C4 Komplemen 367,000 IMMUNOLOGI
B23A Anti Salmonella Typhi (IgM) 214,000 IMMUNOLOGI
B27A Dengue Rapid NS1 Antigen 295,000 IMMUNOLOGI
B70 Tubex 198,000 IMMUNOLOGI
B23B Anti Salmonella Typhi (IgG) 253,000 IMMUNOLOGI
B71a Anti Immunoglobulin IgA 374,000 IMMUNOLOGI
B71b Anti Immunoglubulin IgG 374,000 IMMUNOLOGI
B71c Anti Immunologiglobulin IgM 374,000 IMMUNOLOGI
B2K Anti Hbs Titer 185,000 IMMUNOLOGI
B8K ANTI HCV 315,000 IMMUNOLOGI
E1 Plano Test 72,000 KEHAMILAN
C1 SGOT (AST) 38,000 KIMIA DARAH
C10 Protein Total 49,000 KIMIA DARAH
C11 Protein Elektroforesis 176,000 KIMIA DARAH
C12a Albumin - KIMIA DARAH
C13 Asam Empedu 618,000 KIMIA DARAH
C14 Ureum/Urea N (*) 38,000 KIMIA DARAH
C15 Kreatinin 38,000 KIMIA DARAH
C16 Klirens Urea (~) 80,000 KIMIA DARAH
C17 Klirens Kreatinin (~) 84,000 KIMIA DARAH
C18 Asam Urat (*) 41,000 KIMIA DARAH
C19 Mikroalbuminuri (MAU) 110,000 KIMIA DARAH
C2 SGPT (ALT) 38,000 KIMIA DARAH
C20 Glukosa puasa 25,000 KIMIA DARAH
C21 Glukosa 2 jam PP 25,000 KIMIA DARAH
C22 Glukosa Sewaktu 25,000 KIMIA DARAH
C24 Kurva harian (4X) 83,000 KIMIA DARAH
C25 Glycosilated Hb (HbA1c) 180,000 KIMIA DARAH
C26 Fruktosamin 550,000 KIMIA DARAH
C27 Insulin (*) 281,000 KIMIA DARAH
C28 C-Peptide (*) 306,000 KIMIA DARAH
C29 SGOT (AST) 35,000 KIMIA DARAH
C3 Gamma-GT 71,000 KIMIA DARAH
C30 SGPT (ALT) 35,000 KIMIA DARAH
C31 LDH 82,000 KIMIA DARAH

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Kode Pemeriksaan Harga Jenis
C32 CK 124,000 KIMIA DARAH
C33 CK-MB 295,000 KIMIA DARAH
C34 Homocysteine (*) 475,000 KIMIA DARAH
C35 Amilase 206,000 KIMIA DARAH
C36 Lipase 163,000 KIMIA DARAH
C37 Kolesterol Total 39,000 KIMIA DARAH
C38 Trigliserida 40,000 KIMIA DARAH
C39 Kolesterol HDL 50,000 KIMIA DARAH
C4 Fosfatase Alkali (AP) 58,000 KIMIA DARAH
C40 Kolesterol LDL 80,000 KIMIA DARAH
C41 Kolesterol LDL direk 80,000 KIMIA DARAH
C42 Apo A1 (*) 214,000 KIMIA DARAH
C43 Apo B (*) 155,000 KIMIA DARAH
C44 Lp A (*) 280,000 KIMIA DARAH
C45 Natrium 77,000 KIMIA DARAH
C46 Kalium 77,000 KIMIA DARAH
C47 Klorida 77,000 KIMIA DARAH
C48 Kalsium 60,000 KIMIA DARAH
C49 Fosfor Anorganik 67,000 KIMIA DARAH
C5 LAP - KIMIA DARAH
C50 Bikarbonat (Enzymatik) 350,000 KIMIA DARAH
C51 Magnesium 71,000 KIMIA DARAH
C6 Cholinesterase (Che) 104,000 KIMIA DARAH
C7 GLDH 396,000 KIMIA DARAH
C9 Bilirubin Total 47,000 KIMIA DARAH
c8b Bilirubin Indirec - KIMIA DARAH
C12b Globulin - KIMIA DARAH
c8a Bilirubin Direc - KIMIA DARAH
B22a B-HCG 297,000 KIMIA DARAH
C21K Glukosa 2 jam PP 23,000 KIMIA DARAH
C20K Glukosa Puasa 23,000 KIMIA DARAH
C15K Kreatinin 35,000 KIMIA DARAH
C14K Ureum/Urea N (*) - KIMIA DARAH
C22K Glukosa Sewaktu 23,000 KIMIA DARAH
C1K SGOT (AST) 35,000 KIMIA DARAH
C2K SGPT (ALT) 35,000 KIMIA DARAH
C18K Asam Urat (*) 38,000 KIMIA DARAH
C37K Kolesterol Total 36,000 KIMIA DARAH
C38K Trigliserida 37,000 KIMIA DARAH
C39K Kolesterol HDL 46,000 KIMIA DARAH
C41K Kolesterol LDL Direk 73,000 KIMIA DARAH
C4K Fosfatase Alkali (AP) 53,000 KIMIA DARAH
C31 LDH 75,000 KIMIA DARAH
C14A Urea N Urine 40,000 KIMIA DARAH

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Kode Pemeriksaan Harga Jenis
I1 Jumlah Sel 57,000 LIQUOR
I2 Hitung jenis 57,000 LIQUOR
I3 Nonne/Pandy 27,000 LIQUOR
I4 Rivalta 18,000 LIQUOR
I5 Protein 27,000 LIQUOR
I6 Glukosa 27,000 LIQUOR
I7 PA/Sitologi Cairan 82,000 LIQUOR
H10 Kultur Difteria 165,000 MIKROBIOLOGI
H11 Kultur jamur 302,000 MIKROBIOLOGI
bt5 BTA ( Sewaktu ) - MIKROBIOLOGI
H2 BTA (Mikroskopik) 53,000 MIKROBIOLOGI
H3 GO (Mikroskopik) 51,000 MIKROBIOLOGI
H4 Diphteria ( Mikroskopik) 60,000 MIKROBIOLOGI
H5 Fungi (Mikroskopik) 60,000 MIKROBIOLOGI
H6 Candida (Mikroskopik) 60,000 MIKROBIOLOGI
H6A Clamydia (Mikroskopik) 43,000 MIKROBIOLOGI
H6B Trichomonas Vaginalis(Mikroskopik) 43,500 MIKROBIOLOGI
H7 Kultur Gal 297,000 MIKROBIOLOGI
H8 Kultur BTA 242,000 MIKROBIOLOGI
H9 Kultur GO 330,000 MIKROBIOLOGI
bt Bahan - MIKROBIOLOGI
bt1 BTA - MIKROBIOLOGI
bt2 BTA 1 X - MIKROBIOLOGI
bt3 BTA 2 X - MIKROBIOLOGI
bt4 BTA 3 X - MIKROBIOLOGI
bt6 BTA ( Pagi ) - MIKROBIOLOGI
gr Bahan - MIKROBIOLOGI
gr1 Basil Gram (-) - MIKROBIOLOGI
gr2 Basil Gram (+) - MIKROBIOLOGI
gr3 Coccus Gram (-) - MIKROBIOLOGI
gr4 Coccus Gram (+) - MIKROBIOLOGI
h13 Kultur dan Resistensi 290,000 MIKROBIOLOGI
bt10 Bahan : Sputum - MIKROBIOLOGI
bt11 Pengecatan BTA - MIKROBIOLOGI
H12 Uji Kepekatan Obat 148,500 MIKROBIOLOGI
F1 Methamphetamine (MET) 63,000 NARKOBA
F2 Marijuana (THc) / Canabinoid 63,000 NARKOBA
F3 Morphine (MOR) / Heroin / Opiate 63,000 NARKOBA
F4 Coccain 63,000 NARKOBA
F6 Benzodiazepine / Diazepam 63,000 NARKOBA
F5 Amphetamine 72,000 NARKOBA
F7 Opiatest 93,500 NARKOBA
F8 Cannabis 60,500 NARKOBA
A1 Hematologi rutin 68,000 PAKET

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Kode Pemeriksaan Harga Jenis
B23 Widal 95,000 PAKET
D1 Urine Rutin 38,000 PAKET
A2 Hematologi Lengkap 80,000 PAKET
B27 Dengue Rapid 295,000 PAKET
C8 Bilirubin Direct / Indirec 47,000 PAKET
c23 GTTO 210,000 PAKET
d6 Sedimen 25,000 PAKET
G1 FAECES RUTIN 51,000 PAKET
b32 Anti HIV 1 & 2 300,000 PAKET
B1 HBsAg 124,000 PAKET
H2 BTA (Mikrobiologi) 53,000 PAKET
B7 HBV DNA Kuantitatif 2,750,000 PAKET
b3 Anti HBc Total 249,000 PAKET
B34M Anti Toxoplasma IgM 222,000 PAKET
B34G Anti Toxoplasma IgG 222,000 PAKET
B36 Anti Rubella IgM 305,000 PAKET
B37 Anti CMV IgG 225,000 PAKET
B38 Anti CMV IgM 315,000 PAKET
b9 Anti HCV IgM 1,155,000 PAKET
B41 Anti HSV 1 IgG 247,000 PAKET
B42 Anti HSV 1 IgM 247,000 PAKET
B39 Anti HSV 2 IgG 230,000 PAKET
B40 Anti HSV 2 IgM 230,000 PAKET
b6 Anti HBeAG 427,000 PAKET
b63 Anti-ds DNA 396,000 PAKET
B49 FSH 269,000 PAKET
B11 Anti HAV 344,000 PAKET
A8 Nilai Nilai MC 63,000 PAKET
C12 Albumin/Globulin 51,000 PAKET
A4 Hemoglobin 48,000 PAKET
E1 Plano Test 72,000 PAKET
A14a Gambaran Sed, apus darah tepi + Hematologi Len 193,000 PAKET
A2K Hematologi Lengkap 73,000 PAKET
B1K HBsAg 113,000 PAKET
B23K Widal 87,000 PAKET
D1-K Urine Rutin 35,000 PAKET
A1K Hematologi rutin 61,000 PAKET
H1 Pengecatan gram Preparat 60,000 PREPARAT
URN5a Calsium Oxalat - SEDIMEN
URN3 Sel Epitel - SEDIMEN
URN4 Bakteri - SEDIMEN
URN5 Kristal - SEDIMEN
URN1 Lekosit - SEDIMEN
URN2 Eritrosit - SEDIMEN

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Kode Pemeriksaan Harga Jenis
URN5b Urat Amorf - SEDIMEN
URN5c Uric acid - SEDIMEN
URN5d Tripel Phosfat - SEDIMEN
URN6 Hialin - SEDIMEN
URN7 Granula - SEDIMEN
J5 Biopsy Jarum Halus (FNA) 330,000 SITOLOGI
J6 Biopsi Calring 275,000 SITOLOGI
J7 Pemeriksaan PA Jaringan 330,000 SITOLOGI
D2 Glukosa 25,000 URINELISIS
D3 Protein 25,000 URINELISIS
D4 Bilirubin 25,000 URINELISIS
D5 Keton 25,000 URINELISIS
D7 Protein Esbach (~) - URINELISIS
D8 Protein Bence Jones 64,000 URINELISIS
D1D CLARITY - URINELISIS
D1E SG - URINELISIS
D1F PH - URINELISIS
D1K LEU - URINELISIS
D1H NIT - URINELISIS
D1C PRO - URINELISIS
D1J GLU - URINELISIS
D1I KET - URINELISIS
D1A UBG - URINELISIS
D1B BIL - URINELISIS
D1G ERY - URINELISIS
URN5e Phosfat Amorf - URINELISIS
D1L COLOR - URINELISIS
a11 Hitung Jenis Leukosit 52,000

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