NO

Nama Tindakan
Prosthetic dental implant
Apicoectomy and root canal therapy
Root canal therapy with apicoectomy
Apicoectomy
Other Other surgical extraction of tooth (Root Resection/ Hemisection)
§ Resection of Upper Tooth, Single, Open Approach
§ Resection of Upper Tooth, Multiple, Open Approach
§ Resection of Upper Tooth, All, Open Approach
§ Resection of Lower Tooth, Single, Open Approach
§ Resection of Lower Tooth, Multiple, Open Approach
§ Resection of Lower Tooth, All, Open Approach
§ Resection of Upper Tooth, Single, Open Approach
§ Resection of Upper Tooth, Multiple, Open Approach
§ Resection of Upper Tooth, All, Open Approach
Disertai
§ Transfer Upper Gingiva, Open Approach
§ Transfer Upper Gingiva, External Approach
Scenario 2
§ Resection of Lower Tooth, Single, Open Approach
§ Resection of Lower Tooth, Multiple, Open Approach
§ Resection of Lower Tooth, All, Open Approach
Disertai
§ Transfer Lower Gingiva, Open Approach
§ Transfer Lower Gingiva, External Approach
Exposure of tooth
Application of orthodontic appliance
Oro-Antral Fistula Closure
Closure of nasal sinus fistula
§ Repair Right Maxillary Sinus, Open Approach
§ Repair Right Maxillary Sinus, Percutaneous Approach
§ Repair Right Maxillary Sinus, Percutaneous Endoscopic Approach
§ Repair Buccal Mucosa, Open Approach
§ Repair Buccal Mucosa, Percutaneous Approach
§ Repair Buccal Mucosa, External Approach
CORPUS ALENIUM SINUS MAKSILARIS
Other external maxillary antrotomy
§ Extirpation of Matter from Right Maxillary Sinus, Open Approach
§ Extirpation of Matter from Right Maxillary Sinus, Percutaneous Approach
§ Extirpation of Matter from Left Maxillary Sinus, Open Approach
PREPROSTHETIC SURGERY
Alveoloplasty
(Alveolectomy (interradicular) (intraseptal) (radical) (simple) (with graft or implant)
Extension or deepening of buccolabial or lingual sulcus (Vestibuloplasty)
§ Release Buccal Mucosa, Open Approach
§ Release Buccal Mucosa, Percutaneous Approach
§ Release Buccal Mucosa, External Approach
Exostosis of the Jaw Jaw (bone)
Torus: Mandibularis
Palatinus
Enlargement : Hypertrophy alveolar processus or ridge
Free skin graft: Split Skin Graft
Osseointegration failure of dental implant
Post-osseointegration biological failure of dental implant
Post-osseointegration mechanical failure of dental implant
Other endosseous dental implant failure
Disebabkan karena:
Infection
Poor Bone quality poor bone quality
Lack of attached gingiva
Occlusal trauma (caused by poor prosthetic design)
Parafunctional habits
Periodontal infection (peri-implantitis)
Poor oral hygiene
Unintentional loading
Endosseous NEC
Mechanical
Disebabkan karena: Iatrogenic
Post-osseointegration: biological failure
Iatrogenic
due to complications of systemic disease
pre-osseointegration
Open wound of tooth (broken) (fractured) (due to ttrauma), without mention of compiIcation
Fracture of tooth (traumatic), initial encounter for closed fracture
Fracture of tooth (traumatic), initial encounter for open fracture
Tooth (broken) (fractured) (due to trauma), Complicated
Fracture of tooth (traumatic), initial encounter for closed fracture
Fracture of tooth (traumatic), initial encounter for open fracture
Avulsion (traumatic) tooth
Avulsion traumatic complicated
Operations On Teeth, Gums, And Alveoli
Incision of gum or alveolar bone
Drainage of Upper Gingiva with Drainage Device, Open Approach
Drainage of Upper Gingiva, Open Approach
Drainage of Upper Gingiva with Drainage Device, Percutaneous Approach
Drainage of Upper Gingiva, Percutaneous Approach
Drainage of Upper Gingiva with Drainage Device, Open Approach
Drainage of Upper Gingiva with Drainage Device, External Approach
Drainage of Upper Gingiva, External Approach
Drainage of Lower Gingiva with Drainage Device, Open Approach
Drainage of Lower Gingiva, Open Approach
Drainage of Lower Gingiva with Drainage Device, Percutaneous Approach
Drainage of Lower Gingiva, Percutaneous Approach
Drainage of Lower Gingiva with Drainage Device, External Approach
Drainage of Lower Gingiva, External Approach
Extirpation of Matter from Upper Gingiva, Open Approach
Extirpation of Matter from Upper Gingiva, Percutaneous Approach
Extirpation of Matter from Lower Gingiva, Open Approach
Extirpation of Matter from Lower Gingiva, Percutaneous Approach
Drainage of Right Maxilla with Drainage Device, Open Approach
Drainage of Right Maxilla, Open Approach
Drainage of Right Maxilla with Drainage Device, Percutaneous Approach
Drainage of Right Maxilla, Percutaneous Approach
Drainage of Right Maxilla with Drainage Device, Percutaneous Endoscopic Approach
Drainage of Right Maxilla, Percutaneous Endoscopic Approach
Drainage of Left Maxilla with Drainage Device, Open Approach
Drainage of Left Maxilla, Open Approach
Drainage of Left Maxilla with Drainage Device, Percutaneous Approach
Drainage of Left Maxilla, Percutaneous Approach
Drainage of Left Maxilla with Drainage Device, Percutaneous Endoscopic Approach
Drainage of Left Maxilla, Percutaneous Endoscopic Approach
Drainage of Right Mandible with Drainage Device, Open Approach
Drainage of Right Mandible, Open Approach
Drainage of Right Mandible with Drainage Device, Percutaneous Approach
Drainage of Right Mandible, Percutaneous Approach
Drainage of Right Mandible with Drainage Device, Percutaneous Endoscopic Approac
Drainage of Right Mandible, Percutaneous Endoscopic Approach
Drainage of Right Mandible with Drainage Device, Percutaneous Endoscopic Approach
Drainage of Left Mandible with Drainage Device, Open Approach
Drainage of Left Mandible, Open Approach
Drainage of Left Mandible with Drainage Device, Open Approach
Drainage of Left Mandible, Percutaneous Approach
Drainage of Left Mandible with Drainage Device, Percutaneous Endoscopic Approach
Drainage of Left Mandible, Percutaneous Endoscopic Approach
Extirpation of Matter from Right Maxilla, Open Approach
Extirpation of Matter from Right Maxilla, Percutaneous Approach
Extirpation of Matter from Right Maxilla, Percutaneous Endoscopic Approach
Extirpation of Matter from Left Maxilla, Open Approach
Extirpation of Matter from Left Maxilla, Percutaneous Approach
Extirpation of Matter from Left Maxilla, Percutaneous Endoscopic Approach
Extirpation of Matter from Right Mandible, Open Approach
Extirpation of Matter from Right Mandible, Percutaneous Approach
Extirpation of Matter from Right Mandible, Percutaneous Endoscopic Approach
Extirpation of Matter from Left Mandible, Open Approach
Extirpation of Matter from Left Mandible, Percutaneous Approach
Extirpation of Matter from Left Mandible, Percutaneous Endoscopic Approach
Diagnostic Procedures On Teeth, Gums, and Alveoli
Exposure of Tooth
Biopsi of Gum
Biopsi of Alveolus
Other diagnostic procedure on teeth, gums and alveoli
Replacement of Upper Gingiva with Autologous Tissue Substitute, Open Approach
Replacement of Upper Gingiva with Synthetic Substitute, Open Approach
Replacement of Upper Gingiva with Nonautologous Tissue Substitute, Open Approach
Replacement of Upper Gingiva with Autologous Tissue Substitute, Percutaneous Approach
Replacement of Upper Gingiva with Synthetic Substitute, Percutaneous Approach
Replacement of Upper Gingiva with Nonautologous Tissue Substitute, Percutaneous Approach
Replacement of Upper Gingiva with Autologous Tissue Substitute, External Approach
Replacement of Upper Gingiva with Synthetic Substitute, External Approach
Replacement of Upper Gingiva with Nonautologous Tissue Substitute, External Approach
Replacement of Lower Gingiva with Autologous Tissue Substitute, Open Approach
Replacement of Lower Gingiva with Synthetic Substitute, Open Approach
Replacement of Lower Gingiva with Nonautologous Tissue Substitute, Open Approach
Replacement of Lower Gingiva with Autologous Tissue Substitute, Percutaneous Approach
Replacement of Lower Gingiva with Synthetic Substitute, Percutaneous Approach
Replacement of Lower Gingiva with Nonautologous Tissue Substitute, Percutaneous Approach
Replacement of Lower Gingiva with Autologous Tissue Substitute, External Approach
Replacement of Lower Gingiva with Synthetic Substitute, External Approach
Replacement of Lower Gingiva with Nonautologous Tissue Substitute, External Approach
Supplement Upper Gingiva with Autologous Tissue Substitute, Open Approach
Supplement Upper Gingiva with Synthetic Substitute, Open Approach
Supplement Upper Gingiva with Nonautologous Tissue Substitute, Open Approach
Supplement Upper Gingiva with Autologous Tissue Substitute, Percutaneous Approach
Supplement Upper Gingiva with Synthetic Substitute, Percutaneous Approach
Supplement Upper Gingiva with Nonautologous Tissue Substitute, Percutaneous Approach
Supplement Upper Gingiva with Autologous Tissue Substitute, External Approach
Supplement Upper Gingiva with Synthetic Substitute, External Approach
Supplement Upper Gingiva with Nonautologous Tissue Substitute, External Approach
Supplement Lower Gingiva with Autologous Tissue Substitute, Open Approach
Supplement Lower Gingiva with Synthetic Substitute, Open Approach
Supplement Lower Gingiva with Nonautologous Tissue Substitute, Open Approach
§ Supplement Lower Gingiva with Autologous Tissue Substitute, Percutaneous Approach
§ Supplement Lower Gingiva with Synthetic Substitute, Percutaneous Approach
§ Supplement Lower Gingiva with Nonautologous Tissue Substitute, Percutaneous Approach
§ Supplement Lower Gingiva with Autologous Tissue Substitute, External Approach
§ Supplement Lower Gingiva with Synthetic Substitute, External Approach
§ Supplement Lower Gingiva with Nonautologous Tissue Substitute, External Approach
Other Operations On Gum
Excision of dental lesion of jaw
Biopsy of gum
Biopsy of alveolus
Other diagnostic procedures on teeth, gums, and alveoli
Excision of lesion or tissue of gum
Suture of laceration of gum
Other operations on gum
Excision of dental lesion of jaw
Other dental operations
Cyst (mucus) (retention) (serous) (simple) gingiva
Oral Mucocele (mucous retention, mucous extravasasion, mucous cyst of oral mucosa)
Other Periodontal diseases
PENGELOLAAN KOMPLIKASI BEDAH DENTOALVEOLAR
Prophylactic drug therapy use of antibiotics
§ Antibiotic given for prevention of subacute bacterial endocarditis
§ Antibiotic given for prevention of subacute bacterial endocarditis (situation)
Pyogenic granuloma of oral mucosa, ilic or eosinophopyogenic
Atrophy, atrophic parotid gland salivary duct or gland sublingual gland
submaxillary gland
Disease, diseased - SEE ALSO Syndrome glassblowers'
Mikulicz's (dryness of mouth, absent or decreased lacrimation)
Glassblowers' disease
Hyperplasia, hyperplastic salivary gland (any)
Developmental odontogenic cysts: References found for the code 526.0 in the Index of Diseases
and Injuries:
Cyst (mucus) (retention) (serous) (simple) bone (local)
jaw mandible maxilla
jaw (bone) (aneurysmal) (extravasation) (hemorrhagic) (traumatic)
dental
follicular (atretic) (ovarian)
bone (local)

jaw
jaw (bone) (aneurysmal) (extravasation) (hemorrhagic) (traumatic)
Cyst (mucus) (retention) (serous) (simple) anterior nasopalatine
fissural
fissural (oral region) globulomaxillary incisor, incisive canal fissural
median
anterior maxillary palatal nasopalatine (duct) anterior
palatal papilla (jaw) palate
fissural
median (fissural) palatine, of papill
Short Description: Cysts of jaws NEC Long Description: Other cysts of jaws This is the 2014
version of the ICD-9-CM diagnosis code 526.2
Synonyms Aneurysmal cyst of jaw Cyst of jaw
Hemorrhagic cyst of jaw Maxillary cyst
Median mandibular cyst
Non-odontogenic developmental cyst of jaw
Stafne idiopathic bone cavity of mandible Traumatic cyst of jaw
Granuloma NEC
gingiva
peripheral (gingiva)
Diagnostic procedures on tongue
Closed [needle] biopsy of tongue
Open biopsy of tongue Wedge biopsy

Other diagnostic procedures on tongue

Partial glossectomy
Complete glossectomy
Glossectomy NOS
Code also any neck dissection (40.40-40.42)
Complete glossectomy
Glossectomy NOS
Code also any neck dissection (40.40-40.42)

Radical glossectomy
Code also any:
Neck dissection (40.40-40.42) Tracheostomy (31.1-31.29)

Repair of tongue and glossoplasty

Suture of laceration of tongue
Other repair and plastic operations on tongue
Fascial sling of tongue
Fusion of tongue (to lip)
Graft of mucosa atau skin to tongue
Tidak termasuk: lysis of adhesions of tongue

Other operations on tongue

Lingual frenotomy
Tidak termasuk: labial frenotomy
Lingual frenectomy
Tidak termasuk: labial frenectomy
Operations on salivary glands and ducts Includes: operations on:
lesser salivary gland and duct
parotid gland and duct
sublingual gland and duct
submaxillary gland and duct
Code also any neck dissection (40.40-40.42)

26.0 Incision of salivary gland or duct Tidak termasuk:

x-ray of salivary gland (87.09)

Diagnostic procedures on salivary glands and ducts

Closed [needle] biopsy of salivary gland Atau duct

Open biopsy of salivary gland atau duct

Other diagnostic procedures on salivary glands and ducts
Tidak termasuk: x-ray of salivary gland (87.09)
Excision of lesion of salivary gland
Marsupialization of salivary gland cyst
Other excision of salivary gland lesion Tidak termasuk: biopsy of salivary gland salivary
fistulectomy (26.42)

Other operations on mouth and face Includes: operations on:

lips
palate
soft tissue of face and mouth, except tongue and gingiva
Excludes: operations on:
gingiva (24.0-24.99)
tongue
Drainage of face and flour of mouth Drainage of:
facial region (abscess)
fascial compartment of face Ludwig's angina
lips
palate
soft tissue of face and mouth, except tongue and gingiva
Excludes: operations on:
gingiva (24.0-24.99)
tongue
Drainage of face and flour of mouth Drainage of:
facial region (abscess)
fascial compartment of face Ludwig's angina
Excludes: drainage of thyroglossal tract (06.09)
Incision of palate
Diagnostic procedures on Ataual cavity Biopsy of bony palate
Biopsy of uvula and soft palate
Biopsy of lip
Biopsy of mouth, unspecified structure
Other diagnostic procedures on Ataual cavity
Excludes: soft tissue x-ray (87.09)

Operations on facial bones and joints

Other facial bone repair and orthognathic surgery
Code also any synchronous:
bone graft
synthetic implant
Excludes:
Closed osteoplasty [osteotomy] of mandibular ramus
Gigli saw osteotomy

Open osteoplasty [osteotomy] of mandibular ramus

Osteoplasty [osteotomy] of body of mandible
Other orthognathic surgery on mandible Mandibular osteoplasty NOS Segmental or subapical
osteotomy

Facial Bone Countouring - Split Mandible Osteotomy

Segmental osteoplasty [osteotomy] of maxilla
Maxillary osteoplasty NOS
Total osteoplasty [osteotomy] of maxilla
Reduction genioplasty

Augmentation genioplasty Mentoplasty:

NOS
with graft or implant
Other facial bone repair Osteoplasty of facial bone NOS

Incision of Facial Bone without Division

Sequestrectomy of facial bone
Diagnostic Procedures On Facial Bones And Joints
Other incision of facial bone
Biopsy of facial bone
Other diagnostic procedures on facial bones and joints
Local excision or destruction of lesion of facial bone
Partial Ostectomy Of Facial Bone
Partial mandibulectomy
Partial ostectomy of other facial bone
Excision And Reconstruction Of Facial Bones
Total mandibulectomy with synchronous reconstruction
Other total mandibulectomy
Other reconstruction of mandible
Total ostectomy of other facial bone with synchronous reconstruction
Other total ostectomy of other facial bone
Other reconstruction of other facial bone
Temporomandibular arthroplasty
Other Facial Bone Repair And Orthognathic Surgery
Closed osteoplasty [osteotomy] of mandibular ramus
Open osteoplasty [osteotomy] of mandibular ramus
Osteoplasty [osteotomy] of body of mandible
Other orthognathic surgery on mandible
Segmental osteoplasty [osteotomy] of maxilla
Total osteoplasty [osteotomy] of maxilla
Reduction genioplasty
Augmentation genioplasty
Other facial bone repair
Reduction Of Facial Fracture
Reduction of facial fracture, not otherwise specified
Closed reduction of malar and zygomatic fracture
Open reduction of malar and zygomatic fracture
Closed reduction of maxillary fracture
Open reduction of maxillary fracture
Closed reduction of mandibular fracture
Open reduction of mandibular fracture
Open reduction of alveolar fracture
Other closed reduction of facial fracture
Other open reduction of facial fracture
Other Operations On Facial Bones And
Joints
Bone graft to facial bone
Insertion of synthetic implant in facial bone
Closed reduction of temporomandibular dislocation
Open reduction of temporomandibular dislocation
Other manipulation of temporomandibular joint
Injection of therapeutic substance into temporomandibular joint
Removal of internal fixation device from facial bone
MALIGNANT NEOPLASM OF LIP, ORAL CAVITY, AND PHARYNX (140-149)

Malignant neoplasm of upper lip, vermilion border

Excludes:
skin of lip (173.0)
Malignant neoplasm of external lower lip,
vermilion border
Malignant neoplasm of upper lip, inner
aspect
Malignant neoplasm of lower lip, inner aspect
Malignant neoplasm of lip, unspecified, inner aspect
Malignant neoplasm of commissure of lip,
unspecified
Malignant neoplasm of other sites of lip
Malignant neoplasm of lip, unspecified,
vermilion border
Malignant neoplasm of base of tongue
Malignant neoplasm of dorsal surface of tongue
Malignant neoplasm of tip and lateral border of tongue
Malignant neoplasm of ventral surface of tongue
Malignant neoplasm of anterior two-thirds of tongue, part unspecified
Malignant neoplasm of junctional zone of tongue
Malignant neoplasm of lingual tonsil
Malignant neoplasm of other sites of tongue, unspecified
(Malignant neoplasm of overlapping sites
of tongue/ Malignant neoplasm of two or mor contiguous sites of tongue)
Malignant neoplasm of tongue, unspecified
Malignant Neoplasm Of Parotid Gland
142.1 Submandibular gland Submaxillary gland
142.2 Sublingual gland
Malignant neoplasm of other major salivary glands
Malignant neoplasm of contiguous or overlapping sites of salivary glands and ducts whose point of
origin cannot be
determined
Malignant neoplasm of salivary gland, unspecified
Malignant neoplasm of upper gum
Malignant neoplasm of lower gum
Malignant neoplasm of other sites of gum
Malignant neoplasm of gum, unspecified
Malignant neoplasm of anterior portion of floor of mouth
Malignant neoplasm of lateral portion of floor of mouth
Malignant neoplasm of other sites of floor of
mouth
Malignant neoplasm of floor of mouth, part unspecified
Malignant neoplasm of cheek mucosa
Malignant neoplasm of vestibule of mouth
Malignant neoplasm of hard palate
Malignant neoplasm of soft palate
Malignant neoplasm of uvula
Malignant neoplasm of palate, unspecified
Malignant neoplasm of retromolar area
Malignant neoplasm of posterior wall of oropharynx
Malignant neoplasm of other specified parts
of mouth
Malignant neoplasm of oropharynx, unspecified site
Malignant neoplasm of other sites within the
lip and oral cavity
Malignant neoplasm of ill-defined sites within
the lip and oral cavity
Aff Arch Bar
Aff Arch Bar dan suspensi maksila
Biopsy Insisional dengan anastesi lokal
Eksisi Gld Submandibula
Eksisi luas tumor ganas bibir dengan rekonstruksi flap lokal
Eksisi luas tumor ganas rongga mulut dengan rekonstruksi flap lokal
Eksisi parsial+marsupialisasi ranula
Eksisi tumor jinak dengan anestesi lokal
Ekskokleasi kista folikuller
Ekskokleasi kista radikuler
Ekstirpasi/ eksisi tumor jinak jaringan lunak ukuran <2cm
Insisi abses dengan anestesi lokal
Secondary Repair Labioplasty
Labioplasty Bilateral
Labioshisis
Other repair and plastic operation of tongue
Palatoplasty
Release kontraktur mandibula
Fraktur dan dislokasi - ORIF dengan miniplate, GA
Frontozygomaticomaxillary suspension, GA
Labioplasty bilateral, GA
Labioplasty sumbing bibir unilateral, GA
ORIF dengan 1 approach
ORIF fraktur Le Fort I, GA
ORIF fraktur Le Fort II, GA
Ossointegrated mandibular implant - close primary, GA
Osseointegrated mandibular implant - distant/free flap, GA
Osseointegrated mandibular implant, GA
Palatoplasty complete, GA
Palatoplasty incomplete, GA
Repair fistel palatum dengan bucal atau lingual flap, GA
Repair fistel palatum, GA
TMJ Arthroscopy and Treatment, GA
TMJ Arthtrotomy, GA
TMJ Lavage dengan C-ARM, GA
Insisi Abses Sub Mandibula
Pasang NGT
Ekstirpasi Tumor Jinak
Caldwell-Luc
ICD IX-CM F1 F2.1 F2.2 F3 F4 Total Skor RVU
23.6
23.7
23.72
23.73

23.19

24.6
24.7 25 45 15 15 15 115 20000
528.3
22.71

22.79

22.71

22.39

24.5

24.91

526.81
526.81

525.8
86.6
525.71
525.72
525.73
525.79

525.71

525.72

525.79
525.63

525.72

525.71

873.63

873.73
24

24.0

24.11

24.0
24.0

24.1
24.6
24.11
24.12
24.19

24.2
 24.2

24.2

24.2

24.3
24.4
24.11
24.12
24.19
24.31
24.32
24.39
24.4
24.99
527.6
527.6 ;528.9
523.8
99.21

528.9
527.0

527.1

733.20

526.2
522.8
620.0
733.20

526.2

526.1

526.2

686.1
532.8
25.0
25.01
25.02
25.09
25.2 25 45 45 15 45 175 20000

25.3
 25.3

25.4

25.5
25.51

23.59+23.93

25.9
25.91 20 15 45 5 15 1000 20000

25.92

26.0

26.0

26.1

26.11
26.12 25 45 45 5 5 125 20000
26.19
26.2
26.1

26.29+26.42

27
 27

27.0 25 45 45 15 15 145 20000

27.1
27.2
27.21
27.22
27.23
27.29
76
76.6
76.91
25 90 45 15 15 190 20000
76.92

76.61

76.62
76.63

76.64

76.64 25 180 45 90 130 470 20000

25 180 45 90 130 470 20000
76.65
76.66
76.67

76.68

76.69
76.0
76.01
76.1
76.09
76.11
76.19
76.2
76.3 20 90 45 15 20 190 20000
76.31 25 90 45 45 20 225 20000
76.39 25 45 45 15 35 165 20000
 76.4 25 45 45 45 110 270 20000
76.41
76.42 25 45 45 45 45 205 20000
76.43 25 90 45 15 20 195 20000
76.44
76.45
76.46 25 90 45 15 20 195 20000
76.5
76.6
76.61
76.62
76.63
76.64
76.65
76.66
76.67
76.68
76.69
76.7 25 45 45 5 15 135 20000
76.70 25 15 15 5 5 65 20000
76.71
76.72 25 45 45 15 45 175 20000
76.73
76.74 20 45 45 15 25 150 20000
76.75 25 15 15 15 15 85 20000
76.76 25 90 45 15 20 195 20000
76.77 20 15 45 15 25 120 20000
76.78
76.79
76.9
76.91 20 90 45 15 20 190 20000
76.92
76.93 25 15 45 5 15 105 20000
76.94
76.95 25 180 45 90 130 470 20000
76.96
76.97 25 45 45 5 5 125 20000
76.99
140 – 149

140.0

140.1

140.3
140.4
140.5
140.6
140.8
140.9
141.0
141.1
141.2
141.3
141.4
141.5
141.6

141.8

141.9
142.0
142.1
142.2

142.8

142.9
143.0
143.1
143.8
143.9
144.0
144.1
144.8
144.9
145.0
145.1
145.2
145.3
145.4
145.5
145.6
145.7
145.8
145.9
149.8
 149.9
25 45 15 5 5 95 20000
24.8
25 45 45 5 5 125 20000
83.21 25 15 15 5 5 65 20000
26.3 25 45 45 15 25 155 20000
27.42+27.57 25 45 45 15 45 175 20000
27.49+27.57 25 90 45 15 40 215 20000
26.21 25 45 45 5 15 135 20000
20 15 15 5 5 60 20000
25 45 45 5 5 125 20000
86.2
25 45 45 5 5 125 20000
20 15 45 5 10 95 20000
86.03 25 15 15 5 5 65 20000
27.54 25 90 15 15 60 205 20000
27.54 20 45 45 5 20 135 20000
27.54 20 15 45 5 10 95 20000
25.59 25 90 45 15 20 195 20000
27.6 20 15 45 15 25 120 20000
86.84 25 45 15 15 30 130 20000
79.84 25 90 45 45 70 275 20000
86.63 25 90 45 45 70 275 20000
27.54 25 45 45 45 40 200 20000
27.54 25 15 45 5 5 95 20000
76.74 25 45 45 15 20 150 20000
76.74 25 45 45 45 40 200 20000
76.74 25 45 45 45 110 270 20000
76.76 25 90 45 45 130 335 20000
76.41 25 180 45 90 130 470 20000
76.76 25 45 45 45 110 270 20000
27.6 25 15 45 15 20 120 20000
27.6 25 45 45 45 40 200 20000
25 90 45 45 130 335 20000
27.53
25 45 45 45 110 270 20000
80.29 25 180 45 90 130 470 20000
80.10 25 180 45 90 130 470 20000
87.13 25 180 45 90 130 470 20000
27.0 20 15 15 5 5 60 10000
96.07 20 15 0 0 5 40 5000
21.23
22.61 20 15 45 5 10 95 20000
 JASA

Rp2,300,000
Rp3,500,000
Rp2,000,000

Rp2,500,000
Rp2,900,000

Rp3,800,000

Rp9,400,000
Rp9,400,000

Rp3,800,000
Rp4,500,000
Rp3,300,000
Rp5,400,000

Rp4,100,000
Rp3,900,000

Rp3,900,000

Rp2,700,000
Rp1,300,000

Rp3,500,000

Rp3,500,000
Rp1,700,000
Rp3,500,000
Rp2,400,000

Rp3,800,000

Rp2,100,000

Rp9,400,000

Rp2,500,000
Rp1,900,000
Rp2,500,000
Rp1,300,000
Rp3,100,000
Rp3,500,000
Rp4,300,000
Rp2,700,000
Rp1,200,000
Rp2,500,000
Rp2,500,000
Rp1,900,000
Rp1,300,000
Rp4,100,000
Rp2,700,000
Rp1,900,000
Rp3,900,000
Rp2,400,000
Rp2,600,000
Rp5,500,000
Rp5,500,000
Rp4,000,000
Rp1,900,000
Rp3,000,000
Rp4,000,000
Rp5,400,000
Rp6,700,000
Rp9,400,000
Rp5,400,000
Rp2,400,000
Rp4,000,000
Rp6,700,000
Rp5,400,000
Rp9,400,000
Rp9,400,000
Rp9,400,000
Rp600,000
Rp200,000

Rp1,900,000