id idbaru nama idtarif kelas jasasarana jasapelayanan bhp

1 1 Tarif X-Ray 2018 1 0 0 0 0

1 1 Tarif X-Ray 2018 1 1 0 0 0
1 1 Tarif X-Ray 2018 1 2 0 0 0
1 1 Tarif X-Ray 2018 1 3 0 0 0
1 1 Tarif X-Ray 2018 1 4 0 0 0
2 2 Tarif X-Ray Umum 2 0 0 0 0
2 2 Tarif X-Ray Umum 2 1 0 0 0
2 2 Tarif X-Ray Umum 2 2 0 0 0
2 2 Tarif X-Ray Umum 2 3 0 0 0
2 2 Tarif X-Ray Umum 2 4 0 0 0
3 153 V.LUMBAL 3 0 243000 0 0
3 153 V.LUMBAL 3 1 292000 0 0
3 153 V.LUMBAL 3 2 268000 0 0
3 153 V.LUMBAL 3 3 243000 0 0
3 153 V.LUMBAL 3 4 316000 0 0
4 107 PELVIS 4 0 243000 0 0
4 107 PELVIS 4 1 292000 0 0
4 107 PELVIS 4 2 268000 0 0
4 107 PELVIS 4 3 243000 0 0
4 107 PELVIS 4 4 316000 0 0
5 122 SCHEDEL 5 0 243000 0 0
5 122 SCHEDEL 5 1 292000 0 0
5 122 SCHEDEL 5 2 268000 0 0
5 122 SCHEDEL 5 3 243000 0 0
5 122 SCHEDEL 5 4 316000 0 0
6 77 LUMBO SACRAL 6 0 243000 0 0
6 77 LUMBO SACRAL 6 1 292000 0 0
6 77 LUMBO SACRAL 6 2 268000 0 0
6 77 LUMBO SACRAL 6 3 243000 0 0
6 77 LUMBO SACRAL 6 4 316000 0 0
7 67 HIP 7 0 243000 0 0
7 67 HIP 7 1 292000 0 0
7 67 HIP 7 2 268000 0 0
7 67 HIP 7 3 243000 0 0
7 67 HIP 7 4 316000 0 0
8 138 THORACO LUMBAL 8 0 243000 0 0
8 138 THORACO LUMBAL 8 1 292000 0 0
8 138 THORACO LUMBAL 8 2 268000 0 0
8 138 THORACO LUMBAL 8 3 243000 0 0
 8 138 THORACO LUMBAL 8 4 316000 0 0
9 112 SACROCOCCYGYS 9 0 243000 0 0
9 112 SACROCOCCYGYS 9 1 292000 0 0
9 112 SACROCOCCYGYS 9 2 268000 0 0
9 112 SACROCOCCYGYS 9 3 243000 0 0
9 112 SACROCOCCYGYS 9 4 316000 0 0
10 37 COXAE 10 0 243000 0 0
10 37 COXAE 10 1 292000 0 0
10 37 COXAE 10 2 268000 0 0
10 37 COXAE 10 3 243000 0 0
10 37 COXAE 10 4 316000 0 0
11 132 SPINE 11 0 243000 0 0
11 132 SPINE 11 1 292000 0 0
11 132 SPINE 11 2 268000 0 0
11 132 SPINE 11 3 243000 0 0
11 132 SPINE 11 4 316000 0 0
12 158 V.THORACAL 12 0 243000 0 0
12 158 V.THORACAL 12 1 292000 0 0
12 158 V.THORACAL 12 2 268000 0 0
12 158 V.THORACAL 12 3 243000 0 0
12 158 V.THORACAL 12 4 316000 0 0
13 143 THORAX 13 0 243000 0 0
13 143 THORAX 13 1 292000 0 0
13 143 THORAX 13 2 268000 0 0
13 143 THORAX 13 3 243000 0 0
13 143 THORAX 13 4 316000 0 0
14 7 ABDOMEN / BNO 14 0 243000 0 0
14 7 ABDOMEN / BNO 14 1 292000 0 0
14 7 ABDOMEN / BNO 14 2 268000 0 0
14 7 ABDOMEN / BNO 14 3 243000 0 0
14 7 ABDOMEN / BNO 14 4 316000 0 0
15 32 COSTAE 15 0 243000 0 0
15 32 COSTAE 15 1 292000 0 0
15 32 COSTAE 15 2 268000 0 0
15 32 COSTAE 15 3 243000 0 0
15 32 COSTAE 15 4 316000 0 0
16 42 CRURIS 16 0 243000 0 0
16 42 CRURIS 16 1 292000 0 0
16 42 CRURIS 16 2 268000 0 0
16 42 CRURIS 16 3 243000 0 0
16 42 CRURIS 16 4 316000 0 0
17 52 FEMUR 17 0 243000 0 0
17 52 FEMUR 17 1 292000 0 0
17 52 FEMUR 17 2 268000 0 0
17 52 FEMUR 17 3 243000 0 0
17 52 FEMUR 17 4 316000 0 0
18 27 CLAVICULA 18 0 243000 0 0
18 27 CLAVICULA 18 1 292000 0 0
18 27 CLAVICULA 18 2 268000 0 0
18 27 CLAVICULA 18 3 243000 0 0
18 27 CLAVICULA 18 4 316000 0 0
19 127 SHOULDER 19 0 243000 0 0
19 127 SHOULDER 19 1 292000 0 0
19 127 SHOULDER 19 2 268000 0 0
19 127 SHOULDER 19 3 243000 0 0
19 127 SHOULDER 19 4 316000 0 0
20 117 SCAPULA 20 0 243000 0 0
20 117 SCAPULA 20 1 292000 0 0
20 117 SCAPULA 20 2 268000 0 0
20 117 SCAPULA 20 3 243000 0 0
20 117 SCAPULA 20 4 316000 0 0
21 72 HUMERUS 21 0 243000 0 0
21 72 HUMERUS 21 1 292000 0 0
21 72 HUMERUS 21 2 268000 0 0
21 72 HUMERUS 21 3 243000 0 0
21 72 HUMERUS 21 4 316000 0 0
22 17 ANTEBRACHII 22 0 243000 0 0
22 17 ANTEBRACHII 22 1 292000 0 0
22 17 ANTEBRACHII 22 2 268000 0 0
22 17 ANTEBRACHII 22 3 243000 0 0
22 17 ANTEBRACHII 22 4 316000 0 0
23 47 ELBOW 23 0 243000 0 0
23 47 ELBOW 23 1 292000 0 0
23 47 ELBOW 23 2 268000 0 0
23 47 ELBOW 23 3 243000 0 0
23 47 ELBOW 23 4 316000 0 0
24 62 GENU 24 0 243000 0 0
24 62 GENU 24 1 292000 0 0
24 62 GENU 24 2 268000 0 0
24 62 GENU 24 3 243000 0 0
24 62 GENU 24 4 316000 0 0
25 87 MANUS 25 0 222000 0 0
25 87 MANUS 25 1 267000 0 0
25 87 MANUS 25 2 245000 0 0
25 87 MANUS 25 3 222000 0 0
25 87 MANUS 25 4 289000 0 0
26 168 WRIST 26 0 222000 0 0
26 168 WRIST 26 1 267000 0 0
26 168 WRIST 26 2 245000 0 0
26 168 WRIST 26 3 222000 0 0
26 168 WRIST 26 4 289000 0 0
27 102 PEDIS 27 0 222000 0 0
27 102 PEDIS 27 1 267000 0 0
27 102 PEDIS 27 2 245000 0 0
27 102 PEDIS 27 3 222000 0 0
27 102 PEDIS 27 4 289000 0 0
28 133 TALO CALCANEUS 28 0 222000 0 0
28 133 TALO CALCANEUS 28 1 267000 0 0
28 133 TALO CALCANEUS 28 2 245000 0 0
28 133 TALO CALCANEUS 28 3 222000 0 0
28 133 TALO CALCANEUS 28 4 289000 0 0
29 12 ANKLE 29 0 222000 0 0
29 12 ANKLE 29 1 267000 0 0
29 12 ANKLE 29 2 245000 0 0
29 12 ANKLE 29 3 222000 0 0
29 12 ANKLE 29 4 289000 0 0
30 82 MANDIBULLA 30 0 222000 0 0
30 82 MANDIBULLA 30 1 267000 0 0
30 82 MANDIBULLA 30 2 245000 0 0
30 82 MANDIBULLA 30 3 222000 0 0
30 82 MANDIBULLA 30 4 289000 0 0
31 22 CERVICAL 31 0 222000 0 0
31 22 CERVICAL 31 1 267000 0 0
31 22 CERVICAL 31 2 245000 0 0
31 22 CERVICAL 31 3 222000 0 0
31 22 CERVICAL 31 4 289000 0 0
32 173 ZIGOMATICUS 32 0 222000 0 0
32 173 ZIGOMATICUS 32 1 267000 0 0
32 173 ZIGOMATICUS 32 2 245000 0 0
32 173 ZIGOMATICUS 32 3 222000 0 0
32 173 ZIGOMATICUS 32 4 289000 0 0
33 57 FORE ARM 33 0 222000 0 0
33 57 FORE ARM 33 1 267000 0 0
33 57 FORE ARM 33 2 245000 0 0
33 57 FORE ARM 33 3 222000 0 0
33 57 FORE ARM 33 4 289000 0 0
34 92 MAXILLA 34 0 222000 0 0
34 92 MAXILLA 34 1 267000 0 0
34 92 MAXILLA 34 2 245000 0 0
34 92 MAXILLA 34 3 222000 0 0
34 92 MAXILLA 34 4 289000 0 0
35 148 TMJ 35 0 222000 0 0
35 148 TMJ 35 1 267000 0 0
35 148 TMJ 35 2 245000 0 0
35 148 TMJ 35 3 222000 0 0
35 148 TMJ 35 4 289000 0 0
36 97 NASAL 36 0 222000 0 0
36 97 NASAL 36 1 267000 0 0
36 97 NASAL 36 2 245000 0 0
36 97 NASAL 36 3 222000 0 0
36 97 NASAL 36 4 289000 0 0
37 163 WATERS 37 0 222000 0 0
37 163 WATERS 37 1 267000 0 0
37 163 WATERS 37 2 245000 0 0
37 163 WATERS 37 3 222000 0 0
37 163 WATERS 37 4 289000 0 0
38 154 V.LUMBAL 38 0 260000 0 0
38 154 V.LUMBAL 38 1 312000 0 0
38 154 V.LUMBAL 38 2 286000 0 0
38 154 V.LUMBAL 38 3 260000 0 0
38 154 V.LUMBAL 38 4 338000 0 0
39 108 PELVIS 39 0 260000 0 0
39 108 PELVIS 39 1 312000 0 0
39 108 PELVIS 39 2 286000 0 0
39 108 PELVIS 39 3 260000 0 0
39 108 PELVIS 39 4 338000 0 0
40 123 SCHEDEL 40 0 260000 0 0
40 123 SCHEDEL 40 1 312000 0 0
40 123 SCHEDEL 40 2 286000 0 0
40 123 SCHEDEL 40 3 260000 0 0
40 123 SCHEDEL 40 4 338000 0 0
41 78 LUMBO SACRAL 41 0 260000 0 0
41 78 LUMBO SACRAL 41 1 312000 0 0
41 78 LUMBO SACRAL 41 2 286000 0 0
41 78 LUMBO SACRAL 41 3 260000 0 0
41 78 LUMBO SACRAL 41 4 338000 0 0
42 68 HIP 42 0 260000 0 0
42 68 HIP 42 1 312000 0 0
42 68 HIP 42 2 286000 0 0
42 68 HIP 42 3 260000 0 0
42 68 HIP 42 4 338000 0 0
43 139 THORACO LUMBAL 43 0 260000 0 0
43 139 THORACO LUMBAL 43 1 312000 0 0
43 139 THORACO LUMBAL 43 2 286000 0 0
43 139 THORACO LUMBAL 43 3 260000 0 0
43 139 THORACO LUMBAL 43 4 338000 0 0
44 113 SACROCOCCYGYS 44 0 260000 0 0
44 113 SACROCOCCYGYS 44 1 312000 0 0
44 113 SACROCOCCYGYS 44 2 286000 0 0
44 113 SACROCOCCYGYS 44 3 260000 0 0
44 113 SACROCOCCYGYS 44 4 338000 0 0
45 38 COXAE 45 0 260000 0 0
45 38 COXAE 45 1 312000 0 0
45 38 COXAE 45 2 286000 0 0
45 38 COXAE 45 3 260000 0 0
45 38 COXAE 45 4 338000 0 0
46 3 SPINE 46 0 260000 0 0
46 3 SPINE 46 1 312000 0 0
46 3 SPINE 46 2 286000 0 0
46 3 SPINE 46 3 260000 0 0
46 3 SPINE 46 4 338000 0 0
47 159 V.THORACAL 47 0 260000 0 0
47 159 V.THORACAL 47 1 312000 0 0
47 159 V.THORACAL 47 2 286000 0 0
47 159 V.THORACAL 47 3 260000 0 0
47 159 V.THORACAL 47 4 338000 0 0
48 144 THORAX 48 0 260000 0 0
48 144 THORAX 48 1 312000 0 0
48 144 THORAX 48 2 286000 0 0
48 144 THORAX 48 3 260000 0 0
48 144 THORAX 48 4 338000 0 0
49 8 ABDOMEN / BNO 49 0 260000 0 0
49 8 ABDOMEN / BNO 49 1 312000 0 0
49 8 ABDOMEN / BNO 49 2 286000 0 0
49 8 ABDOMEN / BNO 49 3 260000 0 0
49 8 ABDOMEN / BNO 49 4 338000 0 0
50 33 COSTAE 50 0 260000 0 0
50 33 COSTAE 50 1 312000 0 0
50 33 COSTAE 50 2 286000 0 0
50 33 COSTAE 50 3 260000 0 0
50 33 COSTAE 50 4 338000 0 0
51 43 CRURIS 51 0 260000 0 0
51 43 CRURIS 51 1 312000 0 0
51 43 CRURIS 51 2 286000 0 0
51 43 CRURIS 51 3 260000 0 0
51 43 CRURIS 51 4 338000 0 0
52 53 FEMUR 52 0 260000 0 0
52 53 FEMUR 52 1 312000 0 0
52 53 FEMUR 52 2 286000 0 0
52 53 FEMUR 52 3 260000 0 0
52 53 FEMUR 52 4 338000 0 0
53 28 CLAVICULA 53 0 260000 0 0
53 28 CLAVICULA 53 1 312000 0 0
53 28 CLAVICULA 53 2 286000 0 0
53 28 CLAVICULA 53 3 260000 0 0
53 28 CLAVICULA 53 4 338000 0 0
54 128 SHOULDER 54 0 260000 0 0
54 128 SHOULDER 54 1 312000 0 0
54 128 SHOULDER 54 2 286000 0 0
54 128 SHOULDER 54 3 260000 0 0
54 128 SHOULDER 54 4 338000 0 0
55 118 SCAPULA 55 0 260000 0 0
55 118 SCAPULA 55 1 312000 0 0
55 118 SCAPULA 55 2 286000 0 0
55 118 SCAPULA 55 3 260000 0 0
55 118 SCAPULA 55 4 338000 0 0
56 73 HUMERUS 56 0 260000 0 0
56 73 HUMERUS 56 1 312000 0 0
56 73 HUMERUS 56 2 286000 0 0
56 73 HUMERUS 56 3 260000 0 0
56 73 HUMERUS 56 4 338000 0 0
57 18 ANTEBRACHII 57 0 260000 0 0
57 18 ANTEBRACHII 57 1 312000 0 0
57 18 ANTEBRACHII 57 2 286000 0 0
57 18 ANTEBRACHII 57 3 260000 0 0
57 18 ANTEBRACHII 57 4 338000 0 0
58 48 ELBOW 58 0 260000 0 0
58 48 ELBOW 58 1 312000 0 0
58 48 ELBOW 58 2 286000 0 0
58 48 ELBOW 58 3 260000 0 0
58 48 ELBOW 58 4 338000 0 0
59 63 GENU 59 0 260000 0 0
59 63 GENU 59 1 312000 0 0
59 63 GENU 59 2 286000 0 0
59 63 GENU 59 3 260000 0 0
59 63 GENU 59 4 338000 0 0
60 88 MANUS 60 0 239000 0 0
60 88 MANUS 60 1 287000 0 0
60 88 MANUS 60 2 263000 0 0
60 88 MANUS 60 3 239000 0 0
60 88 MANUS 60 4 311000 0 0
61 169 WRIST 61 0 239000 0 0
61 169 WRIST 61 1 287000 0 0
61 169 WRIST 61 2 263000 0 0
61 169 WRIST 61 3 239000 0 0
61 169 WRIST 61 4 311000 0 0
62 103 PEDIS 62 0 239000 0 0
62 103 PEDIS 62 1 287000 0 0
62 103 PEDIS 62 2 263000 0 0
62 103 PEDIS 62 3 239000 0 0
62 103 PEDIS 62 4 311000 0 0
63 134 TALO CALCANEUS 63 0 239000 0 0
63 134 TALO CALCANEUS 63 1 287000 0 0
63 134 TALO CALCANEUS 63 2 263000 0 0
63 134 TALO CALCANEUS 63 3 239000 0 0
63 134 TALO CALCANEUS 63 4 311000 0 0
64 13 ANKLE 64 0 239000 0 0
64 13 ANKLE 64 1 287000 0 0
64 13 ANKLE 64 2 263000 0 0
64 13 ANKLE 64 3 239000 0 0
64 13 ANKLE 64 4 311000 0 0
65 83 MANDIBULLA 65 0 239000 0 0
65 83 MANDIBULLA 65 1 287000 0 0
65 83 MANDIBULLA 65 2 263000 0 0
65 83 MANDIBULLA 65 3 239000 0 0
65 83 MANDIBULLA 65 4 311000 0 0
66 23 CERVICAL 66 0 239000 0 0
66 23 CERVICAL 66 1 287000 0 0
66 23 CERVICAL 66 2 263000 0 0
66 23 CERVICAL 66 3 239000 0 0
66 23 CERVICAL 66 4 311000 0 0
67 174 ZIGOMATICUS 67 0 239000 0 0
67 174 ZIGOMATICUS 67 1 287000 0 0
67 174 ZIGOMATICUS 67 2 263000 0 0
67 174 ZIGOMATICUS 67 3 239000 0 0
67 174 ZIGOMATICUS 67 4 311000 0 0
68 58 FORE ARM 68 0 239000 0 0
68 58 FORE ARM 68 1 287000 0 0
68 58 FORE ARM 68 2 263000 0 0
68 58 FORE ARM 68 3 239000 0 0
68 58 FORE ARM 68 4 311000 0 0
69 93 MAXILLA 69 0 239000 0 0
69 93 MAXILLA 69 1 287000 0 0
69 93 MAXILLA 69 2 263000 0 0
69 93 MAXILLA 69 3 239000 0 0
69 93 MAXILLA 69 4 311000 0 0
70 149 TMJ 70 0 239000 0 0
70 149 TMJ 70 1 287000 0 0
70 149 TMJ 70 2 263000 0 0
70 149 TMJ 70 3 239000 0 0
70 149 TMJ 70 4 311000 0 0
71 98 NASAL 71 0 239000 0 0
71 98 NASAL 71 1 287000 0 0
71 98 NASAL 71 2 263000 0 0
71 98 NASAL 71 3 239000 0 0
71 98 NASAL 71 4 311000 0 0
72 164 WATERS 72 0 239000 0 0
72 164 WATERS 72 1 287000 0 0
72 164 WATERS 72 2 263000 0 0
72 164 WATERS 72 3 239000 0 0
72 164 WATERS 72 4 311000 0 0
73 155 V.LUMBAL 73 0 393000 0 0
73 155 V.LUMBAL 73 1 472000 0 0
73 155 V.LUMBAL 73 2 433000 0 0
73 155 V.LUMBAL 73 3 393000 0 0
73 155 V.LUMBAL 73 4 511000 0 0
74 109 PELVIS 74 0 393000 0 0
74 109 PELVIS 74 1 472000 0 0
74 109 PELVIS 74 2 433000 0 0
74 109 PELVIS 74 3 393000 0 0
74 109 PELVIS 74 4 511000 0 0
75 124 SCHEDEL 75 0 393000 0 0
75 124 SCHEDEL 75 1 472000 0 0
75 124 SCHEDEL 75 2 433000 0 0
75 124 SCHEDEL 75 3 393000 0 0
75 124 SCHEDEL 75 4 511000 0 0
76 79 LUMBO SACRAL 76 0 393000 0 0
76 79 LUMBO SACRAL 76 1 472000 0 0
76 79 LUMBO SACRAL 76 2 433000 0 0
76 79 LUMBO SACRAL 76 3 393000 0 0
76 79 LUMBO SACRAL 76 4 511000 0 0
77 69 HIP 77 0 393000 0 0
77 69 HIP 77 1 472000 0 0
77 69 HIP 77 2 433000 0 0
77 69 HIP 77 3 393000 0 0
77 69 HIP 77 4 511000 0 0
78 140 THORACO LUMBAL 78 0 393000 0 0
78 140 THORACO LUMBAL 78 1 472000 0 0
78 140 THORACO LUMBAL 78 2 433000 0 0
78 140 THORACO LUMBAL 78 3 393000 0 0
78 140 THORACO LUMBAL 78 4 511000 0 0
79 114 SACROCOCCYGYS 79 0 393000 0 0
79 114 SACROCOCCYGYS 79 1 472000 0 0
79 114 SACROCOCCYGYS 79 2 433000 0 0
79 114 SACROCOCCYGYS 79 3 393000 0 0
79 114 SACROCOCCYGYS 79 4 511000 0 0
80 39 COXAE 80 0 393000 0 0
80 39 COXAE 80 1 472000 0 0
80 39 COXAE 80 2 433000 0 0
80 39 COXAE 80 3 393000 0 0
80 39 COXAE 80 4 511000 0 0
81 4 SPINE 81 0 393000 0 0
81 4 SPINE 81 1 472000 0 0
81 4 SPINE 81 2 433000 0 0
81 4 SPINE 81 3 393000 0 0
81 4 SPINE 81 4 511000 0 0
82 160 V.THORACAL 82 0 393000 0 0
82 160 V.THORACAL 82 1 472000 0 0
82 160 V.THORACAL 82 2 433000 0 0
82 160 V.THORACAL 82 3 393000 0 0
82 160 V.THORACAL 82 4 511000 0 0
83 145 THORAX 83 0 393000 0 0
83 145 THORAX 83 1 472000 0 0
83 145 THORAX 83 2 433000 0 0
83 145 THORAX 83 3 393000 0 0
83 145 THORAX 83 4 511000 0 0
84 9 ABDOMEN / BNO 84 0 393000 0 0
84 9 ABDOMEN / BNO 84 1 472000 0 0
84 9 ABDOMEN / BNO 84 2 433000 0 0
84 9 ABDOMEN / BNO 84 3 393000 0 0
84 9 ABDOMEN / BNO 84 4 511000 0 0
85 34 COSTAE 85 0 393000 0 0
85 34 COSTAE 85 1 472000 0 0
85 34 COSTAE 85 2 433000 0 0
85 34 COSTAE 85 3 393000 0 0
85 34 COSTAE 85 4 511000 0 0
86 44 CRURIS 86 0 393000 0 0
86 44 CRURIS 86 1 472000 0 0
86 44 CRURIS 86 2 433000 0 0
86 44 CRURIS 86 3 393000 0 0
86 44 CRURIS 86 4 511000 0 0
87 54 FEMUR 87 0 393000 0 0
87 54 FEMUR 87 1 472000 0 0
87 54 FEMUR 87 2 433000 0 0
87 54 FEMUR 87 3 393000 0 0
87 54 FEMUR 87 4 511000 0 0
88 29 CLAVICULA 88 0 393000 0 0
88 29 CLAVICULA 88 1 472000 0 0
88 29 CLAVICULA 88 2 433000 0 0
88 29 CLAVICULA 88 3 393000 0 0
88 29 CLAVICULA 88 4 511000 0 0
89 129 SHOULDER 89 0 393000 0 0
89 129 SHOULDER 89 1 472000 0 0
89 129 SHOULDER 89 2 433000 0 0
89 129 SHOULDER 89 3 393000 0 0
89 129 SHOULDER 89 4 511000 0 0
90 119 SCAPULA 90 0 393000 0 0
90 119 SCAPULA 90 1 472000 0 0
90 119 SCAPULA 90 2 433000 0 0
90 119 SCAPULA 90 3 393000 0 0
90 119 SCAPULA 90 4 511000 0 0
91 74 HUMERUS 91 0 393000 0 0
91 74 HUMERUS 91 1 472000 0 0
91 74 HUMERUS 91 2 433000 0 0
91 74 HUMERUS 91 3 393000 0 0
91 74 HUMERUS 91 4 511000 0 0
92 19 ANTEBRACHII 92 0 393000 0 0
92 19 ANTEBRACHII 92 1 472000 0 0
92 19 ANTEBRACHII 92 2 433000 0 0
92 19 ANTEBRACHII 92 3 393000 0 0
92 19 ANTEBRACHII 92 4 511000 0 0
93 49 ELBOW 93 0 393000 0 0
93 49 ELBOW 93 1 472000 0 0
93 49 ELBOW 93 2 433000 0 0
93 49 ELBOW 93 3 393000 0 0
93 49 ELBOW 93 4 511000 0 0
94 64 GENU 94 0 393000 0 0
94 64 GENU 94 1 472000 0 0
94 64 GENU 94 2 433000 0 0
94 64 GENU 94 3 393000 0 0
94 64 GENU 94 4 511000 0 0
95 89 MANUS 95 0 320000 0 0
95 89 MANUS 95 1 384000 0 0
95 89 MANUS 95 2 352000 0 0
95 89 MANUS 95 3 320000 0 0
95 89 MANUS 95 4 416000 0 0
96 170 WRIST 96 0 320000 0 0
96 170 WRIST 96 1 384000 0 0
96 170 WRIST 96 2 352000 0 0
96 170 WRIST 96 3 320000 0 0
 96 170 WRIST 96 4 416000 0 0
97 104 PEDIS 97 0 320000 0 0
97 104 PEDIS 97 1 384000 0 0
97 104 PEDIS 97 2 352000 0 0
97 104 PEDIS 97 3 320000 0 0
97 104 PEDIS 97 4 416000 0 0
98 135 TALO CALCANEUS 98 0 320000 0 0
98 135 TALO CALCANEUS 98 1 384000 0 0
98 135 TALO CALCANEUS 98 2 352000 0 0
98 135 TALO CALCANEUS 98 3 320000 0 0
98 135 TALO CALCANEUS 98 4 416000 0 0
99 14 ANKLE 99 0 320000 0 0
99 14 ANKLE 99 1 384000 0 0
99 14 ANKLE 99 2 352000 0 0
99 14 ANKLE 99 3 320000 0 0
99 14 ANKLE 99 4 416000 0 0
100 84 MANDIBULLA 100 0 320000 0 0
100 84 MANDIBULLA 100 1 384000 0 0
100 84 MANDIBULLA 100 2 352000 0 0
100 84 MANDIBULLA 100 3 320000 0 0
100 84 MANDIBULLA 100 4 416000 0 0
101 24 CERVICAL 101 0 320000 0 0
101 24 CERVICAL 101 1 384000 0 0
101 24 CERVICAL 101 2 352000 0 0
101 24 CERVICAL 101 3 320000 0 0
101 24 CERVICAL 101 4 416000 0 0
102 175 ZIGOMATICUS 102 0 320000 0 0
102 175 ZIGOMATICUS 102 1 384000 0 0
102 175 ZIGOMATICUS 102 2 352000 0 0
102 175 ZIGOMATICUS 102 3 320000 0 0
102 175 ZIGOMATICUS 102 4 416000 0 0
103 59 FORE ARM 103 0 320000 0 0
103 59 FORE ARM 103 1 384000 0 0
103 59 FORE ARM 103 2 352000 0 0
103 59 FORE ARM 103 3 320000 0 0
103 59 FORE ARM 103 4 416000 0 0
104 94 MAXILLA 104 0 320000 0 0
104 94 MAXILLA 104 1 384000 0 0
104 94 MAXILLA 104 2 352000 0 0
104 94 MAXILLA 104 3 320000 0 0
104 94 MAXILLA 104 4 416000 0 0
105 150 TMJ 105 0 320000 0 0
105 150 TMJ 105 1 384000 0 0
105 150 TMJ 105 2 352000 0 0
105 150 TMJ 105 3 320000 0 0
105 150 TMJ 105 4 416000 0 0
106 99 NASAL 106 0 320000 0 0
106 99 NASAL 106 1 384000 0 0
106 99 NASAL 106 2 352000 0 0
106 99 NASAL 106 3 320000 0 0
106 99 NASAL 106 4 416000 0 0
107 165 WATERS 107 0 320000 0 0
107 165 WATERS 107 1 384000 0 0
107 165 WATERS 107 2 352000 0 0
107 165 WATERS 107 3 320000 0 0
107 165 WATERS 107 4 416000 0 0
108 156 V.LUMBAL 108 0 522000 0 0
108 156 V.LUMBAL 108 1 627000 0 0
108 156 V.LUMBAL 108 2 575000 0 0
108 156 V.LUMBAL 108 3 522000 0 0
108 156 V.LUMBAL 108 4 679000 0 0
109 110 PELVIS 109 0 522000 0 0
109 110 PELVIS 109 1 627000 0 0
109 110 PELVIS 109 2 575000 0 0
109 110 PELVIS 109 3 522000 0 0
109 110 PELVIS 109 4 679000 0 0
110 125 SCHEDEL 110 0 522000 0 0
110 125 SCHEDEL 110 1 627000 0 0
110 125 SCHEDEL 110 2 575000 0 0
110 125 SCHEDEL 110 3 522000 0 0
110 125 SCHEDEL 110 4 679000 0 0
111 80 LUMBO SACRAL 111 0 522000 0 0
111 80 LUMBO SACRAL 111 1 627000 0 0
111 80 LUMBO SACRAL 111 2 575000 0 0
111 80 LUMBO SACRAL 111 3 522000 0 0
111 80 LUMBO SACRAL 111 4 679000 0 0
112 70 HIP 112 0 522000 0 0
112 70 HIP 112 1 627000 0 0
112 70 HIP 112 2 575000 0 0
112 70 HIP 112 3 522000 0 0
112 70 HIP 112 4 679000 0 0
113 141 THORACO LUMBAL 113 0 522000 0 0
113 141 THORACO LUMBAL 113 1 627000 0 0
113 141 THORACO LUMBAL 113 2 575000 0 0
113 141 THORACO LUMBAL 113 3 522000 0 0
113 141 THORACO LUMBAL 113 4 679000 0 0
114 115 SACROCOCCYGYS 114 0 522000 0 0
114 115 SACROCOCCYGYS 114 1 627000 0 0
114 115 SACROCOCCYGYS 114 2 575000 0 0
114 115 SACROCOCCYGYS 114 3 522000 0 0
114 115 SACROCOCCYGYS 114 4 679000 0 0
115 40 COXAE 115 0 522000 0 0
115 40 COXAE 115 1 627000 0 0
115 40 COXAE 115 2 575000 0 0
115 40 COXAE 115 3 522000 0 0
115 40 COXAE 115 4 679000 0 0
116 5 SPINE 116 0 522000 0 0
116 5 SPINE 116 1 627000 0 0
116 5 SPINE 116 2 575000 0 0
116 5 SPINE 116 3 522000 0 0
116 5 SPINE 116 4 679000 0 0
117 161 V.THORACAL 117 0 522000 0 0
117 161 V.THORACAL 117 1 627000 0 0
117 161 V.THORACAL 117 2 575000 0 0
117 161 V.THORACAL 117 3 522000 0 0
117 161 V.THORACAL 117 4 679000 0 0
118 146 THORAX 118 0 522000 0 0
118 146 THORAX 118 1 627000 0 0
118 146 THORAX 118 2 575000 0 0
118 146 THORAX 118 3 522000 0 0
118 146 THORAX 118 4 679000 0 0
119 10 ABDOMEN / BNO 119 0 522000 0 0
119 10 ABDOMEN / BNO 119 1 627000 0 0
119 10 ABDOMEN / BNO 119 2 575000 0 0
119 10 ABDOMEN / BNO 119 3 522000 0 0
119 10 ABDOMEN / BNO 119 4 679000 0 0
120 35 COSTAE 120 0 522000 0 0
120 35 COSTAE 120 1 627000 0 0
120 35 COSTAE 120 2 575000 0 0
120 35 COSTAE 120 3 522000 0 0
120 35 COSTAE 120 4 679000 0 0
121 45 CRURIS 121 0 522000 0 0
121 45 CRURIS 121 1 627000 0 0
121 45 CRURIS 121 2 575000 0 0
121 45 CRURIS 121 3 522000 0 0
121 45 CRURIS 121 4 679000 0 0
122 55 FEMUR 122 0 522000 0 0
122 55 FEMUR 122 1 627000 0 0
122 55 FEMUR 122 2 575000 0 0
122 55 FEMUR 122 3 522000 0 0
122 55 FEMUR 122 4 679000 0 0
123 30 CLAVICULA 123 0 522000 0 0
123 30 CLAVICULA 123 1 627000 0 0
123 30 CLAVICULA 123 2 575000 0 0
123 30 CLAVICULA 123 3 522000 0 0
123 30 CLAVICULA 123 4 679000 0 0
124 130 SHOULDER 124 0 522000 0 0
124 130 SHOULDER 124 1 627000 0 0
124 130 SHOULDER 124 2 575000 0 0
124 130 SHOULDER 124 3 522000 0 0
124 130 SHOULDER 124 4 679000 0 0
125 120 SCAPULA 125 0 522000 0 0
125 120 SCAPULA 125 1 627000 0 0
125 120 SCAPULA 125 2 575000 0 0
125 120 SCAPULA 125 3 522000 0 0
125 120 SCAPULA 125 4 679000 0 0
126 75 HUMERUS 126 0 522000 0 0
126 75 HUMERUS 126 1 627000 0 0
126 75 HUMERUS 126 2 575000 0 0
126 75 HUMERUS 126 3 522000 0 0
126 75 HUMERUS 126 4 679000 0 0
127 20 ANTEBRACHII 127 0 522000 0 0
127 20 ANTEBRACHII 127 1 627000 0 0
127 20 ANTEBRACHII 127 2 575000 0 0
127 20 ANTEBRACHII 127 3 522000 0 0
127 20 ANTEBRACHII 127 4 679000 0 0
128 50 ELBOW 128 0 522000 0 0
128 50 ELBOW 128 1 627000 0 0
128 50 ELBOW 128 2 575000 0 0
128 50 ELBOW 128 3 522000 0 0
128 50 ELBOW 128 4 679000 0 0
129 65 GENU 129 0 522000 0 0
129 65 GENU 129 1 627000 0 0
129 65 GENU 129 2 575000 0 0
129 65 GENU 129 3 522000 0 0
129 65 GENU 129 4 679000 0 0
130 90 MANUS 130 0 418000 0 0
130 90 MANUS 130 1 502000 0 0
130 90 MANUS 130 2 460000 0 0
130 90 MANUS 130 3 418000 0 0
130 90 MANUS 130 4 544000 0 0
131 171 WRIST 131 0 418000 0 0
131 171 WRIST 131 1 502000 0 0
131 171 WRIST 131 2 460000 0 0
131 171 WRIST 131 3 418000 0 0
131 171 WRIST 131 4 544000 0 0
132 105 PEDIS 132 0 418000 0 0
132 105 PEDIS 132 1 502000 0 0
132 105 PEDIS 132 2 460000 0 0
132 105 PEDIS 132 3 418000 0 0
132 105 PEDIS 132 4 544000 0 0
133 136 TALO CALCANEUS 133 0 418000 0 0
133 136 TALO CALCANEUS 133 1 502000 0 0
133 136 TALO CALCANEUS 133 2 460000 0 0
133 136 TALO CALCANEUS 133 3 418000 0 0
133 136 TALO CALCANEUS 133 4 544000 0 0
134 15 ANKLE 134 0 418000 0 0
134 15 ANKLE 134 1 502000 0 0
134 15 ANKLE 134 2 460000 0 0
134 15 ANKLE 134 3 418000 0 0
134 15 ANKLE 134 4 544000 0 0
135 85 MANDIBULLA 135 0 418000 0 0
135 85 MANDIBULLA 135 1 502000 0 0
135 85 MANDIBULLA 135 2 460000 0 0
135 85 MANDIBULLA 135 3 418000 0 0
135 85 MANDIBULLA 135 4 544000 0 0
136 25 CERVICAL 136 0 418000 0 0
136 25 CERVICAL 136 1 502000 0 0
136 25 CERVICAL 136 2 460000 0 0
136 25 CERVICAL 136 3 418000 0 0
136 25 CERVICAL 136 4 544000 0 0
137 176 ZIGOMATICUS 137 0 418000 0 0
137 176 ZIGOMATICUS 137 1 502000 0 0
137 176 ZIGOMATICUS 137 2 460000 0 0
137 176 ZIGOMATICUS 137 3 418000 0 0
137 176 ZIGOMATICUS 137 4 544000 0 0
138 60 FORE ARM 138 0 418000 0 0
138 60 FORE ARM 138 1 502000 0 0
138 60 FORE ARM 138 2 460000 0 0
138 60 FORE ARM 138 3 418000 0 0
138 60 FORE ARM 138 4 544000 0 0
139 95 MAXILLA 139 0 418000 0 0
139 95 MAXILLA 139 1 502000 0 0
139 95 MAXILLA 139 2 460000 0 0
139 95 MAXILLA 139 3 418000 0 0
139 95 MAXILLA 139 4 544000 0 0
140 151 TMJ 140 0 418000 0 0
140 151 TMJ 140 1 502000 0 0
140 151 TMJ 140 2 460000 0 0
140 151 TMJ 140 3 418000 0 0
140 151 TMJ 140 4 544000 0 0
141 100 NASAL 141 0 418000 0 0
141 100 NASAL 141 1 502000 0 0
141 100 NASAL 141 2 460000 0 0
141 100 NASAL 141 3 418000 0 0
141 100 NASAL 141 4 544000 0 0
142 166 WATERS 142 0 418000 0 0
142 166 WATERS 142 1 502000 0 0
142 166 WATERS 142 2 460000 0 0
142 166 WATERS 142 3 418000 0 0
142 166 WATERS 142 4 544000 0 0
143 157 V.LUMBAL 143 0 651000 0 0
143 157 V.LUMBAL 143 1 782000 0 0
143 157 V.LUMBAL 143 2 717000 0 0
143 157 V.LUMBAL 143 3 651000 0 0
143 157 V.LUMBAL 143 4 847000 0 0
144 111 PELVIS 144 0 651000 0 0
144 111 PELVIS 144 1 782000 0 0
144 111 PELVIS 144 2 717000 0 0
144 111 PELVIS 144 3 651000 0 0
144 111 PELVIS 144 4 847000 0 0
145 126 SCHEDEL 145 0 651000 0 0
145 126 SCHEDEL 145 1 782000 0 0
145 126 SCHEDEL 145 2 717000 0 0
145 126 SCHEDEL 145 3 651000 0 0
145 126 SCHEDEL 145 4 847000 0 0
146 81 LUMBO SACRAL 146 0 651000 0 0
146 81 LUMBO SACRAL 146 1 782000 0 0
146 81 LUMBO SACRAL 146 2 717000 0 0
146 81 LUMBO SACRAL 146 3 651000 0 0
146 81 LUMBO SACRAL 146 4 847000 0 0
147 71 HIP 147 0 651000 0 0
147 71 HIP 147 1 782000 0 0
147 71 HIP 147 2 717000 0 0
147 71 HIP 147 3 651000 0 0
147 71 HIP 147 4 847000 0 0
148 142 THORACO LUMBAL 148 0 651000 0 0
148 142 THORACO LUMBAL 148 1 782000 0 0
148 142 THORACO LUMBAL 148 2 717000 0 0
148 142 THORACO LUMBAL 148 3 651000 0 0
148 142 THORACO LUMBAL 148 4 847000 0 0
149 116 SACROCOCCYGYS 149 0 651000 0 0
149 116 SACROCOCCYGYS 149 1 782000 0 0
149 116 SACROCOCCYGYS 149 2 717000 0 0
149 116 SACROCOCCYGYS 149 3 651000 0 0
149 116 SACROCOCCYGYS 149 4 847000 0 0
150 41 COXAE 150 0 651000 0 0
150 41 COXAE 150 1 782000 0 0
150 41 COXAE 150 2 717000 0 0
150 41 COXAE 150 3 651000 0 0
150 41 COXAE 150 4 847000 0 0
151 6 SPINE 151 0 651000 0 0
151 6 SPINE 151 1 782000 0 0
151 6 SPINE 151 2 717000 0 0
151 6 SPINE 151 3 651000 0 0
151 6 SPINE 151 4 847000 0 0
152 162 V.THORACAL 152 0 651000 0 0
152 162 V.THORACAL 152 1 782000 0 0
152 162 V.THORACAL 152 2 717000 0 0
152 162 V.THORACAL 152 3 651000 0 0
152 162 V.THORACAL 152 4 847000 0 0
153 147 THORAX 153 0 651000 0 0
153 147 THORAX 153 1 782000 0 0
153 147 THORAX 153 2 717000 0 0
153 147 THORAX 153 3 651000 0 0
153 147 THORAX 153 4 847000 0 0
154 11 ABDOMEN / BNO 154 0 651000 0 0
154 11 ABDOMEN / BNO 154 1 782000 0 0
154 11 ABDOMEN / BNO 154 2 717000 0 0
154 11 ABDOMEN / BNO 154 3 651000 0 0
154 11 ABDOMEN / BNO 154 4 847000 0 0
155 36 COSTAE 155 0 651000 0 0
155 36 COSTAE 155 1 782000 0 0
155 36 COSTAE 155 2 717000 0 0
155 36 COSTAE 155 3 651000 0 0
155 36 COSTAE 155 4 847000 0 0
156 46 CRURIS 156 0 651000 0 0
156 46 CRURIS 156 1 782000 0 0
156 46 CRURIS 156 2 717000 0 0
156 46 CRURIS 156 3 651000 0 0
156 46 CRURIS 156 4 847000 0 0
157 56 FEMUR 157 0 651000 0 0
157 56 FEMUR 157 1 782000 0 0
157 56 FEMUR 157 2 717000 0 0
157 56 FEMUR 157 3 651000 0 0
157 56 FEMUR 157 4 847000 0 0
158 31 CLAVICULA 158 0 651000 0 0
158 31 CLAVICULA 158 1 782000 0 0
158 31 CLAVICULA 158 2 717000 0 0
158 31 CLAVICULA 158 3 651000 0 0
158 31 CLAVICULA 158 4 847000 0 0
159 131 SHOULDER 159 0 651000 0 0
159 131 SHOULDER 159 1 782000 0 0
159 131 SHOULDER 159 2 717000 0 0
159 131 SHOULDER 159 3 651000 0 0
159 131 SHOULDER 159 4 847000 0 0
160 121 SCAPULA 160 0 651000 0 0
160 121 SCAPULA 160 1 782000 0 0
160 121 SCAPULA 160 2 717000 0 0
160 121 SCAPULA 160 3 651000 0 0
160 121 SCAPULA 160 4 847000 0 0
161 76 HUMERUS 161 0 651000 0 0
161 76 HUMERUS 161 1 782000 0 0
161 76 HUMERUS 161 2 717000 0 0
161 76 HUMERUS 161 3 651000 0 0
161 76 HUMERUS 161 4 847000 0 0
162 21 ANTEBRACHII 162 0 651000 0 0
162 21 ANTEBRACHII 162 1 782000 0 0
162 21 ANTEBRACHII 162 2 717000 0 0
162 21 ANTEBRACHII 162 3 651000 0 0
162 21 ANTEBRACHII 162 4 847000 0 0
163 51 ELBOW 163 0 651000 0 0
163 51 ELBOW 163 1 782000 0 0
163 51 ELBOW 163 2 717000 0 0
163 51 ELBOW 163 3 651000 0 0
163 51 ELBOW 163 4 847000 0 0
164 66 GENU 164 0 651000 0 0
164 66 GENU 164 1 782000 0 0
164 66 GENU 164 2 717000 0 0
164 66 GENU 164 3 651000 0 0
164 66 GENU 164 4 847000 0 0
165 91 MANUS 165 0 516000 0 0
165 91 MANUS 165 1 620000 0 0
165 91 MANUS 165 2 568000 0 0
165 91 MANUS 165 3 516000 0 0
165 91 MANUS 165 4 671000 0 0
166 172 WRIST 166 0 516000 0 0
166 172 WRIST 166 1 620000 0 0
166 172 WRIST 166 2 568000 0 0
166 172 WRIST 166 3 516000 0 0
166 172 WRIST 166 4 671000 0 0
167 106 PEDIS 167 0 516000 0 0
167 106 PEDIS 167 1 620000 0 0
167 106 PEDIS 167 2 568000 0 0
167 106 PEDIS 167 3 516000 0 0
167 106 PEDIS 167 4 671000 0 0
168 137 TALO CALCANEUS 168 0 516000 0 0
168 137 TALO CALCANEUS 168 1 620000 0 0
168 137 TALO CALCANEUS 168 2 568000 0 0
168 137 TALO CALCANEUS 168 3 516000 0 0
168 137 TALO CALCANEUS 168 4 671000 0 0
169 16 ANKLE 169 0 516000 0 0
169 16 ANKLE 169 1 620000 0 0
169 16 ANKLE 169 2 568000 0 0
169 16 ANKLE 169 3 516000 0 0
169 16 ANKLE 169 4 671000 0 0
170 86 MANDIBULLA 170 0 516000 0 0
170 86 MANDIBULLA 170 1 620000 0 0
170 86 MANDIBULLA 170 2 568000 0 0
170 86 MANDIBULLA 170 3 516000 0 0
170 86 MANDIBULLA 170 4 671000 0 0
171 26 CERVICAL 171 0 516000 0 0
171 26 CERVICAL 171 1 620000 0 0
171 26 CERVICAL 171 2 568000 0 0
171 26 CERVICAL 171 3 516000 0 0
171 26 CERVICAL 171 4 671000 0 0
172 177 ZIGOMATICUS 172 0 516000 0 0
172 177 ZIGOMATICUS 172 1 620000 0 0
172 177 ZIGOMATICUS 172 2 568000 0 0
172 177 ZIGOMATICUS 172 3 516000 0 0
172 177 ZIGOMATICUS 172 4 671000 0 0
173 61 FORE ARM 173 0 516000 0 0
173 61 FORE ARM 173 1 620000 0 0
173 61 FORE ARM 173 2 568000 0 0
173 61 FORE ARM 173 3 516000 0 0
173 61 FORE ARM 173 4 671000 0 0
174 96 MAXILLA 174 0 516000 0 0
174 96 MAXILLA 174 1 620000 0 0
174 96 MAXILLA 174 2 568000 0 0
174 96 MAXILLA 174 3 516000 0 0
174 96 MAXILLA 174 4 671000 0 0
175 152 TMJ 175 0 516000 0 0
175 152 TMJ 175 1 620000 0 0
175 152 TMJ 175 2 568000 0 0
175 152 TMJ 175 3 516000 0 0
175 152 TMJ 175 4 671000 0 0
176 101 NASAL 176 0 516000 0 0
176 101 NASAL 176 1 620000 0 0
176 101 NASAL 176 2 568000 0 0
176 101 NASAL 176 3 516000 0 0
176 101 NASAL 176 4 671000 0 0
177 167 WATERS 177 0 516000 0 0
177 167 WATERS 177 1 620000 0 0
177 167 WATERS 177 2 568000 0 0
177 167 WATERS 177 3 516000 0 0
177 167 WATERS 177 4 671000 0 0
179 179 Full Body/Whole Body 179 0 633000 0 0
179 179 Full Body/Whole Body 179 1 760000 0 0
179 179 Full Body/Whole Body 179 2 697000 0 0
179 179 Full Body/Whole Body 179 3 633000 0 0
179 179 Full Body/Whole Body 179 4 823000 0 0
180 180 Long Spine/Whole Spine 180 0 523000 0 0
180 180 Long Spine/Whole Spine 180 1 628000 0 0
180 180 Long Spine/Whole Spine 180 2 576000 0 0
180 180 Long Spine/Whole Spine 180 3 523000 0 0
180 180 Long Spine/Whole Spine 180 4 680000 0 0
181 181 Long Leg/Long Length 181 0 523000 0 0
181 181 Long Leg/Long Length 181 1 628000 0 0
181 181 Long Leg/Long Length 181 2 576000 0 0
181 181 Long Leg/Long Length 181 3 523000 0 0
181 181 Long Leg/Long Length 181 4 680000 0 0
182 182 Long Extrimity 182 0 523000 0 0
182 182 Long Extrimity 182 1 628000 0 0
182 182 Long Extrimity 182 2 576000 0 0
182 182 Long Extrimity 182 3 523000 0 0
182 182 Long Extrimity 182 4 680000 0 0
183 183 BNO IVP 183 0 1175000 0 0
183 183 BNO IVP 183 1 1423000 0 0
183 183 BNO IVP 183 2 1293000 0 0
183 183 BNO IVP 183 3 1175000 0 0
183 183 BNO IVP 183 4 1566000 0 0
184 184 Colon In Loop 184 0 1376000 0 0
184 184 Colon In Loop 184 1 1652000 0 0
184 184 Colon In Loop 184 2 1514000 0 0
184 184 Colon In Loop 184 3 1376000 0 0
184 184 Colon In Loop 184 4 1783000 0 0
185 185 Uretrography 185 0 1376000 0 0
185 185 Uretrography 185 1 1652000 0 0
185 185 Uretrography 185 2 1514000 0 0
185 185 Uretrography 185 3 1376000 0 0
185 185 Uretrography 185 4 1783000 0 0
186 186 Uretrocystography 186 0 1376000 0 0
186 186 Uretrocystography 186 1 1652000 0 0
186 186 Uretrocystography 186 2 1514000 0 0
186 186 Uretrocystography 186 3 1376000 0 0
186 186 Uretrocystography 186 4 1783000 0 0
187 187 Oesophagus 187 0 1376000 0 0
187 187 Oesophagus 187 1 1652000 0 0
187 187 Oesophagus 187 2 1514000 0 0
187 187 Oesophagus 187 3 1376000 0 0
187 187 Oesophagus 187 4 1783000 0 0
188 188 Maagduodenography 188 0 1376000 0 0
188 188 Maagduodenography 188 1 1652000 0 0
188 188 Maagduodenography 188 2 1514000 0 0
188 188 Maagduodenography 188 3 1376000 0 0
188 188 Maagduodenography 188 4 1783000 0 0
189 189 Fistulography 189 0 1376000 0 0
189 189 Fistulography 189 1 1652000 0 0
189 189 Fistulography 189 2 1514000 0 0
189 189 Fistulography 189 3 1376000 0 0
189 189 Fistulography 189 4 1783000 0 0
191 191 Cetak Foto 8" x 10" 191 0 65000 0 0
191 191 Cetak Foto 8" x 10" 191 1 80000 0 0
191 191 Cetak Foto 8" x 10" 191 2 72000 0 0
191 191 Cetak Foto 8" x 10" 191 3 65000 0 0
191 191 Cetak Foto 8" x 10" 191 4 88000 0 0
192 192 Cetak Foto 11" x 14" 192 0 80000 0 0
192 192 Cetak Foto 11" x 14" 192 1 97000 0 0
192 192 Cetak Foto 11" x 14" 192 2 88000 0 0
192 192 Cetak Foto 11" x 14" 192 3 80000 0 0
192 192 Cetak Foto 11" x 14" 192 4 107000 0 0
194 194 Multiple Organ 194 0 362000 0 0
194 194 Multiple Organ 194 1 435000 0 0
194 194 Multiple Organ 194 2 399000 0 0
194 194 Multiple Organ 194 3 362000 0 0
194 194 Multiple Organ 194 4 471000 0 0
195 195 Multiple Organ 195 0 384000 0 0
195 195 Multiple Organ 195 1 461000 0 0
195 195 Multiple Organ 195 2 423000 0 0
195 195 Multiple Organ 195 3 384000 0 0
195 195 Multiple Organ 195 4 500000 0 0
196 196 Multiple Organ 196 0 481000 0 0
196 196 Multiple Organ 196 1 578000 0 0
196 196 Multiple Organ 196 2 530000 0 0
196 196 Multiple Organ 196 3 481000 0 0
196 196 Multiple Organ 196 4 626000 0 0
197 197 Multiple Organ 197 0 510000 0 0
197 197 Multiple Organ 197 1 612000 0 0
197 197 Multiple Organ 197 2 561000 0 0
197 197 Multiple Organ 197 3 510000 0 0
197 197 Multiple Organ 197 4 663000 0 0
198 198 Multiple Organ 198 0 599000 0 0
198 198 Multiple Organ 198 1 719000 0 0
198 198 Multiple Organ 198 2 659000 0 0
198 198 Multiple Organ 198 3 599000 0 0
198 198 Multiple Organ 198 4 779000 0 0
199 199 Multiple Organ 199 0 632000 0 0
199 199 Multiple Organ 199 1 759000 0 0
199 199 Multiple Organ 199 2 696000 0 0
199 199 Multiple Organ 199 3 632000 0 0
199 199 Multiple Organ 199 4 822000 0 0
200 200 Multiple Organ 200 0 412000 0 0
200 200 Multiple Organ 200 1 495000 0 0
200 200 Multiple Organ 200 2 454000 0 0
200 200 Multiple Organ 200 3 412000 0 0
200 200 Multiple Organ 200 4 536000 0 0
201 201 Multiple Organ 201 0 431000 0 0
201 201 Multiple Organ 201 1 518000 0 0
201 201 Multiple Organ 201 2 475000 0 0
201 201 Multiple Organ 201 3 431000 0 0
201 201 Multiple Organ 201 4 561000 0 0
203 203 USG Schedel 203 0 500000 0 0
203 203 USG Schedel 203 1 605000 0 0
203 203 USG Schedel 203 2 550000 0 0
203 203 USG Schedel 203 3 500000 0 0
203 203 USG Schedel 203 4 666000 0 0
204 204 USG Cervical 204 0 500000 0 0
204 204 USG Cervical 204 1 605000 0 0
204 204 USG Cervical 204 2 550000 0 0
204 204 USG Cervical 204 3 500000 0 0
204 204 USG Cervical 204 4 666000 0 0
205 205 USG Massa / Tumor 205 0 500000 0 0
205 205 USG Massa / Tumor 205 1 605000 0 0
205 205 USG Massa / Tumor 205 2 550000 0 0
205 205 USG Massa / Tumor 205 3 500000 0 0
205 205 USG Massa / Tumor 205 4 666000 0 0
206 206 USG Jaringan Lunak 206 0 500000 0 0
206 206 USG Jaringan Lunak 206 1 605000 0 0
206 206 USG Jaringan Lunak 206 2 550000 0 0
206 206 USG Jaringan Lunak 206 3 500000 0 0
206 206 USG Jaringan Lunak 206 4 666000 0 0
207 207 USG Mammae 207 0 490000 0 0
207 207 USG Mammae 207 1 593000 0 0
207 207 USG Mammae 207 2 539000 0 0
207 207 USG Mammae 207 3 490000 0 0
207 207 USG Mammae 207 4 653000 0 0
208 208 USG Thyroid 208 0 490000 0 0
208 208 USG Thyroid 208 1 593000 0 0
208 208 USG Thyroid 208 2 539000 0 0
208 208 USG Thyroid 208 3 490000 0 0
208 208 USG Thyroid 208 4 653000 0 0
209 209 USG Hepar 209 0 490000 0 0
209 209 USG Hepar 209 1 593000 0 0
209 209 USG Hepar 209 2 539000 0 0
209 209 USG Hepar 209 3 490000 0 0
209 209 USG Hepar 209 4 653000 0 0
210 210 USG Lien 210 0 490000 0 0
210 210 USG Lien 210 1 593000 0 0
210 210 USG Lien 210 2 539000 0 0
210 210 USG Lien 210 3 490000 0 0
210 210 USG Lien 210 4 653000 0 0
211 211 USG Hepatobilier 211 0 490000 0 0
211 211 USG Hepatobilier 211 1 593000 0 0
211 211 USG Hepatobilier 211 2 539000 0 0
211 211 USG Hepatobilier 211 3 490000 0 0
211 211 USG Hepatobilier 211 4 653000 0 0
212 212 USG Empedu 212 0 490000 0 0
212 212 USG Empedu 212 1 593000 0 0
212 212 USG Empedu 212 2 539000 0 0
212 212 USG Empedu 212 3 490000 0 0
212 212 USG Empedu 212 4 653000 0 0
213 213 USG Ginjal 213 0 490000 0 0
213 213 USG Ginjal 213 1 593000 0 0
213 213 USG Ginjal 213 2 539000 0 0
213 213 USG Ginjal 213 3 490000 0 0
213 213 USG Ginjal 213 4 653000 0 0
214 214 USG Appendix 214 0 490000 0 0
214 214 USG Appendix 214 1 593000 0 0
214 214 USG Appendix 214 2 539000 0 0
214 214 USG Appendix 214 3 490000 0 0
214 214 USG Appendix 214 4 653000 0 0
215 215 USG Prostat 215 0 490000 0 0
215 215 USG Prostat 215 1 593000 0 0
215 215 USG Prostat 215 2 539000 0 0
215 215 USG Prostat 215 3 490000 0 0
215 215 USG Prostat 215 4 653000 0 0
216 216 USG Thorax 216 0 495000 0 0
216 216 USG Thorax 216 1 600000 0 0
216 216 USG Thorax 216 2 545000 0 0
216 216 USG Thorax 216 3 495000 0 0
216 216 USG Thorax 216 4 660000 0 0
217 217 USG Vesica Urinaria / Tractus Urinaria 217 0 495000 0 0
217 217 USG Vesica Urinaria / Tractus Urinaria 217 1 600000 0 0
217 217 USG Vesica Urinaria / Tractus Urinaria 217 2 545000 0 0
217 217 USG Vesica Urinaria / Tractus Urinaria 217 3 495000 0 0
217 217 USG Vesica Urinaria / Tractus Urinaria 217 4 660000 0 0
218 218 USG Pancreas 218 0 495000 0 0
218 218 USG Pancreas 218 1 600000 0 0
218 218 USG Pancreas 218 2 545000 0 0
218 218 USG Pancreas 218 3 495000 0 0
218 218 USG Pancreas 218 4 660000 0 0
219 219 USG Abdomen Upper 219 0 552000 0 0
219 219 USG Abdomen Upper 219 1 669000 0 0
219 219 USG Abdomen Upper 219 2 608000 0 0
219 219 USG Abdomen Upper 219 3 552000 0 0
219 219 USG Abdomen Upper 219 4 736000 0 0
220 220 USG Abdomen Lower 220 0 552000 0 0
220 220 USG Abdomen Lower 220 1 669000 0 0
220 220 USG Abdomen Lower 220 2 608000 0 0
220 220 USG Abdomen Lower 220 3 552000 0 0
220 220 USG Abdomen Lower 220 4 736000 0 0
221 221 USG Carotis (Dopler) 221 0 870000 0 0
221 221 USG Carotis (Dopler) 221 1 1053000 0 0
221 221 USG Carotis (Dopler) 221 2 957000 0 0
221 221 USG Carotis (Dopler) 221 3 870000 0 0
221 221 USG Carotis (Dopler) 221 4 1159000 0 0
222 222 USG Abdomen Upper & Lower 222 0 674000 0 0
222 222 USG Abdomen Upper & Lower 222 1 817000 0 0
222 222 USG Abdomen Upper & Lower 222 2 742000 0 0
222 222 USG Abdomen Upper & Lower 222 3 674000 0 0
222 222 USG Abdomen Upper & Lower 222 4 899000 0 0
223 223 USG Kehamilan Semester I 223 0 515000 0 0
223 223 USG Kehamilan Semester I 223 1 624000 0 0
223 223 USG Kehamilan Semester I 223 2 567000 0 0
223 223 USG Kehamilan Semester I 223 3 515000 0 0
223 223 USG Kehamilan Semester I 223 4 687000 0 0
224 224 USG Detekdi Cairan 224 0 368000 0 0
224 224 USG Detekdi Cairan 224 1 446000 0 0
224 224 USG Detekdi Cairan 224 2 405000 0 0
224 224 USG Detekdi Cairan 224 3 368000 0 0
224 224 USG Detekdi Cairan 224 4 491000 0 0
225 225 USG Sendi Lain 225 0 650000 0 0
225 225 USG Sendi Lain 225 1 715000 0 0
225 225 USG Sendi Lain 225 2 787000 0 0
225 225 USG Sendi Lain 225 3 650000 0 0
225 225 USG Sendi Lain 225 4 866000 0 0
226 226 USG Marker 226 0 430000 0 0
226 226 USG Marker 226 1 521000 0 0
226 226 USG Marker 226 2 473000 0 0
226 226 USG Marker 226 3 430000 0 0
226 226 USG Marker 226 4 574000 0 0
227 227 USG Muskuloskeletal 227 0 950000 0 0
227 227 USG Muskuloskeletal 227 1 1150000 0 0
227 227 USG Muskuloskeletal 227 2 1045000 0 0
227 227 USG Muskuloskeletal 227 3 950000 0 0
227 227 USG Muskuloskeletal 227 4 1265000 0 0
biayaperawatan total nominallangsung nominalmenolak nominalkembali status
0 0 0 0 0 1
0 0 0 0 0 1
0 0 0 0 0 1
0 0 0 0 0 1
0 0 0 0 0 1
0 0 0 0 0 1
0 0 0 0 0 1
0 0 0 0 0 1
0 0 0 0 0 1
0 0 0 0 0 1
0 243000 64685 64685 16171 1
0 292000 77622 77622 19405 1
0 268000 71153 71153 17788 1
0 243000 64685 64685 16171 1
0 316000 84090 84090 21023 1
0 243000 64685 64685 16171 1
0 292000 77622 77622 19405 1
0 268000 71153 71153 17788 1
0 243000 64685 64685 16171 1
0 316000 84090 84090 21023 1
0 243000 64685 64685 16171 1
0 292000 77622 77622 19405 1
0 268000 71153 71153 17788 1
0 243000 64685 64685 16171 1
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