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TARIF INACBGS RADIOLOGI RAWAT JALAN

Kode Special Total Tarif


No Diagnosa Tindakan Tarif
INACBGS Investigation Klaim
CT SCAN
1 Stroke 87.03 951900 - 951900
Kepala
Neoplasm
CT SCAN
2 of brain 87.02 529100 - 951900
Kepala
(C71.6)
Malignant
Neoplasm
3 MRI Kepala 88.91 1119500 - 1119500
Unspecifie
d (C71.9)
4 MRI Thorax 88.92 1119500 1679300 2798800
MRI Spinal
5 88.93 1119500 1679300 2798800
Canal
MRI
6 88.94 1119500 - 1119500
Ekstremitas
7 MRI Abdomen 88.95 1119500 1679300 2798800
MRI Bladder,
8 Prostate 88.97 119500 - 1119500

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