T A R IF H A R G A P E M E R IK SA A N R A D IO D IA G N O ST IK

R U M A H SA K IT SU A K A IN SA N
B A N JA R M A SIN

N o K o d e N a m a P e m e r ik sa a n H arga

1 T003 S k u ll A P /L A T / O b lik 370000

2 T006 C R A N IU M A P /L A T 220000

3 T007 W A TER S 150000

4 T008 O R B IT A D /S 220000

5 T009 T M J O P E N /C L O S E M O U T H 300000

6 T010 S C H U L L E R / M A S T O ID D /S 220000

7 T011 M A N D IB U L A A P 150000

8 T012 M A N D IB U L A L A T / E IS L E R 150000

9 T013 N A S A L E A P /L A T 220000

10 T014 A D E N O ID / C R A N IU M LA T 150000

11 T015 M A N U S A P /O B L IK 220000

12 T016 ELB O W A P /L A T 220000

13 T017 W R IS T A P /L A T 220000

14 T018 A N T E B R A C H II A P /L A T 220000

15 T019 SH O U LD ER E xso / E ndo 220000

16 T020 SH O U LD ER A P 150000

17 T021 H U M E R U S A P /L A T 220000

18 T022 C L A V IC U L A A P 150000

19 T023 P E D IS A P /O B L IK 220000

20 T024 A N K L E A P /L A T 220000

21 T025 C A LC A N EU S A X IA L /L A T 220000

22 T026 C R U R IS A P /L A T 220000

23 T027 G EN U A P /L A T 220000

24 T028 G EN U D /S A P /L A T 300000

25 T029 F E M U R A P /L A T 220000

26 T030 C E R V IC A L A P /L A T 220000

27 T031 C E R V IC A L A P /L A T /O B L IK D /S 440000

28 T032 TH O R A C A L A P /L A T 220000

29 T033 TH O R A C A L A P /L A T /O B L IK D /S 440000

30 T034 TH O R A C O LU M B A L A P /L A T 220000

31 T035 TH O R A C O LU M B A L A P /L A T /O B L IK D /S 440000

32 T036 LU M B O SA C R A L A P /L A T 220000

33 T037 LU M B O SA C R A L A P /L A T /O B L IK D /S 440000

34 T038 P E L V IS A P 150000

35 T039 P E L V IS A P /L A T 220000

36 T040 C O X IG E U S A P /L A T 220000
37 T041 H IP A P D /S 220000

38 T042 H IP L A T /F R O G L E G D /S 220000

39 T043 TH O R A X A P /L A T 220000

40 T044 TH O R A X LA T ( S ) 150000

41 T045 B N O / B O F 150000

42 T046 TH O R A X R LD 150000

43 T047 A B D O M EN 3 P O S IS I 370000

44 T048 B N O IV P 600000

45 T049 C O LO N IN L O O P 1000000

46 T050 O M D 1000000

47 T051 A P P E D IC O G R A M 1000000

48 T052 B A B Y G R A M 150000

49 T053 U R ETH R O G R A FI 1000000

50 T054 U R ETH R O C Y STO G R A FI 1000000

51 T055 C Y STO G R A FI 1000000

52 T056 U SG A B D O M EN 400000

53 T057 U SG U R O LO G I 400000

54 T058 U S G T H Y R O ID 400000

55 T059 U SG M A M M A E 400000

56 T060 U SG D O PPLER 400000

57 T061 U SG K A N D U N G A N 400000

58 T062 U SG K EPA LA 400000

59 T063 U S G T E S T IS 400000

60 T064 E C H O C A R D IO G R A F I 400000

61 T065 M SC T K EPA LA 1100000

62 T066 M SC T K EPA LA K O N TR A S 2200000

63 T067 M SC T A B D O M EN TA N PA K O N TR A S 2000000

M SC T A B D O M EN D EN G A N K O N T R A S S Y R IN G E P U M P
64 T068 3200000
IN JE K T O R

65 T069 U SG LEH ER 400000

66 T070 U S G G U ID IN G 400000

67 T071 M SC T LEH ER TA N PA K O N TR A S 2000000

68 T072 U SG M A TA 400000

69 T073 U S G B IB IR 400000

70 T074 S K U L L A P /L A T 220000

71 T075 M SC T TH O R A X 2000000

72 T076 S C O L IO S IS V IE W 240000

73 T077 M S C T S IN U S P A R A N A S A L IS /N A S O P H A R Y N X 1500000

74 T078 M SC T LU M B O SA C R A L 2000000

75 T079 B O N E SU R V EY 1000000

76 T080 U SG M U SK U LO SK ELETA L 400000

77 T081 U SG TH O R A X 400000

78 T082 U S G M A N D IB U L A 400000

79 T083 U SG SC R O TU M 400000

80 T084 T h o ra x + C a lv ic u la A P + S k u ll A P 170000

81 T085 T h o ra x P A + C la v ic u la ( D ) A P 220000

82 T086 K e p a la A p /L a t 220000

83 T087 C O R 170000

84 T088 U sg M a n d ib u lla 400000

85 T089 R PG 350000

86 T090 M S C T S h o u ld e r 2

87 T091 P e lv is A p /L a t + F e m u r A p /L a t 4400000

88 T092 S k u ll A p + W a te rs 220000

89 T093 S c a p u la A P 170000

90 T094 T h o rax A P 150000

91 T095 T h o rax P A 150000

92 T096 P E D IS D /S A p /L a t 240000

93 T097 L u m b o S acral A P / L at + C o x y g eu s A P / L at 370000

94 T098 B N O + TH O R A X PA 220000

95 T099 M S C T S e rv ic o T h o ra c a l 2000000

96 T100 W a te rs A p / L a t 220000

97 T101 C o x ae A p / L at F ro g 220000

98 T102 B N O + LU M B O SA C R A L 240000

99 T103 U S G H e p a to b ilie r 400000

100 T104 TH O R A X +FEM U R 220000

101 T105 S k u ll A P 150000

102 T106 U S G S O F T IS U F E M U R D E X T R A 400000

103 T107 M SC T Lum bal 2000000

104 T108 U S G T R A N S V A G IN A L 400000

105 T109 U SG H EPA R 400000

106 T110 C L A V IC U L A + P E L V IS A P 220000

107 T111 R e tro g ra d e U re tro sisto g ra fi 500000

108 T112 T M J (D ) 440000

109 T113 T M J (S ) 440000

110 T114 T h o rax + B N O 220000

111 T115 M SC T TH O R A X K O N TR A S 2400000

112 T116 A p e n d ric o g ra m 600000

113 T117 M A N D IB U L A A P / LA T 220000

114 T118 T h o rax P ro M ark es 400000

115 T119 G e n u ( S ) A p /L a t 220000

116 T120 G e n u ( D ) A p /L a t 220000

117 T121 P E D IS ( S ) A p / O b liq 220000

118 T122 P E D IS ( D ) A p / O b liq 220000

119 T123 M A N U S (S ) 150000

120 T124 M A N U S (D ) 150000

121 T125 U SG PR O M A R K ER 400000

122 T126 L U M B O L S A C R A L A P /L A T + T H O R A X A P 290000

123 T127 T h o ra x A p , C la v ic u la (S ), A n te b ra c h i (D ), F e m u r (D ) 310000

124 T128 FO TO A B D O M EN 170000

125 T129 U SG PR O STA T 400000

126 T130 PA TELA S K Y L IN E V IE W 170000

127 T131 M S C T C E R V IC A L 1800000

128 T132 G e n u D /S + P a te la S k y lin e V ie w 510000

129 T133 U S G T E L IN G A 400000

130 T134 N a sa lis 170000

131 T135 S k u ll L a te ra l + W a te rs 220000

132 T136 FEM U R A P 150000

133 T137 B N O R e te n si 2 4 ja m 150000

134 T138 P e lv is A P / O b liq u e 220000

135 T139 TH O R A X + H U M ER U S 220000

136 T140 M S C T T h o ra c o /+ L u m b a l 2000000

137 T141 M S C T S to n o g ra m 2000000

138 T142 M S C T P E L V IS 1500000

139 T143 k o n tra s O m n ip a q e 600000

140 T144 M S C T L a ry n k + K o n tra s 1800000

141 T145 M S C T P e d is / c a lc a n e u s 1800000

142 T146 L o p o G rafi 500000

143 T147 U S G S o ft T issu e 400000

144 T148 TH O R A X + B N O /B O F 220000

145 T149 M S C T G e n u D /S 1800000

146 T150 M S C T L ary n k 1000000

147 T151 B ip o la r U re th ro V e sik a 1500000

148 T152 M S C T U ro lo g i K o n tra s 3000000

149 T153 F IS T U L O G R A F I 440000

150 T154 P a n o ra m ik 150000

151 T155 A tre sia A n i 220000

152 T156 U S G p ip i 400000

153 T157 M S C T H IP 2000000

154 T158 M R I G enu 0

155 T159 G e n u D /S 150000

156 T160 U S G C o lli 400000

157 T161 M S C T S e rv ik a l + T h o ra c a l 2000000

158 T162 IN L E T + Q U T L E T P E L V IS A P / L A T 220000

159 T163 T h o rax P A / L A T 220000

160 T164 S in u s P a ra n a sa lis 2 P o sisi 220000

161 T165 P E L V IS A P ( F R O G L E G ) P O S IT IO N 150000

162 T166 H EM ER U S ( S ) A P/ LA T 220000

163 T167 H EM ER U S ( D ) A P/ LA T 220000

164 T168 M A N U S ( D ) A P / O B L IK 220000

165 T169 A N K LE ( S ) A P / LA T 220000

166 T170 A N K LE ( D ) A P / LA T 220000

167 T171 ELB O W ( S ) A P / LA T 220000

168 T172 ELB O W ( D ) A P / LA T 220000

169 T173 M A N U S ( S ) A P / O B L IK 220000

170 T174 FEM U R ( D ) A P / LA T 220000

171 T175 FEM U R ( S ) A P / LA T 220000

172 T176 O R B IT A L A P / O B L IK 220000

173 T177 T i n d a k a n d r . J o h a n n e s S . S p .R a d 200000

174 T178 T in d a k a n d r. M a n sy u r A . S p . R a d 200000

175 T179 O B A T K O N T R A S , S P U IT , W IN W E D IL 383800

176 T180 C R U R IS ( D ) A P / L A T 220000

177 T181 G EN U D / S A P / LA T 440000

178 T182 W R IT S ( S ) A P / L A T 220000

179 T183 W R IS T ( D ) A P / L A T 220000

180 T184 SH O U LD ER ( D ) E xso / E ndo 220000

181 T185 SK U LL PA / LA T 220000

182 T186 P e lv is A P + F ro g p o sitio n 220000

183 T187 T h o ra x A P + W a te rs 220000

184 T188 M S C T T h o racal 2000000

185 T189 T h o ra x P A + W a te rs 220000

186 T190 T h o rax A P + L u m b o sacral A P / L A T 370000

187 T191 C L A V IC U L A ( D ) A P 150000

188 T192 C L A V IC U L A ( S ) A P 150000

189 T193 LU M B O SA C R A L A P / L A T + P E L V IS A P 220000

190 T194 LU M B O SA C R A L A P 150000

191 T195 M an u s D / S A P O B L IK 440000

192 T196 H IP JO IN T A P 150000

193 T197 A N TEB R A C H I ( S ) A P / LA T 220000

194 T198 C E R V IC A L ( D ) A P / L A T 220000

195 T199 C E R V IC A L ( S ) A P / L A T 220000

196 T200 S h o u ld e l ( D ) T a m p a k C L A V IC U L A A P 150000

197 T201 TH O R A X + P E L V IS 220000

198 T202 SH O U LD ER ( D ) A P 150000

199 T203 SH O U LD ER ( S ) A P 150000

200 T204 H U M ER U S A P 150000

201 T205 G EN U ( S ) LA T 150000

202 T206 FEM U R ( S ) LA T 150000

203 T207 R e te n si K o n tra s 2 4 Ja m 150000

204 T208 TH O R A C A L A P 150000

205 T209 TH O R A C O LU M B A L A P 150000

206 T210 U SG FU N G SI 400000

207 T211 C R U R IS ( S ) A P / L A T 220000

208 T212 C A LC A N EU S ( D ) A X IA L / L A T 220000

209 T213 C A LC A N EU S ( S ) A X IA L / L A T 220000

210 T214 SH O U LD ER ( D ) Y V IE W 150000

211 T215 U SG TR A N SR EC TA L 400000

212 T216 S h o u ld e r L A T 150000

213 T217 C O X A E A P 150000

214 T218 U SG TR U S PR O STA T 400000

215 T219 M ETA C A R PA L ( D ) A P / O B L IK 220000

216 T220 FEM U R ( D ) A P 150000

217 T221 A N K LE ( D ) A P 150000

218 T222 A N TEB R A C H I ( D ) A P / LA T 220000

219 T223 U S G P A R O T IS 400000

220 T224 R PG D EX TR A 1000000

221 T225 R P G S IN IS T R A 1000000

222 T226 T h o rax L A T ( R ) 150000

223 T227 TH O R A C O A B D O M IN A L 150000

224 T228 U S G H E P A T O B IL L IE R 2 F A S E 400000

225 T229 T h o rax L L D 150000

226 T230 U S G M A M M A E D /S 400000

227 T231 p a te lla A P /L A T 220000

228 T232 W R IT S A P 150000

229 T233 M S C T E lb o w 1500000

230 T234 T h o rax A P + H E M E R U S ( S ) A P 220000

231 T235 E lb o w A P 150000

232 T236 U S G G IN JA L 400000

233 T237 T h o ra x A P + S h o u ld e r D / S 370000