TARIF BUNDLING dan TARIF KHUSUS RLS 2022

Berlaku 1 Jan 2022 s/ 31 Des 2022

Ket: tidak berlaku diskon kerjasama
Berlaku di seluruh cabang Prodia

Tarif Bundling RLS 2022

Nama Test Tarif 2022
LH dan FSH 800,000
1 LH v
FSH v

TORCH (Anti Toxoplasma (IgG/IgM), Anti Rubella (IgG/IgM), Anti CMV

3,000,000
(IgG/IgM), Anti HSV2 (IgG/IgM)
Anti-Toxoplasma IgG v
Anti-Toxoplasma IgM v
Anti-Rubella IgG v
2
Anti-Rubella IgM v
Anti-CMV IgG v
Anti-CMV IgM v
Anti-HSV2 IgG v
Anti-HSV2 IgM v

TORC (Anti Toxoplasma (IgG/IgM), Anti Rubella (IgG/IgM), Anti CMV

2,200,000
(IgG/IgM)
Anti-Toxoplasma IgG v
Anti-Toxoplasma IgM v
3
Anti-Rubella IgG v
Anti-Rubella IgM v
Anti-CMV IgG v
Anti-CMV IgM v
Kesan v
Kesan v

T3 dan T4 636,000
4 T3 (Total) v
T4 (Total) v

FT4 dan TSHs 687,000

5 FT4 v
TSHs v

HPV DNA + SSBC 1,150,000

6 HPV-DNA High Risk (HC) v
Sitologi Serviks Berbasis Cairan (SSBC) v

HPV genotype + SSBC 2,000,000

7 HPV Genotipe v
Sitologi Serviks Berbasis Cairan (SSBC) v

ANA ( IF ) & ANA Profile 1,904,000

8 ANA (IF) v
ANA Profile v

Bundling RLS HIV RNA dan CD4 1,856,000

9 HIV-1-RNA (Real Time PCR) v
Subtipe Limfosit (CD4 & CD8) v

Bundling AFP + PIVKA-II 788,000

10 PIVKA-II v
AFP v
 Bundling RLS LH, FSH, Progesteron, Estradiol 1,500,000
LH v
11 FSH v
Progesteron v
Estradiol v

Bundling RLS LH, FSH, Testosteron 1,200,000

LH v
12
FSH v
testosteron v

Bundling RLS LH, FSH, Prolaktin 1,200,000

LH v
13
FSH v
Prolaktin v

14 Stero ProFemale (17-OH progesteron, Androstenedion, testosteron) 1,000,000

Bundling RLs LH,FSH,AMH 1,677,600

LH v
15
FSH v
AMH v

Bundling neonatus 4 test 780,000

17-OH Progesteron Neonatus v
16 G6PD Neonatus v
NBS-Amino Acid & Acylcarnitine (LC-MS/MS) v
TSH Neonatus v

Bundling RLS Long Covid 19 (1) 2,189,000

hs-CRP v
17
D-Dimer v
Procalcitonin (PCT) v

Bundling RLS Long Covid 19 (2) 2,503,000

hs-CRP v
18 D-Dimer v
Procalcitonin (PCT) v
Interleukin 6 (IL-6) v

Expanded lipid Profile (ELP) 1,700,000

Indeks Massa Tubuh v
Tekanan Darah v
HbA1c v
Cholesterol Total v
19 Cholesterol LDL Direk v
Cholesterol HDL v
Trigliserida v
Lp(a) v
hs-CRP v
Expanded Lipid Profile ( ELP) v

Panel PemantauanTumor Payudara 1,096,000

20 CEA v
Ca 153 v

Bundling RLS Anti Aging 2,245,000

FT3 v
FT4 v
21
TSHs v
Estradiol v
Cortisol Serum Pagi v
 Bundling RLS Imunitas 703,000
22 Vitamin D 25-OH Total v
Zn, Serum v

Bundling RLS Vitamin 3,232,000

Panel Vitamin B1 dan B6, LC-MS/MS v
Vitamin A & E v
23
Omega PROfile v
Vitamin B12 v
Vitamin D 25-OH Total v

Bundling RLS Vit.D 25 OH & PTH Intact 1,000,000

24 Vitamin D 25-OH Total v
PTH Intact v

Bundling RLS Vit. D 25OH & Ca Ion 750,000

25 Vitamin D 25-OH Total v
Ca Ion v

Bundling RLS Ca 125 & HE-4 1,200,000

26 CA 125 v
HE-4 v

Bundling RLS Adiponektin Lengkap 1,757,000

Adiponektin + v
Leptin v
27 Cholesterol HDL + v
Cholesterol LDL Direk + v
Cholesterol Total + v
Trigliserida v

Bundling RLS Lemak Lengkap & Leptin 1,162,000

Apo B + v
Leptin v
28 Cholesterol HDL + v
Cholesterol LDL Direk + v
Cholesterol Total + v
Trigliserida v