jadual 3 caj rawatan - ministry of healthhrpz2.moh.gov.my/v3/uploads/kewangan/caj rawatan... ·...

Bil. Prosedur (BM) Procedure (BI)Kadar Caj Semasa

Warga Asing (RM)

Kos perkhidmatan

(RM)

TAHUN 2015

(RM)

TAHUN 2016

(RM)

TAHUN 2017

(RM)

TAHUN 2018

(RM)

1 RAWATAN PESAKIT DALAM INPATIENT TREATMENT 10 100 sehari 37 sehari 55 sehari 73 sehari 100 sehari

2 RAWATAN PSIKIATRIK PSYCHIATRIC TREATMENT 7501,500 setiap kali

dimasukkan ke

hospital.

975 setiap kali

dimasukkan ke

hospital.

1,125 setiap kali

dimasukkan ke

hospital.

1,275 setiap kali

dimasukkan ke

hospital.

1,500 setiap kali

dimasukkan ke

hospital.

BERSALIN DELIVERY CHARGES

3 Caesarean Caesarean 1,000 3,021 1,606 2,011 2,415 3,021

Bersalin dengan bantuan : Delivery with help:

4 Forsep/ breech/vakum Forcep/Breech/Vacuum 600 2,593 1,198 1,597 1,995 2,593

5 Bersalin Kembar Twin 800 2,593 1,338 1,697 2,055 2,593

6 Bersalin Biasa Spontaneous Vertex Delivery 500 2,593 1,128 1,547 1,965 2,593

CAJ RAWATAN ATAU PROSEDUR OTHER TREATMENT

7 Kardiotokograf Cardiotocograph 30 120 57 75 93 120

8 Toilet & Suture per stich Toilet & suture per stich 50 50 50 50 50 50

9 Fine needle aspiration Fine needle aspiration 40 275 111 158 205 275

10 Incision & drainage Incision & drainage 50 275 118 163 208 275

11 Catheterisation Catheterisation 50 85 61 68 75 85

RADIOTERAPI RADIOTHERAPY TREATMENT

SIMULASI DAN PERANCANGAN BERKOMPUTER

SIMULATION AND COMPUTERIZED PLANNING

12 Penandaan Setempat/Mark on set Mark on set 0 50 15 25 35 50

13Simulasi Konvensional/Conventional Simulation

Conventional Simulation 0 1,000 300 500 700 1,000

14Simulasi CT/CT Simulation - Biasa (tanpa contrast)/Normal (without contrast)

CT Simulation - Normal (without contrast)

0 1,500 450 750 1,050 1,500

15Simulasi CT/CT Simulation - Kompleks (dengan contrast)/Complex (with contrast)

CT Simulation - Complex (with contrast)

0 3,000 900 1,500 2,100 3,000

16Simulasi CT/CT Simulation - IMRT/Rapid Arc. , TBI, TNI, TBE

CT Simulation - IMRT/Rapid Arc. , TBI, TNI, TBE

0 5,000 1,500 2,500 3,500 5,000

17Simulasi CT/CT Simulation - Stereotactic Radiosurgery (SRT)

CT Simulation - Stereotactic Radiosurgery (SRT)

0 20,000 6,000 10,000 14,000 20,000

RAWATAN RADIOTERAPI RADIOTHERAPY TREATMENT

182D/Single field/parallel opposed per fraction

2D/Single field/parallel opposed per fraction

0 350 105 175 245 350

193D/any plans with 3 or more fields per fraction

3D/any plans with 3 or more fields per fraction

0 450 135 225 315 450

20 IMRT/Rapid Arc per fraction IMRT/Rapid Arc per fraction 0 500 150 250 350 50021 TBI per fraction TBI per fraction 0 500 150 250 350 50022 TNI per fraction TNI per fraction 0 700 210 350 490 70023 SRT per fraction SRT per fraction 0 500 150 250 350 500

24 SRS (Rawatan pakej- sekali caj sahaja)SRS (package treatment - onetime charge)

0 30,000 9,000 15,000 21,000 30,000

AKSESORI PAKAI BUANG (CONSUMABLES)

CONSUMABLES

25Topeng Cegah Gerak (Beam Direction Shell)

Beam Direction Shell 0 250 75 125 175 250

JADUAL 3CAJ RAWATAN

Bil. Prosedur (BM) Procedure (BI)Kadar Caj Semasa Warga Asing (RM)

Kos

perkhidmatan (RM)

TAHUN 2015 (RM)

TAHUN 2016 (RM)

TAHUN 2017 (RM)

TAHUN 2018 (RM)

CAJ RAWATAN

26 Vac-Lock Vac-Lock 0 250 75 125 175 25027 Cerroband Cerroband 0 500 150 250 350 50028 Wax Wax 0 300 90 150 210 300

RAWATAN BRAKITERAPI BRACHYTHERAPY TREATMENT

29Intra-cavitari : Dhobbies/single line source per session

Intra-cavitari : dhobbies/single line source per session

0 5,000 1,500 2,500 3,500 5,000

30 Intra-cavitari : Paired Ovoids per sessionIntra-cavitari : paired ovoids per session

0 5,000 1,500 2,500 3,500 5,000

31Intra-cavitari : Full Intra- cavitary per session

Intra-cavitari : full intra- cavitary per session

0 5,000 1,500 2,500 3,500 5,000

32Intra-cavitari : For Nasopharyngeal Cancer (NPC) per session

Intra-cavitari : for nasopharyngeal cancer (NPC) per session

0 7,000 2,100 3,500 4,900 7,000

33Intra-luminal : Esophagus, bronchus, ano-rectal per session

Intra-luminal : Esophagus, bronchus, ano-rectal per session

0 300 90 150 210 300

34Interstitial brachytherapy implants : Breast brachytherapy implants per implant

Interstitial brachytherapy implants : Breast brachytherapy implants per implant

0 6,500 1,950 3,250 4,550 6,500

35Interstitial brachytherapy implants : Extremities implants per implant

Interstitial brachytherapy implants : Extremities implants per implant

0 6,000 1,800 3,000 4,200 6,000

36Interstitial brachytherapy implants : Oral cavity/anorectal/prostate implants per implant

Interstitial brachytherapy implants : Oral cavity/anorectal/prostate implants per implant

0 7,500 2,250 3,750 5,250 7,500

37 Prostate brachytherapy procedure Prostate brachytherapy procedure 0 10,000 3,000 5,000 7,000 10,000

38Iodine-131 therapy (not Iodine scan) per session

Iodine-131 therapy (not Iodine scan) per session

0 800 240 400 560 800

KEMOTERAPI CHEMOTHERAPYSingle Agent Single AgentJenis A Type A

39 Low dose cisplatin Low dose cisplatin 0 65 20 33 46 6540 Methotrexate Methotrexate 0 65 20 33 46 6541 Doxorubicin Doxorubicin 0 65 20 33 46 6542 Vinorelbine Vinorelbine 0 65 20 33 46 65

Jenis B Type B 43 Carboplatin Carboplatin 0 260 78 130 182 26044 Paclitaxel Paclitaxel 0 260 78 130 182 26045 Fluorouracil Fluorouracil 0 260 78 130 182 26046 Oxaliplatin Oxaliplatin 0 260 78 130 182 26047 High dose cisplatin High dose cisplatin 0 260 78 130 182 260

Jenis C Type C48 Gemcitabine Gemcitabine 0 1,100 330 550 770 1,10049 Bleomycin Bleomycin 0 1,100 330 550 770 1,10050 Docetaxel Docetaxel 0 1,100 330 550 770 1,10051 Ifosphamide Ifosphamide 0 1,100 330 550 770 1,10052 Mitoxantrone Mitoxantrone 0 1,100 330 550 770 1,10053 Mitomycin Mitomycin 0 1,100 330 550 770 1,100


Kos

perkhidmatan (RM)

TAHUN 2015 (RM)

TAHUN 2016 (RM)

TAHUN 2017 (RM)

TAHUN 2018 (RM)

CAJ RAWATAN

54 Irinotecan Irinotecan 0 1,100 330 550 770 1,100Jenis D Type D

55 Pemetrexed Pemetrexed 0 5,500 1,650 2,750 3,850 5,50056 Pegylated Liposomal Doxorubicin Pegylated Liposomal Doxorubicin 0 5,500 1,650 2,750 3,850 5,500

Double Agents Double Agents

57 Doxorubicin + Cyclophosphamide Doxorubicin + Cyclophosphamide 0 70 21 35 49 70

58 Doxorubicin + Ifosphamide Doxorubicin + Ifosphamide 0 661 198 331 463 66159 Doxorubicin + Cisplatin Doxorubicin + Cisplatin 0 89 27 45 62 8960 Doxorubicin + Docetaxel Doxorubicin + Docetaxel 0 971 291 486 680 97161 Doxorubicin + Paclitaxel Doxorubicin + Paclitaxel 0 227 68 114 159 22762 Doxorubicin + Gemcitabine Doxorubicin + Gemcitabine 0 325 98 163 228 32563 Carboplatin + Fluorouracil Carboplatin + Fluorouracil 0 148 44 74 104 14864 Carboplatin + Paclitaxel Carboplatin + Paclitaxel 0 398 119 199 279 39865 Carboplatin + Etoposide Carboplatin + Etoposide 0 105 32 53 74 10566 Carboplatin + Gemcitabine Carboplatin + Gemcitabine 0 564 169 282 395 56467 Carboplatin + Docetaxel Carboplatin + Docetaxel 0 1,033 310 517 723 1,03368 Carboplatin + Vinorelbine Carboplatin + Vinorelbine 0 292 88 146 204 29269 Cisplatin + Paclitaxel Cisplatin + Paclitaxel 0 231 69 116 162 23170 Cisplatin + Etoposide Cisplatin + Etoposide 0 133 40 67 93 13371 Cisplatin + Fluorouracil Cisplatin + Fluorouracil 0 126 38 63 88 12672 Cisplatin + Pemetrexed Cisplatin + Pemetrexed 0 6,160 1,848 3,080 4,312 6,16073 Cisplatin + Gemcitabine Cisplatin + Gemcitabine 0 592 178 296 414 59274 Cisplatin + Vinorelbine Cisplatin + Vinorelbine 0 69 21 35 48 6975 Cisplatin + Ifosphamide Cisplatin + Ifosphamide 0 1,018 305 509 713 1,01876 Cisplatin + Methotrexate Cisplatin + Methotrexate 0 44 13 22 31 4477 Cisplatin + Cyclophosphamide Cisplatin + Cyclophosphamide 0 68 20 34 48 6878 Cyclophosphamide + Vincristine Cyclophosphamide + Vincristine 0 33 10 17 23 3379 Cyclophosphamide + Epirubicin Cyclophosphamide + Epirubicin 0 334 100 167 234 33480 Etoposide + Fluorouracil Etoposide + Fluorouracil 0 147 44 74 103 14781 Gemcitabine + Vinorelbine Gemcitabine + Vinorelbine 0 318 95 159 223 31882 Gemcitabine + Paclitaxel Gemcitabine + Paclitaxel 0 742 223 371 519 74283 Gemcitabine + Oxaliplatin Gemcitabine + Oxaliplatin 0 433 130 217 303 43384 Ifosphamide + Vinorelbine Ifosphamide + Vinorelbine 0 774 232 387 542 77485 Ifosphamide + Epirubicin Ifosphamide + Epirubicin 0 1,389 417 695 972 1,38986 Irinotecan + Fluorouracil Irinotecan + Fluorouracil 0 528 158 264 370 52887 Mitomycin + Fluorouracil Mitomycin + Fluorouracil 0 674 202 337 472 674

88 Oxaliplatin (130 mg/m2) + CapecitabineOxaliplatin (130 mg/m2) + Capecitabine

0 1,293 388 647 905 1,293

89 Oxaliplatin + Fluorouracil Oxaliplatin + Fluorouracil 0 317 95 159 222 31790 Paclitaxel + Fluorouracil Paclitaxel + Fluorouracil 0 304 91 152 213 304

91 Capecitabine + Irinotecan (240 mg/m2)Capecitabine + Irinotecan (240 mg/m2)

0 1,560 468 780 1,092 1,560

Triple Agent Triple Agent

92Doxorubicin + Cyclophosphamide + Etoposide

Doxorubicin + Cyclophosphamide + Etoposide

0 220 66 110 154 220

93 Doxorubicin + Cisplatin + IfosphamideDoxorubicin + Cisplatin + Ifosphamide

0 488 146 244 342 488


Kos

perkhidmatan (RM)

TAHUN 2015 (RM)

TAHUN 2016 (RM)

TAHUN 2017 (RM)

TAHUN 2018 (RM)

CAJ RAWATAN

94 Doxorubicin + Dacarbazine + IfosphamideDoxorubicin + Dacarbazine + Ifosphamide

0 1,645 494 823 1,152 1,645

95 Bleomycin + Etoposide + Cisplatin Bleomycin + Etoposide + Cisplatin 0 1,236 371 618 865 1,236

96Doxorubicin + Cyclophosphamide + Cisplatin

Doxorubicin + Cyclophosphamide + Cisplatin

0 92 28 46 64 92

97Cyclophosphamide + Methotrexate + Fluorouracil

Cyclophosphamide + Methotrexate + Fluorouracil

0 62 19 31 43 62

98 Epirubicin + Cisplatin + Fluorouracil Epirubicin + Cisplatin + Fluorouracil 0 310 93 155 217 310

99Fluorouracil + Doxorubicin + Cyclophosphamide

Fluorouracil + Doxorubicin + Cyclophosphamide

0 68 20 34 48 68

100Fluorouracil + Epirubicin + Cyclophosphamide

Fluorouracil + Epirubicin + Cyclophosphamide

0 278 83 139 195 278

101 Ifosphamide + Carboplatin + EtoposideIfosphamide + Carboplatin + Etoposide

0 1,125 338 563 788 1,125

102 Ifosphamide + Dactinomycin + VincristineIfosphamide + Dactinomycin + Vincristine

0 1,120 336 560 784 1,120

103 Gemcitabine + Paclitaxel + CarboplatinGemcitabine + Paclitaxel + Carboplatin

0 924 277 462 647 924

104 Procarbazine + Lomustine + VincristineProcarbazine + Lomustine + Vincristine

0 2,472 742 1,236 1,730 2,472

105 Ifosphamide + Cisplatin + Etoposide Ifosphamide + Cisplatin + Etoposide 0 1,019 306 510 713 1,019

106Docetaxel + Doxorubicin + Cyclophosphamide

Docetaxel + Doxorubicin + Cyclophosphamide

0 888 266 444 622 888

107 Paclitaxel + Ifosphamide + Cisplatin Paclitaxel + Ifosphamide + Cisplatin 0 1,015 305 508 711 1,015

108 Docetaxel + Cisplatin + Fluorouracil Docetaxel + Cisplatin + Fluorouracil 0 1,070 321 535 749 1,070

109 Paclitaxel + Carboplatin + Etoposide Paclitaxel + Carboplatin + Etoposide 0 912 274 456 638 912

110 Paclitaxel + Carboplatin + FluorouracilPaclitaxel + Carboplatin + Fluorouracil

0 981 294 491 687 981

111 Mitomycin + Ifosphamide + Cisplatin Mitomycin + Ifosphamide + Cisplatin 0 766 230 383 536 766

112Vincristine + Doxorubicin + Cyclophosphamide

Vincristine + Doxorubicin + Cyclophosphamide

0 90 27 45 63 90

113Vincristine + Dactinomycin + Cyclophosphamide

Vincristine + Dactinomycin + Cyclophosphamide

0 515 155 258 361 515

114Vincristine + Epirubicin + Cyclophosphamide

Vincristine + Epirubicin + Cyclophosphamide

0 258 77 129 181 258

115 Vincristine + Etoposide + Carboplatin Vincristine + Etoposide + Carboplatin

0 581 174 291 407 581

116 Etoposide + Cisplatin + Ifosphamide Etoposide + Cisplatin + Ifosphamide 0 745 224 373 522 745

117 Vinblastine + Ifosphamide + CisplatinVinblastine + Ifosphamide + Cisplatin

0 695 209 348 487 695


Kos

perkhidmatan (RM)

TAHUN 2015 (RM)

TAHUN 2016 (RM)

TAHUN 2017 (RM)

TAHUN 2018 (RM)

CAJ RAWATAN

118 Vinorelbine + Ifosphamide + CisplatinVinorelbine + Ifosphamide + Cisplatin

0 1,148 344 574 804 1,148

Complex Regime Complex Regime 0

119Etoposide + Dactinomycin + Methotrexate + Vincristine + Cyclophosphamide

Etoposide + Dactinomycin + Methotrexate + Vincristine + Cyclophosphamide

0 338 101 169 237 338

120Etoposide + Cisplatin + Dactinomycin + Methotrexate

Etoposide + Cisplatin + Dactinomycin + Methotrexate

0 217 65 109 152 217

121Etoposide + Vincristine + Doxorubicin + Ifosphamide + Dactinomycin

Etoposide + Vincristine + Doxorubicin + Ifosphamide + Dactinomycin

0 1,110 333 555 777 1,110

122Ifosphamide + Vincristine + Dactinomycin + Doxorubicin

Ifosphamide + Vincristine + Dactinomycin + Doxorubicin

0 975 293 488 683 975

123Vincristine + Doxorubicin + Cyclophosphamide + Dactinomycin

Vincristine + Doxorubicin + Cyclophosphamide + Dactinomycin

0 392 118 196 274 392

124Vincristine + Doxorubicin + Ifosphamide + Dactinomycin

Vincristine + Doxorubicin + Ifosphamide + Dactinomycin

0 1,157 347 579 810 1,157

125Vincristine + Ifosphamide + Carboplatin + Etoposide

Vincristine + Ifosphamide + Carboplatin + Etoposide

0 944 283 472 661 944

126Vincristine + Ifosphamide + Doxorubicin + Etoposide

Vincristine + Ifosphamide + Doxorubicin + Etoposide

0 1,141 342 571 799 1,141

127Methotrexate + Dactinomycin + Chlorambucil + Cyclophosphamide

Methotrexate + Dactinomycin + Chlorambucil + Cyclophosphamide

0 354 106 177 248 354

128Methotrexate + Vinblastine + Doxorubicin + Cisplatin

Methotrexate + Vinblastine + Doxorubicin + Cisplatin

0 232 70 116 162 232

Oral Agents Oral Agents

129 Capecitabine 1250mg/m2 Capecitabine 1250mg/m2 0 658 197 329 461 658



132 Chlorambucil Chlorambucil 0 95 28 47 66 95133 Cyclophosphamide Cyclophosphamide 0 3 1 2 2 3134 Etoposide Etoposide 0 405 122 203 284 405135 Procarbazine Procarbazine 0 516 155 258 361 516136 Tegafur Tegafur 0 255 77 128 179 255137 Temozolomide Temozolomide 0 5,405 1,622 2,703 3,784 5,405

TARGETED THERAPY TARGETED THERAPY138 Erlotinib 100mg Erlotinib 100mg 0 4,705 1,412 2,353 3,294 4,705139 Erlotinib 150mg Erlotinib 150mg 0 5,800 1,740 2,900 4,060 5,800140 Imatinib 100mg Imatinib 100mg 0 4,492 1,348 2,246 3,144 4,492141 Gefitinib Gefitinib 0 5,043 1,513 2,522 3,530 5,043142 Imatinib 400mg Imatinib 400mg 0 9,210 2,763 4,605 6,447 9,210143 Pazopanib 200mg Pazopanib 200mg 0 1,848 554 924 1,294 1,848144 Pazopanib 400mg Pazopanib 400mg 0 2,790 837 1,395 1,953 2,790145 Trastuzumab (loading dose) Trastuzumab (loading dose) 0 6,977 2,093 3,489 4,884 6,977

146 Trastuzumab (maintainence dose) Trastuzumab (maintainence dose) 0 5,074 1,522 2,537 3,552 5,074

147 Cetuximab (2 weekly regime) Cetuximab (2 weekly regime) 0 6,112 1,834 3,056 4,278 6,112


Kos

perkhidmatan (RM)

TAHUN 2015 (RM)

TAHUN 2016 (RM)

TAHUN 2017 (RM)

TAHUN 2018 (RM)

CAJ RAWATAN

HORMONE THERAPY HORMONE THERAPY148 Anastrazole Anastrazole 0 74 22 37 52 74149 Bicalutamide Bicalutamide 0 74 22 37 52 74150 Exemestane Exemestane 0 796 239 398 557 796151 Flutamide Flutamide 0 91 27 46 64 91152 Letrozole Letrozole 0 126 38 63 88 126153 Leuprolide Acetate 3.75mg Leuprolide Acetate 3.75mg 0 316 95 158 221 316154 Leuprolide Acetate 11.25mg Leuprolide Acetate 11.25mg 0 971 291 486 680 971

155 Medroxyprogesterone acetate (IM) Medroxyprogesterone acetate (IM) 0 26 8 13 18 26

156 Megestrole Acetate Megestrole Acetate 0 800 240 400 560 800157 Tamoxifen Tamoxifen 0 16 5 8 11 16

158 Goserelin 10.8 Depot (setiap 3 bulan)Goserelin 10.8 Depot (setiap 3 bulan)

0 992 298 496 694 992

159 Goserelin 3.6 Depot Goserelin 3.6 Depot 0 265 80 133 186 265IMMUNO THERAPY IMMUNO THERAPY

160 Interfelon Alfa Interfelon Alfa 0 1,136 341 568 795 1,136PERUBATAN NUKLEAR NUCLEAR MEDICINE

161 Teknetium-99M Pirauan Kardiak Teknetium-99M Cardiac Shunt 70 140 91 105 119 140

162 Teknetium-99M Kajian PirofosfatTeknetium-99M Phyrophosphate Study

120 240 156 180 204 240

163Teknetium-99MIBI kajian Latihan dan Rehat

Teknetium-99MIBI Exercise & Rest Study

850 1,700 1,105 1,275 1,445 1,700

164 Talium-201 Kajian Latihan dan Rehat Talium-201 Exercise & Rest Study 900 1,800 1,170 1,350 1,530 1,800

165 Imbasan Limpahan Hati Berlawang Gated Heart Pool Scan 680 1,360 884 1,020 1,156 1,360166 Pengimejan Tertangguh 24 jam 24 Hours Delay Imaging 200 400 260 300 340 400

NEFROLOGY NEPHROLOGY

167Intermitent peritoneal dialysis bagi setiap rawatan

Intermitent peritoneal dialysis per treatment

250 300 265 275 285 300

168 Rawatan CAPD sebulan CAPD treatment (monthly) 500 2,100 980 1,300 1,620 2,100

169 Renal biopsy (tidak termasuk laporan) Renal biopsy (excluding report) 50 500 185 275 365 500

170 Femoral/Subclavian Catherisation Femoral/subclavian catherisation 50 1,000 335 525 715 1,000171 Haemoperfusion Haemoperfusion 250 1,000 475 625 775 1,000172 Implantation of tenchoff catheter Implantation of tenchoff catheter 100 200 130 150 170 200173 Pretransplant dialysis treatment Pretransplant dialysis treatment 1,000 2,000 1,300 1,500 1,700 2,000

174Lawatan di rumah bagi setiap haemodilaisis

Home visit per Haemodialysis 100200 setiap lawatan.

130 setiap lawatan.

150 setiap lawatan.

170 setiap lawatan.

200 setiap lawatan.

175 Cycle-PD / Automated PD Cycle-PD / Automated PD 800 800 800 800 800 800

176 Intermitent Peritoneal Dialysis Stab Intermitent peritoneal dialysis stab 800 800 800 800 800 800

177 Intermitent Peritoneal DialysistenckhoffIntermitent peritoneal dialysis tenckhoff

800 800 800 800 800 800

178Continuous Arteriovenous Haemofiltration

Continuous arteriovenous haemofiltration

800 800 800 800 800 800

179Continuous Venovenous Haemodiafiltration

Continuous venovenous haemodiafiltration

800 2,000 1,160 1,400 1,640 2,000


Kos

perkhidmatan (RM)

TAHUN 2015 (RM)

TAHUN 2016 (RM)

TAHUN 2017 (RM)

TAHUN 2018 (RM)

CAJ RAWATAN

180 Continuous Venovenous HaemodialysisContinuous venovenous haemodialysis

800 2,000 1,160 1,400 1,640 2,000

181 Continuous Venovenous HaemofiltrationContinuous venovenous haemofiltration

800 890 827 845 863 890

182 Nightly Intermitent Peritoneal DialysisNightly intermitent peritoneal dialysis

800 2,100 1,190 1,450 1,710 2,100

183 Plasma Exchange Plasma exchange 800 1,900 1,130 1,350 1,570 1,900184 Plasmapharesis Plasmapharesis 800 1,900 1,130 1,350 1,570 1,900185 Haemofiltration Haemofiltration 300 300 300 300 300 300186 Haemodialysis Single Use Kidney Haemodialysis single use kidney 125 200 148 163 178 200

187Haemodialysis Single Use Kidney High-Flux

Haemodialysis single use kidney high-flux

125 200 148 163 178 200

188Haemodialysis Single Use Kidney Low-Flux

Haemodialysis single use kidney low-flux

125 200 148 163 178 200

189 Haemo Single Use Kidney Middle- FluxHaemodialysis single use kidney middle- flux

125 200 148 163 178 200

190Catheter Insertion Surgical Tenckhoff Peritoneal Sco

Catheter insertion surgical tenckhoff peritoneal sco

150 2,500 855 1,325 1,795 2,500

191Catheter Removal Medical Tenckhoff (Non OT)

Catheter removal medical tenckhoff (Non OT)

150 500 255 325 395 500

192Catheter Removal Surgical Tenckhoff ( No OT)

Catheter removal surgical tenckhoff ( Non OT)

150 500 255 325 395 500

193 Kt/v (CAPD) Kt/v (CAPD) 150 150 150 150 150 150194 Catheter Insertion Central Venous Catheter insertion central venous 50 1,000 335 525 715 1,000

195 Catheter Insertion CV Under US GuidanceCatheter insertion CV under US guidance

50 1,000 335 525 715 1,000

196Catheter Insertion Femoral Double Lumen (non cuffed)

Catheter insertion femoral double lumen (non cuffed)

50 800 275 425 575 800

197 Catheter Insertion Femoral Single LumenCatheter insertion femoral single lumen

50 1,000 335 525 715 1,000

198 Catheter Insertion Permenant Catheter insertion permanent 50 2,500 785 1,275 1,765 2,500199 Haemodiafiltration Online Haemodiafiltration online 50 300 125 175 225 300200 Haemodialysis Reuse Kidney Haemodialysis reuse kidney 120 180 138 150 162 180

201 Haemodialysis Reuse Kidney High-FluxHaemodialysis reuse kidney high-flux

120 180 138 150 162 180

202 Haemodialysis Reuse Kidney Low-FluxHaemodialysis reuse kidney low-flux

120 180 138 150 162 180

203 Haemodialysis Reuse Kidney Middle-FluxHaemodialysis reuse kidney middle-flux

120 180 138 150 162 180

204 Renal Biopsy- Biopty Gun Renal biopsy- biopty gun 50 500 185 275 365 500205 Renal Biopsy-Cooks Renal biopsy-cooks 50 500 185 275 365 500206 Renal Biopsy-Tru Cut Renal biopsy-tru cut 50 500 185 275 365 500

207 Slow Continuous Ultrafiltration Slow continuous ultrafiltration 50 1,000 per hari. 335 per hari. 525 per hari. 715 per hari. 1,000 per hari.

208 Ultrafiltration Ultrafiltration 50 200 95 125 155 200209 Catheter Removal Central Venous Catheter removal central venous 50 200 95 125 155 200

210Catheter Removal Femoral Double Lumen

Catheter removal femoral double lumen

50 200 95 125 155 200


Kos

perkhidmatan (RM)

TAHUN 2015 (RM)

TAHUN 2016 (RM)

TAHUN 2017 (RM)

TAHUN 2018 (RM)

CAJ RAWATAN

211Catheter Removal Central Venous Under US

Catheter removal central venous under US

50 200 95 125 155 200

212 Catheter Removal Femoral Single LumenCatheter removal femoral single lumen

50 200 95 125 155 200

213 Renal Allograft Ultrasound Renal allograft ultrasound 50 100 65 75 85 100

214 Renal Allograft Ultrasound Doppler Renal allograft ultrasound doppler 50 150 80 100 120 150

FISIOTERAPI PHYSIOTHERAPY

ELECTROTHERAPY MODALITIES ELECTROTHERAPY MODALITIES215 Biofeedback/ myofeedback Biofeedback/ myofeedback 0 80 24 40 56 80216 Direct current/ Iontophorosis Direct current/ iontophorosis 0 80 24 40 56 80217 Didynamic Current Didynamic current 0 80 24 40 56 80218 Interrupted Direct Current (IDC) Interrupted Direct Current (IDC) 0 80 24 40 56 80219 Interferential Therapy (IT) Interferential Therapy (IT) 0 80 24 40 56 80220 Shortwave Diathermy (SWD) Shortwave Diathermy (SWD) 20 80 38 50 62 80

221Transcutaneous Electrical Nerve Stimulation (TENS)

Transcutaneous Electrical Nerve Stimulation (TENS)

0 80 24 40 56 80

222 Ultrasound Therapy (US) Ultrasound Therapy (US) 0 80 24 40 56 80223 Realtime Ultrasound Realtime ultrasound 0 80 24 40 56 80224 Functional Electrical Stimulation Functional electrical stimulation 0 80 24 40 56 80225 Shockwave Therapy Shockwave therapy 0 80 24 40 56 80

THERMAL THERAPY/ CRYOTHERAPYTHERMAL THERAPY/ CRYOTHERAPY

226 Hot Pack Hot pack 0 40 12 20 28 40227 Wax Bath Wax bath 10 40 19 25 31 40228 Infrared Radiation Infrared radiation 0 40 12 20 28 40229 Cryotherapy Cryotherapy 0 40 12 20 28 40

PHOTOTHERAPY PHOTOTHERAPY230 Laser Therapy Laser therapy 0 80 24 40 56 80231 Ultraviolet Light Therapy Ultraviolet light therapy 20 80 38 50 62 80

CARDIORESPIRATORY THERAPY CARDIORESPIRATORY THERAPY

232 Active Cycle Breathing Technique (ACBTActive Cycle Breathing Technique (ACBT)

0 60 18 30 42 60

233 Breathing exercise Breathing exercise 20 60 32 40 48 60234 Bronchial Suction Bronchial suction 0 60 18 30 42 60235 Flutter/incentive Spirometer Flutter/incentive spirometer 0 60 18 30 42 60236 Inspiratory Muscle Training Inspiratory Muscle Training 0 60 18 30 42 60237 Inhalation Therapy Inhalation Therapy 0 60 18 30 42 60238 Percussion/Vibration Percussion/Vibration 0 60 18 30 42 60239 Positive Expiratory Pressure Positive expiratory pressure 0 60 18 30 42 60240 Postural Drainage Postural drainage 0 60 18 30 42 60

MECHANO THERAPY MECHANO THERAPY241 Cervical Traction Cervical traction 10 80 31 45 59 80242 Lumbar Traction Lumbar traction 10 80 31 45 59 80243 Sequential Pump Sequential pump 0 80 24 40 56 80

HYDROTHERAPY HYDROTHERAPY 10 120 43 65 87 120244 Pool Exercise Pool exercise 0 120 36 60 84 120245 Whirlpool Whirlpool 10 120 43 65 87 120


Kos

perkhidmatan (RM)

TAHUN 2015 (RM)

TAHUN 2016 (RM)

TAHUN 2017 (RM)

TAHUN 2018 (RM)

CAJ RAWATAN

MANUAL THERAPY MANUAL THERAPY246 Soft Tissue Manipulation Soft tissue manipulation 0 120 36 60 84 120247 Myofascial Release Myofascial release 0 120 36 60 84 120248 Manual Lymphatic Drainage Manual lymphatic drainage 0 120 36 60 84 120249 Accupressure Accupressure 0 120 36 60 84 120

250 TAPING/BANDAGING/STRAPPING TAPING/BANDAGING/STRAPPING 0 120 36 60 84 120

251COMPRESSION THERAPY (LYMPHOEDEMA)

COMPRESSION THERAPY (LYMPHOEDEMA)

0 80 24 40 56 80

SPECIAL TECHNIQUES SPECIAL TECHNIQUES252 Canalith Repositioning Technique Canalith repositioning technique 0 80 24 40 56 80253 Gaze Stabilisation Exercise Gaze stabilisation exercise 0 80 24 40 56 80254 Icing/brushing Icing/Brushing 0 80 24 40 56 80255 Joint mobilisation Joint mobilisation 10 80 31 45 59 80256 McKenzie technique McKenzie technique 0 80 24 40 56 80

257 Motor relearning programme (MRP)Motor Relearning Programme (MRP)

0 80 24 40 56 80

258 Accupuncture Accupuncture 0 80 24 40 56 80259 Neurodevelopmental technique Neurodevelopmental technique 0 80 24 40 56 80

260Proprioceptive Neuromuscular Facilitation (PNF)

Proprioceptive Neuromuscular Facilitation (PNF)

0 80 24 40 56 80

EXERCISE THERAPY EXERCISE THERAPY261 Active, passive, resisted Active, passive, resisted 0 80 24 40 56 80262 Ambulation/Gait training Ambulation/Gait training 0 80 24 40 56 80263 Ante/Postnatal Exercise Ante/Postnatal Exercise 0 80 24 40 56 80264 Balance Training Balance training 0 80 24 40 56 80265 Bladder/bowel training Bladder/bowel training 0 80 24 40 56 80

266 Circuit Training/Gymnic ball exercise Circuit training/Gymnic ball exercise 0 80 24 40 56 80

267 Counter bracing Technique Counter bracing technique 0 80 24 40 56 80268 Functional Activities Functional activities 0 80 24 40 56 80269 Group Exercise Group exercise 0 80 24 40 56 80270 Isokinetic Exercise Isokinetic exercise 0 80 24 40 56 80271 Mechanical Exercise Mechanical exercise 0 80 24 40 56 80272 Pelvic Floor Exercise Pelvic floor exercise 0 80 24 40 56 80

273 Pelvic Floor Exercise -with PFX educatorPelvic floor exercise -with PFX educator

0 80 24 40 56 80

274 Relaxation Techniques Relaxation techniques 0 80 24 40 56 80275 Sensory re-education Sensory re-education 0 80 24 40 56 80276 Special Hand Regime Special hand regime 0 80 24 40 56 80277 Treadmill Treadmill 0 80 24 40 56 80

278CONSULTATION/STRUCTURED PATIENT EDUCATION/CAREER TRAINING

CONSULTATION/STRUCTURED PATIENT EDUCATION/ CAREER TRAINING

0 40 12 20 28 40

SPECIAL TEST – DIAGNOSTIC TOOLSPECIAL TEST – DIAGNOSTIC TOOL

279 Berg’s Balance Test Berg’s Balance Test 0 120 36 60 84 120

280Clinical Test for Sensory Interaction & Balance (CTSIB)

Clinical Test for Sensory Interaction & Balance (CTSIB)

0 120 36 60 84 120


Kos

perkhidmatan (RM)

TAHUN 2015 (RM)

TAHUN 2016 (RM)

TAHUN 2017 (RM)

TAHUN 2018 (RM)

CAJ RAWATAN

281 Computerized Dynamic PosturographyComputerized dynamic posturography

0 120 36 60 84 120

282 Computerized Hand Evaluation Computerized hand evaluation 0 120 36 60 84 120283 Dix-hall Pike Test Dix-Hall Pike Test 0 120 36 60 84 120284 Dynamic Gait Index Dynamic Gait Index 0 120 36 60 84 120285 Oculomotor Assessment Oculomotor assessment 0 120 36 60 84 120

286Pelvic Floor Per Vagina/Per Rectal Assessment

Pelvic Floor Per Vagina/Per Rectal Assessment

0 120 36 60 84 120

287 Perionometer Perionometer 0 120 36 60 84 120288 Sensory Testing Sensory testing 0 120 36 60 84 120289 Strength Duration Curve Strength duration curve 0 120 36 60 84 120290 Voluntary Muscle Testing Voluntary muscle testing 0 120 36 60 84 120291 Vestibular Test Vestibular test 0 120 36 60 84 120

CAJ RAWATAN PERGIGIAN DENTAL292 Cabutan Sebatang gigi kekal Extraction permanent tooth 20 50 29 35 41 50

293Cabutan Gigi supernumerari /tunggul akar

Extraction supernumerary/retained root

25 50 33 38 43 50

294 Cabutan Sebatang gigi desidus Extraction deciduous tooth 25 25 25 25 25 25

295Cabutan -Komplikasi - Rawatan soket terinfeksi

Extraction - complication - treatment of infected socket

20 50 29 35 41 50

296Cabutan - Komplikasi -Pemberhentian pendarahan

Extraction - complication - control of haemorrage

20 50 29 35 41 50

297 Cabutan - Komplikasi Extraction - complication 20 50 29 35 41 50

298 Tampalan Gigi kekal – satu permukaan Restoration permanent tooth - single surface

35 75 47 55 63 75

299Tampalan gigi kekal – permukaan berganda/dengan pin retensi

Restoration permanent tooth - multiple surface/with pin retention

35 100 55 68 81 100

300 Tampalan - gigi desidus Restoration - deciduous tooth 30 30 30 30 30 30301 Tampalan sementara Temporary restoration 15 30 20 23 26 30302 Penskaleran dan penggilapan Scaling and polishing per arch 35 214 89 125 160 214

303Dentur penuh (akrilik) - setiap rahang - termasuk bahan

Full denture (acrylic) - per jaw including materials

100 900 340 500 660 900

304Dentur separa (akrilik) - setiap rahang gigi pertama

Partial denture (acrylic) - per jaw - first tooth

50 500 185 275 365 500

305 Dentur separa (akrilik) -maksimum Partial denture (acrylic) - maximum 180 800 366 490 614 800

306 Dentur separa – setiap gigi tambahan Partial denture – per additional tooth

10 20 13 15 17 20

307Pembaikan plat dentur (tidak termasuk penggantian setiap gigi)

Repair of denture plate (not including replacement of tooth)

20 70 35 45 55 70

308 Pembaikan dentur (setiap gigi tambahan)Repair of denture (per additional tooth)

10 20 13 15 17 20

309 Relining/Rebasing – setiap denture Relining/Rebasing – per denture 20 120 50 70 90 120310 Pelindung mulut Mouth guard 0 50 15 25 35 50311 Soft Splint Soft splint 0 50 15 25 35 50312 Hard Splint Hard splint 0 200 60 100 140 200313 Splint lain : eg Oyster Splint lain : eg. oyster 0 50 15 25 35 50314 Obturator - acrylic Obturator - acrylic 75 100 83 88 93 100


Kos

perkhidmatan (RM)

TAHUN 2015 (RM)

TAHUN 2016 (RM)

TAHUN 2017 (RM)

TAHUN 2018 (RM)

CAJ RAWATAN

315 Obturator - molloplast Obturator - molloplast 100 200 130 150 170 200316 Feeding plate Feeding plate 0 50 15 25 35 50317 Aplians Lain Other dental appliances 75 100 83 88 93 100318 Prostesis muka Facial prosthesis 125 200 148 163 178 200

319Jahitan semula kecederaan tisu lembut orofasial

Resuture of soft tissue injury orofacial

25 120 54 73 92 120

320Buka jahitan kecederaan tisu lembut orofasial

Open suture soft tissue injury orofacial

0 60 18 30 42 60

321Rawatan semula kecederaan tisu lembut orofasial

Revision of soft tissue injury - orofacial

25 120 54 73 92 120

322 Insisi dan saliran – abses orofasialIncision and drainage - orofacial abscess

20 120 50 70 90 120

323Inlai/Onlai - setiap gigi (tidak termasuk caj bahan dan makmal)

Inlay/onlay- per tooth (excluding material and laboratory charges)

0 120 36 60 84 120

324Korona/venir - setiap unit (termasuk korona sementara tetapi tidak termasuk caj bahan dan makmal)

Crown/veneer - per unit (inclusive of temporary crown but excluding material and laboratory charges)

150 200 165 175 185 200

325Jambatan setiap abutmen/pontik (termasuk jambatan sementara tetapi tidak termasuk caj bahan dan makmal)

Bridge per abutment/pontic (inclusive of temporary bridge but excluding material and laboratory charges)

0 200 60 100 140 200

326 Korona keluli nirkarat - setiap unit Stainless steel crown - per unit 0 50 15 25 35 50327 Korona Strip - setiap unit Strip crown - per unit 0 30 9 15 21 30328 Pembaikan korona/jambatan Repair of crown/bridge 0 50 15 25 35 50329 Tiang dan teras - sebatang gigi Post and core per tooth 0 150 45 75 105 150

330 Restorasi provisional - setiap gigi Provisional restoration - per tooth 0 30 9 15 21 30

331 Rawatan kanal akar – Anterior Root canal treatment - anterior 50 150 80 100 120 150332 Rawatan kanal akar – Premolar Root canal treatment - premolar 200 200 200 200 200 200333 Rawatan kanal akar – Molar Root canal treatment - molar 300 300 300 300 300 300

334 Rawatan kanal akar semula – Anterior Root canal retreatment - anterior 250 250 250 250 250 250

335 Rawatan kanal akar semula – Premolar Root canal retreatment - premolar 300 300 300 300 300 300

336 Rawatan kanal akar semula – Molar Root canal retreatment - molar 400 400 400 400 400 400337 Apeksifikasi - setiap gigi Apexification - per tooth 0 200 60 100 140 200

338 Pemberhentian resopsi gigi – setiap gigi Arrest of tooth resorption - per tooth 0 150 45 75 105 150

339 Coronal Pulpotomi - Setiap gigi kekalCoronal Pulpotomy - per permanent tooth

0 150 45 75 105 150

340 Cvek Pulpotomi - setiap gigi kekalCvek Pulpotomi - per permanent tooth

0 150 45 75 105 150

341 Pulpotomi - Setiap gigi Decidous Pulpotomy - per deciduous tooth 0 150 45 75 105 150342 Pulpektomi -setiap gigi Pulpectomy - per tooth 0 200 60 100 140 200

343Pelapikan pulpa (termasuk tampalan sementara) - Langsung/tidak Langsung

Pulp capping (includes temporary restoration) – Direct/Indirect

15 30 20 23 26 30


Kos

perkhidmatan (RM)

TAHUN 2015 (RM)

TAHUN 2016 (RM)

TAHUN 2017 (RM)

TAHUN 2018 (RM)

CAJ RAWATAN

344Rawatan pembuangan pulpa (extirpasi pulpa)

Treatment of pulp removal (extirpasi pulp)

0 50 15 25 35 50

345 Pengeluaran alat yang terpisah/patahRetrieval of separated/broken instrument

0 200 60 100 140 200

346 Pemutihan gigi (luaran) – setiap rahang Tooth bleaching (external) - per arch 0 500 150 250 350 500

347 Pemutihan gigi (dalaman) – setiap gigiTooth bleaching (internal) - per tooth

0 50 15 25 35 50

348 Mikroabrasi – setiap gigi Microabrasion- per tooth 0 50 15 25 35 50349 Fluorida topikal - setiap rahang Topical fluoride - per arch 0 50 15 25 35 50350 Pengapan fisur - setiap gigi Fissure sealant - per tooth 0 40 12 20 28 40351 Desensitisasi - setiap gigi Desensitisation- per tooth 0 30 9 15 21 30

352 Aplians tetap – pakej rawatan dua rahangFixed appliance – treatment package - both arches

4,000 5,500 4,450 4,750 5,050 5,500

353Aplians tetap – pakej rawatan satu rahang

Fixed appliance – treatment package - single arch

2,000 2,700 2,210 2,350 2,490 2,700

354 Aplians fungsi tetap – setiap rahang Functional fixed appliance - per arch 0 2,000 600 1,000 1,400 2,000

355Pembukaan komponen aplians tetap - setiap rahang

Debonding of fixed appliance - per arch

0 300 90 150 210 300

356 Aplians penyambung rahang tetap Fixed expansion appliance -per arch 0 370 111 185 259 370

357Aplians penyambung – setiap rahang – pengganti

Fixed expansion appliance - replacement –per arch

0 370 111 185 259 370

358Aplians penyambung tetap – setiap rahang – pembaikan

Fixed expansion appliance - repair - per arch

0 100 30 50 70 100

359Aplians penyambung tetap – simen semula - setiap rahang

Fixed expansion appliance - recementation

0 100 30 50 70 100

360 Retainer tetap - setiap rahang Fixed retainers - per arch 0 300 90 150 210 300

361 Retainer tetap - setiap rahang - PenggantiFixed retainers -replacement -per arch

0 200 60 100 140 200

362 Retainer tetap - setiap gigi - pembaikan Fixed retainers – repair - per tooth 0 100 30 50 70 100

363Retainer tetap - setiap rahang - penanggalan

Fixed retainer - removal - per arch 0 200 60 100 140 200

364Aplian fungsi boleh tanggal - setiap rahang

Functional removable appliance - per arch

0 2,000 600 1,000 1,400 2,000

365 Aplian fungsi boleh tanggal - PenggantiFunctional removable appliance - replacement

0 2,000 600 1,000 1,400 2,000

366 Aplian fungsi boleh tanggal - PembaikanFunctional removable appliance - repair

0 250 75 125 175 250

367Aplian boleh tanggal – pakej rawatan setiap rahang

Removable appliance -treatment package -per arch

0 1,500 450 750 1,050 1,500

368Aplian boleh tanggal aktif - setiap rahang – Pengganti

Active removable appliance - replacement - per arch

0 400 120 200 280 400

369Aplian boleh tanggal pasif - setiap rahang – Pengganti

Passive removable appliance -replacement - per arch

0 400 120 200 280 400

370Penyenggara ruang boleh tanggal - setiap rahang

Removable space maintainer per arch

350 400 365 375 385 400


Kos

perkhidmatan (RM)

TAHUN 2015 (RM)

TAHUN 2016 (RM)

TAHUN 2017 (RM)

TAHUN 2018 (RM)

CAJ RAWATAN

371Aplian aktif boleh tanggal - satu rahang – Pembaikan

Active removable - repair - per arch 0 250 75 125 175 250

372Retainer boleh tanggal – setiap rahang - pembaikan

Removable retainers – repair - per arch

0 250 75 125 175 250

373Penyenggara ruang boleh tanggal - setiap rahang – pembaikan

Passive removable appliance (space maintainers) – repair - per arch

0 250 75 125 175 250

374 Essix retainer Essix retainer 0 300 90 150 210 300375 Aksesori rahang palatal/lingual Palatal/Lingual Accessory Arch 0 250 75 125 175 250

376Aksesori - rahang palatal/lingual - Pengganti

Palatal/Lingual Accessory Arch – replacement

0 250 75 125 175 250

377Peralatan traction on plant rahang setiap alat – setiap rahang

Placement of traction device (on plant) – per device

0 400 120 200 280 400

378 Traction chain untuk gigi terimpakPlacement of traction chain – impacted tooth

0 800 240 400 560 800

379Traction chain untuk pergerakan gigi minor – setiap gigi

Placement of traction chain for minor tooth movement per tooth

0 200 60 100 140 200

380Impresi bagi model kerja - setiap rahang (atas/bawah)

Impression for working model per arch (upper/lower)

0 200 60 100 140 200

381 Gegelang ortodontik – pengganti Orthodontic bands - replacement 0 100 30 50 70 100

382 Braket ortodontik - satu gigi - pengantianOrthodontic brackets - replacement per tooth

0 100 30 50 70 100

383Dawai ortodontik - setiap rahang – pengantian (atas/bawah)

Orthodontic wire - replacement per arch upper/lower

0 200 60 100 140 200

384Komponen boleh tanggal - setiap rahang – Pembaikan

Repair of metal/acrylic component of removable appliance per arch

0 100 30 50 70 100

385 Rawatan Facemask Facemask treatment 0 400 120 200 280 400386 Rawatan Chin cup Chin cup treatment 0 400 120 200 280 400387 Rawatan palatal expander Palatal expander treatment 0 400 120 200 280 400388 Rawatan headgear Headgear treatment 0 400 120 200 280 400

389Periodontik - Pembedahan flap dengan pembedahan tulang

Flap surgery with osseous surgery 0 674 202 337 472 674

390Pembedahan flap dengan regenerasi tulang

Flap surgery with bone regeneration 0 800 240 400 560 800

391 Pembedahan mukogingiva Mucogingival surgery 0 500 150 250 350 500

392 Pemanjangan korona – dengan ostektomi Crown lengthening with ostectomy 0 617 185 308 432 617

393 Pemanjangan korona – tanpa ostektomiCrown lengthening without ostectomy

0 550 165 275 385 550

394 Hemiseksi gigi Tooth hemisection 0 1,312 394 656 919 1,312395 Regenerasi tulang dipandu Guided bone regeneration 0 1,036 311 518 725 1,036396 Regenerasi tisu dipandu Guided tissue regeneration 0 1,648 494 824 1,154 1,648397 Pembedahan flap Flap surgery 0 674 202 337 472 674398 Gingivektomi Gingivectomy 0 400 120 200 280 400399 Gingivoplasti Gingivoplasty 0 400 120 200 280 400400 Pembedahan baji Wedge surgery 0 400 120 200 280 400401 Furkasionplasti – Penembusan Furcationplasty - tunnelling 0 1,419 426 710 993 1,419402 Furkasionplasti – Grufplasti Furcationplasty - grooveplasty 0 1,419 426 710 993 1,419403 Reseksi akar Root resection 0 1,312 394 656 919 1,312


Kos

perkhidmatan (RM)

TAHUN 2015 (RM)

TAHUN 2016 (RM)

TAHUN 2017 (RM)

TAHUN 2018 (RM)

CAJ RAWATAN

404Pengetaman akar setiap kuadran (Debridmen Subgingiva)

Root debridement per quadran (debridement subgingiva)

0 421 126 211 295 421

405Pengetaman akar keseluruhan mulut (Debridmen Subgingiva)

Root debridement whole mouth (debridmen subgingiva)

0 637 191 319 446 637

406 Pensplinan gigi Splinting of teeth 0 158 47 79 111 158407 Venir gingiva labial Labial gingival veneer 0 300 90 150 210 300

408 Perisisi ligamen periodontium Pericision of periodontal ligament 0 150 45 75 105 150

409 Pengubahsuaian morfologi gigi Modification of tooth morphology 0 150 45 75 105 150

410Pengkonturan semulsa restorasi sedia ada

Recontouring of pre-existing restoration

0 150 45 75 105 150

411 Penyelarasan oklusal Occlusal adjustment 0 134 40 67 94 134412 Frenotomi/Frenektomi Frenotomy/Frenectomy 150 647 299 399 498 647

413Sendi Temporomandibel (TMJ)Reduksi – tertutup

Close reduction temporomandible joint (TMJ)

0 150 45 75 105 150

414Antralplasti maksila - sinus lift – dengan autograf (graf tulang)

Antralplasty maxillary (sinus lift) with autograft-bone graft

0 1,000 300 500 700 1,000

415Antraplasti maksila(sinus lift) – dengan alograf

Maxillary antralplasty (sinus lift) with allograft

0 400 120 200 280 400

416 Penutupan fistula oro-antral Closure of oro-antral fistula 0 1,000 300 500 700 1,000

417Pencucian antrum Caldwell – Luc (sebelah)

Antral washout caldwell-luc (per side)

0 200 60 100 140 200

418Eksisi lesi maksilofasial – dengan rekonstruksi – alograf

Excision lesion maxillofacial - with reconstruction-allograft

0 750 225 375 525 750

419 Eksisi lesi maksilofasial Excision of maxillofacial lesion 0 200 60 100 140 200

420 Marsupialisasi lesi tulang maksilofasialMarsupialisation of bony maxillofaciallesion

0 200 60 100 140 200

421 Marsupialisasi lesi tisu lembut mulutMarsupialisation of oral soft tissue lesion

0 100 30 50 70 100

422Reduksi dan fiksasi fraktur tulang maksilofasial – tertutup

Reduction and fixation of bony maxillofacial fracture - closed

0 600 180 300 420 600

423Reduksi dan fiksasi tulang maksilofasial – sementara

Reduction and fixation of bony maxillofacial fracture – temporary

0 20 6 10 14 20

424Vestibuloplasti oral (setiap rahang)-dengan graf

Oral vestibuloplasty (per arch) with graft

0 750 225 375 525 750

425 Vestibuloplasti mulut -setiap rahang Oral vestibuloplasty (per arch) 0 300 90 150 210 300

426Penanggalan fiksasi dalaman – maksilofasial

Removal of internal fixation – maxillofacial

0 300 90 150 210 300

427 Sekuestrektomi – maksilofasial Maxillofacial sequestrectomy 0 120 36 60 84 120

428Pembuangan kalkulus duktus liur – terbuka

Removal of salivary duct calculus- open

0 400 120 200 280 400

429Pembuangan kalkulus duktus liur – tertutup

Removal of salivary duct calculus- closed

0 30 9 15 21 30

430 Miatoplasti bukaan duktus kelenjar liur Meatoplasty of salivary duct orifice 0 200 60 100 140 200

431 Duktus kelenjar liur- Dilasitasi Salivary duct dilation 0 150 45 75 105 150432 Duktus kelenjar liur- Peligaturan Salivary duct ligation 0 150 45 75 105 150


Kos

perkhidmatan (RM)

TAHUN 2015 (RM)

TAHUN 2016 (RM)

TAHUN 2017 (RM)

TAHUN 2018 (RM)

CAJ RAWATAN

433 Eksisi lesi tisu lembut mulut dengan laserExcision of oral soft tissue lesion with laser

0 200 60 100 140 200

434Eksisi lesi tisu lembut mulut – 2 cm atau kurang

Excision of oral soft tissue lesion – 2cm or less

0 120 36 60 84 120

435 Saraf trigeminal – krioterapi/keratanTrigeminal nerve - cryotherapy/sectioning

0 300 90 150 210 300

436Penanggalan benda asing – orofasial – mudah

Removal of foreign body – orofacial – simple

0 120 36 60 84 120

437 Biopsi tulang maksilofasial Biopsy - bony – maxillofacial 0 200 60 100 140 200438 Biopsi tisu lembut mulut Biopsy - soft tissue – oral 0 120 36 60 84 120439 Biopsi lesi tru-cut Biopsy lesion tru-cut 0 50 15 25 35 50440 Ablasi lesi mukosa oral Ablation of oral mucosal lesion 0 200 60 100 140 200441 Frenoplasti Frenoplasty 0 170 51 85 119 170442 Frenotomi/Frenektomi dengan laser Frenotomi/frenectomy with laser 0 170 51 85 119 170

443Apisektomi - setiap gigi – gigi belakang – dengan tampalan retrograde

Apicectomy (per tooth) - posterior tooth with retrograde filling

0 1,000 300 500 700 1,000

444 Apisektomi -setiap gigi – gigi belakangApicectomy (per tooth) - posterior tooth

0 750 225 375 525 750

445Apisektomi -setiap gigi – gigi anterior dengan tampalan retograd

Apicectomy (per tooth) - anterior tooth with retrograde filling

0 300 90 150 210 300

446 Apisektomi -setiap gigi – gigi hadapanApicectomy (per tooth) - anterior tooth

0 120 36 60 84 120

447Pengeluaran gigi terimpak melalui pembedahan -setiap gigi – rumit

Surgical removal of impacted/unerupted tooth (per tooth) – complicated

0 1,000 300 500 700 1,000

448Pengeluaran melalui pembedahan-Gigi/Akar -setiap gigi

Surgical removal of tooth/root (per tooth)

0 400 120 200 280 400

449Pengeluaran melalui pembedahan- Gigi/Akar tersesar -setiap gigi

Surgical removal of displaced tooth/root (per tooth)

0 400 120 200 280 400

450Pengeluaran melalui pembedahan- Gigi terimpak/enrupted -setiap gigi – mudah

Surgical removal of impacted/unerupted tooth (per tooth) – simple

0 400 120 200 280 400

451 Transplantasi gigi Transplantation tooth 0 750 225 375 525 750

452Peletakan semula dan/atau penstabilan gigi – pembedahan

Repositioning and/or stabilization of tooth – surgical

0 400 120 200 280 400

453Peletakan semuladan/atau penstabilan gigi – tanpa pembedahan

Repositioning and/or stabilization of tooth –non-surgical

0 150 45 75 105 150

454 Penanaman semulagigi Reimplantation of tooth 0 200 60 100 140 200

455Pembedahan pendedahan gigi -setiap gigi – dengan penempatan penyambung

Surgical exposure of tooth (per tooth) with placement of attachment

0 400 120 200 280 400

456Pembedahan pendedahan gigi -setiap gigi – tanpa penempatan penyambung

Surgical exposure of tooth (per tooth) without placement of attachment

0 150 45 75 105 150

457Implan pergigian -setiap implan-pembedahan peringkat pertama dengan autograph

Dental Implant (per implant) – first stage surgery with autograft

0 600 180 300 420 600


Kos

perkhidmatan (RM)

TAHUN 2015 (RM)

TAHUN 2016 (RM)

TAHUN 2017 (RM)

TAHUN 2018 (RM)

CAJ RAWATAN

458Implan pergigian -setiap implan – pembedahan peringkat pertama

Dental Implant (per implant) – first stage surgery

0 400 120 200 280 400

459Implan pergigian -setiap implan-pembedahan peringkat pertama dengan pengganti tulang

Dental Implant (per implant) – first stage surgery with bone substitute

0 400 120 200 280 400

460Implan pergigian (setiap implan) – pembedahan peringkat kedua

Dental Implant (per implant) – second stage surgery

0 50 15 25 35 50

461Implan maksilofasial -setiap implan – pembedahan peringkat pertama

Maxillofacial implant (per implant) – first stage surgery

0 400 120 200 280 400

462Implan maksilofasial (setiap implan) – pembedahan peringkat kedua

Maxillofacial implant (per implant – second stage surgery

0 50 15 25 35 50

463Penanggalan implan pergigian/maksilofasial – rumit

Removal of dental/maxillofacial implants - complicated

0 300 90 150 210 300

464Penanggalan implan pergigian/maksilofasial – mudah

Removal of dental/maxillofacial implants – simple

0 75 23 38 53 75

465 Debridemen tisu lembut orofasial Debridement of oro-facial soft tissue 0 60 18 30 42 60

466 Pendawaian pergigian -setiap rahang Dental wiring – per jaw 0 75 23 38 53 75

467Pemberhentian pendarahan – selepas pembedahan

Control of haemorrhage – post-surgery

0 75 23 38 53 75

468 Pemberhentian pendarahan – lesi Control of haemorrhage –lesion 0 50 15 25 35 50

469Pemberhentian pendarahan – selepas cabutan

Control of haemorrhage – post-extraction

0 30 9 15 21 30

470Terapi – orofasial Laser lembut – setiap kitaran

Orofacialsoft laser therapy - per course

0 75 23 38 53 75

471 Terapi – oromaksilofasial ultrasound Oromaxillofacial ultrasound therapy 0 75 23 38 53 75

472 Obturator prosthesis Prosthesis-obturator 0 120 36 60 84 120

473 Sitologi aspirasi jarum halus – orofasialFine needle aspiration cytology-orofacial

0 50 15 25 35 50

474 Operkulektomi mulut Oral operculectomy 20 30 23 25 27 30

475Penanggalan pendawaian pergigian (setiap rahang)

Removal of dental wires (per jaw) 0 30 9 15 21 30

476 Suntikan ubatan – orofasial Injection of medication –orofacial 30 30 30 30 30 30

CAJ ANGGOTA TIRUAN ARTIFICIAL LIMBS / PROSTHESIS

Peralatan Upper Limb Prosthesis Upper Limb Prosthesis Item

477 Cosmetic Silicone Glove Cosmetic silicone glove 0 2,800 840 1,400 1,960 2,800

478 Cosmetic fingers Cosmetic fingers 0 1,200 360 600 840 1,200479 Trans Radius Cosmetic Trans radius cosmetic 0 4,000 1,200 2,000 2,800 4,000

480 Trans Radius Mechanical Function HandTrans radius mechanical function hand

0 6,300 1,890 3,150 4,410 6,300

481 Trans Humerus Cosmetic Trans humerus cosmetic 0 7,500 2,250 3,750 5,250 7,500

482Trans Humerus Mechanical Functional Hand

Trans humerus mechanical functional hand

0 9,500 2,850 4,750 6,650 9,500

Peralatan Lower Limb Prosthesis Lower Limb Prosthesis Item


Kos

perkhidmatan (RM)

TAHUN 2015 (RM)

TAHUN 2016 (RM)

TAHUN 2017 (RM)

TAHUN 2018 (RM)

CAJ RAWATAN

483 Chopart Chopart 0 1,800 540 900 1,260 1,800

484 Symes Prosthesis Symes prosthesis 0 3,800 1,140 1,900 2,660 3,800

485Transtibial Prosthesis K1 Berjalan dalam rumah (Indoor Walker)

Transtibial prosthesis indoor walker 0 3,550 1,065 1,775 2,485 3,550

486Transtibial Prosthesis K2 Limited Outdoor

Transtibial prosthesis K2 limited outdoor

0 5,500 1,650 2,750 3,850 5,500

487 Transtibial Prosthesis K3 Active WalkerTranstibial prosthesis K3 active walker

0 9,500 2,850 4,750 6,650 9,500

488Transtibial Prosthesis K4 Very Active/Sport

Transtibial prosthesis K4 very active/Sport

0 18,800 5,640 9,400 13,160 18,800

489 Through Knee Prosthesis K1 hingga K4 Through knee prosthesis K1 to K4 0 13,800 4,140 6,900 9,660 13,800

490Transfemoral Prostesis K1 Berjalan dalam rumah (Indoor Walker)

Transfemoral prostesis K1 indoor walker

0 7,500 2,250 3,750 5,250 7,500

491Transfemoral Prostesis K2 Limited Outdoor

Transfemoral prostesis K2 limited outdoor

0 9,000 2,700 4,500 6,300 9,000


Kos

perkhidmatan (RM)

TAHUN 2015 (RM)

TAHUN 2016 (RM)

TAHUN 2017 (RM)

TAHUN 2018 (RM)

CAJ RAWATAN

492 Transfemoral Prostesis K3 Active WalkerTransfemoral prostesis K3 cctive walker

0 15,000 4,500 7,500 10,500 15,000

493Transfemoral Prostesis K4 Very Active/Sport

Transfemoral prostesis K4 very active/sport

0 35,000 10,500 17,500 24,500 35,000

494 Hip Disarticulated Prostesis K1 hingga K4 Hip disarticulated prostesis K1 to K4 0 15,000 4,500 7,500 10,500 15,000

495 Knee Orthoses Hinge Knee Knee orthoses hinge knee 0 450 135 225 315 450

496 Knee Orthoses Weekender Knee BraceKnee orthoses weekender knee brace

0 1,100 330 550 770 1,100

497 Knee Orthoses Revolution Brace Knee orthoses revolution brace 0 700 210 350 490 700

498Knee Orthoses Knee Ranger post operation brace

Knee orthoses knee ranger post operation brace

0 450 135 225 315 450

499 Knee Orthoses Fracture hinges Knee orthoses fracture hinges 0 400 120 200 280 400

500Lower limb Orthoses Knee Ankle Foot Orthoses (KAFO)

Lower limb orthoses knee ankle foot orthoses (KAFO)

0 3,800 1,140 1,900 2,660 3,800

501 Ankle Foot Orthoses Ankle foot orthoses 0 350 105 175 245 350502 Super Lite Ankle Foot Orthoses Super lite ankle foot orthoses 0 250 75 125 175 250

503Ankle Foot Orthoses Sweeder Ankle Brace

Ankle foot orthoses sweeder ankle brace

0 400 120 200 280 400

504 Suprameleolar Prosthesis 500 seunitSuprameleolar prosthesis 500 per unit

0 500 150 250 350 500

505Ankle Foot Orthosis- Ankle Foot Orthosis (Custom made/polypropelyne)

Ankle foot orthosis- ankle foot orthosis (custom made/polypropelyne)

0 350 105 175 245 350

506 Foot care Wonder Spur Foot care wonder spur 0 70 21 35 49 70507 Foot care Wonder Cup Foot care wonder cup 0 70 21 35 49 70508 Foot care Wonder Sport Foot care wonder sport 0 130 39 65 91 130509 Foot care Soft sock Foot care soft sock 0 200 60 100 140 200510 Foot care Gel Squares Foot care gel squares 0 140 42 70 98 140

511 Paediatric Orthoses Pavlic Harness Paediatric orthoses pavlic harness 0 450 135 225 315 450

512Paediatric Orthoses Dennis Brown Shoes (Straight Last) full set

Paediatric orthoses dennis brown shoes (straight last) full set

0 700 210 350 490 700

513Paediatric Orthoses Dennis Brown Shoes (Full Abduction) full set

Paediatric orthoses Dennis Brown Shoes (full abduction) full set

0 700 210 350 490 700

514 Cervical Soft Collar Cervical soft collar 0 55 17 28 39 55

515 Cervical Adjustable Collar (Plastik) Cervical adjustable collar (plastic) 0 65 20 33 46 65


Kos

perkhidmatan (RM)

TAHUN 2015 (RM)

TAHUN 2016 (RM)

TAHUN 2017 (RM)

TAHUN 2018 (RM)

CAJ RAWATAN

516 Philadelphia A Series Collar Philadelphia A series collar 0 280 84 140 196 280

517 Atlas Collar Atlas collar 0 300 90 150 210 300

518 Philadelphia Collar Philadelphia collar 0 130 39 65 91 130

519 Minerva Cervical Support Minerva cervical support 0 1,000 300 500 700 1,000

520 Philadelphia Collar with Stabilizer & HaloPhiladelphia collar with stabilizer & halo

0 550 165 275 385 550

521 S.O.M.I Brace S.O.M.I Brace 0 900 270 450 630 900

522 USMC Halo System USMC halo system 0 3,000 900 1,500 2,100 3,000523 Halo Liner Halo liner 0 1,100 330 550 770 1,100524 PMT Halo System PMT halo system 0 3,000 900 1,500 2,100 3,000525 Torque Screw Driver Torque screw driver 0 1,000 300 500 700 1,000

526Cervical- Thoracic Lumbar-sacral- Orthosis

Cervical- thoracic lumbar-sacral- orthosis

0 2,800 840 1,400 1,960 2,800

527 Juwett Brace Juwett brace 0 700 210 350 490 700528 Knight Taylor Brace (TLSO) Knight taylor brace (TLSO) 0 800 240 400 560 800529 Knight Taylor Brace (LSO) Knight taylor brace (LSO) 0 650 195 325 455 650530 Kydex Knight Taylor Brace Kydex knight taylor brace 0 900 270 450 630 900531 Kydex Chair Back Brace Kydex chair back brace 0 700 210 350 490 700

532TLSO Body Jacket (Moulded Polypropelyne)

TLSO body jacket (moulded polypropelyne)

0 2,800 840 1,400 1,960 2,800

533 Sacro-Lumbar Support (Fabric) Sacro-lumbar support (fabric) 0 150 45 75 105 150

534Scoliosis Boston Brace (Moulded Polypropelyne)

Scoliosis boston brace (moulded polypropelyne)

0 3,000 900 1,500 2,100 3,000

Peralatan Rehabilitasi Rehabilitation Accessories535 Aluminium Axilla Crutch Aluminium Axilla Crutch : 0 55 17 28 39 55536 Kanak-kanak (S) Children (S) 0 55 17 28 39 55537 Remaja (M Teenage (M) 0 55 17 28 39 55538 Dewasa (L) Adult (L) 0 55 17 28 39 55539 Dewasa bersaiz besar (XL) Adult big size (XL) 0 55 17 28 39 55540 Adjustable elbow crutch Adjustable elbow crutch 0 140 42 70 98 140

541Adjustable aluminium walking stick with strap in bronze colour

Adjustable aluminium walking stick with strap in bronze colour 0

45 14 23 32 45

542Adjustable aluminium crooked handle walking stick in bronze colour

Adjustable aluminium crooked handle walking stick in bronze colour 0

55 17 28 39 55


Kos

perkhidmatan (RM)

TAHUN 2015 (RM)

TAHUN 2016 (RM)

TAHUN 2017 (RM)

TAHUN 2018 (RM)

CAJ RAWATAN

543Adjustable folding walking frame in bronze colour

Adjustable folding walking frame in bronze colour 0

125 38 63 88 125

544 Quadruped walking aid Quadruped walking aid 0 58 17 29 41 58

545 Quadruped walking aid- Narrow BaseQuadruped walking aid- narrow base 0

58 17 29 41 58

546Standard wheel chair 18” with detachable armrest and footrest

Standard wheel chair 18” with detachable armrest and footrest 0

680 204 340 476 680

547 Standard wheel chair 18” Standard wheel chair 18” 0 280 84 140 196 280548 Semi light weight wheel chair Semi light weight wheel chair 0 800 240 400 560 800

549Reclining wheel chair with detachable armrest and elevating footrest

Reclining wheel chair with detachable armrest and elevating footrest 0

1,200 360 600 840 1,200

550 Light weight wheel chair Light weight wheel chair 0 1,400 420 700 980 1,400551 Commode wheel chair Commode wheel chair 0 1,400 420 700 980 1,400552 Major buggy Major buggy 0 1,500 450 750 1,050 1,500553 Commode chair Commode chair 0 200 60 100 140 200

PERKHIDMATAN PERUBATAN TRADISIONAL DAN KOMPLEMENTARI

TRADITIONAL AND COMPLEMENTARY MEDICINE SERVICES

PERUBATAN TRADISIONAL MELAYU/ PRIBUMI

TRADITIONAL MEDICINE FOR MALAY/PRIBUMI

Urut Tradisional Melayu/ PribumiTraditional Massage for Malay/Pribumi

554 Rawatan Kesakitan Kronik Chronic disease treatment 0 50 per sesi. 15 per sesi. 25 per sesi. 35 per sesi. 50 per sesi.555 Rawatan Pasca Angin Ahmar Post-stroke treatment 0 50 per sesi. 15 per sesi. 25 per sesi. 35 per sesi. 50 per sesi.

Rawatan Penjagaan Ibu Selepas Bersalin

Post-natal mother care

556 Rawatan Urut Selepas Bersalin Post natal massage treatment 0 50 per sesi. 15 per sesi. 25 per sesi. 35 per sesi. 50 per sesi.

557Pakej Rawatan Pemulihan Selepas Bersalin – Urut, Tungku & Bengkung

Post natal recovery treatment packages - massage, furnase and bengkung

0 150 per sesi. 45 per sesi. 75 per sesi. 105 per sesi. 150 per sesi.

558Rawatan Pemulihan Selepas Bersalin – Tangas

Post natal recovery treatment - tangas 0 50 per sesi. 15 per sesi. 25 per sesi. 35 per sesi. 50 per sesi.

Perubatan Tradisional Cina TRADITIONAL CHINESE MEDICINE

Akupunktur Acupuncture559 Rawatan Kesakitan Kronik Chronic disease treatment 0 50 per sesi. 15 per sesi. 25 per sesi. 35 per sesi. 50 per sesi.560 Rawatan Pasca Angin Ahmar Post-stroke treatment 0 50 per sesi. 15 per sesi. 25 per sesi. 35 per sesi. 50 per sesi.

561Akupunktur dan tambahan moxibustion untuk rawatan kesakitan kronik dan pasca angin ahmar

Acupuncture and moxibustion in addition to the treatment of chronic pain and post stroke

0 60 per sesi. 18 per sesi. 30 per sesi. 42 per sesi. 60 per sesi.

562 Lain-lain Indikasi Other indication 0 50 per sesi. 15 per sesi. 25 per sesi. 35 per sesi. 50 per sesi.Herba Herbs

563Rawatan sampingan untuk pesakit onkologi (termasuk kos herba)

Ancillary treatment for oncology patient (including the cost of herbs)

0250 per kitaran.

(1 kitaran = 2 minggu)

75 per kitaran. (1

kitaran = 2

minggu)

125 per kitaran. (1

kitaran = 2

minggu)

175 per kitaran. (1

kitaran = 2

minggu)

250 per kitaran. (1

kitaran = 2

minggu)

Perubatan Tradisional India TRADITIONAL INDIAN MEDICINE

Ayurveda Ayurveda


Kos

perkhidmatan (RM)

TAHUN 2015 (RM)

TAHUN 2016 (RM)

TAHUN 2017 (RM)

TAHUN 2018 (RM)

CAJ RAWATAN

564 Shirodhara Shirodhara 0 150 per sesi. 45 per sesi. 75 per sesi. 105 per sesi. 150 per sesi.565 Abhyanga Abhyanga 0 150 per sesi. 45 per sesi. 75 per sesi. 105 per sesi. 150 per sesi.

Terapi Komplementari Complementary Therapy566 Kiropraktik Chiropractic 0 150 per sesi. 45 per sesi. 75 per sesi. 105 per sesi. 150 per sesi.567 Osteopatik Osteopatic 0 200 per sesi. 60 per sesi. 100 per sesi. 140 per sesi. 200 per sesi.

BEKALAN DARAH DAN HASIL DARAHBLOOD SUPPLY AND BLOOD PRODUCT

568 Sel Darah Utuh Packed Red Cell 0 120 36 60 84 120569 Darah lengkap Whole Blood 0 120 36 60 84 120570 Pati platelet Platelet Concentrate 0 120 36 60 84 120571 Krioendapan Cryoprecipitate 0 120 36 60 84 120572 Plasma beku segar Fresh frozen plasma 0 120 36 60 84 120573 Kriosupernatan Cryosupernatant 0 120 36 60 84 120574 Platelet aferes Platelet apheresis 0 630 189 315 441 630575 Sel Darah Utuh Pediatrik Paediatric packed cells 0 110 33 55 77 110576 Filtered Red Cell Filtered red cell 0 200 60 100 140 200577 Irradiated sel Irradiated sel 0 160 48 80 112 160578 Patogen Inactivated Plasma Patogen inactivated plasma 0 600 180 300 420 600579 Patogen Inactivated Platelet Patogen inactivated platelet 0 800 240 400 560 800

580 Patogen Inactivated Platelet Aferesis Patogen inactivated platelet aferesis 0 1,350 405 675 945 1,350

581 Irradiated Aferasis Platelet Irradiated aferasis platelet 0 690 207 345 483 690582 Irradiated Platelet Irradiated platelet 0 160 48 80 112 160

Produk Pecahan Plasma Plasma Breakdown Product

583High Purity Factor VIII Concentrate - 250 IU/vial

High purity factor VIII concentrate - 250 IU/vial

0 540 162 270 378 540

584Intermediate Purity Factor VIII - 250 IU/vial

Intermediate purity factor VIII - 250 IU/vial

0 300 90 150 210 300

585 Pure Factor IX -500 IU/vial Pure factor IX -500 IU/vial 0 790 237 395 553 790

586Prothrombin Complex Concentrate - 500 IU/vial

Prothrombin complex concentrate - 500 IU/vial

0 590 177 295 413 590

587 Recombinant Factor VIIa - 60 KIU/vialRecombinant factor VIIa - 60 KIU/vial

0 2,970 891 1,485 2,079 2,970

588 Albumin - 20% 100ml Albumin - 20% 100ml 0 180 54 90 126 180

589Intravenous Immune Globulin (IV) - 3g/50ml

Intravenous immune globulin (IV) - 3g/50ml

0 700 210 350 490 700

590 Recombinant VIII - 250 IU/vial Recombinant VIII - 250 IU/vial 0 670 201 335 469 670591 Recombinant IX - 500 IU/vial Recombinant IX - 500 IU/vial 0 1,190 357 595 833 1,190592 Autologous Plasma Eye Drop Autologous plasma eye drop 0 450 135 225 315 450

KLINIK PEMULIHAN CARA KERJA OCCUPATIONAL THERAPY

ASSESSMENT ASSESSMENTADL Assessment ADL Assessment 0 40 12 20 28 40

593Canadian Occupational Therapy Performance Measure (C.O.P.M)

Canadian Occupational Therapy Performance Measure (C.O.P.M)

0 40 12 20 28 40

594Camberwell Assessment of Needs Short Schedule (CANSAS)

Camberwell Assessment of Needs Short Schedule (CANSAS)

0 40 12 20 28 40

595 Functional Ability Assessment (FAA) Functional Ability Assessment (FAA) 0 40 12 20 28 40


Kos

perkhidmatan (RM)

TAHUN 2015 (RM)

TAHUN 2016 (RM)

TAHUN 2017 (RM)

TAHUN 2018 (RM)

CAJ RAWATAN

596 Functional Independence Measure (FIM)Functional Independence Measure (FIM)

0 40 12 20 28 40

597 Kohlman Evaliation of Living Skill (KELS)Kohlman Evaliation of Living Skill (KELS)

0 40 12 20 28 40

598 Modified Barthel Index Modified Barthel Index 0 40 12 20 28 40

599Pediatric Evaluation Disabilities Inventory (PEDI)

Pediatric Evaluation Disabilities Inventory (PEDI)

0 40 12 20 28 40

600 Self Care Skills (PASS) Self Care Skills (PASS) 0 40 12 20 28 40601 Kohlmens Kohlmens 0 40 12 20 28 40602 AMPS AMPS 0 40 12 20 28 40

Physical Assesment Physical Assesment603 Muscle Manual Test (MMT) Muscle Manual Test (MMT) 0 40 12 20 28 40

604 Strength-dynamometer/pinch gauge Strength-dynamometer/pinch gauge 0 40 12 20 28 40

605 2 point discrimination test 2 point discrimination test 0 40 12 20 28 40606 9 hole peg test 9 hole peg test 0 40 12 20 28 40607 Berg Balance Test Berg Balance Test 0 40 12 20 28 40608 Grooved Peg board Grooved peg board 0 40 12 20 28 40609 Jebsen Taylor Hand Function Test Jebsen Taylor Hand Function Test 0 40 12 20 28 40610 Minnesota Manual Dexterity Test Minnesota Manual Dexterity Test 0 40 12 20 28 40611 O’connor Finger Dexterity Test O’connor Finger Dexterity Test 0 40 12 20 28 40612 O’connor Tweezer Dexterity Test O’connor Tweezer Dexterity Test 0 40 12 20 28 40613 Pain visual analog scale Pain visual analog scale 0 40 12 20 28 40614 Purdue pegboard test Purdue Pegboard Test 0 40 12 20 28 40615 Range of Motion – Goniometer Range of Motion – goniometer 0 40 12 20 28 40

616 Roeder manipulative aptitude test Roeder Manipulative Aptitude Test 0 40 12 20 28 40

617 Semmes-Weinstein Monofilaments test Semmes-Weinstein Monofilaments Test

0 40 12 20 28 40

618 Sensory profile Sensory profile 0 40 12 20 28 40619 Stereognosis test Stereognosis test 0 40 12 20 28 40620 Vibration Vibration 0 40 12 20 28 40621 Volumeter Volumeter 0 40 12 20 28 40622 Tinnetti balance Test Tinnetti balance test 0 40 12 20 28 40

623Microcomputer Upper Limb Exerciser (MULE)

Microcomputer Upper Limb Exerciser (MULE)

0 40 12 20 28 40

Development Assessment Development Assessment624 Bruiniks Oseretsky Test Bruiniks Oseretsky Test 0 40 12 20 28 40625 Denver Denver 0 40 12 20 28 40626 Oral motor rating scale Oral motor rating scale 0 40 12 20 28 40627 Peabody Peabody 0 40 12 20 28 40

Perceptual and Cognitive AssessmentPerceptual and Cognitive Assessment

628 Berry VMI Berry VMI 0 40 12 20 28 40

629Chessington Occupational Therapy Neurological Assessment Battery (C.O.T.N.A.B)

Chessington Occupational Therapy Neurological Assessment Battery (C.O.T.N.A.B)

0 40 12 20 28 40

630 Hospital Anxiety Depression Scale Hospital Anxiety Depression Scale 0 40 12 20 28 40


Kos

perkhidmatan (RM)

TAHUN 2015 (RM)

TAHUN 2016 (RM)

TAHUN 2017 (RM)

TAHUN 2018 (RM)

CAJ RAWATAN

631Lowerstein Occupational Therapy Cognitive assessment (L.O.T.C.A)

Lowerstein Occupational Therapy Cognitive assessment (L.O.T.C.A)

0 40 12 20 28 40

632 Mini Mental State Examination Mini Mental State Examination 0 40 12 20 28 40

633Rivermead Perceptual Assessment Battery

Rivermead Perceptual Assessment Battery

0 40 12 20 28 40

Preschool Assesment Preschool Assesment634 Miller Assessment Pre Schoolers Miller Assessment Pre Schoolers 0 40 12 20 28 40

635 School Function Assessment (SFA) School Function Assessment (SFA) 0 40 12 20 28 40

636 Test of Handwriting skill Test of handwriting skill 0 40 12 20 28 40

Behavior assessment Behavior assessment 0 40 12 20 28 40

637 Threshold Assessment Grid (TAG) Threshold Assessment Grid (TAG) 0 40 12 20 28 40

638 Hospital Anxiety and Depression scaleHospital anxiety and depression scale

0 40 12 20 28 40

639 Irritability - depression anxiety scale Irritability - depression anxiety scale 0 40 12 20 28 40

640 Shaan's Function Questionaire Shaan's Function Questionaire 0 40 12 20 28 40641 The Beck Depression scale The Beck Depression scale 0 40 12 20 28 40642 Wheel Chair Assessment Wheel Chair Assessment 0 40 12 20 28 40

Driving Assessment Driving Assessment643 Pre-driving assessment Pre-driving assessment 0 400 120 200 280 400

644 Stroke driving screening assessment Stroke driving screening assessment 0 400 120 200 280 400

Home/Work Place/School AssessmentHome/Work Place/School Assessment

645 Home Fast Tool Home fast tool 0 40 12 20 28 40

Work/Vocational assessment Work/Vocational assessment646 *BTE *BTE 0 400 120 200 280 400647 Laser Laser 0 400 120 200 280 400648 *LIDO *LIDO 0 400 120 200 280 400649 Role check list Role check list 0 400 120 200 280 400650 T pal T pal 0 400 120 200 280 400651 Valpar Valpar 0 400 120 200 280 400652 Work Cube Work cube 0 400 120 200 280 400

ACTIVITIES OF DAILY LIVING (ADL) TRAINING

ACTIVITIES OF DAILY LIVING (ADL) TRAINING

Instrumental Activities of Daily LivingInstrumental Activities of Daily Living

653 Ability to use telephone Ability to use telephone 0 40 12 20 28 40654 Early ambulation Early ambulation 0 40 12 20 28 40655 Self hygiene Self hygiene 0 40 12 20 28 40656 Transfer Transfer 0 40 12 20 28 40657 Ability to handle Finance Ability to handle Finance 0 40 12 20 28 40658 Bathing Bathing 0 40 12 20 28 40659 Bladder management Bladder management 0 40 12 20 28 40660 Bower management Bower management 0 40 12 20 28 40661 Cleaning work Cleaning work 0 40 12 20 28 40662 Device care Device care 0 40 12 20 28 40


Kos

perkhidmatan (RM)

TAHUN 2015 (RM)

TAHUN 2016 (RM)

TAHUN 2017 (RM)

TAHUN 2018 (RM)

CAJ RAWATAN

663 Domestic skill Domestic skill 0 40 12 20 28 40664 Dressing Dressing 0 40 12 20 28 40665 Eating/feeding Eating/feeding 0 40 12 20 28 40666 Food/meal preparation Food/meal preparation 0 40 12 20 28 40667 Functional communication Functional communication 0 40 12 20 28 40668 Functional mobility Functional mobility 0 40 12 20 28 40669 Grooming Grooming 0 40 12 20 28 40670 Health eminence Health eminence 0 40 12 20 28 40671 Household maintenance Household maintenance 0 40 12 20 28 40672 Housekeeping Housekeeping 0 40 12 20 28 40673 Laundry Laundry 0 40 12 20 28 40674 Mode of transportation Mode of transportation 0 40 12 20 28 40675 Money management Money management 0 40 12 20 28 40676 Responsibility for medication Responsibility for medication 0 40 12 20 28 40677 Safety procedure Safety procedure 0 40 12 20 28 40678 Sexual expression Sexual expression 0 40 12 20 28 40679 Shopping Shopping 0 40 12 20 28 40680 Toileting Toileting 0 40 12 20 28 40

Aids and Adaptation (bagi setiap peralatan modifikasi yang dibekalkan)

Aids and Adaptation (for each modification equipment supplied)

681 Cooking utensil Cooking utensil 0 80 24 40 56 80682 Dressing Dressing 0 80 24 40 56 80683 Feeding/drinking utensil Feeding/drinking utensil 0 80 24 40 56 80684 Mobility Mobility 0 80 24 40 56 80685 Bathing Bathing 0 80 24 40 56 80686 Reading/writing Reading/writing 0 80 24 40 56 80687 Wheel chair seating Wheel chair seating 0 80 24 40 56 80688 Behavioral therapy Behavioral therapy 0 40 12 20 28 40

Cognitive & Perceptual Training Cognitive & Perceptual Training

689 Basic concepts Basic concepts 0 40 12 20 28 40690 Body part identification Body part identification 0 40 12 20 28 40691 Cognitive stimulation Cognitive stimulation 0 40 12 20 28 40692 Educational activities Educational activities 0 40 12 20 28 40693 Right/left discrimination Right/left discrimination 0 40 12 20 28 40694 Figure ground disrimination Figure ground disrimination 0 40 12 20 28 40695 Reality orientation Reality orientation 0 40 12 20 28 40

696 Topographical orientation Activities Topographical orientation Activities 0 40 12 20 28 40

697 Sequencing Sequencing 0 40 12 20 28 40698 Categration Categration 0 40 12 20 28 40

699Dynamic Splint - Harga mekanisme (mengikut harga pasaran) + harga statik splint

Dyanamic Splint - the price of mechanism (according to market price) + the price of static splint

0 240 72 120 168 240

Creative Therapy Creative Therapy700 Art therapy Art therapy 0 40 12 20 28 40701 Drama/role play Drama/role play 0 40 12 20 28 40


Kos

perkhidmatan (RM)

TAHUN 2015 (RM)

TAHUN 2016 (RM)

TAHUN 2017 (RM)

TAHUN 2018 (RM)

CAJ RAWATAN

702 Music therapy Music therapy 0 40 12 20 28 40

Social Skill Training Social Skill Training703 Assertive training Assertive training 0 40 12 20 28 40704 Coping skill training Coping skill training 0 40 12 20 28 40705 Group support Group support 0 40 12 20 28 40706 Group therapy Group therapy 0 40 12 20 28 40707 Individual therapy Individual therapy 0 40 12 20 28 40708 Interpersonal skill Interpersonal skill 0 40 12 20 28 40709 Self awareness activities Self awareness activities 0 40 12 20 28 40710 Self control Self control 0 40 12 20 28 40711 Self expression Self expression 0 40 12 20 28 40712 Social conduct Social conduct 0 40 12 20 28 40713 Social skill training Social skill training 0 40 12 20 28 40


Kos

perkhidmatan (RM)

TAHUN 2015 (RM)

TAHUN 2016 (RM)

TAHUN 2017 (RM)

TAHUN 2018 (RM)

CAJ RAWATAN

714 Time management Time management 0 40 12 20 28 40715 Role checklist Role checklist 0 40 12 20 28 40

Patients and Career Education Patients and Career Education716 Body mechanic & ergonomic Body mechanic & ergonomic 0 40 12 20 28 40717 Edema control Edema control 0 40 12 20 28 40

718 Energy conservation/work SimplicationEnergy conservation/work Simplication

0 40 12 20 28 40

719 Environment therapy Environment therapy 0 40 12 20 28 40720 Joint protection techniques Joint protection techniques 0 40 12 20 28 40

Play and Leisure Play and Leisure721 Leisure check list Leisure check list 0 40 12 20 28 40722 Play and leisure exploration Play and leisure exploration 0 40 12 20 28 40723 Play and Leisure training Play and leisure training 0 40 12 20 28 40

Relaxation Relaxation724 Bio-feedback Bio-feedback 0 40 12 20 28 40725 Deep breathing Deep breathing 0 40 12 20 28 40726 Diaphragmatic breathing Diaphragmatic breathing 0 40 12 20 28 40727 Imaginary relaxation Imaginary relaxation 0 40 12 20 28 40

728Progressive muscular relaxation techniques

Progressive muscular relaxation techniques

0 40 12 20 28 40

Sensory Training Sensory Training729 Sensory desensitization Sensory desensitization 0 40 12 20 28 40730 Sensory integration Sensory integration 0 40 12 20 28 40731 Sensory re-education Sensory re-education 0 40 12 20 28 40732 Sensory stimulation Sensory stimulation 0 40 12 20 28 40733 Fluidotherapy Fluidotherapy 0 40 12 20 28 40

Motor Training Motor Training734 Above elbow prothesis Above elbow prothesis 0 40 12 20 28 40735 Above knee prothesis Above knee prothesis 0 40 12 20 28 40736 Active assisted exercise Active assisted exercise 0 40 12 20 28 40737 Below elbow prothesis Below elbow prothesis 0 40 12 20 28 40738 Below knee prothesis Below knee prothesis 0 40 12 20 28 40739 Bilateral integration Bilateral integration 0 40 12 20 28 40740 Crossing midline Crossing midline 0 40 12 20 28 40741 Ergonomic training Ergonomic training 0 40 12 20 28 40742 Fine motor skills Fine motor skills 0 40 12 20 28 40743 Finger prosthesis Finger prosthesis 0 40 12 20 28 40744 Gait training Gait training 0 40 12 20 28 40745 Gross motor activities Gross motor activities 0 40 12 20 28 40746 Hand-eye coordination Hand-eye coordination 0 40 12 20 28 40747 Improve Balance Improve balance 0 40 12 20 28 40748 Motor re-education Motor re-education 0 40 12 20 28 40749 Neuro developmental technique Neuro developmental technique 0 40 12 20 28 40750 Normalize muscle tone Normalize muscle tone 0 40 12 20 28 40751 Oral muscle stimulation Oral muscle stimulation 0 40 12 20 28 40752 Strengthening exercise Strengthening exercise 0 40 12 20 28 40753 Endurance training Endurance training 0 40 12 20 28 40754 Reduce muscle tone Reduce muscle tone 0 40 12 20 28 40755 Above elbow prothesis Above elbow prothesis 0 40 12 20 28 40


Kos

perkhidmatan (RM)

TAHUN 2015 (RM)

TAHUN 2016 (RM)

TAHUN 2017 (RM)

TAHUN 2018 (RM)

CAJ RAWATAN

Compression Therapy Compression Therapy756 Corban bandage Corban bandage 0 40 12 20 28 40757 Pressure splint Pressure splint 0 40 12 20 28 40758 Tubigrip Tubigrip 0 40 12 20 28 40


Kos

perkhidmatan (RM)

TAHUN 2015 (RM)

TAHUN 2016 (RM)

TAHUN 2017 (RM)

TAHUN 2018 (RM)

CAJ RAWATAN

PERIHAL

Pressure Garment Pressure Garment759 Finger strap Finger strap760 Gauntlet Gauntlet761 Glove Glove762 Forearm A Sleeve Forearm A Sleeve763 Full length arm sleeve Full length arm sleeve764 Vest with long sleeve Vest with long sleeve765 Vest with short sleeve Vest with short sleeve766 Chin strap Chin strap767 Mask Mask768 Short pants Short pants769 Long pants Long pants770 Thigh strap Thigh strap771 Calf strap Calf strap772 Socks (1 unit) Socks (1 unit)

Static Splint Static Splint 773 Finger toe Finger toe774 Hand/foot Hand/foot775 Hand to forearm Hand to forearm776 Finger to forearm Finger to forearm777 Forearm to upper arm Forearm to upper arm778 Hand to upper arm Hand to upper arm779 Upper arm Upper arm780 Hard collar Hard collar781 Foot to calf Foot to calf782 Foot to mid thigh Foot to mid thigh783 Mid calf to mid thigh Mid calf to mid thigh784 Plaztozote Insole Plaztozote Insole785 Tennis Elbow Tennis Elbow786 Ulnar driff Ulnar driff787 Ergonomic A sling Ergonomic A sling788 Foot drop check Foot drop check789 Buddy strap Buddy strap790 Body brace Body brace791 Pelvis harness Pelvis harness


Kos

perkhidmatan (RM)

TAHUN 2015 (RM)

TAHUN 2016 (RM)

TAHUN 2017 (RM)

TAHUN 2018 (RM)

CAJ RAWATAN

IMPLAN BAGI PERKHIDMATAN OFTALMOLOGI

IMPLANT CHARGES FOR OPHTALMOLOGY SERVICES

Paediatric and strabismus Paediatric and Strabismus792 Frontalis sling; silastic material Frontalis sling; silastic material 0 600 180 300 420 600793 Frontalis sling; ptose up Frontalis sling; ptose up 0 1,125 338 563 788 1,125794 Lacrimal intubation; Ritleng tube Lacrimal intubation; ritleng tube 0 600 180 300 420 600

795 Lacrimal intubation; Crawford tube Lacrimal intubation; crawford tube0

608 182 304 426 608

796 Mini Monoka Mini monoka 0 600 180 300 420 600797 Glaucoma; Baerveldt implant Glaucoma; baerveldt implant 0 2,055 617 1,028 1,439 2,055798 Glaucoma; Ahmad valve implant Glaucoma; Ahmad Valve Implant 0 2,400 720 1,200 1,680 2,400799 Medpor orbital sphere implant Medpor orbital sphere implant 0 1,950 585 975 1,365 1,950800 Customised artificial eye Customised artificial eye 0 3,900 1,170 1,950 2,730 3,900801 Ready-made artificial eye Ready-made artificial eye 0 120 36 60 84 120802 Conformer Conformer 0 480 144 240 336 480803 Silicone band for squint surgery Silicone band for squint surgery 0 120 36 60 84 120804 Low vision optical devices Low vision optical devices 0 3,000 900 1,500 2,100 3,000

Surgical Vitreoretina Surgical Vitreoretina805 Silicone oil Silicone oil 0 675 203 338 473 675806 Gas C3F8 Gas C3F8 0 225 68 113 158 225807 Gas SF6 Gas SF6 0 225 68 113 158 225808 Silicone band Silicone band 0 120 36 60 84 120809 Silicone sponge Silicone sponge 0 450 135 225 315 450810 Silicone tyre Silicone tyre 0 150 45 75 105 150

Glaucoma Glaucoma811 Baerveldt implant (standard) Baerveldt implant (standard) 0 2,055 617 1,028 1,439 2,055812 Baerveldt implant (pars plana) Baerveldt implant (pars plana) 0 2,055 617 1,028 1,439 2,055813 Ahmad Valve (standard) Ahmad Valve (standard) 0 2,400 720 1,200 1,680 2,400814 Ahmad Valve (pars plana) Ahmad Valve (pars plana) 0 3,300 990 1,650 2,310 3,300815 Molteno implant Molteno implant 0 1,950 585 975 1,365 1,950816 Amniotic membrane Amniotic membrane 0 750 225 375 525 750817 Implant tube extender Implant tube extender 0 1,200 360 600 840 1,200818 Cataract and refractive surgery Cataract and refractive surgery 0 1,200 360 600 840 1,200819 Capsular tension ring Capsular tension ring 0 525 158 263 368 525820 Aniridia ring Aniridia ring 0 1,125 338 563 788 1,125

Cornea Cornea821 Corneal –precut Corneal –precut 0 6,000 1,800 3,000 4,200 6,000822 Corneal-tissue in optisol Corneal-tissue in optisol 0 2,700 810 1,350 1,890 2,700823 Corneal tissue-tissue in glycerol Corneal tissue-tissue in glycerol 0 1,500 450 750 1,050 1,500824 Amniotic membrane Amniotic membrane 0 750 225 375 525 750825 Bandage contact lens - weekly Bandage contact lens - weekly 0 15 5 8 11 15826 Bandage contact lens - monthly Bandage contact lens - monthly 0 45 14 23 32 45827 Keratoprosthesis - Ocular Landers Keratoprosthesis - ocular landers 0 2,997 899 1,499 2,098 2,997828 Keratoprosthesis - Boston Keratoprosthesis - Boston 0 12,000 3,600 6,000 8,400 12,000

829Intrastromal corneal ring segment - INTACS

Intrastromal corneal ring segment - INTACS 0

4,500 1,350 2,250 3,150 4,500

830Optical Cylinder for Osteo-odonto-Keratoprostesis (OOKP)

Optical Cylinder for Osteo-Odonto-Keratoprostesis (OOKP) 0

3,000 900 1,500 2,100 3,000

831 Symblepharon ring Symblepharon ring 0 585 176 293 410 585


Kos

perkhidmatan (RM)

TAHUN 2015 (RM)

TAHUN 2016 (RM)

TAHUN 2017 (RM)

TAHUN 2018 (RM)

CAJ RAWATAN

Oculoplastic Oculoplastic832 Crawford lacrimal intubation Crawford lacrimal intubation 0 435 131 218 305 435833 O'Donoghue lacrimal intubation O'Donoghue lacrimal intubation 0 375 113 188 263 375834 Ritleng intubation set Ritleng intubation set 0 600 180 300 420 600835 Bicanaliculus intubation set Bicanaliculus intubation set 0 225 68 113 158 225836 Snug plug - punctal plug Snug plug - punctal plug 0 300 90 150 210 300837 Ptosis probe – silicone Ptosis probe – silicone 0 600 180 300 420 600838 Ptosis probe – gortex Ptosis probe – gortex 0 990 297 495 693 990839 Conformer - silicone, perforated Conformer - silicone, perforated 0 480 144 240 336 480840 Symblepharon ring Symblepharon ring 0 585 176 293 410 585841 Titanium plate Titanium plate 0 1,425 428 713 998 1,425842 Titanium screw Titanium screw 0 225 68 113 158 225843 Gold weight implant Gold weight implant 0 3,150 945 1,575 2,205 3,150844 Platinum weight implant Platinum weight implant 0 3,900 1,170 1,950 2,730 3,900845 Silicone tyre 276 Silicone tyre 276 0 150 45 75 105 150846 Fixation sleeve Fixation sleeve 0 75 23 38 53 75847 Sponge Sponge 0 450 135 225 315 450848 Mini monoka Mini monoka 0 600 180 300 420 600849 Monoka Monoka 0 600 180 300 420 600850 Upper eyelid spacer Upper eyelid spacer 0 1,350 405 675 945 1,350851 Lower eyelid spacer Lower eyelid spacer 0 1,350 405 675 945 1,350852 Acrylic implant Acrylic implant 0 75 23 38 53 75853 Hydroxyapatite orbital implant Hydroxyapatite orbital implant 0 2,400 720 1,200 1,680 2,400854 MEDPOR - micro thin sheet MEDPOR - micro thin sheet 0 1,050 315 525 735 1,050855 MEDPOR - ultra thin sheet MEDPOR - ultra thin sheet 0 1,050 315 525 735 1,050856 MEDPOR - sheets MEDPOR - sheets 0 1,050 315 525 735 1,050857 MEDPOR - titanium sheets MEDPOR - titanium sheets 0 1,425 428 713 998 1,425858 MEDPOR Enophthalmos wedges MEDPOR enophthalmos wedges 0 1,950 585 975 1,365 1,950859 MEDPOR Orbital conical implant MEDPOR orbital conical implant 0 2,025 608 1,013 1,418 2,025860 MEDPOR Orbital sphere implant MEDPOR orbital sphere implant 0 1,950 585 975 1,365 1,950861 MEDPOR blocks MEDPOR blocks 0 1,170 351 585 819 1,170862 Orbital sphere tissue expander Orbital sphere tissue expander 0 2,700 810 1,350 1,890 2,700863 PESS implant PESS implant 0 3,300 990 1,650 2,310 3,300864 Customised artificial eye Customised artificial eye 0 3,900 1,170 1,950 2,730 3,900865 Ready-made artificial eye Ready-made artificial eye 0 120 36 60 84 120

IMPLAN UNTUK PERKHIDMATAN ORTOPEDIK

IMPLANT CHARGES FOR ORTHOPAEDICS SERVICES

8661.5mm Cortical Screw, 0.5mm Pitch, Full Thread (Length Range: 6mm-30mm )

1.5mm cortical screw, 0.5mm pitch, full thread (length range: 6mm-30mm ) 0

15 5 8 11 15

8672.0mm Cortical Screw, 0.6mm Pitch, Full Thread (Length Range: 6mm-40mm)

2.0mm cortical screw, 0.6mm pitch, full thread (length range: 6mm-40mm) 0

16 5 8 11 16

8682.7mm Cortical Screw, 1.0mm Pitch, Full Thread (Length Range: 8mm – 50mm)

2.7mm cortical screw, 1.0mm pitch, full thread (length range: 8mm – 50mm) 0

17 5 9 12 17

8692.7mm Cortical Screw, 1.0mm Pitch, Self Tapping, Full Thread (Length Range: 6mm – 40mm )

2.7mm cortical screw, 1.0mm pitch, self tapping, full thread (length range: 6mm – 40mm ) 0

18 5 9 13 18


Kos

perkhidmatan (RM)

TAHUN 2015 (RM)

TAHUN 2016 (RM)

TAHUN 2017 (RM)

TAHUN 2018 (RM)

CAJ RAWATAN

870Epiphysis Mini Plates 2.0mm (Range: Left/Right L-Obligue, Left/Right 90 Degree T-Plate)

Epiphysis mini plates 2.0mm (range: left/right L-Obligue, left/right 90 Degree T-Plate) 0

67 20 34 47 67

871Quarter Tubular Plate 2.7mm (Hole Range: 3mm – 8mm)

Quarter tubular plate 2.7mm (hole range: 3mm – 8mm) 0

77 23 39 54 77

872Self Compression Plates 2.0mm (Hole Range: 4mm – 8mm)

Self compression plates 2.0mm (hole range: 4mm – 8mm) 0

104 31 52 73 104

873Self Compression Plates 2.7mm (Hole Range: 2mm – 12mm)

Self compression plates 2.7mm (hole range: 2mm – 12mm) 0

141 42 71 99 141

874Straight Mini Plate 2.0mm (Hole Range: 3mm – 6mm)

Straight mini plate 2.0mm (hole range: 3mm – 6mm) 0

94 28 47 66 94

8754.0mm Cancellous Screws, 1.75mm Pitch, Full Thread (Length Range: 10mm – 70mm)

4.0mm cancellous screws, 1.75mm pitch, full thread (length range: 10mm – 70mm) 0

18 5 9 13 18

8764.0mm Cancellous Screws, 1.75mm Pitch, Long Thread (Length Range: 16mm – 72mm)

4.0mm cancellous screws, 1.75mm pitch, long thread (length range: 16mm – 72mm) 0

13 4 7 9 13

8774.0mm Cancellous Screws, 1.75mm Pitch, Short Thread (Length Range: 10mm – 80mm)

4.0mm cancellous screws, 1.75mm pitch, short thread (length range: 10mm – 80mm) 0

11 3 6 8 11

8783.5mm Cortical Screws, 1.25mm Pitch, Full Thread (Length Range: 10mm– 70mm)

3.5mm cortical screws, 1.25mm pitch, full thread (length range: 10mm– 70mm) 0

16 5 8 11 16

8793.5mm Cortical Screws, 1.25mm Pitch, Self Tapping, Full Thread (Length Range: 10mm – 65mm)

3.5mm cortical screws, 1.25mm pitch, self tapping, full thread (length range: 10mm – 65mm) 0

17 5 9 12 17

880Clover Leaf Plate 3.5mm (Hole Range: 3mm – 5mm)

Clover leaf plate 3.5mm (hole range: 3mm – 5mm) 0

334 100 167 234 334

881LC-Self Compression Plate 3.5mm (Hole Range: 2mm – 12mm)

LC-self compression plate 3.5mm (hole range: 2mm – 12mm) 0

256 77 128 179 256

882One Third Tubular Plate 3.5mm (Hole Range: 2mm – 12mm)

One third tubular plate 3.5mm (hole range: 2mm – 12mm) 0

71 21 36 50 71

883Self Compression Plate 3.5mm (Hole Range: 2mm – 12mm)

Self compression plate 3.5mm (hole range: 2mm – 12mm) 0

94 28 47 66 94

884Small T-Plate (Obligue Angled) 3.5mm (Hole Range: 3mm – 5mm)

Small T-Plate (obligue angled) 3.5mm (hole range: 3mm – 5mm) 0

168 50 84 118 168

885Small T-Plate (Right Angled) 3.5mm (Hole Range: 3mm – 6mm)

Small T-Plate (right angled) 3.5mm (hole range: 3mm – 6mm) 0

168 50 84 118 168

8866.5mm Cancellous Screw, 2.75mm Pitch, 32mm Thread Length (Length Range: 30mm – 110mm)

6.5mm cancellous screw, 2.75mm pitch, 32mm thread length (length range: 30mm – 110mm) 0

30 9 15 21 30

8876.5mm Cancellous Screw, 2.75mm Pitch, Full Thread (Length Range: 16mm – 110mm)

6.5mm cancellous screw, 2.75mm pitch, full thread (length range: 16mm – 110mm) 0

31 9 16 22 31

8884.5mm Cortical Screw, 1.75mm Pitch, Full Thread (Length Range: 14mm – 80mm)

4.5mm cortical screw, 1.75mm pitch, full thread (length range: 14mm – 80mm) 0

16 5 8 11 16


Kos

perkhidmatan (RM)

TAHUN 2015 (RM)

TAHUN 2016 (RM)

TAHUN 2017 (RM)

TAHUN 2018 (RM)

CAJ RAWATAN

8894.5mm Cortical Screw, 1.75mm Pitch, Self Tapping, Full Thread (Length Range: 14mm – 80mm)

4.5mm cortical screw, 1.75mm pitch, self tapping, full thread (length range: 14mm – 80mm) 0

17 5 9 12 17

8904.5mm Malleolar Screw, 1.75mm Pitch, Threaded Length (Length Range: 25mm – 100mm)

4.5mm malleolar screw, 1.75mm pitch, threaded length (length range: 25mm – 100mm) 0

33 10 17 23 33

891Broad Self Compression Plate 4.5mm (Holes Range: 4mm – 18mm)

Broad self compression plate 4.5mm (holes range: 4mm – 18mm)

0211 63 106 148 211

892Butress L-Plate (Right Angled) 4.5mm (Hole Range: 3mm – 6mm)

Butress L-Plate (right angled) 4.5mm (hole range: 3mm – 6mm) 0

281 84 141 197 281

893Buttress L-Plate (Left Angled) 4.5mm (Hole Range: 3mm – 8mm)

Buttress L-Plate (left angled) 4.5mm (hole range: 3mm – 8mm) 0

281 84 141 197 281

894Buttress T-Plate 4.5mm (Hole Range: 3mm – 8mm)

Buttress T-Plate 4.5mm (hole range: 3mm – 8mm) 0

234 70 117 164 234

895Cobra Head Plate 4.5mm (Hole Range: 8mm – 11mm)

Cobra head plate 4.5mm (hole range: 8mm – 11mm) 0

667 200 334 467 667

896Condylar Buttress Plate (Left Angled) 4.5mm (Hole Range: 7mm – 15mm)

Condylar buttress plate (left angled) 4.5mm (hole range: 7mm – 15mm)

0585 176 293 410 585

897Condylar Buttress Plate (Right Angled) 4.5mm (Hole Range: 7mm – 15mm)

Condylar buttress plate (right angled) 4.5mm (hole range: 7mm – 15mm) 0

585 176 293 410 585

898Large T-Plate 4.5mm (Hole Range: 3mm – 9mm)

Large T-Plate 4.5mm (hole range: 3mm – 9mm) 0

328 98 164 230 328

899Lateral Tibia Plate (Left Angled) 4.5mm (Hole Range: 5mm – 13mm)

Lateral tibia plate (left angled) 4.5mm (hole range: 5mm – 13mm)

0585 176 293 410 585

900Lateral Tibia Plate (Right Angled) 4.5mm (Hole Range: 5mm – 13mm)

Lateral tibia plate (right angled) 4.5mm (hole range: 5mm – 13mm)

0585 176 293 410 585

901Limited Contact - Broad Self Compression Plate 4.5mm (Holes Range: 6mm – 18mm)

Limited contact - broad self compression plate 4.5mm (holes range: 6mm – 18mm) 0

422 127 211 295 422

902Limited Contact - Narrow Self Compression Plate 4.5mm (Holes Range: 2mm – 16mm)

Limited contact - narrow self compression plate 4.5mm (holes range: 2mm – 16mm) 0

375 113 188 263 375

903Narrow Self Compression Plate 4.5mm (Holes Range: 2mm – 18mm)

Narrow self compression plate 4.5mm (holes range: 2mm – 18mm)

0153 46 77 107 153

904Semi-Tubular Plate 4.5mm (Hole Range: 2mm- 12mm)

Semi-tubular plate 4.5mm (hole range: 2mm- 12mm) 0

78 23 39 55 78

905Spoon Plate 4.5mm (Hole Range: 5mm – 6mm)

Spoon plate 4.5mm (hole range: 5mm – 6mm) 0

312 94 156 218 312

906Bone Screw Washers (Range: Outer 6.5mm, 7.2mm, 10.0mm, 13.0mm)

Bone screw washers (range: outer 6.5mm, 7.2mm, 10.0mm, 13.0mm)

010 3 5 7 10


Kos

perkhidmatan (RM)

TAHUN 2015 (RM)

TAHUN 2016 (RM)

TAHUN 2017 (RM)

TAHUN 2018 (RM)

CAJ RAWATAN

9074.0mm Cannulated Screw, 16mm Thread Length (Length Range: 25mm – 50mm)

4.0mm cannulated screw, 16mm thread length (length range: 25mm – 50mm) 0

206 62 103 144 206

9084.5mm Cannulated Screw, 16mm Thread Length (Length Range: 20mm -80mm)

4.5mm cannulated screw, 16mm thread length (length range: 20mm -80mm) 0

206 62 103 144 206

9096.5mm Cannulated Screw, Full Thread (Length Range: 25mm – 115mm)

6.5mm cannulated screw, full thread (length range: 25mm – 115mm)

0206 62 103 144 206

9107.0mm Cannulated Screw, 16mm Thread Length (Length Range: 30mm – 130mm)

7.0mm cannulated screw, 16mm thread length (length range: 30mm – 130mm) 0

206 62 103 144 206

9117.0mm Cannulated Screw, 32mm Thread Length (Length Range: 45mm)

7.0mm cannulated screw, 32mm thread length (length range: 45mm)

0217 65 109 152 217

9127.0mm Cannulated Screw, Full Thread (Length Range: 20mm – 130mm)

7.0mm cannulated screw, full thread (length range: 20mm – 130mm)

0217 65 109 152 217

913Curved Reconstruction Plate 3.5mm (Holes Range: 6mm- 18mm)

Curved reconstruction plate 3.5mm (holes range: 6mm- 18mm)

0410 123 205 287 410

914Straight Reconstruction Plate 3.5mm (Hole Range: 5mm – 22mm)

Straight reconstruction plate 3.5mm (hole range: 5mm – 22mm)

0234 70 117 164 234

915Straight Reconstruction Plate 4.5mm (Hole Range: 3mm – 16mm)

Straight reconstruction plate 4.5mm (hole range: 3mm – 16mm)

0328 98 164 230 328

916 DHS Plate 130 (Hole Range: 2mm – 9mm)DHS Plate 130 (hole range: 2mm – 9mm) 0

585 176 293 410 585

917 DHS Plate 135 (Hole Range: 2mm – 9mm)DHS Plate 135 (hole range: 2mm – 9mm) 0

585 176 293 410 585

918DHS Plate 140 (Hole Range: 2mm – 12mm)

DHS Plate 140 (hole range: 2mm – 12mm) 0

702 211 351 491 702



702 211 351 491 702



702 211 351 491 702

921Hexagonal Head Compression Screw, Length 36mm

Hexagonal head compression screw, length 36mm 0

43 13 22 30 43

922Lag Screw, Thread 12.5mm, Thread Length 22.0mm (Length Range: 50mm – 145mm)

Lag screw, thread 12.5mm, thread length 22.0mm (length range: 50mm – 145mm) 0

234 70 117 164 234

923Calibrated Guide Wires, 2.5mm, Length 230mm

Calibrated guide wires, 2.5mm, length 230mm 0

94 28 47 66 94

924Austin Moore Narrow Stem Stainless Steel (Head Size Range: 38mm – 56mm)

Austin Moore Narrow Stem Stainless Steel (head size range: 38mm – 56mm) 0

953 286 477 667 953


Kos

perkhidmatan (RM)

TAHUN 2015 (RM)

TAHUN 2016 (RM)

TAHUN 2017 (RM)

TAHUN 2018 (RM)

CAJ RAWATAN

925Austin Moore Standard Stem Stainless Steel (Head Size Range: 38mm – 56mm)

Austin Moore Standard Stem Stainless Steel (head size range: 38mm – 56mm) 0

953 286 477 667 953

926Austin Moore Standard Stem Titanium (Head Size Range: 38mm – 56mm)

Austin Moore Standard Stem Titanium (head size range: 38mm – 56mm) 0

1,521 456 761 1,065 1,521

927Thompson Standard Stem Stainless Steel (Head Size Range: 38mm – 56mm)

Thompson Standard Stem Stainless Steel (head size range: 38mm – 56mm) 0

953 286 477 667 953

928Thompson Standard Stem Titanium (Head Size Range: 38mm – 55mm)

Thompson Standard Stem Titanium (head size range: 38mm – 55mm)

01,521 456 761 1,065 1,521

929130 Angled Blade Plates (Hole Range: 4mm – 12mm)

130 Angled Blade Plates (hole range: 4mm – 12mm) 0

634 190 317 444 634

93095 Angled Blade Plates (Condylar Plate 95) (Hole Range: 5mm – 18mm)

95 Angled Blade Plates (Condylar Plate 95) (hole range: 5mm – 18mm)

01,112 334 556 778 1,112

931Supracondylar Plates 95 Degress (Hole Range: 6mm – 16mm)

Supracondylar plates 95 degress (hole range: 6mm – 16mm) 0

913 274 457 639 913

932Carbon Fibre Rods 11.0mm (Length Range: 100mm – 600mm)

Carbon fibre rods 11.0mm (length range: 100mm – 600mm) 0

153 46 77 107 153

933Schanz Screws 4.0mm (Length Range: 100mm – 250mm)

Schanz screws 4.0mm (length range: 100mm – 250mm) 0

57 17 29 40 57

934Schanz Screws 4.0mm/3.0mm (Length Range: 80mm – 100mm)

Schanz screws 4.0mm/3.0mm (length range: 80mm – 100mm) 0

52 16 26 36 52



57 17 29 40 57



113 34 57 79 113

937Tube to Pin Clamp, Connection Schanz Screw 5.0mm to 11.0mm Tube

Tube to pin clamp, connection Schanz Screw 5.0mm to 11.0mm Tube 0

223 67 112 156 223

938Tube to Tube Clamp, End Connector 11.0mm to 11.0mm Tube

Tube to tube clamp, end connector 11.0mm to 11.0mm tube

0223 67 112 156 223

939Tube to Tube Clamp, Mid Shaft Connector 11.0mm to 11.0mm Tube

Tube to tube clamp, mid shaft connector 11.0mm to 11.0mm tube

0223 67 112 156 223

940Ender Nails 4.5mm (Length Range: 420mm – 520mm)

Ender nails 4.5mm (length range: 420mm – 520mm) 0

195 59 98 137 195

941Ender Nails 4.8mm (Length Range: 220mm – 520mm)

Ender nails 4.8mm (length range: 220mm – 520mm) 0

161 48 81 113 161

942Kuntcher Nails 10.0 mm (Length Range: 20 cm – 52 cm)

Kuntcher nails 10.0 mm (length range: 20 cm – 52 cm) 0

385 116 193 270 385

943Kuntcher Nails 11.0mm (Length Range: 20 cm – 52 cm)

Kuntcher nails 11.0mm (length range: 20 cm – 52 cm) 0

390 117 195 273 390



413 124 207 289 413


Kos

perkhidmatan (RM)

TAHUN 2015 (RM)

TAHUN 2016 (RM)

TAHUN 2017 (RM)

TAHUN 2018 (RM)

CAJ RAWATAN



425 128 213 298 425



436 131 218 305 436



459 138 230 321 459



331 99 166 232 331



344 103 172 241 344



356 107 178 249 356



367 110 184 257 367

952Cerclage Wires (10's) (Diameter Range: 1.0mm - 1.2mm)

Cerclage wires (10's) (diameter range: 1.0mm - 1.2mm) 0

1,404 421 702 983 1,404

953Cerclage Wires, Length 10 Meters (Diameter Range: 1.0mm - 1.2mm)

Cerclage wires, length 10 meters (diameter range: 1.0mm - 1.2mm)

0134 40 67 94 134

954Kirchner Wires 0.9mm, Trocar Tip Single or Double (Length Range: 70mm – 150mm)

Kirchner wires 0.9mm, trocar tip single or double (length range: 70mm – 150mm) 0

6 2 3 4 6



6 2 3 4 6



6 2 3 4 6



6 2 3 4 6



8 2 4 6 8


Kirchner wires 1.6mm, trocar tip single or double (length Range: 150mm – 280mm) 0

8 2 4 6 8


Kirchner wires 1.8mm, trocar tip single or double (length Range: 150mm – 280mm)r 0

8 2 4 6 8



9 3 5 6 9

962Rush Pins 2.4mm (Length Range: 25mm – 254mm)

Rush pins 2.4mm (length range: 25mm – 254mm) 0

84 25 42 59 84



102 31 51 71 102



102 31 51 71 102


Kos

perkhidmatan (RM)

TAHUN 2015 (RM)

TAHUN 2016 (RM)

TAHUN 2017 (RM)

TAHUN 2018 (RM)

CAJ RAWATAN



127 38 64 89 127

966Steinmann Pins 3.5mm with Trocar Tip (Length Range: 125mm – 150mm)

Steinmann pins 3.5mm with trocar tip (length range: 125mm – 150mm)

034 10 17 24 34

967Steinmann Pins 4.0mm/5.0mm Mid Thread (Length Range: 175mm – 200mm)

Steinmann pins 4.0mm/5.0mm mid thread (length range: 175mm – 200mm) 0

141 42 71 99 141



034 10 17 24 34



034 10 17 24 34



034 10 17 24 34

971 Interlocking Femoral Nail Interlocking femoral nail 0 880 264 440 616 880972 Interlocking Tibia Nail Interlocking tibia nail 0 880 264 440 616 880973 Distal Tibia Plate Distal tibia plate 0 3,300 990 1,650 2,310 3,300974 Osteotomy Plate Osteotomy plate 0 2,860 858 1,430 2,002 2,860975 Calcaneal Plates Calcaneal plate 0 2,200 660 1,100 1,540 2,200976 Bone Staples Bone staples 0 110 33 55 77 110977 Stainless Steel Elastic Nail Stainless steel elastic nail 0 1,760 528 880 1,232 1,760978 Bone Cement (plain) Bone cement (plain) 0 220 66 110 154 220

979 External Fixator 2 tubes and 8 clampsExternal fixator 2 tubes and 8 clamps 0

4,950 1,485 2,475 3,465 4,950

980 Wrist External Fixator Wrist external fixator 0 4,950 1,485 2,475 3,465 4,950

981 Reconstruction External Fixator Set TibiaReconstruction external fixator set tibia 0

8,800 2,640 4,400 6,160 8,800

982Reconstruction External Fixator Set Femur

Reconstruction external fixator set femur 0

13,200 3,960 6,600 9,240 13,200

IMPLAN KAKI DAN BUKU LALI FOOT AND ANKLE IMPLANT

983Suture anchor – 2.4mm - 5.5mm (titanium, bio absorbable, PEEK)

Suture anchor – 2.4mm - 5.5mm (titanium, bio absorbable, PEEK)0

1,375 413 688 963 1,375

984 Syndesmosis tightrope Syndesmosis tightrope 0 1,750 525 875 1,225 1,750985 Bio tenodesis screw Bio tenodesis screw 0 1,690 507 845 1,183 1,690986 Break away screw Break away screw 0 360 108 180 252 360987 Triple threaded screw 6.0mm Triple threaded screw 6.0mm 0 900 270 450 630 900

988Cannulated screw 2.4mm, 3.0mm, 4.0mm, 6.5mm, 7.0mm & 7.3mm (titanium)

Cannulated screw 2.4mm, 3.0mm, 4.0mm, 6.5mm, 7.0mm & 7.3mm (titanium) 0

525 158 263 368 525

989 Locking plate (mini & calcaneum) Locking plate (mini & calcaneum)0

2,350 705 1,175 1,645 2,350

990 Compression staple Compression staple 0 475 143 238 333 475991 Pilon plate (distal end tibia) Pilon plate (distal end tibia) 0 2,000 600 1,000 1,400 2,000

992 Ankle distractor (external fixator) Ankle distractor (external fixator)0

6,000 1,800 3,000 4,200 6,000

993 Bone graft (Bonalive) Bone graft (bonalive) 0 2,800 840 1,400 1,960 2,800


Kos

perkhidmatan (RM)

TAHUN 2015 (RM)

TAHUN 2016 (RM)

TAHUN 2017 (RM)

TAHUN 2018 (RM)

CAJ RAWATAN

994 Radiofrequency coblation probe (Topaz)Radiofrequency coblation probe (topaz) 0

1,300 390 650 910 1,300

995Arthroscopic radiofrequency probe (Covac)

Arthroscopic radiofrequency probe (covac) 0

950 285 475 665 950

996 Arthroereisis screw Arthroereisis screw 0 2,575 773 1,288 1,803 2,575997 Total ankle replacement Total ankle replacement 0 15,500 4,650 7,750 10,850 15,500998 Taylor spatial frame Taylor spatial frame 0 12,000 3,600 6,000 8,400 12,000999 Hind foot nail Hind foot nail 0 3,350 1,005 1,675 2,345 3,350

1000Metatarsophalangeal joint arthroplasty (hemi & total)

Metatarsophalangeal joint arthroplasty (hemi & total) 0

6,125 1,838 3,063 4,288 6,125

GENERAL/TRAUMA IMPLANTS GENERAL/TRAUMA IMPLANTS

1001 DHS DHS 0 650 195 325 455 6501002 Interlocking Femoral Nail Interlocking femoral nail 0 695 209 348 487 6951003 Interlocking Tibial Nail Interlocking tibial nail 0 695 209 348 487 695

1004 Kuntscher Intramedullary Nail Tibia Kuntscher intramedullary nail tibia0

195 59 98 137 195

1005 Kuntscher Intramedullary Nail Femur Kuntscher intramedullary nail femur0

195 59 98 137 195

1006 Steinman Pin Steinman pin 0 39 12 20 27 391007 Schanz Screw Schanz screw 0 59 18 30 41 591008 Cortical Screw 3.5mm Cortical screw 3.5mm 0 10 3 5 7 101009 Cortical Screw 4.5mm Cortical screw 4.5mm 0 13 4 7 9 131010 Circlage Wire 0.2mm - 1.5mm Circlage wire 0.2mm - 1.5mm 0 105 32 53 74 105

10116.5mm Cancellous screw (16/32/Full Thread)

6.5mm cancellous screw (16/32/full thread) 0

22 7 11 15 22

10124.0mm Cancellous screw (Full/Short Thread)

4.0mm cancellous screw (full/short thread) 0

17 5 9 12 17

1013 Cannulated Screw 4.0mm, 6.5mm, 7.0mmCannulated screw 4.0mm, 6.5mm, 7.0mm 0

190 57 95 133 190

1014 Mini Plates Mini plates 0 169 51 85 118 169

1015 Mini Screws 1.5mm, 2.0mm, 2.7mm Mini screws 1.5mm, 2.0mm, 2.7mm0

24 7 12 17 24

1016 Angle Blade Plate Angle blade plate 0 750 225 375 525 7501017 K-Wires various sizes and length K-Wires various sizes and length 0 13 4 7 9 131018 Rush Nails Rush nails 0 649 195 325 454 649

1019 Straight Reconstruction Plate 2.7mm Straight reconstruction plate 2.7mm0

158 47 79 111 158

1020 Reconstruction Plate 3.5mm Reconstruction plate 3.5mm 0 273 82 137 191 2731021 Reconstruction Plate 4.5mm Reconstruction plate 4.5mm 0 275 83 138 193 2751022 Broad DCP Plate (4.5mm) Broad DCP plate (4.5mm) 0 147 44 74 103 1471023 Narrow DCP (4.5mm) Narrow DCP (4.5mm) 0 113 34 57 79 1131024 Small Fragments Plate (3.5mm) Small fragments plate (3.5mm) 0 90 27 45 63 901025 One Third Tubular Plate (3.5mm) One third tubular plate (3.5mm) 0 52 16 26 36 521026 Semi Tubular Plate (4.5mm) Semi tubular plate (4.5mm) 0 71 21 36 50 711027 T-Buttress Plate 4H - 6H (4.5mm) T-buttress plate 4H - 6H (4.5mm) 0 179 54 90 125 1791028 T - Plate (4.5mm) T - plate (4.5mm) 0 212 64 106 148 212

1029 L- Buttress Plate 4H - 6H (4.5mm) L- buttress plate 4H - 6H (4.5mm)0

195 59 98 137 195


Kos

perkhidmatan (RM)

TAHUN 2015 (RM)

TAHUN 2016 (RM)

TAHUN 2017 (RM)

TAHUN 2018 (RM)

CAJ RAWATAN

1030Small T- Plate (3.5mm) :Oblique/Right/Left

Small T- plate (3.5mm) :oblique/Right/Left 0

120 36 60 84 120

1031 Condylar Buttress Plate (4.5mm) Condylar buttress plate (4.5mm) 0 450 135 225 315 4501032 Clover Leaf Plate Clover leaf plate 0 265 80 133 186 2651033 Spoon Plate Spoon plate 0 229 69 115 160 2291034 Distal Tibial Plate Distal tibial plate 0 1,125 338 563 788 1,1251035 Osteotomy Plate Osteotomy plate 0 650 195 325 455 6501036 LC-DCP Plate (3.5mm, 4.5mm) LC-DCP plate (3.5mm, 4.5mm) 0 225 68 113 158 2251037 Calcanel Plate Calcanel plate 0 525 158 263 368 5251038 Y-Plate Y-plate 0 225 68 113 158 2251039 Bone Staples Bone staples 0 40 12 20 28 401040 Washer Washer 0 15 5 8 11 15

JOINT ARTHROPLASTY JOINT ARTHROPLASTY

1041Hemi Hip Prosthesis (Austin Moore/Thompson)

Hemi hip prosthesis (Austin Moore/Thompson)

0 725 218 363 508 725

MISCELLANEOUS MISCELLANEOUS1042 Bone Cement (Plain) Bone cement (plain) 0 250 75 125 175 250

BASIC LCP SMALL FRAGMENT 3.5mmBASIC LCP SMALL FRAGMENT 3.5mm

1043LCP Straight Plate 3.5mm: (Stainless Steel) :

LCP Straight Plate 3.5mm: (Stainless Steel) : 0

1044 6-9 holes (1 set) 1 Plate and Screws 6-9 holes (1 set) 1 Plate and Screws0

800 240 400 560 800

1045 10-12 holes 10-12 holes 0 1,100 330 550 770 1,100

1046 LCP Metaphyseal 3.5mm (Titanium) :LCP Metaphyseal 3.5mm (Titanium) : 0

1047 6-9 holes (1 set) 1 Plate and Screws 6-9 holes (1 set) 1 Plate and Screws0

1,800 540 900 1,260 1,800

1048 10-12 holes 10-12 holes 0 2,000 600 1,000 1,400 2,000

LCP T Plate 3.5mm: (Stainless Steel)LCP T Plate 3.5mm: (Stainless Steel)

1049 - Right Angled (3-6 holes) - Right Angled (3-6 holes) 0 800 240 400 560 8001050 - Obloque Angle (3-5 holes) - Obloque Angle (3-5 holes) 0 800 240 400 560 800

1051LCP Reconstruction Plate 3.5mm (6-9 holes) Stainless Steel

LCP Reconstruction Plate 3.5mm (6-9 holes) Stainless Steel 0

850 255 425 595 850

1052LCP Plate (1.0mm, 1.3mm, 1.5mm, 2.0mm, 2.4mm) - 1 plate & screw

LCP Plate (1.0mm, 1.3mm, 1.5mm, 2.0mm, 2.4mm) - 1 plate & screw

01,600 480 800 1,120 1,600

1053 Screw only Screw only 0 150 45 75 105 1501054 Proximal Humeral Locking Plate Proximal Humeral Locking Plate 0 3,000 900 1,500 2,100 3,0001055 Distal Humeral Locking Plate Distal Humeral Locking Plate 0 3,900 1,170 1,950 2,730 3,900

1056 Distal Radius Locking Plate (volar) Distal Radius Locking Plate (volar)0

2,200 660 1,100 1,540 2,200

1057 Distal Radius Locking Plate (dorsal) Distal Radius Locking Plate (dorsal)0

2,300 690 1,150 1,610 2,300

1058 LCP Distal Radius Plate 2.4mm : LCP Distal Radius Plate 2.4mm : 01059 - Dorsal Plate (2 Plates) - Dorsal Plate (2 Plates) 0 2,300 690 1,150 1,610 2,300

1060 - Volar Plate (Extraarticular or Juxta Articular)

- Volar Plate (Extraarticular or Juxta Articular) 0

1,800 540 900 1,260 1,800


Kos

perkhidmatan (RM)

TAHUN 2015 (RM)

TAHUN 2016 (RM)

TAHUN 2017 (RM)

TAHUN 2018 (RM)

CAJ RAWATAN

1061 - Extra Long Volar Plate (10 holes) - Extra Long Volar Plate (10 holes)0

2,700 810 1,350 1,890 2,700

1062 - LCP Wrist Fusion 2.7mm/3.5mm - LCP Wrist Fusion 2.7mm/3.5mm0

2,800 840 1,400 1,960 2,800

1063 - LCP Ulna Hook 2.0mm - LCP Ulna Hook 2.0mm 0 1,600 480 800 1,120 1,600

1064 - 3.0mm Headless Compression Screw - 3.0mm Headless Compression Screw

0 700 210 350 490 700

1065Variable Angle 2 column Distal Radius Plate 2.4mm

Variable Angle 2 column Distal Radius Plate 2.4mm 0

2,500 750 1,250 1,750 2,500

LOCKING PLATE (Upper Limb)(Stainless Steel)

LOCKING PLATE (Upper Limb)(Stainless Steel)

1066 Clavicular Locking Plate Clavicular Locking Plate 0 1,800 540 900 1,260 1,8001067 Proximal Humeral Locking Plate Proximal Humeral Locking Plate 0 2,200 660 1,100 1,540 2,2001068 Distal Humeral locking plate Distal Humeral locking plate 0 3,900 1,170 1,950 2,730 3,900

1069LCP Extra-Articular Distal Humerus Plate 3.5mm(6 holes, 8 holes, 9 holes, 10 holes)

LCP Extra-Articular Distal Humerus Plate 3.5mm(6 holes, 8 holes, 9 holes, 10 holes) 0

3,900 1,170 1,950 2,730 3,900

1070 LCP Hook Plate 3.5mm LCP Hook Plate 3.5mm 0 1,200 360 600 840 1,2001071 Olecranon locking plate Olecranon locking plate 0 3,000 900 1,500 2,100 3,0001072 Unreamed Humeral Nail Unreamed Humeral Nail 0 1,600 480 800 1,120 1,6001073 Without End Caps Without End Caps 0 1,200 360 600 840 1,2001074 with End Caps with End Caps 0 1,600 480 800 1,120 1,600

1075LCP Compact hands (1.0mm, 1.3mm, 1.5mm, 2.0mm, 2.4mm)

LCP Compact hands (1.0mm, 1.3mm, 1.5mm, 2.0mm, 2.4mm) 0

1,600 480 800 1,120 1,600

BASIC LCP LARGE FRAGMENT 4.5mm/5.0mm

BASIC LCP LARGE FRAGMENT 4.5mm/5.0mm

LCP Narrow 4.5mm/5.0mm humerus/tibia :

LCP Narrow 4.5mm/5.0mm humerus/tibia :

1076 - 6-9 holes - 6-9 holes 0 1,000 300 500 700 1,0001077 - 10-16 holes - 10-16 holes 0 1,600 480 800 1,120 1,6001078 - 8-9 holes - 8-9 holes 0 1,100 330 550 770 1,1001079 - 10-14 holes - 10-14 holes 0 1,650 495 825 1,155 1,6501080 - 16 holes - 16 holes 0 2,000 600 1,000 1,400 2,000

1081LCP T-Buttress Plate 4.5mm/5.0mm (4-5 holes)

LCP T-Buttress Plate 4.5mm/5.0mm (4-5 holes) 0

900 270 450 630 900

1082 LCP T Plate 4.5mm/5.0mm (4-6 holes)LCP T Plate 4.5mm/5.0mm (4-6 holes) 0

900 270 450 630 900

1083LCP L-Buttress Plate 4.5mm/5.0mm (4-6 holes)

LCP L-Buttress Plate 4.5mm/5.0mm (4-6 holes) 0

900 270 450 630 900

1084LCP Metaphyseal 3.5mm/4.5mm/5.0mm BROAD ( 3-9 holes)

LCP Metaphyseal 3.5mm/4.5mm/5.0mm BROAD ( 3-9 holes) 0

2,200 660 1,100 1,540 2,200

1085LCP Reconstruction Plate 4.5mm/5.0mm (6-10 holes)

LCP Reconstruction Plate 4.5mm/5.0mm (6-10 holes) 0

2,000 600 1,000 1,400 2,000

INTERLOCKING NAIL (Stainless Steel)INTERLOCKING NAIL (Stainless Steel)

LCP Dynamic Hip Screw 4.5mm/5.0mm 2-6 holes:

LCP Dynamic Hip Screw 4.5mm/5.0mm 2-6 holes:

1086 - 1 Plate and Srews - 1 Plate and Srews 0 1,000 300 500 700 1,000


Kos

perkhidmatan (RM)

TAHUN 2015 (RM)

TAHUN 2016 (RM)

TAHUN 2017 (RM)

TAHUN 2018 (RM)

CAJ RAWATAN

1087 - 1 Plate + 1 Lag Screw + 1 Compression Screw + Screws

- 1 Plate + 1 Lag Screw + 1 Compression Screw + Screws 0

1,200 360 600 840 1,200

1088 - 8 -10 holes - 8 -10 holes 0 1,400 420 700 980 1,4001089 - 12-14 holes - 12-14 holes 0 1,800 540 900 1,260 1,8001090 Femur Interlocking Nail Femur Interlocking Nail 0 850 255 425 595 8501091 Retrograde Nail Retrograde Nail 0 1,500 450 750 1,050 1,5001092 Femur Reconstruction nail Femur Reconstruction nail 0 1,500 450 750 1,050 1,5001093 Proximal Femoral Nail (Standard) Proximal Femoral Nail (Standard) 0 1,800 540 900 1,260 1,800

1094 Proximal Femoral Nail (Long Stem) Proximal Femoral Nail (Long Stem)0

2,500 750 1,250 1,750 2,500

1095 Gamma Nail Gamma Nail 0 1,800 540 900 1,260 1,8001096 Distal Femoral Nail Distal Femoral Nail 0 2,400 720 1,200 1,680 2,4001097 Tibial Interlocking Nail Tibial Interlocking Nail 0 850 255 425 595 8501098 LCP Hook Plate 3.5mm LCP Hook Plate 3.5mm 0 1,200 360 600 840 1,200

LCP 1/3 Tubular 1.3mm : LCP 1/3 Tubular 1.3mm : 01099 - 5-7 holes - 5-7 holes 0 1,200 360 600 840 1,2001100 - 8-10 holes - 8-10 holes 0 1,400 420 700 980 1,400

1101LCP Medial Proximal Tibia Plate 3.5mm (4-8 holes)

LCP Medial Proximal Tibia Plate 3.5mm (4-8 holes) 0

2,400 720 1,200 1,680 2,400

LCP Medial Distal Tibia Plate 3.5mm LCP Medial Distal Tibia Plate 3.5mm0

1102 - low bend 6-8 holes - low bend 6-8 holes 0 2,100 630 1,050 1,470 2,1001103 - 12-14 holes - 12-14 holes 0 2,600 780 1,300 1,820 2,600

1104LCP Anterolateral Distal Tibial Plate 3.5mm (5-11 holes)

LCP Anterolateral Distal Tibial Plate 3.5mm (5-11 holes) 0

2,100 630 1,050 1,470 2,100

1105LCP Compact Foot : (LCP Plate 2.0mm/2.4mm/2.7mm)

LCP Compact Foot : (LCP Plate 2.0mm/2.4mm/2.7mm) 0

1,600 480 800 1,120 1,600

1106LCP 2 Hole Plate 2.7mm (consists of 1 Plate & Screws)

LCP 2 Hole Plate 2.7mm (consists of 1 Plate & Screws) 0

800 240 400 560 800

1107 Screw only (2.0mm, 2.4mm, 2.7mm) Screw only (2.0mm, 2.4mm, 2.7mm)0

150 45 75 105 150

1108 LCP Calcaneal Plate 3.5mm LCP Calcaneal Plate 3.5mm 0 2,000 600 1,000 1,400 2,0001109 Midfoot Fusion Bolt Midfoot Fusion Bolt 0 1,800 540 900 1,260 1,800

INTERLOCKING NAIL (Titanium) INTERLOCKING NAIL (Titanium)

1110 Femur Interlocking Nail Femur Interlocking Nail 0 1,600 480 800 1,120 1,6001111 Gamma Nail Gamma Nail 0 2,200 660 1,100 1,540 2,2001112 Distal Femoral Nail Distal Femoral Nail 0 2,000 600 1,000 1,400 2,0001113 Spiral locking Spiral locking 0 2,400 720 1,200 1,680 2,4001114 Tibial Interlocking Nail Tibial Interlocking Nail 0 850 255 425 595 8501115 Expert Tibial Nail (Cannulated) Expert Tibial Nail (Cannulated) 0 2,000 600 1,000 1,400 2,0001116 Expert A2FN Standard locking Expert A2FN Standard locking 0 1,800 540 900 1,260 1,800

1117 Periarticular plate LCP Tomofix 3.5mmPeriarticular plate LCP Tomofix 3.5mm 0

2,600 780 1,300 1,820 2,600

1118LCP Distal Fibula Plate 2.7mm/3.5mm (lateral/posterolateral)

LCP Distal Fibula Plate 2.7mm/3.5mm (lateral/posterolateral) 0

2,900 870 1,450 2,030 2,900

1119LCP Proximal Tibia Plate 3.5mm, lateral (6-8 holes)

LCP Proximal Tibia Plate 3.5mm, lateral (6-8 holes) 0

2,400 720 1,200 1,680 2,400


Kos

perkhidmatan (RM)

TAHUN 2015 (RM)

TAHUN 2016 (RM)

TAHUN 2017 (RM)

TAHUN 2018 (RM)

CAJ RAWATAN

OTHERS OTHERS1120 Expert nail Expert nail 0 1,800 540 900 1,260 1,800

DISTAL FEMUR /PROXIMAL & DISTAL TIBIA FRACTURES

DISTAL FEMUR /PROXIMAL & DISTAL TIBIA FRACTURES

15,800 4,740 7,900 11,060 15,800

1121

(Consist of: Posts, 3 Hole Wire Clamps, 2 Hole Wire Clamp, Supplementary Screw Holder Bar & Clamps, HA Coated Orthofix Tapered Cortical Screws)

(Consist of: Posts, 3 Hole Wire Clamps, 2 Hole Wire Clamp, Supplementary Screw Holder Bar & Clamps, HA Coated Orthofix Tapered Cortical Screws)

0

ACUTE TRAUMA/POST-TRAUMATIC STIFFNESS

ACUTE TRAUMA/POST-TRAUMATIC STIFFNESS

15,000 4,500 7,500 10,500 15,000

1122(Consist of: Complete Orthofix Elbow Fixator Kit With HA Coated Orthofix Tapered Cortical Screws )

(Consist of: Complete Orthofix Elbow Fixator Kit With HA Coated Orthofix Tapered Cortical Screws )

0

GENU VARUM/GENU VALGUM/LLD/ ANKLE VALGUS etc.(Consist of : Brand : Orthofix, Italy)

GENU VARUM/GENU VALGUM/LLD/ ANKLE VALGUS etc.(Consist of : Brand : Orthofix, Italy)

1123 Trauma Paediatric Orthopedik Trauma Paediatric Orthopedik 0 2,400 720 1,200 1,680 2,400Titanium Elastic Nail (TEN) Titanium Elastic Nail (TEN) 0

1124- Without End Caps (consists of 2 pcs TEN only)

- Without End Caps (consists of 2 pcs TEN only) 0

1,200 360 600 840 1,200

1125- With End caps (consists of 2 pcs TEN & 2 pcs End Cap)

- With End caps (consists of 2 pcs TEN & 2 pcs End Cap) 0

1,600 480 800 1,120 1,600

1126Capos 3.5mm & 4.5mm (consists of 1 Plate & Screw) (Stainless Steel)

Capos 3.5mm & 4.5mm (consists of 1 Plate & Screw) (Stainless Steel)

01,200 360 600 840 1,200

1127Paediatric Hip Plate (3.5mm & 5.0mm) 1 Plate & Screw (Stainless Steel)

Paediatric Hip Plate (3.5mm & 5.0mm) 1 Plate & Screw (Stainless Steel)

02,200 660 1,100 1,540 2,200

1128 Telescopic nail Telescopic nail 0 9,000 2,700 4,500 6,300 9,0001129 Paediatric Hip Locking Plate Paediatric Hip Locking Plate 0 2,500 750 1,250 1,750 2,5001130 8 Plate 8 Plate 0 2,500 750 1,250 1,750 2,500

1131 Paediatric Limb reconstruction SystemPaediatric Limb reconstruction System

0 15,000 4,500 7,500 10,500 15,000

1132 Arthrodiastasis Arthrodiastasis 0 15,000 4,500 7,500 10,500 15,000

1133 Scoliosis Instrumentation (Anterior) Scoliosis Instrumentation (Anterior)0

30,000 9,000 15,000 21,000 30,000

1134Scoliosis Instrumentation (Anterior-Posterior)

Scoliosis Instrumentation (Anterior-Posterior) 0

30,000 9,000 15,000 21,000 30,000

1135 Scoliosis Instrumentation (Posterior)Scoliosis Instrumentation (Posterior) 0

25,000 7,500 12,500 17,500 25,000

1136Anterior Cervical Fusion System (single level)

Anterior Cervical Fusion System (single level) 0

6,000 1,800 3,000 4,200 6,000

1137 Posterior Cervical Fusion Posterior Cervical Fusion 0 10,000 3,000 5,000 7,000 10,0001138 Spinal Cages Spinal Cages 0 3,000 900 1,500 2,100 3,0001139 Anterior Spinal Instrumentations Anterior Spinal Instrumentations 0 10,000 3,000 5,000 7,000 10,000

1140Lower Back Instrumentations (single level)

Lower Back Instrumentations (single level) 0

9,000 2,700 4,500 6,300 9,000

1141 Artificial Discs (Cervical) Artificial Discs (Cervical) 0 11,000 3,300 5,500 7,700 11,000


Kos

perkhidmatan (RM)

TAHUN 2015 (RM)

TAHUN 2016 (RM)

TAHUN 2017 (RM)

TAHUN 2018 (RM)

CAJ RAWATAN

1142 Artificial Discs (lumbar) Artificial Discs (lumbar) 0 11,000 3,300 5,500 7,700 11,0001143 Kyphoplasty (per level) Kyphoplasty (per level) 0 7,875 2,363 3,938 5,513 7,8751144 Vertebroplasty (per level) Vertebroplasty (per level) 0 4,500 1,350 2,250 3,150 4,5001145 Halo Vest System Halo Vest System 0 9,450 2,835 4,725 6,615 9,4501146 Scoliosis Bracing Scoliosis Bracing 0 840 252 420 588 8401147 Juwett, SOMI,TLSO, LSO Bracing Juwett, SOMI,TLSO, LSO Bracing 0 998 299 499 699 9981148 Pedicle Screws Pedicle Screws 0 1,155 347 578 809 1,155

Sports Surgery and Arthroscopy : Sports Surgery and Arthroscopy : 0

1149Primary ACL reconstruction (single bundle)

Primary ACL reconstruction (single bundle) 0

4,643 1,393 2,322 3,250 4,643

1150Primary ACL reconstruction (double bundle)

Primary ACL reconstruction (double bundle) 0

6,943 2,083 3,472 4,860 6,943

1151Primary PCL reconstruction (single bundle)

Primary PCL reconstruction (single bundle) 0

5,976 1,793 2,988 4,183 5,976

1152Primary PCL reconstruction (double bundle)

Primary PCL reconstruction (double bundle) 0

7,068 2,120 3,534 4,948 7,068

1153Primary PLC reconstruction (single bundle)

Primary PLC reconstruction (single bundle) 0

4,515 1,355 2,258 3,161 4,515

1154Primary PLC reconstruction (double bundle)

Primary PLC reconstruction (double bundle) 0

7,005 2,102 3,503 4,904 7,005

1155Primary MCL reconstruction (single bundle)

Primary MCL reconstruction (single bundle) 0

4,515 1,355 2,258 3,161 4,515

1156Primary MCL reconstruction (double bundle)

Primary MCL reconstruction (double bundle) 0

7,005 2,102 3,503 4,904 7,005

Multiligament reconstruction without allograft

Multiligament reconstruction without allograft 0

1157 - 2 ligaments - 2 ligaments 0 7,873 2,362 3,937 5,511 7,8731158 - 3 ligaments - 3 ligaments 0 10,108 3,032 5,054 7,076 10,1081159 - 4 ligaments - 4 ligaments 0 13,558 4,067 6,779 9,491 13,558

Multiligament reconstruction with allograft

Multiligament reconstruction with allograft 0

1160 - 2 ligaments - 2 ligaments 0 16,873 5,062 8,437 11,811 16,8731161 Patella stabilization surgery Patella stabilization surgery 0 4,010 1,203 2,005 2,807 4,0101162 Knee malalignment surgery Knee malalignment surgery 0 4,400 1,320 2,200 3,080 4,4001163 Meniscus repair surgery Meniscus repair surgery 0 4,343 1,303 2,172 3,040 4,3431164 Meniscus transplantation surgery Meniscus transplantation surgery 0 27,255 8,177 13,628 19,079 27,2551165 Shoulder stabilization surgery Shoulder stabilization surgery 0 4,500 1,350 2,250 3,150 4,500

1166 Anterior and Posterior stabilization Anterior and Posterior stabilization 0

7,723 2,317 3,862 5,406 7,723

1167 Single Row (small or medium size tear)Single Row (small or medium size tear) 0

12,500 3,750 6,250 8,750 12,500

1168 Single Row (massive tear) Single Row (massive tear) 0 4,670 1,401 2,335 3,269 4,670

1169 Double Row (small or medium size tear) Double Row (small or medium size tear) 0

7,945 2,384 3,973 5,562 7,945

1170 Double Row (massive tear) Double Row (massive tear) 0 7,370 2,211 3,685 5,159 7,370

1171 Biceps tendon repair or tenodesis Biceps tendon repair or tenodesis0

6,995 2,099 3,498 4,897 6,995

1172 ACJ repair ACJ repair 0 10,795 3,239 5,398 7,557 10,7951173 ACJ reconstruction ACJ reconstruction 0 3,513 1,054 1,757 2,459 3,513


Kos

perkhidmatan (RM)

TAHUN 2015 (RM)

TAHUN 2016 (RM)

TAHUN 2017 (RM)

TAHUN 2018 (RM)

CAJ RAWATAN

1174 Osteochondral transplantation surgeryOsteochondral transplantation surgery 0

4,438 1,331 2,219 3,107 4,438

Implants for Arthroscopy and Sport Surgery

Implants for Arthroscopy and Sport Surgery

1175 Bioabsorbable Interference Screw Bioabsorbable Interference Screw 0

1,245 374 623 872 1,245

1176 Extracortical button Extracortical button 0 1,335 401 668 935 1,3351177 Suture Anchor Suture Anchor 0 1,370 411 685 959 1,3701178 Meniscus repair Meniscus repair 0 1,100 330 550 770 1,1001179 Tight rope repair kit Tight rope repair kit 0 875 263 438 613 8751180 AC graftrope AC graftrope 0 1,500 450 750 1,050 1,5001181 Meniscus implant Meniscus implant 0 25,000 7,500 12,500 17,500 25,0001182 Allograft tissue (Freeze-Dried) Allograft tissue (Freeze-Dried) 0 6,000 1,800 3,000 4,200 6,0001183 Allograft tissue (Fresh Frozen) Allograft tissue (Fresh Frozen) 0 11,500 3,450 5,750 8,050 11,5001184 Osteochondral implant Osteochondral implant 0 3,000 900 1,500 2,100 3,0001185 Force fibrewire Force fibrewire 0 210 63 105 147 2101186 Knee Brace Knee Brace 0 1,500 450 750 1,050 1,5001187 Shoulder Brace Shoulder Brace 0 475 143 238 333 4751188 Osteotomy Plate Osteotomy Plate 0 2,500 750 1,250 1,750 2,5001189 Bone Substitute Bone Substitute 0 1,400 420 700 980 1,400

OSTEOTITE HA COATED SCREWS:- OSTEOTITE HA COATED SCREWS:-

1190Osteotite bone screw 180mm/50mm diameter 6mm, thread 6-5mm

Osteotite bone screw 180mm/50mm diameter 6mm, thread 6-5mm

0360 108 180 252 360



0360 108 180 252 360



0360 108 180 252 360



0360 108 180 252 360



0360 108 180 252 360



0360 108 180 252 360



0360 108 180 252 360



0360 108 180 252 360



0360 108 180 252 360


Kos

perkhidmatan (RM)

TAHUN 2015 (RM)

TAHUN 2016 (RM)

TAHUN 2017 (RM)

TAHUN 2018 (RM)

CAJ RAWATAN

BASIC LRS COMPONENTS BASIC LRS COMPONENTS

1199 LRS Extra Short Rail Length 12cm LRS Extra Short Rail Length 12cm 0

2,427 728 1,214 1,699 2,427

1200 LRS Standard Rail Length 30cm LRS Standard Rail Length 30cm 0 2,558 767 1,279 1,791 2,5581201 LRS Long Rail Length 40cm LRS Long Rail Length 40cm 0 3,534 1,060 1,767 2,474 3,5341202 LRS Straight Central Clamp LRS Straight Central Clamp 0 4,167 1,250 2,084 2,917 4,1671203 LRS Straight Outer Clamp LRS Straight Outer Clamp 0 3,033 910 1,517 2,123 3,0331204 LRS T-Clamp LRS T-Clamp 0 2,904 871 1,452 2,033 2,904

1205 Sandwich Clamp With C/D Unit for LRS Sandwich Clamp With C/D Unit for LRS 0

3,676 1,103 1,838 2,573 3,676

1206Compression Distraction Unit Long Clicker Model

Compression Distraction Unit Long Clicker Model 0

2,242 673 1,121 1,569 2,242

1207 Compression Distraction Unit Short Compression Distraction Unit Short 0

1,319 396 660 923 1,319

1208Compression Distraction Unit STD Clicker Model

Compression Distraction Unit STD Clicker Model 0

909 273 455 636 909

1209 Dyna-Ring with C/D Unit Attach For LRS Dyna-Ring with C/D Unit Attach For LRS 0

1,055 317 528 739 1,055

ACUTE/GRADUAL CORRECTION CLAMPS

ACUTE/GRADUAL CORRECTION CLAMPS

1210 LRS Multiplanar Clamp LRS Multiplanar Clamp 0 4,537 1,361 2,269 3,176 4,537

1211 Micrometric Swivelling Clamp for LRS Micrometric Swivelling Clamp for LRS 0

3,534 1,060 1,767 2,474 3,534

1212 LRS Hinged Rail Coupling LRS Hinged Rail Coupling 0 3,745 1,124 1,873 2,622 3,7451213 LRS of-Garches T-Clamp LRS of-Garches T-Clamp 0 3,941 1,182 1,971 2,759 3,941

1214Of-Garches Standard Compression/Distraction Unit

Of-Garches Standard Compression/Distraction Unit 0

985 296 493 690 985

1215Of-Garches Long Compression/Distrraction Unit

Of-Garches Long Compression/Distrraction Unit 0

985 296 493 690 985

1216Pelvic Fixator Long Model Kit with 6pcs of Screws

Pelvic Fixator Long Model Kit with 6pcs of Screws 0

11,500 3,450 5,750 8,050 11,500

1217 Hand/forearm applications Hand/forearm applications 0 5,500 1,650 2,750 3,850 5,500

1218 Articulated hip distraction/perthes Articulated hip distraction/perthes 0

16,000 4,800 8,000 11,200 16,000

1219Orthofix dynamic wrist fixator system with screws

Orthofix dynamic wrist fixator system with screws 0

6,500 1,950 3,250 4,550 6,500

(Kit No: 37000 or 37001) (Kit No: 37000 or 37001) 0

1220 SS Half Rings (Diameter 80mm - 240mm)

SS Half Rings (Diameter 80mm - 240mm) 0

160 48 80 112 160

1221 SS 5/8 Rings (Diameter 80mm - 220mm)SS 5/8 Rings (Diameter 80mm - 220mm) 0

180 54 90 126 180

1222 Carbon Fibre Half Ring (Diameter 80mm – 240mm)

Carbon Fibre Half Ring (Diameter 80mm – 240mm) 0

320 96 160 224 320

SS Italian Femoral Arches SS Italian Femoral Arches 0

1223 - 90 degree Arch, small/large size - 90 degree Arch, small/large size 0

200 60 100 140 200

1224 - 120 degree Arch, small/large size - 120 degree Arch, small/large size0

200 60 100 140 200


Kos

perkhidmatan (RM)

TAHUN 2015 (RM)

TAHUN 2016 (RM)

TAHUN 2017 (RM)

TAHUN 2018 (RM)

CAJ RAWATAN

1225 - Threaded Rods (Size: 40mm - 450mm) - Threaded Rods (Size: 40mm - 450mm) 0

34 10 17 24 34

1226 - Slotted Threaded Rods (Size: 40mm – 100mm)

- Slotted Threaded Rods (Size: 40mm – 100mm) 0

62 19 31 43 62

Telescopic Rods Telescopic Rods 1227 Telescopic Rods: 100mm Telescopic Rods: 100mm 0 94 28 47 66 941228 Telescopic Rods: 150mm Telescopic Rods: 150mm 0 109 33 55 76 1091229 Telescopic Rods: 200mm Telescopic Rods: 200mm 0 125 38 63 88 1251230 Telescopic Rods: 250mm Telescopic Rods: 250mm 0 156 47 78 109 1561231 Telescopic Rods: 300mm Telescopic Rods: 300mm 0 187 56 94 131 1871232 Telescopic Rods: 350mm Telescopic Rods: 350mm 0 187 56 94 131 1871233 Telescopic Rods: 400mm Telescopic Rods: 400mm 0 187 56 94 131 1871234 Posts Female (Size: 2-4 Holes) Posts Female (Size: 2-4 Holes) 0 59 18 30 41 591235 Male Post (Size: 2-4 Holes) Male Post (Size: 2-4 Holes) 0 59 18 30 41 591236 Hinges Female Standard Hinges Female Standard 0 59 18 30 41 591237 Hinges Male Standard Hinges Male Standard 0 59 18 30 41 591238 Hinges-90 degree Standard Hinges-90 degree Standard 0 59 18 30 41 591239 Hinges-90 degree Low profile Hinges-90 degree Low profile 0 59 18 30 41 59

Short Connection Plates Short Connection Plates

1240 Short Connection Plate 2 Holes Length 35mm

Short Connection Plate 2 Holes Length 35mm

0 62 19 31 43 62



0 62 19 31 43 62



0 62 19 31 43 62



0 62 19 31 43 62



0 62 19 31 43 62



0 94 28 47 66 94



0 94 28 47 66 94



0 94 28 47 66 94



0 94 28 47 66 94

Long Connection Plate Long Connection Plate

1249 Long Connection Plate Size: 8 Holes Length 155mm

Long Connection Plate Size: 8 Holes Length 155mm

0 94 28 47 66 94



0 94 28 47 66 94



0 109 33 55 76 109

Connected Plates with Threaded Ends Connected Plates with Threaded Ends

1252 Connection Plates with threaded ends: 5 Holes Length 135mm

Connection Plates with threaded ends: 5 Holes Length 135mm

0 94 28 47 66 94

1253 Connection Plates with threaded end: 7 Holes Length 175mm

Connection Plates with threaded end: 7 Holes Length 175mm

0 94 28 47 66 94


Kos

perkhidmatan (RM)

TAHUN 2015 (RM)

TAHUN 2016 (RM)

TAHUN 2017 (RM)

TAHUN 2018 (RM)

CAJ RAWATAN



0 125 38 63 88 125



0 125 38 63 88 125

Twisted Plates Twisted Plates

1256 Twisted Plates: 2 Holes Length 45mm Twisted Plates: 2 Holes Length 45mm

0 50 15 25 35 50


0 50 15 25 35 50


0 50 15 25 35 50

1259 Curved Plates: 3 Holes Curved Plates: 3 Holes 0 62 19 31 43 621260 Bushing (for Big RFS) Bushing (for Big RFS) 0 31 9 16 22 31

1261 Threaded Sockets (20mm - 60mm) Threaded Sockets (20mm - 60mm) 0 40 12 20 28 40

Connection Bolts and Nuts Connection Bolts and Nuts 1262 Connection Bolts: 10mm Connection Bolts: 10mm 0 9 3 5 6 91263 Connection Bolts: 16mm Connection Bolts: 16mm 0 9 3 5 6 91264 Connection Bolts: 20mm Connection Bolts: 20mm 0 22 7 11 15 221265 Connection Bolts: 30mm Connection Bolts: 30mm 0 22 7 11 15 221266 Nut 6mm Nut 6mm 0 3 1 2 2 31267 Nut 13mm Nut 13mm 0 5 2 3 4 51268 Thin Nut Thin Nut 0 4 1 2 3 41269 Nylon Insert Nut Nylon Insert Nut 0 6 2 3 4 61270 Square Nut Square Nut 0 16 5 8 11 161271 Spacing Washers 1.5mm Spacing Washers 1.5mm 0 4 1 2 3 41272 Spacing Washers 2.0mm Spacing Washers 2.0mm 0 4 1 2 3 41273 Split Locking Washer 2.0mm Split Locking Washer 2.0mm 0 6 2 3 4 61274 Flat Sided Washers 2.0mm Flat Sided Washers 2.0mm 0 7 2 4 5 71275 Flat Sided Washers 4.0mm Flat Sided Washers 4.0mm 0 7 2 4 5 71276 Slotted Washers 4.0mm Slotted Washers 4.0mm 0 9 3 5 6 91277 Conical Washer Couple Conical Washer Couple 0 31 9 16 22 311278 Wire fixation Bolt Slotted Wire fixation Bolt Slotted 0 34 10 17 24 341279 Wire fixation Bolt Cannulated Wire fixation Bolt Cannulated 0 34 10 17 24 341280 Pin fixation Bolts for 3mm Pins Pin fixation Bolts for 3mm Pins 0 62 19 31 43 621281 Pin fixation Bolts for 4mm Pins Pin fixation Bolts for 4mm Pins 0 62 19 31 43 621282 Pin fixation Bolts for 5mm Pins Pin fixation Bolts for 5mm Pins 0 62 19 31 43 621283 Pin fixation Bolts for 6mm Pins Pin fixation Bolts for 6mm Pins 0 62 19 31 43 621284 Single Pin Fixation Bolt Single Pin Fixation Bolt 0 125 38 63 88 1251285 Multiple Pin Fixation Clamp Multiple Pin Fixation Clamp 0 406 122 203 284 4061286 Wire Fixation Buckle Wire Fixation Buckle 0 218 65 109 153 218

Blocks for Half Pins (Rancheo Cubes)Blocks for Half Pins (Rancheo Cubes)

1287 Blocks for Half Pins: 1 Hole Blocks for Half Pins: 1 Hole 0 39 12 20 27 391288 Blocks for Half Pins: 2 Holes Blocks for Half Pins: 2 Holes 0 39 12 20 27 391289 Blocks for Half Pins: 3 Holes Blocks for Half Pins: 3 Holes 0 39 12 20 27 391290 Blocks for Half Pins: 4 Holes Blocks for Half Pins: 4 Holes 0 56 17 28 39 561291 Blocks for Half Pins: 5 Holes Blocks for Half Pins: 5 Holes 0 62 19 31 43 62


Kos

perkhidmatan (RM)

TAHUN 2015 (RM)

TAHUN 2016 (RM)

TAHUN 2017 (RM)

TAHUN 2018 (RM)

CAJ RAWATAN

1292Blocks for Half Pins for Centre Sleeve: 1 Holes

Blocks for Half Pins for Centre Sleeve: 1 Holes

0 42 13 21 29 42



0 42 13 21 29 42



0 42 13 21 29 42



0 56 17 28 39 56



0 62 19 31 43 62

Centre Sleeve for Block for Half Pins Centre Sleeve for Block for Half Pins

1297Centre Sleeve for Block for Half Pins - 3mm

Centre Sleeve for Block for Half Pins - 3mm

0 12 4 6 8 12



0 12 4 6 8 12



0 12 4 6 8 12



0 12 4 6 8 12

1301 Universal Joint Universal Joint 0 187 56 94 131 1871302 Rotational Translation Device Rotational Translation Device 0 270 81 135 189 2701303 Oblique Support Connection Oblique Support Connection 0 53 16 27 37 53

Wires Wires

1304 K-Wires-Cortical 1.5mm x 300mm K-Wires-Cortical 1.5mm x 300mm 0 25 8 13 18 25

1305 K-Wires-Cortical 1.8mm x 370mm K-Wires-Cortical 1.8mm x 370mm 0 25 8 13 18 25

1306 K-Wires-Cancellous 1.5mm x 300mm K-Wires-Cancellous 1.5mm x 300mm 0 25 8 13 18 25

1307 K-Wires-Cancellous 1.8mm x 370mm K-Wires-Cancellous 1.8mm x 370mm 0 25 8 13 18 25

1308 Olive Wires-(Bayonet Point) 1.5 x 300mmOlive Wires-(Bayonet Point) 1.5 x 300mm

0 29 9 15 20 29

1309 Olive Wires-(Bayonet Point) 1.8 x 400mmOlive Wires-(Bayonet Point) 1.8 x 400mm

0 29 9 15 20 29

1310 Set Screws 3.0mm Set Screws 3.0mm 0 6 2 3 4 61311 Schanz Screws 5 x 175mm Schanz Screws 5 x 175mm 0 35 11 18 25 351312 Schanz Screws 5 x 150mm Schanz Screws 5 x 150mm 0 35 11 18 25 35

1313 Proximal Humerus Endoprosthesis Proximal Humerus Endoprosthesis 0 17,500 5,250 8,750 12,250 17,500

1314 Distal Humerus Endoprosthesis Distal Humerus Endoprosthesis 0 35,000 10,500 17,500 24,500 35,0001315 Total Humerus Endoprosthesis Total Humerus Endoprosthesis 0 40,000 12,000 20,000 28,000 40,0001316 Proximal Femur Endoprosthesis Proximal Femur Endoprosthesis 0 21,000 6,300 10,500 14,700 21,0001317 Total Femur Endoprosthesis Total Femur Endoprosthesis 0 41,500 12,450 20,750 29,050 41,5001318 Proximal Tibia Endoprosthesis Proximal Tibia Endoprosthesis 0 33,000 9,900 16,500 23,100 33,0001319 Bone Cement Bone Cement 0 350 105 175 245 3501320 Expandable Endoprosthesis Expandable Endoprosthesis 0 97,000 29,100 48,500 67,900 97,0001321 Long Stem Bipolar Long Stem Bipolar 0 7,250 2,175 3,625 5,075 7,250


Kos

perkhidmatan (RM)

TAHUN 2015 (RM)

TAHUN 2016 (RM)

TAHUN 2017 (RM)

TAHUN 2018 (RM)

CAJ RAWATAN

1322 Shoulder arthroplasty Shoulder arthroplasty 0 7,900 2,370 3,950 5,530 7,9001323 Radio-capitellum prosthesis Radio-capitellum prosthesis 0 8,500 2,550 4,250 5,950 8,5001324 Total wrist prosthesis Total wrist prosthesis 0 12,000 3,600 6,000 8,400 12,0001325 Distal ulnar head prosthesis Distal ulnar head prosthesis 0 5,600 1,680 2,800 3,920 5,6001326 Sigmoid notch (DRUJ) prosthesis Sigmoid notch (DRUJ) prosthesis 0 4,800 1,440 2,400 3,360 4,8001327 Radial head modular Co Ci/Ti Radial head modular Co Ci/Ti 0 6,500 1,950 3,250 4,550 6,5001328 Radial head prosthesis Radial head prosthesis 0 5,000 1,500 2,500 3,500 5,0001329 Bipolar radial head Bipolar radial head 0 6,000 1,800 3,000 4,200 6,0001330 Silicone PIP, MCP, MCP Preflex Silicone PIP, MCP, MCP Preflex 0 1,000 300 500 700 1,000

1331Silicone PIP, MCP, MCP Preflex with bone cement

Silicone PIP, MCP, MCP Preflex with bone cement

0 1,150 345 575 805 1,150

1332 Semi constrained PIP Arthoplasty Semi constrained PIP Arthoplasty 0 6,300 1,890 3,150 4,410 6,300

1333 Semi constrained MCP Arthoplasty Semi constrained MCP Arthoplasty 0 5,600 1,680 2,800 3,920 5,600

1334 Surface replacement PIP Arthoplasty Surface replacement PIP Arthoplasty 0 4,700 1,410 2,350 3,290 4,700

1335 Surface replacement MCP ArthoplastySurface replacement MCP Arthoplasty

0 3,600 1,080 1,800 2,520 3,600

1336 CMC Thumb Arthroplasty CMC Thumb Arthroplasty 0 5,250 1,575 2,625 3,675 5,2501337 Carpal fusion plate 3 holes Carpal fusion plate 3 holes 0 1,700 510 850 1,190 1,7001338 Carpal fusion plate 4 holes Carpal fusion plate 4 holes 0 2,100 630 1,050 1,470 2,1001339 Carpal fusion plate 5 holes Carpal fusion plate 5 holes 0 2,450 735 1,225 1,715 2,4501340 Hunter’s rod (Silastic rods) Hunter’s rod (Silastic rods) 0 800 240 400 560 800

Stainless Steel Mini plates Stainless Steel Mini plates1341 Straight 1.5mm 20 holes Straight 1.5mm 20 holes 0 310 93 155 217 3101342 Straight 2.0mm 20 holes Straight 2.0mm 20 holes 0 280 84 140 196 2801343 Condylar plate 1.5mm R/L Condylar plate 1.5mm R/L 0 445 134 223 312 4451344 Condylar plate 2.0mm R/L Condylar plate 2.0mm R/L 0 500 150 250 350 5001345 Condylar plate 2.7mm R/L Condylar plate 2.7mm R/L 0 440 132 220 308 440

1346 T plate 1.5mm; shaft 9 holes; 3/4 holesT plate 1.5mm; shaft 9 holes; 3/4 holes

0 500 150 250 350 500

1347 T plate 2.0mm; shaft 9 holes; 3/4 holes T plate 2.0mm; shaft 9 holes; 3/4 holes

0 420 126 210 294 420

1348 H plate 2.0mm H plate 2.0mm 0 340 102 170 238 3401349 H plate 1.5mm H plate 1.5mm 0 160 48 80 112 160

1350 Reconstruction plate 2.7mm, 5-8 holesReconstruction plate 2.7mm, 5-8 holes

0 400 120 200 280 400

1351 Reconstruction plate 2.7mm 5-8 holesReconstruction plate 2.7mm 5-8 holes

0 520 156 260 364 520

1352 Adaptation plate 2.0mm 20 holes Adaptation plate 2.0mm 20 holes 0 300 90 150 210 300Low Profile Titanium Plates Low Profile Titanium Plates

1353 1.3mm 1.5mm 1.3mm 1.5mm 0 1,600 480 800 1,120 1,6001354 Condylar blade plate Condylar blade plate 0 1,600 480 800 1,120 1,6001355 Y, T plate Y, T plate 0 1,600 480 800 1,120 1,6001356 H, Extended H plate H, Extended H plate 0 1,600 480 800 1,120 1,6001357 Straight plate Straight plate 0 1,600 480 800 1,120 1,600

13581.0mm, 1.3mm, 1.5mm, 2.0mm, 2.4mm screws

1.0mm, 1.3mm, 1.5mm, 2.0mm, 2.4mm screws

0 1,600 480 800 1,120 1,600

Scaphoid Screws Scaphoid Screws1359 Accutrac micro 2.8mm/2.2mm Accutrac micro 2.8mm/2.2mm 0 1,200 360 600 840 1,2001360 Accutrac mini 3.8mm/3.2mm Accutrac mini 3.8mm/3.2mm 0 1,000 300 500 700 1,000


Kos

perkhidmatan (RM)

TAHUN 2015 (RM)

TAHUN 2016 (RM)

TAHUN 2017 (RM)

TAHUN 2018 (RM)

CAJ RAWATAN

1361 Headless compression screw 3.0mm Headless compression screw 3.0mm 0 700 210 350 490 700

1362 Autofix 2.0mm/2.5mm Autofix 2.0mm/2.5mm 0 600 180 300 420 6001363 Autofix 3.0mm/4.0mm Autofix 3.0mm/4.0mm 0 600 180 300 420 6001364 3.0mm cannulated screw 3.0mm cannulated screw 0 450 135 225 315 450

Locking Plates Locking Plates1365 Dorsal Dorsal 0 2,300 690 1,150 1,610 2,3001366 Volar (extra/intra articular) Volar (extra/intra articular) 0 1,800 540 900 1,260 1,8001367 10 holes 10 holes 0 2,700 810 1,350 1,890 2,7001368 Variable angle Variable angle 0 2,500 750 1,250 1,750 2,5001369 Wrist fusion 2.7mm/3.5mm Wrist fusion 2.7mm/3.5mm 0 2,800 840 1,400 1,960 2,8001370 3.5mm LCP 6-9 holes 3.5mm LCP 6-9 holes 0 800 240 400 560 8001371 3.5mm LCP 10-12 holes 3.5mm LCP 10-12 holes 0 1,100 330 550 770 1,100

13723.5mm locking reconstruction plate 6-9 holes

3.5mm locking reconstruction plate 6-9 holes

0 850 255 425 595 850

1373 3.5mm LCP metaphyseal plate 6-9 holes3.5mm LCP metaphyseal plate 6-9 holes

0 1,800 540 900 1,260 1,800

1374 3.5mm LCP metaphyseal plate 10 holes3.5mm LCP metaphyseal plate 10 holes

0 2,000 600 1,000 1,400 2,000

1375 3.5mm LCP T plate 3-6 holes 3.5mm LCP T plate 3-6 holes 0 800 240 400 560 800

1376Proximal humerus internal locking system

Proximal humerus internal locking system

0 2,200 660 1,100 1,540 2,200

1377LCP distal humerus 2.7mm/3.5mm 3-9 holes (2 plates)

LCP distal humerus 2.7mm/3.5mm 3-9 holes (2 plates)

0 3,900 1,170 1,950 2,730 3,900

1378 LCP olecranon 3.5mm 2-8 holes LCP olecranon 3.5mm 2-8 holes 0 2,700 810 1,350 1,890 2,700Anchor Sutures Anchor Sutures 0

1379 Minilok 2.3mm absorbable Minilok 2.3mm absorbable 0 850 255 425 595 8501380 Microfix 1.6mm absorbable Microfix 1.6mm absorbable 0 850 255 425 595 8501381 Hinged Elbow External Fixator Hinged Elbow External Fixator 0

1382 1 Hinge, 4 Clamps, 4 Schantz screws 1 Hinge, 4 Clamps, 4 Schantz screws 0 7,500 2,250 3,750 5,250 7,500

Surgery System Surgery System 0

Total Knee Replacement System Total Knee Replacement System 0

1383 - Total Knee Replacement System for Young

- Total Knee Replacement System for Young

0 12,000 3,600 6,000 8,400 12,000

1384 - Total Knee Replacement System Mobile Bearing

- Total Knee Replacement System Mobile Bearing

0 8,000 2,400 4,000 5,600 8,000

1385 - Ts Tibial Total Knee Replacement System

- Ts Tibial Total Knee Replacement System

0 13,000 3,900 6,500 9,100 13,000

1386 - Total Stabilization Total Knee Revision Replacement System

- Total Stabilization Total Knee Revision Replacement System

0 19,000 5,700 9,500 13,300 19,000

1387 - Modular Rotating Hinged (MRH) Total Knee Replacement System

- Modular Rotating Hinged (MRH) Total Knee Replacement System

0 22,000 6,600 11,000 15,400 22,000

1388 - Global Modular Replacement System (GMRS) Proximal Femur Total Knee Replacement System

- Global Modular Replacement System (GMRS) Proximal Femur Total Knee Replacement System

0 48,000 14,400 24,000 33,600 48,000


Kos

perkhidmatan (RM)

TAHUN 2015 (RM)

TAHUN 2016 (RM)

TAHUN 2017 (RM)

TAHUN 2018 (RM)

CAJ RAWATAN

1389 - Global Modular Replacement System (GMRS) Proximal Tibial Total Knee Replacement System

- Global Modular Replacement System (GMRS) Proximal Tibial Total Knee Replacement System

0 35,000 10,500 17,500 24,500 35,000

1390 - Global Modular Replacement System (GMRS) Distal Femur Total Knee Replacement System

- Global Modular Replacement System (GMRS) Distal Femur Total Knee Replacement System

0 35,000 10,500 17,500 24,500 35,000

1391 - Global Modular Replacement System (GMRS) Total Femur Total Knee Replacement System

- Global Modular Replacement System (GMRS) Total Femur Total Knee Replacement System

0 48,000 14,400 24,000 33,600 48,000

Total Hip Replacement System Total Hip Replacement System

1392 - Bipolar Hemi Hip Replacement System - Bipolar Hemi Hip Replacement System

0 4,100 1,230 2,050 2,870 4,100

1393 - Total Hip Replacement System (Cemented)

- Total Hip Replacement System (Cemented)

0 7,500 2,250 3,750 5,250 7,500

1394 - Total Hip Replacement System for Young Adult

- Total Hip Replacement System for Young Adult

0 13,000 3,900 6,500 9,100 13,000

1395 - Total Hip Replacement System (Cementless)

- Total Hip Replacement System (Cementless)

0 10,750 3,225 5,375 7,525 10,750

1396 - Total Hip Replacement System -Long Stem (Cemented)

- Total Hip Replacement System -Long Stem (Cemented)

0 8,000 2,400 4,000 5,600 8,000

1397 - Total Hip Replacement System -Gap Ii and Mesh (Cemented)

- Total Hip Replacement System -Gap Ii and Mesh (Cemented)

0 13,100 3,930 6,550 9,170 13,100

1398 - Total Elbow Replacement System - Total Elbow Replacement System 0 8,500 2,550 4,250 5,950 8,500

1399 - Hemi Shoulder Replacement System - Hemi Shoulder Replacement System

0 7,250 2,175 3,625 5,075 7,250

1400 - Total Shoulder Replacement System - Total Shoulder Replacement System

0 8,000 2,400 4,000 5,600 8,000

1401 - Reversed Shoulder - Reversed Shoulder 0 17,000 5,100 8,500 11,900 17,0001402 - Total Ankle Replacement - Total Ankle Replacement 0 9,500 2,850 4,750 6,650 9,500

Revision Accessories Revision Accessories

1403 - Acetabulum Reconstruction Ring - Acetabulum Reconstruction Ring 0 4,500 1,350 2,250 3,150 4,500

1404 - Revision Stems - Revision Stems 0 8,000 2,400 4,000 5,600 8,0001405 - Mesh Femoral - Mesh Femoral 0 2,000 600 1,000 1,400 2,0001406 - Mesh Acetabulum - Mesh Acetabulum 0 2,000 600 1,000 1,400 2,0001407 - Cables - Cables 0 500 150 250 350 5001408 - Pulse Lavage - Pulse Lavage 0 300 90 150 210 3001409 - Plate - Plate 0 1,500 450 750 1,050 1,5001410 - Cement - Cement 0 270 81 135 189 2701411 - Antibiotic Bone Cement - Antibiotic Bone Cement 0 350 105 175 245 350

1412 - Antibiotic Bone Cement (Tobramycin) - Antibiotic Bone Cement (Tobramycin)

0 1,100 330 550 770 1,100

1413 - Trabecular Metal Cone/Wedges - Trabecular Metal Cone/Wedges 0 3,500 1,050 1,750 2,450 3,5001414 - Constraint Cup with Head - Constraint Cup with Head 0 3,500 1,050 1,750 2,450 3,5001415 - Cement Joint Spacer - Cement Joint Spacer 0 4,000 1,200 2,000 2,800 4,0001416 - Trochanteric Hook Plate - Trochanteric Hook Plate 0 12,000 3,600 6,000 8,400 12,000

Kadar Caj

Semasa

Warga Asing

(RM)

Kos

Perkhidmatan (RM)

TAHUN

2015 (RM)

TAHUN

2016 (RM)

TAHUN

2017 (RM)

TAHUN

2018 (RM)

Kadar Caj

Semasa

Warga Asing

(RM)

Kos

Perkhidmatan (RM)

TAHUN

2015 (RM)

5 10 7 8 9 10 5 10 710 20 13 15 17 20 10 30 16

15 30 20 23 26 30 15 40 23

10 20 13 15 17 20 10 30 16

15 30 20 23 26 30 15 40 23

30 60 39 45 51 60 30 80 45

20 40 26 30 34 40 20 60 32

10 20 13 15 17 20 10 20 13

20 40 26 30 34 40 20 60 32

20 40 26 30 34 40 20 60 32

30 60 39 45 51 60 30 80 45

15 30 20 23 26 30 15 40 23

15 30 20 23 26 30 15 40 23

15 30 20 23 26 30 15 40 23

5 10 7 8 9 10 5 10 710 20 13 15 17 20 10 20 13

15 30 20 23 26 30 15 50 26

15 30 20 23 26 30 15 60 29

15 30 20 23 26 30 15 60 29

30 60 39 45 51 60 30 120 57

20 40 26 30 34 40 20 60 32

20 40 26 30 34 40 20 80 38

30 60 39 45 51 60 30 120 57

60 120 78 90 102 120 60 160 90

20 40 26 30 34 40 20 120 50

5 10 7 8 9 10 5 20 10

0 40 12 20 28 40 0 70 21

5 10 7 8 9 10 5 20 10

15 60 29 38 47 60 15 60 29

10 60 25 35 45 60 10 30 16

5 10 7 8 9 10 5 10 7100 100 100 100 100 100 100 250 145

180 360 234 270 306 360 0 10 3

Kanak-kanak (1 hingga 18 tahun)Bayi (0hingga 12 bulan)

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