Page 12 - TARIF BPJS (Update Nov 2017)

6 Irigasi Nasal 85,050 72,450 157,500
7 Otoscopy Diagnostic 85,050 72,450 157,500
8 Pasang Tampon Hidung 85,050 72,450 157,500
9 Pasang Tampon Telinga 75,600 64,400 140,000
10 Path Method 85,050 72,450 157,500
11 Pertubasi Telinga 85,050 72,450 157,500
12 Serumen, Ekstraksi Komplikata 151,200 128,800 280,000
13 Serumen, Ekstraksi Simpel 56,700 48,300 105,000
14 Tampon Adrenalin Hidung 66,150 56,350 122,500
15 Tindakan Irigasi / Toilet / Spooling 85,050 72,450 157,500
16 Tindakan Punksi / Parasentesis 94,500 80,500 175,000
17 Therapy Canalis Auditoris 85,050 72,450 157,500
18 Audiometri - 70,000 70,000

Catatan :
Biaya belum termasuk Obat-obatan dan Medical Supply

MATA
I TINDAKAN Jasa Medis Biaya Sarana Total Tarif

1 Anel Test 57,960 103,040 161,000
2 Argon Laser untuk Grid 466,200 828,800 1,295,000
3 Barrage Laser 693,000 1,232,000 1,925,000
4 Biometri 25,200 44,800 70,000
5 Color Blind Test - 25,000 25,000
6 Ekstirpasi Lytiasis 50,400 89,600 140,000
7 Epilasi 63,000 112,000 175,000
8 FFA Anestesi 252,000 448,000 700,000
9 Fluoresin Test 25,200 44,800 70,000
10 Focal Laser 378,000 672,000 1,050,000
11 Foto Fundus 79,560 141,440 221,000
12 Gonioscopy 48,960 87,040 136,000
13 Grid Laser 504,000 896,000 1,400,000
14 Injeksi Intra Konjunctiva 63,000 112,000 175,000
15 Injeksi Intra Oculer 252,000 448,000 700,000
16 Injeksi peri & retrobulbar 100,800 179,200 280,000
17 IOL Master 37,800 67,200 105,000
18 Irigasi mata 59,256 105,344 164,600
19 Keraterometri 6,048 10,752 16,800
20 Konfrontasi Test 22,680 40,320 63,000
21 Kuratage / Insisi Hordeolum 87,408 155,392 242,800
22 Kuratage / Insisi Kalazion 93,600 166,400 260,000
23 Laser Iridectomy 1,260,000 2,240,000 3,500,000
24 Night Vision 10,080 17,920 28,000
25 ND YAG Laser per mata 504,000 896,000 1,400,000
26 OCT 138,600 246,400 385,000
27 Opthalmoscope Indirect 42,480 75,520 118,000
28 Perimetri / Humphrey 91,260 162,240 253,500
29 PRP Laser 504,000 896,000 1,400,000
30 Schiemer Test 25,200 44,800 70,000
31 Stereoskopik Vision 10,080 17,920 28,000
32 Streak Retinoscopy 45,360 80,640 126,000
33 Tonometri Schioltz 18,900 33,600 52,500
34 Tonometri Non Kontak 17,640 31,360 49,000
35 USG mata 68,040 120,960 189,000
36 Visus + refraksi - 28,000 28,000
37 Xantelasma 75,600 134,400 210,000
38 Ekstraksi Corpus Alienum Mata

Catatan :