3 ACID PHOSPATE 82.650
4 AFP 368.300
5 ALBUMIN 77.250
6 ALDOSTERON 2.922.650
7 ALFA FETO PROTEIN 496.400 8 ALKALI FOSFATASE 91.400 9 AMPHETAMINE (AMP) 56.600
10 AMYLASE 295.850
11 ANA 907.700
12 ANA TEST 465.750
13 ANA TEST IP 1.392.000 14 ANALISA BATU 197.600 15 ANALISA CAIRAN SENDI 425.250 16 ANALISA CROMOSON 3.837.050 17 ANALISA SPERMA 252.050 18 ANTI AMOEBA 676.450 19 ANTI BETA 2 GLIKOPROTEIN 1 2.085.050
20 ANTI DHF 235.850
21 Anti ds DNA 693.850
22 ANTI HAV 509.450
23 ANTI HBc 186.200
24 ANTI HBc (ELISA) 220.600 25 ANTI HBc(ELISA) 336.750 26 ANTI HBS ( ELISA ) 194.350 27 ANTI HBS (ELISA) 159.300 28 ANTI HBV TOTAL 329.450
29 ANTI HCV 451.600
30 APPT 216.800
31 ASAM URAT 65.900
32 ASTO 281.000
33 BARBITURAT (BAR) 58.400 34 BENSIDIN TEST 119.950 35 BENZODIAZEPHINE (BZO) 56.600
36 BHCG 563.550
37 BHCG PENGENCERAN 63.000 38 BHCG SERUM 563.550 39 BHP COVID 19 DINKES 56.000 40 BILIRUBIN 24.450 41 BILIRUBIN DIRECT 79.000 42 BILIRUBIN INDIRECT 79.000 43 BILIRUBIN TOTAL 81.450
44 BIOPSI 82.650
45 BJ URINE 25.150 46 BLOOD GASS 381.650
47 BUN 61.100
48 C. PEPTIDE 552.150 49 C. REAKTIF PROTEIN (CRP) 167.200
50 C3 326.200
51 C4 326.200
52 Ca 125 618.000
53 Ca 153 698.600
54 Ca 199 796.500
55 Ca++ (pH)=7,4) 90.550
56 CALSIUM 108.000
57 CEA 364.150
58 CHLORIDA 106.150
59 CHOLESTEROL TOTAL 65.000 60 CHOLINESTERASE 265.900
61 CK 211.450
62 CKMB 375.100
63 CLEARENCE CREATIN 75.500 64 CLINIC TEST 59.650
65 CO4 143.950
66 COCAINE (COC) 56.600 67 COLLON ALBUMIN (FAECES) 112.750 68 COLON ALBUMIN 120.950 69 COOMBS TEST 313.850
70 CORTISOL 611.450
71 COVID‐19 ANTIBODI 336.000 72 COVID‐19 ANTIGEN 186.000
73 CPK 134.100
74 CRP 97.800
75 CYSTATIN 542.400
76 D ‐ DIMER 1.035.000
77 DARAH KULTUR 452.750 78 DARAH LENGKAP 129.350 79 Darah Lengkap (Alat) 129.350 80 DARAH LENGKAP (ASURANSI) 129.350 81 DARAH RUTIN (ALAT) 115.650 82 DENGUE NS1 AG 341.250
83 DHEAS 1.436.650
84 DILANTIN 492.850
85 DS DNA 772.200
86 ELEKTROFORESISI HB 189.950 87 ELEKTROFORESISI PROTEIN 451.900 88 EOSINOFIL 24.450 89 ERITROSIT 24.450
90 ESBACH 59.650
91 ESTRADIOL 381.200 92 FAECES KONSENTRASI 36.650 93 FAECES KULTUR 452.750 94 FAECES LENGKAP 81.600
95 FERRITIN 446.300
96 FIBRINOGEN 281.850
97 FILARIA 91.000
98 FLOATING TEST 59.650
101 FREE T4 312.450
102 FSH 462.600
103 FT4 I 274.200
104 FT4 INDEX 465.750
105 G6PD 159.300
106 GALI KULTUR 251.200 107 GAMMA GLOBULIN 25.300 108 GAMMA GT 111.050
109 GD6PD 281.850
110 GH 723.150
111 GLOBULIN 96.200 112 GLUKOSA ACCUTRANE 47.200 113 GLUKOSA STRIP 49.850 114 GLUKOSE 44.300 115 GLUKOSE TOLERANCE 86.550 116 GOL. DARAH 61.350 117 GOL. DARAH RESUS 53.650 118 GROSS TITRASI 36.650 119 GULA DARAH ACAK 47.200 120 GULA DARAH ACAK 47.200 121 GULA DARAH PUASA 47.200 122 GULA DARAH PUASA + 2JAM PP 88.350 123 HAPUSAN DARAH 354.250
124 Hba 1c 254.100
125 Hbe Ab 525.100
126 Hbe Ag 411.200
127 HBs Ab (RPHA) 159.300 128 HBs Ab (RPHA) 159.300 129 HBs AG (ELISA) 286.750 130 HBs Ag (RPHA) 273.950 131 HBSAG KONFIRMASI 1.432.200
132 HBV DNA 2.670.300
133 HCV RNA 3.756.550
134 HDL CHOLESTEROL 75.200 135 HEMATOKRIT 24.450 136 HEMOGLOBIN 24.450 137 HITUNG JENIS 84.250 138 HIV / AIDS 316.350 139 HOMOSYSTEIN 925.500
140 ICT‐TB 231.800
141 IG A 465.750
142 IG E 465.750
143 IG G 465.750
144 IG G ANTI CCP 1.081.350 145 IG G HSV 1 350.850 146 IG G HSV 2 350.850
147 IG M 465.750
148 IG M HELLICOBACTER 925.500 149 Ig M ANTI HAV 463.650 150 Ig M ANTI HCV 281.850 151 IG M HSV 1 312.450 152 IG M LEPTOSPIROSIS 1.211.850 153 IGG HSV 2 350.850 154 IgG RUBELLA 356.250 155 IgG TOXOPLASMA 344.750 156 IGM ANTI HBC 449.250 157 IGM HSV 2 283.650 158 IgM RUBELLA 409.750 159 IgM TOXOPLASMA 344.750
160 IHC 4.164.050
161 INR 314.500
162 INSULIN 473.400
163 IRIS HALUS 82.650 164 IRON FERROZINE 446.000
165 KALIUM 106.150
166 KEROKAN KULIT/JAMUR 52.050
167 KETON 25.150
168 LAIN‐LAIN KULTUR 251.200 169 LAJU ENDAP DARAH 51.350
170 LCS 109.000
171 LDH 133.200
172 LDL CHOLESTEROL 123.950
173 LE CELL 106.550
174 LEKOSIT 24.450 175 lg G / lg M CHLAMYDA 2.023.100 176 lg G HSV 283.650 177 lg G RUBELLA 165.150 178 lg G. CMV 338.800 179 lg M CMV 403.950 180 lg M HSV 283.650
181 lgG DHF 227.700
182 lgM DHF 227.700
183 LH 542.100
184 LIPASE 296.400
185 LIPID PROPIL 256.400 186 LIPID TOTAL 67.550 187 LITHIUM 97.900
188 LP (a) 465.750
189 MALARIA 77.900 190 MARIJUANA (THC) 58.400 191 MCHC DAN MCV 36.650 192 METHAMPHETAMINE (MET) 56.600 193 MIKRO ALBUMIN 180.900 194 MIKROFILARIA 26.250 195 MORPHINE (MOP) 56.600
196 NATRIUM 106.150
199 OPIATE (OPI) 58.400 200 OSMOLARITAS URINE 144.600 201 PA BAHAN BESAR 585.750 202 PA BAHAN BESAR MAMAE 585.750 203 PA BAHAN BESAR PROSTAT 496.400 204 PA BAHAN KECIL 594.500 205 PA SITOLOGI CAIRAN ASITES 514.250 206 PA SITOLOGI CAIRAN PLEURA 514.250 207 PA SITOLOGI SPUTUM 312.450 208 PAKET IBU MELAHIRKAN 56.000
209 PANDY 44.300
210 PANEL ALERGI 2.893.550 211 PAPSMEAR 377.200 212 PCR COVID‐19 306.000 213 PENGECATAN GRAM 115.600
214 PH 25.150
215 pH. 90.550
216 PHOSPOR 133.200
217 PLASMODIUM FALCIFARUM 61.350 218 PLASMODIUM MALARIAE 61.350 219 PLASMODIUM OVALE 61.350 220 PLASMODIUM VIVAX 61.350 221 PROCALCITONIN 1.656.050 222 PROGESTERON 316.750 223 Prolactin 243.300 224 PROLACTIN 243.300 225 PROTEIN 21.400
226 PROTEIN 189.950
227 PROTEIN BONCE JON 97.900
228 PSA 460.800
229 PT 291.450
230 PUS KULTUR 473.150 231 RA TEST 97.900
232 RAF 136.050
233 REDUKSI 21.400 234 RETIKULOSIT 84.250
235 RIVALTA 120.950
236 ROSE WEALER 52.050 237 Rubella Avidity 467.550 238 RUMPLE LEEDE 33.350
239 SCC 465.750
240 SCC 739.200
241 SEDIMEN 21.400 242 SEL/DIFF 67.300 243 SERAMUBA 251.200 244 SERUM KREATININ 64.050
245 SGOT 77.250
246 SGPT 77.250
247 SI 142.200
248 SITOLOGI 465.750
249 SLC 70 839.200
250 SPE 491.150
251 SPOT TYPHI IG G 244.350 252 SPOT TYPHI IGM 244.350 253 SPUTUM ZN/BTA 83.300
254 SUDAN 36.650
255 SWAB TENGGOROK 90.950
256 T3 254.550
257 T4 254.550
258 TAT 182.200
259 TBG 128.700
260 TBK 159.300
261 TEST PACK 87.750 262 TEST SARING THALASEMIA 2.085.300 263 TESTOSTERON 316.750
264 TIBC 159.850
265 TITER ASO 44.300
266 TORCH 2.214.600
267 TOTAL IG E 389.100 268 TOTAL PROTEIN 77.250 269 Toxo Avidity 467.550 270 TOXOPLASMA 7.850
271 TPHA 162.800
272 TRANSFERRIN 458.000 273 TREADMILL 375.700 274 TRIGLESERIDA 69.650 275 TROMBOSIT 24.450 276 TROPONIN‐I 589.450
277 TSH 321.600
278 TTT 52.050
279 TUBEX TF 151.550 280 URETHRA SEKRET 151.400
281 UREUM 64.050
282 URINE KULTUR 473.150 283 URINE LENGKAP 71.950 284 UROBILIN 21.400 285 VAGINAL SEKRET 151.400
286 VD 36.650
287 VDRL 115.200
288 VP 36.650
289 WAKTU PEMBEKUAN 57.800 290 WAKTU PERDARAHAN 57.800 291 WIDAL SLIDE 152.150
