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Tarif dan Tindakan Klinik Nyeri

Jaspel Bersih Tarif


No Nama Tindakan
70% 100%
1 Konsultasi Dokter Spesialis
2 Carpal Tunel Syndrome USG 350,000 500,000
3 De Querviain Syndrome USG 350,000 500,000
4 Guyon Syndrome USG 350,000 500,000
5 Tennis Elbow USG 350,000 500,000
6 Golfer Elbow USG 350,000 500,000
7 Tendinitis Bicipitalis USG 350,000 500,000
8 Supra Scapular USG 400,000 571,429
9 Gleno Humeral USG 400,000 571,429
10 Acromio Clavicural Joint USG 400,000 571,429
11 Teres Mayor USG 400,000 571,429
12 Trigger Finger USG 400,000 571,429
13 Fascitis Plastaris USG 450,000 642,857
14 Tarsal Tunnel Syndrome USG 450,000 642,857
15 Peroneal Entrapment USG 400,000 571,429
16 Tibial Entrapment USG 400,000 571,429
17 Tendinitis Patella USG 400,000 571,429
18 Popliteal Entrapment USG 400,000 571,429
19 Baker's Cyst USG 400,000 571,429
20 Intrathecal Labour Analgesia(ILA) / Persalinan Tanpa Nyeri -
21 Piriformis Syndrome USG 500,000 714,286
22 Sacroiliac Joint Disfunction USG 500,000 714,286
23 Pudental Nerve Entrapment USG 500,000 714,286
24 Obturator Nerve Entrapment USG 500,000 714,286
25 TAB Blok USG 500,000 714,286
26 Meralgia Parastesia USG 500,000 714,286
27 Thoracal Facet Joint Injection USG 500,000 714,286
28 Thoracal Medial Branch Injection USG 500,000 714,286
29 Thoracal Transformina Injection USG -
30 Thoracal Interlaminal Injection -
31 Lumbar Facet Joint Injection 500,000 714,286
32 Lumbar Medial Branch Injection USG 500,000 714,286
33 Lumbar Transforamina Injection USG -
34 Lumbar Interlaminal Injection USG -
35 Lumbar Symphatetic Injection USG -
36 Sacral Transforaminal Injection USG -
37 Sacral Epidural Injection USG -
38 Servical Facet Joint Injection USG 500,000 714,286
39 Servical Medial Branch Injection USG 500,000 714,286
40 Servical Interlaminal Injection USG -
41 Servical Symphatetic Injection USG -
42 Epidural Labour Analgesia (ELA) / Persalinan Tanpa Nyeri -
43 Epidural Cancer Pain Therapy 500,000 714,286
44 Epidural Poset Pain Management 500,000 714,286
45 Injeksi PRP dr Spesialis 500,000 714,286
46 Coeliac Blok / Lisis USG -
47 Hipogastrik Superior Blok / Lisis USG -
48 Ganglion Impar Blok / Lisis USG -
49 450,000 642,857
50 450,000 642,857
Jaspel Bersih Tarif
60% 100%

350,000 583,333
350,000 583,333
350,000 583,333
350,000 583,333
350,000 583,333
350,000 583,333
400,000 666,667
400,000 666,667
400,000 666,667
400,000 666,667
400,000 666,667
450,000 750,000
450,000 750,000
400,000 666,667
400,000 666,667
400,000 666,667
400,000 666,667
400,000 666,667
-
500,000 833,333
500,000 833,333
500,000 833,333
500,000 833,333
500,000 833,333
500,000 833,333
500,000 833,333
500,000 833,333
-
-
500,000 833,333
500,000 833,333
-
-
-
-
-
500,000 833,333
500,000 833,333
-
-
-
500,000 833,333
500,000 833,333
500,000 833,333
-
-
-
450,000
450,000

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